Resumo Introdução Na perspectiva dos determinantes sociais de saúde, a Hipertensão Arterial Sistêmica apresenta complexa natureza multifatorial. É fator de risco cardiovascular, influenciado por aspectos comportamentais, econômicos, sociais, políticos e ambientais. Objetivo Investigar a relação entre determinantes sociais de saúde e risco cardiovascular global em hipertensos assistidos em serviço da atenção secundária do Sistema Único de Saúde. Método Estudo seccional analítico, com pacientes do Centro Hiperdia, no norte de Minas Gerais, Brasil. Dados de determinantes sociais foram coletados por meio de questionário estruturado. A classificação do risco cardiovascular (alto, moderado e baixo) deu-se a partir de dados clínicos. A estatística considerou nível de significância 5%. Resultados Entre 231 participantes, a maioria (64,1%) era de alto risco cardiovascular, associado aos dados clínicos: elevada pressão arterial sistólica (p=0,04) e maior tempo de diagnóstico (p=0,01). O alto risco cardiovascular foi associado aos determinantes sociais: satisfação com acesso aos serviços de saúde (p=0,02) e ambiente físico saudável (p=0,02). Conclusão Apesar de a satisfação com os serviços de saúde e com o ambiente físico terem apresentado resultados reversos, sugere-se fortalecer políticas e práticas de atenção à saúde, que reconheçam diferentes determinantes e previnam a gravidade do risco cardiovascular.

Abstract Background In the perspective of the social determinants of health, Systemic Arterial Hypertension presents complex multifactorial nature. This cardiovascular risk factor is influenced by behavioral, economic, social, political and environmental aspects. Objective To investigate the relationship between social determinants of health and global cardiovascular risk in hypertensive patients assisted in the secondary care service of the Unified Health System. Method An analytical sectional study with patients from Centro Hiperdia in Northern Minas Gerais, Brazil. Data of social determinants were collected through a structured questionnaire. The classification of cardiovascular risk (high, moderate and low) was based on clinical data. The statistic considered significance level 5%. Results Among 231 participants, the majority (64.1%) presented high cardiovascular risk, associated with clinical data: high systolic blood pressure (p=0.04) and longer diagnostic time (p=0.01). High cardiovascular risk was associated with social determinants: satisfaction with access to health services (p=0.02) and healthy physical environment (p=0.02). Conclusion Although satisfaction with the health services and the physical environment presented reversed results, we suggest the strengthening of health care policies and practices that recognize different determinants, and prevent the severity of cardiovascular risk.

Abstract Objective: To evaluate the oral health conditions of hospitalized children, as well as describe the knowledge and practices of oral health care adopted by their parents/guardians. Material and Methods: The sample was composed of 46 children who had been hospitalized for at least five days, who had erupted teeth in the oral cavity and were accompanied by their parents/guardians. Information was collected in relation to: the oral health status of children (DMFT/DEF), the socioeconomic profile and access to information on health and oral hygiene of the parents/guardians and data regarding the hospitalization of the children. The data were analyzed using the Fisher, Pearson's and Mann Whitney's Chi-squared tests, with a confidence level of 95%. Results: 47.8% of the hospitalized children had experienced caries, and the most relevant component for the determination of the experience of caries was the presence of decayed teeth (0.50 to 1.94). A total of 97.8% of parents/guardians said they had not received information on oral health and hygiene, 100.0% had not received guidance on the sugar contained in medicines or the salivary decrease caused by the medications. 34.8% of the children did not perform oral hygiene during hospitalization. According to medical records, 58.7% took liquid medication orally. Conclusion: The hospitalized children had precarious oral health conditions, with the occurrence of carious lesions of the teeth. The presence of risk factors for dental caries in hospitalized children was observed (poor oral hygiene, low schooling and income of parents/guardians, limited knowledge of parents/guardians regarding health care and oral hygiene, consumption of medicines with cariogenic potential).

O requerimento mínimo para que um creme dental tenha potencial anticárie é ele ter fluoreto (F) na concentração de 1000 ppm, o qual porém deve estar solúvel na formulação. Assim, este estudo teve como objetivo conhecer a concentração de F solúvel em dentifrícios usados por 206 crianças brasileiras. Foram determinadas as concentrações de flúor total (FT), o qual representa a soma das concentrações de flúor solúvel (iônico e ionizável) mais o insolúvel (ligado ao abrasivo); de flúor solúvel total (FST), representando o iônico mais o ionizável na forma de monofluorfosfato de sódio (MFP) e de flúor solúvel na forma iônica (FI). A partir destas análises foram calculadas as concentrações de MFP e a % de F insolúvel (Fins). As análises foram feitas em duplicatas com eletrodo específico. A maioria dos dentifrícios usados (96%) continham fluoreto e em 84% desses a concentração de FT encontrada estava de acordo com a declarada na embalagem. Em 78% dos cremes dentais fluoretados, a concentração de FST encontrada foi igual ou superior a 1000 ppm, variando de 422,3 a 1432,3 ppm F (média ± DP de 1017,6 ± 239,4). Os dados mostram que a maioria dos cremes dentais usados pela amostra de crianças brasileiras possui concentração de F potencialmente ativo para controlar cárie.

Toothpastes should have a minimum concentration of 1000 ppm of fluoride (F) to control caries and also the active F agent must be chemically free (soluble) in the formulation. Thus, the aim of this study was to evaluate the concentration of soluble F in dentifrices used by 206 Brazilian children. The concentrations of total fluoride (TF), total soluble fluoride (TSF) and fluoride ion were determined. From these analyses, the concentrations of F as sodium monofluorophosphate (MFP) and % of insoluble F were calculated. F was analyzed with an ion specific electrode in duplicates. The majority of dentifrices used (96%) contained F and in 84% of them, TF concentration was according to that declared by the manufacturers. In the F-toothpastes, 78% showed TSF concentration ≥1000 ppm, varying from 422.3 to 1432.3 ppm F (mean ± SD of 1017.6 ± 239.4). These findings suggest that most dentifrices used by Brazilian children present available fluoride concentration for caries control.