Abstract The distribution of amphibians is conditioned by historical factors and ecological drivers. Thus, Ecological Niche Models are important tools to provide information on the potential distribution of the species and determine where they will be requirements in future. Mainly, rare species or with restricted areas of occurrence, because this information are essential to understanding of their living area, microhabitat use, or natural history, serving as a basis for preservation actions. Xenohyla eugenioi is a poorly known species, restricted to transition areas of Caatinga and Atlantic Forest from Minas Gerais to Sergipe. This species exhibits little biological information available and few specimens housed in museums, which difficulty to plan conservation strategies. Here our aim was modeling the current and future distribution and discussing about conservation of Xenohyla eugenioi. We searched for occurrence records through literature and scientific collections data. For the future (2071-2100), we used ensemble models from three algorithms (CTA, GLM and ANN) to two shared socioeconomic pathways (SSP370 and SSP585 scenarios). This species has approximately 650 km in straight line between the extreme localities, occurring mainly in bromeliads near to water bodies. The Ensemble method indicates the most suitable areas of occurrence were over ecotonal range between Caatinga and Atlantic Forest and our projections have showed suitable conditions to highlands (up to 1.000 m). However, in the future, is expected total erosion of the X. eugenioi populations, due climatic changes, which reinforce the caution to conservation of this poorly known species and necessity of studies about its ecology, natural history and distribution. Moreover, we hope that this work can contribute to the discovery of new records, characterizing the narrower niche space than this species may actually inhabit. drivers Thus Mainly area use actions Sergipe museums strategies data 20712100, 20712100 2071 2100 , (2071-2100) CTA, CTA (CTA ANN SSP370 SSP (SSP37 SSP58 scenarios. scenarios . scenarios) 65 localities bodies up 1000 1 000 1.00 m. m m) However X populations changes ecology Moreover inhabit 2071210 207 210 (2071-2100 SSP37 (SSP3 SSP5 6 100 00 1.0 207121 20 21 (2071-210 SSP3 (SSP 10 0 1. 20712 2 (2071-21 (2071-2 (2071- (2071 (207 (20 (2 (

Abstract The scope of this study was to analyze the factors associated with the use of dental services in Brazil. The review strategy included PubMed, SciELO, LILACS, BBO, EMBASE, Scopus, WOS and Google Scholar databases, in addition to repositories and databases of dissertations and theses. Studies were selected using the PEO (Population/Exposure/Outcomes) strategy. The outcome of this study was the use of dental services in the last year by the Brazilian population, treated as dichotomous variables for the following analyses: ≤ 1 year and > 1 year. Mantel-Haenszel random effect meta-analysis was performed, estimating Prevalence Ratios (PR) and 95% confidence intervals (95%CI). A total of 94 studies were selected. The majority (98%) had a cross-sectional design, with 63% derived from primary data. For the meta-analysis, 25 studies were included. The use of oral health services in the last year was associated with higher education (≥ 8 years of schooling) (PR = 0.49, (95%CI: 0.39-0.60)); higher family income (≥ 2 minimum wages) (RP = 0.79, (95%CI: 0.74-0.84)); and living in urban areas (RP = 0.79, (95%CI: 0.64-0.97)). The availability of dental services in the Unified Health System needs to be made readily accessible to people with lower income, less education and those living in rural areas. Brazil PubMed SciELO LILACS BBO EMBASE Scopus theses Population/Exposure/Outcomes PopulationExposureOutcomes Population Exposure Outcomes (Population/Exposure/Outcomes population analyses MantelHaenszel Mantel Haenszel metaanalysis meta analysis performed PR 95 95%CI. 95CI CI 95%CI . (95%CI) 9 98% 98 (98% crosssectional cross sectional design 63 data metaanalysis, analysis, ≥ ( schooling 049 0 49 0.49 (95%CI 0.390.60 039060 0.39 0.60 39 60 0.39-0.60)) wages RP 079 79 0.79 0.740.84 074084 0.74 0.84 74 84 0.74-0.84)) 0.640.97. 064097 0.64 0.97 64 97 0.64-0.97)) (98 6 04 4 0.4 390 0.390.6 03906 039 0.3 060 0.6 3 0.39-0.60) 07 7 0.7 740 0.740.8 07408 074 084 0.8 0.74-0.84) 640 0.640.97 06409 064 097 0.9 0.64-0.97) (9 0. 0.390. 0390 03 06 0.39-0.60 0.740. 0740 08 0.74-0.84 0.640.9 0640 09 0.64-0.97 0.390 0.39-0.6 0.740 0.74-0.8 0.640. 0.64-0.9 0.39-0. 0.74-0. 0.640 0.64-0. 0.39-0 0.74-0 0.64-0 0.39- 0.74- 0.64-

Resumo O objetivo foi analisar os fatores associados ao uso dos serviços odontológicos no Brasil. A estratégia de revisão incluiu as bases PubMed, SciELO, LILACS, BBO, EMBASE, Scopus, WOS e Google Scholar, além de repositórios e bancos de dissertações e teses. Os estudos foram selecionados usando a estratégia PEO (população/exposição/desfechos). O desfecho deste estudo foi o uso dos serviços odontológicos no último ano pela população brasileira, tratado como variáveis dicotômicas para as análises: ≤ 1 ano e > 1 ano. Foi realizada uma metanálise de efeito randômico de Mantel-Haenszel, estimando-se razões de prevalência (RP) e intervalos de confiança de 95% (IC95%). Foram selecionados 94 estudos. A maioria (98%) tinha delineamento transversal, sendo 63% oriundos de dados primários. Para a metanálise, 25 estudos foram incluídos. O uso dos serviços odontológicos no último ano esteve associado com maior escolaridade (≥ 8 anos de estudo) (RP = 0,49, (IC95%: 0,39-0,60)); maior renda familiar (≥ 2 salários-mínimos) (RP = 0,79, (IC95%: 0,74-0,84)); e residir na zona urbana (RP = 0,79, (IC95%: 0,64-0,97)). A oferta de serviços odontológicos no Sistema Único de Saúde precisa ser ampliada entre pessoas com menor renda, menor escolaridade e moradores da zona rural. Brasil PubMed SciELO LILACS BBO EMBASE Scopus Scholar teses população/exposição/desfechos. populaçãoexposiçãodesfechos população/exposição/desfechos . exposição desfechos (população/exposição/desfechos) brasileira análises MantelHaenszel, MantelHaenszel Mantel Haenszel, Haenszel Mantel-Haenszel estimandose estimando se RP 95 IC95%. IC95 IC IC95% (IC95%) 9 98% 98 (98% transversal 63 primários incluídos ≥ ( 049 0 49 0,49 (IC95% 0,390,60 039060 0,39 0,60 39 60 0,39-0,60)) saláriosmínimos salários mínimos salários-mínimos 079 79 0,79 0,740,84 074084 0,74 0,84 74 84 0,74-0,84)) 0,640,97. 064097 0,64 0,97 64 97 0,64-0,97)) rural (população/exposição/desfechos IC9 (98 6 04 4 0,4 (IC95 390 0,390,6 03906 039 0,3 060 0,6 3 0,39-0,60) 07 7 0,7 740 0,740,8 07408 074 084 0,8 0,74-0,84) 640 0,640,97 06409 064 097 0,9 0,64-0,97) (9 0, (IC9 0,390, 0390 03 06 0,39-0,60 0,740, 0740 08 0,74-0,84 0,640,9 0640 09 0,64-0,97 (IC 0,390 0,39-0,6 0,740 0,74-0,8 0,640, 0,64-0,9 0,39-0, 0,74-0, 0,640 0,64-0, 0,39-0 0,74-0 0,64-0 0,39- 0,74- 0,64-

Abstract This study aimed to investigate the association between serum vitamin D levels and untreated caries and determining factors in children and youth. Methodology: This cross-sectional study used data from the National Health and Nutrition Examination Survey (2013-2014). In total, 3,072 participants with ages ranging from 1 to 19 years were included in our sample. The main dependent variable, untreated caries, was defined as having at least one untreated carious surface in any tooth. Serum concentration of 25-hydroxyvitamin D [25(OH)D] was categorized into four groups: ≥75 nmol/ml, 50-74.9 nmol/ml, 25-49.9 nmol/ml, and <25 nmol/ml. Data were analyzed using a binary logistic regression. Results: For children aged 1-5 years, age (OR = 1.68, 95% confidence intervals (95% CI) 1.38-2.04) and low levels of vitamin D (25-49.9 nmol/ml, and <25 nmol/ml: OR = 2.55, 95% CI 1.06-6.13) were associated with untreated caries. For children aged 6-11 years, low levels of vitamin D (50-74.9 nmol/ml: OR=1.45, 95% CI 1.16-1.82) remained associated with untreated caries. No associations were found in those between 12 and 19 years of age. Conclusion: Our findings show an association between low levels of 25(OH)D and untreated caries in children between 1 and 11 years of age, suggesting that this nutrient might interfere in the caries process. youth Methodology crosssectional cross sectional 20132014. 20132014 2013 2014 . (2013-2014) total 3072 3 072 3,07 sample variable tooth 25hydroxyvitamin hydroxyvitamin 25 25OHD OHD OH [25(OH)D groups 75 ≥7 nmolml nmol ml nmol/ml 5074.9 50749 50 74.9 74 9 50-74. 2549.9 25499 49.9 49 25-49. <2 regression Results 15 5 1- 168 68 1.68 95 (95 1.382.04 138204 1.38 2.04 38 2 04 1.38-2.04 (25-49. 255 55 2.55 1.066.13 106613 1.06 6.13 06 6 13 1.06-6.13 611 6-1 (50-74. OR145 45 OR=1.45 1.161.82 116182 1.16 1.82 16 82 1.16-1.82 Conclusion process 2013201 201 (2013-2014 307 07 3,0 7 ≥ 5074 5074. 749 74. 50-74 2549 2549. 499 49. 4 25-49 < 1.6 (9 382 1.382.0 13820 138 1.3 204 2.0 0 1.38-2.0 (25-49 2.5 066 1.066.1 10661 106 1.0 613 6.1 1.06-6.1 61 6- (50-74 OR14 OR=1.4 161 1.161.8 11618 116 1.1 182 1.8 8 1.16-1.8 201320 20 (2013-201 30 3, 507 50-7 254 25-4 1. ( 1.382. 1382 2. 1.38-2. (25-4 1.066. 1066 10 6. 1.06-6. (50-7 OR1 OR=1. 1.161. 1161 18 1.16-1. 20132 (2013-20 50- 25- 1.382 1.38-2 (25- 1.066 1.06-6 (50- OR=1 1.161 1.16-1 (2013-2 1.38- (25 1.06- (50 OR= 1.16- (2013- (2 (5 (2013 (201 (20

Resumo Este estudo teve como objetivo investigar a associação entre os níveis séricos de vitamina D e cárie dentária não-tratada e fatores determinantes em crianças e jovens. Metodologia: Este estudo transversal utilizou dados da Pesquisa Nacional de Saúde e Nutrição (2013-2014). No total, 3.072 participantes com idades entre 1 e 19 anos foram incluídos em nossa amostra. A principal variável dependente, cárie não-tratada, foi definida como pelo menos uma superfície de cárie não-tratada em qualquer dente. A concentração sérica de 25-hidroxivitamina D [25(OH)D] foi categorizada em quatro grupos: ≥75 nmol/ml, 50-74,9 nmol/ml, 25-49,9 nmol/ml e <25 nmol/ml. Os dados foram analisados por meio de regressão logística binária. Resultados: Para crianças de 1 a 5 anos, idade (OR = 1,68, intervalo de confiança de 95% (IC 95%) 1,38 a 2,04) e baixos níveis de vitamina D (25 a 49,9 nmol/ml e <25 nmol/ml: OR = 2,55, IC 95% 1,06-6,13) foram associados a cárie não-tratada. Para crianças de 6 a 11 anos, baixos níveis de vitamina D (50 a 74,9 nmol/ml: OR = 1,45, IC 95% 1,16 a 1,82) permaneceram associados à cárie não-tratada. Não foram encontradas associações naqueles entre 12 e 19 anos de idade. Conclusão: Nossos achados mostram uma associação entre baixos níveis de 25(OH)D e cárie não-tratada em crianças de 1 a 11 anos, sugerindo que este nutriente pode interferir no processo da cárie dentária . nãotratada não tratada jovens Metodologia 20132014. 20132014 2013 2014 (2013-2014) total 3072 3 072 3.07 amostra dependente nãotratada, tratada, dente 25hidroxivitamina hidroxivitamina 25 25OHD OHD OH [25(OH)D grupos 75 ≥7 nmolml nmol ml 5074,9 50749 50 74 9 50-74, 2549,9 25499 49 25-49, <2 binária Resultados 168 68 1,68 95 138 38 1,3 2,04 204 2 04 (2 499 49, 255 55 2,55 1,066,13 106613 1,06 6,13 06 13 1,06-6,13 nãotratada. tratada. (5 749 74, 145 45 1,45 116 16 1,1 1,82 182 82 Conclusão 2013201 201 (2013-2014 307 07 3.0 7 ≥ 5074 5074, 50-74 2549 2549, 4 25-49 < 1,6 1, 2,0 20 0 ( 2,5 066 1,066,1 10661 106 1,0 613 6,1 1,06-6,1 14 1,4 1,8 18 8 201320 (2013-201 30 3. 507 50-7 254 25-4 2, 1,066, 1066 10 61 6, 1,06-6, 20132 (2013-20 50- 25- 1,066 1,06-6 (2013-2 1,06- (2013- (2013 (201 (20

Resumo O objetivo foi analisar os fatores associados ao uso dos serviços odontológicos no Brasil. A estratégia de revisão incluiu as bases PubMed, SciELO, LILACS, BBO, EMBASE, Scopus, WOS e Google Scholar, além de repositórios e bancos de dissertações e teses. Os estudos foram selecionados usando a estratégia PEO (população/exposição/desfechos). O desfecho deste estudo foi o uso dos serviços odontológicos no último ano pela população brasileira, tratado como variáveis dicotômicas para as análises: ≤ 1 ano e > 1 ano. Foi realizada uma metanálise de efeito randômico de Mantel-Haenszel, estimando-se razões de prevalência (RP) e intervalos de confiança de 95% (IC95%). Foram selecionados 94 estudos. A maioria (98%) tinha delineamento transversal, sendo 63% oriundos de dados primários. Para a metanálise, 25 estudos foram incluídos. O uso dos serviços odontológicos no último ano esteve associado com maior escolaridade (≥ 8 anos de estudo) (RP = 0,49, (IC95%: 0,39-0,60)); maior renda familiar (≥ 2 salários-mínimos) (RP = 0,79, (IC95%: 0,74-0,84)); e residir na zona urbana (RP = 0,79, (IC95%: 0,64-0,97)). A oferta de serviços odontológicos no Sistema Único de Saúde precisa ser ampliada entre pessoas com menor renda, menor escolaridade e moradores da zona rural.

Abstract The scope of this study was to analyze the factors associated with the use of dental services in Brazil. The review strategy included PubMed, SciELO, LILACS, BBO, EMBASE, Scopus, WOS and Google Scholar databases, in addition to repositories and databases of dissertations and theses. Studies were selected using the PEO (Population/Exposure/Outcomes) strategy. The outcome of this study was the use of dental services in the last year by the Brazilian population, treated as dichotomous variables for the following analyses: ≤ 1 year and > 1 year. Mantel-Haenszel random effect meta-analysis was performed, estimating Prevalence Ratios (PR) and 95% confidence intervals (95%CI). A total of 94 studies were selected. The majority (98%) had a cross-sectional design, with 63% derived from primary data. For the meta-analysis, 25 studies were included. The use of oral health services in the last year was associated with higher education (≥ 8 years of schooling) (PR = 0.49, (95%CI: 0.39-0.60)); higher family income (≥ 2 minimum wages) (RP = 0.79, (95%CI: 0.74-0.84)); and living in urban areas (RP = 0.79, (95%CI: 0.64-0.97)). The availability of dental services in the Unified Health System needs to be made readily accessible to people with lower income, less education and those living in rural areas.

Abstract Dental Specialties Centers (CEOs) are clinics representing part of the secondary oral health care system of the Brazilian Unified Health System (SUS). Pediatric dentistry is not a requirement for service accreditation. However, the CEO of the Federal University of Rio Grande do Sul (CEO-UFRGS) has provided dental care for children aged 3–11 years since 2017. The utilization rates of health services are influenced by absenteeism. Therefore, evaluation of absences for dental appointments is of primary importance. This study aimed to evaluate referral characteristics, absenteeism, and resolubility of pediatric dentistry appointments at the CEO-UFRGS. This retrospective cross-sectional study was conducted at the Dental Teaching Hospital of the university and analyzed secondary data from referrals and medical records. From August 2017 to December 2019, 167 referrals and 96 medical records were reviewed, from which data of individual variables related to the referral process and treatment were collected. Data were collected by a single trained examiner and analyzed using SPSS software. The main reasons for referral to secondary care were dental caries and pulpal or periapical diseases associated with difficult-to-manage behavior. An absenteeism rate of 28.1% at the first pediatric dental visit and a resolution rate of 65.6% were found. Binary logistic regression analysis indicated that each day of waiting for specialized care resulted in a 0.3% of higher chance of absence for appointment. This also increased the chance by 0.7% in child who attended the first visit to complete treatment, suggesting that the waiting time for attendance was associated with absenteeism and resolubility. Public policies that expand providing child dental care in secondary care are recommended to improve access to and resolubility of services. CEOs (CEOs SUS. SUS . (SUS) accreditation However CEOUFRGS UFRGS (CEO-UFRGS 311 3 11 3–1 Therefore importance characteristics CEOUFRGS. UFRGS. CEO-UFRGS crosssectional cross sectional 201 2019 16 9 reviewed software difficulttomanage difficult manage behavior 281 28 1 28.1 656 65 6 65.6 found 03 0 0.3 appointment 07 7 0.7 (SUS 31 3– 20 2 28. 65. 0.

Abstract Faunal inventories contribute to our understanding of regional diversity, and are fundamental for policy and decision-making regarding the management and conservation of large natural areas. This study aimed to inventory and compile information on amphibian species occurring in the North Pantanal region, in the municipal limits of Cáceres, Mato Grosso, Brazil. We used three methods to inventory amphibian species: (1) fieldwork, (2) analysis of specimens deposited in scientific collections, and (3) literature reviews. We registered 49 amphibian species in Cáceres. Of them, 48 species belonged to the Anura order and were distributed across eight families and 20 genera, and one species belonged to the Gymnophiona order (Siphonops paulensis). The families Leptodactylidae (20 spp.) and Hylidae (17 spp.) were dominant in terms of richness, accounting for 75.5% of all species found in Cáceres. The remaining families had between four and one species each. The municipality is strongly influenced by non-forested formations (e.g., the Cerrado and Pantanal) and presents a high species richness for a non-forested location in Brazil. Our findings highlight Cáceres as one of the richest areas in amphibian species in the North Pantanal region, expanding our knowledge regarding frog diversity. This study provides a foundation for future conservation strategies and additional assessments of amphibian species in light of potential population declines and other emerging threats. diversity decisionmaking decision making region Grosso Brazil 1 (1 fieldwork 2 (2 collections 3 (3 reviews 4 them genera Siphonops paulensis. paulensis . paulensis) spp. spp 17 755 75 5 75.5 each nonforested non forested e.g., eg e g (e.g. threats ( 7 75. e.g. (e.g e.g

Abstract: A randomized controlled parallel clinical trial was conducted to evaluate the efficacy of the association of 1.23% topical professional acidulated phosphate fluoride (APF) gel with oral hygiene and dietary instructions on the arrest of active non-cavitated lesions in permanent, mixed, and temporary dentition in children between 3 and 12 years of age. Ninety-eight caries-active children were randomly divided into two groups: a fluoride gel group (n = 49) and a non-fluoridated gel group (n = 49). Each group received up to eight weekly applications of gel, weekly professional toothbrushing with oral hygiene instructions and dietary counselling. Caries lesions were assessed qualitatively through visual-tactile criteria performed in three stages: initial, intermediate, and final. Regression models were applied to identify risk indicators for caries control. Between-group comparison regarding the time taken to arrest the lesions was performed using Chi-squared and Fisher's exact tests. Seventeen children did not receive the allocated intervention, and one was lost to follow-up (n = 80). There was no difference between the control and placebo groups regarding the time to the arrest of the lesion (p >.05). The treatments showed similar results without significant statistical difference (p = 0.33; 95%CI: 0.32–1.48). No adverse effects were observed. It can be concluded that no additional effect of the association of 1.23% APF gel with oral hygiene using fluoride dentifrice and dietary instructions on the arrest of active non-cavitated lesions could be established. We can also confirm the importance of toothbrushing frequency and, consequently, the visible plaque reduction in the control of caries activity. RBR-37V5S3

Abstract This paper intends to describe the demand for referrals to the stomatology service requested by the medical teams for inpatients in a reference hospital in the south of Brazil. This research is a retrospective cross-sectional descriptive study focusing on data collection and assessment of information about referrals to the stomatology unit carried out from January 2008 to December 2018. All information was obtained from the hospital management software database, then transferred and analyzed individually for descriptive statistics. A total of 4433 cases were referred to the stomatology team, with an average of 403 cases by year. Hematology/hemato-oncology (37.3%) was the specialty asking for the majority of the referrals, followed by Oncology (20.4%) and Pneumology (8.2%). The mean patients’ profile was males (55.5%), receiving a diagnosis of oral mucositis (43.5%), and with the first and second decades of life being the most prevalent ones (34.9%), with a mean age of 34.8±22.3 years. The most common treatment performed by the stomatology team was the photobiomodulation therapy (44.8%). This retrospective study demonstrated the important profile of the stomatological care in hospitalized patients from a specific hospital, especially referred by the hematology/hemato-oncology team. These results evidenced the importance of the stomatology specialty in the hospital environment.

Resumo: O domínio ecológico da Mata Atlântica possui uma notável diversidade de anuros com grande grau de endemismo, a maioria distribuídos em áreas de alta altitude, representadas principalmente pelas montanhas ao longo da Serra da Mantiqueira e Serra do Mar. Apesar de sua importância biológica, a região ainda mostra uma lacuna de amostragem em relação aos anfíbios. Assim, apresentamos o primeiro levantamento sistemático da anurofauna da Área de Proteção Ambiental Boqueirão da Mira (APABM), na região da Zona da Mata, Minas Gerais, Brasil. Foram realizadas duas expedições de campo, onde quinze pontos amostrais foram inventariados por meio de procura ativa noturna e diurna audiovisual em locais de reprodução e forrageio. A anurofauna da APABM apresentou 43 espécies distribuídas em 12 famílias, sendo a família Hylidae a mais rica (17 espécies). Além disso, quatro espécies tiveram sua distribuição ampliada devido aos nossos achados (Hylodes perere, Physalaemus rupestris, Bokermannohyla ibitipoca e Ololygon cosenzai), todas elas sendo endêmicas do Complexo da Mantiqueira. Este estudo revelou que a APABM possui uma grande diversidade de espécies de anuros, mais representativas do que regiões adjacentes como o Parque Estadual do Ibitipoca e próximas à riqueza apresentada pelo Parque Estadual da Serra Negra da Mantiqueira. Este trabalho demonstra a grande importância da APABM para a conservação, destacando-a como uma área de alta diversidade de espécies de anuros regionais.

Abstract: The ecological domain of the Atlantic Forest holds a remarkable diversity of anurans with a great degree of endemism, most of which are distributed in high altitude areas, mostly represented by the mountains along the Mantiqueira Complex and Serra do Mar. Despite its biological importance, the region still shows a gap of sampling concerning the amphibians. Thus, we present the first systematic survey of the anuran fauna from Área de Proteção Ambiental Boqueirão da Mira (APABM), in the region of Zona da Mata, Minas Gerais state, Brazil. Two fieldwork expeditions were performed where fifteen sample points were inventoried through active night search and day audiovisual survey in breeding and foraging sites. The anuran fauna of the APABM presented 43 species distributed in 12 families, with the Hylidae family being the richest (17 species). Besides, four species had their distribution increased due to our findings (Hylodes perere, Physalaemus rupestris, Bokermannohyla ibitipoca and Ololygon cosenzai), all of them as endemic to the Mantiqueira Complex. This study revealed that the APABM has a great diversity of anuran species, more representative than adjacent regions such as the Parque Estadual Ibitipoca and close to the richness presented for the Parque Estadual Serra Negra da Mantiqueira. This work demonstrates the great importance of the APABM for conservation, highlighting it as an area of high diversity of the regional anuran species.

RESUMEN Bokermannohyla ibitipoca es una rana pequeña restringida al Complejo Mantiqueira Brasil y se clasifica actualmente como Datos deficientes en la Lista Roja de Especies Amenazadas de la IUCN. Presentamos nuevos registros de B. ibitipoca en el estado de Minas Gerais, Brasil, y proporcionamos un mapa de distribución de la especie.

ABSTRACT Bokermannohyla ibitipoca is a small-sized frog restricted to the Mantiqueira Mountain Complex, Brazil, and is currently categorized as Data Deficient in the Red List of Threatened Species of the IUCN. Here we report new records of B. ibitipoca throughout Minas Gerais state, Brazil and provide a distribution map of the species.

Abstract In this study, we evaluated the reproductive activity and the temporal and spatial distributions of anuran assemblages in three environments within a semideciduous forest in Southeast Brazil, located at Municipality of Barão de Monte Alto, State of Minas Gerais, Brazil. The field activities were carried out during three consecutive days, monthly throughout the rainy seasons of 2013–2014 and 2014–2015. We recorded 28 anurans species, distributed in eight families. We observed the spatial-temporal distribution of some species, and their associated reproductive behaviors through exploration of vocalizations at different sites. The spatial and temporal distribution of the species seems to adapt to abiotic and biotic factors of their environment.

RESUMO: Objetivo: Barreiras à comunicação são principais dificultadores do acesso de pessoas com deficiência sensorial (visual e auditiva) aos serviços de saúde. Os objetivos do estudo foram analisar a prevalência e os fatores associados à presença de facilitadores à comunicação nas unidades básicas de saúde no Brasil. Métodos: Estudo transversal multinível sobre dados de 38.811 unidades de saúde de 5.543 municípios, entre 2012 e 2013, coletados no Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Desfecho criado agrupando facilitadores à comunicação (material em relevo/braille; recurso auditivo; comunicação visual; listagem acessível de ações do serviço; profissional para acolhimento de usuário com deficiência sensorial). As variáveis de exposição do nível I (contextuais) foram: macrorregião, porte populacional e produto interno bruto (PIB) per capita. No nível II, (serviço) foram: equipe ampliada; modelo de atenção; turnos de atendimento; sala de acolhimento; divulgação do horário de atendimento; presença de facilitadores ao acesso físico. Utilizou-se regressão de Poisson multinível com modelagem hierárquica em dois estágios. Resultados: A presença dos facilitadores à comunicação é pequena nas unidades de saúde (32,1%), sendo mais frequentes nas unidades localizadas nos municípios com maior PIB (razão de prevalência - RP = 1,02, intervalo de confiança de 95% - IC95% 0,92 - 1,12) e porte populacional (RP = 1,25, IC95% 1,02 - 1,52). Conclusão: Ter profissional para acolhimento é o principal facilitador ao acesso e deve ser foco de ações para melhorar a atenção à saúde das pessoas com deficiência. Faz-se necessário promover acesso universal, com adequação de serviços, remoção de barreiras à comunicação e estímulo ao acolhimento do usuário.

ABSTRACT: Objective: Communication barriers are the main obstacle for people with sensory disabilities (visual and hearing) to access health services. This study aims to describe the presence of facilitators of communication of basic health units in Brazil and to verify its associated factors. Methods: Cross-sectional multilevel study, of 38,811 health units in 5,543 municipalities between 2012 and 2013, collected in the National Program for Improving Access and Quality in Primary Care (Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica - PMAQ-AB). The outcome was defined by grouping facilitators of communication (braille material; hearing resources; visual communication; accessible list of service; professionals to welcome users with sensory disabilities). The two levels were structured, using the variables: level I (contextual): macro region, population size, and GDP per capita; and level II (service): extended professional team (psychologist/social worker); service shifts; welcoming room; publishing of service hours; presence of physical access facilitators. Multilevel Poisson regression with hierarchical modeling was used in both stages. Results: The presence of facilitators of communication is small in Brazilian health units (32.1%). It is more frequent in the municipalities with a higher GDP (RP = 1.02, 95%CI 0.92 - 1.12) and population size (RP = 1.25, 95%CI 1.02 - 1.52). Conclusion: Welcoming users is the main access facilitator and should be the focus of initiatives to improve health care for disabled persons. Universal access with adequate services, removal of communication barriers and encouragement to properly welcome users must be promoted.

RESUMO: Objetivo: Barreiras à comunicação são principais dificultadores do acesso de pessoas com deficiência sensorial (visual e auditiva) aos serviços de saúde. Os objetivos do estudo foram analisar a prevalência e os fatores associados à presença de facilitadores à comunicação nas unidades básicas de saúde no Brasil. Métodos: Estudo transversal multinível sobre dados de 38.811 unidades de saúde de 5.543 municípios, entre 2012 e 2013, coletados no Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Desfecho criado agrupando facilitadores à comunicação (material em relevo/braille; recurso auditivo; comunicação visual; listagem acessível de ações do serviço; profissional para acolhimento de usuário com deficiência sensorial). As variáveis de exposição do nível I (contextuais) foram: macrorregião, porte populacional e produto interno bruto (PIB) per capita. No nível II, (serviço) foram: equipe ampliada; modelo de atenção; turnos de atendimento; sala de acolhimento; divulgação do horário de atendimento; presença de facilitadores ao acesso físico. Utilizou-se regressão de Poisson multinível com modelagem hierárquica em dois estágios. Resultados: A presença dos facilitadores à comunicação é pequena nas unidades de saúde (32,1%), sendo mais frequentes nas unidades localizadas nos municípios com maior PIB (razão de prevalência - RP = 1,02, intervalo de confiança de 95% - IC95% 0,92 - 1,12) e porte populacional (RP = 1,25, IC95% 1,02 - 1,52). Conclusão: Ter profissional para acolhimento é o principal facilitador ao acesso e deve ser foco de ações para melhorar a atenção à saúde das pessoas com deficiência. Faz-se necessário promover acesso universal, com adequação de serviços, remoção de barreiras à comunicação e estímulo ao acolhimento do usuário.

ABSTRACT: Objective: Communication barriers are the main obstacle for people with sensory disabilities (visual and hearing) to access health services. This study aims to describe the presence of facilitators of communication of basic health units in Brazil and to verify its associated factors. Methods: Cross-sectional multilevel study, of 38,811 health units in 5,543 municipalities between 2012 and 2013, collected in the National Program for Improving Access and Quality in Primary Care (Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica - PMAQ-AB). The outcome was defined by grouping facilitators of communication (braille material; hearing resources; visual communication; accessible list of service; professionals to welcome users with sensory disabilities). The two levels were structured, using the variables: level I (contextual): macro region, population size, and GDP per capita; and level II (service): extended professional team (psychologist/social worker); service shifts; welcoming room; publishing of service hours; presence of physical access facilitators. Multilevel Poisson regression with hierarchical modeling was used in both stages. Results: The presence of facilitators of communication is small in Brazilian health units (32.1%). It is more frequent in the municipalities with a higher GDP (RP = 1.02, 95%CI 0.92 - 1.12) and population size (RP = 1.25, 95%CI 1.02 - 1.52). Conclusion: Welcoming users is the main access facilitator and should be the focus of initiatives to improve health care for disabled persons. Universal access with adequate services, removal of communication barriers and encouragement to properly welcome users must be promoted.

Resumo A garantia de atenção odontológica passa pelo desenvolvimento de práticas pautadas na vigilância em saúde, a fim de concretizar a integralidade. Objetivou-se avaliar a associação entre aspectos contextuais dos municípios brasileiros, características do processo de trabalho e a realização de um rol de procedimentos odontológicos curativos pelas equipes de saúde bucal (ESB). Trata-se de estudo exploratório transversal cuja coleta multicêntrica de dados se deu em 11.374 ESB avaliadas pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Foi empregada regressão de Poisson multinível para obtenção da prevalência de realização de procedimentos odontológicos curativos, que foi de 69,51%. As variáveis contextuais e da equipe de saúde que se mantiveram associadas ao desfecho incluíram municípios cuja proporção de internações sensíveis à atenção básica foi menor que 28% e cuja proporção de exodontias foi menor que 8%; bem como ESB de modalidade II que tinham à disposição materiais, insumos e melhores processos de trabalho. Esta análise multinível, que considera o desempenho da atenção odontológica curativa no Brasil, aponta para um cenário de atenção odontológica preocupante.

Abstract Ensuring access to dental care services requires the development of healthsurveillance practices to ensure comprehensive health care. The objective of this study was toinvestigate the association between social and economic indicators of Brazilian municipalities, work process characteristics, and performance of a list of curative dental procedures by oral health teams. It involved an exploratory, cross-sectional study withmulticenter data collection from 11,374 oral health teams assessed by the National Program for Improvement of Access to and Quality of Primary Healthcare. Multilevel Poisson regression was used to obtain the prevalence of curative dental procedures, which was 69.51%. The social/economic and work variables that remained associated with the outcome included municipalities in which the proportion of primary care-sensitive admissions was below 28% and that of tooth extractions below 8%; and oral health teams classified as type II (including oral health assistant and technician) that had different materials available and better work processes. This multilevel analysis, which took into consideration the performance of curative dental care in Brazil, reveals a worrying oral healthcare scenario.

Resumo A garantia de atenção odontológica passa pelo desenvolvimento de práticas pautadas na vigilância em saúde, a fim de concretizar a integralidade. Objetivou-se avaliar a associação entre aspectos contextuais dos municípios brasileiros, características do processo de trabalho e a realização de um rol de procedimentos odontológicos curativos pelas equipes de saúde bucal (ESB). Trata-se de estudo exploratório transversal cuja coleta multicêntrica de dados se deu em 11.374 ESB avaliadas pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Foi empregada regressão de Poisson multinível para obtenção da prevalência de realização de procedimentos odontológicos curativos, que foi de 69,51%. As variáveis contextuais e da equipe de saúde que se mantiveram associadas ao desfecho incluíram municípios cuja proporção de internações sensíveis à atenção básica foi menor que 28% e cuja proporção de exodontias foi menor que 8%; bem como ESB de modalidade II que tinham à disposição materiais, insumos e melhores processos de trabalho. Esta análise multinível, que considera o desempenho da atenção odontológica curativa no Brasil, aponta para um cenário de atenção odontológica preocupante.

Abstract Ensuring access to dental care services requires the development of healthsurveillance practices to ensure comprehensive health care. The objective of this study was toinvestigate the association between social and economic indicators of Brazilian municipalities, work process characteristics, and performance of a list of curative dental procedures by oral health teams. It involved an exploratory, cross-sectional study withmulticenter data collection from 11,374 oral health teams assessed by the National Program for Improvement of Access to and Quality of Primary Healthcare. Multilevel Poisson regression was used to obtain the prevalence of curative dental procedures, which was 69.51%. The social/economic and work variables that remained associated with the outcome included municipalities in which the proportion of primary care-sensitive admissions was below 28% and that of tooth extractions below 8%; and oral health teams classified as type II (including oral health assistant and technician) that had different materials available and better work processes. This multilevel analysis, which took into consideration the performance of curative dental care in Brazil, reveals a worrying oral healthcare scenario.