Resumo A violência contra mulheres tem crescido, constituindo-se grave violação dos direitos humanos. Objetivou-se avaliar as políticas públicas, a legislação de proteção à mulher e os atendimentos de saúde às vítimas de violência sexual. Realizou-se estudo exploratório e descritivo, com entrevistas a profissionais do Serviço de Atendimento à Mulher Vítima de Violência de Teresina-PI, além de coleta de dados de prontuários das vítimas. Os dados foram analisados à luz da legislação e das diretrizes preconizadas pelo Ministério da Saúde, consoante com as políticas públicas instituídas. Observou-se evolução da legislação brasileira e crescente intervenção do poder público no intuito de controlar a violência. O serviço avaliado preconiza a humanização do atendimento, os princípios da dignidade, não discriminação, do sigilo e da privacidade, evitando a exposição e o desgaste das vítimas. São realizados exames físico e ginecológico, outros complementares como testes sorológicos e coleta de vestígios em busca da identificação do agressor, além de assistência farmacêutica e acompanhamento multiprofissional. Pode-se concluir que a legislação vigente, bem como as diretrizes e os procedimentos preconizados pelas políticas públicas de proteção à mulher são eficazes no serviço de referência estudado.

Abstract Violence against women has increased over the years and is a serious violation of human rights. This study aimed to evaluate public policies, women’s rights legislation and health care for victims of sexual violence. This is an exploratory and descriptive study, with interviews to professionals of the Care Center for Women Victims of Violence of Teresina-PI, and collection of medical records data of victims. We analyzed data in the light of legislation and guidelines recommended by the Ministry of Health, according to the established public policies. We noted an improvement of the Brazilian legislation and increasing intervention of government in order to control the violence. The evaluated service calls for the humanization of care, the principles of dignity, non-discrimination, confidentiality and privacy, avoiding exposure and distress of victims. Physical and gynecological examination are conducted, besides laboratory tests such as serological tests and collecting traces aiming at identifying the offender, as well as pharmaceutical care and multi-professional support. We can conclude that the current legislation and the guidelines and procedures recommended by public policies to protect women are effective in the referral service studied.

Resumo A violência contra mulheres tem crescido, constituindo-se grave violação dos direitos humanos. Objetivou-se avaliar as políticas públicas, a legislação de proteção à mulher e os atendimentos de saúde às vítimas de violência sexual. Realizou-se estudo exploratório e descritivo, com entrevistas a profissionais do Serviço de Atendimento à Mulher Vítima de Violência de Teresina-PI, além de coleta de dados de prontuários das vítimas. Os dados foram analisados à luz da legislação e das diretrizes preconizadas pelo Ministério da Saúde, consoante com as políticas públicas instituídas. Observou-se evolução da legislação brasileira e crescente intervenção do poder público no intuito de controlar a violência. O serviço avaliado preconiza a humanização do atendimento, os princípios da dignidade, não discriminação, do sigilo e da privacidade, evitando a exposição e o desgaste das vítimas. São realizados exames físico e ginecológico, outros complementares como testes sorológicos e coleta de vestígios em busca da identificação do agressor, além de assistência farmacêutica e acompanhamento multiprofissional. Pode-se concluir que a legislação vigente, bem como as diretrizes e os procedimentos preconizados pelas políticas públicas de proteção à mulher são eficazes no serviço de referência estudado.

Abstract Violence against women has increased over the years and is a serious violation of human rights. This study aimed to evaluate public policies, women’s rights legislation and health care for victims of sexual violence. This is an exploratory and descriptive study, with interviews to professionals of the Care Center for Women Victims of Violence of Teresina-PI, and collection of medical records data of victims. We analyzed data in the light of legislation and guidelines recommended by the Ministry of Health, according to the established public policies. We noted an improvement of the Brazilian legislation and increasing intervention of government in order to control the violence. The evaluated service calls for the humanization of care, the principles of dignity, non-discrimination, confidentiality and privacy, avoiding exposure and distress of victims. Physical and gynecological examination are conducted, besides laboratory tests such as serological tests and collecting traces aiming at identifying the offender, as well as pharmaceutical care and multi-professional support. We can conclude that the current legislation and the guidelines and procedures recommended by public policies to protect women are effective in the referral service studied.

AIM: To assess the knowledge and attitude of undergraduate dental students about oral cancer. METHODS: A cross-sectional, quantitative study was conducted based on a questionnaire containing 15 questions about prevention, clinical aspects, and attitudes towards oral cancer. One hundred-thirty-three undergraduate dental students between the second and fifth years were enrolled. The statistical significance was measured by Pearson's chi-square test. RESULTS: There was a predominance of females (58.65%) and most students were between 20 and 30 years of age (75.19%). The risk factors for oral cancer mainly described by the students were smoking (92.48%) and drinking (84.21%). Squamous cell carcinoma was described as the most common type of oral cancer by 48.12% of the students. As much as 53.38% of the participants considered the tongue as the most affected anatomic region, 57.89% reported ulcers as the most frequent clinical aspect, and 44.36% attributed a firm and painless aspect to the regional metastatic lymph nodes. Most students reported regularly conducting a thorough examination of the oral cavity (81.95%). Two of the 15 variables showed differences between the students, according to the school time: previous head and neck carcinoma (Pearson's chi-square, p = 0.03) and guidance on the discontinuation of harmful habits (Pearson's chi-square, p = 0.02). CONCLUSIONS: Students have a good knowledge of the etiology of oral cancer and are apparently alert in their examinations. The clinical aspects of the oral carcinoma, however, are not so clear. The difference regarding knowledge and attitudes towards oral cancer was minimal when different undergraduate years were considered. It is necessary to implement the clinical suspicion of oral cancer throughout the undergraduate course to enable awareness and early diagnosis.

AIM: To verify the orofacial and dental complex in individuals affected by leprosy concerning lesions, prevalence of dental caries and biofilm storage. METHODS: This study was performed on 56 patients with leprosy: 28 under treatment and 28 treated for the disease. A clinical form was prepared to include demographic and leprosy data. The prevalence of caries was analyzed using the decayed, missing, filled teeth (DMFT) index and oral hygiene was evaluated using the Plaque Control Record. The statistical significance was measured by chi-square and Student's t-test. RESULTS: The mean age was 56.4 years, and there was predominance of males. The treatment group had more women (Pearson ÷2=12.47, p=0.0004) and younger patients (Pearson ÷2=9.688, p=0.0079) than the healed group. As much as 30.4% of patients had orofacial complaints related to the disease. The most often observed variations of normality as racial melanin pigmentation (67.8%) and lingual varices (32.1%), and lesions such as atrophy of the anterior nasal spine (25%), inflammatory papillary hyperplasia (17.8%), and collapse of the nasal bridge (14.3%). There were no specific oral lesions among leprosy patients. The mean DMFT was 20.8 and the Plaque Control Record was 70.2%. The treated group had higher DMFT than the treatment group (Student's t p=0.003). CONCLUSIONS: The oral health status of individuals with leprosy is poor, with high levels of plaque and DMFT. No oral lesions associated with the disease were seen.

Plasma cell neoplasia is a lymphoid neoplastic proliferation of B cells. This denomination encloses multiple myeloma (MM), solitary bone plasmacytoma and extramedullary plasmacytoma. MM consists of a clonal proliferation of plasma cells based in the bone marrow, with various degrees of differentiation. Neoplastic cells usually produce great amounts of monoclonal light or heavy chains of immunoglobulin that can be detected in serum or urine. The disease is more frequently in men and the average age at diagnosis is about 60 years. The diagnosis is established by blood and urine exams and medullary biopsy. Patients may present renal failure, bone pain, fatigue, recurrent infections and nervous system dysfunction. Oral manifestations may be the first sign of MM, highlighting the importance of the dentist in the early diagnosis of the disease. Treatment involves mainly irradiation and chemotherapy and the prognosis is generally poor. This paper reports a case of a 65 years old black female who had a complaint of a painful mass in the maxilla that prompted a MM diagnosis.