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au:Almeida, Ana Maria Freire de Lima

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Influence of anxiety and catastrophizing on pain perception in orthodontic treatment and its association with inflammatory cytokines
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Santos, Lucineide Lima dos

; Conti, Ana Cláudia de Castro Ferreira

; Fernandes, Thais Maria Freire

; Garlet, Gustavo Pompermaier

; Almeida, Marcio Rodrigues de

; Oltramari, Paula Vanessa Pedron

Brazilian Oral Research

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2023, Volume 37 elocation e010

Abstract: En | Text: En | PDF: En

Abstract Pain is common in orthodontic treatment, is subject to individual variation, and is associated with anxiety and stress, which can potentially become catastrophizing. The aim of the present study was to determine the variability of pain response after the insertion of orthodontic separators and to assess the association of pain levels with dental anxiety, catastrophizing, tooth sensitivity, and genetic expression of cytokines. To this end, 70 patients of both genders were divided into two equal groups according to the elastomeric separator used: G1 (Dentaurum) and G2 (Orthometric). Two separators were inserted in the mesial and distal sides of the lower right first molar. Participants were instructed to rate the level of pain at T0 (before insertion), T1 (just after insertion), and T2 (24 hours after insertion) on a visual analog scale. The gingival crevicular fluid was collected at T0 and T2. The levels of anxiety, catastrophizing, tooth sensitivity, and cytokine expression were also assessed. Statistical analysis was performed with the Fisher-Freeman-Halton, chi-squared, Spearman’s correlation, and dependent and independent t tests (α=5%). Pain intensity was higher at T2 than at T1, in both groups (P<.05). An association was established (P<.05) between pain intensity at T1 and catastrophizing, and at T2 with anxiety and catastrophizing. Within-group differences in cytokine expression were found between T0 and T2. There was no correlation between cytokine expression and pain levels, anxiety, catastrophizing, and sensitivity at T2. Tooth separation produced variable pain levels, which were influenced by anxiety and catastrophizing, however, pain level was not correlated with increased cytokine expression.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0010

Technical performance of a lateral flow immunoassay for detection of anti-SARS-CoV-2 IgG in the outpatient follow-up of non-severe cases and at different times after vaccination: comparison with enzyme and chemiluminescent immunoassays
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Barreira, Gabriel Acca

; Santos, Emilly Henrique dos

; Pereira, Maria Fernanda Bádue

; Rodrigues, Karen Alessandra

; Rocha, Mussya Cisotto

; Kanunfre, Kelly Aparecida

; Marques, Heloisa Helena de Sousa

; Okay, Thelma Suely

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Costa Reis, Amelia Gorete A. de

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e49

Abstract: En | Text: En | PDF: En

ABSTRACT This study assessed the technical performance of a rapid lateral flow immunochromatographic assay (LFIA) for the detection of anti-SARS-CoV-2 IgG and compared LFIA results with chemiluminescent immunoassay (CLIA) results and an in-house enzyme immunoassay (EIA). To this end, a total of 216 whole blood or serum samples from three groups were analyzed: the first group was composed of 68 true negative cases corresponding to blood bank donors, healthy young volunteers, and eight pediatric patients diagnosed with other coronavirus infections. The serum samples from these participants were obtained and stored in a pre-COVID-19 period, thus they were not expected to have COVID-19. In the second group of true positive cases, we chose to replace natural cases of COVID-19 by 96 participants who were expected to have produced anti-SARS-CoV-2 IgG antibodies 30-60 days after the vaccine booster dose. The serum samples were collected on the same day that LFIA were tested either by EIA or CLIA. The third study group was composed of 52 participants (12 adults and 40 children) who did or did not have anti-SARS-CoV-2 IgG antibodies due to specific clinical scenarios. The 12 adults had been vaccinated more than seven months before LFIA testing, and the 40 children had non-severe COVID-19 diagnosed using RT-PCR during the acute phase of infection. They were referred for outpatient follow-up and during this period the serum samples were collected and tested by CLIA and LFIA. All tests were performed by the same healthcare operator and there was no variation of LFIA results when tests were performed on finger prick whole blood or serum samples, so that results were grouped for analysis. LFIA’s sensitivity in detecting anti-SARS-CoV-2 IgG antibodies was 90%, specificity 97.6%, efficiency 93%, PPV 98.3%, NPV 86.6%, and likelihood ratio for a positive or a negative result were 37.5 and 0.01 respectively. There was a good agreement (Kappa index of 0.677) between LFIA results and serological (EIA or CLIA) results. In conclusion, LFIA analyzed in this study showed a good technical performance and agreement with reference serological assays (EIA or CLIA), therefore it can be recommended for use in the outpatient follow-up of non-severe cases of COVID-19 and to assess anti-SARS-CoV-2 IgG antibody production induced by vaccination and the antibodies decrease over time. However, LFIAs should be confirmed by using reference serological assays whenever possible.

https://doi.org/10.1590/s1678-9946202264049

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

Avaliação da implantação da atenção à pessoa com fissura labiopalatina em um centro de reabilitação brasileiro
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

Cadernos Saúde Coletiva

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mar 2019, Volume 27 N. 1 Pages 73 - 85

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução A fissura labiopalatina é a anomalia craniofacial mais prevalente na população. Apesar das iniciativas de tratamento e reabilitação pelo SUS existirem desde 1993, há poucos estudos sobre a realidade dos centros brasileiros. Objetivo Avaliar a implantação da atenção à pessoa com fissura labiopalatina em um centro de reabilitação brasileiro. Método Pesquisa avaliativa do tipo avaliação do grau de implantação utilizando um estudo de caso. Inicialmente foi construída uma modelização da atenção com base na literatura internacional e nacional. Foi elaborada uma matriz com critérios, indicadores e padrões, validada pela técnica de consenso Delphi. Visitas com observação in loco e entrevistas semiestruturadas com informantes-chave foram realizadas. Resultados Observou-se grau avançado de implantação na dimensão Gestão (89,2%) e sua subdimensão Organização (94,7%), bem como na dimensão Reabilitação (84,9%). A subdimensão Gerência encontra-se incipiente (48,8%) com fragilidades na realização de reuniões, apoio à educação permanente, monitoramento dos resultados, avaliação da percepção dos usuários, educação em saúde, realização de busca ativa e relação com associação de apoio. Conclusão O centro avaliado apresentou implantação avançada, cumprindo em mais de 80% os critérios estabelecidos. Recomenda-se maior interação entre gestão e profissionais para intervir sobre os pontos para melhoria identificados. O instrumento desenvolvido pode contribuir para avaliação e implantação de outros centros.

Abstract Background Cleft lip and palate is the most prevalent craniofacial anomaly. Although treatment and rehabilitation initiatives by SUS have existed since 1993, there are few studies on the reality of Brazilian centers. Objective This study evaluated the implantation of attention to the person with cleft lip and palate in a Brazilian rehabilitation center. Method Case study evaluation research to assess the degree of implantation in a rehabilitation center. In the first stage, we formulated a logic model of the attention to the person with cleft lip and palate based on international and national literature. The matrix was elaborated with the criteria, indicators and expected standards of care, which was validated by specialists through the Delphi consensus technique. Visits with on-site observation and semi-structured interviews were also carried out with key-informants of the center. Results We observed advanced level of implementation in Management (89.2%) and its subdimension, Organization (94.7%), as well as in Rehabilitation (84.9%). The A subdimension shows weaknesses (48.8%), mainly due to the lack of meetings, training and support to permanent education, monitoring of results and evaluation of users' perceptions, health education spaces, accomplishment of active search of the missing cases and support. Conclusion The evaluated center presented advanced implementation, fulfilling more than 80% of the evaluation. We recommend greater interaction between management and professionals to intervene on the identified points of improvement. The developed instrument contributes to the evaluation and implementation of other centers of reference in Brazil.

https://doi.org/10.1590/1414-462x201900010365 2384 downloads

O financiamento federal da política de saúde bucal no Brasil entre 2003 e 2017
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Rossi, Thais Regis Aranha

; Chaves, Sonia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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dec 2018, Volume 42 N. 119 Pages 826 - 836

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo descreveu e analisou os repasses financeiros federais para a Política Nacional de Saúde bucal (PNSB) no período 2003-2017. Realizou-se análise retrospectiva do financiamento federal da PNSB com dados coletados da base do Fundo Nacional de Saúde, nas rubricas relacionadas com a saúde bucal com correção de valores pelo Índice de Preços ao Consumidor (IPCA) até 2017. A série histórica dos repasses para a atenção em saúde bucal no período 2003-2017 mostrou um gasto federal crescente até 2012, com queda no início de 2013, manutenção de valores de 2013 a 2016 e discreta redução em 2017, chegando a R$ 1.059.555.548,48 neste último ano. Isso significou que o percentual de repasse do governo federal para a saúde bucal em relação ao repasse total passou de 0,62% em 2003 para 1,63% em 2017. Observou-se um aumento da participação percentual do financiamento da Atenção Especializada, principalmente a partir de 2013, passando de 2,3% em 2008 para 21,6% em 2017. A Atenção Básica recebia 97,3% do financiamento federal em 2003 e apenas 78,3% em 2017. Medidas de austeridade fiscal e mudanças nos blocos de financiamento podem indicar um caminho institucionalizado de redução dos repasses federais na saúde que poderão impactar nessa política setorial específica.

ABSTRACT This study described and analyzed the federal financial transfers for the Oral Health Policy in Brazil (PNSB), in the period 2003-2017. A retrospective analysis of the federal funding of the PNSB was carried out with data collected from the National Health Fund base under the headings related to oral health with correction of values by Consumer Price Index (IPCA) until 2017. The historical series of spending for oral health care in 2003-2017 showed a growing federal spending up to 2012, falling at the beginning of 2013, maintaining values from 2013 to 2016 and a slight reduction in 2017, reaching R$ 1,059,555,548.48 this past year. This meant that the percentage of federal government transfer to oral health in relation to the total transfer rate increased from 0.62% in 2003 to 1.63% in 2017. There was an increase in the percentage share of Specialized Care financing, mainly as of 2013, from 2.3% in 2008 to 21.6% in 2017. Primary Care received 97.3% of federal funding in 2003 and only 78.3% in 2017. The investment has been low. Fiscal austerity measures and changes in funding blocks may indicate an institutionalized path of reduction of federal transfer in health, which may impact this particular sectoral policy.

https://doi.org/10.1590/0103-1104201811903 2 downloads

Posicionamento das entidades odontológicas sobre a Política Nacional de Saúde Bucal, no período de 2015-2017
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Nunes, Letícia Rabelo

; Araújo, Camila Oliveira

Saúde em Debate

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oct 2018, Volume 42 N. spe2 Pages 92 - 110

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo analisou o posicionamento de entidades odontológicas nacionais sobre a Política Nacional de Saúde Bucal (PNSB), entre 2015 e 2017, no Brasil, como espaço de relações de força entre agentes e instituições. Foi realizada análise documental das publicações relacionadas sobre a política nos sites oficiais, em redes sociais e em notícias do Conselho Federal de Odontologia (CFO), da Associação Brasileira de Odontologia (ABO), das Federações de sindicatos e da Associação de Saúde Bucal Coletiva (Abrasbuco). O monitoramento foi semanal, segundo categorias: ações e posicionamento da entidade sobre a política, demandas profissionais e relações com o campo político. Observou-se, nesse período, que CFO e Federação Interestadual dos Odontologistas foram as entidades que mais publicaram sobre a política. As entidades sindicais e os representantes da Abrasbuco se posicionaram mais criticamente sobre as sucessivas mudanças na Coordenação Geral de Saúde Bucal em 2015. O fato que mobilizou todas as entidades, à exceção da ABO, foi a possível extinção da coordenação, em 2016. Destaca-se o posicionamento comum das entidades pela defesa da expansão da política com novos postos de trabalho no SUS e articulação com o poder legislativo na aprovação de projetos de lei, como o da odontologia na Unidade de Tratamento Intensivo (UTI) e da transformação da PNSB em política de Estado.

ABSTRACT This study analyzed the positioning of national dental entities on the National Oral Health Policy (PNSB), between 2015 and 2017, in Brazil, as a space for relations of strength between agents and institutions. A documentary analysis of the related publications about politics was carried out on official websites, social networks and news from the Federal Council of Dentistry (CFO), of the Brazilian Association of Dentistry (ABO), the Federations of unions and the Association of Collective Oral Health (Abrasbuco). The monitoring was weekly, according to categories: actions and positioning of the entity on the politics, professional demands and relations with the political field. It was observed, during this period, that CFO and Interstate Odontologists Federation were the entities that most published about politics. The unions and representatives of Abrasbuco were more critically positioned about the successive changes in the General Coordination of Oral Health in 2015. The fact that mobilized all entities, with the exception of ABO, was the possible extinction of coordination, in 2016. It stands out the common position of entities for the defense of the expansion of the policy with new jobs in the SUS and articulation with the legislative power in the approval of bills, such as dentistry in the Intensive Care Unit (ICU) and the transformation of the PNSB into State politics.

https://doi.org/10.1590/0103-11042018s207 1072 downloads

O financiamento federal da política de saúde bucal no Brasil entre 2003 e 2017
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Rossi, Thais Regis Aranha

; Chaves, Sonia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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oct 2018, Volume 42 N. 119 Pages 826 - 836

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-1104201811903 1029 downloads

Posicionamento das entidades odontológicas sobre a Política Nacional de Saúde Bucal, no período de 2015-2017
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Nunes, Letícia Rabelo

; Araújo, Camila Oliveira

Saúde em Debate

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oct 2018, Volume 42 N. spe2 Pages 92 - 110

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-11042018s207 17 downloads

Política de Saúde Bucal no Brasil: as transformações no período 2015-2017
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Chaves, Sônia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Reis, Camila Santana dos

; Rossi, Thais Regis Aranha

; Barros, Sandra Garrido de

Saúde em Debate

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oct 2018, Volume 42 N. spe2 Pages 76 - 91

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo analisou a implementação da Política de Saúde Bucal no Brasil entre 2015 e 2017 em quatro componentes: ações institucionais, implantação, financiamento e resultados. Foram realizados acompanhamento dos sites do Ministério da Saúde (MS) e coleta de dados secundários sobre ações institucionais do MS, implantação dos serviços de Atenção Básica e Atenção Especializada, resultados alcançados (cobertura da primeira consulta odontológica, média de ação coletiva de escovação supervisionada e tratamentos especializados) e financiamento. Entre 2015 e 2017, houve aumento de 5,8% no número de Equipes de Saúde Bucal e de 6,4% no número de Centros de Especialidades Odontológicas. A cobertura de primeira consulta odontológica programática decresceu no período de 14,6% em 2015, para 10,5% em 2016 e 8,3% em 2017. Houve redução discreta do financiamento federal no ano de 2017, quando comparado a 2016. Verificou-se, em 2016, um cenário político restritivo para a saúde bucal na menor implantação de novos serviços, com mudanças sucessivas na coordenação nacional da política. É necessário aprofundar o estudo sobre o financiamento da política, visto que o aporte financeiro de 2016-2017 não está coerente com o pouco avanço na implantação e tendência de manutenção de resultados, com queda de indicadores específicos, como o de primeira consulta odontológica programática.

ABSTRACT This study analyzed the implementation of the Oral Health Policy in Brazil between 2015-2017 in four components: institutional actions, implementation, financing and results. The Ministry of Health (MS) websites were monitored and secondary data were collected regarding institutional actions of the MS, implementation of Primary Dental Care and Specialized Dental Care, results (coverage of the first dental consultation, average collective action of supervised brushing and specialized treatments), and financing. Between 2015 and 2017, there was a 5.8% increase in the number of Oral Health Teams and a 6.4% increase in the number of Dental Specialties Centers. Coverage for the dental consultation fell from 14.6% in 2015 to 10.5% in 2016 and 8.3% in 2017. There was a slight reduction in federal funding in 2017 compared to 2016. A restrictive political scenario for oral health was found in 2016 in the smaller implantation of new services, with successive changes in the oral health policy national coordination. It is necessary to deepen the study on the financing of the policy, since the financial contribution of 2016-2017 is not consistent with the little advance in the implantation and tendency of maintenance of results, with decrease of specific indicators such as the first programmatic dental consultation.

https://doi.org/10.1590/0103-11042018s206 14 downloads

10.

Política de Saúde Bucal no Brasil: as transformações no período 2015-2017
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Chaves, Sônia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Reis, Camila Santana dos

; Rossi, Thais Regis Aranha

; Barros, Sandra Garrido de

Saúde em Debate

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oct 2018, Volume 42 N. spe2 Pages 76 - 91

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-11042018s206 3397 downloads

11.

Política de Saúde Bucal no Brasil 2003-2014: cenário, propostas, ações e resultados
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Chaves, Sônia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Rossi, Thaís Regis Aranha

; Santana, Sisse Figueiredo de

; Barros, Sandra Garrido de

; Santos, Carla Maria Lima

Ciência & Saúde Coletiva

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jun 2017, Volume 22 N. 6 Pages 1791 - 1803

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Este estudo analisou a implementação da Política de Saúde Bucal no Brasil de 2003 a 2014, caracterizando cenários, ações institucionais do poder executivo nos componentes do sistema de saúde em três governos. Realizou-se análise documental das tomadas de decisão da Coordenação Geral de Saúde Bucal do Ministério da Saúde através de documentos de setores estratégicos do governo disponíveis nos sítios da internet, como portal da transparência e Instituto Brasileiro de Geografia e Estatística. Este estudo apontou crescimento na oferta e cobertura potencial de serviços públicos odontológicos entre 2003 e 2006 e certa manutenção nos períodos 2007-2010 e 2011-2014. Houve ampliação do financiamento nominal, infraestrutura e recursos humanos. Os recursos repassados para estados e municípios passaram de 83,4 milhões em 2003 para 916 milhões em 2014, aumento de 10,9 vezes no período. O uso dos serviços odontológicos no SUS entre 2003-2008 manteve-se constante em torno de 30%. Houve aumento do uso dos serviços odontológicos privados (64,4% em 2003, 69,6% em 2008 e 74,3% em 2013). O componente do modelo de atenção foi o menos abordado nos três governos, constituindo-se em lacuna com repercussões nos resultados requerendo adoção de medidas futuras por parte dos gestores.

Abstract This study examined the implementation of Brazil’s National Oral Health Policy by the three governments during the period 2003 to 2014. It provides a general overview of oral health care scenarios and examines institutional proposals and actions developed by the executive branch based on the components of the health care system. A documental analysis was conducted using documents produced by key government agencies. The findings show that there was an increase in the provision and coverage of public dental services between 2003 and 2006 and that rates were maintained to a certain degree in subsequent periods (2007 to 2010 and 2011 to 2014). There was an expansion in government funding, human resources and infrastructure. The amount of funds transferred to state and local governments increased from 83.4 million in 2003 to 916 million in 2014, equivalent to a 10.9 fold increase. However, the use of public dental services remained stable, with only a slight increase from 29.7% in 2003 to 30.7% in 2008, while private service utilization increased from 64.4% in 2003 to 74.3% in 2013. The care model component was given lowest priority by the three governments. This shortcoming influences policy effectiveness and requires the adoption of future measures by healthcare managers and officials to correct the situation.

https://doi.org/10.1590/1413-81232017226.18782015 535 downloads

12.

Política de Saúde Bucal no Brasil 2003-2014: cenário, propostas, ações e resultados
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Chaves, Sônia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Rossi, Thaís Regis Aranha

; Santana, Sisse Figueiredo de

; Barros, Sandra Garrido de

; Santos, Carla Maria Lima

Ciência & Saúde Coletiva

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jun 2017, Volume 22 N. 6 Pages 1791 - 1803

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232017226.18782015 8305 downloads

13.

Atenção à pessoa com fissura labiopalatina: proposta de modelização para avaliação de centros especializados, no Brasil
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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mar 2017, Volume 41 N. spe Pages 156 - 166

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo elaborou um modelo lógico de atenção à pessoa com fissura labiopalatina, para subsidiar avaliações em centros de reabilitação do País. Foram revisadas as diretrizes internacionais da área, publicações de especialistas do Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo e do Ministério da Saúde. O modelo contempla duas dimensões - Gestão da atenção e Reabilitação do paciente -, além de demarcar objetivos, atividades e resultados necessários para a reabilitação integral do indivíduo. A modelização da intervenção é passo essencial para a elaboração do instrumento de avaliação dessa atenção, que poderá ser reproduzida nos vários estados brasileiros.

ABSTRACT This study has designed a logic model of care for individuals with cleft lip and palate in order to subsidize the assessment of rehabilitation centers in the Country. International guidelines, as well as publications by experts from the Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo and from the Ministry of Health have been reviewed. The logic model comprises two dimensions - Care Management and Patient Rehabilitation - and defines objectives, interventions and necessary results for the integral rehabilitation of the individual. The intervention modeling is an essential step for the design of the assessment tool, which may be replicated in other Brazilian states.

https://doi.org/10.1590/0103-11042017s12 777 downloads

14.

Atenção à pessoa com fissura labiopalatina: proposta de modelização para avaliação de centros especializados, no Brasil
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2017, Volume 41 N. spe Pages 156 - 166

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-11042017s12 4802 downloads

15.

Política de atenção à fissura labiopalatina: a emergência do Centrinho de Salvador, Bahia
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Chaves, Sônia Cristina Lima

; Silva, Laedson Carlos Moreira da

; Almeida, Ana Maria Freire de Lima

Physis: Revista de Saúde Coletiva

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jun 2016, Volume 26 N. 2 Pages 591 - 610

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Analisou-se a emergência do enfrentamento das fissuras labiopalatinas na Bahia entre 1990 e 2000, em estudo exploratório da emergência do Centro de Reabilitação de Anomalias Craniofaciais da Bahia, utilizando a análise do espaço social, dos agentes e seus capitais, segundo Bourdieu (2014). Foram conduzidas entrevistas semiestruturadas, análises de relatórios e de documentos oficiais. O estudo revelou que a criação do "Centrinho" em Salvador-BA, resultou de condições de possibilidade de financiamento de alta complexidade, associado à conjunção de disposições distintas dos diferentes agentes fundadores. Nesse espaço, coexistem especialistas na reabilitação e disputas sobre a definição do que é a atenção integral à pessoa com fissura labiopalatina.

Abstract The emergence of coping with cleft lip and palate in Bahia between 1990 and 2000 was analyzed through an emergency exploratory study of the Rehabilitation Center of Cleft Lip and Palate of Bahia, Brazil (known as Centrinho), using the analysis of social space, agents and their capital, according to Bourdieu (2014). Semi-structured interviews, and analyzes of reports and official documents were conducted. The study revealed that the creation of the Centrinho allowed high-complexity financing associated with the combination of different provisions of different founders agents. In this space, experts in rehabilitation and disputes over the definition of what is a comprehensive care to people with cleft lip and palate coexist.

https://doi.org/10.1590/s0103-73312016000200013 460 downloads

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