Desenvolvimento da microbiota oral de bebês: análise longitudinal por pirosequenciamento da microbiota de bebês e suas mães dentro de um Programa de Saúde Bucal para Primeira Infância

Pós-graduação em Biopatologia Bucal - ICT

Estudo da padronização visando à interoperabilidade: o caso das organizações de saúde na cidade de Marília- São Paulo

Pós-graduação em Ciência da Informação - FFC

Promoção da saúde por meio de atividades educativas sobre hábitos de sono

A good night sleep is part of a healthy lifestyle. However, children and adolescents replace sleeping hours by several other activities. This project aimed to disseminate information about sleeping and stimulate some reflections about the risk factors to health arising frompersonal and collective habits. A group of 1014 junior high school students from five schools in the city of Assis-SP, participated in the project. The students visited an exhibition about the theme "sleeping and health" and took part of group assignments. Issues related to sleeping and alternatives to promote healthy sleeping habits in day-life context were discussed. The activities were planned and executed by six trainees under the supervision of the responsible teacher. The majority of the visitors reported pleasure (90% of students) and interest in the subject; (85%) enjoyed learning new information about it (93%). Among the activities performed, 25% of visitors particularly enjoyed playful educational activities, 19% the oral presentation and 23% all the activities without distinction. Group discussion on everyday situations encouraged the adolescents to reevaluate previous experiences and knowledge that were not always consistent with current scientific knowledge. Undergraduate students had a rich practical opportunity that stimulated them to create health education strategies for adolescents. Some adolescents got more involved in the activities and others were more stimulated by the change of school routine. The activities were feasible and can be designed according to the target public. Certainly individual experience was sporadic and we suggest that future projects might be improved by stimulating bigger schools and more teachers to participate.

Um espaço interdisciplinar de comunicação científica na Saúde coletiva: a revista Interface - Comunicação, Saúde, Educação

This is a reflection upon 17 years of experience in the production of an interdisciplinary scientific journal, the publication “Interface: Communication, Health, Education,” whose scope is in the fields of Collective (Public) Health, Education and Communication. It also examines retrospectively the themes published by the journal, seeking to identify them in different sections of this publication. Finally, the evolution of the journal is analyzed.

Desafıos do profıssional de saúde na notifıcação da violência: obrigatoriedade, efetivação e encaminhamento

The notification of the occurrence or suspicion of violence is mandatory for health professionals and is a key tool for epidemiological surveillance and the definition of public policies for prevention and intervention. However, professionals feel unprepared for this assignment, which renders underreporting prevalent. To address this issue, the objective is to identify the means available to the professional to submit notification as well as ensure due process follow-up. For this purpose, research and document analysis was conducted in Brazilian legislation, ordinances, and government programs, codes of ethics and consultation of the literature in databases on the subject over a period of five years to establish a brief comparative analysis with other countries. The conclusion drawn is that while some measures are inapplicable, knowledge about the appropriate process for the notification and routing to specific organs will enable healthcare professionals to make the appropriate decisions for the protection and safety of the victim, besides the measures in order to change this situation of violence in the country.

Saúde bucal nas escolas: relato de experiência

The need for a closer contact between students and the community reality, as well as, the necessity of providing an education that can result in social changes early in life were crucial for the development of the Extension Project : Oral Health Education, which was developed in Public Child Care Schools in Araçatuba. The aim of this article is to describe the project, emphasizing its educational aspects and to share this experience in order to allow for reflection about this practice.

A experiência da saúde coletiva na formação profissional: retrato da extensão universitária

The guidelines of National Curriculum for Dental courses highlights the necessity in providing for the professional the ability to analyze and assess community’s problems and needs, and to create solutions for the society. The continuing education may be considered a useful tool for the teaching and learning because it favors the diversification of learning environments, which allows the insertion of undergraduate and graduate students into the real scenarios. This current study aimed to assess the Public Health projects and programs of the UNESP – Araçatuba Dental School, by describing the interaction experiences between faculty and health services in the professional career development. Historical, documentary and descriptive searches were performed based on the faculty archives such as official documents, reports, databases from the Pro-rector of continuing education and published papers in the period between 1964 and 2011. The following experiences were noted: the Extra-Muro Dental Service (SEMO), established in 1964, that focused in providing dental treatment to the rural population, highlighted the social inclusion of discriminated society groups since that time. In 1972, this service was expanded to several specific populations living in the urban areas. In the '60s, many educational campaigns were performed as homemade water filter and construction of wells and septic tanks which demonstrate the concern with the determinants of healthdisease process. At that time, the campaign of fluoridation of public water supplies in several counties started as Araçatuba, Birigui, Penápolis, Guararapes, Valparaíso and so on. The Campaign of “Good Teeth” from the '70s became wider over time and it was transformed in the "Oral Health Education Program" and it was continuously developed in all public schools of Araçatuba and some neighboring towns, benefiting children aged from 6 to 10 years-old. Several epidemiological studies of caries, periodontal diseases, malocclusion and fluorosis were conducted in cooperation with local governments, and counted with the participation of undergraduate and graduate students. Pereira Barreto – SP was the precursor city in Brazil to carry out fluorosis study. Currently, 12 projects of Public Health from the Institution of Higher Education in the Pro-rector of continuing education are being developed. The concern in qualifying the human resources in health is confirmed with the development of training courses and workshops for professionals, highlighting the training for people enrolled in the Family Health program; Community Health Agent training - Solidarity University, and Municipal Health Counselors training. The Graduate Program in Social and Preventive Dentistry, created in 1993, has an important role to train several professionals for the Unified Health System, and provides education to create researchers, professors and administrators, and enucleates research groups in several Brazilian states. In all activities showed herein, a dynamic participation of undergraduate and graduate students has been observed, and several books, guidelines, articles, brochures and booklets have been published as a result of the continuing education activities.. It was concluded that different projects and programs have been developed by the Public Health of UNESP –Araçatuba Dental School, which allow the exchange of experience between the university and health services, and benefit all participants enrolled in these activities.

A importância da integração universidade e serviços de saúde

Brazilian Curricular Directrix demand changes on teaching dental surgeon, proposing new scenes of learning and study other than the classroom. So, pedagogic projects should search for integral and adequate education by relating teaching, research and extension/assistance. This paper discusses the importance of university extension activities on teaching Odontology students and relates the experience of Araçatuba Dental School of São Paulo State University. This school develops some university extension activities since the 60s by Dental Service Beyond School (SEMO, in portuguese). Among the activities included by SEMO there are several projects, such as: “Program of Dental Attention for Pregnant Women”, “Program of Dental Attention to Juvenile Foundation at Araçatuba”, “Always Smiling – Health Promotion for Institutionalized Elderlies”, “Santa Clara de Assis Nursery School Program of Dental Attention”, and "Promotion of oral health in Araçatuba public kindergarten schools”. These programs give the student knowledge of structure dimensions of public health services; chance to participate on attendance for the population, comprehension of oral health politics, and the role of dental surgeon in social context, where these students will work in the future. The positive impact obtained with these services is perceived by students return. Most of them feel satisfied about the experience lived there.

Perfil de acidentes envolvendo risco biológico em profissionais de saúde de Araçatuba-SP: uma caracterização dos envolvidos

Each year individuals have sought a better quality of life and work, in this case, the science of Bio-insurance needs to keep up with technological advances and the needs of society to minimize or eliminate the risks of accidents. This study evaluated the most common accidents involving health staff from 2007 to 2011 in Araçatuba-SP. 478 accidents were recorded, and 78.7% with percutaneous involvement, 9% with intact skin, 4% with no skin intact, with 7.3 mucous and 1.05% other types of exposures. Most accidents were caused by needles with lumen (68.0%), followed by other agents (14.1%), accidents with blades (8.5%) or needles without lumen (5.5%); 3.7% did not answer and 0.2% were accidents with glasses. When checking the condition in which the accident occurred, 26.0% did not specify, 25.1% occurred in the disposal and / or handling sharp objects, 12.0% at the time of drug administration, 6.9% puncture, 3.7% occurred during recapping the needle. These data show that the most common accidents are those involving needles with lumen and / or sharp objects and due to these factors, the industry of health materials have sought alternatives to minimize such accidents as needles with protective, vacuum collection . Thus, it appears that reporting accidents is important for the development of technical and / or safer materials for patients and health workers.

Exercício físico aeróbio para promoção da saúde de pacientes com doença de Alzheimer

Introdução: Sabe-se que a prática regular e sistematizada de atividade física é uma eficiente estratégia para evitar a deterioração cognitiva e funcional associada à Doença de Alzheimer (DA), uma doença progressiva, degenerativa e irreversível. Na população idosa os benefícios observados com a prática de exercícios físicos aeróbios já se encontram bem estabelecidos, contudo pouco ainda se sabe quanto à prática deste tipo de atividade em pacientes com DA. Em estudos realizados com modelo animal pode-se observar que o exercício físico aeróbio foi capaz de reduzir os níveis da proteína β-amilóide, sendo esta uma proteína característica da DA, que provoca degeneração no cérebro dos pacientes. A redução dos marcadores característicos da doença pode promover benefícios para os pacientes. Objetivos: Promover a prática de exercícios físicos para promoção/manutenção da saúde de pacientes com DA. Métodos: O estudo está sendo desenvolvido no PRO-CDA (Programa de Cinesioterapia Funcional e Cognitiva em Idosos com Doença de Alzheimer), projeto de Extensão do Departamento de Educação Física da UNESP – Campus Rio Claro, vinculado ao Núcleo Local UNESP-UNATI. O projeto atende atualmente 34 pacientes, divididos em dois grupos: Grupo Convívio Social e Grupo Exercício. O primeiro tem por objetivo desenvolver a adaptação do paciente à rotina do projeto. Já o segundo grupo busca promover os benefícios observados com a prática de atividade física nos pacientes participantes. Ambos os grupos realizam atividades três vezes na semana, com 60 minutos de duração cada sessão. O projeto conta com a participação de alunos de graduação, dos cursos de educação física, pedagogia e biologia, bem como discentes de pós-graduação da UNESP, além de aprimorandos graduandos e graduados dos cursos de educação física, fisioterapia, gerontologia e psicologia de outras universidades, que atuam sob a coordenação de docentes vinculados ao Departamento de Educação Física e de Educação. Resultados: Por se tratar de um protocolo de intervenção motora iniciado recentemente, o presente estudo ainda não apresenta resultados. Contudo protocolos de atividade física desenvolvidos anteriormente no PRO-CDA evidenciam melhora na realização de atividades de vida diária, manutenção das funções cognitivas, qualidade de vida e redução dos distúrbios de comportamento nos pacientes participantes. Espera-se que o protocolo de exercício físico aeróbio possa influenciar positivamente os participantes do projeto, com melhora na qualidade de vida, tanto de pacientes como de cuidadores, redução de sintomas depressivos, melhora dos distúrbios do sono e da condição motora.

Medicamentos inadequados para idosos na estratégia da saúde da família

The ageing process can change the pharmacodynamics and pharmacokinetics parameters. Therefore, some medications are considered potentially inappropriate (PIM) for the elderly people, since they can increase the likelihood of occurrence of adverse drug events. The objectives are to estimate the frequency of use of PIM in the elderly people, with potentially hazardous drug interactions (PHDI) and to evaluate the impact of pharmaceutical intervention (PI) for the prescription of safer therapeutic alternatives. A cross-sectional study was performed in a Health Family Strategy (region of Araraquara, SP), between January and February/2012. The medical records of patients aged ≥60 years, that use at least one drug, were consulted for identification of PIM, according to the Beers criteria. The MPI identified were classified considering the Anatomical Therapeutic Chemical Classification System (ATC) and the essentiality of the drug (safety, effectiveness, quality and cost parameters) The inclusion criteria were met by 358 elderly, being that 93 of them (26%) had taken at least one PIM. Of the 114 different drugs prescribed for elderly, ten were classified as PIM, of which four of them act on the central nervous system, four on cardiovascular system and two on the digestive tract. Seven MPI are essential medicines, belonging to national list of essential drugs (RENAME-2010). Fourteen drug interactions were identified, of which two are PHDI (fluoxetine/amitriptyline and digoxin/hydrochlorothiazide).After the PI, there was no change in medical prescriptions of patients with PIM use or with DI. Medical prescriptions of elderly attended in the Health Family Strategy show pharmacotherapeutic safety problems, of which may be responsible for health hazardous for this age group. Although the intervention carried out by letter had been ineffective for the adherence of doctors in prescribing safe alternatives, wide dissemination of the lists that contain PIM and PHDI is need, as well as the inclusion of safer equivalents in RENAME, in order to contribute for rational use of drugs.

Saúde bucal de adolescentes que receberam assistência odontológica na primeira década de vida

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Saúde, comunicação e nanotecnologia: o papel do debate público para a expansão da cidadania

Amongst thematic networks, strategic laboratories and master and doctorate scholarships awarded by the National Program of Nanotechnology, an actor of great relevance can be distinguished due to its relative absence: the lay people, once more relegated to a secondary agent in Brazilian democracy, although citizens’ views have been increasingly recognized all over the world as an indispensable factor to the science and technology public policies which are intended to be democratic. Whereas Europe and United States have incorporated public values and feelings in the policy planning, Brazil is still waiting for opportunities of public participation in the definition of research guidelines. This paper examines contemporaneous demands of science communication to the strengthening of citizenship, aiming to offer contributions to a debate directed to question the present arrangement — of antidemocratic indifference towards the public — adopted in the formulation of public policies in Brazil.

Assistência em saúde: revisão integrativa do conhecimento produzido à luz da complexidade

This is part of an integrative review whose object of study was the production of knowledge in journals concerning nursing studies that have used the Theory of complexity as a theoretical framework. This study gathers seven articles collected from a literature review of 18 publications found on the databases: Medical Literature Analysis and Retrieval Sistem on-line (MEDLINE), Literatura Latino-Americana e do Caribe emCiências da Saúde (LILACS) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from 1998 to 2008. In the two former databases, the following combination of key words was used: “complexity theory” and “health” and “nursing”, and in the third: “complexidade” and “saúde” and “enfermagem. Content analysis was the methodological framework that allowed for organizing the knowledge aggregated in the theme: Health Care. It was observed that the Complexity Theory has based the comprehension of the health care process, pointing out the care provider with his practices and the environment.