A import��ncia das classes socias na rela����o m��dico-paciente: ades��o ao pr��-natal

This article is focused in the understanding of how can social classes influence in prenatal, throughout the patient medical relationship as well as the many aspects surrounding. In the first chapter, reflected about the adherence to prenatal and considerations in gestational period when dealing with public health treatment offer by SUS. Next chapter, patient medical relationship is addressed as a relationship classes, over questioning how this relationship use to be in front of disadvantaged extracts, focused in prenatal. In the third chapter, the patient medical relationship is analyzed throughout the patient vision, pointing the many factors that can induce the success of a therapeutic. In the last chapter, there are reflections about whereby health professionals upgrading, as well as the improve of basic health care networks are necessary to a larger prenatal adherence.

Arrecada����o de medicamentos como estrat��gia em educa����o e saúde

O Projeto de Extens��o foi desenvolvido na Farm��cia-Escola Prof. Dr. Ant��nio Alonso Martinez, que faz parte do NAC (N��cleo de Atendimento �� Comunidade), pertencente �� Faculdade de Ci��ncias Farmac��uticas da UNESP. Desenvolveu-se um Sistema de Gest��o Interno para o controle das amostras gr��tis e medicamentos que s��o destinados �� doa����o para a popula����o de Araraquara e regi��o. Realizou-se a orienta����o e conscientiza����o da popula����o sobre o reaproveitamento de medicamentos e amostras gr��tis que n��o seriam mais utilizados e que estavam dentro do prazo de validade. A divulga����o foi efetuada com folder explicativo que foi distribu��do na Farm��cia-Escola, em consult��rios m��dicos e nas faculdades da UNESP do C��mpus de Araraquara. Al��m disso, houve divulga����o na Semana de Aten����o Farmac��utica Estudantil (SAFE) e no site e jornal da EPTV. O prazo de validade de cada produto foi verificado e a dispensa����o desses medicamentos foi feita mediante a apresenta����o de prescri����o m��dica. Al��m disso, realizou-se a Assist��ncia Farmac��utica ao informar ao paciente os detalhes da posologia e poss��veis intera����es medicamentosas, de modo a esclarecer eventuais d��vidas dos pacientes. Os medicamentos mais doados foram anti-hipertensivos e horm��nios, refletindo no maior n��mero de formas farmac��uticas doadas como sendo comprimidos e c��psulas. O objetivo da divulga����o foi alcan��ado com o aumento de doa����es realizadas nos meses subsequentes ao in��cio da mesma e com o aumento de 61,9 % em rela����o ao ano de 2012

Conduta no tratamento de gengivite ulcerativa necrosante (GUN) em servi��o de urg��ncia

Necrotizing ulcerative gingivitis is a periodontal disease which suddenly appears and presents an acute clinical course, characterized by patients' pain, discomfort and halitosis. Ulceration on papilla and marginal gingiva can be observed. For this reason, patients presenting this condition may seek dental assistance in Health Units or Graduation Institutions, being the dentist responsible for the adoption of a clinical treatment that minimizes symptomatology. The purpose of this case report is to expose and discuss aspects of clinical treatment for this disease applied to the reality of this service.

Conduta de tratamento de gengivite ulcerativa necrosante (GUN) em servi��o de urg��ncia

Necrotizing ulcerative gingivitis is a periodontal disease which suddenly appears and presents an acute clinical course, characterized by patients' pain, discomfort and halitosis. Ulceration on papilla and marginal gingiva can be observed. For this reason, patients presenting this condition may seek dental assistance in Health Units or Graduation Institutions, being the dentist responsible for the adoption of a clinical treatment that minimizes symptomatology. The purpose of this case report is to expose and discuss aspects of clinical treatment for this disease applied to the reality of this service.

Conhecimento de c��rie dental e doença periodontal de professores do ensino fundamental segundo o tipo de institui����o (p��blica ou privada)

Aim: observe the knowledge of dental caries and periodontal disease of primary schoolteachers, according to type of institution (public and private) from Araraquara city. methodology: for that participants were 113 teachers from public schools and 57 from private schools. The instrument of analysis was based on a questionnaire with closed and open questions concerning the etiology, prevention and development of dental caries and periodontal disease. Results: 97,3% of public ��s schoolteachers and 91,2% of private ��s schoolteachers answered that they knows what is dental caries, but they didn ��t answer correctly about the caries etiology as being multifactorial and about methods of prevention. Both of schoolteachers (public and private) had more sucessful when answered about bacterial plaque than periodontal disease and yours manifestation. Conclusion: the dental knowledge of schoolteachers in public and private school was evaluated and limited educational programs should be directed to both public and private schoolteachers, in order to increase the level of dental knowledge of them, so that they can act as educational agents with the children.

Conhecimento odontol��gico de adultos atendidos em uma unidade de saúde da fam��lia do munic��pio de S��o Carlos, Brasil

The Family Health Strategy is a primary care public policy that is becoming a decisive step towards the transformation of the Brazilian healthcare model. This study evaluated the dental knowledge among individuals who attended a Family-Health Unit (FHU) in the city of S��o Carlos, SP, Brazil. Methods: The evaluation was based on a questionnaire with 20 questions about oral health, prevention and development of dental caries and periodontal disease. The questionnaire was given to 168 individuals, over 18 years of age and both sexes, to fill out under the supervision of a trained dentist. After data collection, the answers contained in the original questionnaires were entered into a database built using the program Excel�� (Microsoft Corporation, USA) and a descriptive statistical analysis was done. Results: 66.67% of the subjects reported having received information about dental caries and periodontal disease before attending the FHU, and dentists were cited as the main source of such information (60.71%). With regard to dental caries, 70.24% of the individuals stated that they knew about the subject, but the majority of answers revealed incorrect explanation of it. The multifactorial etiology (bacteria/sugar/poor hygiene) was not mentioned. A low percentage of subjects (24.40%) claimed to know what periodontal disease is, and of these, the highest percentage of responses was related to gingivitis (26.83%) and gingival bleeding (12.20%). Out of all subjects, 80.36% affirmed that oral hygiene is important, and among them, the main reasons cited were the maintenance of oral health (29.63%), to avoid diseases (16.30%) and to preserve and prevent disease (14.81%). Conclusion: Responses from the questionnaires revealed deficient dental knowledge among the individuals. To improve the understanding about this issue, the information obtained through the questionnaire can be used to develop educational programs that will focus specifically on the major deficiencies found.

Impacto dos problemas de saúde bucal na qualidade de vida de gestantes

Objectives: 1) to evaluate the impact of oral health problems on the quality of life of pregnant women by the simplified Oral Health Impact Profile (OHIP-14) questionnaire as well by the presence of dental caries, periodontal disease and denture use/need; 2) to correlate the sociodemographic variables and the oral health conditions revealed in the clinical examinations with the OHIP-14. Method: In addition to the application of the OHIP-14 questionnaire, clinical examination of the oral conditions (CPI - community periodontal index, DMFT and prosthetic evaluation) was performed on 51 pregnant women, who sought dental treatment between April 2008 and August 2010 at the Preventive Dentistry Clinic. Descriptive analyses were made for sample characterization, bivariate analysis (chi-square or Fisher���s exact tests) and multiple logistic regressions at a 5% significance level to assess the correlation between the impact of oral health on the quality of life of pregnant women and the socio-demographic and clinical variables. Results: The OHIP-14 data showed a lesser impact of oral health on the women���s quality of life. The mean DMFT was 12.8; 70.6% of the pregnant women presented dental calculus and 58.8% needed prostheses. The association between OHIP-14 data and last dental visit and DMFT remained in the final regression model (p<0.05). Conclusion: Caries experience of the pregnant women was considered high. Most of them needed prostheses and presented dental calculus. The OHIP-14 presented a low impact on this population and was significantly influenced by the last dental visit and the DMFT index.

Conhecimento de m��es sobre promo����o de saúde bucal em beb��s

The aim of this study was to assess the knowledge level on oral health promotion for babies of all mothers (n=60), aged 18-42 years, assisted in the Preventive Dentistry Clinic of the Faculty of Araraquara, at Universidade Estadual Paulista (UNESP), during the period 2005-2008. Methods - An interview was performed using a questionnaire with 18 open and five closed questions about knowledge and practices related to caries prevention as well as demographic information. Methods - The majority believed that breast milk does not cause caries (73,3%), that caries is not a transmissible disease (51,6%) and that anatibiotics cause caries (63,3%). Almost all mothers (93,3%) responded that brushing teeth could prevent the disease, action that should be initiated since first tooth erupts (75%). For 73,3% of the respondents, the use of dental floss should be initiated onle after all deciduous teeth erupt. Results - The majority (83,3%) knew what was fluoride, but a third of them (33,3%) did not know the best time to start using it. The dentist counseling related to oral health of babies was considered imoprtant by 96,7% of mothers. Conslusion - The mothers presented good knowledge about baby's oral hygiene, however, they did not know about other important variables for oral health promotin of babies.

Avalia����o da indica����o do tratamento antirr��bico humano em rela����o �� situa����o epidemiol��gica da doença

P��s-gradua����o em Ci��ncia Animal - FMVA

O ensino da Saúde P��blica Veterin��ria nos cursos de gradua����o em Medicina Veterin��ria da regi��o Sudeste do Brasil

P��s-gradua����o em Medicina Veterin��ria - FCAV

Avalia����o dos efeitos do treinamento do exerc��cio f��sico aer��bico de curta dura����o em pacientes hospitalizados com DPOC exacerbado

P��s-gradua����o em Fisiopatologia em Cl��nica M��dica - FMB

Saúde mental e fatores emocionais nas campanhas brasileiras da semana mundial de aleitamento materno

The reduction of child mortality has been the focus of World Breastfeeding Week campaigns. On the other hand, breastfeeding and weaning are considered by psychoanalysis as key moments in the prophylaxis in mental health. Our goal is to investigate how the emotional aspects involved in breastfeeding have been addressed on the promotional material of Brazilian campaigns from 1999 (year of its creation) to 2010. The method adopted was the categorical content analysis and the results indicate that (1) the emotional benefits of breastfeeding are treated superficially, (2) weaning is depleted of its relational dimension (separation), being presented as a chronological and pragmatic concept, based on the introduction of new foods, (3) the term "mental health" is mentioned only once, without a precise definition. The relationship between breastfeeding and emotional development, besides the prophylaxis of mental health, has not been fully exploited in the analyzed campaigns.

Gest��o da saúde no trabalho: uma experi��ncia institucional

This article aims to disseminate the results of a university action which occurred through the Extension Course entitled Management and Health at Work, conducted from March to September 2011 and offered by ���Coordenadoria de Saúde e Seguran��a do Trabalhador e Sustentabilidade Ambiental��� (a kind of Workers' health and safety and environmental sustainability agency) - an agency managed by ���Pr��-Reitoria de Administra����o - PRAd/Unesp���. This action had the audience of the technical and administrative staff of the several Institutes (Units) of UNESP in positions of Leadership and Supervision. The course was proposed to equip managers to deal with issues related to health and safety at work in daily labor. Six hundred managers of all UNESP Institutes participated in the course. The meetings were logistically designed respecting the proximity of the participants��� Institutes. The methodology adopted was based on qualitative techniques such as group discussion, role-plays, analysis of film, reading and discussing texts, together with the preparation of a proposal for health promotion by the participants. As a result it was considered that the course offered a convenient and timely opportunity to reflect on and discuss the theme of health and safety at UNESP, as well as to make leaders and managers effective agents to implement programs of disease prevention and health promotion at work.

Apoiador matricial: uma possibilidade de promover a interdisciplinaridade entre profissionais da saúde

This study aims to reflect the organization of the mental health services in primary care from a new organizational arrangement to health work, defined as Matrix Support (Campos, 1999), which aims to build technical and educational support in the relationship between health professionals from mental health professionals in the Family Health Strategy. The methodology used in the Matrix Support the ���Wheel��� method, which is mediated by a supporter who, through questions and reflections, points out possibilities for case discussions, promotes links between the health teams, discusses the concept of link between professionals and users, strengthens the co-responsability for the actions of health and tries to break the logic related with the services organized by referrals. So the wheels when they occur in health services enables the interdisciplinary, and through it, it is expected to talk about the complexity of the phenomena that surround each subject, so that they overcome the dichotomy between individual and collective, social and biological revealing new values to be incorporated into health practices. In front of this analysis that is theoric and conceptual, allied with the experience from a nursisn area professional that worked in this work method, can be concluded that this experience related here, eas strategic for the health care actions for strengthen based on the Unique Health system and Psych Rebuild principles.