Aim: This study aimed to correlate stressors with psychological well-being and health factors in dental students from public and private schools. Methods: From February to May 2015, three different instruments (Dental Environment Stress – DES – Psychological General Well-Being – PGWB – and SF-36 Health Survey) were applied to students from two public and two private dental schools from the State of Ceará, Brazil. Mann-Whitney test or t test for independent samples were used in order to compare the stressors between private and public dental schools students. Correlations to each DES domain were performed using Kendall’s Tau C test. Results: A total of 92 (45.32%) and 111 (56.68%) students from public and private schools, respectively, answered the questionnaire. Students from public schools demonstrated significantly higher scores in DES/academic performance and DES/personal and institutional factors (p<0.05). Significant negative correlations were detected between PGWB/anxiety and PGWB/general with all DES domains for both public and private schools (p<0.05). Additionally, DES/academic performance was significantly correlated with several SF-36 domains, such as physical function, vitality, and social functioning, to both public and private schools (p<0.05). However, DES/academic performance and SF-36/role physical was only significantly correlated in private school students (r=-0.171, p=0.039), while SF-36/bodily pain (r=-0.274, p<0.001), general health (r=-0.245, p=0.001), and mental health (r=-0.286, p<0.001) were significantly correlated with DES/academic performance only in public school students. Conclusion: Students from public and private dental schools presented different stressor patterns. Additionally, most of DES domains were significantly associated with PGWB and SF-36 to both public and private schools.
Objetivos: Apresentar a Estratégia da Regionalização da Assistência Farmacêutica (ERAF) desenvolvida no Estado de Minas Gerais. Métodos: Relato de experiência que pretende registrar as principais características da ERAF e os resultados obtidos. Resultados: Ampliação do elenco e do financiamento dos medicamentos básicos, redução de custos na aquisição desses itens, otimização dos prazos de entrega dos medicamentos nos municípios. No novo modelo de aquisição e distribuição de medicamentos adotados pelo Estado de Minas Gerais, o Estado passou a disponibilizar Atas de Registro de Preços para aquisição dos medicamentos básicos pelos municípios, permitindo o aprimoramento das ações relacionadas ao abastecimento de medicamentos. Na ERAF, foi disponibilizado aos municípios módulo específico no Sistema Integrado de Gerenciamento da Assistência Farmacêutica (SIGAF) e a tecnologia de distribuição direta do setor farmacêutico foi aproveitada, reduzindo drasticamente os problemas logísticos existentes até então. Conclusões: A disponibilidade de unidades farmacêuticas no novo modelo aumentou consideravelmente e foi alcançada uma economia na ordem de R$17milhões para os municípios que aderiram a ERAF. Tais dados demonstram que a ERAF se mostra como uma política pública capaz de ampliar a disponibilidade de medicamentos no SUS-MG, proporcionando uma aquisição mais eficiente de medicamentos nos municípios.
The aim of this study was to evaluate the profile of dental students and its relationship to anxiety levels. The State-Trait Anxiety Inventory was applied to 207 first- to fifth-year undergraduates enrolled in the dentistry program at the School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Brazil. Participants were aged 17 to 29 years, and the maiority were women (57.5%). Students had a weekly workload of up to 40 hours and performed at least two complementary activities, in addition to their undergraduate training. Almost all students (95.7%) had attended private high schools and 80.6% lived with their parents or spouses. Regarding parental education, 59.4% of mothers and 55.6% of fathers had a higher education degree. Most students showed medium levels of anxiety according to measurements of state anxiety (53.1%) and trait anxiety (81.6%). It can be concluded that more than 50% of students in the Dentistry graduation course of the Federal University of Ceará showed an average level of anxiety, and that the excessive workload and enrichment activities necessary to obtain the undergraduate degree in Dentistry probably can be influencing the anxiety levels of students, however, more studies and statistical tests should be performed to identify the root causes in order to preserve the mental health of these future dentists.
A identificação humana é um processo baseado na comparação de dados ante mortem e dados post mortem, que tem o objetivo de individualizar um indivíduo. A Odontologia Legal é uma das áreas das ciências forenses, que utiliza as análises integradas de processos anatômicos, dentários e craniometria, sendo possível sua contribuição em âmbito criminal, quando há corpos sem identificação. O objetivo do presente trabalho foi revisar a literatura sobre o papel do cirurgião-dentista na análise clínica e radiográfica na identificação humana. A busca de dados foi realizada na plataforma PubMed através dos descritores ¨Forensic Dentistry¨ and ¨Forensic Anthropology¨ and ¨Radiography¨ and ¨Dental¨ onde foram encontrados 75 artigos dos últimos 5 anos. Após uma leitura criteriosa dos resumos, restaram 10 artigos para a elaboração do presente trabalho. A utilização dos exames radiográficos destacou-se em comparação a análise clínica, mas em todos os estudos foi observado que se complementam para uma melhor resolução dos casos na identificação humana. Estruturas dentárias como esmalte, dentina, polpa e cemento apresentamcaracterísticas individualizadoras que auxiliam na identificação humana, como modificações causadas nos elementos dentários por tratamentos odontológicos. Em suma, a participação do cirurgião-dentista na identificação exige do profissional conhecimentos clínicos e radiográficos, uma vez que pode acarretar importantes desdobramentos criminais, securitários e previdenciários.
OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.
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