ABSTRACT Objective: To evaluate questions concerning oral medicineand pharmacology-related specialties of asynchronous dental teleconsulting sessions of the Telehealth Brazil Networks Program. Material and Methods: Data were collected from secondary databases of asynchronous dental teleconsulting sessions of the telehealth centers of Minas Gerais from July 2015 to July 2017. The variables for dental underlying fields and the types of questions were evaluated. Descriptive analysis was performed with the SPSS v.22.0 program. Results: 3,920 teleconsulting sessions were referred to the telehealth centers of Minas Gerais during the study period. Regarding oral medicine-related questions (n=745), most (n=469; 62.95%) addressed diagnosis, whereas the underlying field questions mostly regarded fungal, viral, and bacterial infections (17.3%), biopsies (16.4%), developmental defects and dental abnormalities (9.9%), and soft tissue tumors (9.4%). Pharmacology-related questions (n=738) mostly addressed general approaches (n=672; 91.06%), and the most common questions were about underlying fields' prescriptions (44.7%), anesthetics (17.6%), adverse effects of medications and anesthetics (10.2%), and selection of anesthetics for patients with systemic conditions (9.8%). Conclusion: Most teleconsulting sessions regarded conditions or procedures common in primary health care and essential for diagnosis and treatment planning at all care levels, which suggests a need for more academic learning processes for healthcare professionals, especially in dentistry primary fields. Objective pharmacologyrelated pharmacology related Program Methods 201 2017 evaluated v220 v 22 0 v.22. program Results 3920 3 920 3,92 period medicinerelated medicine n=745, n745 n n=745 , 745 (n=745) n=469 n469 469 (n=469 62.95% 6295 62 95 fungal viral 17.3%, 173 17.3% 17 (17.3%) 16.4%, 164 16.4% 16 4 (16.4%) 9.9%, 99 9.9% 9 (9.9%) 9.4%. 94 9.4% . (9.4%) Pharmacologyrelated Pharmacology n=738 n738 738 (n=738 n=672 n672 672 (n=672 91.06%, 9106 91.06% 91 06 91.06%) 44.7%, 447 44.7% 44 7 (44.7%) 17.6%, 176 17.6% 6 (17.6%) 10.2%, 102 10.2% 10 2 (10.2%) 9.8%. 98 9.8% 8 (9.8%) Conclusion levels professionals 20 v22 v.22 392 92 3,9 n74 n=74 74 (n=745 n=46 n46 46 (n=46 62.95 629 17.3 1 (17.3% 16.4 (16.4% 9.9 (9.9% 9.4 (9.4% n=73 n73 73 (n=73 n=67 n67 67 (n=67 910 91.06 44.7 (44.7% 17.6 (17.6% 10.2 (10.2% 9.8 (9.8% v2 v.2 39 3, n7 n=7 (n=74 n=4 n4 (n=4 62.9 17. (17.3 16. (16.4 9. (9.9 (9.4 (n=7 n=6 n6 (n=6 91.0 44. (44.7 (17.6 10. (10.2 (9.8 v. n= (n= 62. (17. (16. (9. 91. (44. (10. (n (17 (16 (9 (44 (10 (1 ( (4

RESUMO Objetivo: Descrever os padrões do suicídio, relacionando-os com aspectos sociodemográficos, espaço-temporais e relacionados ao suicídio na região mais populosa do estado de Alagoas (AL), Brasil. Métodos: Foi delineado um estudo observacional e retrospectivo a partir de dados de suicídio do Instituto Médico Legal localizado em Maceió (AL), compreendendo os anos entre 2016 e 2018. Por meio de regressão logística binária e múltipla foi determinado um modelo estatístico para identificar fatores associados ao suicídio dentre homens e mulheres. Resultados: Do total de suicídios levantados (n = 172), 71,5% eram de vítimas do sexo masculino. A média de idade nos homens foi de 39,3 anos e de 34,1 nas mulheres. O modelo final de regressão logística identificou que homens pretos/pardos tem 12 vezes mais chances (p < 0,001) de cometer suicídio do que os brancos. Além disso homens tem menos chances de se suicidar por intoxicação exógena (p < 0,001) ou queda intencional (p =0,01) do que por enforcamento. Homens em situação empregatícia apresentaram maior chance de suicídio (p = 0,02). Conclusões: Apesar da complexidade do fenômeno em estudo, foi possível verificar alguns padrões para a região mais populosa do estado de Alagoas. O padrão do suicídio no estado seguiu o cenário nacional, afetando homens, adultos, jovens de etnia negra (preta/parda) em situação empregatícia, além do enforcamento como mecanismo padrão entre os homens. O presente estudo poderá ser base para planejamento de intervenções com foco na prevenção do fenômeno, com foco nos determinantes para o suicídio. Objetivo relacionandoos relacionando sociodemográficos espaçotemporais espaço temporais AL, AL , (AL) Brasil Métodos 201 2018 mulheres Resultados n 172, 172 172) 715 71 5 71,5 masculino 393 39 3 39, 341 34 1 34, pretospardos pretos pardos p 0,001 0001 0 001 brancos =0,01 01 0,02. 002 0,02 . 02 0,02) Conclusões nacional adultos preta/parda pretaparda preta parda (preta/parda (AL 20 17 7 71, 0,00 000 00 =0,0 0,0 2 =0, 0, =0

ABSTRACT Objective: To describe the patterns of suicide, relating them to sociodemographic, spatial-temporal and suicide-related aspects in the most populous region of the state of Alagoas (AL), Brazil. Methods: Observational and retrospective study based on suicide data from the Instituto Médico Legal located in Maceió (AL), covering the years between 2016 and 2018. Through binary and multiple logistic regression, a statistical model was determined to identify factors associated with suicide between men and women. Results: From the overall number of reported suicides (n = 172), 71.5% were male victims. The mean age for men was 39.3 years and 34.1 for women. The final logistic regression model identified that black/brown men are 12 times more likely (p < 0.001) to commit suicide than white men. In addition, men are less likely to commit suicide by exogenous intoxication (p < 0.001) or intentional fall (p = 0.01) than by hanging. Men in employment were more likely to commit suicide (p = 0.02). Conclusions: Despite the complexity of the phenomenon under study, it was possible to verify some patterns for the most populous region of the state of Alagoas. The pattern of suicide in the state followed the national scenario, affecting men, adults, young people of black ethnicity (black/brown) in employment, in addition to hanging as the standard mechanism among men. The present study could be the basis for planning interventions focused on preventing the phenomenon, focusing on the determinants of suicide. Objective sociodemographic spatialtemporal spatial temporal suiciderelated related AL, AL , (AL) Brazil Methods 201 2018 women Results n 172, 172 172) 715 71 5 71.5 victims 393 39 3 39. 341 34 1 34. blackbrown brown p 0.001 0001 0 001 0.01 01 0.02. 002 0.02 . 02 0.02) Conclusions scenario adults (black/brown (AL 20 17 7 71. 0.00 000 00 0.0 2 0.

Abstract This study evaluated the construct validity of the instrument Oral Health Literacy among diabetics. A probabilistic random sample of 239 diabetics from an infinite population answered the 10 items of the questionnaire. The structural validity was assessed by confirmatory factor analysis and goodness of fit, chi-square per degrees of freedom ratio (X2/df), comparative fit index (CFI), goodness-of-fit index (GFI), and root-mean-square error of approximation (RMSEA). Internal consistency was estimated by the average variance extracted (AVE) and composite reliability (CR). The scores were dichotomized with the upper limit of the 95% confidence interval as the cutoff point. The three-dimensional model presented good quality parameters (X2 /df = 2.459; CFI = 0.988; TLI = 0.981) and poor RMSEA (0.078). Internal consistency was adequate; AVE for the Access, Understand/appraise, and Apply subscales were 0.831, 0.981, and 0.954 and the CR for these subscales were 0.893, 0.962, and 0.822, respectively. Inadequate literacy ranged from 41.8 to 48.1%. The three-dimensional model identified (access, understand/appraise, and apply) showed structural validity, good internal consistency, and understandability. 23 1 questionnaire chisquare chi square X2/df, X2df Xdf X2/df , X2 df X (X2/df) CFI, (CFI) goodnessoffit GFI, GFI (GFI) rootmeansquare root mean RMSEA. . (RMSEA) (AVE CR. (CR) 95 point threedimensional three dimensional (X 2.459 2459 2 459 0.988 0988 0 988 0.981 0981 981 0.078. 0078 0.078 078 (0.078) adequate Access Understandappraise Understand appraise Understand/appraise 0831 831 0.831 0954 954 0.95 0893 893 0.893 0962 962 0.962 0822 822 0.822 respectively 418 41 8 41. 481 48 48.1% access, access (access understandappraise understand understand/appraise apply understandability (X2/df (CFI (GFI (RMSEA (CR 9 2.45 245 45 0.98 098 98 007 0.07 07 (0.078 083 83 0.83 095 0.9 089 89 0.89 096 96 0.96 082 82 0.82 4 48.1 2.4 24 09 00 0.0 (0.07 08 0.8 0. 48. 2. (0.0 (0. (0 (

Abstract Background The Telehealth Brazil Program aims to improve the quality of Primary Health Care. Objective This cross-sectional study evaluated the Telehealth Brazil Networks Program’s dental teleconsulting in Minas Gerais state to elucidate the prevalent questions in endodontics. Method Secondary databases of offline dental teleconsulting from the Clinical Hospital and Medical School of the Universidade Federal de Minas Gerais from July 2015 to July 2017 were used. The variables analyzed were telehealth center, dental specialty and sub-area, and question type. The results were descriptively analyzed using the SPSS v.22.0 program. Results A total of 3,920 teleconsulting sessions were carried out. Endodontics was the field with the sixth-highest demand for questions (7.4%). The most prevalent endodontic questions were related to pulpal and periapical alterations (32.3%), being more related to diagnosis, followed by dental trauma (15.6%), endodontic emergencies (11.4%), and intracanal medication (7.3%), all of them with most questions related to clinical conduct. Conclusion The endodontic field questions were related to prevalent conditions in the daily activities of the primary health care professionals. It is crucial to continuously update the professionals through continuing education programs and the search for new knowledge to reinforce these competencies. Care crosssectional cross sectional Programs s endodontics 201 used center subarea, subarea sub area, area sub-area type v220 v 22 0 v.22. program 3920 3 920 3,92 out sixthhighest sixth highest 7.4%. 74 7.4% . 7 4 (7.4%) 32.3%, 323 32.3% , 32 (32.3%) diagnosis 15.6%, 156 15.6% 15 6 (15.6%) 11.4%, 114 11.4% 11 (11.4%) 7.3%, 73 7.3% (7.3%) conduct competencies 20 v22 2 v.22 392 92 3,9 7.4 (7.4% 32.3 (32.3% 15.6 1 (15.6% 11.4 (11.4% 7.3 (7.3% v2 v.2 39 9 3, 7. (7.4 32. (32.3 15. (15.6 11. (11.4 (7.3 v. (7. (32. (15. (11. (7 (32 (15 (11 ( (3 (1

Resumo Introdução O Programa de Telessaúde tem o objetivo de aprimorar a qualidade da Atenção Primária em Saúde. Objetivo Este estudo transversal avaliou as teleconsultorias odontológicas do Programa Telessaúde Brasil Redes em Minas Gerais para elucidar as dúvidas prevalentes em endodontia. Método Bancos de dados das teleconsultorias offline de odontologia do Hospital das Clínicas e Faculdade de Medicina da Universidade Federal de Minas Gerais de Julho de 2015 a Julho de 2017 foram utilizados. As variáveis analisadas foram: núcleo de telessaúde, especialidade odontológica e subárea, e tipo de dúvida. Resultados Os resultados foram analisados descritivamente utilizando o programa SPSS v.22.0. Um total de 3920 teleconsultorias foi realizada. A Endodontia foi a área com a sexta maior demanda por dúvidas (7,4%). As dúvidas endodônticas mais prevalentes foram relacionadas às alterações pulpares e perirradiculares (32,3%), sendo mais relacionadas ao diagnóstico, seguidas por trauma dentário (15,6%), emergências endodônticas (11,4%) e medicação intracanal (7,3%), sendo a maioria das dúvidas relacionadas à conduta clínica. Conclusão As dúvidas na área endodôntica foram relacionadas a condições prevalentes nas atividades diárias dos profissionais da atenção primária a saúde. É crucial a atualização constante dos profissionais, por programas de educação continuada e pela busca por novos conhecimentos, reforçando essas competências. Saúde endodontia 201 utilizados telessaúde subárea dúvida v220 v 22 0 v.22.0 392 realizada 7,4%. 74 7,4% . 7 4 (7,4%) 32,3%, 323 32,3% , 32 3 (32,3%) diagnóstico 15,6%, 156 15,6% 15 6 (15,6%) 11,4% 114 11 (11,4% 7,3%, 73 7,3% (7,3%) clínica saúde conhecimentos competências 20 v22 2 v.22. 39 7,4 (7,4% 32,3 (32,3% 15,6 1 (15,6% 11,4 (11,4 7,3 (7,3% v2 v.22 7, (7,4 32, (32,3 15, (15,6 11, (11, (7,3 v.2 (7, (32, (15, (11 v. (7 (32 (15 (1 ( (3

Abstract Objective: to describe the prevalence of risk and protective factors for noncomunicable chronic diseases (NCD) and test the association of these factors with sex, age, and job satisfaction among public primary and secondary schools teachers. Methods: analytical cross-sectional study in Montes Claros, MG, Brazil, carried out in 2016. We applied the probability cluster sampling technique. We used a self-applicable questionnaire and physical evaluations. We estimated Prevalence ratios (PR) and 95% Confidence Intervals (95%CI) using Poisson’s regression. Results: of the 745 participants, 83% were women, 81% were 49 years old or younger, and 60% were unsatisfied with work. Smoking was more prevalent among men (PR: 2.33; 95%CI: 1.13;4.81), as well as alcohol abuse (PR: 7.24; 95%CI: 2.19;23.91), overweight (PR:1.48; 95%CI: 1.04;2.13), lower prevalence of depressive symptoms (PR: 0.93; 95%CI: 0.88;0.98) and stress (PR: 0.88; 95%CI: 0.82;0.95). Older teachers had a lower prevalence of burnout (PR: 0.87; 95%CI: 0.81;0.94) and a higher prevalence of protective behaviors, despite having a greater impairment of physical health. Unsatisfied teachers showed higher prevalence of depressive symptoms (PR: 2.52; 95%CI: 1.61;3.93), stress (PR: 1.76; 95%CI: 1.33;2.32), and burnout (PR: 9.20; 95%CI: 4.46;18.99). Conclusions: smoking, alcoholism, overweight, and mental health impairment were frequent risk factors for NCD among teachers. Differences were observed in the prevalence of risk and protection factors for NCD according to sex, age, and job satisfaction. Objective (NCD sex age Methods crosssectional cross sectional Claros MG Brazil 2016 technique selfapplicable self applicable evaluations PR (PR 95 95%CI 95CI CI (95%CI Poissons Poisson s regression Results 74 participants 83 women 81 4 younger 60 work 2.33 233 2 33 1.134.81, 113481 1.13 4.81 , 1 13 1.13;4.81) 7.24 724 7 24 2.1923.91, 2192391 2.19 23.91 19 23 91 2.19;23.91) PR1.48 PR148 1.48 48 (PR:1.48 1.042.13, 104213 1.04 2.13 04 1.04;2.13) 0.93 093 0 93 0.880.98 088098 0.88 0.98 88 98 0.88;0.98 088 0.820.95. 082095 0.82 0.95 . 82 0.82;0.95) 0.87 087 87 0.810.94 081094 0.81 0.94 94 0.81;0.94 behaviors 2.52 252 52 1.613.93, 161393 1.61 3.93 61 3 1.61;3.93) 1.76 176 76 1.332.32, 133232 1.33 2.32 32 1.33;2.32) 9.20 920 9 20 4.4618.99. 4461899 4.46 18.99 46 18 99 4.46;18.99) Conclusions smoking alcoholism 201 8 6 2.3 134 1.134.81 11348 113 1.1 481 4.8 1.13;4.81 7.2 72 1923 2.1923.91 219239 219 2.1 2391 23.9 2.19;23.91 PR1 PR1.4 PR14 148 1.4 (PR:1.4 042 1.042.13 10421 104 1.0 213 1.04;2.13 0.9 09 880 0.880.9 08809 0.8 098 0.88;0.9 08 820 0.820.95 08209 082 095 0.82;0.95 810 0.810.9 08109 081 094 0.81;0.9 2.5 25 5 613 1.613.93 16139 161 1.6 393 3.9 1.61;3.93 1.7 17 332 1.332.32 13323 133 1.3 232 1.33;2.32 9.2 92 4618 4.4618.99 446189 446 4.4 1899 18.9 4.46;18.99 2. 1.134.8 1134 11 1. 4. 1.13;4.8 7. 192 2.1923.9 21923 21 239 23. 2.19;23.9 PR1. 14 (PR:1. 1.042.1 1042 10 1.04;2.1 0. 0.880. 0880 0.88;0. 0.820.9 0820 0.82;0.9 0.810. 0810 0.81;0. 1.613.9 1613 16 39 3. 1.61;3.9 1.332.3 1332 1.33;2.3 9. 461 4.4618.9 44618 44 189 18. 4.46;18.9 1.134. 1.13;4. 2.1923. 2192 2.19;23. (PR:1 1.042. 1.04;2. 0.880 0.88;0 0.820. 0.82;0. 0.810 0.81;0 1.613. 1.61;3. 1.332. 1.33;2. 4.4618. 4461 4.46;18. 1.134 1.13;4 2.1923 2.19;23 1.042 1.04;2 0.820 0.82;0 0.81; 1.613 1.61;3 1.332 1.33;2 4.4618 4.46;18 1.13; 2.192 2.19;2 1.04; 0.82; 1.61; 1.33; 4.461 4.46;1 2.19; 4.46;

Resumo Objetivo: descrever as prevalências de fatores de risco e de proteção para doenças crônicas não transmissíveis (DCNT) e testar associações desses fatores com sexo, idade e satisfação com o trabalho entre professores da educação básica. Métodos: estudo transversal analítico realizado em Montes Claros, MG, Brasil, em 2016. Amostra probabilística por conglomerados. Utilizou-se questionário autoaplicável e avaliações físicas. Estimaram-se razões de prevalências (RP) e intervalos de confiança de 95% (IC95%) pela Regressão de Poisson. Resultados: dos 745 participantes, 83% eram mulheres, 81% tinham até 49 anos e 60% estavam insatisfeitos com o trabalho. Houve maior prevalência de fumantes entre homens (RP: 2,33; IC95%: 1,13;4,81), bem como consumo abusivo de álcool (RP: 7,24; IC95%: 2,19;23,91), excesso de peso (RP:1,48; IC95%: 1,04;2,13), menor prevalência de sintomas depressivos (RP:0,93; IC95%: 0,88;0,98) e de estresse (RP:0,88; IC95%: 0,82;0,95). Professores mais velhos apresentaram menor prevalência de Burnout (RP:0,87; IC95%: 0,81;0,94) e maior prevalência de comportamentos de proteção, apesar de terem maior comprometimento da saúde física. Professores insatisfeitos apresentaram maior prevalência de sintomas depressivos (RP:2,52; IC95%: 1,61;3,93), estresse (RP:1,76; IC95%: 1,33;2,32) e Burnout (RP:9,20; IC95%: 4,46;18,99). Conclusões: tabagismo, etilismo, excesso de peso e comprometimento da saúde mental foram fatores de risco frequentes para DCNT entre professores. Observaram-se diferenças nas prevalências de fatores de risco e de proteção para DCNT segundo sexo, idade e satisfação com o trabalho. Objetivo (DCNT sexo básica Métodos Claros MG Brasil 2016 conglomerados Utilizouse Utilizou se físicas Estimaramse Estimaram RP (RP 95 IC95% IC95 IC (IC95% Poisson Resultados 74 participantes 83 mulheres 81 4 60 2,33 233 2 33 1,134,81, 113481 1,13 4,81 , 1 13 1,13;4,81) 7,24 724 7 24 2,1923,91, 2192391 2,19 23,91 19 23 91 2,19;23,91) RP1,48 RP148 1,48 48 (RP:1,48 1,042,13, 104213 1,04 2,13 04 1,04;2,13) RP0,93 RP093 0,93 0 93 (RP:0,93 0,880,98 088098 0,88 0,98 88 98 0,88;0,98 RP0,88 RP088 (RP:0,88 0,820,95. 082095 0,82 0,95 . 82 0,82;0,95) RP0,87 RP087 0,87 87 (RP:0,87 0,810,94 081094 0,81 0,94 94 0,81;0,94 física RP2,52 RP252 2,52 52 (RP:2,52 1,613,93, 161393 1,61 3,93 61 3 1,61;3,93) RP1,76 RP176 1,76 76 (RP:1,76 1,332,32 133232 1,33 2,32 32 1,33;2,32 RP9,20 RP920 9,20 9 20 (RP:9,20 4,4618,99. 4461899 4,46 18,99 46 18 99 4,46;18,99) Conclusões tabagismo etilismo Observaramse Observaram 201 IC9 (IC95 8 6 2,3 134 1,134,81 11348 113 1,1 481 4,8 1,13;4,81 7,2 72 1923 2,1923,91 219239 219 2,1 2391 23,9 2,19;23,91 RP1 RP1,4 RP14 148 1,4 (RP:1,4 042 1,042,13 10421 104 1,0 213 1,04;2,13 RP0 RP0,9 RP09 093 0,9 (RP:0,9 880 0,880,9 08809 088 0,8 098 0,88;0,9 RP0,8 RP08 (RP:0,8 820 0,820,95 08209 082 095 0,82;0,95 087 810 0,810,9 08109 081 094 0,81;0,9 RP2 RP2,5 RP25 252 2,5 5 (RP:2,5 613 1,613,93 16139 161 1,6 393 3,9 1,61;3,93 RP1,7 RP17 176 1,7 (RP:1,7 332 1,332,3 13323 133 1,3 232 1,33;2,3 RP9 RP9,2 RP92 920 9,2 (RP:9,2 4618 4,4618,99 446189 446 4,4 1899 18,9 4,46;18,99 (IC9 2, 1,134,8 1134 11 1, 4, 1,13;4,8 7, 192 2,1923,9 21923 21 239 23, 2,19;23,9 RP1, 14 (RP:1, 1,042,1 1042 10 1,04;2,1 RP0, 09 0, (RP:0, 0,880, 0880 08 0,88;0, 0,820,9 0820 0,82;0,9 0,810, 0810 0,81;0, RP2, 25 (RP:2, 1,613,9 1613 16 39 3, 1,61;3,9 17 1,332, 1332 1,33;2, RP9, 92 9, (RP:9, 461 4,4618,9 44618 44 189 18, 4,46;18,9 (IC 1,134, 1,13;4, 2,1923, 2192 2,19;23, (RP:1 1,042, 1,04;2, (RP:0 0,880 0,88;0 0,820, 0,82;0, 0,810 0,81;0 (RP:2 1,613, 1,61;3, 1,332 1,33;2 (RP:9 4,4618, 4461 4,46;18, 1,134 1,13;4 2,1923 2,19;23 1,042 1,04;2 0,88; 0,820 0,82;0 0,81; 1,613 1,61;3 1,33; 4,4618 4,46;18 1,13; 2,192 2,19;2 1,04; 0,82; 1,61; 4,461 4,46;1 2,19; 4,46;

RESUMO O Programa Saúde na Escola tem como meta a construção de escolas saudáveis. Estudo de caso, de abordagem qualitativa com intenção de identificar e compreender como se comportam, no esforço de integração, profissionais envolvidos no Programa Saúde na Escola, a partir de sua inserção nas atividades preconizadas. Após construção do modelo lógico do programa, foi realizado consenso com experts para elaboração de matriz de indicadores, originando roteiro semiestruturado. Foram realizadas 25 entrevistas, nas Unidades Básicas de Saúde e Escolas de Ensino Fundamental, além das Gerências Regionais da Saúde e da Educação. As práticas foram consideradas multissetoriais, sem soma de esforços e coparticipação efetiva, sendo planejadas por um único setor ou profissional; os gaps existentes são reconhecidos tanto quanto a importância do programa; as práticas acontecem com baixo vínculo entre equipes. A forma fragmentada de perceber os problemas dos escolares dificulta essa integração.

ABSTRACT The School Health Program aims to build healthy schools. This qualitative case study aimed to identify and understand how professionals involved in the School Health Program behave in the integration based on their inclusion in the recommended activities. The consensus was reached with experts to develop a matrix of indicators after building the Program’s logical model, resulting in a semi-structured roadmap. Twenty-five interviews were held in the Basic Health Units, Elementary Schools, and the Regional Health and Education Administrations. The practices were multisectoral, with no combined efforts and effective co-participation, planned by a single sector or professional, the existing gaps are recognized as much as the importance of the program, and the practices are implemented with a low bond between teams. The fragmented perception of students’ problems hinders this integration.

ABSTRACT The School Health Program aims to build healthy schools. This qualitative case study aimed to identify and understand how professionals involved in the School Health Program behave in the integration based on their inclusion in the recommended activities. The consensus was reached with experts to develop a matrix of indicators after building the Program’s logical model, resulting in a semi-structured roadmap. Twenty-five interviews were held in the Basic Health Units, Elementary Schools, and the Regional Health and Education Administrations. The practices were multisectoral, with no combined efforts and effective co-participation, planned by a single sector or professional, the existing gaps are recognized as much as the importance of the program, and the practices are implemented with a low bond between teams. The fragmented perception of students’ problems hinders this integration. schools activities Programs s model semistructured semi structured roadmap Twentyfive Twenty five Units Schools Administrations multisectoral coparticipation, coparticipation co participation, participation co-participation professional program teams students

RESUMO O Programa Saúde na Escola tem como meta a construção de escolas saudáveis. Estudo de caso, de abordagem qualitativa com intenção de identificar e compreender como se comportam, no esforço de integração, profissionais envolvidos no Programa Saúde na Escola, a partir de sua inserção nas atividades preconizadas. Após construção do modelo lógico do programa, foi realizado consenso com experts para elaboração de matriz de indicadores, originando roteiro semiestruturado. Foram realizadas 25 entrevistas, nas Unidades Básicas de Saúde e Escolas de Ensino Fundamental, além das Gerências Regionais da Saúde e da Educação. As práticas foram consideradas multissetoriais, sem soma de esforços e coparticipação efetiva, sendo planejadas por um único setor ou profissional; os gaps existentes são reconhecidos tanto quanto a importância do programa; as práticas acontecem com baixo vínculo entre equipes. A forma fragmentada de perceber os problemas dos escolares dificulta essa integração. saudáveis caso comportam integração preconizadas programa indicadores semiestruturado 2 entrevistas Fundamental Educação multissetoriais efetiva profissional equipes

Resumo Avaliar por meio de uma revisão de escopo estudos que abordam a percepção e atitude do cirurgião-dentista diante do atendimento a mulheres em situação de violência. Utilizando os descritores women violence, dentist attendence ou dentist care, foram identificados 473 artigos, sendo incluídos 13, ao final da seleção. Embora a necessidade de capacitação tenha sido predominante, ela não é suficiente. Existe uma fragilidade em se compreender a violência como problema de saúde, de entender o papel do profissional na solução desse problema, os fatores que podem contribuir com seu crescimento ou seu controle. Os resultados revelaram que o cirurgião-dentista apresentou maior dificuldade do que os outros profissionais no enfrentamento e exigem um amplo aprendizado. O reconhecimento dos referidos casos pelo cirurgião-dentista exige a incorporação de medidas educativas que provoquem mudanças culturais, desconstrução de normas de gênero e a desnaturalização desse fenômeno social.

Abstract The purpose of this study was to evaluate, through a scope review, studies that address the perceptions and attitudes of dentists regarding the care of women in situations of violence. Using the descriptors women violence, dentist attendance or dentist care, 473 articles were identified, of which 13 were included at the end of the selection process. Although the need for training was predominant, it was not sufficient. There is a weakness in understanding violence as a health problem, in understanding the role of the professional in solving this problem, and the factors that can contribute to its growth or its control. The results revealed that the dentist had greater difficulty than other professionals in coping with the issue and required extensive training. The recognition of these cases of abuse by the dentist requires the incorporation of educational measures that cause cultural changes, deconstruction of gender norms and the denaturalization of this social phenomenon.

Resumo Avaliar por meio de uma revisão de escopo estudos que abordam a percepção e atitude do cirurgião-dentista diante do atendimento a mulheres em situação de violência. Utilizando os descritores women violence, dentist attendence ou dentist care, foram identificados 473 artigos, sendo incluídos 13, ao final da seleção. Embora a necessidade de capacitação tenha sido predominante, ela não é suficiente. Existe uma fragilidade em se compreender a violência como problema de saúde, de entender o papel do profissional na solução desse problema, os fatores que podem contribuir com seu crescimento ou seu controle. Os resultados revelaram que o cirurgião-dentista apresentou maior dificuldade do que os outros profissionais no enfrentamento e exigem um amplo aprendizado. O reconhecimento dos referidos casos pelo cirurgião-dentista exige a incorporação de medidas educativas que provoquem mudanças culturais, desconstrução de normas de gênero e a desnaturalização desse fenômeno social.

Abstract The purpose of this study was to evaluate, through a scope review, studies that address the perceptions and attitudes of dentists regarding the care of women in situations of violence. Using the descriptors women violence, dentist attendance or dentist care, 473 articles were identified, of which 13 were included at the end of the selection process. Although the need for training was predominant, it was not sufficient. There is a weakness in understanding violence as a health problem, in understanding the role of the professional in solving this problem, and the factors that can contribute to its growth or its control. The results revealed that the dentist had greater difficulty than other professionals in coping with the issue and required extensive training. The recognition of these cases of abuse by the dentist requires the incorporation of educational measures that cause cultural changes, deconstruction of gender norms and the denaturalization of this social phenomenon.

Abstract This cross-sectional study nationally evaluated asynchronous dental teleconsulting services offered by the Telehealth Brazil Networks Program, using the 2019 Telehealth Results Monitoring and Evaluation System database and considering Brazilian regional differences. The following teleconsulting variables were collected: dentist’s sex and specialty, date/time of question and answer, response time; dental specialty, professional satisfaction, and patient referral. Five Brazilian regions were socioeconomically characterized according to the Human Development Index, estimated population, Gini coefficient, coverage of dental specialty centers, oral health teams in Family Health Strategy, and oral health teams in primary health care (PHC). In total, 2,703 teleconsulting sessions occurred in Brazil in the analyzed period. The Southeast exhibited the highest demand (49.1%). Most dentists were female (60.6%) and were dental surgeons from the Family Health Strategy (61.3%). Most teleconsulting sessions occurred during working hours (85.5%) and questions were answered within 72 hours (66.7%). Level of satisfaction and avoidance of referral yielded rates of 90.9% and 66.8%, respectively, among dentists who answered about these topics. Semiology was the most frequently demanded area in teleconsulting (33.9%). The different demands from the regions reflected regional differences. The most frequently demanded specialties represent the Brazilian PHC scenario. Professionals incorporated teleconsulting into their work routine and most teleconsultants responded within the stipulated timeframe. Professional feedback should be encouraged.

Abstract Objective: To analyze patients’ pain perception requiring endodontic treatment referred to a Dental Specialties Center. Material and Methods: Data was collected through a self-administered questionnaire for patients about their experience of pain and another for endodontists about the treatment performed. The results were analyzed descriptively using Pearson’s Chi-square test and Fisher’s Exact test, with Bonferroni correction (p≤0.05). Results: The median age of the patients was 39 years, and 71.1% were female. The median waiting time for treatment was five months. Pain was reported by 75.2% of patients, occurred more than one month earlier (63.6%), with moderate/severe intensity (66.9%), and most patients sought emergency treatment more than once (79.1%). In addition, pain was associated with sex (female; p=0.008); moderate/severe intensity (p<0.001); the number of times that patient had to go to the dentist because of the tooth treatment (twice or more; p=0.002); and type of tooth treated (posterior tooth; p=0.002). Conclusion: Severe pain episodes resulted in a repeated search for emergency services, which may overload the primary care service, especially if the waiting time for endodontic treatment is long.

Resumo Estudos que avaliem os fatores associados à subnotificação e às dificuldades dos dentistas para identificar e notificar abuso físico infantil são escassos e necessários. Este estudo teve como objetivo investigar a prevalência de identificação e de notificação de abuso físico infantil (AFI) e fatores associados por dentistas da atenção primária. Trata-se de um estudo transversal com amostra representativa dos dentistas da Estratégia Saúde da Família de Belo Horizonte. Para a coleta de dados foi utilizado um questionário autoaplicável, validado para uso no Brasil. A análise estatística incluiu análise univariada e múltipla pela regressão de Poisson. Um total de 181 profissionais participaram do estudo. Destes, 73 (40,3%) já identificaram algum caso de AFI, mas apenas 11 (6,1%) realizaram a notificação. Dentistas com seis a 19 anos de trabalho no município apresentaram probabilidade 2,38 vezes [RP = 2,38 (CI 95%: 1,29-4,41)] maior de identificar casos de AFI do que aqueles com menos de seis anos de atuação. Possuir pós-graduação com foco em crianças [PR = 4,50(CI 95%: 1,08-18,68)] esteve positivamente associado a um maior número de notificações. O tempo de trabalho no município esteve associado à identificação de casos de AFI. A prevalência de notificação encontrada foi baixa.

Abstract Studies evaluating the factors associated with under reporting and with the recognition and reporting of child physical abuse are scarce and highly necessary. This study aimed to assess the prevalence of recognition and reporting of child physical abuse (CPA) by Brazilian dentistsin primary care and associated factors. A cross-sectional study was carried out with a representative sample of dentistsfrom the Family Health Strategy in Belo Horizonte. A self-administered questionnaire validated to Brazilian Portuguesewas used for data collection. Statistical analysis included univariate and multiple analyses through Poisson regression. A total of 181dentists participated in the study. Among them, 73 (40.3%) had already recognized some cases of CPA, but only 11 (6.1%) ended up reporting. Dentists with six to 19 years of experience as a municipal worker presented 2.38 times [PR = 2.38 (95%CI: 1.29-4.41)] more probability to recognize cases of CPA than the ones with less than six years. Having a graduate degree with a major in childcare [PR = 4.50 (95%CI: 1.08-18.68)] was associated with a larger number of reports. The employment duration as municipal worker was positively associated with the recognition of CPA cases and the prevalence of reporting was low.

Resumo Estudos que avaliem os fatores associados à subnotificação e às dificuldades dos dentistas para identificar e notificar abuso físico infantil são escassos e necessários. Este estudo teve como objetivo investigar a prevalência de identificação e de notificação de abuso físico infantil (AFI) e fatores associados por dentistas da atenção primária. Trata-se de um estudo transversal com amostra representativa dos dentistas da Estratégia Saúde da Família de Belo Horizonte. Para a coleta de dados foi utilizado um questionário autoaplicável, validado para uso no Brasil. A análise estatística incluiu análise univariada e múltipla pela regressão de Poisson. Um total de 181 profissionais participaram do estudo. Destes, 73 (40,3%) já identificaram algum caso de AFI, mas apenas 11 (6,1%) realizaram a notificação. Dentistas com seis a 19 anos de trabalho no município apresentaram probabilidade 2,38 vezes [RP = 2,38 (CI 95%: 1,29-4,41)] maior de identificar casos de AFI do que aqueles com menos de seis anos de atuação. Possuir pós-graduação com foco em crianças [PR = 4,50(CI 95%: 1,08-18,68)] esteve positivamente associado a um maior número de notificações. O tempo de trabalho no município esteve associado à identificação de casos de AFI. A prevalência de notificação encontrada foi baixa.

Abstract Studies evaluating the factors associated with under reporting and with the recognition and reporting of child physical abuse are scarce and highly necessary. This study aimed to assess the prevalence of recognition and reporting of child physical abuse (CPA) by Brazilian dentistsin primary care and associated factors. A cross-sectional study was carried out with a representative sample of dentistsfrom the Family Health Strategy in Belo Horizonte. A self-administered questionnaire validated to Brazilian Portuguesewas used for data collection. Statistical analysis included univariate and multiple analyses through Poisson regression. A total of 181dentists participated in the study. Among them, 73 (40.3%) had already recognized some cases of CPA, but only 11 (6.1%) ended up reporting. Dentists with six to 19 years of experience as a municipal worker presented 2.38 times [PR = 2.38 (95%CI: 1.29-4.41)] more probability to recognize cases of CPA than the ones with less than six years. Having a graduate degree with a major in childcare [PR = 4.50 (95%CI: 1.08-18.68)] was associated with a larger number of reports. The employment duration as municipal worker was positively associated with the recognition of CPA cases and the prevalence of reporting was low.

ABSTRACT Objective: To evaluate output of endodontic in oral public healthcare by analyzing differences in instrumentation techniques, quantitative and qualitatively. Material and Methods: Endodontic services were differentiated by instrumentation techniques: hand techniques with stainless steel instruments (SS) or rotary using NiTi rotary instruments. Secondary data on the productivity of 2011 were obtained from the information system. Student’s t and Mann-Whitney tests were used. Qualitative data were based on semi-structured interviews, direct observation and field diary. Results: Service I employed SS hand techniques, service II used both techniques, while NiTi rotary system was used in service III. Statistically significant differences were observed in total endodontic productivity, with I presenting more productive results than II (p=0.001) and III (p=0.009); III presenting more productive results than II (p<0.001). Comparisons of endodontic treatment types revealed that I performed more multiradicular tooth treatments than did II and III (p=0.005), and III performed more treatments on biradicular teeth than did I and II (p=0.002). Qualitative analyses were divided into themes: “perceptions of the service” and “perceptions of the employed instrument”. Conclusion: Professional experience and high productivity per hour can be a differential; the use of rotary instrumentation can be useful in solving unmet demands. Perception of endodontists showed that chosen endodontic technique influenced job satisfaction and lack of integrality of the treatment is a problem in secondary care.

ABSTRACT Objective: To analyze the profile of the dental teleconsulting in the Pediatric Dentistry field of Telehealth Brazil Networks Program, in Minas Gerais centers, Brazil. Material and Methods: Asynchronous dental teleconsulting was evaluated in the Pediatric Dentistry specialty, extracted from secondary databases of the telehealth centers: the Clinical Hospital of the Universidade Federal de Minas Gerais and UFMG Medical School, from July 2015 to July 2017. The variables collected were: type of issues and area and sub-area of Pediatric Dentistry. The results were descriptively analyzed using the SPSS v.22,0 program by frequencies. Results: Most of the issues in the Pediatric Dentistry specialty were about clinical conduct (81.4%). There was a predominance of issues regarding prevention (16.6%), surgery (15.3%), tooth eruption (15.1%), endodontics (12.1%), harmful oral habits (9.7%), patient cooperation (8.7%), primary teeth trauma (7.2%) and dentistry (6.7%). Regarding sub-areas, most issues were related to child oral hygiene (68.5%), tooth extraction (92%), tooth eruption chronology (65.6%), pulp diagnosis (49.0%), bruxism (64%), patient management (74.3%), post-trauma treatment (79.3%), and restoration (88.9%). Conclusion: Pediatric Dentistry teleconsulting suggested a difficulty of the professionals in the pediatric patient approach. Continuing education programs and training courses for professionals working in primary health care are crucial for the comprehensive care of pediatric patients.