The aim of this study was to analyze the implementation of dental care in the Family Health Program (FHP) in the State of Paraná, Brazil, one year after Ministry of Health (MoH) Ruling 1,444 went into effect. A qualitative and quantitative study was designed, focusing on the 136 municipalities which had included oral health services in the program by early 2002. The dental care teams received previously tested questionnaires on administrative and operational issues. The mean population covered by each team is close to the minimum stipulated by the MoH in 2000. However, some teams experienced difficulties in developing all the activities under their responsibility. Referral of more complex cases was also reported as a critical point. Favorable reception by the population and participation by dentists in the training courses were identified as positive points. Finally, a large proportion of dentists were under temporary work contracts (37.7%); there were also reports of the need to train general dental practitioners with an adequate profile for the FHP.

The relationship between mother and child in the context of oral health has traditionally been exposed by the scientific literature in microbiology, which lacks a broad and necessary discussion of health and illness seen as processes, both biological and social. ObjectiveInvestigate the family social determinants associated with the caries history of children and the need for dental treatment (NDT) among their mothers was the objective of this study. Material and methodsThis research employed a cross-sectional study of mother-child pairs living in southern Brazil. Data collection occurred in public institutions of early childhood education. The instruments included a structured questionnaire administered to mothers and clinical oral examinations of the mothers and children. The social variables considered were marital status, maternal education, number of children, income, employment status, and frequency of visits to a dental professional. The measured outcomes were the maternal NDT and child caries history. Data were analyzed by the chi-square test (χ2) and by discriminant analysis. ResultsThe final sample consisted of 272 mother-child pairs and it was found that the greatest need for treatment was among mothers with low educational level and low family income who rarely or never visited a dentist. Tooth decay was less frequent in only child, and most frequent in children of mothers with low educational attainment, and in children in lower income households who rarely or never visited the dentist. The social determinants of caries in children and of the maternal NDT were similar. It follows that the maternal NDT and caries history among children were strongly associated with maternal education (p<0.0001), household income (p<0.0001), and frequency of visits to a dental professional (0.0018). Caries history among children was also associated with number of children in the household (p<0.0001).ConclusionsThe results suggest that the caries experience in children depended less on the family social variables than on the maternal NDT.

v. 17, n.47, p.937-46, out./dez. 2013 937 COMUNICAÇÃO SAÚDE EDUCAÇÃO IntroduçãoConforme o Plano Nacional de Extensão Universitária, elaborado no Fórum de Pró-Reitores de Extensão das Universidades Públicas Brasileiras (Brasil, 2002a), a extensão universitária é o processo educativo, cultural e científico que articula o ensino e a pesquisa de forma indissociável e viabiliza a relação transformadora entre universidade e sociedade. Apresenta-se, ainda, como uma das práticas acadêmicas com potencial para interpretar, na universidade, as demandas que a sociedade impõe, uma vez que permite socializar o conhecimento e promover o diálogo entre o saber científico e o saber popular. Entende-se, aqui, que esta aproximação e (re)significação dos saberes deva ser exposta como uma importante estratégia para a ação e a transformação da realidade em saúde de diferentes populações, num verdadeiro processo de mudança do método formativo tradicional.Especificamente para o campo acadêmico, verifica-se uma preocupação crescente com o modelo formador do profissional em saúde, na qual, cada vez mais, se configura a necessidade de profissionais aptos a contribuírem com a sociedade num contexto de profundas mudanças, não somente em seu próprio campo profissional, mas, também, nos campos político e social (Costa, 2007). Neste sentido, a extensão universitária assume o papel de potencializadora desta relação, por meio da diversificação de cenários e metodologias de aprendizagem, implementando novos espaços de discussão, análise e reflexão das práticas no cotidiano do trabalho e dos referenciais que as orientam (Ferreira Fiorini, Crivelaro, 2010;Ceccim, 2005;Feuerwerker, Costa, Rangel, 2000), reafirmando, ainda, o seu compromisso na formação acadêmica humana e social.A partir do reconhecimento da importância de ações extensionistas para docentes, discentes, técnicos e sociedade, com vistas a potencializar e ampliar os patamares de qualidade das ações institucionais, o Departamento de Odontologia da Universidade Estadual de Ponta Grossa (UEPG) desenvolve uma iniciativa inovadora intitulada 'Projeto nós na rede: contribuições da Odontologia para educação, prevenção e manutenção da saúde'. Como principais objetivos, destacam-se: atenuar a carência de políticas de apoio voltadas para a comunidade acadêmica da UEPG, especialmente em situação de vulnerabilidade social, e a sua espaço aberto

Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.

Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children Avaliação do papel da atenção primária adequada no uso de serviços de saúde bucal por pré-escolares brasileiros de baixa renda Evaluación del papel de la atención primaria apropiada en el uso de los servicios de salud bucal por parte de preescolares brasileños de baja renta