Objetivo: Avaliar a percepção e conduta do médico obstetra sobre saúde bucal no acompanhamento das gestantes, durante as consultas pré-natais na cidade de São Luís, Maranhão. Material e métodos: Trata-se de um estudo transversal, realizado com 41 médicos obstetras que prestam atendimento no Hospital/Maternidade de Alta Complexibiliadade de São Luís-MA. Os médicos responderam a um questionário estruturado contendo 20 perguntas relacionadas a saúde bucal no período gestacional. Resultados: Desta amostra, 58,5% médicos são do sexo masculino e 41,5% do sexo feminino; 56,1% tinham entre 29 e 49 anos; 41,5% entre 28 e 38 anos e 2,4% mais de 60 anos; 22% sempre aconselham as gestantes sobre saúde bucal e 51,2% a partir do 3º mês de gestação; todos os médicos receberam informações sobre saúde bucal. Conclusão: A relação entre médico obstetra e cirurgião dentista deve ser estreitada, contribuindo para um efetivo atendimento multidisciplinar das gestantes e dos bebês. Faz-se necessária uma maior atuação interdisciplinar, entre cirurgiões-dentistas e médicos dedicados ao acompanhamento da gestante, e que o cirurgião-dentista se integre, efetivamente, à equipe de atendimento pré-natal.

The aim of this study was to report a simulation active learning methodology, used in a School Clinic, from the Bachelor’s Degree in Dentistry at Federal University of Maranhão (UFMA) for refining students’ psicomotor capability and critical-cognitive reasoning, related to the competence to make tooth preparation. Proposed simulation was making some plaster models from a partial molding of interest region, using dental material with dimensional stability. Thus, three models were obtained, in plaster type IV, in which two models were destined to the operator and another to the assistant. Operator student made a preparation on one of the models, according to his ability, acquired in pre-clinical laboratory and after that he sought the professor to discuss possible mistakes and successes about the preparation, together to his assistant. After aligned on the biomechanical principles, operator produced a second preparation on a second model. Assistant did it too, but on an unique model. After new consultation with professor and approval of the preparation, academics are authorized to perform it in patient mouth. Through this methodology, learners could notice adequate preparation with all its peculiarities, ask questions and discuss the individualities of each case.

RESUMOA COVID-19 é uma emergência de saúde pública de âmbito internacional. A cavidade bucal tem um importante papel na transmissão e patogenicidade do vírus. Esta revisão integrativa

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Pressure injury develops from prolonged pressure on the surface of the skin or soft tissues, making it difficult or impeding tissue perfusion, causing underlying tissue damage and especially bone prominence. The purpose of the present study was to raise risk factors associated with the occurrence of pressure injury and the possibility of nurses acting on their prevention according to the literature. DEVELOPMENT: The present study uses as integrative literature review method, performed through a search in the Virtual Health Library (VHL) in the databases of Lilacs and Medline and Scielo (Scientific Electronic Library Online) using the intersections of the descriptors "Pressure Injury", "Incidence", "Hospital". For the construction of this article, the following question was applied: what are the risk factors for the occurrence of pressure injury in the hospital environment and the nurse's role in relation to this problem? Among the main factors associated with the occurrence of pressure injury described in the analyzed studies were: skin exposure, excessive humidity, pressure on prominence, loss of sensation, immobility, friction and shear. In addition, studies have shown that the incidence of such injuries occurs mainly in critically ill male patients over the age of 60 and in longer hospitalizations. CONCLUSION: This study presented the risk factors for the occurrence of pressure injury, contributing to the understanding of the multicausality in the onset of this condition. It was found that some care can reduce the appearance of lesions, especially when directed to the environment, to extrinsic factors.