ResumoIntroduçãoA doença renal crônica leva a alterações salivares que interferem na saúde bucal. A imunossupressão no pós-transplante pode facilitar que situações restritas à boca se tornem sistêmicas.ObjetivoCaracterizar a saúde bucal de pacientes renais crônicos aptos a transplante, avaliando fluxo e pH salivar, capacidade tamponante salivar (CTS), lesões estomatológicas, sangramento gengival, cálculo e índice de dentes cariados, perdidos e obturados (CPOD).Material e métodoEstudo transversal, observacional e analítico. Foi coletada saliva não estimulada de 83 voluntários, com hipofluxo salivar caracterizado como < 0,3 mL/min. O pH salivar foi mensurado por fita e considerado alcalino quando > 7. A CTS foi avaliada pela Técnica de Ericsson. Um único examinador calibrado procedeu às avaliações clínicas. Foram utilizados Teste Exato de Fisher, ANOVA e Regressão Linear, com nível de significância de 0,05 e Intervalo de Confiança de 95%.ResultadoHipofluxo salivar esteve presente em 61% da amostra e foi influenciado pelo ganho hídrico interdialítico (p=0,01). A presença de pH salivar alcalino foi influenciada pela ureia sérica (p<0,01) e pela hiperfosfatemia (p=0,01). A CTS foi ótima em 92% e sofreu influência do pH salivar (p=0,02). Três indivíduos apresentaram lesões estomatológicas infecciosas. Sangramento gengival esteve presente em 55%, cálculo em 94% e cárie em 88%. O índice CPOD da amostra foi 17,9 ± 7,48.ConclusãoA saúde bucal dos voluntários foi considerada precária e esse agravo pode se tornar mais maléfico se esses indivíduos forem transplantados. Salienta-se a importância da inserção do Dentista na equipe que assiste o renal crônico.
Background: This study aimed to evaluate the level of professional satisfaction, to identify the presence of psychic suffering and their correlations in Emergency Medical Services professionals. Methods: The study is of the exploratory, census, descriptive, transversal type, with quantitative approach. It used three instruments: A sociodemographic questionnaire; the Professional Satisfaction Index-PSI; and the Self Report Questionnaire-SRQ-20. 200 professionals took part in the research (doctors, nurses, nursing technicians and conductors). Results: The data show that the majority of professionals are aged between 40 and 49 years old and that the largest quantity of women belong to the group of nurses. As to the PSI, the majority of professionals pointed out remuneration as the most important for satisfaction. In the overall satisfaction result, the physicians were those who had the highest level of satisfaction. Regarding the SRQ-20 scores, the group of nursing technicians and nurses had the highest prevalence for psychic suffering, with 44.56% and 43.48%. In the statistical analyses between each of the components of the professional satisfaction with the SRQ-20 scores, we verified statistically significant correlations when adopting (p < 0.05). The percentage of dissatisfied professionals was higher among those who had psyche suffering (88.1% × 68.1%), finding a significant correlation with satisfaction and psychological distress with p = 0.003. Conclusions: It was concluded that the discontent of workers with remuneration and managerial issues are predominant for total dissatisfaction with work and dissatisfaction exerts a strong influence on the presence of suffering in these professionals.
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