A degradação ambiental vem modificando nosso cenário de forma acelerada, interferindo negativamente no processo saúde-doença. É essencial discutir a temática saúde ambiental com profissionais de saúde, sendo o Programa PET-Saúde um facilitador, e as unidades de Estratégia de Saúde da Família (ESF) um excelente cenário. Propõe-se analisar a percepção de profissionais de saúde e usuários sobre a temática em duas unidades de ESF (Botucatu/SP) e sensibilizá-los por meio de discussões teóricas e vivências. Foram entrevistados 45 profissionais e 36 usuários, sendo 21 indicados pelos agentes comunitários de saúde como tendo boa relação com o meio ambiente e 15 indicados por não apresentarem boa relação com o mesmo. Aplicou-se o referencial da metodologia qualitativa, utilizando-se o Discurso do Sujeito Coletivo. Todos demonstraram ter consciência dos problemas ambientais e de saúde e o que poderia ser feito para melhorar a situação, mas são raras as ações realizadas nas unidades. Reforça-se a necessidade de capacitar equipes em Saúde Ambiental, estimulando a adoção de práticas transdisciplinares que superem as práticas assistencialistas e caminhem no sentido da promoção, além de empoderar a população para lutar e ser responsável por um meio ambiente mais equilibrado, melhorando a qualidade de vida.

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Essential tremor is an action tremor syndrome of upper limbs lasting at least three years, which may be accompanied by tremor in other body parts and subtle neurological signs. For long considered benign, its association to non-motor symptoms and neurodegenerative diseases has been demonstrated in the literature. In addition, the perception of heterogeneity in the behaviour of the disease, with different characteristics between patients of early-and late-onset tremor, is strengthened. An increased risk of Parkinson's disease is known among patients diagnosed with Essential Tremor. The diagnosis of Parkinson's disease is based on motor symptoms, with a prodromal phase for which diagnostic criteria were published relying on risk factors of the disease and prodromal markers. However, in literature, there is a need for further exploration of the behaviour of the prodromal phase of Parkinson's disease and its symptoms in patients with Essential Tremor. Objective: To evaluate the prevalence of risk factors and prodromal markers of Parkinson's disease and to diagnose their prodromal phase in groups of elderly patients with Essential Tremor of late-and early-onset, assessing whether late-onset ET patients have a higher prevalence of symptoms and prodromal Parkinson's disease. Methodology: A crosssectional, case-control study included patients with diagnosis of Essential Tremor and Essential Tremor Plus aged 60 or more, without parkinsonism and with cognitive performance within the norms standardized in the Mini Mental State Examination. These patients had their follow-up at the Extrapyramidal Diseases Outpatient Clinic of the Medical School of Ribeirão Preto. 43 patients were divided into two groups, one of patients with Essential Tremor of early-onset (before 60 years of age) and another of patients with late-onset of symptoms (after 60 years of age). The groups were composed respectively of 30 and 13 patients. All patients underwent an evaluation to collect sociodemographic, general clinical data and to assess the presence of risk factors and prodromal markers of Parkinson's disease. The data were later analyzed for the presence of prodromal Parkinson's disease according to the methodology proposed by the Movement Disorders Society. Results: The group of patients with late-onset Essential Tremor was composed of older patients (p = 0.039) with a shorter average duration of the tremor (p <0.001). No statistically significant difference was observed between the groups regarding the frequency of risk factors and prodromal markers of Parkinson's disease. The diagnosis of prodromal Parkinson's disease was possible in only one patient with early-onset Essential Tremor. Conclusion: No statistically significant difference was observed between the groups regarding the frequency of risk factors and prodromal markers of Parkinson's disease. The diagnosis of prodromal Parkinson's disease was accomplished in one patient, suggesting the need for a study with larger samples that includes complementary evaluation of every patient with ...

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