999 resultados para Saúde Bucal
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The guidelines of National Curriculum for Dental courses highlights the necessity in providing for the professional the ability to analyze and assess communitys 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 Araatuba 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 Araatuba, Birigui, Penpolis, Guararapes, Valparaso 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 Araatuba 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 Araatuba Dental School, which allow the exchange of experience between the university and health services, and benefit all participants enrolled in these activities.
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The purpose of this study was to evaluate the dental caries prevalence and the use and needs of dental prosthetic in pregnant women attending in the National Health System in northwestern city of So Paulo state. The sample involved women, between 3 and 9 months of gestation, who were taking prenatal care in Health Units. Those who consented (n = 119) were examined and interviewed by calibrated dentists. We used the DMF-T index and indicators of the use and needs of dental prosthetic. The average age of the pregnant women was 24.7 years, the majority brown (48.7%) with complete high school (60.5%). The average DMFT was 11.7 and 25.2% and 46.2% of them require upper and lower prosthesis, respectively. The oral health indices showed a high DMT-F and great need for dental prostheses. The results show the need for actions directed, with the aim of to improve the specialized attention to the health of mothers and their babies.
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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 Araatuba Dental School of So 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 Araatuba, Always Smiling Health Promotion for Institutionalized Elderlies, Santa Clara de Assis Nursery School Program of Dental Attention, and "Promotion of oral health in Araatuba 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.
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Objective To collecting data about the main explanations for glosses and demonstrating the percentage of production loss in the odontologic procedures. Methods It is about an epidemiological study of historical series, retrospective and quantitative, based on the data collection of DATASUS information system and reports realized by the city of Aquidauana/MS audit system from 2001 to 2010. Results The results show that in this period, 921.300 odontologic procedures were presented as production; being 223.226 (24,2%) individual procedures and 698.074 (75,8%) collective. There were 23.881 (2,6%) glosses, being 10.158 (42,5%) in the collective procedures and 13.723 (57,5%) in the individual ones. The main cause for glosses related to individual procedures was the repetition of procedures for the same patient and the same tooth (42,4%). In the collective activities, it was the non-accomplishment of the oral health collective program (68,9%). There was an increase of loss in the individual procedures going from less than 5% in the period of 2001 to 2007; to 5,8 % in 2008; 8,9% in 2009 and 14,1 % in 2010 and in the collective procedures the loss reached 4% in 2010. Conclusion It was concluded that the most frequent cause of glosses explanation was the repetition of procedures for the same patient and the same tooth in the individual cases and the non-accomplishment of the oral health collective program in the collective activities. The importance of the audit system as a trust-worthy instrument for the managers in the planning and evaluation of health actions with the intention of guarantee the solution of the serv-ices provided.
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This study evaluated the general and oral health conditions of female patients included in a program for recovering drug addiction and patients who did not use drugs. By means of anamnesis and medical history, as well as medical and dental assessments, the health conditions of 160 patients were assessed; 80 presented drug dependence and 80 do not use drugs. The most frequently used drugs were tobacco, alcohol, and crack, usually in associations. The patients presenting chemical dependence had increased frequency of behavioral changes, as well as several diseases involving the immune and cardiovascular systems, detaching infectious and inflammatory reactions and delay in the process of tissue repair. In the oral cavity, it was verified a high occurrence of periodontitis and gingivitis. Chemical dependence showed to be associated to a high frequency of infections, arthritis, hypertension and behavioral changes, which normally would not be noted by health professionals, but that could compromise the results of medical and dental treatments.
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The family is primarily responsible for shaping behavior in oral hygiene and nutrition of children, and cultural and psychosocial factors can influence this process. Thus, we carried out this study with the aim of presenting evidence from the literature on the subject. We reviewed the databases Bireme, Pubmed and Medline without restriction of year of publication. Used as descriptors "education," "care," "behavior," "oral health" and "food habits". We emphasize the responsibility of the family practices, values and beliefs of oral health and nutrition as well as the importance of shared care between family and professionals.
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The aim of this study was to evaluate the knowledge of Hygienists (TSB) and Dental Auxiliaries (ASB) in relation to their roles regulated by Law number 11.889, December 24th, 2008, and formation of them and capacitating received before they had been admitted in public health system. Its a transversal and descriptive study where the target population were TSB and ASB (N=76) that works in public service from 5 cities of the DRS II-SP. Data collection was performed by semi-structured instrument with opened and closed questions. The answer rate was 90.79% (n=69). The results showed that the majority of professional know part of their duties (56%) Near half of them had formation course (47.8%). In relation to information received during formation courses, 80% stated had received all information necessary to actualization of knowledge, however, 84% stated to feel necessity to actualize their knowledge to develop their works, 58% of professionals said that they dont receive capacitating after they had been admitted. It was possible to conclude that the majority of professionals know part of their roles, has formation course and the majority dont receive capacitating when they are admitted in public health system, however, it was observed that a part of them dont have specific formation yet and dont know part of their roles according to current legislation
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Fundao de Amparo Pesquisa do Estado de So Paulo (FAPESP)
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Ps-graduao em Odontologia - FOA
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O avano verificado no enfrentamento de neoplasias malignas por meio dos sistemas de saúde envolve melhorias nas reas de vigilncia, organizao de redes de assistncia, programas especficos voltados s prevenes primria e secundria e, obviamente, aos avanos tcnico-cientficos que caracterizam a abordagem diagnstica e teraputica. Embora seja notvel o reconhecimento de avanos no manejo de neoplasias malignas em todas as reas citadas, o cncer da boca permanece com indicadores de morbidade e mortalidade que parecem no acompanhar o acmulo cientfico no conhecimento da doena. O presente manuscrito objetiva discutir os motivos desse descompasso, a necessidade de reorientao de prioridades na abordagem do cncer da boca e sua efetivao como poltica pblica de saúde.
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Este trabalho verificou as percepes sobre a satisfao com a vida, o corpo e a saúde de adolescentes, cujas prticas se refletem na saúde bucal. Por meio de pesquisa qualitativa, jovens de Barueri/So Paulo foram entrevistados pela tcnica do grupo focal. Seus discursos foram analisados pela anlise de contedo. Os resultados indicam que a alimentao desses jovens pouco balanceada; o cuidado com o corpo sinnimo de banho e esportes, e a saúde bucal foi limitada escovao; recorrem ao convnio pela demora do atendimento no posto de saúde. O conhecimento da percepo dos jovens sobre esses eixos pode contribuir para o aprimoramento das aes e do acesso aos meios de preveno, tratamento e manuteno da saúde bucal.
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Introduo: Uma das mudanas mais importantes na produo do cuidado saúde a reorganizao do processo de trabalho para a atuao de equipes multiprofissionais com abordagens interdisciplinares. A colaborao interprofissional tem sido apontada como um recurso que pode ser mobilizado para elevar a efetividade dos sistemas de saúde, e como estratgia inovadora, ela pode desempenhar um importante papel para enfrentar problemas do modelo de ateno e da fora de trabalho em saúde. Objetivo: Descrever as percepes e atitudes de profissionais de saúde da Estratgia de Saúde da Famlia sobre as relaes interprofissionais na ateno ao pr-natal, construir coletivamente e testar um protocolo de ateno gestante para impulsionar as competncias no trabalho colaborativo com vistas ao incremento da qualidade do cuidado. Mtodos: Para isso, realizou-se previamente um estudo observacional descritivo para seleo de duas unidades de saúde. Na sequncia foi realizado um estudo de interveno do tipo antes e depois, com um grupo de controle ps-teste, incluindo mtodos mistos. A populao do estudo compreendeu oito profissionais de saúde (mdicos, dentistas, enfermeiros e tcnicos em saúde bucal) e 60 gestantes cadastradas em duas unidades de saúde da famlia do municpio de Uberlndia, sendo 36 includas no grupo interveno e 24 no grupo controle. Dados numricos, narrativas provenientes de entrevistas e registros de dirio de campo foram usados para identificar mudanas na autoavaliao da saúde bucal, na qualidade de vida relacionada saúde bucal medida pelo OHIP-14, na percepo das gestantes sobre o trabalho em equipe e nas prticas profissionais. Testes estatsticos para detectar diferenas de significncia e anlise temtica de contedo foram empregados para interpretar os desfechos. Resultados: Em geral, observou-se percepo/atitude favorvel dos profissionais em relao colaborao interprofissional. Diferenas entre as categorias profissionais podem representar uma barreira subjetiva implementao de protocolos que demandariam maior grau de trabalho colaborativo. Diferenas entre as unidades de ateno primria mostraram que a interao entre membros das equipes multiprofissionais pode sobrepujar dificuldades decorrentes do modo isolado e distinto no qual cada categoria profissional formada. Foi produzido um Protocolo de Ateno Gestante abrangendo o fluxo e a dinmica dos processos de trabalho dentro de uma perspectiva de colaborao interprofissional. Segundo os profissionais, a interveno apesar do seu carter desafiador, estimulou o comprometimento da equipe para reorientar o processo de trabalho resultando em maior interao profissional colaborativa. Em relao s gestantes, a maioria era jovem (menos de 26 anos de idade) e tinha ensino mdio incompleto ou completo sem diferenas significativas entre os grupos teste e controle. Gestantes do grupo interveno perceberam que os profissionais trabalhavam mais em equipe do que as gestantes do grupo controle. De modo geral, as gestantes avaliaram que a saúde bucal e a qualidade de vida decorrente da saúde bucal melhoraram aps a interveno. Concluses: Concluiu-se que apesar da percepo geral dos profissionais favorvel colaborao interprofissional, recursos formais e organizacionais no estavam sendo empregados. O mtodo ZOPP se mostrou flexvel e adequado para o desenvolvimento de competncias para o trabalho colaborativo e para a construo de um protocolo de organizao de servios na ateno primria saúde. O Protocolo de Ateno Gestante testado provocou tenses e produziu efeitos positivos na colaborao interprofissional e na qualidade de vida relacionada saúde bucal contribuindo para qualificar a ateno ao pr-natal oferecido.
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A formao dos profissionais de saúde ainda est distante dos princpios e diretrizes do Sistema nico de Saúde (SUS). As propostas publicadas pelas Diretrizes Curriculares Nacionais (DCN) para o curso de odontologia, em 2002, visam preencher essa lacuna por meio da articulao entre as Instituies de Educao Superior (IES) e o SUS. Trata-se de estudo qualitativo, descritivo e exploratrio sobre o sentido das atividades realizadas nos cenrios de prtica do SUS, sob o ponto de vista dos alunos do curso de odontologia de uma IES privada localizada no interior de So Paulo, luz das DCN e do projeto poltico pedaggico (PPP) do referido curso. A pesquisa ocorreu no site da rede social do Facebook, em grupos secretos de discusso com 10 discentes, utilizando questes abertas relacionadas odontologia, ao SUS e graduao, entre novembro de 2014 e julho de 2015. Durante o processo, descobriu-se que 8 alunos trabalhavam no SUS como auxiliares e tcnicos de saúde bucal e uma auxiliar de enfermagem, fato que influenciou na construo e conduo das perguntas. As opinies dos alunos, o PPP da IES estudada e o documento das DCN foram analisados por meio dos Mapas Conceituais (concebidos por Novak e Caas), e em seguida, validados, respectivamente, pelos discentes, pelo coordenador do curso de odontologia estudado, e pela representante da Associao Brasileira de Ensino Odontolgico (ABENO). Para aprofundar a anlise das distintas vivncias e pontos de vistas, utilizou-se a tcnica de anlise de contedo temtica de Bardin. A discusso dos resultados evidenciou que alm de ser possvel ocorrer prticas pedaggicas nos cenrios de prtica do SUS, tambm provvel o aprendizado de competncias e habilidades descritas pelas DCN. O potencial transformador desses cenrios de prtica possibilitou, nessa pesquisa, a proposio de estratgias para a realizao de atividades no SUS alinhadas s DCN.
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The SBBrasil 2010 Project (SBB10) was designed as a nationwide oral health epidemiological survey within a health surveillance strategy. This article discusses methodological aspects of the SBB10 Project that can potentially help expand and develop knowledge in the health field. This was a nationwide survey with stratified multi-stage cluster sampling. The sample domains were 27 State capitals and 150 rural municipalities (counties) from the country's five major geographic regions. The sampling units were census tracts and households for the State capitals and municipalities, census tracts, and households for the rural areas. Thirty census tracts were selected in the State capitals and 30 municipalities in the countryside. The precision considered the demographic domains grouped by density of the overall population and the internal variability of oral health indices. The study evaluated dental caries, periodontal disease, malocclusion, fluorosis, tooth loss, and dental trauma in five age groups (5, 12, 15-19, 35-44, and 65-74 years).
Resumo:
The SBBrasil 2010 Project (SBB10) was designed as a nationwide oral health epidemiological survey within a health surveillance strategy. This article discusses methodological aspects of the SBB10 Project that can potentially help expand and develop knowledge in the health field. This was a nationwide survey with stratified multi-stage cluster sampling. The sample domains were 27 State capitals and 150 rural municipalities (counties) from the country's five major geographic regions. The sampling units were census tracts and households for the State capitals and municipalities, census tracts, and households for the rural areas. Thirty census tracts were selected in the State capitals and 30 municipalities in the countryside. The precision considered the demographic domains grouped by density of the overall population and the internal variability of oral health indices. The study evaluated dental caries, periodontal disease, malocclusion, fluorosis, tooth loss, and dental trauma in five age groups (5, 12, 15-19, 35-44, and 65-74 years).
