Disertación/Tesis

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2020
Disertaciones
1
  • RANYELLE CHRISTIAN DIAS RODRIGUES

  • ANALYSIS OF THE RELIABILITY OF SELF-ASSESSMENT OF PATIENT SAFETY PRACTICES IN BRAZIL

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • HEIKO THEREZA SANTANA
  • Data: 30-ene-2020


  • Resumen Espectáculo
  • With the objective of reducing risks in health services, the National Health Surveillance System implemented the Integrated Plan for Health Management of Patient Safety in Health Services (2015). This plan instituted the Self-Assessment of Patient Safety Practices so that each hospital service with an intensive care bed would report its compliance with legal provisions. Although the self-assessment or self-inspection of health services is a practice applied internationally and nationally, it is necessary to analyze the reliability of the information produced with this type of regulatory intervention. Thus, this project proposes to conduct a national primary study to analyze the reliability of the Self-Assessments of Patient Safety Practices in Brazil. This is a cross-sectional study to analyze the reliability in which they will be calculated: a) general agreement index; b) specific agreement index; c) point and interval estimation (95%) of Kappa; d) correlation coefficient for the difference indicator of percentage of adhesion. The sample will be random stratified composed of 66 health services in the country that participated in the Self-assessment in 2018. Upon official request from Anvisa, the Sanitary Surveillance teams of the respective municipalities / States where these services are located, will interview those in charge of the Safety Nuclei of the Patient following a questionnaire specifically designed for this purpose. This tool is based on the Self-Assessment Form to check the compliance of information provided by self-inspection. The results are expected to provide evidence on the validity and usefulness of this national intervention for patient safety and a better knowledge about the use of self-inspection as a method for monitoring and controlling risks in health services.

2
  • SAVIO MARCELINO GOMES
  • Health training for the care of the Lesbian, Gay, Bisexual and Transgender population in SUS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • DANIEL CANAVESE DE OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 25-may-2020


  • Resumen Espectáculo
  • The regulatory practices of the body, gender, and desire produce historical inequalities experienced by the Lesbian, Gay, Bisexual, Transvestite, and Transsexual (LGBT) population. These inequalities materialize in various forms of violence in institutional spaces within the scope of health, education, and social assistance services. The inclusion of the demands of LGBT people in health services depends on the knowledge of their workers on this topic, which highlights the need to include this approach in professional training. In this sense, the present study aimed to analyze the insertion of the themes of gender identity and sexuality in health education. It was performed in two stages: 1) construction and validation of the research instrument and 2) cross-sectional study with the application of the questionnaire. In the first stage, the logical theoretical model was created, followed by the previous elaboration of an inquiry, to be evaluated by 25 specialists. The consensus was obtained by measures of central tendency and by the Content Validity Index. The questionnaire was validated by 19 specialists, consisting of 39 items and 92 of 92.9% CVI. In the second stage, a cross-sectional study was executed, with a quantitative approach, in the setting of public higher education institutions in the province of Rio Grande do Norte. We studied five campi: at the federal university, we investigated the campus in Natal and Santa Cruz, and at the province university, we included the campus in Mossoró, Caicó, and Pau dos Ferros.  The instrument validated in the first stage was applied, composed of three modalities: 1) sociodemographic characterization, 2) training on LGBT health, and 3) conceptions on LGBT health. All 517 students who completed Nursing, Physiotherapy, Speech Therapy, Medicine, Nutrition, Dentistry, and Public Health courses in 2019 were invited to participate in the research. In the end, 438 students answered the questionnaire. Descriptive, cluster analysis were performed, bivariate through the Chi-square and Fischer Exact tests, and multivariate through Poisson Regression and Multiple Correspondence Analysis, using SPSS 25.0 software. Higher frequencies were presented for items present in training related to transsexuals and transvestites and the lowest concerning the National LGBT Comprehensive Health Policy. The groupings showed an association between the average number of items that students had access to and participation in social movements and political training strategies. The final adjusted model revealed that the educational institution and self-declaration as LGBT are associated with greater access to LGBT care issues. Most of the students agreed with health policies to the LGBT population, and we observed groups between those who agree with all proposed policies, others that disagree, and those who did not express an opinion. The training is crossed, therefore, by individual and institutional experiences, which must be considered in the PNSI-LGBT guidelines, to enhance and democratize access to essential items for the care of bodies in SUS.

3
  • FERNANDA FORMIGA FLAVIO
  • INDIVIDUAL AND CONTEXTUAL DETERMINANTS OF RISK FACTORS FOR CHRONIC NON-TRANSMISSIBLE DISEASES IN ADOLESCENTS IN BRAZIL: NATIONAL SCHOOL HEALTH SURVEY (PeNSE 2015)
  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • ARTHUR DE ALMEIDA MEDEIROS
  • ROSIMERY CRUZ DE OLIVEIRA DANTAS
  • Data: 17-jun-2020


  • Resumen Espectáculo
  • Introduction: Adolescence is an important phase of transition of human life. Lifestyle represents conscious actions that reflect personal attitudes and values, the individual's perception is associated with their quality of life. Its influence can provide the maintenance of well-being, favoring longevity or generating problems and health problems still in adolescence or adulthood. Objectives: To produce an indicator of health risk behavior and an inherent to the school structure, and tonalyze the influence of individual and contextual factors on the behavior of risk to the health of adolescents. Method: The data originated from PeNSE (2015), a sample of 102,072 questionnaires. The analysis focused on the association of the frequency of consumption of healthy and unhealthy foods, physical activity practice, alcohol and tobacco use in relation to the socioeconomic dimension of the school and the influence of the school environment. For the risk profile, a factor analysis was performed. The was fit using the polycoric matrix. Then, the variables related to the school were submitted to analysis from the item response theory (TRI) technique. To verify the factors associated with risk profiles, the final modeling for observing the effect on outcomes was obtained from Poisson's multilevel regression. Results: It was observed that the healthy eating behavior positively associated with females, Brancthe, aged 12-14 years whose mothers had at least complete elementary school, living in Capital, in the most developed regions, in socioeconomic situation in the upper or upper tercil. Regarding low healthy eating and physical activity, a positive association was observed with females, age group 15-18 years, whose mothers have not studied, live in less developed regions, and are in socioeconomic situations of poverty. The high use of smoking and alcohol consumption presented a positive association with males, aged between 15-18 years. In multilevel analysis, for the and high unhealthy eating score, being female (PR=1.10) is a risk factor, with an association of 10%. About contextual factors private schools (RP=1.12) and with a regular structure (RP=1.12) or good (RP=1.14), establish a risk association of 12-14% the structure of the school. The healthy eating score and low physical activity, convergence was not achieved. For high smoking use and alcohol consumption, being female (RP=0.87) is a 14% protection factor. Age between 15 and 18 years (PR=1.36) establishes a risk association at 36%. Attending private school assumes protection association in 12% (RP=0.88). Conclusion: The school becomes a privileged place for health promotion, because it is a social space where schoolchildren spend much of their time. However, it is necessary to promote actions in intersectoral partnerships, mobilize resources, integrated and coordinated efforts and actions, as well as to advance communication and health education, by appropriate means that new times require when considering, in particular, the connection with the interests and possibilities presented by youth.

4
  • DANDARA RAYSSA SILVA DE SOUZA
  • MATERNAL HEALTH IN BRAZIL: ECOLOGICAL STUDY TO EVALUATE THE IMPLEMENTATION OF THE STORK NETWORK

     

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • CINTIA BEZERRA ALMEIDA COSTA
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 19-jun-2020


  • Resumen Espectáculo
  • Maternal health is an area of high interest for public health, its main indicator is the maternal mortality coefficient, with high rates being characteristic of underdeveloped countries like Brazil, but which can be avoided most of the time through actions such as quality prenatal care and adequate delivery and postpartum care. In this perspective, several policies were instituted to promote improvements for maternal health, the most recent being the stork network, established in 2011. Thus, the general objective of this work is to assess maternal health before and after the implementation of the Stork Network in Brazil. To achieve this objective, it was proposed to carry out a quantitative study of the mixed ecological type, with an analytical character, on maternal health before and after the implementation of the stork network in Brazil, using the municipalities, the intermediate regions of urban coordination, federation units and regions; considering as variables the coefficient of maternal mortality, adherence to the stork network, nine socioeconomic and demographic indicators, three indicators of the quality of maternal health and the coverage of primary care; all data that composed the variables were obtained from secondary sources of public access. For data treatment and analysis, the software Microsoft Office Excel, Statistical Package for the Social Science (SPSS) and Geoda were used, where tables, graphs, maps and statistical tests were carried out for analysis under the perspective of descriptive statistical and statistics inferential, including spatial analysis. The results demonstrate that there was an increase in the average of the maternal mortality coefficient from 5.99 to 6.28 per 10,000 live births, from the period before to the period after the implementation of the stork network, with the highest coefficients occurring in the northern and southern regions. Northeast, as well as the worst socioeconomic and demographic indicators. 61.15% of the municipalities in Brazil joined the stork network until the last year studied, with the highest percentages recorded in the northern region. The correlation between maternal mortality and the variables human development index, households with running water, life expectancy at birth, aging rate and schooling increased from the first to the second period. The distribution of maternal mortality averages in relation to adherence to the stork network demonstrates that in recent years, the average maternal mortality has become lower among the municipalities that have joined the stork network than among those that have not joined. The spatial correlation of adherence to the stork network with maternal mortality reveals significant high-high and low-high clusters located in the north, northeast and midwest regions, and low-low and high-low clusters located in the southeast regions and south. Maternal health indicators reveal that after joining the stork network, there was a constant increase in the breastfeeding coefficient, the number of prenatal consultations and the percentage of pregnant women who started prenatal care in the first trimester of pregnancy. The dispersion of the percentage of adherence to the stork network with the percentage of coverage of primary care reveals that both increased concomitantly in the second period analyzed. It can be concluded that the stork network has been gradually implemented in the municipalities of Brazil from 2012 to 2017, reaching 61% in the last year, considering it important to pay attention to the constant incentive to this adherence, aiming at uniformity in health care processes maternal and child. The increase in maternal mortality after the implementation of the stork network, can be attributed to greater exposure to risk factors and changes in the lifestyle of women today, as well as to the improvement in the notification process of maternal deaths in recent years. In addition, there was a potential long-term effect of lower maternal mortality in the municipalities that joined the stork network.

5
  • LAVINIA MABEL VIANA LOPES

  • NASF professionals' perception of the work process, advances and challenges

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • KARLA PATRICIA CARDOSO AMORIM
  • VLADIMIR ANDREI RODRIGUES ARCE
  • Data: 25-jun-2020


  • Resumen Espectáculo
  • The NASF were created with the objective of strengthening, integrating and expanding the activities developed by the Health Familly , being a specialized support of performance guided by Matrix Support. In the work routine, there are some obstacles for the NASF to be effective in the face of the health situations of the territories it supports. Thus, the objective of this study is to understand the work process of the NASF in a capital city in northeastern Brazil, based on the perception of its professionals. This is a case study with a qualitative approach, carried out with 11 professionals. For data collection, the semi-structured interview and empirical field observation were used. The data were processed through Content Analysis, categorizing the findings using the Thematic Analysis modality. All participants were publicly contested in the municipality, distributed in three NASF teams, the majority being female (n = 9), with an average age of 56 years. The professional categories that were interviewed include Physiotherapists, Physical Education Professionals, Nutritionists, Psychologists and Social Workers. From the analysis of the empirical material, five thematic categories emerged: The NASF work agent; labor relations and their implications for health practices; an incorporation of NASF's means of work; presentation of the work scenario of NASF professionals; and the paths taken, the future and uncertainties. According to the data obtained, there was no training in health that would instrumentalize professionals for SUS, the work with the supported teams develops in a distant way, with isolated actions, and the work relations with the management are marked by a lack of dialogue between peers and pressure for productivism. Regarding Matrix Support, professionals recognize their conceptual aspects, but there is still the reproduction of the logic of referral and a defense by activities of assistance nature. Work tools are also recognized, but underutilized in conducting cases. In the groups conducted by the NASF, although they did not present a defined methodology, efforts were noticed to incorporate practices based on Popular Education in Health. The work scenario has some limitations, such as the precariousness of the Health Care Networks and lack of inputs and materials for the development of activities. Even so, it is evident that the provision of NASF services has broadened the scope of the ESF's actions and the professionals note that it is not possible to discuss resolvability of the service without mentioning points that interfere with the work developed. Faced with the new PNAB, some professionals feel comfortable prioritizing individual care and others recognize the threat of losing the matrix function of the Centers. NASF still faces many difficulties in establishing itself as decisive and essential for PHC in Brazil. It is necessary to review the guiding documents of the work so that its performance is enhanced, redirecting the practices for the defense of Matrix Support as guiding this work, in order to strengthen the permanence of the NASF with the Family Health of Brazil.

6
  • JESSICA KELLY RAMOS CORDEIRO
  • KNOWLEDGE, BEHAVIOUR AND PRACTICES OF ADOLESCENTS CONCERNING HIV/AIDS AND OTHER STI: STUDY ON COUNTRYSIDE OF BRAZILIAN NORTHEAST.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARQUIONY MARQUES DOS SANTOS
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 08-jul-2020


  • Resumen Espectáculo
  • In adolescence, basic patterns of behavior are established that reverberate throughout life and, among these, there is sexuality. In this moment of great biopsychosocial transformations, sexual initiation usually occurs, often without the prior guidance of an adult and surrounded by many doubts and curiosities. Thus, it is imperative to know the knowledge and practices of school adolescents about HIV / AIDS and other STIs, in order to subsidize public health policies that work with the sexual health of this population. Thus, the objective of this work is to evaluate the knowledge and practices of adolescents in relation to HIV / AIDS and other STIs in the Northeast of Brazil. For this, a transversal study of the type CAP survey (Knowledge, Attitude and Practice) was carried out, which included twelve public schools in seven cities in the North of Rio Grande do Sul, totaling 623 individuals. Two electronic questionnaires were used, one about socioeconomic / demographic data, and the other entitled “Questionnaire for the evaluation of STD / AIDS prevention programs”, used by the Ministry of Health. The reliability of the items was verified through the Alpha Cronbach, where the mean of each value ranged from 0.198 to 0.379. Factor analysis was also performed to analyze the structure of the correlations between the variables. The study found that the remaining 10 items presented the requirements required for the development of AFE, presenting the value of 0.639 for the Kaiser-Meyer-Olkin statistic. Bartlett's sphericity test showed significance (Chi2: 762,479; GL: 45; p <0.001). The total accumulated variance was 0.763. The domains resulting from the factor analysis were: Lifestyle / habits, preventive attitudes, endogenous forms of transmission and exogenous forms of transmission. Regarding the level of general knowledge about HIV / AIDS, it was observed that female participants (6.16), with a partner (6.24), attending the 3rd year of high school (6.19), whites ( 6.20), not adepts (6.15) and not attending religious ceremonies (6.20), living alone (7.49), with unmarried parents (6.17) and children of parents with complete higher education ( 6.26 / 6.34) obtained higher average scores. Half of the adolescents said they had already had their first sexual intercourse, however, only 31.3% reported having used condoms in the last six months. Although they have a considerable level of knowledge about HIV / AIDS prevention, adolescents' sexual practices do not go against preventive measures, essentially regarding the use of condoms. Regarding the reliability of the questionnaire through the analyzes carried out, the quality of the instrument was ensured. Through the study, it was possible to evaluate the knowledge, attitudes and practices of the students, with a view to subsidizing the creation of policies and programs of sexual orientation in schools with attention to the integral health of adolescents.

7
  • LETÍCIA GABRIELLA SOUZA DA SILVA
  • PURCHASE OF FAMILY FARMING FOOD FOR PNAE IN RIO GRANDE DO NORTE MUNICIPALITIES MONITORED BY CECANE IN 2017 AND 2018

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • MARIA ANGELA FERNANDES FERREIRA
  • RICHARD MEDEIROS DE ARAÚJO
  • Data: 27-jul-2020


  • Resumen Espectáculo
  • Introduction: The National School Feeding Program (PNAE) is one of the oldest and most comprehensive programs related to Food and Nutrition Security (FNS) of schoolchildren. Through Law 11. 947/2009 30%, of foodstuffs must coming directly from family farming. Objective: To characterize the scenario of the acquisition of food from family farming under the PNAE in the municipalities of the state of Rio Grande do Norte accompanied by the Collaborating Center for School Food and Nutrition (CECANE / UFRN) in 2017 and 2018. Method: This is an evaluative research with ecological design, whose information was analyzed according to data from (CECANE) linked to the Federal University of Rio Grande do Norte (UFRN) from 2017 and 2018. The sample consisted of 31 municipalities where It was analyzed the percentage of food acquisition from family farming to PNAE in 2017 and 2018, as well as the possible difficulties in relation to this process, being variables related to the management model, bureaucratic demands, internal demands and forms of acquisition. Results: It was found that the municipalities that received monitoring and advice from CECANE in 2017 and 2018, more than 50% reported having purchased food from family farming in the previous year and said they are buying it in the current year. All municipalities reported using the centralized management model, 29% reported acquisition below 30%, 9.7% reported acquisition above 30% and 61.3% were unable to report the percentage in 2017 and 2018. Related to bureaucratic demands, It was observed that the intersectoral articulation and the public call notice were considered difficult in the process of buying and selling these foods. Concerning the internal demands the hygienic-sanitary conditions necessary for the farmer's regularization as fit to supply proved to be a point that may impact the percentage of purchase, and as regards the forms of acquisition, acquisition of organic foods and / or agroecological to be a major difficulty, listed by 80.6% of the municipalities.

     

8
  • AMANDA DE CONCEIÇÃO LEÃO MENDES
  • HOSPITALIZATION FROM PNEUMONIA IN CHILDREN UNDER FIVE YEARS OF AGE: AN SPACE-TEMPORAL AND NUTRITIONAL CONDITION ANALYSIS

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENYA DE LIMA SILVA
  • WILTON RODRIGUES MEDEIROS
  • Data: 22-sep-2020


  • Resumen Espectáculo
  • Introduction: Pneumonia is associated with a high rate of hospitalization. Among the risk factors for this disease are those of socioeconomic, environmental and nutritional origin. Objectives: To analyze hospital morbidity due to pneumonia in children under five years of age, from the perspective of space and time and nutritional conditions. Methods: Two analyzes were carried out, the first addressing an ecological study of hospitalizations for pneumonia in children under five years old in Brazil and the second, an integrative review on the prevalence of vitamin A deficiency in children hospitalized for pneumonia. In the ecological study, data from the SUS Hospitalization Information System from 2000 to 2019 were used. The temporal trend was analyzed by the Joinpoint Regression and the spatial analysis by the techniques of Moran, SatScan and Skater scanning. For the Integrative Review, publications were searched in PubMed, LILACS, Web of Science, Scopus and CINAHL, and in the gray literature - OpenGrey, Proquest and Google Scholar. The studies were screened in the eligibility phase and read in full and those who did not answer the research question were excluded. Methodological quality was assessed using the Downs & Black (1998) and JBI checklists. Results: a SUS hospitalization rate for pneumonia of 25.08 / 1000 children in 2000 and 13.83 / 1000 children in 2019 was identified. A significant downward trend was identified in the period from 2000 to 2019 for Brazil (APC = -3.4% CI95% -3.8; -3.0). The spatial analysis showed weak spatial autocorrelation (I <0.3), although clusters with high rates in the southern region and low rates in the northeast and southeast regions have been identified. The Scan scan map showed Relative Risk <1 for these regions. The Skater map showed clusters of areas with high rates in areas of better socioeconomic conditions and greater offer of health services in southern Brazil. The integrative review included 7 studies, which indicated subclinical and clinical vitamin A deficiency in children hospitalized for pneumonia, with the highest frequency of subclinical and clinical deficiency being 93.2% and 68.9%, respectively. Conclusion: There is a tendency to reduce hospitalization for pneumonia in the SUS associated with contextual factors and there is a high frequency of vitamin A deficiency in children hospitalized for pneumonia.

9
  • PEDRO HENRIQUE ALCANTARA DA SILVA
  • RACIAL INIQUITY IN PRENATAL ACCESS IN THE FIRST QUARTER OF PREGNANCY: A SYSTEMATIC REVIEW AND METANALYSIS

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ARTHUR DE ALMEIDA MEDEIROS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 30-sep-2020


  • Resumen Espectáculo
  • Access to prenatal care is the main promoter of healthy birth and the main preventive measure of maternal mortality from preventable causes in primary care. Early entry to this service makes it possible to reach the appropriate number of consultations, as well as the performance of the recommended procedures and suitability definers. Race / skin color is an important predictor of the population's health status, as well as a marker of social inequalities. The objective was, then, to carry out a systematic review of the literature and meta-analysis of cross-sectional studies, to identify the prevalence of access to prenatal care in the first trimester of pregnancy according to race or ethnicity and its magnitude of association. The protocol for this review is registered on the PROSPERO platform under number CRD42020159968. Searches were conducted at PUBMED, LILACS, Web of Science, Scopus, CINAHL and in the gray literature (Google Scholar and Opengray), using the descriptors "pregnancy", "prenatal" and "Accessibility to health services". The quality of studies and the risk of bias were analyzed using the Joanna Briggs Critical Assessment Checklist for Cross-Sectional Analytical Studies. After the analysis steps, 17 studies were included in this review. The extracted data were tabulated and distributed qualitatively and quantitatively through meta-analysis. It was observed that, in most of the included studies, black women were those who had less access to prenatal services in the first trimester, with a prevalence of access ranging from 53% to 56.4%; white women between 74% and 76.5%; and those of other ethnicities from 64.2% to 68.8%. In the quantitative analysis of the data, it was found that black women, when compared to white women, had a 43% less chance (OR = 0.57 95% CI 0.51-0.64) of obtaining obstetric care in the first trimester, and of 22% less chances when compared with women of other ethnicities (OR = 0.78 CI 95% 0.65-0.95). Thus, it is concluded that black women, even when contrasted with white and other minorities of similar sociodemographic characteristics, still received a difficulty in accessing maternal health services, and it can be inferred that the issue of race / skin color is itself an important determinant in obtaining obstetric care, requiring the development of public policies aimed at this population and expanding their access to health services.

10
  • GERONIMO JOSE BOUZAS SANCHIS
  • Prevalence and associated factors of patellofemoral pain syndrome in schoolcrildren of Natal-RN
  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • THIAGO RIBEIRO TELES DOS SANTOS
  • ALBERT ESPELT HERNÁNDEZ
  • ANDRESSA DA SILVA DE MELLO
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • Data: 27-oct-2020


  • Resumen Espectáculo
  • Objective: To estimate the prevalence and analysis the factors related to patellofemoral pain syndrome (PFPS) in schoolchildren of both genders, between 10 and 18 years old, enrolled in public elementary and high school in the city of Natal / RN. Methods: The research had an exploratory, descriptive, transversal, and quantitative character carried out in the city of Natal-RN. The presence of PFPS was evaluated, as well as the level of physical activity through IPAQ, the quality of movement, body mass index, navicular drop test, pain level and Kujala questionnaire. The prevalence was calculated from the complex sampling design with the inclusion of weights and cluster effects. For an association analysis, adjusted Prevalence Ratios (PR) and the confidence intervals (95%) of the outcome in relation to the independent variables were calculated and a significance level of 5% was adopted. Results: 144 students participated in the research, 51.4% (CI: 41.6 - 61.1) of the sample is male. A prevalence of 29.7% (CI: 21.5 - 39.4) of PFPS was observed. In the adapted model, the PFPS was more prevalent in females (p = 0.02) (PR: 1.82 CI: 1.0 - 3.0), in physical active (p = 0.02) (PR: 2, 3 CI: 1.13 - 4.9), in underweight youth (p = 0.03) (PR: 1.9 CI: 1.0 - 3.6). When obtained by sex, men associated a positive association between poor quality of movement of the right limb (p: 0.01) (PR: 6.0 CI: 1.3 - 26) and the outcome and the female sex obtained an association with the presence of the dynamic valgus of the left knee (p: 0.03) (PR: 2.4 CI: 1.0 - 5.8). Conclusions: The prevalence of PFPS was higher in females, in active young people, and with low weight, at the same time, the poor quality of movement associated with young male people with the syndrome and the presence of dynamic knee valgus in young women.

Tesis
1
  • KELIENNY DE MENESES SOUSA
  • QUALITY OF OBSTETRIC AND NEONATAL CARE: GOOD PRACTICES, ADVERSE EVENTS AND EFFECTS OF THE WHO SAFE CHILDBIERTH CHECKLIST

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • GILBERTO MARTINS SANTOS
  • MARIA ANGELA FERNANDES FERREIRA
  • MÔNICA SILVA MARTINS
  • RODRIGO ASSIS NEVES DANTAS
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 28-feb-2020


  • Resumen Espectáculo
  • Introduction: Although it is a physiological event, institutionalized birth is a complex process that often results in unnecessary interventions and harm. To reduce maternal and neonatal morbidity and mortality, which is intrinsically related to quality of care, the World Health Organization (WHO) developed the Safe Birth Checklist. Studies demonstrate their potential effect on improving good practice, but new studies need to assess their impact on adverse events and health outcomes. Objectives: (1) to evaluate and compare adherence to Good Practice (GP) and incidence of Obstetric Adverse Events (AE) in maternity wards in Brazil and Mexico; (2) develop a platform for monitoring childbirth care indicators; (3) analyze the effect of the intervention with the checklist on the quality of care. Method: This is a multicenter research carried out in hospitals in Brazil and Mexico, part of the WHO Safe Childbirth Checklist Collaboration initiative. An uncontrolled quasi-experimental time series design was performed with retrospective analysis of birth records from 2015 to 2016 for 24 successive biweekly measurements and cross-sectional analysis before-after longitudinal measurements. 1,440 deliveries were reviewed in two hospitals in northeastern Brazil and 2,707 in five Mexican hospitals. Chi-square statistics and control graphs were performed to evaluate the performance of the transverse and longitudinal estimates, respectively. The software for collecting, monitoring and analyzing indicators was developed with Information Technology professionals to issue evaluation reports containing descriptive tables and longitudinal and cross-sectional graphs of estimates. Results: Before the implementation of the checklist, a low adherence to BP and a high incidence of AE was identified in institutions in both countries, especially in Brazilian hospitals (26.8% of BP and 16.0% of AE) and those specialized in pregnancy high risk (24.5% BP and 27.2% EA). After the implementation of the checklist in Brazilian services, even with a relatively low level of completion (20.7%), a significant increase (p <0.001) was found in the general compliance with 9 BP recommended by the checklist for the management of hypertensive disorders and of immediate care for mother and baby was 45.4% in the reference period and rose to 49.2% after the intervention (relative improvement of 7.0%; p <0.001). There was also a significant reduction in the rate of deliveries complicated by severe hypertensive disorders, hemorrhage and AS and in the incidence of uterine rupture, obstetric hemorrhage and severe hypertension. The development of the Plataforma QualiParto (in Portuguese) (qualiparto.ccs.ufrn.br) allowed participating services to use a system to monitor and evaluate outcome indicators and care processes of childbirth. Conclusions: The main results of this study (knowledge of the obstetrics GP and AE profile, intervention with checklist and development of technology for quality monitoring allowed the contextual identification and prioritization of interventions for quality improvement and benefited the care of mothers and newborns and the organizational management of services, making obstetric practices safer and more effective.

2
  • LANNUZYA VERÍSSIMO E OLIVEIRA
  • EVALUATION OF MENTAL HEALTH CARE PROVIDED TO PERSONS WITH MENTAL DISORDERS IN CONFLICT WITH THE LAW

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • SEVERINA ALICE DA COSTA UCHOA
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • GABRIELA MARIA CAVALCANTI COSTA
  • ROBSON DA FONSECA NEVES
  • Data: 12-may-2020


  • Resumen Espectáculo
  • The objective was to evaluate the assistance to people with mental disorders in conflict with the law. It is an evaluation study carried out in two stages: Methodological Study and Case Study. The methodological study, developed in February 2019, outlines a construction and validation of the logical model and the matrix of criteria for assessing assistance to the studied group, based on the three procedures suggested by Pasquali's psychometric framework: 1) theorists- composed of theoretical essay, scope review and availability study, in order to identify the contents that make up the logical model and the criteria matrix; 2) empirical - understand the construction of a collection instrument using Google Forms and the selection of 44 specialists for the validation process of the analyzed evaluation instrument; and 3) analytical - carried out using two Delphi steps, in which the item evaluated as adequate is considered valid, which recovered 70% of agreement between the specialists. The case study took place at the Hospital of Custody and Psychiatric Treatment of the State of Rio Grande do Norte. In January 2020, three managers and seven health professionals who worked in the surveyed scenario were interviewed. The textual content resulting from the interviews was subjected to lexicographic textual analysis, with the aid of the software Interface de R pour Analyzes Multidimensionnelles de Textes et de Questionneires and the data analysis was performed from the relevant literature. The theoretical essay reflected on the existence of (in) visible walls that surround people with mental disorders in conflict with the law. The scoping review identified that research on mental health care offered to interns at the Institutes of Forensic Psychiatry in Brazil was predominantly dissertations, with a qualitative approach, in the area of Psychology and Law, published in 2014, carried out in the southeastern region of Brazil, with emphasis on the speeches of health professionals and without specifying the methodology of data analysis. In addition, he indicated that the assistance offered to the interns of these institutions has a punitive character, is based on excessive medicalization and diverges from the current legislation, which hinders the social reintegration of these subjects. The evaluability study resulted in: the elaboration and agreement of the logical model; in the analysis and comparison between the reality of politics and the logical model; and in the elaboration of the criteria matrix. The logical model was validated by the Nominal Group Technique. The content adequacy of the criteria matrix was assessed by 16 experts in the Delphi 1 stage and by 12 in the Delphi 2 stage. The content matrix had its content validated by 0.93 Content Validity Coefficient. For managers and health professionals interviewed in the field stage, assistance in the scenario studied is permeated by structural deficiencies, but changes in the scope of institutional management have allowed advances in the process of deinstitutionalization of inmates. It is recommended to establish achievable goals, as well as the criteria matrix proposed in this study to direct continuous and systematic assessment, capable of focusing on improvements in the assistance provided to this cliente.

3
  • ALEXANDRE POLICARPO DA SILVA
  • A UTILIZAÇÃO DO ÍNDICE DE NECESSIDADE FUNCIONAL DE TRATAMENTO ORTOGNÁTICO (IOFTN) COMO FERRAMENTA DE TRIAGEM POPULACIONAL PARA TRATAMENTO DAS DEFORMIDADES DENTOFACIAIS

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • FRANKLIN DELANO SOARES FORTE
  • JOSE SANDRO PEREIRA DA SILVA
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 21-may-2020


  • Resumen Espectáculo
  • Dentofacial deformity (DDF) can be understood as a distortion in the process of skeletal and dental development, leading to a geometric discrepancy between maxilla and mandible, affecting the functions of the stomatognathic system and facial aesthetics, with psychological and social consequences. Its treatment is carried out in an interdisciplinary way, mainly involving surgery, and orthodontics. The aim of this study is to determine the accuracy of IOFTN in screening the need for surgical treatment in patients with DDF in the Brazilian population, validating it through an integrative review on its use, and verifying its validity by comparing its results with clinical indications between those who need and not undergo a surgical procedure to correct Dentofacial Deformity. In the integrative review we obtained 13 studies that used IOFTN in its methodology. All studies used secondary data, obtaining 90.7% of individuals classified in the categories “Great need for treatment” (class 4) and “very great need for treatment” (class 5). All patients in the study who had an indication for surgery were classified in classes 3, 4 and 5. 85.5% of them in classes 4 and 5. Among those who had no indication for surgery, 79.2% were class 1 and 2 (who do not need to perform a surgical procedure). The accuracy values were considered good, with an ideal cutoff point between classes 2 and 3, where the highest diagnostic precision (90.91%) was obtained, with 100% sensitivity and 79.17% specificity. From that point on, sensitivity tends to decrease and specificity increases. Therefore, classes 3, 4 and 5 are effective in determining the need for surgical treatment of DDF. With that, we can say that the IOFTN is an effective and reliable index to predict, in a clear and objective way, the need for orthognathic surgery. 

4
  • YONARA MONIQUE DA COSTA OLIVEIRA
  • ANALYSIS OF JUDICIAL DEMANDS FOR MEDICINAL PRODUCTS IN RIO GRANDE DO NORTE STATE
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • SILVANA NAIR LEITE
  • THEO DUARTE DA COSTA
  • Data: 24-jul-2020


  • Resumen Espectáculo
  • The judicialization of health, especially in access to medicines, is a complex and multifactorial phenomenon that involves technical-scientific, legal, economic and social aspects, and may have different implications for public health. With the constitutional recognition of health as a right and the implementation of the Unified Health System (Sistema único de Saúde -SUS), an increasing number of citizens have sought the Judiciary to guarantee the constitutional promise, and the number of lawsuits has grown over the years. As a relevante issue, the theme of judicialization has been debated in several spaces: in society, in academia, by legal institutions and by health managers. However, it has not yet been possible to draw a national panorama of the judicialization of medicines in Brazil, with a marked concentration of research in the Southeast and South regions of the country. In this context, the aim of this study was to identify and analyze the lawsuits for medicines in the State of Rio Grande do Norte, describing the sociodemographic, medical-sanitary and judicial characteristics of the actions, making an analysis in the light of current drug policies and evaluating its possible interfaces with the process of incorporating technologies into SUS. It was conducted a descriptive, exploratory and retrospective, whose unit of analysis was the individual processes requesting medicines from the State of Rio Grande do Norte, between the years 2013 to 2017. The data were collected from the State Department of Public Health (SESAP/RN), and the information on the cases was collected through consultation with the website of the Court of Justice of RN. Nine hundred eighty-seven (987) processes were analyzed, in which 1517 medicines were requested. Most of the claimants were female (58.8%), residing in the interior of the State, with an average age of 48.3 years, represented predominantly by public legal assistance (52.8%) and with prescription from private medical services (38.1%). Most of the requested drugs (61.7%) were not incorporated into SUS, however, in 75% of the cases, there was a therapeutic alternative. In 13.6% of the actions, at least 1 medicine was prescribed for off-label use. Even the judicialized drugs that were part of the National List of Essential Medicines (RENAME), were constantly requested for indications not recommended in official protocols. In 68% of the cases, access to the drug was available, with the author responsible for the purchase in 56.1% of them, through blocking public funds. The most requested medicine was insulin glargine (74 lawsuits). Drugs not available in SUS and frequently requested in court demands tend to be incorporated later, becoming part of health policy. Of the 10 drugs with the highest number of lawsuits, 4 were subsequently incorporated into SUS, mainly insulin analogues. Regarding the process of incorporating these drugs, it was observed that internal demands predominated (60%), and the minority had economic assessments (40%), the main justification used to support decisions being the presence of scientific evidence. However, a change of position was observed after the expressive participation in public consultations and the judicialization of medicines is mentioned in some reports. The results showed that the judicial system has been consolidated as a way of accessing medicines in Rio Grande do Norte, including by citizens residing in the interior of the State, who obtain free legal assistance. The most of drugs requested that were not yet incorporated into SUS, and these requests frequently violated health and Pharmaceutical Assistance management rules. The blocking of public funds for the fulfillment of these decisions is another worrying factor for the SUS manager, as it compromises the execution of the programmed medicines policies, which impair their execution. In the process of incorporating drugs targeted by lawsuits, it was observed that despite the preponderance of the technical-scientific basis in decisions to incorporate drugs into SUS, there was an indirect influence of judicialization in the decision-making process.

5
  • GENYKLEA SILVA DE OLIVEIRA
  • FAMILY AGRICULTURE IN FOOD SCHOOL AND THE PROMOTION OF SAFETY FOOD AND NUTRITION IN BRAZIL.

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FABIO RESENDE DE ARAUJO
  • ISLANDIA BEZERRA DA COSTA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 31-jul-2020


  • Resumen Espectáculo
  • Introduction: The National School Feeding Programme (PNAE) is one of the oldest programmes in Brazil in the area of Food and Nutrition Security in Brazil (SAN) and with a significant number of students attended, which makes it important to evaluate the implementation and impacts of this programme. Objective: to evaluate the contributions of direct food purchases from family agriculture to the PNAE on SAN in Brazil. Method: This is an evaluative research, using secondary data, in which different methods are used: an integrative review of the literature; a spatial correlation analysis to know the spatial distribution of the purchase of food from family agriculture and analysis of purchase trends in the years studied; and a third descriptive analysis of the deficit of stature and the percentage of resources used in the purchase of food from family agriculture with analysis through the t-test for independent samples, and multivariate analysis performed through multiple linear regression with significance of 0.05%. Results: the main contributions of the purchase of food from family agriculture for school feeding on the FNS reported were the access to diversified, mostly in natura, minimally processed and organic food; the formation of local food production and distribution markets bringing the consumer and the small producer closer together; the access to food with better nutritional and hygienic sanitary quality; and the incentive to promote healthy eating habits. Regarding the panorama of the use of PNAE resources for the acquisition of food from family agriculture, the percentage of municipalities that comply with the legal requirement rose from 34.3% in 2013 to 43.7% in 2016, with the largest number of municipalities in the southern region of the country with 72.5%, while only 26.1% in the Midwest, 27.4% in the North and 31.6% in the Northeast. The South region stands out when compared to the others (p = < 0.001). The trend analysis of the union's annual budget resources showed an average growth of 30.8% (CI = 13.2-51.1). When assessing the difference in averages between the purchases and the deficit of stature in under five years there was a statistically significant difference in the deficit of stature in the municipalities that used < 30% and ≥30%, with a difference of 1.47%. As well, in the multiple analysis it was found that the variables with independent effect on the stature deficit in children under five years, besides the purchase of food from family agriculture, were the HDI, Gini Index, illiteracy rate and proportion of extremely poor children. The linear regression model showed that for each percentage point of increase in the use of resources for the purchase of food from family agriculture to the PNAE by the municipality there will be, on average, a decrease of 0.55% in stature deficit, independent of the other variables. Conclusion: from the results it can be concluded that the purchase of food from family agriculture for the PNAE in Brazil promoted the improvement of the SAN in its different dimensions and reduced the deficit of stature in children under five years. 

6
  • GIDYENNE CHRISTINE BANDEIRA SILVA DE MEDEIROS
  • CHOICES FOR HEALTHY LIFE: NUTRITIONAL INTERVENTION IN SCHOOL TEENAGERS

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GILBERTO MARTINS SANTOS
  • GRASIELA PIUVEZAM
  • LUCIA LEITE LAIS
  • VALTER CORDEIRO BARBOSA FILHO
  • Data: 04-ago-2020


  • Resumen Espectáculo
  • The increase in the prevalence of early obesity, especially in the first decades of the 21st century, has become an important public health problem of worldwide proportions. This is due to the fact that obesity among children and adolescents tends to persist in adulthood and is strongly associated with the development of chronic diseases and increased risk of death. Actions become relevant and necessary to contain this progression, in this sense, the school environment is suitable for educational interventions to prevent and combat obesity. The AME Program “Attitude, Movement and Choices for a Healthy Life” was developed in the Postgraduate Program in the Collective Health at the Federal University of Rio Grande do Norte and is a multicomponent, including school-based food and nutrition education, reduction of sedentary behavior, and the practice of physical activity. The objective of the doctoral thesis is to develop strategies in Food and Nutrition Education (FNE) in a school-based multicomponent intervention program to promote an active lifestyle and adequate and healthy nutrition among adolescents. This is a developmental research in which the current scientific literature was used and available in order to elaborate the protocol of the FNE axis of the AME Program. The method section is organized in two stages; the first described the method of studies of systematic reviews (SR) that contributed with the technical-scientific basis for the development of the protocol; and the second described the protocol of the randomized clinical trial (RCT) study. In stage 1, two SRs were developed following the recommendations of the Preferred Report Items for Systematic Reviews and Meta-analyzes (PRISMA) and were registered in the International prospective register of systematic reviews (PROSPERO - CRD42019116520 and CRD42019100914). Stage 2 presents the methods of the ECR, which underlie the construction of the rationale and methodological characteristics of the FNE axis of the AME Program. The ECR was approved by the Research Ethics Committee (CEP-HUOL UFRN) and registered in the Brazilian Registry of Clinical Trials (RBR-86xv46). The doctoral thesis is organized in the collection of articles. The first SR addresses educational strategies and the effect on food consumption of school adolescents and 24 RCTs were included. In 16 studies, the intervention managed to improve the consumption of at least one food or group of foods recommended as healthy foods. The results indicate that school-based interventions are generating favorable changes in adolescent food consumption. The second SR addresses the association of red meat consumption and cardiovascular diseases and 22 prospective cohort studies were included. The results indicate a possible association between the consumption of red meat, especially processed meat, and the incidence and mortality from coronary heart disease, stroke and / or heart failure. The trend of linear dose response indicates that the greater the consumption of red meat, the greater the risk of incidence and mortality from cardiovascular diseases. Stage 2 contemplates the intervention proposal of the EAN axis of the AME Program which, for its construction, considered the results found in RS, combined with the recommendations of official documents of the World Health Organization, Ministry of Health of Brazil and international institutions. The study presents the rationale for the development of the axis; the guiding theories of the AME program; goals and objectives; and characteristics of the EAN axis of the AME program. Developing FNE strategies in a school-based multicomponent intervention program to promote an active lifestyle and adequate and healthy nutrition among adolescents may provide adolescents with the construction of critical and reflective thoughts that can transform their lives, that of their families, community and even their territory.

7
  • NILA PATRÍCIA FREIRE PEQUENO
  • Quality of Life and Food Insecurity in adults and older adults: Brazuca Natal Study

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • MARIA CECILIA ROCHA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 21-ago-2020


  • Resumen Espectáculo
  • Quality of life (QOL) studies have been increasingly valued, given the growing aging population and increased survival of individuals with Chronic Noncommunicable Diseases (NCD). The identification of conditions that may be related to the QOL of people can help explain the heterogeneous distribution of adverse health issues. Besides, it provides decision-making support to those responsible for the management, and it can expand government actions to ensure better social, economic, and health conditions for the population. This study aimed to identify socioeconomic, demographic, lifestyle, health, and food security characteristics that may be associated with the QoL of adults and older adults in the city of Natal, Brazil. Cross-sectional research performed using data from the BRAZUCA Natal study. A group of 295 adults and older adults of both sexes aged over 20 years, residents in Natal-Brazil participated in home interviews, using a digital questionnaire (Epicollect5). The WHOQOL-bref questionnaire used to the measured quality of life and the food insecurity by the Brazilian Food Insecurity Scale (EBIA in Portuguese). Also, socioeconomic, demographic, lifestyle, and health data were collected. Data analysis was performed from the absolute and percentage frequencies, and Poisson multivariate regression was used to verify the association between quality of life domains (physical, psychological, social relations and environment) and two general questions “Perception of QOL” and “Satisfaction with health”  with the independent variables. Stratified analysis carried out to determine the association between the food security situation and QOL among people with food safety - SA (n = 152) and Food Insecurity - IA (n = 143). For the general population, being non-white people (PR = 1.56; 95% CI 1.10-2.19) and being mildly insecure (PR = 2.53; 95% CI 1.62-3.96) moderate (PR = 3.19; 95% CI 2.03-5.00) and severe (PR = 2.86; 95% CI 1.65-4.95) were associated with a higher probability of Perception of regular quality of life , bad or very bad. Satisfaction with regular, unsatisfactory, or very unsatisfactory health was associated with mild food insecurity (PR = 1.73; 95% CI 1.26-2.37), emotional disorders (1.88; 95% CI 1.43-2,49) and having hypertension (1.39; 95% CI 1.05-1.84). In the stratified analysis, being sedentary, sleeping less than 7 hours a day, having diabetes, hypertension, overweight and emotional disturbances were associated with a low perception of QOL (in different domains) in both groups (SA and AI). In group IA, in addition to the factors mentioned, being elderly, not having a partner, not having daily availability of water, and drinking untreated water was associated with a low perception of QOL, highlighting the social vulnerability of this group. In addition to conditions related to social and health inequities, QOL was shown to be associated with conditions related to physical and mental health, NCD, and their risk factors, regardless of being in a situation of AI. However, in the AI group, the condition was worsened due to the lack of adequate access to water, doubly violating the right to adequate food.

8
  • DIOGO VALE
  • PENSE - BEHAVIORS, PSYCHOSOCIAL FACTORS AND SUSTAINABILITY IN THE FEEDING OF BRAZILIAN ADOLESCENTS: FROM SURVEILLANCE TO CARE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA CAVALCANTI PEIXOTO DE VASCONCELOS
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GRASIELA PIUVEZAM
  • ISLANDIA BEZERRA DA COSTA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 31-ago-2020


  • Resumen Espectáculo
  • Adolescence is a period of bodily changes, the formation of behaviors, and social interactions, which impact the eating patterns and nutritional status of individuals, with possible repercussions throughout life. Aiming to contribute to the process of surveillance and food and nutritional care of this public, the objective of this doctoral thesis was to investigate the prevalence of nutritional deviations, patterns, and eating behaviors of Brazilian adolescents and their associations with psychosocial, behavioral and sustainability factors. Ten studies were developed, one methodological and eight association, using a quantitative approach with data from sample 2 of the National School Health Survey (PeNSE) 2015, and one trial. (1) The methodological study highlights the potential of PeNSE databases in studies of food and nutrition surveillance (VAN). The association studies explore the following food and nutrition issues for adolescents: (2) adherence to school feeding, (3) food and nutritional profiles, (4) obesity and height deficit, (5) indicators of food sustainability; (6) risk behaviors for eating disorders, (7) distortion of body image, (8) experience of food insecurity and (9) dissatisfaction with body image. Finally, the essay discusses (10) food and nutritional care in adolescence. The dependent/main and independent/secondary variables of the association studies were representatives of individual, home, and school contexts. The identification of the explanatory models for each problem occurred with the application of descriptive statistics, Person's Chi-square test, Poisson Regression Analysis (classic or multilevel), or Correspondence Analysis. The main results were: (1) the PeNSE databases allow several association analyzes to explore food, nutritional and behavioral issues relevant to the Brazilian adolescents' VAN process; (2) the prevalence of low adherence to school meals (64.2%) was associated with individual behaviors, the family's socioeconomic position and the school context; (3) the most prevalent food and nutritional profile among adolescents was characterized by a dietary pattern with lower nutritional risk with eutrophy (42.6%) and the six profiles formed by combinations between categories of dietary pattern and nutritional status were associated with distinct sociodemographic characteristics, behaviors and sustainability indicators; (4) the height deficit (2.3%) was explained by biological variables and the worse socioeconomic position of the adolescents; the prevalence of obesity (10.0%) was associated with individual behaviors, psychosocial risk factors for health and better socioeconomic status; (5) the average carbon (1206 gCO2e / kg), water (2760 liters / kg) and ecological (8.07 g-m2 / kg) footprints were higher among adolescents in the South and Southeast, with a higher risk food pattern nutritional; (6) the prevalence of risk behaviors for eating disorders (16.5%) was associated with worse socioeconomic status, with individual behaviors and with psychosocial factors of greater vulnerability, with differences between the behaviors for weight loss (11.3% ) and those for weight gain or muscle mass (8.8%); (7) overestimation (6.6%) and underestimation (37.1%) of body image were associated with individual behaviors (sex, body satisfaction and risk behaviors for eating disorders); (8) the experience of household food insecurity (22.8%) was explained by the worse socioeconomic position, behaviors of greater food and nutritional risk and by psychosocial factors of greater vulnerability; and (9) body dissatisfaction coexists with nutritional deviations, food consumption with greater nutritional risk, food insecurity, inattentive eating, risky behaviors for eating disorders and better socioeconomic status. Based on the recognition of this entire context, (10) a model of management and production of food and nutritional care for Brazilian adolescents should be considered based on (a) incorporating new indicators into VAN, (b) qualifying educational actions for resilience and autonomy and (c) and in the development of public health, food and nutrition policies aimed at this population in Brazil.

9
  • NAYARA PRISCILA DANTAS DE OLIVEIRA
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ARN MIGOWSKI ROCHA DOS SANTOS
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GUSTAVO PINA GODOY
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 25-sep-2020


  • Resumen Espectáculo
  • Breast and cervical cancers stand out among female cancer types with high incidence and mortality rates, which have considerable regional differences. The discussion on inequalities in the diagnosis and death due to breast and cervical cancer enables the understanding of the understanding of these diseases at the individual and population levels. The objective of this thesis was to analyze the staging and mortality from breast and cervical cancer and its connection with socioeconomic context and the distribution of health services in Brazil. Five observational studies were developed, one of the classic ecological type, two cross-sectional studies and two of the ecological type of spatial analysis. The mortality data were collected from the Mortality Information System (SIM). Individual data related to the diagnosis of cancer were obtained from the Integrator of Hospital Cancer Registries (RHC). The contextual socioeconomic variables were collected in the Atlas of Human Development in Brazil and the data on offer of health services from the National Registry of Health Institutions (NRHI), the Outpatient Health Information System (SIA-SUS) and the Agency National Supplementary Health (ANS). The mortality analysis was performed using the Poisson regression with robust variance. For the analysis of advanced staging, the Multilevel Poisson Regression model was chosen, with a random intercept. In the spatial analysis, the Moran Global Index and the Local Spatial Association Indicator (LISA) and the models with global spatial effects were used. The main results were: (1) The average age-standardized mortality rates for cervical and breast cancers were, respectively, 5.95 (±3.97) and 10.65 (±3.12) per 100,000 women. The high mortality rate from breast cancer was associated with a higher density of general practitioners and a greater offer of health services in oncology. The high mortality rate due to cervical cancer was associated with higher rates of local social inequality and lower levels of human development in the regions evaluated. (2) The proportion of late breast cancer diagnosis in Brazil was of 40.0%. Advanced staging was associated with individual and contextual factors related to public access to health services and the low density of mammography equipment. (3) In 32.4% of cervical cancer cases, staging was absent, significantly associated with individual and contextual factors in the provision of health services. The proportion of advanced staging was 48.4%, with association with individual and contextual factors of public access to health services and the low proportion of cytopathological exams. (4) Advanced staging of breast cancer presented positive spatial correlation with the Gini Index and a negative one with the density of gynecologists. Mortality rates presented a positive spatial correlation with the HDI and the density of gynecologists. (5) Advanced staging of cervical cancer presented a positive spatial correlation with the Gini Index and a negative correlation with the proportion of beneficiaries of private health plans. Mortality rates presented a positive spatial correlation with the Gini Index and a negative one with the density of gynecologists. The study highlights the social inequalities involved in advanced staging and mortality from breast and cervical cancer in Brazil. The importance of structuring equality in the access to health services and technologies in the Brazilian territory is highlighted. In addition, the reorientation of public health policies would make it possible to optimize the control, prevention and timely treatment of breast and cervical cancer.

2019
Disertaciones
1
  • MARIANNY NAYARA PAIVA DANTAS
  • INIQUITY IN BRAZILIAN HEALTH SERVICES: AN ANALYSIS OF RACIAL DISCRIMINATION AND ACCESS FROM THE NATIONAL HEALTH RESEARCH, 2013.
  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA R. DA SILVA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 12-abr-2019


  • Resumen Espectáculo
  • The black population is identified in several studies as vulnerable because it is disadvantaged in socioeconomic aspects, morbidity and mortality profile and access to health services. The incapacity of the institutions, structures and organizations of society to attend this population in an equitable way can be evidenced both in the difficulty of access to health services and through the practice of racial discrimination perpetrated by health care providers. This study aims to analyze the difficulty of access and discrimination by race/color in Brazilian health services, considering the data from the “Pesquisa Nacional de Saúde” (PNS), 2013. It is a cross-sectional study based on the PNS data, 2013, with 60.202 people over 18 years. Questionnaires were used in the survey on obtaining care, not seeking health services and on discrimination by health care providers. We analyze the prevalence of difficulty of access and discrimination by race/color practiced by health care providers in relation to the socioeconomic characteristics and health conditions of the studied population; bivariate analysis with attainment of Prevalence Ratios (PR), Confidence Intervals of 95% (95% CI) and p values (p <0,05); and multivariate model using the Poisson regression, with Wald test for robust estimation, for significant variables in the bivariate analysis (p value <0,2). The difficulty of access was found for 18,11% (CI 95% 16,88-19,41) of the individuals and associated with black skin color, residing in the central-west region, in the rural area, being smoker, self-evaluation bad/very bad health and have no private health insurance. The prevalence of race/color discrimination practiced health care providers was 1,45% (95% CI 1,29-1,62) and was associated with being black, being between 25-39 years old, being a smoker, possessing four morbidities, having poor/very poor health self-evaluation, being a public health service user and residing in the urban area of the country. We found that racial discrimination and the difficulty of access to Brazilian health services reach the majority of the black population. We observe the legitimacy of institutional racism through the Brazilian health services, highlighting SUS, which proposes universal, inclusive and integral. We reinforce the need to strengthen health policies with a view to transforming this panorama.

2
  • CARLA RODRIGUES DE LIMA SILVA
  • VOCAL TRACT DISCOMFORT RELATED TO THE LABOR ACTIVITY OF SOPROINSTRUMENTIST MUSICIANS IN THE CITY OF NATAL- RN

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • LEANDRO DE ARAUJO PERNAMBUCO
  • LEONARDO WANDERLEY LOPES
  • Data: 14-may-2019


  • Resumen Espectáculo
  •  

    Introduction: Wins instrumentalist musicians belong to a specific group of individuals who use the vocal tract intensely in the exercise of their professional activities, which can lead to the development of work-related voice disorders. These disturbances can be triggered or aggravated by individual, organizational and environmental factors of the work. Objective: This study aims to verify the perception of vocal tract discomfort associated with the working characteristics of instrumental musicians in the city of Natal-RN and to identify the presence of vocal and laryngeal symptoms and associated factors in these professionals. Methodology: The sample consisted of 117 professional and training musicians, who answered a questionnaire of socioeconomic characterization, demographic and health conditions and habits, as well as filling the Vocal Tract Discomfort Scale (EDTV). A Systematic Review was also performed on the electronic databases Science Direct, Scopus, Web of Science, PubMed and LILACS, gray literature as well as manual search, without limitation of date and language, as directed by PRISMA. A title and summary analysis was carried out, followed by the analysis of the full text, risk assessment of bias (Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies) and synthesis of the results. The research was conducted independently by two researchers. Results: The most frequent DTV symptoms reported by the musicians were dryness (53%), irritated throat (35.9%) and sensitive throat (30.8%). Similarly, these symptoms presented higher averages in EDTV before and after the practice of the instrument, the dryness symptom being more frequent the more intense. Musicians who report muscle pain, gastroesophageal reflux, and respiratory allergies have a greater number of DTV symptoms. According to the six studies selected for systematic review, the main vocal symptoms in musicians of blowing are: dysphonia, altered vocal quality, hoarseness and voice failures - laryngeal symptoms - dryness, sore throat, throat irritation, throat clearing, discomfort and tension. The associated factors identified to these symptoms were the shorter time of profession, intense use of the instrument and individual vocal issues. However, the methodological discrepancies between the studies, especially in relation to the heterogeneity and size of the sample and the instruments used, signalize great variability and compromise the reliability of the results. Conclusion: The symptoms of vocal tract discomfort are present in high frequency in wind instrumentalists musicians, being more frequent in musicians with less instrument study time. In addition, the various vocal and laryngeal symptoms found in wind instrumentalists musicians in the selected studies were associated with individual factors (prior vocal alteration, inadequate vocal habits) and organizational factors of the work (time of profession, intense use, type and instrument technique). We also reinforce the need for health education actions for these professionals taking into account physiological aspects as well as working conditions.

3
  • ANA PAULA DO REGO
  • The history of the Januário Cicco Maternity School and care provided to the mental health of women: Is there a link?

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 17-jun-2019


  • Resumen Espectáculo
  • The Januário Cicco Maternity School (MEJC) was founded in the first half of the 20th century in the city of Natal-RN, known at the time as the Natal Maternity, and was used as a headquarters and hospital during World War II. With the vision to improve the health and public education of Natal, a doctor named Januário Cicco restored the building with federal funds and inaugurated the MEJC in 1928. The present study has the objective to investigate the approach about the mental health of women hospitalized in the MEJC after its creation, referring us to the developed knowledge of know-how and practices as comprehensive health, although not always having this denomination, composes an indisputable fact of the human condition. Faced with this, the question is asked about which mental health care strategies were offered to women hospitalized at the MEJC at the time of its creation? This is a study of the historical approach of the know-how in health and mental health, with the purpose of contributing to the current comprehensive care in the perspective of the care network and its devices. Documentary research favored the approach to official reports and thematic oral history enabled investigating and filling in the remaining gaps, as well as to understand situations of official foundation of a certain time or context. In doing so, we intend to reflect on the studied phenomenon and how it influences the present. The thematic oral history was based on a semi-structured interview in order to capture the discourses of key informants. The inclusion criteria for the subjects in the research were to have been a worker at the MEJC at the time of its creation and to be in a position to participate in the research, and to accept to do so freely. The participants were informed and signed the Free and Informed Consent Form recommended by Resolution 466/12 which provides for research involving human beings. The documentary data collection used were: digitized newspapers of the National Digital Library and the Zila Mamede Central Library. The analysis of the present research implemented the content analysis technique as reference according to the steps described by Minayo, which consist of preanalysis (floating reading of the material), exploration of the material or codification (search for categories and significant words) and treating the obtained results/interpretation (proposes inferences and performs interpretations). The results showed that the knowledge of Mental Health practices developed in the maternity run through the knowledge and assimilation of mental health as a psychiatry model, focused on the figures of the psychiatrist, psychologist and social worker; and is also associated with the conducts and norms related to the humanization process, such as: patient listening, 24-hour availability/visitation for companions, sufficient professionals trained in mental health, privacy and therapeutic projects which work with the mothers of children admitted to the neonatal unit. Another point considered as an approach in mental health is the way the social context is inserted in maternity, as well as the context of unemployment, safety, social determinants in health and expanded concept in health.

4
  • REGINA CÉLIA CARDOSO DE MELO BARROS
  • Public Ministry and health defense: study on the extensive heads of family health and primay health care

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • LENINA LOPES SOARES SILVA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 19-jun-2019


  • Resumen Espectáculo
  • The study analyzes the performance of the Public Prosecutor's Office in the defense of health for the strengthening of NASF's through the Health Defense Offices of Natal and the assistance of the Operational Support Center to the Health Protection Justice Prosecutors (CAOP) in order to identify as this work contributes to the strengthening of the Expanded Nuclei of Family Health and Basic Care (NASF-AB). It is a qualitative research of descriptive exploratory type that used as a collection instrument semi-structured interviews applied to key informants, having as subjects of the research the professionals who are part of the team of the Office of Justice of Defense of Health of Natal, including the promoters and their holders; professional member of the team of the Operational Support Center of the Justice Ministry of Health Defense; the professionals that integrate the Family Health Strategy teams of the municipality of Natal with the support of NASF-AB; and professionals who are part of the teams of the Expanded Nuclei of Family Health and Basic Care in Natal; with a total of 23 participants. In addition to the semi-structured interviews, a documentary analysis was carried out at the Office of Justice of Defense of Health of Natal, including Civil Inquiries, Recommendations and complaints received, all referring to NASF-AB in Natal; and also the analysis of the queries answered (doubts of the prosecution) and the reports of visits, all carried out by the CAOP Saúde team; and also of the strategic project of the Public Prosecution Service that included NASF-AB as one of its axes. Regarding the results, it can be seen that the performance of the Office of Justice of the Health of Natal is aimed at expanding the number of NASF-AB teams and structuring the working conditions of the teams already implemented, it is a focused work however, NASF-AB professionals revealed a dissatisfaction about the direction of this action due to the few advances made. And as for CAOP Saúde, this directs its action focused on the NASF from a Strategic Project, but focuses only on the municipalities of the interior of the state, not being requested to support the prosecution of Natal on this issue, failing to contribute with a more specialized look at this problem.

5
  • ANA MAYARA GOMES DE SOUZA
  • EVALUATION OF MORTALITY OF WOMEN IN THE FERTILITY VICTIMS OF VIOLENCE

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • CINTIA BEZERRA ALMEIDA COSTA
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 25-jun-2019


  • Resumen Espectáculo
  • Violence against women is not a new phenomenon, although, facing consequence it brings for health and well-being, this aggression has received a growing recognition in Brazil as well as other countries regarding public health concerning. Childbearing-age women correspond to 10 to 49 age range, and they are the majority part of Brazilian female population. Therefore, this study aims to evaluate mortality data of childbearing-age women by acts of violence from 2007 to 2016, in Brazil. This is an ecological study which dependent variable was the Women Mortality Coefficient for women who were victims of violence between 10 to 49 years old range. For an analysis of space self correlation among 161 Urban Articulation Intermediary Regions (RIAU – Regiões Intermediárias de Articulação Urbana, in Portuguese) in Brazil, we applied Moran Global tests and we performed a bivariate analysis between closuring variable and independent variables (general coefficient of mortality, coefficient of mortality by chapters in 10thInternational Classification of Diseases and Related Health Problems, coefficient of mortality by socioeconomic, social inequality, health services access and age group). We also performed a classical descriptive data analysis, in which we evaluate average and medium standard deviation and test t Student for average rates comparison, concerning a confidence interval (CI) of 95% and value of p<0,05. From 2007 to 2016 it was possible to identify a mortality raise by external causes and aggression to childbearing-age women, with a higher concentration of deaths in North, Southeast and Southern regions, specially in 2016, when death numbers reach 45,24% in this population. Regarding to age groups, we noticed that 40 to 49 years-old women number of deaths is higher, and we must remark that this number increased according age raising. About schooling, the highest percentage was found between 4 and 7 years of school attendance, followed by the ones between 8 and 11 years of schooling. Lastly, regarding marital status, the proportion of deaths was higher in single women group. So, we concluded that mortality by violence amongst women express high coefficients in the most of Brazilian regions and they are still related to contextual characteristics such as breed, social layer factors, socioeconomic factors and health service access. Thus, these findings remark how important is to face violence not only by individual factors and there must be a sensibilization in services of hosting women services. 

6
  • BRUNA LORENA ALVES COELHO
  • ANALYSIS OF THE JUDICIALIZATION OF ANTINEOPLASTIC MEDICINES IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • KARINA CARDOSO MEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • Data: 26-jun-2019


  • Resumen Espectáculo
  • The advances of health policies from the Federal Constitution of 1988 are unquestionable. However, deficiencies in the physical structure, financing and management have meant that the Unified Health System was not able to meet the health needs of the population in its fullness. Changes in the epidemiological profile of the population and technological advances have caused the population to turn to the judiciary to satisfy their health demands. This practice has become increasingly recurrent and has become what is now called the Judicialization of Health, a multifaceted phenomenon with controversial views among the authors. Among the demands in the field of health, the processes that call for drugs stand out, and in this segment one of the biggest financial impacts is linked to antineoplastic drugs, since cancer is a group of chronic non-communicable diseases, which occupies a leading role among the largest causes of death in the world, and whose technological contribution to its treatment is constantly being renewed. This is a descriptive study of lawsuits claiming antineoplastic drugs that have the state of Rio Grande do Norte as sole defendant or in solidarity with other entities, between the five-year period from 2013 to 2017, analyzed by indicators withdrawn of the manual "Evaluation indicators and monitoring of drug lawsuits". A total of 145 procedures were collected, which were analyzed according to the socio-demographic characteristics of the author; Procedural characteristics of lawsuits; Medical-sanitary characteristics of actions and Political-administrative characteristics of actions. The findings so far show that the global expenditure of the defined temporal scope was R $ 17,745,602.70, with a greater number of cases coming from the capital of the State and of the Municipality of Mossoró, composed mostly by female individuals 60 and 69, represented by public defenders. 68% of the individuals had access to the medication, which had a purchase made mostly by the author of the action (62%).

7
  • MARIA HELENA RODRIGUES GALVÃO
  • ACESSO AOS SERVIÇOS DE SAÚDE BUCAL NO BRASIL: EVOLUÇÃO DA DESIGUALDADE E FATORES RELACIONADOS À ATENÇÃO SECUNDÁRIA

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FRANKLIN DELANO SOARES FORTE
  • ROGER KELLER CELESTE
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • O objetivo do presente estudo foi avaliar a influência dos determinantes socioeconômicos no acesso aos serviços odontológicos no Brasil, sob a perspectiva da utilização e disponibilidade, considerando duas estratégias analíticas: (a) a desigualdade na utilização dos serviços odontológicos relacionada à renda na população brasileira a partir dos dados da Pesquisa Nacional por Amostragem de Domicílios (PNAD) dos anos 1998, 2003 e 2008, e a Pesquisa Nacional de Saúde (PNS) no ano de 2013 (b) a associação entre os indicadores sociais e de organização dos serviços de saúde dos municípios e a disponibilidade de serviços nos Centros de Especialidades Odontológicas, a partir dos dados do Programa Nacional de Melhoria do Acesso e da Qualidade (PMAQ-CEO). A primeira abordagem consiste em um estudo de painéis repetidos, com análise de dados secundários provenientes de estudos seccionais de base domiciliar. Foram selecionados os dados das PNAD 1998, 2003 e 2008, e os dados da PNS 2013. As variáveis dependentes foram “Já teve acesso à consulta odontológica alguma vez na vida” e “Última consulta odontológica realizada a 3 anos ou mais”. A variável independente selecionada foi “Rendimento per capita domiciliar em salários mínimos”. Com a finalidade de avaliar a desigualdade em saúde para os desfechos avaliados, foram utilizados índices complexos de avaliação de desigualdade em saúde baseados em regressão, o Coeficiente Angular de Desigualdade (CAD) e o Coeficiente Relativo de Desigualdade (CRD). A segunda abordagem trata-se de um estudo ecológico, com amostra de 776 municípios brasileiros que participaram do 1° ciclo do PMAQ-CEO realizado no ano de 2014. As variáveis dependentes do estudo consistiram no número de profissionais e carga horária semanal de cirurgiões-dentistas atuando nas especialidades mínimas por 10.000 habitantes. Realizou-se uma análise de componentes principais para a criação de um escore para mensurar o desempenho dos municípios quanto à disponibilidade de serviços odontológicos especializados. A fim de avaliar os fatores associados ao desempenho dos municípios, utilizou-se o teste do Qui-quadrado de Person, tendo como variáveis independentes os seguintes indicadores municipais categorizados em tercis: renda per capita, Índice de Desenvolvimento Humano, Índice de Gini, População residente, Despesa total de saúde por habitante, Equipes de Saúde Bucal por 10.000 habitantes, e Cadeiras de CEO por 10.000 habitantes. Observa-se uma redução na diferença absoluta no percentual de ausência de acesso entre os indivíduos com maior e menor renda. A diferença absoluta para a ausência de acesso dentre os grupos passou de 10,92% em 1998 para 7,61% em 2013. Para a ausência de acesso nos últimos 3 anos, os valores reduziram de 48,19% em 1998 para 26,98% em 2013. Também se observou uma redução da desigualdade relativa quanto à renda para ambos os desfechos. O desempenho ótimo quanto à disponibilidade de serviços especializados em saúde bucal foi observado em municípios com menor porte populacional (67,3%), com menor IDHM (41,9%) e com menor renda per capita (41,2), maior média de equipes de saúde bucal por 10.000 habitantes (50,6%), maior média de cadeiras do CEO por 10.000 habitantes (66,3%). Conclui-se que houve uma redução das desigualdades no acesso a consulta odontológica com o passar dos anos analisados, embora se mantenha em níveis preocupantes. Os municípios com piores indicadores socioeconômicos e com melhor organização dos serviços de saúde bucal obtiveram melhor desempenho quanto à disponibilidade de serviços odontológicos especializados. Os resultados demonstram o avanço obtido a partir da Política Nacional de Saúde Bucal, entretanto existem desafios a serem superados da efetivação dos pressupostos desta política.

8
  • TALITA ARAUJO DE SOUZA
  • EVALUATION OF CHILD MORTALITY TO REACH GOAL OF LIFE GOALS IN BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • IRIS DO CEU CLARA COSTA
  • KENYA DE LIMA SILVA
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • Infant mortality is the term used to designate all deaths that occur in children under 1 year old of age. It is the most effective indicator in the evaluation of the health situation of the population. Over the last twenty-five years, it has been possible to observe a reduction in infant mortality in Brazil. It has been shown that the country has achieved four of all objectives of the Millennium Development Goals before 2015. In 2006, the Pact for Life was released highlighting infant mortality in one of its indicators, being divided into three pacts: reduction of neonatal mortality, infant mortality due to diarrhea and reduction of infant mortality due to pneumonia. This study aims to evaluate whether the goals of the Pact for Life established by Ordinance N º 399 has been reached in relation to neonatal mortality rate for diarrheal diseases and pneumonia before and after its release in 1996 decades to 2005 and 2007 to 2016. It appears as an epidemiological ecological study of time series and spatial correlation, conducted through the Mortality Information System, considering the years 1996 to 2016, excluding 2006 due the fact it is the year of implementation of the Pacto Pela Vida. For the development and analysis of the data the 161 Intermediate Regions of Urban Articulation were considered. The coefficient of infant mortality in the years studied was determined as a dependent variable and secondary dependent variables: coefficient of neonatal mortality, coefficient of infant mortality due to diarrhea and coefficient of infant mortality due to pneumonia.  As independent variables were selected: Human Development Index, Gini Index, percentage of poor, Bolsa Famíliacoverage, Primary Care coverage, nurses rate of family health strategies per thousand inhabitants, physicians rate of health strategies family per thousand inhabitants and coverage of childcare consultations. The descriptive data were analyzed in the software Statistical Package for the Social Sciences, then the mortality data were specialized in TerraViewto determine the spatial autocorrelation and bivariate analysis was used GeoDa software, and correlated the coefficient of infant mortality with the independent variables of the study. It was found that neonatal mortality only reached the target goal of 5% decrease in 2007 and 2016, while mortality from diarrhea and pneumonia did not reach the goal proposed by the indicator in any year (decrease of 50% and 20% % respectively). In addition, infant mortality decreased in the two decades analyzed, with a mean coefficient of 22.67 in the first decade and 14.30 in the second decade. When spatially evaluated, high coefficients of infant mortality were found with positive association when compared to neighboring regions. In addition, the spatial distribution presented statistical significance in all the independent variables of the study. Based on the results, it was possible to identify that the goals of the Pact for Life were not met, making it necessary to review health actions, suggesting that there is a fragility even if there are public health policies for children that aim at reducing those diseases that must corroborate with the improvement of child health indicators.

9
  • TAINARA LÔRENA DOS SANTOS FERREIRA
  • HOSPITAL MORBIDITY AND MORTALITY IN CHILDREN UNDER FIVE YEARS IN BRAZIL IN THE PERIOD 2007 TO 2016

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • IRIS DO CEU CLARA COSTA
  • KENYA DE LIMA SILVA
  • Data: 28-jun-2019


  • Resumen Espectáculo
  • In the last decades, we have noticed a reduction of mortality rates amongst under 5 years-old children, although a high number of deaths could be avoided. So, this age group received a new perspective by United Nations in 2015, aiming to finish avoidable deaths of newborn and under 5 years-old children. Therefore, this study aims to evaluate hospital morbidity and mortality in Brazil among under 5 years-old children between 2007 and 2016, and relate those numbers to social indicators and inequality of health and access to public services of health in Brazil. It is an transversal epidemiologic study, ecological and time series to be performed with usage of secondary data from Sistema de Informações Hospitalares do Sistema Único de Saúde (System of Hospital Information of Unique Health System, in free translation) and Informação sobre Mortalidade (Mortality Information System, in free translation) in last ten years (2007 to 2016) in a national range, available and extracted from national base of public domain by the Information Department of SUS. We used the following dependent variants: Children Mortality Estimation and Mortality Estimation of Children Among One and Under Five Years Old, percentual distribution of children hospital intakes and percentage of children among one and under five years old hospital intakes. As independent variants, we selected: Atenção Básica (Basic Attention Service, in free translation) coverage, childcare appointments coverage, immunization coverage, Bolsa Família Program coverage, Índice de Desenvolvimento Humano (Index of Human Deveolpment, in free translation), Gini Index and poverty proportion. For a statistical data analysis, we used Statistical Package for the Social Sciences (SPSS) program, 22.0 version, 10101141047 serial number, and we calculated the measures of central tendencies and dispersion. We also applied test t Student among Regiões Intermediárias de Articulação Urbana (Urban Articulation Intermediary Regions, in free translation). For spatial analysis and map construction, we used TerraView program, 4.2.2 version, and Geoda, 1.2 version. We noticed that, among under one-year old children, during the analyzed period, there was a variation in cause of deaths averages: as first cause, 33,56 (respiratory system); followed by 32,13 (diseases that come from perinatal period); and, at last, 17,07 (infectious and parasitic diseases). There was a reduction in children mortality estimation when compared 16,43 average in 2007 and 13,41 in 2016. Regarding age group between one and four years old, first cause of illness was respiratory system (42,69); the second cause was infectious and parasitic diseases (25,84). Concerning mortality coefficient of 1 to 5-year-old children, we had these numbers: 2,84 in 2007 and 2,34 in 2016. We verified clusters formation to hospital morbidity and mortality, presenting spatial dependence for events, independent age group, correlated to social, health inequality and health public services access indicators. Thus, it shows the necessity of lowering social and regional inequality, besides raising access to health public services for children and quality of low and medium complexity health assistance, aiming to reduce grievance and children morbidity and mortality indicators.

10
  • ANA CLARA DANTAS DE SOUZA
  • Prevalence of multimorbidity and associated factors in the workers Brazilian population
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANUSE NOGUEIRA DE CARVALHO
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 12-jul-2019


  • Resumen Espectáculo
  • The fast transition in the demographic and epidemiological profile has recorded the increasein longevity, chronic illness and the prococity of disability, making the health system lessprepared to meet the growinf demando f people with non communicable chronic diseases,especially those with two or more, known as multimorbidity. This study aims to estimate theprevalence of multimorbidity in the brazilian population (≥18 years old) and to know itsassociated factors considering he data from the National Health Survey (PNS), 2013. Inprinciple, a systematic literature review was conducted based on the PRISMA protocol, inorder to identify the impacto f multimorbidity on workers' health. After the review, a crosssectional study was developed based on the data from the PNS, 2013, with 60,202 people over18 years old. Survey questions were used to answer wheter the individual had alread receivedthe   diagnosis   of   some   of   the   chronic   diseases   included   in   the   study.   We   analyze   theprevalences of multimorbidity in relation to socioeconomic characteristics, lifestyle and work;bivariate analysis with obtaining the prevalence ration (RP),  confidence intervals at a leve of95% (CI 95%); and multivariate model through Poisson regression, with Wald test robustestimation, for significant variables in the analysis.. The prevalence of multimorbidity was19.98 (95%CI: 19.29% - 20.70%) and was associated with the female gender. To the agerange of 60+, to live with the spouse, to ingest alcoholic beverage moderately, to be formersmoker, to be illiterate, to live the urban área, have health insurance, perform night work andhave already suffered some work accident. A low prevalence of multimorbidity was estimatedin the economically active brazilian population and was associated with labor, socioeconomicand lifestyle characteristics.   

11
  • ANA CLARA DE FRANÇA NUNES
  • Vitamin A and Symptoms of Multiple Sclerosis: A Systematic Review of Epidemiologic and Clinical Trial Studies”.


  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • LUCIA LEITE LAIS
  • SANDRA MARIA NUNES MONTEIRO
  • Data: 07-ago-2019


  • Resumen Espectáculo
  • Introduction: Multiple sclerosis (MS) is the most prevalent autoimmune disorder today and is associated with demyelination of neurons in the central nervous system (CNS) through activation of the immune system. Studies using vitamin A have been promising to improve the disease. Thus, the present dissertation aims to provide the best available evidence on the clinical impact of vitamin A on the outcomes related to symptoms of patients with MS. Methods: The article collection format was used for the production of two articles, the first one being a protocol article, used as the basis for the production of the second article, a systematic review. We searched the pubmed, embase, scopus, cinahl, scielo, web of science, cochrane library, and science direct for studies published until May 2019 to assess the relationship of vitamin A supplementation and / or serum level analysis and symptoms in patients with MS. For the design of the systematic review, PRISMA was used. To assess the methodological quality of the studies, the JADAD scale was used for randomized controlled trials and Newcastle – Ottawa for observational studies. To extract all the data found, a database was created in the Microsoft Excel program. Results: In the initial search we found 2053 studies, and at the end of the searches, 6 articles eligible for the research were selected, being 2 RCTs and 4 observational (cohort). Of the six studies included, two used vitamin A supplementation and obtained results that vitamin A is capable of containing upper limb progression and cognitive impairments, significant improvement in depression scores, total fatigue and the three fatigue subscales (physical, cognitive and psychosocial). The other four studies performed serum vitamin A dosing and found that serum retinol levels were not associated with risk and number of relapses and worsening of EDSS, but increasing retinol levels are associated with decreased results of disease activity. and retinol predict results of new lesions in subsequent months by magnetic resonance imaging. Conclusion: These findings are not yet sufficient to recommend vitamin A supplementation for MS patients. New well-controlled controlled trials are needed.


12
  • ALESSANDRA LUCCHESI DE MENEZES XAVIER FRANCO
  • Cancer care for children nd young people quality assessment tool: elaboration and validation
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • MIRIAN CARVALHO DE SOUZA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 26-ago-2019


  • Resumen Espectáculo
  • This study aimed to elaborate and validate an instrument to evaluate the quality of care for childhood cancer. This is a cross-sectional quantitative diagnostic study, developed in 2018 and 2019 in the city of Natal/RN, in two stages comprised in the elaboration of the instrument and the validation of the instrument content by experts. The sample was selected by intentionality, following the inclusion criteria, so that the invitation to the judges was through an electronic form, obeying all ethical aspects for the research. The elaboration phase of the instrument was understood through the meeting with the experts, which directed the literature review that culminated in the elaboration of the first version of the instrument. Starting the second stage of the study, the instrument was subjected to expert evaluation, according to the Delphi technique, and should be evaluated by them, judging each item using the established Likert scale, until agreement was measured using the of the Content Validity Index by Item (IVC-I) and the Content Validity Index (IVC) of the instrument, adopting as a minimum reference value 0.78, and an acceptable agreement rate of 80%. Given the meeting of experts, it was possible to determine that the instrument would be organized by four domains: prior to diagnosis; for the diagnosis; treatment; after treatment. Thus, the evaluation criteria were defined, which were translated in the first version of the instrument with ninety-five items. After the first round of evaluation by the experts, of the 17 invited judges, 12 proceeded with the evaluation. It was observed that only 14 items presented CVI-I lower than recommended, CVI corresponded to 0.89, however CVI based on the criteria of the assessment used was equivalent to 0.75 which indicated the need for adjustments. Thus, 50 items were revised, 14 were deleted, 3 were added and 13 were kept according to the original wording. Therefore, the second version of the instrument was elaborated and submitted again to the judges, presenting IVC-I for all items with values above 0,78, in addition to IVC equivalent to 0.98, and according to the evaluation criteria. obtained an IVC of 0,99, compared to the participation of only ten judges. Thus, in view of obtaining agreement between the judges, the instrument was validated according to its content, tense in its final version the existence of eighty-four items. For this instrument the score was proposed based on the percentage of positive responses by domain, and overall, according to three evaluation categories: presence of weaknesses to obtain quality; presence of improvement opportunities to achieve quality; presence of strongholds to obtain quality. The use of such an instrument will contribute to the assessment of the quality of care attention for children and juvenile cancer, thus allowing the diagnosis of this, in order to guide the interventions to optimize the results obtained, consequently directing the organization and formatting of the care attention pursuing the destination of higher quality care attettion for children and young adults.
13
  • EWERTON HANDERSON FIGUEIREDO DE MEDEIROS
  • ANÁLISE DO PROCESSO DE REGULAMENTAÇÃO E FISCALIZAÇÃO SANITÁRIAS DAS COMUNIDADES TERAPÊUTICAS DO ESTADO DO RIO GRANDE DO NORTE

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • JOAO MARIO PESSOA JUNIOR
  • KENIO COSTA DE LIMA
  • ROSIRES MAGALI BEZERRA DE BARROS
  • Data: 14-nov-2019


  • Resumen Espectáculo
  • Therapeutic Communities (TC) are presented as an alternative to the treatment of addiction to alcohol and other drugs. With the insertion of these institutions into the Psychosocial Care Network (RAPS) and their multiplication in various regions of the country, the State has been left with the role of accompanying this dizzying growth and, especially, regulating and overseeing these services. Thus, this study aims to analyze the process of sanitary regulation and inspection related to therapeutic communities located in the state of Rio Grande do Norte (RN). This is a descriptive and exploratory research using a mixed method involving a quantitative and qualitative approach. The target audience were eleven TC and sixteen Health Surveillance (Visa) professionals from various regions of RN. For data analysis, the Statistical Package for Social Sciences (SPSS) was used in the quantitative approach, whose description was based on absolute and percentage frequency and measurements of the distribution center. In the qualitative approach, the technique used for content analysis was the ―thematic analysis‖, which seeks to discover meaning cores present in the communication and that demonstrate some meaning for the research object. Regarding the organizational characteristics of the TC, the results show that most of them are located in rural areas (63.6%), religious in nature (81.8%) and associated with evangelical denominations (63.6%). The family is responsible for a significant part of the institutionalization (90.9%), as well as being the main source of TC funding (63.6%). Regarding the sanitary characteristics of the TC, (63.6%) had an updated sanitary license and only (36.4%) had solid waste shelter. Residents' access to health services in their territories is still one of the problems observed in this study, because despite advances in the approach to primary care services, they are still far from the CAPS and other services offered by the organization. RAPS. The sanitary organs present weaknesses regarding the sanitary regulation and inspection process of these institutions, which, consequently, corroborates the perceived distance between them and the TC, weakening the construction of a permanent interinstitutional dialogue.

14
  • TASSIANA ALICE FIGUEIREDO ROCHA
  • PUBLIC DEATH POLICIES: UNDERSTANDING THE LIFE CARE OF HEALTH CARE SERVICES

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • MARIA ELIANE MOREIRA FREIRE
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • The present work deals with a qualitative research, using as methodological instruments: indepth interview and documentary research, focusing on the thematic content analysis based on Bardin. The objective was to understand the articulation of Primary Care in the Health Care Network for end-of-life care, through the analysis of how actions are developed and articulated health care services to assist people in end of life in the understanding of professionals and health managers. The study was developed in the state of Rio Grande do Norte and had as collaborators the managers and health workers who work in cities with more than 100,000 inhabitants: Natal, Mossoró, Parnamirim and São Gonçalo do Amarante. The collaborators were the Health Secretaries of the cities, the heads of the Primary Care Departments, as well as primary health care doctors, nurses and nursing technicians. The sample size of doctors, nurses and nursing technicians was defined by theoretical saturation. . The narratives were analyzed and categorized following the steps proposed by Bardin: Pre-analysis, Material Exploration, Coding and category selection. The thematic categories were related to the objectives of the work and later grouped into sections for discussion of the results. The complexity of living with the phenomenon of death, described by the research participants, points to an ambivalence: Death that is seen naturally, while there is great difficulty in dealing with it. The structure of the health system and lack of training were pointed out as elements that hinder end-of-life care, in addition to the absence of specific guidelines and provisions that offer subsidies, and the doctrinal principles of SUS were pointed as guidelines. It is considered that this study is an invitation to rethink practices, but also to problematize the very structure of the system. It is an appeal that adds to the struggle for the right to comprehensive care, which considers not only health-related needs but also those related to death.

15
  • EMILY KATHIENE SILVA DE MESQUITA
  • OS DESAFIOS DA ESTRUTURAÇÃO DOS CUIDADOS PALIATIVOS NA CIDADE DO NATAL RN

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • MARIA ELIANE MOREIRA FREIRE
  • KARLA PATRICIA CARDOSO AMORIM
  • KENIO COSTA DE LIMA
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • The purpose was to evaluate how the end of life care is structured in the city of Natal RN. It is about a sectional study, with a convergent parallel combination method type, involving quantitative and qualitative approaches of treatment and data analysis. It was developed at institutions enrolled on the National Academy of Palliative Care Website on Natal RN, that offers the basic needed services regarding palliative care. The included institutions were: Hospital Monsenhor Walfredo Gurgel, University hospital Onofre Lopes and Liga Contra o Câncer. The target population of this study were medical professionals specialized on palliative care or that nominate palliative care and patients under palliative care, accompanied by enrolled institutions at the National Academy of Palliative Care (ANCP), which are able to provide this type of care, during the period of data gathering that occurred between June and September of 2019. Initially, one made an identification of the units who were providing palliative care. After this, one raised the epidemiological profile of patients under palliative care: mostly women, with an age group of 60 to 79 years old, that never smoked and most of them (40.2%) had advanced mammary neoplasia. Afterwards, deep interviews were made with medical professionals with the purpose of identifying the knowledge about palliative care, and finally, it aimed to evaluate the quality of life of the patients under palliative care through the Palliative Care Outcome Scale (POS). We obtained as results that the quality of life is unfavorable, because the scores are always at a moderate level. It is concluded that palliative care in Natal RN is still under construction. For it arose as challenges: The advanced state of illness in which the patient arrives. Professionals feel uncomfortable to indicate palliation, because throughout their training is taught to cure and not care. The unfavorable quality of life results from the entire unfavorable process to palliative care, even with staff and medication support, as it encompasses major factors ranging from culture change to the absence of guidelines that regulate palliative care more effectively.

     

     

16
  • AMANDA ALMEIDA BATISTA
  • HEARING HEALTH PROGRAMS: CONTRIBUTIONS TO DEVELOPING CHILD IMPLANTS
     


     
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • JOSELI SOARES BRAZOROTTO
  • HANNALICE GOTTSCHALCK CAVALCANTI
  • Data: 05-dic-2019


  • Resumen Espectáculo
  • Cochlear Implant (CI) is an electronic device capable of partially replacing a sensory organ in individuals with severe to profound hearing loss. Brazil currently has 26 referral centers that assist the deaf population at all ages, both in the private network and in the Unified Health Service. The objective of this study is to know the sociodemographic profile and the etiology of deaf children submitted to cochlear implantation by the Unified Health System in Rio Grande do Norte. This is a cross-sectional study, based on information from medical records of children using cochlear implants throughout the state, at the cochlear implant referral service, Otomed Clinic. The study population consisted of children from 0 to 12 years old, of both sexes, users of cochlear implants, who underwent surgery and activation between January 2008 and December 2017, residents of the state of Rio Grande do Norte. For the analysis of qualitative variables, it was used the description of absolute and relative frequencies and for the quantitative variables were extracted the measures of central tendency and dispersion. The qualitative analysis also considered the descriptions of the cases with the dissertation of the particular findings of the relevant cases. The partial results show that the service has been working positively regarding the equitable access of low-income families and early diagnosis, however, it was also observed the negative aspects such as the lack of etiological diagnosis of deafness, the cochlear implant after the critical period for oral language development and the failure of medical records.

17
  • LUCIANA MARIA PEREIRA DE SOUSA
  •  

    HUMAN RIGHT TO FEEDING OF WOMEN IN THE PRISONAL SYSTEM OF PARAÍBA

     

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA CAVALCANTI PEIXOTO DE VASCONCELOS
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • GABRIELA MARIA CAVALCANTI COSTA
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 16-dic-2019


  • Resumen Espectáculo
  • The right to food is part of the fundamental rights of humanity and refers to a set of necessary and essential conditions for all human beings, equally and without discrimination, to exist, to develop their capacities and to participate fully and with dignity. of life in society. A challenging context for the realization of the right to food is the scenario of the Brazilian prison system. In 2016, with 42 thousand women deprived of liberty, the occupation rate in the Brazilian prison system, compared to women, is 156.7%, which means that in a space for 10 women, they are in custody 16 women in the prison system. In Paraíba, this rate is over 168% and currently there are 620 women in the state prison system. Overcrowding increases the chance of exposure to precarious conditions and hinders the access of this population to quality food, effective and equitable, thus representing a relevant problem of public health. The aim of this study is to analyze the realization of the human right to adequate food for women in the Paraíba prison system. This is a case study with a qualitative approach, developed in the four prisons that receive women in conflict with the law in the state of Paraíba: The Maria Júlia Maranhão Reeducation Center in João Pessoa, the female prison of Campina Grande, the Penitentiary Ducks and the Cajazeiras Women's Penitentiary. The subjects of the research are representatives of the Paraíba Penitentiary Administration Secretariat, nutritionist of the general storeroom of the state penitentiary administration, female prison officers for the state, women in prison (closed for at least one year) and women in prison that develop labor activity in the kitchens of the penitentiaries studied. Data collection was through semi-structured interview. For data analysis we used the Content Analysis method, by Bardin, 2011. The results are presented through the categories: 1- Scenario of Female Incarceration in Paraíba; 2- Access to adequate food for women in prison in Paraíba; and 3- Perception of women deprived of liberty regarding the right to adequate food. We note that the context of incarceration makes it impossible to realize the right to food with regard to food availability, adequacy, accessibility and stability of supply. As a conclusion, it is evident that with regard to women in the Paraíba prison system, the dimensions of the right to food that refer to being free from hunger and the right to adequate food are not effectively realized. Food for human beings must be understood as a process of transforming nature into healthy and citizenship people. For this, it is essential that practices that promote the right to food consider the principles that relate to it and thus overcome discriminatory and authoritarian practices.

     

18
  • ISABELLE NASCIMENTO DE OLIVEIRA BEZERRA
  • Planning, self-assessment and institutional support in primary health care: a study with data from the 3rd cycle of the Access and Quality Improvement Program

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FABIA BARBOSA DE ANDRADE
  • Data: 17-dic-2019


  • Resumen Espectáculo
  • The aim of this study was to analyze an association of socioeconomic factors with the quality and practices of municipal management in primary health care in Brazil, from a perspective of Planning, Self-Assessment and Institutional Support (AI). An ecological cross-sectional study with aggregation at the municipal level, conducted in 5324 Brazilian municipalities participating in the third cycle external evaluation phase, and statistical data on the final EAB certification of the Access and Quality Improvement Program - PMAQ-AB (2015- 2018). The dependent variables to the management were the activities of Planning, Self-Assessment and Institutional Support by EAB, after grouping by municipality and organization by participation were classified as: 1- “No team perform (2) - what is the quality of AB, how was the EAB grouped into: 1-Good Teams ”; 2- “Bad Teams”, and the answers were categorized as: 1- “No good (bad) teams”; 2- “Partially good (bad)”; 3- "All teams are good (bad)". The contextual independent variables were: Municipal Human Development Index - MHDI; Gini Index; Proportion of 15-24 year olds who do not study, do not exercise and are vulnerable in the vulnerable population in this range; Proportion of extreme poverty; adopted the categorization from the median.  In order to evaluate the associated factors, Pearson's chi-square test (Qui²)  was used. As the main results were observed on the Planning, Self-Assessment and Institutional Support activity, there is a significant association (p <0.001) for the population size, small size municipalities (up to 20,000hab), the best percentages and greater homogeneity within the population. of the territory; In general, the municipalities of the interior perform more as activities than the Brazilian capitals. In regional terms (p <0.001), the municipalities in which all teams develop better management are concentrated in the Northeast (Planning-89.9%; Self-assessment-72.9%; AI-85.1%) and less in the Northeast. North region (Planning-80.4%, Self-Assessment-48.3%; AI-69.1%). When it comes to socioeconomic aspects, or the percentage of management activities is detected in all as EAB in smaller municipalities (Gini up to 0.4900), (Planning-85.3%; Self-assessment- 76.3%; AI-80, 9%); low HDI (up to 0.6630) (Planning-89.1%; AI-83.6%), highest extremely weak proportion (> 6.880) (Planning-89.2%; AI-83.3%). The best teams (good teams) are concentrated in inland municipalities (24.1%), small, up to 20,000hab (29.1%); in the Northeast (26.3%) and lower in the North (10.6%), with lower inequality (Gini up to 0.4900) (28.6%) and highest mean extreme poverty (24.6%). the teams are in municipalities with the best HDI (33.8%); The results show the advancement in shared management, especially in the interior and small municipalities, induced by the equity policies, and expansion of the ESF, strengthening the National Policy of Primary Care, despite the challenges to be overcome, to achieve a management that impacts the work process of the Primary Care Teams and the reduction of regional inequalities.

     

Tesis
1
  • MARIA DE FÁTIMA TRINDADE PINTO CAMPOS
  • MASTICATORY PERFORMANCE AND  ORAL HEALTH IMPACT OF LIFE ON IMMEDIATE LOAD IMPLANT SUPPORTED DENTURES

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANTONIO RICARDO CALAZANS DUARTE
  • CARMEM SILVA LAUREANO DALLE PIAGGE
  • ERIKA OLIVEIRA DE ALMEIDA
  • SANDRA LÚCIA DANTAS DE MORAES
  • Data: 14-feb-2019


  • Resumen Espectáculo
  • Introduction: The impact of oral health on the quality of life (OHRQoL) of patients through the replacement of conventional total dentures (PTC) with implanted implanted prostheses (PFIS) still lacks evidence. Objective: The objective of this non-randomized controlled clinical trial was to compare masticatory performance (PM) and OHRQoL in patients who were rehabilitated with PFIS with immediate loading and PTC. Methodology: The sample included 43 individuals, 4 males and 39 males, mean age 58.56 (± 7.15). All patients were rehabilitated with PTC initially. The PFIS group (20 patients), after 3 months of rehabilitation, had their PTC converted into PFIS and were installed with immediate loading, after the placement of 3 or 4 implants. The OHRQoL was measured using the OHIP - edent questionnaire (Brazilian version) and the PM, using the sieve method. Data were collected before (T0), and after 3 months of installation of PTC and PFIS (T1), remaining in this last group 10 collections to be performed. The statistical analysis was developed from the Generalized Estimates and Poisson distribution, adopting α≤0.05. Results: It was evidenced that the PFIS group had better PM when compared to the PTC group (1.71 mm, p <0.001) and in the initial condition (CI) (1.41 mm, p <0.001). PTC group did not improve their PM (0.30 mm, p = 0.02). Regarding OHRQoL, it was identified that the PFIS group obtained better results in all domains of OHIP-edent in relation to IC (p <0.01). When compared to the PTC group, the PFIS group was only higher in domain 3 (0.42 mm, p = 0.08). The OHIP-edent values were also different among the groups, with the lowest scores in the PFIS group followed by the PTC group and the CI group, with a significant difference between them (p <0.01). There was also a positive and moderate correlation between PM and OHIP-edent (r = 0.51; p = 0.03) in the PFIS group alone.

2
  • LAERCIO ALMEIDA DE MELO
  • PREVALENCE AND FACTORS ASSOCIATED WITH MULTIMORBIDITIES IN BRAZILIAN OLDER ADULTS

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • VILANI MEDEIROS DE ARAUJO NUNES
  • LEANDRO DE ARAUJO PERNAMBUCO
  • MANUEL ANTONIO GORDON NUNEZ
  • Data: 18-feb-2019


  • Resumen Espectáculo
  • The objective of this study was to identify the prevalence of multimorbidity in the elderly in Brazil and its factors associated with socioeconomic and lifestyle variables. This is a cross-sectional, population-based study. The database was used for the National Health Survey. The elderly were considered multimorbital when they had a diagnosis of two or more chronic diseases. In the analysis of the data, the chi-square test was used and then the prevalence ratios were estimated by means of Poisson multiple regression, both with 95% confidence level. A total of 11,697 elderly people with a mean age of 70.1 years participated in the study. The prevalence of multimorbidity was 53.1%. As a result of the multivariate analysis, the elderly (p<0.001), the older (p=0.002), those who are not single, more strongly associated with widowers (p=0.001) and those with health insurance in the (p<0.001) are associated with multimorbidity. Compared with the elderly with two chronic diseases, women are associated with three (p=0.003) and four or more chronic diseases (p<0,001). In addition, hypertension and high cholesterol (31.3%), hypertension and stroke (30.9%) and hypertension and diabetes (23.3%) were found to be the most prevalent conditions for those with multimorbidity. There was association of the first condition with the female sex (p<0.001), younger elderly people (p<0.001) and the fact of not smoking (p = 0.005). On the other hand, the second condition was associated with female gender (p = 0.001) and low level of education (p<0,001). The third group was associated with low educational level (p=0.020), those who did not exercise (p<0.001) and did not smoke (p<0.001). It is concluded that multimorbidity in Brazilian elderly is a very common condition and that it has been influenced by socioeconomic factors and little related to lifestyle. However, for the main multimorbities, in addition to socioeconomic conditions, lifestyle also influenced their prevalence.

3
  • MATHEUS DE SOUSA MATA
  • INEQUALITY IN MORTALITY AND THE COMPOSITION OF THE INEQUITY IN HEALTH INDEX IN A BRAZILIAN CAPITAL

  • Líder : IRIS DO CEU CLARA COSTA
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • IRIS DO CEU CLARA COSTA
  • SAIONARA MARIA AIRES DA CAMARA
  • ALEXSANDRO SILVA COURA
  • ARDIGLEUSA ALVES COELHO
  • Data: 25-feb-2019


  • Resumen Espectáculo
  • Differences in health outcomes among different population groups are revealed by several academic studies and government reports, and are not new. Nevertheless, the theme of social inequalities is the object of a recurrent study in the different areas of knowledge, perhaps due to the expansion of these inequalities over the years. In Brazil, despite the reduction in inequalities in the last decades, there is an immense inequality and there is a clear distinction between health indicators between north-south of the country, mortality among blacks and whites, and sickness among the poorest and the most affluent. In view of this, this study proposes to describe the inequality in health in a Brazilian capital and, also, to propose an index that is composed of health and socioeconomic indicators. Descriptive analyzes consisted of comparing the average of years lived between the districts of the city of Natal-NR, as well as the means of the potential years of life lost. The creation of the Index of Inequality and Vulnerability in Health (IDVS), in turn, sought to contemplate the data of the census tracts, whose area is smaller than a neighborhood, allowing to discriminate even better the inequality within the territories. The results show that the difference in the average of the years lived between the neighborhoods of Natal-RN reaches 25 years, with the worst neighborhood showing comparable mortality conditions to poor countries in Africa, whereas the neighborhood with the highest average of years lived is similar to the Brazilian average. The results point to a relationship between health outcomes and socioeconomic indicators. For index creation, factorial analysis and cluster analysis were consistent methodological possibilities, and it is not conclusive which is the best option to describe territorial inequalities in smaller units, such as the census tracts.
4
  • MARCOS FELIPE SILVA DE LIMA
  • Assessment of nutritional status, development and validation of equations for the estimation of weight and height among elderly people living in nursing homes.

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 22-jul-2019


  • Resumen Espectáculo
  • Malnutrition in elderly people is related to the fragility, multimorbidity and mortality. In order to identify the risk of deficits early, anthropometric methods based on weight, height, perimeters and skinfolds can be used, which allow for the evaluation of anthropometric indicators. When it is not possible to measure weight and height, estimative equations can be used from these measures. The objective of this study was to evaluate the anthropometric nutritional status, to develop and validate equations for estimating weight and height in elderly living in nursing homes. The study was conducted with elderly people living of nursing homes in Brazil. Anthropometric data (weight, height, body perimeters and skinfolds) were collected for each participant. For analyze the anthropometric nutritional status Principal Component Analysis stratified by sex was performed and the factorial scores of the chosen model were evaluated in relation to the age group, type of nursing home, racial/ethnic identity, schooling, burden of disease and functional capacity. Methods of weight and height estimation were elaborated by linear multiple regression. The regression models developed considered statistical reliability criteria, such as the coefficient of determination (R²), the standard error of the estimate and the Akaike Information Criterion (AIC). The prediction equations were validated by concordance tests such as the Intraclass Correlation Coefficient (ICC) and its respective confidence interval (95% CI). For all analyzes, p values <0.05 were considered statistically significant. Regarding the analysis of main components, the extracted components were denominated "Anthropometric Nutritional State (ANS)" and "Stature (S)". It was verified that the elderly people living in non-profit nursing home (male ANS = -0.855, female ANS = -0.952, male S = -0.919, female S = -0.711), non-white color (male ANS = -0.866, female ANS = -0,816, male S = -0,783; female S = -0,700), low level of schooling (male ANS = -0.973, female ANS = -0.931, male E = -0.846, female E = -0.692), and with a restriction of mobility (male ANS = -0,855; female ANS = -1,076) were the ones that presented the lowest score in the evaluation by the joint indicators. In relation to the development of weight equations, we developed models of predictive equations broken down by the perimeter of the arm, another model adjusted to the statistical criteria, and a third model of equations with measures that are easy to obtain in bedridden or wheelchair-bound elderly. The most appropriate model is calf circumference, knee height, waist circumference, subscapular skinfold, age and sex (ICC = 0.876). Regarding the development of equations of height estimation, models were developed with measurements of knee height, hemi-span, demi-span or ulna length. The most adjusted model uses knee height, age and sex (ICC = 0.863). The components "Nutritional Status" and "Stature" were extracted, which had relation with, especially, the restriction of mobility. The development of weight and height estimation methods followed statistical criteria and the convenience of collecting the component variables of the models.

5
  • IRISMAR KARLA SARMENTO DE PAIVA
  • Psychosocial Care Network IN the interface with homeless persons: BETWEEN THE INSTITUTED AND THE instituting

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ANDERSON DA SILVA ROSA
  • ANA KARENINA DE MELO ARRAES AMORIM
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 29-jul-2019


  • Resumen Espectáculo
  • This research brings up the interface Psychosocial Care Network (PCN) and Homeless Persons (HPs). These people have historically been relegated to the commonplace of crime and madness, constituting a challenge for health services, which requires us to break with the institutionalizing and bureaucratized ways of producing health towards a true integration among actors/services/social movements in line with the principles of the Brazilian Sanitary Reform (BSR) and of the Brazilian Psychiatric Reform (BPR). The core objective of this paper is to analyze how the articulation among the services of the Psychosocial Care Network in Natal/RN is performed in the perspective of the comprehensive care for the homeless persons. This is a qualitative research with descriptive-exploratory approach, guided by the light of dialectical historical thought. Data collection took place by means of the circulation of ten services representing the five Health Districts that integrate the components of the Psychosocial Care Network in Natal/RN, establishment of a focus group with professionals of this Network and semi-structured interviews with 13 homeless citizens who were users of these services. It received the approval from the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (HUOL-UFRN) on August 9th, 2018 – CAAE 92971818.1.0000.5292 and opinion nº 2.809.420. The construction of the results entailed movements from concrete to abstract, from singular to plural, seeking new references that illuminate the research object. The results were systematized on the basis of the Minayo’s operational proposal, drawing up the following analytical categories: Homeless Persons in the Psychosocial Care Network: from white blindness to black numbers, where we discuss how PCN sees the Homeless Persons. These people, when not invisible, are associated with stigmas and labels that refer them to places of discredit, street of exception, i.e., deathly life. Regarding the access of the Homeless Persons to the mental health services, we can identify numerous barriers that separate the places of care from the empty place of the (de) territorialized individuals. Faced with this model of lack of care, we should place our bet on the processes of singularization as a challenge to introduce care to these people. Psychosocial Care Network: on the tightrope of the care structure, which consists of a Network balance performed through the challenges for deinstitutionalization of madness. Although we have been identified in this category obstacles that walk against the Brazilian Psychiatric Reform, we recognize potentialities that favor its effectiveness in the instituting forces that are arranged in a micro-politics of the desire. In summary, the interface Psychosocial Care Network and Homeless Persons has vulnerabilities, being this public relegated to a kind of exile landscape that hampers the achievement of the right to health. Moreover, the living condition of the public in question requires us to consider the different ways of inhabiting and circulating in the city, the inclusion of diversity and the production of new sociabilities. We hope that the results may serve as a way of contributing to the feasibility of a national policy for homeless persons in the loco-regional context; and, in the molar dimension, we intend to activate instituting ways of fostering the Brazilian Psychiatric Reform and the defense of the right to health as a matter of citizenship.

6
  • JANMILLE VALDIVINO DA SILVA
  • Perspectives of the sexual violence in Brazil

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • EDMILSON LOPES JUNIOR
  • JOSÉ MARIA PEREIRA DA NÓBREGA JÚNIOR
  • MARIA ANGELA FERNANDES FERREIRA
  • THADEU DE SOUSA BRANDAO
  • Data: 02-ago-2019


  • Resumen Espectáculo
  • Sexual violence has a major impact on individuals, families and society in general. In addition to being a violation of human rights, it causes profound damage to physical, sexual, reproductive, emotional, mental and social well-being. However, due to their nature, their occurrence and impacts are often veiled, resulting in a significant underestimation of the actual level of damage caused. This type of injury has been registered in all countries, but the issue is still little investigated in developing countries. In this perspective, this paper aimed to know, from a conceptual and epidemiological point of view, the situation of sexual violence in Brazil, analyze its evolution over the years and its association with contextual characteristics and social inequities. To do so, this study was developed from six different designs in order to contemplate as much as possible the strands that involve such a complex phenomenon. In the first study a conceptual essay on sexual violence was carried out. In the other studies, an epidemiological approach was adopted using ecological designs with different statistical models. As for the units of analysis, individual data were used, from the municipalities and Brazilian federal units. The results analyzed in all the studies were the occurrence of sexual violence, in different calculations, with data collected by the Violence and Accident Surveillance System (VIVA) and / or National System of Public Security and Criminal Justice Statistics (SINESPJC). The independent variables used were individual characteristics collected by VIVA; contextual characteristics related to education, economic, social and employment conditions extracted from the Brazilian Census; and contextual variables related to health services, social services and public safety, obtained respectively from the National Registry of Health Establishments (CNES), the Public Health Information System (SIOPS), the Census of the Single Social Assistance System SUAS) and the Brazilian Yearbooks of Public Security. Descriptive analyzes, mean comparisons, multilevel Poisson analysis, multiple linear regression analysis for panel data, inequality analysis and multiple linear regression were performed. The results point to an unequal gender structure in Brazilian society, with a male hegemonic pattern that establishes behaviors and social positions, which has favored sexual violence. As for the associated factors, both individual and contextual characteristics are related to sexual violence, observing a strong contextual effect, at the level of federative units. The records of sexual violence were more prevalent in Brazilian municipalities and federative units with better socioeconomic conditions. These records varied over the years 2010 to 2014 between the Brazilian federal units, with an overall increase over the years. In the same period there was an improvement in the indicators of economic and social conditions in the Brazilian states and municipalities, with the highest records of sexual violence associated with the best living conditions in all years. There was an increase in the inequality of the rate of notifications of sexual violence as a function of household income and HDI. There was a reversal in the reports of sexual violence structured by social inequality in Brazil. There was an increase in the reporting rate of sexual violence, which was accompanied by a simultaneous increase in reporting inequality. Rates of records of sexual violence vary according to the registration system. In general, the police system recorded more sexual violence than the health services system. There is considerable underreporting of sexual violence in the VIVA system, especially in the southern region of the country and in small towns. However, in some federative units, the VIVA registry is more efficient in capturing sexual violence than the police system. Contextual factors are also associated with sub-registration of sexual violence in different information systems on the subject. It is concluded that more incisive gender equality policies backed by the reduction of structural violence are still necessary in Brazil to confront sexual violence. In addition, guarantees of basic rights, such as education and income, are also needed, both to reduce the statistics of the problem and to improve the registration of this grievance in the national information systems. More equitable income distribution and increased social development are also relevant factors in combating sexual violence in the country. Finally, it is understood that for the construction of more assertive health policies in the fight against sexual violence, it is necessary to compile information from different sources, considering that there is currently a considerable underreporting of the VIVA system, the main governmental tool of situational analysis of violence in the country.

7
  • INGRID FREITAS DA SILVA PEREIRA
  • Life expectancy free of lifestyle-related risk factors in the Brazilian population

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIRELA CASTRO SANTOS CAMARGOS
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 19-ago-2019


  • Resumen Espectáculo
  • The substantial increase in life expectancy in Brazil in the last decades makes it essential to know the health situation and the quality of the years lived by the country’s longest-lived population. In this context, Chronic Non-communicable Diseases (NCD) point out as the main causes of limitations, disabilities and morbimortality. Measuring the occurrence and magnitude of lifestyle-related modifiable risk factors for NCD is an indispensable premise for meeting this emerging demand through effective public policy. In this sense, the aims were: (1) to identify multidimensional profiles of lifestyle-related risk factors, describing the prevalence of the sociodemographic and self-perceived health profiles and their characteristics; (2) to estimate life expectancy free from lifestyle-related risk factors in the Brazilian population. This is an ecological study, based on data from the National Health Survey (Pesquisa Nacional de Saude, PNS) published in 2013. Grade of Membership (GoM) method was used to identify lifestyle profiles, with data from 45,881 individuals over 30 years by applying the inclusion of 12 lifestyle-related variables. The analysis of the characteristics associated with these profiles was done through Pearson's chi-square test and unconditional logistic regression. The prevalence of the healthy profile identified in the first stage of the study - alongside the Brazilian population's life table for 2013 - were used in the Sullivan's method to calculate life expectancy free of lifestyle-related risk factors. In this stage, individuals aged between 30 and 69 years were selected, totalling 40,942. Two lifestyle profiles were identified in the first stage of the study: a profile called “healthy profile” (61.6%; 95% CI 61.1 - 62.2), characterized by adequate consumption of fruits and vegetables, fish, and non-regular consumption of soda, meat with fat and beans. The profile was also characterized by overweight and for meeting the recommendations for physical activity at leisure time. The second profile was entitled “risk profile” (38.4%; 95% CI 37.8 - 38.9), characterized by non-consumption of healthy markers, except bean consumption, by the consumption of all unhealthy markers of eating, replacing meals with snacks, alcohol consumption and tobacco use. The second profile was also characterized for not being physically active at leisure and for being eutrophic when it comes to the Body Mass Index (BMI) classification. The healthy profile was associated with females, elderlies, white populations, residents of the North and Northeast regions of Brazil, widowed, married, high-educated populations and individuals who evaluate their health habits positively. The risk profile was associated with males, young adults, residents of the Midwest and South regions of Brazil, singles, less educated populations and individuals who evaluate their health habits negatively. The estimated lifetime for Brazilians free of lifestyle-related risk factors at age 30 was 29.5 years for both sexes: 33.5 years for women and 25.5 years for men. Females had a higher life expectancy free of risk factors at all ages in relation to males, although the gender disparities reduced with increasing age. The findings of the present study show the association of lifestyle-related risk factors with sociodemographic characteristics and contribute to the discussion of gender inequalities when it comes to morbimortality. Brazilian men live less time free of lifestyle-related risk factors, which may contribute to the high rates of premature mortality among them.

8
  • DENISE GUERRA WINGERTER
  •  

    ACURACY OF THE PROBABILISTIC RELATIONSHIP OF RECORDS IN THE IDENTIFICATION OF OBJECTS BY FALLS OF ELDERLY PERSONS IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • GRASIELA PIUVEZAM
  • KENIO COSTA DE LIMA
  • MARTA ROVERY DE SOUZA
  • NEIR ANTUNES PAES
  • Data: 29-ago-2019


  • Resumen Espectáculo
  • The underreporting of deaths due to falls in the elderly has been commonly observed. In this regard, the probabilistic relationship of records has been increasingly used in the identification of subregistrations and for the improvement of information quality. The objective of this study was to evaluate the accuracy of the probabilistic relationship in the identification of deaths by falls individuals aged 60 and over in the State of Rio Grande do Norte, in the years 2010 and 2015. This is a Diagnostic study based on in the probabilistic relationship (linkage) of death records by falls reported to the Mortality Information System (SIM) and hospitalizations with falls information in the Hospital Intervention System (SIH) using RecLink software. In 2010 and 2015, a total of 23631 deaths were reported to the elderly, and 106 (0.45%) of them were caused by falls. In the same period, the SIH reported 3107 hospitalization procedures for the elderly with primary or secondary diagnosis of falls, of which, 163 died, a difference of 57 deaths. The method presented sensitivity of 99.9% in 2010, specificity of 74.7%, positive predictive value of 65.4%, negative predictive value of 99.9% and accuracy of 82.8%, in 2015 these values were, respectively, 99.8%, 83.8%, 62.6%, 99.9% and 87.2%. After linkage the specific mortality coefficient for fall was adjusted in 2010 from 15.9 to 65.2 / 1000.000hab, and in 2015 from 14.7 to 64.3, an increase of 308% and 333% respectively. These results suggest that the probabilistic relationship of registers is a valuable tool in the identification of under-registration in the systems. It is observed the need to qualify the morbidity and mortality data by falling in the elderly in the NB, so that the epidemiological picture can be closer to reality and that this data can serve as a basis for the design of strategies for health promotion and prevention of this aggravation.

9
  • NATERCIA JANINE DANTAS DA SILVEIRA
  • PROGRAMA MAIS MÉDICOS: ANÁLISE DA PRODUÇÃO DE CUIDADOS NA ATENÇÃO PRIMÁRIA A SAÚDE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • PAULO DE MEDEIROS ROCHA
  • FABIO CESAR BRAGA DE ABREU E LIMA
  • JULIANA SAMPAIO
  • Data: 10-sep-2019


  • Resumen Espectáculo
  • Brazil has been currently experiencing a struggle for the survival of the Unified Health System (SUS) as a political and democratic project in a scenario where there is the strong feeling of a collapse of the public sector and profound difficulty in the continuation of social policies. A scenario with the prevalence of distributive inequality with respect to human resources persists, which translates into cracks in the production of integral care. The purpose of the “More Doctors” Program (PMM), launched in 2013, is to educate/train human resources in the medical area of the SUS, it is the main public policy in terms of the emergency provision of care in the country. The research intends to analyze the production of care conducted by the professionals of the More Doctors Program in Brazil in 2015. For that purpose, quantitative and observational research was conducted, relying on the use of secondary data derived from the report of the first supervision visit, held in 2015, related to the working process and the health actions. For the data analysis, it was used the multiple model approach through Poisson regression with robust variance and the multiple correspondence analysis for the identification of the latent variable. It was also used qualitative research in small and extremely vulnerable municipalities, namely: Venha Ver, Riacho de Santana, Vera Cruz and Jardim do Seridó, where techniques such as Observation and Focus Group were performed. Data analysis was conducted through Minayo’s operative proposal. An analysis of data from 3,816 municipalities, encompassing 16,000 professionals, was conducted. The production of care pervaded the working process, with emphasis on the principle of fairness, taking into account that the most vulnerable municipalities and which count on a larger coverage conduct a larger number of activities in their working process. With respect to the professional profile, the production of care permeated the health actions, obtaining three professional profiles: “Bright White: the community physician”; “White Coat: the clinical-traditional physician”; “Promotion, Prevention and Education: construction of the medical professional”, which have their practices associated with the professional background, consolidating itself as a determining factor for the carrying out of actions compatible with the population’s real needs. Such findings were associated with the socioeconomic variables, with special focus on funding, health centers’ infrastructure and coverage. The production of care was consolidated and embodied through narratives experienced by the social players in the municipalities in Rio Grande do Norte’s countryside which associated the More Doctors Program (PMM) to an “enzyme”, a catalyzing element for the strengthening of Primary Health Care, being capable of causing changes in the care models, as well as in the working process. It is concluded that, with the implementation of the More Doctors Program (PMM), it took place the consolidation of the tripod working process in health, basic care and fairness, making it possible the carrying out of a working process focused on the Primary Health Care (APS). This implies in the performance of a larger number of activities inherent to the Primary Health Care, which were not conducted as a result of the absence. It’s also suggested strategies to expand the scope of the practices carried out in the Primary Health Care, from the perspective of permanent education and training of health professionals, being of paramount importance the emphasis on the routine of the service.

10
  • ANDERSON NICOLLY FERNANDES DA COSTA
  • Avaliação longitudinal da condição periodontal em idosos institucionalizados e não institucionalizados 

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • GUSTAVO PINA GODOY
  • KENIO COSTA DE LIMA
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • YURI WANDERLEY CAVALCANTI
  • Data: 11-oct-2019


  • Resumen Espectáculo
  • Since changes in the oral cavity that cause aging lead to physiological changes that predispose the elderly to develop periodontal diseases, which is the most common condition, causing changes in periodontal tissues that most often culminate without edentulism. Before that, this research aimed to investigate a periodontal condition in institutionalized and non-institutionalized elderly from philanthropic and private institutions. This research is characterized by being a qualified prospective cohort for 128 elderly, 94 non-institutionalized and 34 institutionalized elderly. Most of the elderly were diagnosed with periodontics in stages I/II and grade A. The periodontal condition of the elderly is applied by individuals suffering from institutional damage or not seen by those suffering gingival bleeding, dental calculus, shallow and deep periodontal pocket. As latent variables created from the periodontal condition were Periodontal disease, Periodontal disease sequel and Deep periodontal pocket. There was a significant relationship (p <0.05) between functional capacity and periodontal impact factors and Deep periodontal pocket. The worsening of the Deep periodontal pocket factor was associated with variables institutionalization, diabetes and cognitive ability. It was concluded that in relation to periodontal diagnosis, the majority of the elderly have a higher prevalence of periodontics in recent groups and granules, as well as the elderly who were not institutionalized, non-diabetic and oriented are related to the worst Deep periodontal pocket. 

11
  • JONIA CYBELE SANTOS LIMA
  • PROFESSIONAL TRAINING FOR THE UNIFIED HEALTH SYSTEM AND PERCEPTIONS ON PUBLIC HEALTH CONTENTS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • DANIELA LEMOS CARCERERI
  • ELIANA COSTA GUERRA
  • JANETE LIMA DE CASTRO
  • LUIZ ROBERTO AUGUSTO NORO
  • TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA
  • Data: 18-nov-2019


  • Resumen Espectáculo
  • Most health courses, guided by the National Curriculum Guidelines (DCN), have sought to privilege the Unified Health System (SUS) as the preferred setting for academic education. This perspective has been emphasized in the pedagogical projects of these courses and in the incorporation of teachers with collective health education seeking to approach this logic. The objectives of the present study were to define essential elements to be addressed for SUS-oriented education, to identify students' views on the impact of these elements on their academic education and their possible insertion in the SUS, and to analyze the perception of teachers of Brazilian dentistry courses on the possible advances already achieved in the academic education for SUS. It is a research composed of three phases. In the first phase, an evaluability study was conducted to validate the matrix of criteria with an approach to the fundamental elements to the academic education processes, enabling health professionals to work in the SUS. The matrix was characterized as a tool for knowledge integration, starting from the premise that by taking the essential competences to the formation in SUS, the formative process can be problematized by all actors involved. In the second phase, the validated matrix was applied to graduating students of health courses at UFRN, characterized as a case study with quantitative, cross-sectional and exploratory approach. Among the findings of the study, there was a significant number of students who reported wishing to work in the SUS, which is a positive point when considering the constant disputes between the public and private sector to attract professionals. With the participation of 119 teachers of dentistry courses from various Brazilian Higher Education Institutions, the third phase of the study was conducted. Participants responded to the validated criteria matrix, and exploratory factor analysis was performed for data analysis, which defined five factors responsible for the formation of SUS: Primary Care; Social Responsibility and Teamwork; Health Management; Information Systems and Continuing Education / Humanization. The clear signaling of the main advances indicated by the professors of dentistry courses, participants of this study, is configured as an essential aspect for understanding the education focused on the SUS. The following stand out as progress: the planning of activities and the development of actions in Primary Care; the learning scenarios that run through diverse knowledge which encompass the contents of teamwork; knowledge of SUS principles and guidelines; the Primary Care information system that brings mastery and knowledge based on valuing health analysis; the perception of social groups, knowledge of language and the reality of the community; the process of territorialization of the area of action of the team, considering the social, economic, demographic and epidemiological characteristics of the territory and turning to the applicability of the provisions of the National Humanization Policy. However, there are challenges posed by teachers that require a deepening in order to face the barriers still posed by traditional health education.

12
  • ADALA NAYANA DE SOUSA MATA
  • TECHNOLOGIES FOR IMPROVING QUALITY OF COMMUNICATION SKILLS IN PRIMARY HEALTH CARE

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • SUELY GROSSEMAN
  • GILBERTO MARTINS SANTOS
  • GRASIELA PIUVEZAM
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 06-dic-2019


  • Resumen Espectáculo
  • Communication skills used as an important tool for patient-centered health systems and services. An effective professional-patient relationship should consider the patient's needs, placing them as an active subject in the decision-making process of their healthcare. Improved care can be stimulated through assessment and training in communication skills that enable behavioral changes in clinical practice. This study aims to develop technologies to improve communication skills of primary health care professionals. It is structured in a two-phase methodological model. Phase 1 includes the Systematic Review study and the process of cross-cultural adaptation and validation, and phase 2, the construction of the training protocol. The implementation of the Systematic Review was designed to provide scientific information on effective communication skills training to improve the self-efficacy of health professionals. We included 5 clinical studies investigating the effectiveness of communication skills training by searching 8 databases, extracting information on time, content and assessment methods employed. The quality of the studies was assessed by Risk of Bias by RevMan software. The review pointed out that the programs include content related to the basic concepts of communication, contextualized to the context in which professionals are inserted, and patient-centered. They use student-centered learning strategies such as videos and role play, pointing to improved communication skills after the intervention. the process of cross-cultural adaptation and validation of the Self-Efficacy Questionnaire (SE-12) was performed using standard methodology, through the following steps: conceptual and item equivalence, semantic equivalence (translations, retranslations, formal appraisal, discussion and synthesis, and pretest), operational and idiomatic equivalence, and measurement equivalence through Cronbach's Alpha (α) internal consistency analysis and exploratory factor analysis. A viable instrument was produced for the Brazilian context, which after some adjustments was considered valid, presenting high internal consistency (α = 0.946), and factor analysis indicating a single dominant factor in SE-12, with high correlation between items. Phase 2 is the construction of a communication skills training program for health professionals, consisting of 2 content modules, which should address basic concepts and specific themes of communication through active learning methodologies. The program should be implemented through 3 meetings in each module, with follow-up at 12 months. The evaluation of the participants should take place in six moments, through the Self-efficacy Questionnaire (SEbr-12) and the Jefferson Empathy Scale. The systematization of scientific evidence, the construction of an accurate and useful measure to assess the self-efficacy of communication of health professionals, and the proposal of a communication skills intervention program can instrument the improvement processes that focus on focused care. to the patient.

2018
Disertaciones
1
  • ARETHA HEITOR VERISSIMO
  • EFFECT OF DIFFERENT REPAIR STRATEGIES ON THE BOND STRENGTH TO COMPOSITE RESIN AND CELL VIABILITY OF NEW CAD/CAM BLOCKS: IN SITU STUDY


  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • PATRICIA DOS SANTOS CALDERON
  • RENATA MARQUES DE MELO
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 20-mar-2018


  • Resumen Espectáculo
  • Introduction: New CAD/CAM blocks of resin, hybrid and ceramic restorative materials have been recently developed. However, the literature does not yet have a repair protocol for these materials against a cohesive fracture of the restorative material. Purpose: To determine the influence of surface treatment (diamond burs, abrasive jet Al2O3, COJET, and hydrofluoric acid) and in situ aging on CAD/CAM shear bond strength (Lava Ultimate / 3M, Vita Enamic / VITA and VITA Suprinity / VITA) to the composite resin. Methodology: 300 blocks (6 x 5 x 2.5mm) were made, with 100 of each restorative material. Fifty samples of each restorative material were embedded in total dentures in use, and after a period of 60 days (aging in situ), the 150 aged and 150 no aged samples were randomly divided (N = 30 / n = 10) according to treatment done: Diamond burs + Single Bond Universal (SUB), Diamond burs + silane + conventional adhesive; Hydrofluoric acid 10% + silane + conventional adhesive; COJET + silane + conventional adhesive; abrasive jet aluminum oxide Al2O2 + silane + conventional adhesive. Then, Z350 (3M ESPE) composite resin cylinders (Æ: 2.37mm, height: 2mm) were built on the cementation surface of the blocks. Subsequently, the 300 specimens were then thermocycled (10,000 cycles, 50 / 550C) and then the shear test (50KgF, 0.5mm/min). After fracture, the failure analysis was performed in stereomicroscope (20X). Additional samples were made from each restorative material for further analysis: Vickers microhardness (10 units each); analysis of cell viability (10 units each); scanning electron microscopy (SEM) analysis of surface treatments (10 units each). And in two samples of each block by surface treatment were carried out the analyzes of EDS and XRD for characterization of the materials. The data of shear strength (MPa), cell viability (UFC/mL) and microhardness (HV) were analyzed statistically by ANOVA (2 factors) for the first two (1 factor) for the latter and Tukey's test (5%). Results: For the LU, the highest bond strength was observed in the group Diamond burs + Universal Single Bond (SUB) aged (14.67Mpa), for the VE the aged HF group (17.10Mpa) had higher union strength, for VS the HF group without aging (14.27Mpa) presented higher bond strength. Adhesive failure presented a higher prevalence in all types of CAD / CAM block. The Vita Suprinity (734.31HV) exhibited the highest hardness of Vikers and the Lava Ultimate (137.34HV) the lowest statistically relevant. Cell viability demonstrated no difference between fungal adhesion between the three materials. Regarding the analysis of the treated surfaces (SEM), it was observed that the blasting showed a greater change in the surfaces of the materials; the EDS analysis showed that surface sandblasting with Al2O3 and COJET showed the deposition of aluminum in the composition of all materials. Conclusion: The bond strength of the materials was altered by in situ aging. The zirconium-reinforced glass ceramic has a higher hardness, surface treatments promote surface changes of topography as composition in the materials tested.

2
  • ANA EDIMILDA AMADOR
  • The youth lost in Brazil: socioeconomic and spatial inequalities in youth mortality due to violence.

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARTA ROVERY DE SOUZA
  • Data: 03-may-2018


  • Resumen Espectáculo
  • The objective of this study was to analyze the inequalities in spatial distribution of mortality among young people aged 15 to 29 years due to violent causes in Brazil. This is an ecological study in the 482 in the Immediate Regions of Urban Articulation (RIAU) of Brazil. The spatial distribution of violent deaths, intensity and significance were assessed using the Global and Local Moran index, their correlation with socioeconomic variables, and the Years of Life Lost (YLL) indicator for the period from 2001 to 2015 for five years. There were 425,180 deaths of young people due to violence in Brazil. Deaths were obtained in a secondary way from the Mortality Information System and the socioeconomic indicators of UNDP. The RIAUs that presented the highest Standardized Mortality Rates from 2001 to 2005 were: Foz do Iguaçu (48.45 deaths/ 100 thousand young people), Recife (42.26 deaths/ 100 thousand young people) and Vitória (37.18 deaths / 100 thousand young people); from 2006 to 2010: Foz do Iguaçu (48.12 deaths/ 100 thousand young people), Maceió (43.95 deaths/ 100 thousand young people) and Porto Seguro (40.40 deaths/ 100 thousand young people). From 2011 to 2015: São Miguel dos Campos - AL (53.29 deaths/ 100 thousand young people), Porto Seguro - BA (48.74 deaths/ 100 thousand young people) and Maceió - AL (45.13 deaths/ 100 thousand young people). The Moran Global test pointed to a pattern of spatial dependence in the distribution of rates for the North, Northeast and Southeast regions. These deaths resulted in a loss of YLL of 6,435,042.5 years in the first period, 6,494,960 years in the second and 7,216,005 in the third. The mean age of death is at 22 years of age, resulting in a mean PWL / death of 47 years. The ratio of YLL to sex ratio was 15.09 from 2001 to 2005 and from 15.22 from 2011 to 2015. Male overmortality is observed for all quinquennia, as well as for the black population, compared to the white population. The bivariate analysis showed that, among the 9 selected socioeconomic indicators, all correlated significantly with the RIAU Standardized Mortality Rate (p<0.05). It is concluded that violence mortality is unevenly distributed in the immediate regions, forming clusters in the north, northeast and southeast of the country. Although with a weak correlation with the socioeconomic factors, there was an unequal distribution in the territory, as well as differentials of YLL by sex and race / color.

3
  • DANYLLO DO NASCIMENTO SILVA JUNIOR
  • QUALITY OF HOSPITAL CARE IN RIO GRANDE DO NORTE: EVALUATION OF USERS AND COMPANIONS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ELLANY GURGEL COSME DO NASCIMENTO
  • LUIZ ROBERTO AUGUSTO NORO
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 12-jun-2018


  • Resumen Espectáculo
  • The evaluation in the health area has gained more and more space in the national and international scenario, quality being one of the strategic elements on which the transformation and improvement of modern health systems is based. This research had the general objective of analyzing the perceptions of users and companions about the quality of hospital care in Rio Grande do Norte. To that end, the methodological course was guided by the following steps: (a) an integrative review was carried out, aiming to identify national and international perspectives related to the quality evaluation of hospital care; (b) a sectional study with the objective of identifying relationships among socio-demographic variables of users who answered the SUS Charter with characteristics of the hospital and outpatient services of the Unified Health System (SUS); (c) an analytical cross-sectional study to evaluate the SUS users' satisfaction regarding hospital and outpatient care, with reference to the physical structure, the health team's attendance and the quality of the treatment received; and (d) a qualitative study aimed at capturing and evaluating the perception of users and caregivers of public hospitals and contracted to SUS in Rio Grande do Norte. The results evidenced that most of the studies produced in Brazil and in the world about the subject had the user as a public, as well as American origin and quantitative approach. Of the total SUS SUS respondents, 62.3% were women, 62.4% were over 40 years old, 56.8% were in services in the interior, 70.3% in public services, the majority of the visits (68.7%) characterized as of medium complexity. The overall level of user satisfaction with services was above 80% in almost all regions of the state. The results also showed that there was no difference in the evaluation of services when compared to men and women; people over 60 tend to better evaluate health services; in all aspects the high complexity and services of the capital had better results (p≤0.001) and users evaluated more positively the service rendered by the private units agreed to the SUS than the public establishments. Regarding the qualitative findings, it was noticed that users and companions presented variations when comparing the types of hospitals, with fewer complaints to a university hospital before a state hospital of reference. It was also noticed that issues involving structural and material resources tend to have a greater negative impact on the perception of users. In general, this research revealed that the users were satisfied with the health services, however, peculiar aspects as indicated in the results of this study collaborate for the change in satisfaction level and reveal deficiencies in fundamental aspects for the guarantee of the organizational arrangements and the integrality of the care, essential to the process of realizing SUS.

4
  • RODOLFO XAVIER DE SOUSA LIMA

  • Physical and biological properties of experimental self-etching adhesive systems

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • ISAUREMI VIEIRA DE ASSUNCAO
  • PEDRO HENRIQUE SETTE DE SOUZA
  • Data: 25-jun-2018


  • Resumen Espectáculo
  • Objective: To evaluate the Residual Monomer Release (RMR), Flexural Strength (FS), 
    elastic modulus (EM) and cytotoxicity of GDMA-P-based experimental adhesives (EA). Methodology: EA 
    were divided into 9 groups according to the following parameters: a) monomeric %mass 
    of GDMA-P/HEMA/UDMA (10/30/30, 20/30/20 and 30/30/10); mol% of photoinitiators 
    CQ/BAPO/EDMAB/DH (1.0/0.0/1.0/0.2, 0.0/1.0/0.0/0.2; 0.5/0.5/1.0/0.2). For cytotoxicity, NIH-3T3 
    cells and the MTT Assay and Alamar Blue (n = 8) assays were used. For FS and EM, the method described 
    in ISO 4049 (n = 7) was followed. To assess RMR, 54 third molars were used to obtain a flat area of dentin 
    (n = 6), which received the adhesive systems and the MRL was read in a high performance liquid chromatography 
    apparatus after 24 hours. Statistical analysis was performed with two-way ANOVA and Tukey post-hoc test 
    (p<0.05). Results: for Alamar Blue, there was no difference among the 10%, 20% and 30% concentrations. 
    Among the photoinitiators, CQ and BAPO alone presented better values for 30% and CQ + BAPO for the 20% 
    concentration. For MTT Assay, there was no difference among photoinitiators and % of GDMA-P. For RMR, for 
    the same photoinitiators and different concentrations of GDMA-P, the 10% concentration released more HEMA. 
    For the different concentrations of GDMA-P and the same photoinitiators, the groups containing CQ released more 
    HEMA. For UDMA, among the groups of photoinitiators, only CQ presented differences, being the percentage of 
    10% of GDMA-P that most released UDMA monomers. For the three concentrations of GDMA-P, CQ released more 
    UDMA monomers. For the release of GDMA-P, among the same photoinitiators, the concentration of 10% provided 
    greater release of monomers to the groups containing CQ. Among the same concentrations and different 
    photoinitiators, CQ provided greater release of GDMA-P to 10% and 30%. For the 20% concentration, BAPO 
    allowed the highest release. For FS, 10% of GDMA-P presented differences between the photoinitiators, being the 
    BAPO group the highest FS. The BAPO + CQ mixture allowed a higher FS value for the 20% and 30% 
    concentrations. For EM, 30% GDMA-P was the only one to present significant difference, being the BAPO + CQ 
    group the highest value. Conclusions: 20% and 30% concentrations of GDMA-P associated with the BAPO + CQ 
    photoinitiator group may provide better results for the properties tested.
5
  • ANA MARGARIDA DOS SANTOS MELO
  • Use of dual-cured adhesive systems and its impact on degree of conversion in situ, marginal adaptation, bond strength and nanoleakage of composites in dentin cavities

  • Líder : ISAUREMI VIEIRA DE ASSUNCAO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • EMANUELLE DAYANA VIEIRA DANTAS
  • ISAUREMI VIEIRA DE ASSUNCAO
  • Data: 27-jun-2018


  • Resumen Espectáculo
  • The proper polymerization of adhesive system influences the mechanical properties and longevity of restoration. The effect of irradiance on the adhesive layer in deep cavities is still unknown, in which dual-cure adhesives may be a viable alternative. Objective: To evaluate the influence of the use of dual-cured adhesive systems cured in different ways on the degree of conversion on hybrid layer (GC), marginal adaptation (AM), bond strength (RU), failure pattern (PF) and nanoleakage (NN) of adhesive interfaces of restorations with composite resin in dentin cavities. Methods: High C-factor dentin cavities were prepared on 120 bovine incisors with maxicut burs in custom-made preparation, creating cavities with 4 mm of depth, which were then restored with the composites Filtek Z250 XT [XT], Filtek Bulk Fill [FB] and Filtek Bulk Fill Flow [FF] with the adhesives Single Bond Universal [SB], Adper Scotchbond Multiuso Plus cured [MPa] and the last one without photo-activation [MPd]. The GC analysis was performed in micro Raman, the AM with Caries Detector product and software Image J, the RU in a universal testing machine, the PF by eteroscopic magnifying glass and the NN in Scanning Electron Microscopy (MEV). GC, AM and RU data were analyzed by two-way analysis of variance and Tukey tests (p<0.05).  The other tests were qualitatively analyzed through descriptive statistics. Results: GC, unlike AM, did not change due to the region analyzed. In addition, MPf obtained the best performance for the GC and the worst for the AM and intermediate for the RU, while the MPd had balanced results for GC and AM and excellent performance in the RU. The predominant PF was adhesive failure. All the adhesive strategies used presented nanoinfiltration. Conclusions: The strategy without immediate photoactivation had balanced results, evidencing the value of this adhesive strategy to establish good physical properties to the final restoration.

6
  • ANA PATRICIA DE QUEIROZ MEDEIROS DANTAS
  • Prevalence of antipsychotics in the Nursing homes in the city of Natal / RN.
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • LUCIANA BRANCO DA MOTTA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 29-jun-2018


  • Resumen Espectáculo
  • Aim: To identify the prevalence of the use of antipsychotics in elderly in Nursing Homes in the city of Natal-RN. Methodology: A cross-sectional study based on data from the project "Human Aging and Health: the reality of the institutionalized elderly in the city of Natal / RN", which occurred between October to December 2013 in 10 Nursing Homes of the city of Natal. The sample consisted of 320 residents of Nursing Homes who were 60 years or older who consented to participate in the study. For the identification of factors associated with antipsychotic prescription, bivariate analysis was used using the chi-square test and Poisson regression in which the dependent variable was the number of prescribed antipsychotics. Independent variables included age, gender, type of Nursing Homes (for-profit and non-profit), mental disorder, depressive symptoms, polypharmacy, cognitive impairment, functional capacity and morbidities. A multivariate analysis was performed from the Poisson Regression model with robust variance. Results: The prevalence of antipsychotic use among the elderly was 50% (n = 160). In the for-profit institutions, 65.5% (n = 76) of the elderly used at least 1 antipsychotic, whereas in non-profit Nursing Homes, the prevalence was 40.9% (n = 83). Multiple analysis showed that the age of 60 to 79 years (PR = 1.39), had moderate to severe cognitive impairment (PR = 1.78), had a mental disorder (PR = 2.07), had polypharmacy PR = 1.30), being in For-Profit Institutions (PR = 1.51), presented statistical association (p <0.05), to the greater use of antipsychotics in the elderly in the Natal’s Nursing Homes. Conclusion: A high prevalence of antipsychotic use was observed in Nursing Homes in the city of Natal and due to the possible negative outcomes that this may generate, other measures that result in decrease of the prescription of these medications should be evaluated.

7
  • AMANDA FELIX GONÇALVES TOMAZ
  •  

    Confiabilidade da análise morfológica da telerradiografia em norma lateral na determinação da tendência de crescimento craniofacial de pacientes na dentadura mista

  • Líder : PATRICIA TEIXEIRA DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • PATRICIA BITTENCOURT DUTRA DOS SANTOS
  • Data: 04-jul-2018


  • Resumen Espectáculo
  • Introduction: The determination of the craniofacial growth tendency has a fundamental importance in Orthodontics, since it is directly related to the prognosis of the case and guides the orthodontist in the selection of an individualized orthodonticTo mechanic. Purpouse: To evaluate the level of orthodontists concordance in morphological analysis of the lateral radiographs to determinate the craniofacial growth tendency in mixed dentition patients. Materials: A researcher selected 3 digital lateral radiographs of children between age of 7-11 years in the mixed denture phase, diagnosed with Class I Angle dental and skeletal function. Each radiographs represented a craniofacial gowth tendency (vertical, balanced and horizontal) which was confirmed cephalometrically through manual tracing of the cephalogram on ultraphan paper measurements of SN.GoGn and FMA angles and the Vert index. A form was developed on the Google Forms® platform, which was aswered by orthodontists randomly divided in 3 study groups, according to the time of orthodontic training: Group 1 (G1) consisting of orthodontists trained for up 1 year, Group 2 (G2) composed of orthodontists graduated for more than 1 and up to 5 years, and Group 3 (G3) composed of orthodontists trained for more than 5 years ago. The cephalograms were cut in the regions of mandibular head, mandibular ramus, gonial angle, mandibular plane, mandibular bevel, mandibular symphysis, occlusal plane and interincisal angle using the Adobe Photoshop CS6® software. The images obtained from the clippings, as well as the complete cephalometric radiographs, were ramdomly distributed throughout the questionnaire so the orthodontists did not know which cut belonged to each cephalometric radiograph. The orthodontists should define the craniofacial growth tendency that the images suggested. Results: Orthodontists demonstrated a low level of concordance for the mandibular head in the horizontal growth tendency and a almost perfect concordance for the gonial angle e the mandibular plane in the vertical growth tendency, for the mandibular bevel and for the mandibular plane in the horizontal growth tendency, and when all the anatomical structures were analysed concomitantly in the complete cephalograms. There were no significant differences in the morphologival analysis performed by the studied groups. Orhodontists demonstrated similar levels of difficulty or ease to morphologically analyse the interincisal angle, mandibular ramus and the complete radiographs in the 3 growth tendencys. Conclusion: Orthodontists demonstrated different levels of concordance in the morphological analysis of lateral cephalometric radiography, depending on the anatomical structure and the craniofacial growth tendency analyzed. Additionally, the time of graduation as a specialist did not influence the ability to determine the craniofacial growth tendency from the observation of lateral radiographs.

8
  • ARYELLY DAYANE DA SILVA NUNES
  • PREVALENCE OF HEARING DISABILITY AND ASSOCIATED FACTORS IN SCHOOLS IN NATAL/RN.

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • ADRIANA BENDER MOREIRA DE LACERDA
  • Data: 04-jul-2018


  • Resumen Espectáculo
  • Introduction: Hearing is fundamental for the development of language and learning, social interaction, acquisition of knowledge and makes it possible for the individual to transmit thoughts and feelings. Early prevention, identification and intervention of auditory changes are essential because of their relevance to language and learning aspects and to reduce costs with the consequences of hearing impairment. Objective: to analyze the prevalence of hearing impairment in schoolchildren in the city of Natal / RN and its associated factors. Methodology: This is a cross-sectional study that analyzed 238 primary school children and adolescents, enrolled in public schools in the city of Natal-RN, evaluated by meatoscopy, audiometric screening with a Telehealth Audiometer and self-rated hearing loss and earache evaluation. The bivariate analysis was used to identify factors associated with hearing loss using the Chi-square, Fisher's Exact and Prevalence Ratio tests, considering a significance of 5%. Data were analyzed in SPSS 23. Results: the prevalence of hearing loss was 16% (11.7% -21.4%); 20% reported ear pain and 26.1% presented altered meatoscopy. About 90% of the participants belonged to the economic class C-D-E; the mean age of participants was 10.76 years. The prevalence of hearing loss was higher among schoolchildren who reported hearing difficulties and earache, among children aged 6 to 12 years and type of airway infections (p <0.05). Airway infection (PR = 3.37 CI 95% 1.48-7.68) was found as a risk factor associated with hearing loss. Conclusions: the prevalence of hearing loss in schoolchildren in the city of Natal is above that reported in other studies conducted in Brazil for this age group, which shows the need for fonoaudiologic care, in order to systematize actions of hearing health promotion for this population in the city of Natal-RN.

9
  • DAYANE CAROLINY PEREIRA JUSTINO
  • EVALUATION OF MORBIDITY AND CHILD MORTALITY FROM 2000 TO 2015 IN BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • Data: 05-jul-2018


  • Resumen Espectáculo
  • The year was to have a higher health care in the age of children, have been found in the age of behavior the age of behavior in the Primary Health Care. Among the factors that contribute to the reduction of values and, consequently, the improvement of health and health, fertility level, mothers' schooling and environmental conditions, and the quality of health care can be evaluated by mortality preventable causes. Thus, an idea for the situation of Brazil arose. The present study aimed to analyze the distribution of infant morbidity and mortality in the period from 2000 to 2015 in Brazil. It is an ecological study of temporal trend with spatial relationship, using the DATASUS data, through the Hospital Information System and the Mortality Information System, from 2000 to 2015. admissions and deaths in minors of one year, and as independent, causes of illness, Human Development Index, income, schooling and coverage of basic care. Statistical Parameters for the Statistical Study of the Social Sciences by means of the standard test, standard deviation, Student's ttest and chi-square, using the 95% Confidence Interval and Spatial Analysis of TerraView and GeoDa. When evaluated, the Mortality rate was seen decreasing on average between the first (100.87), the second five years (82.42) and the third of 83.25. It was observed a high rate of infant mortality in the North and Northeast regions. When correlated with cluster systems, in the Northeast, Central-West, Southeast and South regions. When evaluated, the hospital admission rate is that between the first (66.89) and the second (53.38) is less than that the average (56.79) quinquennium. The major causes of infant mortality were: some conditions originating in the perinatal period (57.3%), congenital malformations, deformities and chromosomal abnormalities, some infectious and parasitic diseases (6.1%), symptoms, signs and findings, abnormal examinations (5.9%) and Diseases of the respiratory system (5.8%). The main causes of hospitalization were respiratory diseases (33.7%), Some conditions originating in the perinatal period (31.9%), Some infectious and parasitic diseases (17.1%), Diseases of the digestive system (3.5%) and Endocrine, nutritional and metabolic diseases (2.1%). The correlations with the support of the Basic Consultation and Child Care Consultations were clusters in the Midwest, South and Southeast regions. Independent of the health-disease process in common areas. More attention and specific planning to modify the reality of the data presented here is advisable.

10
  • MONIQUE DA SILVA LOPES
  • EVALUATION OF MORBIDITY AND MORTALITY FROM CHRONIC DISEASES: A STUDY FOCUSED ON PMAQ-AB

     

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 05-jul-2018


  • Resumen Espectáculo
  • Chronic diseases represent a problem of great magnitude and are the main cause of death today. It is pertinent to highlight that Systemic Arterial Hypertension and Diabetes Mellitus are among the main causes of morbidity and mortality due to these diseases. The objective of this study is to evaluate the indicators of morbidity and mortality in the Northeast of Brazil from Chronic Non-communicable Diseases - specifically Systemic Hypertension and Diabetes Mellitus, considering actions recommended by the Ministry of Health based on the External Evaluation of Program for Improving Access and Quality of Primary Care. This is a retrospective study, whose data were obtained in secondary banks, on actions developed by the Primary Care teams for chronic diseases and obtained in the Portal of the Department of Basic Attention of the Ministry of Health regarding the External Evaluation in cycles 1 and 2 of that program. The data for calculations referring to mortality and morbidity rates were obtained from the Health Information Systems on Mortality and Hospitals, respectively, through the Information System of the Unified Health System. The results showed that 5,549 teams of Basic Care, of the Northeast Region, participated in the improvement program in cycle 1 and, in cycle 2, this number was 10,678. The nurse was the professional who most answered the interview. Most of the teams said to program actions for hypertension, being 90% in cycle 1 and 96.6% in cycle 2. For diabetes were 90.1% and 96.1%. It is expressive the number of teams that referred to request specific tests, to have registered users and to schedule the actions from the stratification of cases for Hypertension and diabetes. The correlation between the morbimortality rates for both diseases presented a heterogeneous distribution and the concentration of these rates even in places with high coverage of Primary Care. The spatial analysis presented a poor autocorrelation for the rates but presented statistical significance (p<0.05) in the majority. On the spatial correlation with the coverage of Basic Attention in some analyzed places, it was possible to observe a significance of  95%. The study concludes that a significant number of Primary Care teams participated in the Basic Attention Improvement program in the Northeast Region. These presented positive answers for most of the questions about the management of hypertension and diabetes. Despite a high coverage of Basic Care and a poor correlation presented, morbidity and mortality indicators were unevenly distributed in the territory of the delimited Region, which reveals a need for state analysis.

11
  • JONATAS PEREIRA DE LIMA
  • EFFECTIVENESS OF A HEALTH EDUCATION PROGRAM IN STUDENTS 
  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIA DE FÁTIMA CAMAROTTI
  • Data: 16-jul-2018


  • Resumen Espectáculo
  • The helminthiases are diseases that have as main targets the children of school age, especially in the age group between 3 and 12 years. This fact is justified by the lack of information related to personal hygiene measures and the greater contact of these subjects with risk environments. The process of health education is considered an important tool to control and prevent these. The objective of this study was to evaluate the effectiveness of a school health education program aimed at the prevention of helminth diseases at two moments, one month and one year after the implemented health education practices. This is a research with epidemiological design of intervention of the type prophylactic clinical trial. The study was carried out at the Sesquicentennial Teaching-Learning Experimental State Center (CEEEA Sesqui.), And included in the data collection children aged 10 to 14 years, enrolled in the 6th and 7th year of Elementary School II. The methodological procedures developed in the project include the following steps: Baseline, Educational intervention for teaching and sensitization of helminthiases, Post-test T1 performed one month after the intervention and Post-test T2 performed one year after project completion and Test application with Group control. Preliminary results indicate that after the application of the intervention the number of hits related to the transmission of the diseases were: Ascaridiasis (86.7%), Enterobiosis (86.7%), Schistosomiasis (89.6%), Ancylostomiasis ) and teniasis (84.4%). One year after the educational intervention, the results remained positive Ascaridiasis (77.8%), Enterobiosis (72.7%), Schistosomiasis (80.7%), Ancylostomiasis (74.1%) and Teniasis (83%). Thus, the results indicate that the proposed intervention model was effective one month later and remained one year after the intervention, so that the methodology used can be recommended for interventions in health education for schoolchildren in this age group.

12
  • TACIANA EMÍLIA LEITE VILA- NOVA
  • Effect of low temperature degradation, finishing and polishing regimes on the flexural strength, surface topography and phase transformation of monolithic zirconias.

  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • LILIANA GRESSLER MAY
  • PATRICIA DOS SANTOS CALDERON
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 17-jul-2018


  • Resumen Espectáculo
  • Monolithic zirconia restorations may require adjustments to their structure prior to cementation. Several methods of finishing and polishing are suggested in the literature, however they may promote changes in the surface characteristics of the zirconia, which may affect the mechanical strength of the material in the long term. The aim of this study was to investigate in vitro the effect of degradation at low temperatures and different finishing and polishing regimes on the flexural strength and surface topography of two types of zirconia. Methods: 300 zirconia bars (zirkon ice translucent / Conventional and Prettau Anterior / Ultratranluzent, Zirkonzahn, Gais, Italy) were made in sizes 1,9-1,3x 2,5x10mm, sanded and sintered, presenting final dimensions of 1,5 -1 x 2 x 8mm. The bars were divided into 20 groups (n = 15) according to three factors "type of ceramic - 2 levels", "Degradation" - (with: autoclave at 127 ° C, 1,7 bar / 24h; "Polishing" - (C- Control, B- Polishing, P- grinding with burs, PB- grinding with burs + polishing, PG- burs + glaze). The bars were submitted to the miniflexural test (3 points). Two samples from each group were prepared for the topographic analyzes in SEM. Data were analyzed statistically by means of ANOVA (3 factors) and Tukey (5%). Results: ANOVA revealed that the factors "Degradation" (p=0.01, 1007.4 MPaA> 919.1MPaB), "Polishing" (p=0.0000, 1183.4MPaA >1066.4MPaB > 1012.4MPaBC> 933.2MPaC > 620.9MPaD) and "Zirconia" (p = 0.0000; 1398.4 MPaA> 528.1 MPaB) were statistically significant. The ZPBD (1670.2 ± 252.7)A, ZBD (1663.5 ± 216.8)A and ZB (1654.7 ± 367.7A) groups had the highest mean flexural strength. The groups of the ultratranslucent zirconia had lower averages of flexural strength, standing out the group UTPG (372.1 ± 56.2) G, which obtained the lowest one among the others (Tukey).

13
  • MICAELLA POLLYANA SILVA DO NASCIMENTO DA COSTA
  • INFLUENCE OF THE THERAPIES PLATE, ADVICE AND MANUAL THERAPY ON SLEEP, PAIN AND DEPRESSION IN PATIENTS WITH DTM. RANDOMIZED CLINICAL TEST.

  • Líder : ERIKA OLIVEIRA DE ALMEIDA
  • MIEMBROS DE LA BANCA :
  • ERIKA OLIVEIRA DE ALMEIDA
  • EDUARDO JOSE GUERRA SEABRA
  • RENATA SILVA MELO FERNANDES
  • Data: 17-jul-2018


  • Resumen Espectáculo
  • TMDs are a major public health problem, they are the most commonly reported causes of chronic pain that interfere with daily activities. Biological and behavioral characteristics such as depression and sleep quality may play an important role in adapting to pain and patients recuperation. Aim: Analysis of  therapies,  splint, counseling and therapy manual on pain, depression and sleep in patients with temporomandibular disorders. Methods: 85 patients diagnosed with TMD through RDC / TMD (Diagnostic Criteria for Research in Temporomandibular Disorders) were included in this randomized clinical trial. They were randomly assigned to 4 different treatment groups: PO (n = 24), PAC (n = 24) TM (n = 19) and AC (n = 18). The patients were analyzed for the Visual Analogue Scale (VAS) to evaluate pain, Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale (HADSd) to evaluate depression and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. The data were used in the Split Plot ANOVA test, in order to observe the difference between time and groups, with a confidence level of 95%. Results: all therapies were optimized, with reduction of pain (p = 0.000), decrease in depression scores BDI (p = 0.001) and also sleep by PSQI (p = 0.001) 0.005). Except for depression assessed by HADSd, it was not found over time (p = 0.106) and between groups (p = 0.890). Significant difference was not found between treatment groups in any of the variables during the study period. Conclusion: splint oclusal, splint oclusal with counseling, therapy manual, and therapeutic counseling, positive results regarding pain, depression and sleep in patients with TMD, without presenting differences of superiority between them.

14
  • ANA LOUISE OLIVEIRA DE CARVALHO
  •  EFFECT OF DIFFERENT CONSERVATIVE THERAPIES IN PAIN, QUALITY OF LIFE AND ANXIETY OF PATIENTS WITH TMD. RANDOMIZED CLINICAL TRIAL.

  • Líder : ERIKA OLIVEIRA DE ALMEIDA
  • MIEMBROS DE LA BANCA :
  • ERIKA OLIVEIRA DE ALMEIDA
  • EDUARDO JOSE GUERRA SEABRA
  • RENATA SILVA MELO FERNANDES
  • Data: 18-jul-2018


  • Resumen Espectáculo
  • Introduction: Temporomandibular dysfunction (TMD) is a condition that affects the chewing muscles, temporomandibular joint (TMJ), and associated structures. Such condition has high prevalence and implies in the biopsychosocial behavior of the individual, reflecting in damages the quality of life. Of multifactorial character, numerous options of therapy are available for the TMD, but without clear evidence of isolated effectiveness. Objective: The present study aims to evaluate the effectiveness of conservative therapies isolated for TMD, as well as their interference on quality of life, pain and anxiety in patients with dysfunction. Methods: A double-blind randomized clinical trial with TMD patients diagnosed by the Diagnostic Criteria for Temporomandibular Dysfunction (RDC / TMD) was performed. 85 patients were randomly assigned to four different groups: counseling (CA), manual therapy (TM), occlusal plaque (PO) and plaque associated with counseling (PO + AC) and evaluated without therapy and at 1 month and 3 months after therapy. The statistical test Slip Plot ANOVA with a confidence level of 95% was used. Results: all therapies were effective over time for the variables: pain (p = 0.000), oral health impact on quality of life (p = 0.000), general quality of life (p = 0.029) and physical p = 0.000), psychological (p = 0.006) and social p = 0.017) and anxiety through BAI, HADS and IDATE trait (p = 0.000, p = 0.000 and p = 0.002, respectively). Conclusions: conservative therapies (counseling, physical therapy, and plaque in association with counseling) were effective in improving pain symptomatology, anxiety and quality of life over time, but no therapy was superior to another.

15
  • DAVI NETO DE ARAÚJO SILVA
  • Effects of antimicrobial photodynamic therapy with chloro-aluminum phthalocyanine on clinical parameters and salivary levels of GSH and MDA in patients with chronic periodontitis
  • Líder : ANA RAFAELA LUZ DE AQUINO MARTINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • EULER MACIEL DANTAS
  • LUCIANA BASTOS ALVES
  • Data: 19-jul-2018


  • Resumen Espectáculo
  • Antimicrobial photodynamic therapy (ADT) has been suggested as adjunctive therapy to basic periodontal scaling and coronal root straightening (RACR) therapy. In vitro and in vivo studies have demonstrated superior efficacy when PDA is performed with the photosensitizer chloro-aluminum phthalocyanine (AlClFc) in association with nanocarriers. Objective: To evaluate the efficacy of TFF with AlClFc in oral hygiene indexes, periodontal clinical parameters and salivary levels of oxidative stress markers (GHT) and malondialdehyde (MDA) in patients with chronic periodontitis. Methods: This randomized, double-blind, parallel, longitudinal, and prospective trial evaluated 22 patients in two groups: 14 in the test group (RACR + TFDA) and 8 in the control group (RACR only). Each patient had at least 2 diseased periodontal sites (PS≥5mm), totaling 63 periodontal sites, 40 sites belonging to patients in the test group, and 23 sites belonging to patients in the control group. The TFDA was applied once only after the completion of the RACR sessions. The oral hygiene indexes - visible plaque index [IPV], gingival bleeding index [ISG], and periodontal clinical parameters - probing bleeding [SS], probing depth [PS] and clinical insertion level [NIC] - were evaluated before treatment at T0, and after 3 months (T3) and 6 months (T6) times. Saliva samples were collected at each study time for GSH and MDA dosing. Data were statistically analyzed using non-parametric Wilcoxon and Mann-Whitney tests, with a significance level of 5% being pre-established. Results: The intragroup analysis showed that there was a statistically significant difference between the T0, T3 and T6 times with p <0.05 for the ISG, NIC and GSH variables only in the control group, but without detecting between the time pairs the difference. For PS, there was a significant decrease in the median in the test group between T0 (5.49) and T6 (4.33), with p1 = 0.008. In the control group there was also a significant difference between the three times, but it was not possible to identify among which there was this difference. For the other IPV, SS and MDA variables, there was no significant difference between the two groups. In the intergroup analysis, it was observed that there was a statistically significant reduction in the control group for the ISG in the T6 (p2 = 0.041) and the GSH in the test group in T3 (p2 = 0,031). For the other variables, there were no statistically significant differences between the two groups. Conclusion: TFAP with the adjuvant AlClFc photosensitizer to RACR did not bring additional benefits over periodontal clinical parameters after 6 months of treatment, but showed additional benefits over GSH after 03 months of treatment.

16
  • HELOÍSA HELENA GOMES LIMA

  • Inequality in spatial distribution of breast cancer mortality in Brazil.

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 19-jul-2018


  • Resumen Espectáculo
  • Introduction: breast cancer is the type of neoplasia that has the highest incidence and the highest mortality rate in the female population worldwide. Affecting both developing and developed countries. Purpose: To evaluate the spatial distribution of mortality from breast cancer in the Intermediate Regions of Urban Articulation of Brazil from 1998 to 2015. Methodology: This is an ecological study carried out in Brazil through the 161 Regions of Urban Articulation that analyzed the deaths of women caused by breast cancer between the age of 50-69 years and its association with the ratio of screening mammography exams, population coverage estimated by the Primary Care teams, coverage of women with private health plans and the index of municipal human development (IDHM). It was calculated in terraView the global and Local Moran index for the mortality standardized rate (TMP) for breast cancer. In Geoda, the bivariate analyzes were performed between the mortality rate and the socioeconomic and service indicators; The local bivariate Index of Moran and representations by means of the Dispersion Diagram of Moran Bivariate and Lisa Cluster Map were calculated. Results: Breast cancer mortality rates in the period 1998-2006 ranged from 0.23 to 7.67 deaths per 100,000 inhabitants. (Moran index: 0.733, p-value: 0.01) with higher rates found in the South and Southeast regions; in the 2007/2015 period ranged from 0.23 to 8.73 / 100,000 inhabitants. (Moran index: 0.594, p-value: 0.01), the high rates were observed in the South, Southeast, Midwest and Northeast regions. In the bivariate analyzes, positive correlations were obtained between TMP for breast cancer and the ratio of mammographic examinations (I = 0.352), private health plan (I = 0.436) and IDHM (I = 0.733) and a negative correlation with the primary care (I = -0.116). Conclusions: Mortality from breast cancer has increased in the country over the years and the services and socio-economic indicators do not seem to contribute to a reduction of mortality, requiring reassessment and reformulation strategies that contribute to the reduction in mortality from breast cancer.

17
  • HAROLDO GURGEL MOTA FILHO
  • Effect of low level laser therapy on cell viability and oxidative stress of periodontal ligament stem cells

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 23-jul-2018


  • Resumen Espectáculo
  • Low level laser therapy (LLLT) is widely used in different areas of the regenerative medicine, especially for its beneficial effects on cellular metabolism. This study aims to evaluate the effects of LLLT on cell viability and oxidative stress of periodontal ligament stem cells (PDLSCs). PDLSCs will be isolated from the periodontal ligament extracted from human teeth. The cells will be characterized, through the differentiation in adipogenic and osteogenic culture media and also analysis of surface markers of stem cells in flow cytometry. After their isolation and characterization, the PDLSCs will be maintained under cell culture conditions, and divided into three groups: Group I (control); Group II (Laser 7.5 J / cm 2) and Group III (Laser 22.5 J / cm 2). The experiments were performed in quadruplicate and occurred in three time intervals (T0h, T24h and T48h). After the intervals, the experimental tests were done to evaluate the cellular parameters. For the cellular viability analysis, the Alamar Blue tests, the MTT assay, and the evaluation in flow cytometry of Annexin V and PI will be used. To evaluate the release of reactive oxygen species, the dosage of malonaldehyde will be used. Preliminary results showed that the cells scored positively for markers of mesenchymal stem cells. The MTT result showed that Group III had a lower absorbance in the range of T48h with statistical difference in relation to both Group I and in relation to Group II.

18
  • LIDYA NARA MARQUES DE ARAÚJO
  • EFFECT OF PERI-IMPLANT TISSUE CONDITIONING DURING SINGLE REHABILITATION WITH IMPLANT-RETAINED TEMPORARY CROWN IN ESTHETIC AREA.

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • BRUNO BRAGA BENATTI
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 26-jul-2018


  • Resumen Espectáculo
  • Aim: To analyze the behavior of peri-implant tissues during rehabilitation with   provisional crowns in superior esthetic region. Methods: This longitudinal observational study evaluated the periodontal condition of 16 patients rehabilitated with implant-supported provisional crowns in esthetic area using the parameters of Visible Plaque Index (VPI), Bleeding on probing (BoP) and Gingival Thickness (GT) of the adjacent teeth and the prosthetic space (PS) in T0 (before implant placement surgery), T1 (installation of provisional crown), and T2 (during soft tissue conditioning). The parameters: Probing Depth (PD), Transparency in Probe (TP), Height/Width of the interdental papilla (HP/WP), Height/Width of the provisional crown (HC / WC), and keratinized mucosa (KM) were performed on T1 and T2. The parameters of the implant-supported prosthesis were compared to the same aspects of adjacent teeth. Friedman and Wilcoxon tests were applied to analyze data from the follow-ups. The comparison between the rehabilitated region and the adjacent teeth were achieved using Wilcoxon test for paired sample. Both analyses showed significance level of 5%.  Results: The mean time of soft tissue conditioning was 40 days (mean of 2.6 sessions). There was an increase on the VPI between T0 (31.1%) and T2 (40.5%), but without statistically significant difference (p> 0.05). Regarding the BoP, it was not observed statistically significant differences over time (T0 - 21%, T2 = 20.8%). For GT, there was statistically significant difference between follow up periods (T0 - 1.66mm, T1 - 1.22mm, T2 - 1.16mm). The PD increased from T1 (1.76 mm) to T2 (1.86 mm) without statistically significant difference. The same was observed with an HC / WC (from 1.06 to 1.19) and HP / WP (0.62 to 0.84). The Wilcoxon test showed a not significant result between T1 and T2 for HP / WP (p <0.05) and HC / WC (p <0.05). When comparing the implant and the adjacent teeth area, the parameters that showed statistically difference (p<0,05) of means were: HP/WP in T1, with a lower mean (0,62) than the adjacent teeth (0.79); and GT at T0, when the implant area had a higher mean (1,66) than the adjacent teeth (1,18). Conclusion: For this study, the provisional implant-supported crown promoted alterations on the adjacent peri-implant soft tissue on GT, HP/WP, and HC/WC.

19
  • SAMUEL BATISTA BORGES
  • IMPACT OF TREATMENTS FOR ROOT COVERAGE USING CONJUNCTIVE TISSUE AND A COLLAGEN MATRIX IN PATIENTS CENTRATED FACTORS.

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • BRUNO BRAGA BENATTI
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • Data: 27-jul-2018


  • Resumen Espectáculo
  • Gingival recessions can cause cervical dentin hypersensitivity and have a negative effect on the oral health related quality of life and a strong social, psychological and emotional impacts on the daily life of each patient. Root coverage techniques by subepithelial connective tissue graft (CTG) and collagen matrix being a great treatment options for gingival recessions. OBJECTIVE: To evaluate the impact of root coverage techniques by subepithelial connective tissue graft and collagen matrix in the groups of patients with Miller's class-I and II gingival recession with 6-month follow-up. METHODS: This randomized, double-blind, split-mouth, controlled clinical trial evaluated 27 subjects with bilateral Miller's class-I and II gingival recession treated with root coverage techniques by subepithelial connective tissue graft (control) and collagen matrix (test). Data evaluation of hipersensibilty, aesthetics, patient satisfaction and quality of life was realized at post-operative at baseline, three months and six months after surgery. Data were analyzed using the split-plot analysis of variance (SPANOVA) and One-way ANOVA with a significance level of 5%. RESULTS: The patients had a mean age of 29,53 years (22-53, ± 7,12) and were equally distributed according to sex. Statistical analysis showed that was an improvement in quality of life after 03 and 06 months of the surgical procedure (p<0,001) with physical pain and psychological discomfort being the ones that presented the best results. Statistically significant reductions were observed in the parameters postoperative pain, dentin hypersensitivity, aesthetics and patient satisfaction within each treatment group in the evaluated periods (p<0,001). CONCLUSION: Both treatment procedures resulted in significant reduction of negative impacts on quality of life and patients centrated fator at 06 months. No statistically significant differences were found between the two techniques for root coverage with regard to any parameter evaluated. The collagen matrix represents a possible alternative to CTG.

20
  • BÁRBARA SUELLEN FONSECA BRAGA
  •  
    PUBLIC EXPENDITURE WITH JUDICIALIZED MEDICINES IN RIO GRANDE DO NORTE IN THE YEARS OF 2016 AND 2017
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • Data: 30-jul-2018


  • Resumen Espectáculo
  • The judicialization of health is a phenomenon that began in Brazil after the Federal Constitution of 1988. This type of lawsuit has been growing in quantity every year, which directly affects health financing. The objective of this article is to characterize the legal claims for drugs in the State of Rio Grande do Norte in relation to the financial aspect in the years 2016 and 2017. This is a descriptive exploratory study, in which 370 individual 2016 and 2017, requesting medicines, moved in the State of Rio Grande do Norte. The amounts spent on the judicialization of medicines in these years were R$ 10.687.951,09. 572 drugs were required, 61.36% of which were outside the official list of drugs and the most demanded type of drug were antineoplastic agents and immunomodulators (24.13%). The purchase was made by the patient in 75.81% of the cases from the release of a court order. Thus, the judicialization of medicines in a small state causes iniquities in the access of users of the Brazilian health system to medicines and in the financing of Pharmaceutical Assistance.

     

21
  • MYLA MARILANA FREIRE DA CUNHA
  • EFFECTS OF THERAPIES FOR TEMPOROMANDIBULAR DYSFUNCTION ON CRANIOCERVICAL POSTURE

  • Líder : GUSTAVO AUGUSTO SEABRA BARBOSA
  • MIEMBROS DE LA BANCA :
  • ANDRE ULISSES DANTAS BATISTA
  • ERIKA OLIVEIRA DE ALMEIDA
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • Data: 07-ago-2018


  • Resumen Espectáculo
  • The objective of the present study was to evaluate whether the occlusal plaque, physiotherapy and counseling therapies used in the treatment of temporomandibular disorders (TMD) alter the craniocervical posture and the pain picture. This is a controlled, randomized, blinded study that included individuals previously diagnosed with TMD through the RDC / TMD (Research criteria criteria for temporomandibular disorders). The patients were randomly selected from four treatment groups: occlusal (OP, n = 17), physiotherapy (F, n = 19), counseling (AC, n = 15) and counseling, totaling 65 individuals. For the postural analysis, a teleradiography was performed at the baseline and 1 month after the application of the therapy, in order to observe the occipito-atlas distance (DOA), the craniocervical relationship (ACR) and the positioning of the hyoid bone. Traits were performed on the images using CorelDraw X6 software (2012 Corel Corporation, Canada). To analyze the pain variable, the visual analogue scale was applied before and 1 month after the therapies. The data obtained were submitted to several paired T tests (α = 5%) and for the pain variable the SPANOVA test was applied. With the exception of the PAC group in the ACr variable (p = 0.003), the results showed that there was no statistically significant difference for the analyzed variables regarding the different therapies over time. However, it can be observed that all the treatment groups allowed a reduction of the patients' pain picture (p = 0.013) over time. It is concluded that the therapies applied have little influence on craniocervical posture, but are effective for the relief of painful symptoms.

22
  • MARCELO LEITE MACHADO DA SILVEIRA
  • BIOMECHANICAL ANALYSIS OF DIFFERENT TYPES OF FIXATION IN THE SAGITTAL SPLIT RAMUS OSTEOTOMY AFTER DIFFERENT TYPES OF MANDIBULAR MOVEMENTS: A FINITE ELEMENT STUDY.

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • EDUARDO COSTA STUDART SOARES
  • JOSÉ WILSON NOLETO JÚNIOR
  • Data: 10-ago-2018


  • Resumen Espectáculo
  • The present study aimed to evaluate the best osteosynthesis arrangement in patients that underwent orthognathic surgery with mandibular advancement and mandibular angle clockwise and counter-clockwise rotation through a finite element analysis. A virtual model of a mandible was obtained via CT scan and then subjected to different kinds of surgical planning in the Dolphin® software. A total of 6 surgical plans were made and 6mm and 12mm advances were associated with linear, clockwise and counter-clockwise rotation of the mandibular angle. The virtually operated mandibles were then transformed in a solid framework in the NX 10® software. In this stage, the mandibular solids were meshed with the solids of the osteosynthesis plates and screws in a one or two plate fashion using 4 or 8 mini screws respectively. After the 12 solids were built, the Nastran software® was utilized to evaluate the superficial tensions after loading in the incisors region.

23
  • DANIELLE CLARISSE BARBOSA COSTA
  • STUDY OF OCCURRENCE OF RECURRENCE AFTER ENUCLEARATION, FOLLOWED BY PERIPHERAL OSTECTOMY AND CARNOY SOLUTION IN THE TREATMENT OF AGGRESSIVE BENIGN ODONTOGENIC LESIONS: PRELIMINARY RESULTS

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • EDUARDO COSTA STUDART SOARES
  • Data: 07-nov-2018


  • Resumen Espectáculo
  • The purpose of this study was to verify the relapse rate and associated clinical, radiographic and surgical factors after the protocol of enucleation followed by peripheral ostectomy and Carnoy's solution as treatment of aggressive odontogenic lesions. The retrospective cross - sectional study was composed of thirty patients submitted to the protocol from 2008 to 2018 who were contacted and submitted to clinical and radiographic exams in order to verify the presence of relapses. The study consisted of two phases, represented by the data collection of the medical records (phase I) and return of the patient for clinical and radiographic evaluation (phase II). Descriptive and statistical analyzes were performed using the Stata / IC version 14.0 program (StataCorp, College Station, TX). The Mann-Whitney test, the Fisher's exact test and the Chi-square test, as well as the Kaplan Meier method and the Log-rank test were used to verify the possible prognostic factors for relapses, adopting p <0,05. The sample was composed of 22 patients with odontogenic keratocysts (73.3%), 3 odontogenic myxomas (10%) and 5 ameloblastomas (16.7%). Recurrence affected 7 patients (23.3%), all of which were in odontogenic keratocysts, with a minimum recurrence time of 12 months and a maximum of 34 months and a maximum follow-up of 9 years and 5 months. There was no statistical difference between the factors evaluated and the development of relapses, but patients who remained with adjacent teeth after the surgical procedure presented earlier recurrence. Kaplan-Meier curves showed a cumulative risk of more than 80% for recurrence after 29 months postoperatively and after 36 months of follow-up, only 37.50% of these patients would be free of relapses (p = 0.023), in addition this group were 5.5 times more likely to develop recurrences than patients who had their teeth extracted. The results showed that the protocol presented lower recurrences than what in the scientific literature when comparing marsupialization and enucleation/curettage alone, considering the same lesions, however, it presented inferior results when compared to similar therapies.


24
  • JOÃO PAULO TEIXEIRA DA SILVA
  • The regional health planning in Brazil: evaluation from the hospital network

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • MARILIA LOUVISON
  • Data: 19-nov-2018


  • Resumen Espectáculo
  • The Brazilian health regions correspond to 437 clusters of Brazilian municipalities and 1 that corresponds to the federal district, totaling 438 clusters. The distribution and composition of these regions is the responsibility of the states in partnership with the regional inter-agency commissions, with a great diversity in this distribution due to the peculiar dimensions and multiculturality of the Brazilian territory. This study aims to evaluate the regionalization of health in Brazil, the performance of the regions and associated factors, in light of the information provided by the health indicators, focusing on the hospital network. This is an ecological, multi-group, quantitative approach that incorporates descriptive and analytical statistical analysis using SPSS v. 24. Pearson's association and linear regression analyzes were performed, with the dependent variable being the proportion of hospitalizations within the health region and independent socioeconomic, structural, and health care variables. The period of analysis is from 2012 to 2016 and includes data from the Ministry of Health (DATASUS) linked to data from the Annual Report on Social Information and Atlas of Human Development in Brazil. The socioeconomic profile of the health regions presents better indexes in the South and Southeast regions of the country, with better HDI indicators, higher life expectancy, higher per capita income, lower percentage of those vulnerable to poverty and inadequate sanitary conditions. The health structure of the regions reveals that coverage and resources invested in primary health care are better in the Northeast, while the percentage of municipalities' own resources is higher in the Southeast. The number of beneficiaries of health insurance is higher in the Southeast. While the Central-West region has the highest number of hospitals per 100,000 inhabitants, the Southeast region has the largest number of beds and the Northeast region has the most basic care units. The Southeast region is the one that most invests in beds in detriment of the primary care units. The participation of SUS beds is greater in the Northeast and North regions. The South and Southeast regions have more doctors, nurses and intensive care beds. The health regions present in the South and Southeast of the country still stand out by interning patients within their regions of residence, maintaining the best indicators for the hospitalizations of urgency, medium and high complexity in their own health regions. However, the North region is the highlight for the number of hospitalizations in the own network, while the South region is the one that resorts the most to the private sector. The Central-West region is the one that presented the best indicators for medical consultation and outpatient production per inhabitant. The analysis of association with the hospitalization variable in the same region showed a significant correlation with the mean number of beds in SUS, life expectancy at birth and ambulatory procedures.

25
  • PEDRO PAULO MAIA DE SENA
  • TOMOGRAPHIC EVALUATION OF PALATAL MUCOSA THICKNESS IN INDIVIDUALS WITH THIN AND THICK  BIOTYPES
  • Líder : EULER MACIEL DANTAS
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • EULER MACIEL DANTAS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 04-dic-2018


  • Resumen Espectáculo
  • INTRODUCTION: The identification of the periodontal biotype is an important tool in the diagnosis and prognosis of periodontal treatments. In the treatment of gingival recession, the palatal region has been described as the main graft donor area. PURPOSE: This study aimed to investigate the difference in thickness of the palatal mucosa in individuals with thin and thick biotypes, evaluated in different regions. METHODS: This study included 30 periodontally healthy patients submitted to computed tomography (CT) scans. The images were acquired on the CS8100 3D tomograph and all parameters were analyzed tomographically in the CS 3D Imaging software. The gingival thickness was measured in the maxillary central incisors and categorized into thin or thick biotype. Then, the thickness of the palatal mucosa was measured in the canine, 1st premolar, 2nd premolar and 1st molar at 3mm, 6mm, 9mm and 12mm from the gingival margin. The Mann-Whitney, Wilcoxon and Friedman tests were used to evaluate differences in palatal mucosa thickness between groups, between teeth and in different regions, respectively. RESULTS: There was no statistical difference in mucosal thickness between the groups and between the different teeth analyzed (p> 0.05). In all analyzed teeth, the furthest from the gingival margin, the thickness of the palatal mucosa was higher (p <0.0001). CONCLUSION: In the analyzed sample, the palatal mucosa thickness was not correlated to the type of patient biotype and there was no statistical difference between the different teeth evaluated. However, it was observed that, independently of the tooth, areas more distant from the gingival margin may be better suited to grafting procedures because they have a higher tissue thickness.

26
  • THIAGO CLÍSTINES DE MEDEIROS
  • EVALUATION OF BOND STRENGTH OF REPAIRS IN BULK FILL RESINS AFTER DIFFERENT PROTOCOLS OF ADHESION


  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • ANA KARINA MACIEL DE ANDRADE
  • DIANA FERREIRA GADELHA DE ARAUJO
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • Data: 06-dic-2018


  • Resumen Espectáculo
  • Objective: To evaluate the microtensile bond strength of repairs performed on bulk fill and conventional composite resins subjected to aging, after different adhesion protocols.Materials and methods: 42 specimens (8x8x4 mm3) of each of the following materials were prepared in shade A1: a microhybrid composite (Filtek Z250 XT-3M ESPE, St. Paul, MN, USA) and a regular consistency bulk fill (Filtek Bulk Fill - 3M ESPE, St. Paul, MN, USA). These specimens were aged by storage in artificial saliva at 37 ° C for 30 days. After, they received a mechanical surface treatment by means of abrasion with a diamond bur 4138F, followed by the division in six groups, according to the adhesion protocol employed: FSA - etching with 37% phosphoric acid + silane + conventional adhesive (Single Bond 2 - 3M ESPE, St. Paul, MN, USA); SA - silane + conventional adhesive; FA - etching with 37% phosphoric acid + conventional adhesive; A - conventional adhesive; FU - 37% phosphoric acid + universal adhesive (Universal Bond Single - 3M ESPE, St. Paul, MN, USA); U - universal adhesive. All specimens were repaired with Z250 XT composite, in shade A3, to differentiate them from the base materials. The repaired resin blocks were cut into sticks (8x1x1 mm3) and submitted to microtensile test. Fractured specimens were evaluated by macrophotography to determine the type of fracture (adhesive or cohesive). In order to analyze the differences among the adhesion protocols and among the composite types, two-way ANOVA statistical test was used, with a significance level of 5%. Results: No statistically significant differences were found in bond strength values among the adhesion protocols (p=0.38) and among the composite resins repaired (p=0.13), as well as no interaction between these variables (p=0.16). Conclusion: For the aging pattern adopted in this study, repair bond strength of bulk fill composites was similar to that found in conventional microhybrid composites, with no distinction between several adhesion protocols.

     

27
  • JÉSSIKA RAÍSSA MEDEIROS DE ALMEIDA
  • EVALUATION OF SUPERFICIAL ROUGHNESS AND SURFACE TOPOGRAPHY OF BULK FILL, CONVENTIONAL AND FLOW COMPOSITES BEFORE AND AFTER SIMULATED TOOTHBRUSHING

  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • ANA KARINA MACIEL DE ANDRADE
  • DIANA FERREIRA GADELHA DE ARAUJO
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • Data: 06-dic-2018


  • Resumen Espectáculo
  • Introduction: The increasing of the aesthetic exigency by the patients and the continual development of materials – such as bulk fill and flow composites, demands a crescent need of studies on this area to evaluate the properties of the materials when submitted to the wear occasioned by toothbrushing abrasion over time. Objective: To evaluate the surface characteristics of restorations performed before and after the process of simulated toothbrushing and to compare the results between the composites. Materials and methods: In total, 80 samples were made (7x4mm), being 20 to each type of resin utilized, color A1: Bulk Fill One (3M/ESPE, St. Paul, MN, USA), Bulk Fill Flow (3M/ESPE, St. Paul, MN, USA), Z350XT 3M/ESPE St. Paul, MN, USA) and Z350XT Flow (3M/ESPE, St. Paul, MN, USA). After the confection of the specimens, the samples were immersed in distilled water for 24 hours and stored at 37°C in stove, moment that was performed the finishing and polishing with the sequence of sandpaper discs (TDV, Brasil). Half of the specimens was submitted to 60,000 cycles of simulated toothbrushing, meanwhile the other half was the control group (n=10). The surface of the restorations was evaluated through Scanning Electronic Microscopy (SEM), surface roughness (Ra), and weight loss (through measurements), in two moments: before and after the process of simulated toothbrushing. To the statistical analysis, it was used the variance analysis ANOVA two factors and Tukey’s post test. Results: In the analysis performed by SEM, in amplification of 500x, it was observed the presence of medium and small protruding particles in all resins tested after simulated toothbrushing, with exception of the resin Z350 flow. All materials presented increasing on Ra after simulated toothbrushing. Regarding to mass variation, all materials presented mass loss after simulated toothbrushing, suggesting that wear of the restoration structure. Conclusion: To sum up, there is still a concern about whether the wear is most influenced by the type of dentifrice or by the proprieties of the material itself. 

28
  • CAMILA DAYZE PEREIRA SANTOS
  • Temporal distribution of Infant Mortality in a capital of Northeastern Brazil, 2006-2013: reflections on the quality of Primary Health Care.

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DIRCE MARIA LOBO MARCHIONI
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 07-dic-2018


  • Resumen Espectáculo
  • The objective of this study was to analyze the temporal distribution of infant deaths, bio sociodemographic factors related to infant mortality, the main causes, type of avoidance of death and factors related to the quality of maternal and child health care in Primary Health Care in Natal / RN, between 2003 and 2016, before and after the Pact for the Reduction of Infant Mortality in the Northeast and Legal Amazon (PRMI) (2003-2009 and 2010-2016 respectively). Ecological study, of a time series, carried out with data from the Mortality Information System. Infant mortality rates (IMR), neonatal (TMN) and post-neonatal (MTP), and IMR due to death and type of avoidance of death were calculated for each year evaluated. The join point method was used to calculate the Annual Percentage Change (APC). The bio sociodemographic variables were analyzed: sex, race, type of gestation, type of delivery, gestational age, and birth weight, comparing the periods of 2003-2009 and 2010-2016. To assess the association of these variables and the occurrence of infant death in the neonatal and post-neonatal period, the prevalence ratio (PR) and the 95% confidence interval were calculated. To evaluate the quality of care in Primary Care (AB), data from the Program for Improving Access and Quality of Primary Care (PMAQ-AB) 2014 were used. IMR significantly reduced -12.74% (95% CI -23.9 (-7.01% / year) and in endocrine and nutritional diseases (16.21% / year), between 2007 and 2011. From the causes of death, there was a significant reduction only in deaths due to respiratory diseases. The probability of avoidable death was higher in neonatal mortality for both 2003-2009 and 2010-2016 periods. From the bio sociodemographic variables analyzed, the type of gestation, gestational age at birth and birth weight were associated with neonatal mortality, with a higher probability of dying in the neonatal period; of twin gestation; premature and that presented very low birth weight in the two periods analyzed. Regarding maternal and child care, there was a significant increase in the number of pregnant women who performed more than 7 prenatal consultations (4.1% / year between 2003 and 2009) and the number of neonatal ICU beds (8.5% / year between 2005-2016). Of the total number of infant deaths, 1836 (71.7%) occurred due to preventable causes, the highest proportion being reduced by adequate attention to women during pregnancy (38%), which showed a tendency to increase between 2010 and 2016 (APC 6.59%). Regarding the quality of prenatal care, some indicators were found that may have a negative impact on the infant mortality rate: referral consultation (7.4%); existence of a system that alerts to the probable date of birth (10.2%); (34.7%) and early capture of pregnant women and complications during pregnancy (45.3%). It is concluded that PRMI's objective of reducing the IMR by 5% per year in 2009 and 2010 in Natal / RN was reached, but there was an upward trend in the succeeding years, which showed that efforts, were insufficient to keep infant mortality in decline. There is still a high occurrence of deaths due to preventable causes and failures in Primary Care assistance observed due to the low supply of some agreed maternal and child health indicators.

29
  • CRISTIANE LORENA MAIA PINHEIRO
  • DEVELOPMENT AND CHARACTERIZATION OF SODIUM HYPOCHLORITE GEL FORMULATION FOR ENDODONTIC USE

  • Líder : FABIO ROBERTO DAMETTO
  • MIEMBROS DE LA BANCA :
  • CICERO ROMAO GADE NETO
  • FABIO ROBERTO DAMETTO
  • LETICIA MARIA MENEZES NOBREGA
  • Data: 10-dic-2018


  • Resumen Espectáculo
  • This research focused on the development and characterization of a gel formulation for NaOCl, which allows greater control during the root canals irrigation without losing the characteristics that make it such na efficient cleaning and decontamination agent. It was used a concentrated solution of NaOCl, which was titrated to determine the active chlorine content, and a surfactant, sodium lauryl ether sulfate, for which the critical micellar concentration in distilled water was calculated. From these reagents were carried out dilutions and manipulated seven formulations of 2.5% NaOCl with different surfactant concentrations, which were submitted to the following analysis: pH, surface tension, Fourier transform infrared spectroscopy (FTIR), wettability on human dentin, rheology and antibacterial potential against Enterococcus faecalis. The pH values showed that the addition of the surfactant did not alter this parameter, keeping the alkaline medium desirable for NaOCl action. The surfactant addition reduced surface tension by more than 50% relative to the NaOCl aqueous solution. The FTIR showed that the reagents only solubilize and interact, not implying the occurrence of chemical reaction between them. The wettability on human dentin was lower than that measured for the NaOCl solution. The viscosity study revealed micellar solution behavior for the formulations with lower concentrations of surfactant, and gel behavior for the more concentrated ones. All formulations showed viscosity and appearance that allow clinical use satisfactorily. The microbiological disk-diffusion test on agar showed a satisfactory action similar to the 2.5% aqueous NaOCl solution.

30
  • RAFAELA MONTEIRO DE ARAÚJO
  • EVALUATION OF TENSILE STRENGTH WITH DIFFERENT TYPES OF SURGICAL FIXATION HOOK PREFABRICATED ON ORTHODONTICS WIRES

  • Líder : HALLISSA SIMPLICIO GOMES PEREIRA
  • MIEMBROS DE LA BANCA :
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • LEONARDO EULER ANDRADE GOMES DO NASCIMENTO
  • Data: 10-dic-2018


  • Resumen Espectáculo
  • OBJECTIVES: This research was realized in vitro assay to evaluate the traction resistance of prefabricated surgical hook, threaded prefabricated hooks, hooks made of stainless-steel wire and surgical hook made of brass wire comparing different ways of fixing them and different commercial brands. MATERIAL AND METHODS: The sample consisted of 340 segments of orthodontic wire associated to surgical hooks divided into 34 groups. One of them was the control group with 10 hooks made of brass wire fixated with silver weld and the others 33 experimental groups were composed of 10 surgical hooks in each group. In 25 groups, the hooks were prefabricated, fixed to the orthodontic wires by means of manual pressure made with appropriate pliers associated to different quantities of electric welding points. In one group, the pressure was performed with heavy-cut pliers and in another group the base of the hook was distempered and then the pressure was made with appropriate orthodontic pliers. The brands compared were Morelli, TP orthodontics, American Orthodontics and MAO MidAtlantic Ortho and the types of fixation were manual pressure made with appropriate pliers and manual pressure associated with 2,3,4 and 5 point of electric solder. In 5 groups, the hooks were made of stainless-steel wire, one group being fixed with silver solder or with 1, 2, 3, and 4 electric soldering points respectively. The last group consisted of 10 threaded surgical hooks. Topography of the sample was evaluated by scanning electron microscopy before and after the experiment. The Kruskal-Wallis and Mann-Whitney analyzes were used to compare the groups at a significance level of 0.05 to identify the differences between the measures of each group. RESULTS: The control group was better than all the other groups (p <0.0001 / Kruskal-Wallis). The group of steel hooks was independent of the control group (p <0.0001 / Kruskal-Wallis). American Orthodontics hooks were also found in relation to the other brands, regardless of the form of fixation (p <0.05 / Mann-Whitney). The rosquetics were those that improved with the difference between them (p <0.05 / Mann-Whitney). CONCLUSIONS: There was no increase in the resistance of the pressable hooks when different solder exposure points were saved. The best mark was an American Orthodontics. Welding wire hooks with soldering points have the same efficacy to welding with silver soldering, and can replace them. The threaded hooks are successful results with the clips.

31
  • ANDERSON DE SOUZA FERNANDES
  • HEALTH PLANNING IN THE ORAL HEALTH TEAMS: ANALYSIS OF THE LABOR PROCESS AND ASSOCIATED FACTORS

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • NILCEMA FIGUEIREDO
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • The dentist has in the family health strategy a broad field of action, but must maintain its practices oriented by the principles of basic care and SUS. In this context, among the responsibilities of the oral health team, health planning and the organization of the work process are mandatory and elementary management technologies to achieve greater reorientation and quality of actions and oral health services. Thus, the objective of this study is to analyze the knowledge and practices about health planning as part of the work process of the oral health teams. This is an exploratory study developed in two phases: 1) Quantitative analysis of secondary data from the external evaluation of the 2nd cycle of the Program for Improving Access and Quality of Primary Care (PMAQ-AB) with oral health teams in Brazil; 2) Qualitative research with dental surgeons of the family health strategy and health managers of Rio Grande do Norte (RN). Phase 1 consisted of a multivariate analysis with data from the Health Information Systems aggregated with socioeconomic variables of the Atlas of Human Development in Brazil. In phase 2 a case study was carried out with four municipalities of the RN, being used triangulation of methods for data collection, followed by content analysis by the Bardin method. As results, in the factorial analysis were generated three components: Poverty and edentulism; Oral health care; Coverage of oral health team. There was a significant difference (p <0.001) in the distribution of these components among the Brazilian regions, being associated (p <0.001), for the most part, with questions related to the oral health planning practice evaluated by PMAQ-AB, that also present locoregional differences (p <0.001). In the case study in the RN, it is verified that the practice of planning oral health actions is generally incipient and amateur, as well as the epidemiological surveys and the reorientation of the oral health care model. Despite the commitments made with PMAQ-AB, the improvements are punctual and evidently manipulated for the moment of external evaluation of the program. In addition, there was little institutional support for management and little mobilization and leadership of professionals for the qualification of care and for the strengthening of SUS.

32
  • EDER SAMUEL OLIVEIRA DANTAS
  • PSYCHOSOCIAL CONTEXT OF SUICIDE OF WOMEN INSIDE RIO GRANDE DO NORTE

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • NADJA CRISTIANE LAPPANN BOTTI
  • SORAYA MARIA DE MEDEIROS
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • Suicide is an intentional and deliberate act of putting an end to one's life. There are several factors related to this
    type of self-inflicted death, which may be related to the biological, psychological and social. In this scenario, the 
    gender relations are predicted as predictors of suicide, and all individual and non-individual factors that are based 
    on social relations.  Thus, the objective of this study was to analyze the psychosocial context of women who 
    committed suicide in the city of Caicó / RN. It is a qualitative research that uses the psychosocial autopsy method 
    as a means to approach this phenomenon in a socially wide way and to seek singularities of the human dimensions. 
    First-degree relatives of women who committed suicide between the years 2011 and 2016 were interviewed. 
    The analysis of the collected material will be carried out through the thematic content analysis, using a theoretical 
    reference on gender relations and suicide. Finally, it is expected that this study may reveal particularities about the 
    suicide of women from the interior of Rio Grande do Norte, and may even subsidize preventive measures for suicide.
33
  • MARCELA EMÍLIO DE ARAÚJO
  • Effect of a high potency light emitting diode (led) on the retina of rats

  • Líder : SERGEI GODEIRO FERNANDES RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • MATHEUS MELO PITHON
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • Introduction: The evolution of light curing units (LCU) in terms of potency and consequent reduction of clinical time have been shown to be of great value to orthodontists, regarding the routine of brackets bonding. However, there is a lack in the literature regarding the effect of these devices on the operator and/or patient retina, as both may receive indirect reflected light during procedures. Aims: Evaluate the effect of the use of a high potency light emitting diode-based device (LED) in the retina of Wistar rats. Material and Methods: Six Wistar rats were used and their ocular structures considered objects of the study. During the photostimulation of each animal, the right eye, established as the control sample, was covered with a removable PVC tampon, as the contralateral eye - experimental sample - was exposed to high potency LED light, 3200mW/cm2 (Valo Ortho - Ultradent) for 144 seconds, at the distance of 30cm. Animals were exposed to LED light three times per day, aiming to induce possible acute inflammatory alterations in retina. Seven days after the first photostimulation, all rats were anesthetized and then euthanized for posterior eye removal and histological processing. The histological slides were scanned using a camera connected to an optical microscope and their images analyzed for the measurement of histomorphological and stereological parameters of the retina. Results: A statistically significant raise was found in the total volume of retina and in the following layers: ganglion cells layer (GCL), outer nuclear layer (ONL), inner nuclear layer (INL) and extension of cone and rods (ECR) in the experimental group. Regarding density, no statistically significant difference was observed. However, the nuclear area of the cells raised significantly in all layers analyzed after high potency LED exposure. Besides that, hyperchromic cells suggestive of pyknosis were found. Conclusions: Despite the short and acute protocol of eye exposure to high potency LED, a significant alteration was found, especially in the metabolic activity of photosensitive and neuronal cells. These results emphasize the importance of using eye protection during the use of these devices.

34
  • ULICÉLIA NASCIMENTO DE AZEVEDO
  • SUICIDE IN THE ELDERLY POPULATION: ANALYSIS OF GENDER MORTALITY IN THE BRAZILIAN STATES

  • Líder : MARIA DO SOCORRO COSTA FEITOSA ALVES
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • MARIA DO SOCORRO COSTA FEITOSA ALVES
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 14-dic-2018


  • Resumen Espectáculo
  • OBJECTIVE: To analyze the standardized mortality rate for suicide in the elderly in the Brazilian states and the differences between the genders. METHODS: An ecological study was carried out to analyze suicide deaths in the elderly in the Brazilian states, based on data from the Mortality Information System (SIM) in the period from 2011 to 2015. Deaths from suicides (self-induced injuries: X60 -X84), according to the age group of 60 years and over, and the gender of the individual, categorized from the International Statistical Classification of Diseases and Related Health Problems - 10th Revision. Information on deaths was collected from the Mortality Information System (SIM) of the Department of Informatics of the National Health System (Datasus). Population data by State and Federal District, by sex and by age group, were obtained from the Demographic Censuses and Intercensity Projections, on the website of the Brazilian Institute of Geography and Statistics (IBGE). RESULTS: 8,483 deaths from suicide among the elderly in Brazil were recorded between 2011 and 2015. The proportion of deaths was 80% (6,799) for males, and 20% (1,683) for females. The spatial distribution of the standardized Mortality Rate (TMP) for suicide according to sex in Brazil indicated an average rate of 0.84 deaths (105 inhabitants) for both sexes, 1.32 deaths (105 inhabitants) for males and 0.33 deaths (105 inhabitants) to the female. The highest TMP per suicide expressed per 100,000 inhabitants went to Rio Grande do Sul (both sexes with 1.99, male with 3.30 and female with 0.76), Santa Catarina (both sexes with 1.78, male with 2.80 and female with 0.74) and Piauí (both sexes with 1.52, male with 2.42 and female with 0.64). The TMP ratio between the male and female sexes in Brazil was 4.15 / 105 inhabitants. The states with the highest ratios were: Acre (10.20 / 105 inhabitants), Amapá (8.62 / 105 inhabitants), Bahia (5.39 / 105 inhabitants), Maranhão (5.25 / 105 inhabitants), Paraná (4.90 / 105 inhabitants), Mato Grosso 4.87 / 105 inhabitants) and Paraíba (4.84 / 105 inhabitants). CONCLUSIONS: Mortality due to suicide among the elderly presents a tendency to increase and its greatest distribution is between the states of the Northeast, Center-West and South of Brazil. There are differences between the proportion of deaths by suicide considering the male and female sexes among the elderly population, being the highest rates found in the male population

35
  • CARINA TAÍSE DE MEDEIROS MACÊDO
  • EVALUATION OF HUMOR (AFFECTIVE) DISORDERS AND OTHER MENTAL AND BEHAVIORAL DISORDERS IN NORTHEAST OF BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • JULLIANE TAMARA ARAUJO DE MELO CAMPOS
  • MARIA DJAIR DIAS
  • Data: 14-dic-2018


  • Resumen Espectáculo
  • This study consists of the evaluation of morbidity and mortality indicators in the Northeast region of Brazil in relation to hospitalization for mood disorders (THA and other mental and behavioral disorders), which seeks to compare indicators of morbidity and mortality related to these diseases, in the period from 2007 to 2016, with the objectives and goals of the Prevention of Mental Retardation Policies in Brazil. This is an ecological, retrospective, exploratory study, using health information from the northeast region of Brazil, produced by DATASUS, through the Hospital Information System and Mortality Information System. The dependent variables are the hospitalization rate and mortality rate of the diseases studied and as independent the age group, sex, schooling and marital status. The Statistical Package for the Social Sciences (SPSS) was used to analyze the data, by means of the study of mean, median, standard deviation and Student's t test, considering a 95% confidence interval. Thus, when the hospitalizations for mood disorders (affective) and other mental and behavioral disorders were evaluated, both had a reduction in the average throughout the decade, and mood disorders (affective) have higher values when compared to other mental disorders and behavioral. These data are statistically significant when submitted to the t student test. It was found that the average hospitalizations and mortality rate of both diseases showed a general tendency to reduce, however, with some points of increase, such as in the period between 2007 and 2008 for other mental and behavioral disorders and between 2009 and 2010 for mood (affective) disorders. The mortality rate from hospitalization has behaved the same in both of them during the decade. Still on the mortality rate, a greater number of elderly people are identified in the age groups of 80 years or more, followed by the age group of 70 to 79 years and the tendency presented is an increase in the number of deaths, according to the increase in the life years of the population. Regarding gender, a higher percentage of women were observed when dealing with mood disorders (affective), the opposite observed in other mental and behavioral disorders, whose male population has the highest numbers. Regarding marital status, most deaths were concentrated among single people. When the chapter on mental disorders was evaluated, it was found that, in general, 50% of deaths were related to mental and behavioral disorders due to alcohol use. When spatially evaluated, similar areas are observed over the years studied. Overall, the data indicate that the most vulnerable populations, such as children and the elderly, are more likely to suffer from mood (affective) disorders.

36
  • KÉZIA RAPHAELA DE LUCENA ALVES
  • LONG-TERM EFFICACY OF A 4% SODIUM FLUORIDE SOLUTION AND AsgAaL LASER FOR THE TREATMENT OF CERVICAL DENTIN HYPERSENSITIVITY

  • Líder : EULER MACIEL DANTAS
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • EULER MACIEL DANTAS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 18-dic-2018


  • Resumen Espectáculo
  • INTRODUCTION AND BACKGROUND: Although there are several forms of treatment for Dentin Hypersensitivity (DH), the main challenge is to find a substance or form of treatment that effectively eliminates pain and does not recur in the short or long term. OBJECTIVE: This randomized controlled clinical trial evaluated the efficacy of 4% sodium fluoride solution for the treatment of DH, comparing it to low power laser therapy with visible infrared LASER emitter, and the active AsGaAl medium. METHODOLOGY: The sample was composed of 92 dental elements selected after being submitted to two stimuli, a tactile one, and a second thermal-evaporative stimulus. The sensitivity was measured through a visual numerical scale. The teeth were alternately divided into two groups (Group 1 and Group 2) to receive the treatment according to the group for which it was selected. For Group 1, 4% sodium fluoride solution was applied in three sessions, with intervals of 1 week between them. The dental elements of Group 2 received low-power laser irradiation of AsGaAl diode in a punctual way, in the cervical region of the vestibular face in three sessions with intervals of 1 week between them. At each application of the 4% sodium fluoride solution or the low-power LASER, patient responses to tactile and thermal-evaporative stimuli were recorded on the visual numerical scale. At the end of the treatment and with one, three and six months, new evaluations were carried out to verify the effectiveness of the substances in the long term. Statistical analysis of the data was done using non-parametric Wilcoxon and Mann-Whitney tests, complemented with a descriptive analysis composed of tables and graphs. PARTIAL RESULTS: The results showed that after six months of treatment, there was a reduction in pain sensitivity in relation to both stimuli, both in dental elements treated with fluoride solution and those treated with LASER. The average pain of the dental elements treated with the 4% sodium fluoride solution increased from 5.93 to 1.73 in response to the evaporative stimulus and from 3.63 to 0.804 to the tactile stimulus. For dental elements treated with LASER, the average pain increased from 6.020 to 1.854 with the evaporative stimulus and from 3.50 to 0.937 with the tactile stimulus. All of these pain reductions were statistically significant (p <0.00). However, when comparing the two therapies, there were no statistically significant differences between them (P> 0.05). CONCLUSION: Both therapies were effective in reducing DH after six months of control. There is no statistically significant difference between the two therapies proposed in this study.

    INTRODUÇÃO E JUSTIFICATIVA: Embora existam diversas formas de tratamento para a HSDC, o principal desafio é encontrar uma substância ou forma de tratamento que efetivamente elimine a dor e não tenha recidiva em curto e longo prazo. OBJETIVO: Este ensaio clínico controlado randomizado avaliou a eficácia do uso da solução de fluoreto de sódio a 4% para o tratamento da Hipersensibilidade Dentinária Cervical (HSDC) comparando- a laserterapia de baixa potência com emissor invisível de LASER infravermelho, e o meio ativo AsGaAl. METODOLOGIA: A amostra foi composta por 92 elementos dentários selecionados após serem submetidos a dois estímulos, um táctil, e um segundo estímulo, térmico-evaporativo,  A sensibilidade foi mensurada através de uma escala visual numérica. Os dentes foram distribuídos aleatoriamente e alternadamente em dois grupos (Grupo 1 e Grupo 2) para receber o tratamento de acordo com o grupo para o qual foi selecionado. Para o Grupo 1 foi realizado aplicação de solução de fluoreto de sódio a 4%, em três sessões, com intervalos de 1 semana entre elas, Os elementos dentários do grupo 2 receberam irradiação do LASER de baixa potência de diodo AsGaAl de forma pontual, na região cervical da face vestibular em três sessões com intervalos de 1 semana entre as mesmas. A cada aplicação da solução de fluoreto de sódio a 4% ou do LASER de baixa potência, foram registradas as respostas dos pacientes aos estímulos tácteis e térmicos-evaporativo, na escala visual numérica. Ao término do tratamento e com um, três e seis meses foram realizadas novas avaliações para a verificação da efetividade das substâncias em longo prazo. A análise estatística dos dados foi feita através dos testes não paramétricos Wilcoxon, Friedman e Mann-Whitney, complementada com uma análise descritiva composta de tabelas e gráficos. RESULTADOS PARCIAIS: Os resultados demostraram que após seis meses de encerrado o tratamento, houve redução da sensibilidade dolorosa frente aos dois estímulos, tanto nos elementos dentários tratados com a solução de fluoreto quanto aqueles tratados com o LASER.  A média de dor do elementos dentários tratados com  a solução de fluoreto de sódio a 4% passou de 5,93 para 1,73 em resposta ao estímulo evaporativo e de 3,63 para 0,804 ao estimulo táctil. Para os elementos dentários tratados com  LASER a media da dor passou de 6,020 para 1,854 ao estímulo evaporativo e de 3,50 para 0,937 ao estímulo táctil. Todas essas reduções da dor foram estatisticamente significativas (p <,0,00).  No entanto quando comparadas as duas terapias, não se observaram diferenças estatisticamente significantes entre as mesmas (P>0,05). CONCLUSÃO: As duas terapias foram eficazes na redução da HSDC após seis meses de controle. Não há diferença estaticamente significativa entre as duas terapias propostas nesse estudo.  

37
  • VICTOR ARTHUR OLIVEIRA DE FARIAS
  • Soft Tissue Conditioning in Provisional Crowns in Esthetic Zone: a Clinical Trial.

  • Líder : PATRICIA DOS SANTOS CALDERON
  • MIEMBROS DE LA BANCA :
  • ANA CLARA SOARES PAIVA TORRES
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • PATRICIA DOS SANTOS CALDERON
  • Data: 21-dic-2018


  • Resumen Espectáculo
  • BACKGROUND: The esthetic outcome is one of the criteria used to build a definition of success in implant-supported restorations. Besides performing a masticatory function, dental implants have to bring back satisfactorily the smile esthetic, which is composed not only by the restoration but also by the adjacent peri-implant soft tissue. The aim of this study is to measure the influence of soft tissue conditioning on esthetic outcome of provisional crowns on single implants in the smile zone. METHODS: This study had sixteen patients with indication for rehabilitation with single implant in esthetic region. All patients underwent an implant placement surgery to install a morse tapered implant and whenever possible, immediate loading was applied. All patients received an acrylic resin implant-supported provisional crown. The soft tissue conditioning was performed with a non-surgical technique of gradual pressure. Photographs of the rehabilitated region were taken at the first provisional crown installation and at the last section of soft tissue management. A blind examiner applied the Pink Esthetic Score (PES) based on criteria observed at the photographs. RESULTS: The sample consisted of 10 females and 6 males with a mean age of 40.8 (21—57) years with indication to receive single implants. The missing teeth occurred mostly in anterior region (9) and the most frequent tooth to be rehabilitated was the central incisor (5). Two patients had implant placement with immediate loading, receiving a provisional crown after the surgery procedure. The mean soft tissue conditioning session number was 2,6 (2—4).

     

38
  • ANTONIO PEDRO DA SILVA NETO
  • ELDERLIES HEALTH: A CROSS-SECTIONAL STUDY ON THE LIVING AND HEALTH CONDITIONS OF A PLACE IN THE NORTHEAST OF BRAZIL
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ELIANA BARRETO FIXINA
  • Data: 26-dic-2018


  • Resumen Espectáculo
  • The current society is in constant process of aging, thus triggering a significant increase in the number of elderly people. In this sense, the present study aimed to analyze the prevalence and associated factors to multimorbidities and negative self-evaluation of health in elderlies in a municipality in the interior of the Brazilian Northeast. This is a transversal study with a quantitative, descriptive and inferential approach. The target group was 181 elderly people from the city of Pau dos Ferros, registered in the Family Health Strategies (ESF) of the municipality and that were randomly selected and proportional to the number of elderly registered in each ESF team in the municipality. Of the 181 elderly people, belonging to the first stage of the research, there was a loss of 33 elderly (18.2%). The interviewer in charge was a resident of each elderly woman, drawn with the Free and Informed Consent Form (TCLE) for the application of a questionnaire from the "Health, well-being and aging" survey (SABE). Data collection was performed from January to September, 2018. The Statistical Package for the Social Science (SPSS) was used to analyze the data, whose description was based on absolute and percentage frequency values. The inferential analysis was based on the Chi-square test for a significance level of 5% and, later, a logistic regression analysis, whose odds ratio was converted to the prevalence ratio. In the sample, female superiority was found (64.2%). It was observed that the age group between 70 and 79 years presented a frequency of 40.5% of the elderly, influencing the characterization of a municipality with an already marked aging process. Regarding the dependent variables, one has to consider two forms of conceptualization for the multimorbidities. The first one is the one that considers the presence of two chronic diseases, and the second one is based on three chronic diseases. For the first condition, a prevalence of 66.2% (95% CI 58.6 - 73.8%) was found, with a significant association with hypertension, polypharmacy, difficulty in accessing health services, and self-evaluation of memory. For multimorbidity characterized by three or more pathologies, a percentage of 40.5% (95% CI 32.6 - 48.4%) was obtained, with significant associations for polypharmacy, memory self-evaluation and hypertension. In addition, dependent self - rated health had a negative self - assessment prevalence of 73% (CI 95% 66 - 80%) with associations with the following variables: multimorbidities with 3 more pathologies, polypharmacy, oral health and number of caregivers. It is evident, therefore, how much the disease health process is influenced by the most varied factors, whether biological or not, evidencing the need for a strategy that discusses the social determinants as an important aspect to be taken into account in the care. Not unlike the other studies, SABE Pau dos Ferros has produced results that will support the execution of a strategic planning aimed at the elderly public.
Tesis
1
  • LIGIA REJANE SIQUEIRA GARCIA
  • CHILD STUNTING IN BENEFICIARIES OF BOLSA FAMILIA PROGRAM: DETERMINANTS AND INEQUALITIES IN BRAZIL

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • RAFAEL DA SILVEIRA MOREIRA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 02-mar-2018


  • Resumen Espectáculo
  • This study aimed to identify social inequalities and the associations between life conditions and child stunting on beneficiaries of a Brazilian cash transfer program. It was developed from three different designs, using secondary data from the Department of Informatics of the Brazilian National Health System (DATASUS, from the Portuguese acronym) and from the Brazilian division of the United Nations Development Program (UNDP). The dependent variable was child stunting in beneficiaries of the Brazilian cash transfer program called “Programa Bolsa Família (PBF)” and the independent variables were those related to life conditions in the 5570 Brazilian municipalities, especially indicators for educational and socioeconomic status, sanitation, income inequality and human development, from 2009 to 2012. Regarding the analysis of determinants, it was initially performed a bivariate analysis using Chi-square test, followed by the estimation of adjusted Prevalence Ratios through the Poisson Regression modelling. The spatial dependence of child stunting prevalence was assessed by the Global Moran Index and the spatial correlation was verified by the Bivariate Moran Index. In order to assess the modifications in social inequalities between 2009 and 2012, the Slope Index of Inequality and the Relative Index of Inequality were calculated. For all tests, the significance threshold adopted was 5%. Results showed that the probability of having a high prevalence of child stunting was higher in those municipalities with low socioeconomic indicators (PR 1.43; 95% CI 1.25–1.64) and higher prioritization of Primary Health Care (0.78; 0.70–0.87). It was observed spatial dependence in the distribution of child stunting (I=0.52; p=0.010), with higher prevalence in North and Northeast regions. It was observed reduction in the prevalence of child stunting and an improvement in socioeconomic indicators, followed by a decrease in the absolute inequalities over the studied period (2009 to 2012). In conclusion, the child stunting in Brazil showed a significant reduction in the inequalities, a strong evidence of the social determination and a spatial dependence, when analysed in children beneficiaries of the “Bolsa Família” program.

2
  • TAMIRES CARNEIRO DE OLIVEIRA MENDES
  • PROFILES OF MORTALITY OF ELDERLY IN THE NORTHEAST: STUDY
    COMPARATIVE BETWEEN THREE AGE GROUP AND ITS FACTORS
    RELATED CONTEXT

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • DALIA ELENA ROMERO MONTILLA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENIO COSTA DE LIMA
  • MARIA DO CARMO EULÁLIO
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 27-mar-2018


  • Resumen Espectáculo
  • The elderly population grows rapidly and reveals a variability of characteristics that results
    in different levels of health. In order to make public policies adequate to the new demands, it
    is essential to comprehend the real health pattern and the mortality statistics are an important
    instrument to produce objective bases for this. In this sense, this ecological study proposes to
    analyze the mortality profile of the elderly in the northeastern municipalities from 2001 to
    2015, as well as to identify the contextual socioeconomic factors related. The elderly
    population was analyzed from the perspective of their heterogeneity, dividing it into three
    groups: 60 to 69 years old (younger or sexagenarians), 70 to 79 years (septuagenarians) and
    80 years old or older (longevity). Based on data from the Mortality Information System (SIM)
    and the Brazilian Institute of Geography and Statistics (IGBE), the causes of death, according
    to ICD-10 chapters, were measured using Proportional Mortality (MP) for the descriptive
    analysis of the Northeast region as a whole and through the Age - specific Mortality
    Coefficient (CMId) for the delineation of the mortality profiles in municipalities level. Data
    from IBGE, United Nations Program (PNUD) and the Institute of Applied Economic
    Research (IPEA) were summarized by Principal Component Analysis for the Brazil and then
    in the Northeastern municipalities specifically. The clusters of municipalities with similar
    mortality profiles were defined by means of K-means Clustering Analysis and compared with
    each other and with the socioeconomic indices by Student's T test, Mann-Whitiney, ANOVA
    or Kruskal-Wallis, according to the number of groups and the distribution of the data, at a 5%
    significance level. In addition, the results were analyzed spatially. In the studied period,
    2,461,383 deaths were recorded in the elderly in Northeast. 44.2% of the deaths corresponded
    to the octogenarians, 31.4% to the septuagenarians and 24.4% to the sexagenarians. Most of
    the deaths occurred in the hospital (55.5%), among males (50.8%), brown race (49.0%),
    married (37.1%) and without any study (34.5%). Regarding the causes of death,
    cardiovascular diseases have the highest number of deaths (35.8%), followed by ill-defined
    causes (15.4%) and neoplasms (13.1%). The clustering analysis formed five clusters for the
    sexagenarians group (High burden of neoplasms, High burden of ill-defined causes, Low
    coverage, Intermediate profile and High mortality and good registration), three for the
    septuagenarians (Highest quality of information, Low coverage and Ill-defined causes and
    low coverage profile) and two clusters for octogenarian’s individuals (Cardiovascular
    diseases and ill-defined causes and low coverage and ill-defined causes). The indices of
    Deprivation and Rurality were constructed for the Brazilian municipalities and, in the
    application of the analysis specifically in Northeast, the first one was divided in two
    components (Favorable socioeconomic context and Low education and dependence of the
    State) and the second was adapted as Urbanization and its reflexes. The last one was the most
    important factor for the discrimination of the northeastern municipalities. The bivariate
    analysis showed that satisfactory levels of contextual socioeconomic determinants are related
    to mortality patterns that are closer to the modern characteristics of epidemiological
    transition, as well as a higher quality of the SIM, and this influence is greater in the younger
    individuals. The municipalities identified in the clusters with the most unfavorable health
    profiles should be prioritized in health planning, considering the socioeconomic context for
    reducing health inequities.

3
  • YAN NOGUEIRA LEITE DE FREITAS
  • ORAL HEALTH CONDITIONS AND FUNCTIONAL CAPACITY IN ELDERLY: A POPULATION-BASED LONGITUDINAL STUDY
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • EDJA MARIA MELO DE BRITO COSTA
  • EUDES EULER DE SOUZA LUCENA
  • GUSTAVO PINA GODOY
  • KENIO COSTA DE LIMA
  • Data: 08-may-2018


  • Resumen Espectáculo
  • The study proposes a longitudinal analysis between oral health conditions and the functional capacity of the elderly population from the municipality of Macaíba-RN. For that, two waves of observations were performed in a elderly population representative cohort from this municipality. The oral health conditions examination sought to evaluate the degree of caries attack (DMFT), the periodontal condition (CPI/PAL), pairs of teeth in occlusion, the use and necessity of dental prostheses and the presence of changes in soft tissue. The functional capacity evaluation, which determines their degree of dependence, was obtained through the application of the Katz index and the Lawton-Brody index. Furthermore, a questionnaire was used to characterize the socioeconomic and demographic profile of the sample. Data from the 209 individuals investigated in the second wave revealed a predominantly female sample (66.5%). The mean age was 75.2 (± 8.14) years, with an average family income of 1.99 (± 1.49) minimum wages. The number of self-reported diseases by the elderly was 1.7 (± 1.1) on average, and regular consumption of medications was reported by 182 subjects (87.1%). As to the oral health longitudinal evaluation, measured from the proposed multidimensional indicator, it was observed that for 22.2% of the subjects there was a worsening in the oral health condition, while 115 individuals (63.9%) maintained the same oral health conditions and, therefore, to 13.9% was observed an improvement in these conditions. Functional capacity was not associated with these changes. Although the functional capacity was not associated with the oral health condition, it was observed that the oral health situation of the elderly from Macaíba-RN is precarious and stable over time, which makes it difficult to investigate associations that may indicate factors related to this context. It is understood that the findings presented are extremely useful to foster reflections on the living conditions of these individuals regarding health policies, especially the policies of oral health, which clearly does not prioritize this age group.

4
  • HIPOLITO VIRGILIO MAGALHAES JUNIOR
  • EVIDENCES OF VALIDATION OF AN OROPHARYNGEAL DYSPHAGIA SCREENING INSTRUMENT

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANA CALINE NÓBREGA DA COSTA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • LUCIA FIGUEIREDO MOURÃO
  • MARIA ANGELA FERNANDES FERREIRA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 21-may-2018


  • Resumen Espectáculo
  • In the elderly, feeding may be compromised as a result of a swallowing disorder during the passage of food through the oral and pharyngeal region called oropharyngeal dysphagia (DO), a health condition that interferes with the maintenance of the nutritional status and hydration of the with the possibility of significant respiratory complications. Recognized as a geriatric syndrome by two important European communities, OD affects the autonomy and independence of the elderly in carrying out their daily life activities and contributes to functional decline and fragility. The objective of this study was to develop and validate a self-referenced questionnaire for the diagnosis of oropharyngeal dysphagia in the elderly (RaDI). The research methodology of this non-randomized, cross-sectional validation study followed the assumptions of the Standards for Educational and Psychological Testing, which describe the process of obtaining evidence based on: test content, response processes, internal structure, with other variables (convergent validity, discriminant, criterion and generalization). The collection, carried out from March 2013 to October 2017, in the city of Natal, state of Rio Grande do Norte, included the elderly, aged 60 and older, of both sexes, attended in the services of care for the elderly, Institution de Longa permanence, University Hospital and two Coexistence Centers, and excluded those with functional difficulties to understand, without any oral feeding, laryngectomized and tracheostomized patients. In the first two stages of validation, four researchers involved in the issues of swallowing and aging, three speech therapists and a sanitary dentist participated in a panel of experts to evaluate the analyzes of 32 judges on the first version of RaDI with 17 items. After its reformulation, the questionnaire was applied to the target population in 40 elderly people, and adjusted to 14 questions that were applied in 211 elderly people to perform the confirmatory factor analysis within a previously hypothesized theoretical model. The RaDI was reduced in 9 questions and was administered along with the associated factors questionnaire in 393 participants, within the same sociodemographic profile, to evaluate the concurrent validity, and in 110 along with the Rosenberg Self-esteem Scale to analyze its divergent validity , performed using the Spearman coefficient (r). The reliability examined by the test-retest in 75 elderly, used intraclass correlation (ICC), weighted Kappa, instrument measurement error (SEM) and the smallest real difference (SRD), and the internal consistency considered Cronbach's alpha, in of the 95% confidence interval. Results: RaDI was adjusted in its internal structure in the nine questions model, with good reliability (ICC = 0.83, CI 0.74-0.89, p <0.001, SEM = 2.13, SRD = 5.90 ) and high internal consistency (a = 0.90). Conclusions: RaDI has produced valid and reliable answers to identify the symptoms of oropharyngeal dysphagia in the elderly and is still in the process of obtaining the most adjusted psychometric parameters in its confidence interval.
     
     
5
  • JOSE ADAILTON DA SILVA
  • STRATEGIC GROUP ON HEALTH PROMOTION: A PARTICIPATORY RESEARCH ON THE AUTONOMY OF PEOPLE LIVING WITH DIABETES

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JOÃO BOSCO FILHO
  • MARCELO VIANA DA COSTA
  • MARIA DE FÁTIMA ANTERO SOUSA MACHADO
  • Data: 26-jun-2018


  • Resumen Espectáculo
  • Diabetes requires changes in the lives of those who become diagnosed with it, requiring healthy living habits, regular physical activity and even self-administration of medications. Sometimes, it requires a certain self-control that involves the ability to recognize options and make decisions: in this sense, the exercise of personal autonomy is necessary. Discussion on autonomy pays attention to the respect for people's choices, even in the face of restraining situations. Certainly, working with practices of autonomy in chronic diseases are still quite challenging. The purpose of this study was to compose health promotion strategies, based on a Strategic Health Promotion Group (GEPS), to help create the conditions for the exercise of people's autonomy regarding health care dealing with a disease chronic condition. The research is participatory, with a qualitative approach based on reflexivity. A previous consent was necessary to form a sixteen people group diagnosed with diabetes. Different topics were discussed, and the analysis of narratives produced in the meetings resulted in three thematic axes: a) Recognizing diabetes; b) Living with diabetes, and c) Exercising autonomy and protagonism. These axes formed three respective textual summaries, which were evaluated and validated by the participants in other three meetings. An interpretative exercise unfolded these summaries. Results demonstrate how participant´s experiences are related to the impact of diabetes diagnosis, provoking a moment of instability in the recognition of their ways of taking care of their own health, implying in the adoption of new meanings for their life habits. The recognition of this chronic condition transforms the way they come to live with diabetes, deriving in diverse personal strategies of self-control, self-care and adaptation. Sharing experiences facilitates the recognition of choices to the subject, stimulating their autonomy and protagonism. Shared care in a co-management process is critical to the longitudinality of diabetes care. In conclusion, the study emphasizes that the Strategic Group for Health Promotion extends the possibilities of self-care management and provokes reflections on health workers and health promotion practices, becoming an important tool for the health collective management. Group strategies, when directed towards the subject´s autonomy, tend to strengthen Primary Health Care and to achieve its essential attributes. 

6
  • MÁRCIA CAVALCANTE VINHAS LUCAS
  • WHERE DOES SIDA COME FROM, WHERE DOES IT GO TO? POSSIBLE PATHWAYS FOR THE ERADICATION OF THE HIV EPIDEMIC FROM THE PRESENT TIME

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • ROSANA LUCIA ALVES DE VILLAR
  • ANGELA APARECIDA CAPOZZOLO
  • JOÃO BOSCO FILHO
  • Data: 02-jul-2018


  • Resumen Espectáculo
  • As the fourth decade of HIV/AIDS epidemic in Brazil approaches, the epidemic context in the country has extremely complex new characteristics. In 2016, what we find in Brazil is a picture of resurgence of the epidemic with a new profile centered in MSM, chemical dependents, young gays and sex workers; reduction on international investments; and the upsurge of conservative sectors against public policies, restraining the epidemic approach based on human rights. At the same time, the United Nations affirm that it is possible to eradicate the epidemic of HIV/AIDS until 2030. The general purpose of this research is to understand and to assess experiences of people who live the epidemic of HIV/AIDS in the present context of adoption of therapeutic strategies in order to achieve national and international goals of eradication of the epidemic until 2030. Two central research strategies have been adopted: interviews focused on life stories and ocumentary research. The later assessed documents produced by the UN System that address the global policy of confrontation of the epidemic in the period from 2000 to 2016, in a total of 27 documents.The researcher has also explored official documents about the Brazilian Policy of Control and Eradication of the epidemic, from 1999 to 2016, and the Epidemiologic Bulletins of HIV/AIDS, from 2001 to 2016, in a total of 24 documents. Five health professionals and four users have been interviewed. The interpretive exercise of the interviews, with emphasis on life stories, was referenced in Sociology of Emergencies, Translation Work and in the Ecology of Knowledge, inspired by Boaventura de Souza Santos, who sought on local speech what, from the experience and expectation of the subjects who experience the care to the people living with HIV routinely, affirmed or denied knowledge and practices, new and old, and identified possibilities of future that are being built in the present through care practices concerned with the future of individuals and collectivities. The Translation work between narratives of subjects that produce local knowledge and practices and the official narrative that produces global knowledge from the argumentative work of the researcher was based on the analysis of the empirical material produced on the research and from the theoretical framework that has been adopted. From this work of translation between global, national and local knowledge and practices, prevention emerged as the most neglected stage of HIV/aids care and, thus, the most prone to setbacks, at the same time that we notice a pluralism of practical knowledge associated to it. Setting the epistemological path oriented by the ecology of knowledge, we identified the insufficiency of the image associated to combination prevention proposed by the Health Ministry in the representation of practices announced by different actors as being the ones with the capability of conciliation, provoking the need for its expansion. For this reason, based on the results of the study, we propose an alternative representation of the combination prevention mandala that embodies other aspects of the care applicable to the combination prevention. The interpretive exercise of approximation between different knowledge highlighted the need to put people, community and specially the right to prevention in the center of the responses to the confrontation of the epidemic of HIV/aids, if we want to understand the reinvention of the present more than projecting a future.

7
  • SAMARA CAROLLYNE MAFRA SOARES
  • PREVALENCE AND FACTORS ASSOCIATED WITH SCREENING FOR PROSTATE CANCER AND BREAST CANCER IN THE BRAZILIAN POPULATION

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GUSTAVO PINA GODOY
  • ISABELA PINHEIRO CAVALCANTI LIMA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 26-jul-2018


  • Resumen Espectáculo
  • Screening for the early detection of cancer has advantages and disadvantages in its realization, and its practices. Both in the public service and in the private health sector, should be guided by scientific evidence in order to ensure benefits and to avoid potencial damages and harms. Prostate cancer is one of the most frequent among men in Brazil and worldwide, and recommendations for its screening have been undergoing constant changes in the face of recent scientific evidence about the gains and potential harms of diagnostic tests, the PSA and digital rectal examination (DRE). The present study aims to identify the prevalence and factors associated with the performance of DRE in Brazilian men over 40 years of age. The Stata® 14 software was used to tabulate and statistically analyze the Prevalence Ratios with the respective 95% Confidence Intervals and p values, using the National Health Survey (NHS), Brazil, 2013. Multivariate analysis with Poisson regression. The men with private health plans (63.3%, CI = 60.5-66.0) had a higher prevalence in the implementation of DRE than in the public health system (41.6%, CI = 39.8% 43.4). The results showed a positive association for DRE in men with private plans aged 60-69 who married, and never smoked and domiciled in urban areas. For men who use the public health service, this positive association with DRE occurred in the age group of 70-79 years, living with consort, have poor / very poor self-perception, who do not drink, former smokers, with university level, who have 4 or more comorbidities, and domiciled in urban areas. Also for this group there was a negative association of the DRE for men living in the northern region of the country. The findings point to a difference in the medical practice in force in these two types of health service in the country, and also differences in access to this diagnostic test.
8
  • ANGELA MARIA DE MEDEIROS SOARES
  • INTERNAÇÕES EM IDOSOS E FATORES CONTEXTUAIS ASSOCIADOS NO NORDESTE BRASILEIRO

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ALBERT ESPELT HERNÁNDEZ
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 02-ago-2018


  • Resumen Espectáculo
  • The present study aimed to investigate the elderly hospitalizations by cause group and by sensitive conditions to basic health (HSCBH), identifying their relationship with contextual factors in the Northeast of Brazil. A cross-sectional ecological study was performed using secondary data from the Hospital Information System of Brazil (SIH-SUS) to describe hospitalization rates by cause group and by HSCBH of the elderly between 2010 and 2015. The dependent variables were the elderly hospitalizations by cause group and by HSCBH. Therefore, the non-hierarchical cluster analysis (K-means) was performed by grouping of municipalities based on the cause group chapters in general admissions and those sensitive to basic care, with 3 Clusters. For the general hospitalization rate, Cluster 1 was characterized by the prevalence of low hospitalization rates, Cluster 2 with a high prevalence of hospitalization rates and Cluster 3 with predominance of intermediate hospitalization rates. In the HSCBH rates, Cluster 1 was classified as intermediate rates, 2 as low rates and 3 high rates. For the association with the dependent variables, were selected 11 independent socioeconomic contextual variables. The variables selected were summarized through the Factor Analysis starting Principal Components Analysis (PCA). Thus, we obtained component 1 that was called "urbanization and its reflexes", the second component being nominated as "favorable socioeconomic context" and the third component titled "little education and dependence of the state". In addition to these variables, we used the GINI Index, HDI, Firjan Index, the average coverage of basic care in municipalities between 2010 and 2015, and the rate of the physician visits among the elderly in basic care during the same period. The total hospitalization rate in the period was 1,212.60, with the greatest number being to circulatory system diseases, followed by respiratory system diseases and infectious/parasitic diseases. The clusters of hospitalization rates differed significantly between contextual factors, so that the municipalities with the highest hospitalization rates presented the highest values for the favorable socioeconomic context, the highest values being related to the few schooling and state dependence of municipalities with lower hospitalization rates. In relation to HSCBH, the total hospitalization rate was 527,524 (43.5% of all hospitalizations), with a higher number of heart failure diseases, followed by cerebrovascular and infectious gastroenteritis. In the association between the rates with the contextual factors, there was a significant difference between all the clusters and the factors. The cluster with the highest admission rates was the one that presented the highest averages for the “favorable socioeconomic contexto” and for “little education and dependence of the state”. The cluster with the lowest hospitalization rates had the highest averages for the "urbanization and its reflexes” factor. In the analysis of the coverage and the rate of physician visits among elderly people in basic care, it was observed that the clusters did not differ significantly, although in the cluster with the highest hospitalization rates, there were the highest number of physician visits among the elderly. About this context, was concluded that in this elderly population there is a predominance of hospitalizations due to diseases of the circulatory system. In the HSCBH, the largest number of hospitalizations is due to heart failure. Regarding the contextual factors, we can conclude that these fators interfere in a significant way in the hospitalizations of the elderly population, being relevant the point of these factors in the construction of the health public policies, taking into account the vulnerabilities of this population and contributing to the improvement of the elderly health  and the reduction of hospitalizations in this population.

9
  • CLECIO GABRIEL DE SOUZA
  • EFFECTS OF TRANSCRANIAL STIMULATION BY CONTINUOUS CURRENT ON CHRONIC PAIN IN INDIVIDUALS SUFFERED BY CHIKUNGUNYA.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ALEXANDRE HIDEKI OKANO
  • ALEXSANDRO SILVA COURA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • WOUBER HÉRICKSON DE BRITO VIEIRA
  • Data: 09-ago-2018


  • Resumen Espectáculo
  • Chikungunya is a condition that has reached thousands of Brazilians, with alarming numbers of serious and incapacitating cases throughout the country. It is transmitted by the Aedes Aegypti mosquito and causes acute onset fever, joint and muscle pain. The persistence of symptoms of continuous and disabling joint pain has been a characteristic of relevant concern for collective health. There is still no specific treatment for cases of chronic pain caused by Chikungunya and the mechanisms responsible for chronic pain can be involved with the phenomenon of central pain sensitization. Neuromodulation techniques could act on these effects and among them there is Transcranial Current Stimulation (ETCC), which is a technique of applying currents of low intensity on the scalp in order to modulate cerebral areas and has been shown to be efficient in the treatment of cases involving chronic pain. The objective of this study was to analyze the effect of CTEF on chronic pain in patients treated by Chikungunya. A randomized clinical trial of women with Chikungunya, aged between 28 and 70 years, was divided into two experimental groups (CTEF) and placebo (SHAM). The sociodemographic and clinical characteristics of the participants were evaluated, as well as the level of functional capacity and pain symptomatology before and after being submitted to six sessions of ECTS on alternate days. A total of 59 women participated in the study, with a mean age of 52.85 ± 10.76 years and the time of disease involvement presented a mean of 21.54 ± 3.53 months. Regarding the presence of Chikungunya-associated diseases, 39% reported having a previous rheumatic disease. For the variables of functional capacity and pain, an improvement was observed in the two groups of the research, but this difference was greater in the experimental group, especially when compared to pain at different moments, with a follow-up of fifteen days after the last session. ETCC was able to improve the level of pain reported by individuals affected by Chikungunya.

10
  • HUGO DE ALMEIDA VARELA
  • Platelet rich fibrin in injectable form (i-PRF): celular, morphological and protein characterization

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • JOSE SANDRO PEREIRA DA SILVA
  • HECIO HENRIQUE ARAUJO DE MORAIS
  • RENATA CIMÕES JOVINO SILVEIRA
  • Data: 09-ago-2018


  • Resumen Espectáculo
  • One of the great challenges of clinical research is the development of new biomaterials that aid in tissue regeneration and accelerate the healing process. Experimental studies demonstrate the effect of platelet rich fibrin (PRF) on tissue regeneration techniques, optimizing the repair process; and can be used in injectable form (i-PRF). The objective of this research was to determine the cellular, morphology and protein characterizations  involved in the repair process and to evaluate its interaction with a bioceramic material from an in vitro model. Blood samples were collected from 15 human volunteers for comparison of the cellular constituents between i-PRF and peripheral blood. Samples of i-PRF and blood clots were cultured in vitro for 10 days. The supernatant of the samples was collected at intervals 1h, 8h, 24h, 3 days and 10 days for quantification of PDGF-AB and VEGF growth factors by ELISA immunoassay. Samples were histologically treated for morphological characterization and submitted to the immunohistochemical methodology for the labeling of IL-10, Osteocalcin  and TGF-β proteins. The gene expression of collagen transcription factor type 1 was investigated. Samples of i-PRF mixed with granular bioactive ceramics (HA / β-TCP) were prepared to evaluate the interaction between these compounds through SEM. A higher concentration of leukocytes (8,124 ± 1,419) and platelets (3.96x105 ± 0.72) in i-PRF compared to peripheral blood (p <0.001) was observed, with a higher proportion of lymphocytes (60%) in i- PRF. Higher levels of VEGF were released from the blood clot (1933± 704) compared to i-PRF (852 ± 376; p <0.001); no differences were observed between PDGF-AB levels (p>0.05). Immunohistochemical assay demonstrated staining  for TGF-β, IL-10 and Osteocalcin in the i-PRF group. RT-PCR analysis showed increased gene expression of collagen type 1 in the i-PRF group (p>0.05) . Microscopically, the formation of large platelets and fibrin clusters and a fibrin network in a three-dimensional spatial and homogeneous distribution were observed. SEM images showed good integration between the ceramic granules and the fibrin mesh formed by i-PRF. In describing and analyzing the morphological and biological properties of i-PRF in vitro, we can better understand its clinical effects and develop guidelines for future therapeutic applications.

     

11
  • LYANE RAMALHO CORTEZ
  • FIXATION OF THE PHYSICIAN IN PRIMARY HEALTH CARE – A PERSPECTIVE FROM THE PROGRAM TO VALUE PRIMARY HEALTHCARE PROFESSIONALS


  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • PAULO DE MEDEIROS ROCHA
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • WASHINGTON LUIZ ABREU DE JESUS
  • Data: 16-ago-2018


  • Resumen Espectáculo
  • The present study not only analyzed factors that led physicians to migrate from the Program to Value Primary Healthcare Professionals (PROVAB) to the More Physicians for Brazil Project (PMM), opting to continue as Primary Health Care (APS), but also aimed to identify the perception of users, managers and supervisors regarding the profile and work of physicians, gathering which factors were important for individual and collective care. It used a mixed methodology when contemplating qualitative and quantitative aspects in order to potentialize the diagnosis and to approach the researched phenomenon. Secondary data from the First Impressions Report (RPI) were used by physicians when they arrived at PROVAB. The Iramuteq software was used to analyze these data. To analyze the qualitative data collected from six focus groups, the content analysis technique was used, identifying the respective categories of thematic analyzes. Upon arriving at PROVAB, the doctor identified that the access of the user was hampered by an agenda organization that prioritized free demand and care by type of illness and life cycles, with a loss in the identification, listening and reception of the users' health needs. There were difficulties related to lack of material, inadequate infrastructure conditions and a routine of overloading health workers. In the training of these doctors there was a gap in the graduation course related to the APS, and the year of formation at PROVAB was configured as an aggregator of these competences, providing professional experience with autonomy, ability to work as a team and to work in permanent education in their territories qualifying care in APS. The physicians identified a differentiated posture regarding the listening and follow-up of users with a strong bond and commitment to care in the territory. It was verified that the access to health services and actions is influenced by the presence of the physician and the model of attention with emphasis on the health needs of the users and in the health promotion and education from the reception and humanized access, increasing the resolving capacity and the completeness of care. The management was a facilitator of this qualification process triggered by the program, and aspects such as sensitivity, flexibility and search for permanent qualification were observed, which allowed the promotion of a live work in an act, produced by the knowledge and know-how social workers involved in the Primary Health Care workforce. Finally, despite all the challenges faced by PROVAB throughout its course, it has had a unique contribution to the qualification of APS, contributing to the birth of a new logic of medical education in Brazil. Its effective contribution to the consolidation of the PMM, which is still under construction, is a major movement of resistance to the disarticulation and deconstruction of the SUS that happens daily in our country.

12
  • DÉBORAH KAROLLYNE RIBEIRO RAMOS LIMA
  • BETWEEN WIRES AND KNOTS: AN ANALYSIS OF THE PSYCHOSOCIAL CARE NETWORK IN NATAL/RN

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JOÃO BOSCO FILHO
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 29-ago-2018


  • Resumen Espectáculo
  • This thesis is at the interface between collective health and mental health. Its research object is the Psychosocial Care Network (RAPS, as per its Portuguese acronym), analyzed from the viewpoint of its organizational logic and having as a guiding axis the articulation between the services comprising it. It is broadly aimed: to analyze the RAPS Natal/RN, considering the care in the territory and its modes of articulation; and specifically: to draw up a network design, relating the municipal installed capacity, the current care flows and the intersectoral partnerships directly related to the line of care in psychosocial care; to understand the modes of articulation between the services comprising it, considering the continuity of care in the territory; to propose strategies to enhance this network of care, based on loco-regional specificities. This is a qualitative research guided by the Complex Thought, with Morin’s orientation, as an understandable lens of reality and of the phenomenon in question. In order to collect data, we moved through the health services comprising the various points of care in the RAPS Natal/RN, and also performed focus group sessions with directors, workers and users of the visited health services, totaling 22 subjects. It was approved by the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (HUOL-UFRN), on April 3rd, 2017 – CAAE 65226817.5.0000.5292 and opinion 1.997. The results were built from the corpus originating from the transcripts of the focus groups, and divided into two categories of analysis, namely: 1) From the tangled wires to the basting of a network –  which consists of the presentation of the RAPS Natal/RN from the graphic viewpoint and regarding the characteristics of community-based mental health care developed in the municipality; 2) Concerning the articulation of the RAPS: relinking wires and knots, basting the network – where we will discuss the strategies adopted by actors, services and sectors to promote interconnections that foster the continuity of mental health care in the territory. Still in the second category, problems are debated evidenced in the local scenario and that have direct or indirect implications for the articulation of the RAPS and for the continuity of the care in territory and that are denominated like the "nodes of the network". In short, we recognize in the local scenario more the existence of a continuum between services than of an RAS proper. We call attention to the relationship of recursion that we judge to be established between care in the territory and the articulation of RAPS. So, care based on specialty, medicalization and fragmentation - as evidenced by the research - is the product and producer of a network that articulates in a timely manner, in a fodder triggered by labels and intersubjectivities. We are betting on the trinity of "integrality-sharing of care-intersectoriality" to extrapolate flows of labyrinth assistance towards the realization in RAPS territory

13
  • ISABELLE MARIA MENDES DE ARAÚJO
  • Vulnerability in Enviromental Health: the case of impementation of automobile complex in the Goiana territory, Pernambuco, Brazil.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CRISTINA LARREA KILLINGER
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • IDE GOMES DANTAS GURGEL
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 12-sep-2018


  • Resumen Espectáculo
  • This research was based on the reflection on the integrated approach of Collective Health and the environmental issue, considering the scenario of the coming of global industrial enterprises in the brazilian local context, related to the productive restructuring of capital, with evidence for the automotive sector. The general objective of the study was to analyze the environmental health vulnerability resulting from the installation of the FCA / Jeep automotive complex in the city of Goiana, Pernambuco, especially on the Acaú-Goiana extractive reserve, with emphasis on the health, economic, political-social, cultural and environmental aspects of the territory, for the construction of a predictive matrix of vulnerabilities. Specifically, we involve discussing the environmental issue in the field of collective health in a theoretical-conceptual articulation with the field of political ecology; to understand the socio-sanitary profile of Goiana/PE in the pre and post installation of the automotive pole, as well as the impacts on the water resources of the territory and the consequences for human health; to construct an explanatory matrix based on the FPSEEA (Force-Pressure-Situation-Exposure-Effect-Action) framework, with systematization of indicators for the monitoring of impacts / effects on the health of the local population and the environment; in addition to analyzing the perception of the traditional extractive communities (Resex Goiana) on the dimensions of the processes of vulnerability caused by the pole, using the categories of social reproduction (ecological, biocommunal, communal-cultural, societal-economic and political reproduction). We conclude that the study on environmental health vulnerability makes it possible to understand the aggravations in local contexts, nature, social relations and singular and communitarian life, resulting from the inequities and injustices caused by the power of Capital and the State to the detriment of social groups historically destitute and socioecological systems.

14
  • ANA CLARA SOARES PAIVA TORRES
  • MANDIBULAR COMPLETE DENTURE SUPPORTED BY IMPLANTS: FACTORS INFLUENCING THE SUCCESS OF REHABILITATION

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANDRE ULISSES DANTAS BATISTA
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • JULIANA APARECIDA DELBEN
  • PATRICIA DOS SANTOS CALDERON
  • Data: 14-sep-2018


  • Resumen Espectáculo
  • The long-term success of implant-supported dentures is one of the supports to indicate these treatments. The aim of this study was to evaluate a set of variables that may interfere in the success of rehabilitation. The masticatory performance (PM) (granulometric method - X50 identification), oral health impact on quality of life (OHIP-EDENT), occurrence of complications and the health of the peri-implant tissues of patients with overdentures supported by 2 implants with a bar  clip retention system (G1) or with fixed complete dentures on 4 or 5 implants (G2), opposed to conventional complete denture. The peri-implant tissues were evaluated for mini-pillar biofilm (BMP), probing depth (PS), bleeding, inflammation, keratinized mucosa (MC), mucosal margin level (NMM) and bone loss (PO). Follow-up times were 3 (T1), 12 (T2), 24 (T3), 36 (T4) and 48 months (T5) after rehabilitation. To analyze the statistical differences in each group and over time the main tests used were Mann-Whitney, Wilcoxon and Friedman, with a significance level of 5%. The sample consisted of 45 patients. Among them, 32 have HE-type implants. The others (n = 13) had Cone Morse implants (CM). The mean age of the total sample, including patients with HE and CM, is 63.02 years (± 8.27). Rehabilitation groups were as follows: G1 with n = 25 (55.6%) and G2 with n = 20 (44.4%). Of these, 34 (75.6%) were women and 11 (24.4%) were men. The results showed that mean values of total OHIP increased from 5 to 6.60 and 6.71 in 2 (n = 33), 3 (n = 30) and 4 years (n = 28). In those times the same thing happened with the X50 that increased from 5.68 mm to 6.25 mm and 6.33 mm. In T4, G1 had a greater negative impact of oral health on quality of life in terms of physical dysfunction (p = 0.019). Overdenture patients experienced worsening of PM over time (p = 0.001). Regarding the complications, it is highlighted that in G1 there are 2.28 times more chances of complications occurring. Among the HE patients BMP increased over time in G2 (p = 0.042) and was higher in G2 than in G1 from T2 through T5 (p <0.05). PS values increased in G1 over time (p <0.001) and NMM was lower in G2 than in G1 at all times (p <0.05) and PO over time increased in G2 (p <0.001) and was greater than in G1 at 2, 3 and 4 years (p <0.05). When evaluating patients with HE and CM, it was possible to notice that bleeding was greater in G2 than in G1 in T3 and T4 (p <0.05) and NMM remained lower in G2 at all times (p <0 , 05). Thus, it was concluded that both treatments resemble the impact on quality of life and masticatory performance, however, patients rehabilitated with overdentures are more prone to prosthetic failure. While patients who are rehabilitated with fixed prosthesis have less favorable peri-implant tissue conditions.

15
  • LORENA MARQUES FERREIRA DE SENA
  • Effect of different bonding protocols on degree of monomer conversion and bond strength between orthodontic brackets and enamel

  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA CLÁUDIA MOREIRA MELO TOYOFUKU
  • CARMEM SILVA LAUREANO DALLE PIAGGE
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • PATRICIA DOS SANTOS CALDERON
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 13-nov-2018


  • Resumen Espectáculo
  • Objective: To evaluate the effect of different surface treatments and polymerization protocols on the bond strength of brackets to enamel, and the degree of conversion of the bonding agents. Methods: 120 bovine crowns were embedded in acrylic resin blocks and sanded. Next, the blocks were randomly assigned into 12 groups. Metal brackets were bonded to enamel according to the "surface treatment" factor (A: Phosphoric Acid; ATxt: Phosphoric Acid + Transbond XT Primer®; Tse: Transbond Plus Self Etching Primer®; and SBU: Scotchbond Universal®) and "polymerization" factor (R20: Radii-Cal®/20 seconds; V20: Valo Cordless®/20 seconds; and V3: Valo Cordless®/3 seconds). All samples were stored for 6 months (water, 37ºC) and then subjected to a shear bond strength test (SBS). Bond failures were classified according to the Adhesive Remnant Index (ARI) and analyzed with the Kruskal-Wallis and Mann-Whitney tests (5%). Using the same factors, 120 resin discs were made to assess the degree of conversion (DC) of the monomer. Data from the SBS (MPa) and DC (%) were analyzed by analysis of variance (2 factors) and Tukey's test (5%). Results: For the SBS, the factors "polymerization" (R20=8.1B; V20=13.2A; V3=5.2C, p=0.0001) and “surface treatment” (A=3.1C; ATxt=13.6A; Tse=12.3A; SBU=6.3B, p=0.0001) were statistically significant among groups. The highest adhesion value were found for the ATxt/V20 group (22.2A) and the lowest value for the A/R20 group (1.2E). Regarding ARI, score 2 was the most prevalent in groups A, ATxt, V20 and V3, while score 4 was the most prevalent in the Tse, SBU and R20 groups, with no significant difference between them (p=1.0).  Regarding DC, the factors "polymerization" (R20=66.6A; V20=58.4B; V3=45.1C, p=0.0001) and "surface treatment" (A=52B, ATxt=59.7A, Tse=51.4B, SBU=63.8A, p=0.0001) were statistically significant. Conclusions: Tse was more sensitive to the variations in polymerization protocols than the other surface treatments. Treatment A did not present suitable bond strength or degree of conversion.

16
  • GIOVANNA DE FATIMA ALVES DA COSTA BORGES
  • IMPACT OF AN ADDITIONAL POLISHING METHOD ON PHYSICAL, MICROMORPHOLOGIC AND MICROTOPOGRAPHIC PROPERTIES OF BULK FILL COMPOSITES

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • ALEX JOSE SOUZA DOS SANTOS
  • BONIEK CASTILLO DUTRA BORGES
  • CLAUDIA TAVARES MACHADO
  • ISABELA PINHEIRO CAVALCANTI LIMA
  • JOSE RENATO CAVALCANTI DE QUEIROZ
  • Data: 12-dic-2018


  • Resumen Espectáculo
  • The aim of this study was to evaluate the surface roughness, wettability, compactness, mapping of chemical elements, 3D microtopography and micromorphology of bulk fill composites after additional polishing. The specimens were prepared from bulk fill (Filtek Bulk Fill Tetric N-Ceram Bulk Fill Opus Bulk Fill X-tra Fil) and conventional composites (Filtek Z250 XT, Grandioso, Tetric N-Ceram, Vittra APS), and randomly distributed in 3 groups (n = 10): without finishing and polishing, finishing and polishing with Astropol, additional polishing with Astrobrush (Astropol + Astrobrush). The surface roughness (Ra) and contact angles were measured using a profilometer and adapted goniometer, respectively. The 3D microtopography was evaluated using atomic force microscopy (AFM), while the micromorphology and the compactness, through scanning electron microscopy (SEM). The mapping of chemical elements was evaluated using (SEM / EDS - X-ray Dispersive Energy Detector). The roughness and the contact angle were analyzed by 2-way ANOVA and Tukey's test (p <0.05); other variables were descriptively analyzed. All the composites involved in this study had a superficial layer rich in dilute organic matrix, a subsurface layer rich in particles of smaller dimensions. Additional polishing step reduced surface roughness of Filtek Bulk Fill resins, Vittra APS, Tetric N-ceram Bulk Fill and X-trafil resins, increased the contact angle value of the X-tra Fil and decreased the Filtek Z250 XT. In the analyzes for 3D microtopography and micromorphology, smoother and uniform surfaces were observed in all a composites. The elements: Carbon (C), Oxygen (O), Silicon (Si) were present in all composite resins. Fluorine (F) was detected only in the Tetric N-ceram, Tetric N-ceram Bulk Fill. Only X-tra Fil did not present zirconia (Zr). Barium (Ba) was detected in Filtek Bulk Fill, TetricN-ceram Tetric N-ceram Bulk Fill, X-tra Fil, but absent in Vittra APS, Opus Bulk Fill and Grandiose. Titanium was found only in Opus Bulk Fill and tungsten only in Filtek Bulk Fill. Additional polishing step improved the surface properties of the composites studied.

17
  • FRANCISCA SUELI MONTE MOREIRA
  •  

    Use of drugs for elderly people in the elderly in long-term care institutions
     
     
     
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • DJANILSON BARBOSA DOS SANTOS
  • JULIANA MARIA GAZZOLA
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIANA MARTINS GONZAGA DO NASCIMENTO
  • RAND RANDALL MARTINS
  • Data: 17-dic-2018


  • Resumen Espectáculo
  • The rapid growth of the Brazilian elderly population has been accompanied by a greater burden of diseases, an increase in the use of health services and an increase in the demand for Nursing Home (NH). The elderly are more susceptible to the occurrence of adverse events due to physiological changes related to aging that may influence the pharmacokinetics and pharmacodynamics of the drugs. The present study has as main objectives to verify the prevalence of potentially inappropriate drug use (PIM) for the elderly and the associated factors, as well as to evaluate the changes in the occurrence of PIM over time. The first stage of the study (study 1) follows a cross-sectional design and used baseline data from the study "Human Aging and Health: the reality of the institutionalized elderly in the city of Natal / RN", which aims to assess health / institutionalized elderly in the city of Natal / RN. The collection was performed based on the data collected in 10 Institutions of NH. Inappropriate medications were classified according to the 2015 American Geriatric Scoiety (AGS) Beers Criteria. Sociodemographic variables, related to NH and health conditions, were analyzed. Univariate and multivariate analyzes were performed between the main variable (PIM use) and the other variables. The study population consisted of 321 elderly people, and the prevalence of 54.6% of PIP was identified. Multivariate analysis revealed that PIM use was associated with polypharmacy and dementia. The second part of the study (Study 2) followed a 24-month longitudinal with 6-month follow-up intervals. The variables and 2015 AGS Beers Criteria adopted in study 1 were maintained. The prevalence of PIM use was high in the 4 waves, with 63.4% in wave 1, 62.9% in wave 2, 69.2% % in wave 3 and 65.9% in wave 4. The classes of drugs most frequently used as PIM in all waves were antipsychotics, bezodiazepines and proton pump inhibitors. The study revealed that the use of PIP is high among NH residents, remaining high over time. The prevalence of MPI in this magnitude reveals the need to improve the quality of the pharmacotherapy of the elderly and requires actions of professionals and managers.

2017
Disertaciones
1
  • ARIANE SALGADO GONZAGA
  • Mechanical, thermodynamical and chemical characterization of commercial CuNiTi wires

  • Líder : SERGEI GODEIRO FERNANDES RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • PATRICIA BITTENCOURT DUTRA DOS SANTOS
  • RENATO PARSEKIAN MARTINS
  • Data: 30-ene-2017


  • Resumen Espectáculo
  • Introduction: CuNiTi (copper Ni-Ti) wires have indications of specific clinical use and should therefore express the mechanical and thermodynamic characteristics reported by manufacturers. With the fall of the production patent, several companies began to manufacture these wires with great variation of price, process of manufacture and possibly of quality. Objectives: In order to verify the properties of these wires, this work aims to characterize mechanically, thermodynamically and chemically CuNiTi commercial wires. Materials and Methods: The sample consisted of 40 precontoured, thermodynamic arches with addition of copper, dimensions of 0.017 "x 0.025" with Af temperature of 35°C, from 5 manufacturers, American Orthodontics® (G1), Eurodonto® (G2), Morelli® (G3), Ormco® (G4) e Orthometric® (G5), 8 wires of each one. The wires underwent a standardization test of their dimensions, tensile tests, MEV-EDS and differential scanning calorimetry (DSC) test. Due to the small variability inherent of the mechanical tests in wires, parametric tests (ANOVA OneWay and Tukey post test) were used, considering a significance level of 5%. Results: All wires presented standardized dimensions of 0.017 "x0.025". In the tensile test, all presented superelastic behavior with SE rate higher than 8 and the following means of force plateau - G1 36,49N; G2 27,34N; G3 19,24N; G4 37,54N; e G5 17,87N. In the DSC assay, the means of Af for G1 (29.40°C), G2 (29.13°C) and G3 (31.43°C), had p>0.05 relative to each other. G4 (32.77°C) and G5 (35.17°C) presented statistically significant differences between themselves and among the other groups, with p <0.05. MEV-EDS assay for all samples presented Ni, Ti, Cu and Al in different concentrations. Conclusion: All wires have superelastic behavior. G5 wires were the only ones having an Af temperature similar to that indicated by the manufacturer. G5 and G3 showed the lowest plateau means during deactivation. Cu is fundamental to stabilize the TTRs, however in non-equiatomic alloys a higher concentration of Al seems to be fundamental to raise the transition temperature.

2
  • GLEYSSON MATIAS DE ASSIS
  • BIOMECHANICAL ANALYSIS OF RESISTANCE OF SAGITAL OSTEOTOMY OF RAMO AFTER DIFFERENT MANDIBULAR MOVEMENTS: IN VITRO STUDY

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • ALESSANDRO COSTA DA SILVA
  • PETRUS PEREIRA GOMES
  • Data: 10-feb-2017


  • Resumen Espectáculo
  • The objective of this study was to evaluate the resistance of fixation in the sagittal split ramus osteotomy (SSRO) when performing great advances (12 mm), as well as the influence of the movement associated to the occlusal plane clockwise rotation, using a biomechanical test. Plates and screws of the 2.0 mm system. Two types of advancements were used (6 and 12 mm), using polyurethane hemimandibulars, with standardized SSRO, divided into 5 groups: G1 (Test 1) - linear advance of 6 mm / 1 plate and 4 screws; G2 (Test 2) - linear advance of 12 mm / 1 plate and 4 screws; G3 (Test 3) - linear advance of 12 mm / 2 plates and 8 screws; G4 (Test 4) - advance of 12 mm, associated to the clockwise rotation of the occlusal plane / 1 plate and 4 screws; G5 (Test 5) - 12 mm feed rate, associated with the plane clockwise rotation / 2 plates and 4 screws. The hemimandibules were submitted to a vertical compressive load in the first molar region and the applied force in Newtons was recorded in the displacements of 1mm, 5mm and 10mm, as well as the maximum force applied between 1 and 10mm. Using a 95% confidence interval, the means of strength were obtained and the groups were compared to each other. The statistical tests used were Kruskal-Wallis * for the analysis of all groups and Mann-Whitney ** for the comparison of two groups separately. The results showed that the G3 group presented higher strength means (p <0.001 *), being therefore the most resistant between the groups. When only 1 plate was used for the fixation of the hemimandibula, at the 12 mm advance, the clockwise rotation was more resistant than in the linear movement, at the displacements of 1, 5 and 10 mm (p <0.05 **) , Not resulting in statistical difference only in the maximum displacement (p = 0.112 **). In a large advance (12mm) there was a significant loss of resistance in the FIR, being necessary to compensate this situation with use of more fixation and the clockwise rotation in these cases also added resistance in the OSRM, only in cases where a single plate is used.

3
  • CAMILA DE OLIVEIRA PICADO NOGUEIRA
  • EFFICACY EVALUATION OF FIBERGLASS POSTS DISINFECTION METHODS AND ITS INFLUENCE ON BOND STRENGTH.

  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • ISAUREMI VIEIRA DE ASSUNCAO
  • BRUNNA MOREIRA DE FARIAS PEREIRA
  • Data: 17-feb-2017


  • Resumen Espectáculo
  • The purpose of this study was to evaluate which disinfection method is more effective on the decontamination of fiberglass posts, and to observe if these methods influence on the bond strength of the post to the root canal. Sixty-four fiberglass posts were used, being 32 serrated type, and 32 smooth type. They were submersed in solution containing 5mL of suspension of  E. faecalis. Then, were divided in 8 groups in which each one remained for 5 minutes in its respective disinfection agents (Chlorhexidine 2%, phosphoric acid 35% and alcohol 70%), with the exception of the control group. Afterwards, the number of colony forming units per milliliter (UFC/mL) of E. faecalis was determined. Then, 64 selected bovine roots were patronized and restored with fiberglass post. Passed 7 days of cementation, the roots were sectioned perpendicular to the long axis, and the specimens were submitted to the adhesive resistance test (push-out). Anova 2 factors and Tukey post test were used as statistical method to analysis of the results obtained. The analysis of UFC/mL did not present any growing/development of E. faecalis coloniesThe evaluation of bond strength, considering the type of post, presented significant statistical difference only on control and alcohol groups, in which the type smooth post showed greater results. On the evaluation of the surface treatment factor, is noted significant difference on the smooth post group which did not receive any type of treatment, the one which was cleaned with phosphoric acid or chlorhexidine, and the one which was cleaned with alcohol, obtaining so the greater values of bond strength. There was not any significant statistical difference on the serrated posts groups. Therefore, antimicrobial substances commonly used on the disinfection of fiber glass post are, in fact, efficient at the elimination of E. faecalis colonies. However, there is some influence on the bond strength between the fiber glass post groups previously disinfected with those irrigators. Alcohol 70% presented greater results of bond strength when applied to this purpose.

4
  • RENATA SUELLEN GALVÃO DA SILVA COSTA
  • DENTAL CLARIFICATION WITH 38% HYDROGEN PEROXIDE INDUCES INFLAMMATION AND EXPRESSION OF IL-1β, TNFβ, FGF2, GPX AND OSTEOCALCIN IN RATS PULP

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • EMANUELLE DAYANA VIEIRA DANTAS
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 20-feb-2017


  • Resumen Espectáculo
  • The presence of inflammatory infiltrate in pulp after dental bleaching has been
    increasingly discussed, however, it is not known which mediators participate in this process. This study analyzed the inflammatory infiltrate and expression of interleukin (IL)-1β, tumor necrosis factor (TNF) β, cyclooxygenase (COX)-2, macrophage migration inhibitory factor (MIF), fibroblast growth factor (FGF)2, superoxide dismutase (SOD), glutathione peroxidase (GPX), inducible nitric oxide synthase (iNOS) and osteocalcin, due to bleaching procedure in teeth of rats with 38% hydrogen peroxide gel. Forty incisors of male Wistar rats were bleached, and forty unbleached incisors were used as controls. Two bleaching sessions were performed in two test groups, with an interval of 7 days between them. At each session, animals were anesthetized, and two bleaching gel applications of 15 min each were made. Half of animals were sacrificed after 24 h of last session, and the other half after 10 days. Teeth were processed for histological analysis, confocal immunofluorescence of osteocalcin and immunohistochemistry of IL-1β, TNFβ, COX-2, MIF, FGF2, SOD, GPX and iNOS. Data were statistically analyzed using Mann-Whitney test, Student&#39;s t test (p&lt;0.05) and in a descriptive way, respectively. There was a statistically significant difference between bleached groups and control groups (p&lt;0.05), when condition of pulp tissue 
    and stage of inflammation were analyzed, however, there was no significant difference between bleached groups, despite the 10-day interval for analysis. There was immunoreactivity only in bleached groups for IL-1β, TNFβ, FGF2 and GPX. There was no immunoreactivity for SOD, MIF, COX-2 and iNOS in any groups. The bleached group 10 days showed a statistically superior value of osteocalcin when compared to groups bleached 24 h and control 10 days (p &lt;0.05). In conclusion, tooth bleaching causes damage to pulp in rats, and IL-1β, TNFβ, FGF2, GPX and osteocalcin act as mediators in this process. 
5
  • RIVANALDO ADRIANO HOLANDA ALVES
  • PHYTOCHEMICAL SCREENING AND ANTIMICROBIAL ACTION IN VITRO OF Spondias mombin L. EXTRACT FRONT To Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • FABIO ROBERTO DAMETTO
  • CICERO ROMAO GADE NETO
  • Data: 22-feb-2017


  • Resumen Espectáculo
  • Brazil is a country of great ethnobotanical diversity and due to the immense therapeutic potential of
    our flora, there is a notorious need for further research on new species of plants, especially ones such 
    as the Spondias mombim L that reportedly present antimicrobial, anti-inflammatory and anti-oxidant effects.
    This paper was based on various databases ( ) and gathers information from previous researches regarding 
    the Spondias Genus (with emphasis on the Spondias mombim L Species, which belongs to the Anacardiaceae 
    Family) analyzing its botanical characteristics along with its ethno-pharmaceutical and chemical properties. 
    Popularly known as ‘Hog Plum Fruit’ the Spondias mombim L species is frequently prescribed in the 
    ethnomedicine as a abortifacient, vermifuge, diuretic, snakebite venom antidote, antidepressant, 
    emetic substance as well as a treatment against throat and oral cavity inflammations, prostatitis, herpes labialis, 
    urethritis, cystitis,conjunctivitis, venereal diseases and tumors. As to its chemical properties, it is important to 
    indicate the existence of carotenoids, vitamin A, tannins, saponins, resins, sterols, triterpenes, flavonoids, 
    alkaloids, anarcadic acid, 2-O-caffeicol - (+) - alloxycytic acid, chlorogenic acid butyl ester, as well as ellagic 
    acid and quercetin. Despite its proven properties, further research is still necessary especially around the 
    plant’s antimicrobial effect on both exogenous and endogenous microorganisms that inhabit the oral cavity 
    and other parts of the human organism, allowing for future production of clinically applicable substances. 
    It was observed that the extract S. mombin L. showed activity on the tested microorganisms, 
    showed anti-adherent effect on all the bacteria tested, revealed that the crude extract was remarkable 
    already in the first two hours of contact with the samples tested .
6
  • MARIANA LINHARES ALMEIDA
  • EVALUATION OF THE INFLUENCE OF DIABETES MELLITUS TYPE II ON THE EFFECTIVENESS OF BASIC PERIODONTAL THERAPY ABOUT THE CLINICAL AND MICROBIOLOGICAL PARAMETERS OF 
    SALIVA IN PERIODONTAL DISEASE
  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • LUCIANA MACHION SHADDOX
  • Data: 23-feb-2017


  • Resumen Espectáculo
  • The relationship between periodontal disease and diabetes mellitus is bidirectional, however, there is a need for more evidence regarding basic periodontal treatment on clinical aspects and the presence of bacteria in patients with and without diabetes. The aim of the present study was to evaluate the influence of type II diabetes mellitus (DM) on the efficacy of basic periodontal treatment in the clinical and microbiological parameters of saliva. Fifty-one patients were treated between 30 and 65 years old, who were evaluated before the periodontal treatment, at six and 12 months after its conclusion. In the periodontal examination, the Bleeding Probing Index (BOP), Visible Plaque Index (VPI), Probing Depth (PD), Gingival Recession (GR) and Clinical Attachment Level (CAL) were evaluated. The blood parameters evaluated were fasting glucose and glycated hemoglobin (HbA1C) only for the group with diabetes (GD). Saliva samples were collected before each periodontal examination. Quantification of the bacterial species Treponema denticola, Porphyromonas gingivalis, and Tannerella forsythia by real-time PCR was performed. The results showed that the clinical parameters showed a significant improvement for BOP, VPI and PD for both groups, whereas for CAL only for GD (p = 0.023). There were no differences between the group with diabetes and no diabetes in the evaluated periods, only the species Tanerella forsythia presented a statistically significant difference in the 12-month period (p = 0.004), with a higher median for the GND group. In the intragroup analysis, only GD presented statistical difference for all species evaluated (p <0.05), but Porphyromonas gingivalis increased after 12 months. Diabetes did not influence the response of periodontal treatment, both groups showed improved clinical parameters, and the diabetic group had a lower amount of bacteria over time.

7
  • PAULO RAPHAEL LEITE MAIA
  • OCCURRENCE AND FACTORS ASSOCIATED WITH CAROTID ARTERY CALCIFICATIONS DETECTED BY DIGITAL PANORAMIC RADIOGRAPHY IN CHRONIC RENAL PATIENTS ON HEMODIALYSIS.

  • Líder : HALLISSA SIMPLICIO GOMES PEREIRA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • SANDRA REGINA TORRES
  • Data: 07-mar-2017


  • Resumen Espectáculo
  • Chronic Kidney Disease (CKD) leads to a progressive and irreversible loss of renal function. The final and most severe stage of the disease often requires supportive therapy through hemodialysis. Patients with CKD have a higher risk of developing cardiovascular complications, such as atherosclerosis. This condition is characterized by the accumulation of fatty plaques in intima of blood vessels, which when calcified can be observed on panoramic radiographs requested by dental surgeons. The aim of this study was to evaluate the occurrence of detectable carotid artery calcifications (CAC) in digital panoramic radiography of patients with CKD undergoing hemodialysis and, in addition, to investigate possible associated factors. The clinical data were obtained from the records of the Nephrology sector of the Onofre Lopes Hospital while the panoramic radiographs were collected from the database of the Department of Dentistry of UFRN. The exam´s analyses were done by a single radiologist, who investigated the presence of CAC in these individuals. Of the 309 patients in the study, 15.9% had calcifications. To verify the associations between the dependent variable, presence of CAC, and the independent variables of the study, Chi-square and Fisher's exact tests were used. After analysis, a statistically significant association (p≤0.05) was observed between the presence of these calcifications and the following independent variables: age, sex, hemodialysis time, diabetes mellitus and presence of styloid process elongation. The results of this research revealed a high occurrence of CAC in patients with CKD on hemodialysis when compared to the general population, and this presence was statistically associated with female sex, advanced age, longer time of hemodialysis, presence of diabetes mellitus and Presence of elongation of the styloid process.

8
  • ISABELE DOS ANJOS PAIVA DOS SANTOS
  • PATIENT SAFETY AND NURSING WORK PROCESS

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • EDILMA DE OLIVEIRA COSTA
  • JOÃO BOSCO FILHO
  • Data: 14-mar-2017


  • Resumen Espectáculo
  • The provision of a quality service should be associated with a commitment to patient safety and for this it is imperative to understand the complexity of the health work process. Nursing, in particular, is a profession that encompasses all aspects related to the quality of health services, since it develops care activities and management, besides taking care of the patient for a longer time and with more proximity than other professionals Involved in this work process. For this reason, it is important to reflect on the work process in order to point the way to safe and quality health care. In this sense, the present research aims to analyze the relationship between patient safety and nursing in a hospital environment based on the reflection about their work process. It is a qualitative research of the descriptive and exploratory type, using semi-structured interview techniques. Twenty nursing professionals were interviewed in a large public hospital, 5 nurses and 15 nursing technicians. The information was analyzed in light of the thematic analysis technique, included within the content analysis method. After organizing the nuclei of meanings for the semantic similarities, two categories were constructed: Category 1: Considerations about patient safety and Category 2: Relationship between nursing and its work: about the work process. It can be inferred that the quality of nursing care has a strong impact on patient safety, which points to the need to understand the relationship between nursing and its work as an important aspect for coping with problems of unsafe care Insecure.

9
  • ALINE SILVA DE OLIVEIRA
  • PERMANENT EDUCATION FROM THE PERSPECTIVE OF PROFESSIONALS OF THE MOBILE EMERGENCY CARE SERVICE

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 17-mar-2017


  • Resumen Espectáculo
  • The study aimed to analyze the perception of professionals about permanent education in the Mobile Emergency Care Service of a municipality in the State of Rio Grande do Norte. It is a qualitative study that used the thematic analysis of content for data analysis. From the interviews with 29 professionals emerged three categories: Perception on Permanent Education in Health; Effectiveness of Permanent Education and Educational Processes. The speeches of professionals, for the most part, reveal that Permanent Education is seen as synonymous with Continuing Education. In addition, the multiple employment links, associated with scarce staff meetings, among others, were identified as difficulties to implement permanent education. The reported facilities were the gratuity of the courses, good infrastructure and flexibility of days and times of educational processes. Regarding educational processes, it was observed that the professionals were satisfied and that these not only contribute, but also apply to the reality of the day to day work. However, it was identified that the choice of educational processes is carried out in a hierarchical way, without the direct participation of the workers. In addition, various educational needs were reported by practitioners. Thus, the study made it possible to identify that permanent education should be present in this scenario as a strategy for qualifying practices in emergency and emergency services. It is necessary not only to understand the concept of permanent education, as well as its implementation in daily practice, which represents a challenge in this scenario.

10
  • GISELLE FIRMINO TORRES DE SOUSA
  • OROFACIAL CLEFTS IN BRAZIL: PREVALENCE AND FACTORS ASSOCIATED WITH DELAY OF  PRIMARY SURGICAL TREATMENT UNDER THE BRAZILIAN HEALTH SYSTEM

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • MARIA ALICE PIMENTEL FUSCELLA
  • Data: 07-abr-2017


  • Resumen Espectáculo
  • This study aimed to identify the prevalence of cleft lip and palate in Brazil and the effect of demographic factors and municipal socioeconomic indicators on the delay of primary surgical treatment of this morbidity in the Brazilian Health System (SUS), from 2009 to 2013. An ecological study was conducted using data from the Department of Informatics of the Brazilian National Health System (DATASUS) and the Human Development Atlas of the United Nations Development Program (UNDP). We included live births with cleft lip and palate from the 5,565 Brazilian municipalities in the years 2009 to 2013, registered in the National Live Birth System (SINASC), and patients with cleft lip and palate that performed lip and / or palate surgeries that appear in the records of the Hospital Information System of the Ministry of Health (SIH / SUS), in the same period. Prevalence rates of cleft lip and paltate for Brazil were calculated for five natural geographic regions and for the 27 federative units, with relation to each year and to the five years of the study. The delay was evaluated using the ages recommended by the American Cleft Palate-Craniofacial Association (12 months for lip surgeries and 18 months for palatal surgeries). The data regarding the delay were analyzed through descriptive statistics, bivariate analysis, prevalence ratios and multilevel Poisson regression with robust variance. For all tests, a significance level of 5% was adopted. The results showed that the average prevalence of cleft lip and palate in the period was 5.86 per 10,000 live births, with important regional differences and between federative units. The prevalence of delay for lip primary surgeries was 66.4% and for palatal surgeries was 71.2%. The North and Northeast regions had the worst percentages of delay. Non-whites had a 27% greater probability of delay in cleft palate surgeries and 40% in cleft lip surgeries. The multilevel analysis identified the influence of race and of Municipal Human Development Index on the delay of primary lip surgery, and of Municipal Human Development Index and of Gini index on the delay of the palate surgery. The importance of social determination in the delay to primary surgeries of cleft lip and palate was evident.

11
  • JUSSARA LISBOA VIANA
  • Public Health; Job Market; Graduation Public Health; Study of Graduates; Professional Practice.

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • CIPRIANO MAIA DE VASCONCELOS
  • LILIANA SANTOS
  • Data: 20-abr-2017


  • Resumen Espectáculo
  • The performance of the Public Health Professional was associated, historically, with some training graduated in another profession, initially in Medicine and, later, these professionals worked with post-graduation in Hygiene or Public Health.. After the 1960s there was a multiprofessional insertion with graduates from areas such as engineering, nursing, pharmacy and veterinary medicine, who could also act as Public Health Professional when they obtained the postgraduate degree in the area of Preventive and Social Medicine. In the late 1970s, "Collective Health" emerged as a field of knowledge and health practices articulated to the political project of Sanitary Reform. The Movement of Sanitary Reform contributes to the creation of the Unified Health System, which the need for professionals with skills in Public Health to work in this universal health system. Some Public Health debaters argue that the SUS needed a new strategic actor to drive the changes not reached during the Sanitary Reform, since only the postgraduate in the area was not enough. In this sense, the Graduate Courses in Public Health were created. At the Federal University of Rio Grande do Norte (UFRN), this degree is called Management in Health Systems and Services (GSSS). This research has the objective of analyzing how the insertion (space, time and conditioners) and professional performance of graduates of GSSS Graduation of UFRN, specifically: Identify limits, potentialities and strategies in the professional insertion of graduates; Identify the activities developed by the graduates at work; Analyze the challenges for graduates in the world of work; Analyze the conditioning factors of this Graduation in the professional insertion and performance; And to know the coordinators' vision on the creation and training of the GSSS Graduation. The study is linked to the notion of researchers involved and to reflexivity as a research concept. The data were produced using the technique of Focal Group and individual interview with a semi-structured script, both of which were completed with graduates of Graduation in the period of 2012.2, 2013.2 and 2014.2, being also interviewed coordinators of said Course. Regarding the insertion, the challenges were categorized in: remuneration; Recognition of the profession in Public Health; Professional identity and party-political interference, the potentialities were categorized in: training; Core knowledge and practice of Public Health and the scenario of the Municipal Health Department of Natal, And the strategies for insertion are actions of a collective and individual character that aim to disseminate the Graduation and its professional and advance in the process of regulation of a new profession. Regarding the professional performance, the activities developed in the work by the graduates are described, these are associated with the training line of Planning, Management and Evaluation in Health using the terms planning, monitoring, coordination, evaluation and execution of public policies. These professional activities reinforce the idea of the Graduation of GSSS in forming Health Managers to act in the health services and systems. However, we consider that the performance of a generalist in Public Health will go beyond this area. The challenges for the new professional in the world of work influence the mental health of the graduates and were categorized in: Relations of power, autonomy and clientelism; Institutional culture, the crystallized vision of the professionals, the friction between the new and the experienced and the centralized management model; Employment relationship, for not recognizing the professional qualification in Public Health and precariousness of work. Regarding the influence of the training in the professional insertion, the Curricular Internship stands out, since the student expands its knowledge and gives professional visibility to itself by the bond with the other professionals. Moreover, the graduates bring their positive and negative criticism of the training that influenced their professional performance. Due to the formation and professional performance, the Graduates of the Public Health Graduation are new actors with different identity Public Health Professionals with postgraduate degrees and coming from other graduations.

12
  • HELLYDA DE SOUZA BEZERRA
  • EVALUATION OF THE SPACE DISTRIBUTION OF THE REASON FOR ONCOT CYCLOPATHOLOGY AND MORTALITY FOR CANCER OF THE UTERINE COLUMN

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • EDNA MARIA DA SILVA
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • IRIS DO CEU CLARA COSTA
  • MARIA DJAIR DIAS
  • Data: 02-jun-2017


  • Resumen Espectáculo
  • Cervical cancer, despite being preventable, is one of the most common types of neoplasms, being considered a serious public health problem for Brazil and the world. Knowing this, it is necessary to trace the cervical cancer by increasing the coverage of the Pap test in women. The general objective of the study is to evaluate the spatial distribution of the oncotic cytopathology ratio and Cancer Mortality of the Uterine Cervical Cancer in Brazil, in the historical series from 2008 to 2014. This is an epidemiological, retrospective, observational and ecological study, c'arried out in the 161 intermediate regions of urban articulation in Brazil. The study variables were the ratio of cytopathological examinations of the cervix, cervical cancer mortality rate, schooling, Gini index and HDI. As a data source, the Cervical Cancer Information System (SISCOLO), the Mortality Information System (SIM) and the United Nations Development Program (UNDP) were used. The Statistical Package for the Social Sciences (SPSS), version 22.0, serial number 10101141047 was used for the statistical analysis of the data and cross-checking of some variables. The variable ratio of cervical cytopathological examinations and cervical cancer mortality rate were calculated in a descriptive way, through which mean, median and standard deviation were identified. The student's t test and the Chi-Square test were also performed between the intermediate regions of urban articulation. For the spatial analysis and construction of the maps, the TerraView program, version 4.2.2 was used.  For the bivariate spatial analysis, the Geoda program, version 1.2 was used. It can be observed that the averages of the ratio of Brazil, in all the years involved, were above the cutoff point of the indicator studied, corresponding to 0.33, being the year of 2009 the highest average of the ratio, falling from year 2012. The mortality rate averages, starting in 2011, began to grow, reaching the highest average in 2014 (7.6). Regarding the cross-over of the oncotic cytopathology ratio and mortality rate, in most regions, they were classified with low ratio and high mortality. Regarding spatialisation, the lowest averages of Pap smears were found in the North and Northeast regions, where they formed clusters in Bom Map, with the classification of "Low-Low" in most municipalities. As for mortality, there is a worse average also in the North and Northeast regions, forming "Alto-Alto" clusters in some municipalities of the Northeast. In the bivariate analysis, it was observed from the dispersion graphic and the spatialization graphic that the cytopathological ratio is influenced by the schooling, Gini index and HDI. It is concluded that Pap smear coverage in Brazil is influenced by the socioeconomic inequalities of the country, being smaller in the less developed regions, such as North and Northeast, and in better conditions, in the South and Southeast.

13
  • ALANNY FERREIRA MOUTINHO
  • Prevalence and Factors Associated with the non-realization of Pap smear in Brazilian women

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MATHIAS WELLER
  • Data: 19-jun-2017


  • Resumen Espectáculo
  • Cervical cancer is curable in almost all cases and can be easily detected through the Pap smear, which is the screening method for cervical cancer and its precursor lesions. Therefore, the present study aimed to identify the prevalence and factors associated with the non-realization of Pap smear in Brazilian women.  For this purpose, the database obtained through the National Health Survey was used in Brazil in 2013. For statistical tabulation and analysis, Stata® 14 software was used to verify the Prevalence Ratios with respective Confidence Intervals of 95% and p values, using the Poisson regression in the multivariate analysis. The results were negative for Pap smear after 3 years white and non-white women with no schooling, non-white with a primary level of education, age between 60-64 years, self-perception of regular health, poor / very poor, without health insurance, who does not live with a spouse, is a smoker, does not practice any physical activity, and has multimorbidities. Papanicolaou never had a negative association with white and non-white women with no schooling, white and non-white women with a primary level of schooling, non-white with a mean level of 25-29, 30-39 and 60-64 years, without occupation, without a health insurance, who does not live with the spouse, is a former tobacco smoker, drinks moderately and was diagnosed with 3, 4 or more chronic diseases. For the Papanicolaou never performed because of difficulty of access to health services, there was a negative association between white and non-white women with no schooling, non-white with a fundamental level, ages between 25-29 and 30-39, without health insurance, who did not live with the spouse and belongs to the social strata D-E. And for personal reasons white and non-white women with no schooling, not white with basic and average levels of schooling, ages 25-29, 30-39 and 60-64, without occupation, who do not have health insurance, do not live with the spouse, is a smoker and former smoker of tobacco and does not perform enough physical activity.

14
  • EVA EMANUELA LOPES CAVALCANTE FEITOSA
  • CONCEPTIONS AND PRACTICES OF THE HEALTH SURVEILLANCE: THE VOICE OF THE MANAGERS

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • MAISA PAULINO RODRIGUES
  • SORAYA MARIA DE MEDEIROS
  • GISETTI CORINA GOMES BRANDÃO
  • Data: 26-jun-2017


  • Resumen Espectáculo
  • The Health Surveillance is part of the proposals framework of the Health Unique System (Sistema Único de Saúde, SUS), contemplating the actions of the Epidemiological Surveillance, Sanitary Surveillance, Environmental Surveillance, Occupational Health Surveillance, focusing in disease prevention and the health promotion. This research aims to analyze conceptions and practices of the Health Surveillance, from the conceptions of the managers. For the study, we used a qualitative approach, carried out with 11 managers, from the interviews with semi-structured script, carried out during October and December 2016. From the material collected, two corpus were constituted to analysis. The first was submitted to the program Iramuteq and was generated three categories. The second corpus was submitted the analysis of the Laurence Bardin's content and was originated two thematic categories: “Conceptions about the Health Surveillance” and “Practices of the health in Surveillance”, discussed from the theoretical framework. The results demonstrate that the managers understand Health Surveillance as an indispensable model to SUS, in addition pointing to the realization of the collective planning. However, there are contradictions when the managers mentioning that the developed actions are disarticulated between the sectors and, thus, they need the implementation of strategies capable of the impacts about the effectiveness of the articulation. There are also, reports of precarious working conditions, insufficient human resources and fragility in the worker health sector. From this reality, it’s necessary the support of the supporters, managers, professionals and social control around a broad debate, with the perspective of promoting new knowledge and actions capable of transforming the current model of care in relation to Health Surveillance.

15
  • TATIANA DE MEDEIROS CARVALHO MENDES
  • TEACHING-SERVICE-COMMUNITY INTEGRATION FROM THE PERSPECTIVE OF THE MEDICAL, NURSING AND DENTISTRY TEACHERS

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • IRIS DO CEU CLARA COSTA
  • ANTONIO MEDEIROS JUNIOR
  • EDNA MARIA DA SILVA
  • LENILMA BENTO DE ARAÚJO MENESES
  • Data: 04-jul-2017


  • Resumen Espectáculo
  • The teaching-service-community integration proves to be an important strategy to achieve the changes outlined by the Brazilian Curriculum Guidelines (DCN, as per its acronym in Portuguese) for the training of health professionals able to meet the social demands. This study was intended to analyze the teaching-service-community integration from the perspective of the Medical, Nursing and Dentistry teachers from the Federal University of Rio Grande do Norte (UFRN). This is an exploratory and descriptive study, with a quantitative and qualitative approach. Data collection took place through an interview form with 106 teachers, of whom 21 were teachers from the nursing course, 56 were from the medical course and 29 from the dentistry course, all from UFRN, Natal Campus. The analysis of the quantitative data was performed taking into account the variables “gender”, “age”, “course”, “teaching time”, “period and place of practical/field classes”, using SPSS, version 22. With respect to the qualitative analysis, we used the Iramuteq software, and the interviews were analyzed in light of the Bardin’s Content Analysis. The results unveiled that, from the perspective of the interviewees, the nursing course is the one that has the training most compatible with DCN. The variable “place of work” was more prominent when we considered the training according to what is recommended by the current DCN, the use of active methodologies and the advances in the teaching-service-community interaction. The surveyed teachers recognize that the interaction contributes to the training of health professionals able to meet the social demands, in addition to providing multiprofessional and interdisciplinary experiences in real practice scenarios. Nevertheless, several challenges should be surpassed in order to ensure a quality education capable to insert the undergraduate students into the services in a context of poor infrastructure of SUS, predominant hospital-centered model, curricula fragmented in disciplines, emphasis on technical training, little appreciation and stimulation to practices outside the walls, refusal of some teachers in participating in the interaction, among others. Thus, we can highlight the need to institutionalize the teaching-service-community interaction, besides the appreciation of initiatives that foster and soften the teaching in multiprofessional and interdisciplinary activities, with a view to involving all actors – teachers, students, health professionals, users and managers, in addition to awakening the commitment of all institutions involved in changing the health training and in transforming the health care processes.

16
  • LIDIA MARIA COSTA ARAUJO MAGALHAES
  • WORKER HEALTH INDICATORS: A STUDY WITH FOCUS ON OFFICIAL EXPERIENCE AND PERIODIC MEDICAL EXAMINATION

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • IRIS DO CEU CLARA COSTA
  • EDNA MARIA DA SILVA
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • LENILMA BENTO DE ARAÚJO MENESES
  • Data: 04-jul-2017


  • Resumen Espectáculo
  • The Occupational Health Indicators (OHI) are relevant parameters for planning actions aimed at the surveillance on Occupational Health. In Brazil, Occupational Health and Safety (HOS) actions for federal public servants were standardized according to the Occupational Safety and Health Care Policy (PASS in Portuguese). The objective of this study is to know the indicators of the Worker’s Health focused on the Official Health Expertise and the Periodical Medical Examination (PME) of the servants of the Federal University of Rio Grande do Norte. This is an exploratory-descriptive and cross-sectional research, with a quantitative approach and a retrospective nature, with data relating to the period from 2011 to 2015, in the city of Natal/RN. As for the absenteeism due to disease, the profile of the servants licensed for health treatment was characterized by the predominance of women aged between 51 and 60 years and working at medium and elementary-level positions. Throughout the historical series, the number of lost days of work per servant and the frequency of leaves increased, although the Absenteeism Duration Index decreased and the Frequency of Workers with Medical Leave (FWML) kept stable. Regarding the causes of absenteeism, there was a prevalence of respiratory diseases (25.6%), musculoskeletal diseases (16.2%), and infectious and parasite diseases (13.0%) among the short-time leaves. Musculoskeletal diseases (18.4%), mental disorders (17.2%) and respiratory diseases (9.2%) prevailed in relation to leaves approved by means of expert evaluation. As for the adhesion of the servers to the PME, it was decreasing, with a higher percentage in the year 2012 (35.3%). During the analyzed period, 5,166 servers performed the PME and the majority (60.6%) presented non-ideal weight, 41.1% were sedentary, 33.2% had dyslipidemia, 29.0% were alcoholic, 3.2% were smokers, 5.9% diabetics, 16.4% reported high noise in the workplace, 27.8% inadequate lighting and 35.9% inadequate work furniture. In view of the results, there is need to maintain and strengthen the PASS and, consequently, to implement positive impact strategies for OHS.

17
  • LETÍCIA VIRGINIA DE FREITAS CHAVES
  • FLUIDS BULK FILL COMPOSITIONS VERSUS TRADITIONAL: PHYSICAL-MECHANICAL BEHAVIOR.

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • ISAUREMI VIEIRA DE ASSUNCAO
  • ISABELA PINHEIRO CAVALCANTI LIMA
  • Data: 07-jul-2017


  • Resumen Espectáculo
  • Objectives: To evaluate [BB1] depth of polimerization (DP), contraction strress (SC), flexural strenght (FS), elastic modulus (EM) and bond strength (BS) of three low-viscosity Bulk Fill composites resin compare as of  high-viscosity traditional composites. Methods: Three Bulk fill composites (Filtek BKF, Surefil SDR, X-tra Base) and three traditional ( Z250 XT, Grandioso, TPH3) were used. For FS/ME, 60 (n=10) bar specimens (7 mm x 2 mm x 1 mm) were prepared and evaluated with Universal Testing Machine (UTM). For DP e BS, conical cavities (n=10) were prepared in bovine dentine and restored with materials. DP was analyzed trough the ratio base/top with microhardness of surface and BS on the push-out test in UTM. SC was measured for to increment one of Bulk Fill Resins and two increments of traditional resins in UTM attached to a extensometer (n=5). The data were statistically evaluated by ANOVA 2-way/Tukey (p<0,05). Results: For EM the conventional resins show higher values compare to all the BKF resins, however for the FS they were the same, except for only the VOCO Bulk Fill that was inferior. For the PP, conventional and BKF were statistically similar. In TC and in BS the BKF were superior to conventional, also with the exception of Xtra Base Bulk Fill (VOCO), which was statistically the same as the conventional ones in the BS. Conclusion: The Bulk Fill composites resin present most of property physical and mechanical higher or similar than traditional composites, except the elastic modulus.

18
  • SAMILA NERES DE OLIVEIRA
  • Codeine / paracetamol and ibuprofen against immediate sensitivity to tooth whitening: a clinical trial.

  • Líder : ISAUREMI VIEIRA DE ASSUNCAO
  • MIEMBROS DE LA BANCA :
  • ANA KARINA MACIEL DE ANDRADE
  • ISAUREMI VIEIRA DE ASSUNCAO
  • MARIA CRISTINA DOS SANTOS MEDEIROS
  • Data: 10-jul-2017


  • Resumen Espectáculo
  • Dental sensitivity is the main adverse effect caused by dental office whitening. The aim of the present study was to compare the efficacy of ibuprofen and codeine associated with paracetamol in the control of the sensitivity generated by dental office whitening with 35% hydrogen peroxide. Sixty patients were randomly selected and divided into three groups G1: Placebo, G2: Ibuprofen, G3: Codeine + Paracetamol. The patients were submitted to 2 whitening sessions with 35% hydrogen peroxide in 2 applications of 20 minutes each. And they took the medications 1 hour before the bleaching procedure for 72 hours (3 days). The same procedure was repeated in the second session. Data were collected using a visual analog pain scale. Statistical analyzes were performed using Assistat® software. The results showed that when comparing the three groups, the Anova generated statistically significant differences between treatments with p <0.01. It was concluded that codeine with paracetamol has an effective action to reduce the sensitivity generated by dental bleaching with hydrogen peroxide 35%.

19
  • DÉBORA MICHELLE GONÇALVES DE AMORIM
  • IMPACT OF THE ADDITION OF CALCIUM HYDROXIDE IN EXPERIMENTAL SELF-ETCHING ADHESIVES: INFLUENCE ON DEGREE OF CONVERSION AND pH

  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • EMANUELLE DAYANA VIEIRA DANTAS
  • MARIA CRISTINA DOS SANTOS MEDEIROS
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • Data: 18-jul-2017


  • Resumen Espectáculo
  • To evaluate the effect of the addition of calcium hydroxide - Ca (OH) 2 on the neutralization of pH and degree of conversion of experimental self - etching adhesives. Methods: Four adhesives were formulated in two flasks: Bottle A, containing UDMA, HEMA, GDMA-P, TPO, DH and solvent; Bottle B: composed of UDMA, HEMA, TPO, DH. The solvents used were ethanol and water (1: 1). The concentration of Ca (OH) 2, added to flask B, in the mass fractions of 0% (control), 1%, 2% and 4% was evaluated, and the adhesives were divided into four groups (A + B0, A + B1, A + B2, A + B4). Equal volumes of bottles A and B of each adhesive were mixed and ~ 5 μ of this mixture was inserted into silicone molds to make the disks. Before polymerization of the adhesive the pH of the adhesive was measured through a pH meter. After the photoactivation, the disks (n = 5) were immersed in distilled water, and pH readings of the eluate were performed for 72h. To evaluate the degree of conversion, five samples of each adhesive were submitted to the FTIR, with attenuated total reflectance (ATR) device, before and after the photoactivation of the samples. For the photoactivation procedures, a 3rd generation LED light source - Bluephase G2 was used. The data were statistically evaluated by ANOVA 1 (degree of conversion and pH of the adhesive) and 2 factors (pH of the eluate) and Tukey's post-test (p <0.05). Results: No statistically significant difference was found between the experimental adhesives tested in the conversion test. The pH of the experimental adhesives tested were all statistically different from each other. The pH of the eluate was neutralized in the A + B2 and A + B4 groups after the immersion period. Conclusion: the degree of conversion was not affected by the incorporation of calcium hydroxide. The pH of the adhesive and the eluate was neutralized with the addition of calcium hydroxide

20
  • EVELYNN CRHISTYANN MEDEIROS DUARTE
  • Evaluation of the coronary coloration change after the pulpal revascularization technique.

  • Líder : FABIO ROBERTO DAMETTO
  • MIEMBROS DE LA BANCA :
  • FABIO ROBERTO DAMETTO
  • ALEX JOSE SOUZA DOS SANTOS
  • CICERO ROMAO GADE NETO
  • Data: 19-jul-2017


  • Resumen Espectáculo
  • The pulp revascularization technique allows the reactivation of the root formation, however clinically the coronary discoloration it’s noted. So, the present study aimed to analyze in which stage or stages of this treatment the color change occurs. It is an experimental in vitro study where 75 bovine incisors, with n=15, was divided into 5 groups: G1- triple antibiotic paste, G2- blood, G3- WMTA, G4- control and G5- complete protocol. The color evaluation was performed with the Easyshade® device. The color was obtained through the CIE-L*a*b* parameters. The Statistical analysis was performed using the split-plot analysis of variance test, and the average value in all groups was adjusted by Bonferroni, with a significance level of 95%. For intergroup and intragroup analysis, the statistical comparisons were made through the ANOVA test with the Tukey Post Hoc. According to the multivariate comparison, considering the total average of the degree of darkening, the blood and protocol groups presented more significant darkening (p<0.05). In the intergroup analysis of 15 days to 3 months, the groups containing antibiotic, WMTA and control did not show any difference among them (p>0.05), the group containing blood presented difference to the other groups in 15 days to 3 months (p<0.05). The protocol group presented coronary discoloration in the first and third months, in relation to the other groups (p<0.05). In the intragroup analysis, the antibiotic group presented a decrease on the darkening in 15 days compared to the baseline (p<0,05) and then remained stable. The group containing blood had an increase after 15 days (p<0,05), the WMTA group presented a reductuion on the darkening after 15 days (p<0,05), and the remained stable. The protocol group, in 15 days showed lower darkening rate, after this period, which correspond to the blood addition and WMTA on the root canal, the darkening rate raised, showing variation to the baseline on the third month (p<0,01). So, it was concluded that the blood is the main cause of dental darkening.

21
  • RAFAELA ALBUQUERQUE MELO
  • Effect of different types of Temporomandibular Dysfunction treatment on pain and depression: Randomized Clinical Trial

  • Líder : GUSTAVO AUGUSTO SEABRA BARBOSA
  • MIEMBROS DE LA BANCA :
  • ERIKA OLIVEIRA DE ALMEIDA
  • FABÍOLA PESSÔA PEREIRA LEITE
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • Data: 19-jul-2017


  • Resumen Espectáculo
  • Introduction: Temporomandibular Dysfunction (TMD) is a condition of multifactorial etiology that affects the stomatognathic system, possessing, among the factors contributing to its development, biopsychosocial aspects. Thus, their initial therapeutic management should be multidisciplinary, with conservative and reversible treatments. Objective: To evaluate the effect of occlusal plaque (OP), counseling (CS) and plaque with counseling (PCS) on pain and depression symptoms in patients with TMD. Methods: Sixty patients diagnosed with TMD through RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders) were allocated into three treatment groups (21 in PCS, 22 in OP and 17 in CS). Participants responded to the BDI (Beck Depression Inventory) and HADS (Hospital Anxiety and Depression Scale) questionnaires regarding depression and the Visual Analogue Scale (VAS) for pain and were re-submitted to RDC / TMD after therapy, With 30 (thirty) days of treatment. The data were analyzed using SPSS (Statistical Package for the Social Science) 22.0 with the Split Plot ANOVA test, with a confidence level of 95%. Results: There was a significant reduction in the depressive parameters by BDI (p = 0.002) and HADS (p = 0.008) and also pain symptoms (p = 0.001) after 30 days of treatment in all groups analyzed. However, there was no statistically significant difference between the treatment groups in the depressive parameters, either by BDI (p = 0,315) or HADS (p = 0.843) and pain (p = 0.267), showing that no therapeutic group was superior to the reduction of the analyzed parameters. Conclusion: Within the limitations of the study, it can be concluded that occlusal plaque treatments and counseling, individually or in combination, were effective in reducing pain symptoms and depressive aspects within 30 days after treatment. However, no therapeutic group was superior to the other in reducing the observed parameters

22
  • VICTOR DINIZ BORBOREMA DOS SANTOS
  • INFLUENCE OF THE MANDIBULAR PLANE MODIFICATION, MAGNITUDE AND TYPE OF MOVEMENT IN THE MECHANICAL RESISTANCE OF FIXATION IN SAGITAL OSTEOTOMY OF THE MANDIBULAR RAMUS: AN IN VITRO STUDY

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • ANTONIO DE LISBOA LOPES COSTA
  • WALTER LEAL DE MOURA
  • Data: 19-jul-2017


  • Resumen Espectáculo
  • The aim of this study was to evaluate the resistance of fixation in the sagittal osteotomy of the mandibular ramus (OSRM) when performing great advances (12 mm), as well as the influence of the movement associated with the anticlockwise/clockwise rotation of the occlusal plane , Using plates and screws of the 2.0 mm system. Two types of advances were used (6 and 12 mm) using polyurethane hemimandibulars, with standardized OSRM, divided into 7 groups: G1 (Test 1) - linear advance of 6 mm / 1 plate and 4 screws; G2 (Test 2) - linear advance of 12 mm / 1 plate and 4 screws; G3 (Test 3) - linear advance of 12 mm / 2 plates and 8 screws; G4 (Test 4) -  12 mm advance, associated with clockwise rotation of the occlusal plane (15 °) / 1 plate and 4 screws; G5 (Teste 5) - 12 mm advance, associated with clockwise rotation of the occlusal plane (15 °) / 2 plates and 8 screws;  G6 (Test 6) - 12 mm advance, associated with anticlockwise rotation of the occlusal plane (15 °) / 1 plate and 4 screws; G7 (Test 7) - 12 mm advance, associated with the counterclockwise rotation of the plane (15 °) / 2 plates and 8 screws. The hemimandibules were submitted to a vertical compressive load in the first molar region and the applied force in Newtons was recorded in the displacements of 1mm, 5mm and 10mm, as well as the maximum force applied between 1 and 10mm. Using a 95% confidence interval, the means of strength were obtained and the groups were compared to each other. The statistical tests used were Kruskal-Wallis for the analysis of all groups and the Mann-Whitney test  for comparison of two groups separately. The results showed that, according to the Kruskall-Wallis test, there were differences between groups. When only 1 plate was used for the fixation of the hemimandibula, at the 12 mm advance, the clockwise rotation was more resistant than in the linear movement, at the displacements of 1, 5 and 10 mm (p <0.05 **), Not resulting in statistical difference only in the maximum displacement (p = 0.112 **). In a large advance (12mm) there was a significant loss of resistance in the FIR, being necessary to compensate this situation with use of more fixation and the clockwise/counterclockwise rotation in these cases also added resistance in the OSRM, only in cases where a single plate is used. The counter-clockwise turn proved to be less sturdy than the clockwise rotation when fixed with one plate and more resistant when fixed with 2 plates. Both situations presented statistical significance with p <0.05. In view of these findings, it was concluded that regardless of movement, the fixation with 2 plates considerably increases the resistance to applied force.

23
  • LORENA DE SOUZA ARAÚJO
  • Evaluation of the anti-inflammatory and antioxidant activity of Olmesartan in an experimental model of oral mucositis

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • RENATA FERREIRA DE CARVALHO LEITÃO
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 21-jul-2017


  • Resumen Espectáculo
  • Oral Mucositis (MO) is one of the main complications involved in the treatment of cancer, especially in the head and neck region. It is an inflammation that affects a mucosa of the oral cavity and is clinically characterized by erythematous, ulcerated and painful lesions, Which can lead, in more severe cases, to an interruption of chemotherapy treatment. The aim of this study was to evaluate the effect of Olmesartan (Olme), an angiotensin II (Ang II) receptor antagonist, on oral mucositis. A pre-clinical trial was performed, in vivo, randomized, unicego, with use of control groups. 42 Golden Siriam hamsters were divided into 6 groups: Control, Mechanical Trauma, 5-FU, Olme 1mg/kg, Olme 5mg/kg and Olme 10mg / kg. In the diseased groups MO was induced on the first two days of the experiment with a chemotherapeutic, 5-fluorouracil (5-FU, 60 mg / kg day 1 and 40 mg / kg day 2). Animals were pretreated with oral Olme (1, 5, or 10 mg/kg) or vehicle (control) 30 min before 5-FU injection and daily until day 10. Cheek pouch samples were subjected to histopathologic analysis, protein/immunology analysis, and immunoistochemistry. Reverse transcriptase polymerase chain reactions (RT-PCRs) were used to quantitate expression of NF- κBp65, PI3K, ACE2, and MKP1. Inducible nitric oxide synthase (iNOS) and extracellular regulated kinase (ERK)1/2 levels were analysed with immunoblots. Treatment with 10 mg/kg Olme reduced ulceration, myeloperoxidase (MPO) and malonaldehyde (MDA) levels, cellular inflammation, o edema, and hemorrhage, leaving granulation tissue (p<0.05). The 10 mg/kg Olme treatment also reduced tumour necrosis factor (TNF)-α, interleukin (IL)-1β, and macrophage migration inhibitory factor (MIF) levels, while increasing IL-10 levels, producing great labelling expression of FGF and TGF-α, increasing expression PI3K, and decreasing expression of NFKBp65, ACE2, MKP1, and decreasing iNOS and ERK1/2 levels. Olme at a dose of 10 mg/kg prevented the mucosal damage and inflammation associated with 5-FU– induced OM, increasing granulation tissue.

24
  • ITANIELLY DANTAS SILVEIRA CRUZ
  • SHEAR STRENGTH AND DEGREE OF CONVERSION: EFFECT OF DIFFERENT PHOTOACTIVATION PROTOCOLS ON THE BONDING OF METALLIC BRACKETS

  • Líder : HALLISSA SIMPLICIO GOMES PEREIRA
  • MIEMBROS DE LA BANCA :
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • ANA CLÁUDIA MOREIRA MELO TOYOFUKU
  • Data: 25-jul-2017


  • Resumen Espectáculo
  • Objective: To analyze the effect of different photoactivation protocols on shear bond strength (SBS) of metallic brackets bonded to enamel and the degree of conversion (DC) of an orthodontic resin using three different photoactivating devices. Methodology: The crowns of 230 permanent bovine incisors, sectioned at the cemento-enamel junction, were included in blocks of acrylic resin and randomly distributed in 23 groups (n = 10). After the surface treatment with phosphoric acid (15 seconds) and Primer Transbond XT (3M Unitek), metal brackets were bonded to the enamel with Transbond XT resin (3M Unitek) using 23 different photoactivation protocols according to the factors "photoactivator" (FlashMax P4 – RMO, Valo Cordless – Ultradent or Radii-Cal – SDI), "photoactivated faces" (center/vestibular; mesial and distal; cervical and incisal or mesial, distal, cervical and incisal) and "photoactivation time" (2 seconds, 3 seconds, 4 seconds, 6 seconds, 20 seconds or 40 seconds). The samples were stored for 4 months (distilled water, 37°C) and then the shear test (100KgF, 1mm/min) was performed. In parallel, 230 resin discs (0,1 mm thick and 5 mm diameter, on average) were made using the same 23 photoactivation protocols for DC analysis. Considering a significance level of 5%, all SBS data (MPa) and DC (%) were evaluated descriptively and through Student's T-test, Analysis of Variance (one-way ANOVA) and the Tukey test. The union failures were classified according to the Adhesive Remnant Index (ARI) and analyzed descriptively and through the Kruskal-Wallis test. Results: Of all 23 protocols, only 5 presented clinically accepted SBS values according to the literature. Considering the result of the statistical analysis for the groups where the photoactivation was performed only in the center, SBS values were significantly affected by the "photoactivator" factor (p=0.000), and Radii-Cal was the only one of the three that did not presented clinically accepted SBS values. Regarding the factors "photoactivated faces" and "photoactivation time", the Valo Cordless protocols were the only ones that presented statistically similar SBS results (p=0,230 and p=0,093, respectively). Of the groups that presented statistically significant difference (p≤0.05) regarding the factor "time of photoactivation" according to SBS, 66.6% corresponded to the protocols where only the central face of the bracket was photoactivated. When comparing the groups where only two faces were photoactivated, those in which the pair of faces corresponded to the mesial and the distal were the ones that resulted in higher SBS values, but only 1 clinically accepted against 2 of protocols where the pair corresponded to the cervical and the incisal. Concerning the DC, the result of the statistical analysis when comparing all the protocols of the three devices where the photoactivation was performed only in the center was statistically significant (p=0,000). However, considering the "photoactivated faces" factor, only the results of the FlashMax P4 groups were statistically different (p≤0.05). The Valo Cordless was the only device in which the factor "time of photoactivation" did not affect statistically means the values of the DC (p=0,968). And, similar to what was observed for SBS, the majority (66.6%) of the higher DC values when only two faces were photoactivated also corresponded to those protocols in which such faces were mesial and distal. Regarding ARI and considering all 23 protocols, there was a statistically significant difference between the scores (p=0.000), and the score 2 was the most observed in 52.6% of the sample, followed by 4 (20.2%), 5 (14.2%), 3 (12.7%) and, finally, score 1 (0%). Conclusion: The SBS of the metal brackets bonded to the enamel and the DC of the Transbond XT resin may present statistically significant differences depending on the selected photoactivating device and the bonding protocol used by the orthodontist regarding the photoactivated faces and the time of photoactivation. In addition, it’s assumed that the adhesive force between the resin and the dental enamel is greater than that between the bracket and the Transbond XT.

25
  • KÊIVERTON RONES GURGEL PAIVA
  • EFFECT OF PROVISIONAL SINGLE-TOOTH IMPLANT REHABILITATION ON THE SATISFACTION AND QUALITY OF LIFE: A PILOT STUDY

  • Líder : PATRICIA DOS SANTOS CALDERON
  • MIEMBROS DE LA BANCA :
  • PATRICIA DOS SANTOS CALDERON
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • ANDRE ULISSES DANTAS BATISTA
  • Data: 25-jul-2017


  • Resumen Espectáculo
  • Introduction: in order to fill patient expectations in single-implant treatment in aesthetic area, the subjective aspects and patient opinion must be considered. Proposition: to determine the sample size needed to evaluate the effect of provisional single-implant rehabilitation on patient satisfaction and quality of life. Methodology: the aim of this cross-sectional study was to evaluate patients who were rehabilitated with provisional single-implant crowns in the aesthetic area regarding quality of life, using two questionnaires (OIDP and OHIP-14), and satisfaction, using a visual analog scale. The evaluation was performed before and after rehabilitation with the provisional crowns. Results: the sample size of this pilot study was 10 patients, of which seven had the absence of a superior incisor. The OIPD showed that quality of life had a positive impact on all performances after rehabilitation, however two performances remained with negative impact (eating and mouth cleaning), but slightly better than baseline values. The OHIP-14 score has shown an improvement of 21% in quality of life after rehabilitation. Considering patient satisfaction, there was an improvement after the procedure in all evaluated aspects. The sample size calculation showed, for quality of life (OHIP-14), that the ideal size ranges from 25 to 529 patients. For satisfaction the ideal sample size ranged from 13 to 138, so, a minimum difference to be detected was established, equal 1.00 for quality of life and 2.00 for satisfaction, so the sample change for 11 to 54 and 16 to 62, respectively. Conclusion: the sample size of 60 patients seems to be the ideal to establish a significant difference over time, aiming to determine the effect of the provisional prosthetic rehabilitation on quality of life and satisfaction patient.

26
  • ANGÉLICA KERCYA PEREIRA DE MENDONÇA
  • Antimicrobial action of extracts of Turnera ulmifolia L. and Passiflora edulis against endogenous and exogenous bacteria in the oral environment.

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • CICERO ROMAO GADE NETO
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 25-jul-2017


  • Resumen Espectáculo
  • The chemical control of the dental biofilm acts as a coadjuvant of the mechanical control for end of maintenance and/or restoration of oral health. In this context, the phytotherapics surface with the purpose of acting as antimicrobial agents in the oral cavity. The present study aimed to evaluate the antimicrobial action of leaf and root extracts of Turnera ulmifolia L. (chanana) and Passiflora edulis leaf (passion fruit) against bacteria constituting the dental biofilm (Streptococcus mutans, Streptococcus oralis and Streptococcus Sanguinis) and opportunistic bacteria (Pseudomonas aeruginosa and Enterococcus faecalis). The Minimum Inhibitory Concentration (MIC), a Minimum Inhibitory Adherence Concentration (MIAC) and a Bactericidal Kinetics of the extracts were investigated, using chlorhexidine digluconate at 0.12% as the control. The results have been showing that, as compared to the bacterial composition of the dental biofilm, the extracts of Turnera ulmifolia L., which are more effective in their pure concentration (1: 1 crude extract). With respect to the anti-adherent effect, the root extract of Turnera ulmifolia L. showed a superior result that one presented by the extract of the leaf of the same plant, although both were lower than the results found by the chlorhexidine digluconate at 0.12%. As regards Bactericidal Kinetics, the extracts of Turnera ulmifolia L. did not present satisfactory results.

27
  • ADRIANO DE AGUIAR FILGUEIRA
  • Use of dental services and factors associated with young people in the northeast brazil
  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • SÔNIA CRISTINA LIMA CHAVES
  • Data: 26-jul-2017


  • Resumen Espectáculo
  • The assurance of universal access defined by the Brazilian Constitution of 1988 and the recent advances achieved with the implementation of the National Oral Health Policy have brought positive results in relation to the access and use of dental services, however this increase occurred unequally between the different population groups all over the country. Although several theoretical models have been trying to explain the influence of several factors on the use of health services, important gaps still persist and require new research with different approaches to a better understanding of the relationships between the social determinants of health and the access and use of dental services. This study aims to assess the use of oral health services and the main associated factors in young people aged 17 to 21 years in the city of Sobral, Ceará, based on different methodological designs. The first design is a cross-sectional approach relating the different outcomes related to the use of dental services with individual determinants. The second one also developed a cross-sectional study, but it addressed the contextual factors and the relationships with the use of oral health services. Thematic maps were also made for a better visualization of the spatial distribution of the contextual variables and the outcomes used. The third study consisted of a cohort study, where trajectory profiles were created regarding the use of dental services and how they are related to individual factors in two different moments of life: childhood and youth. The sample for all the designs was originated from a cohort of oral health performed in the municipality of Sobral with data collected in the years 2000, 2006 and 2012. The results indicate the influence of socioeconomic factors, especially in the first years of life, in the access and use of oral health services, as well as the type of service used. The toothache at some point in life was associated with going to the dental office at some point in life and having been denied access. The presence of dental treatment needs was related to the greater use of dental services and early access to them. A non-regular visit to the dentist seems to increase the likelihood of oral problems in youth. To implement public policies that aim at a better distribution of income and social inclusion, as well as actions of promotion and prevention in oral health, can contribute to the improvement of aspects related to the use of dental services.

28
  • CAMYLA BERNARDO MEDEIROS
  • USER EMBRACEMENT TO THE ELDERLY PERSON: THE USER'S LOOK AT  PRIMARY HEALTH CARE

  • Líder : MARIA DO SOCORRO COSTA FEITOSA ALVES
  • MIEMBROS DE LA BANCA :
  • MARIA DO SOCORRO COSTA FEITOSA ALVES
  • EDNA MARIA DA SILVA
  • ROBERTA KALINY DE SOUZA COSTA
  • Data: 31-jul-2017


  • Resumen Espectáculo
  • The welcoming of the Elderly Person in the National Health Care, is one of the National Humanization Policy guidelines, it is made by technology for the reorganization of the services, this way allowing and guarantee the universal access and humanization of the health care. This study aims to analyze the host (welcoming) in Primary Care by the elderly person's perspective, as well as to identify the elderly person's conception about the reception and to provide reflections on the welcoming. This is an analytical descriptive study composed by 30 elderly users, with the age of 60 or over, of both sexes, linked to the Hiperdia Program, and that attend the Family Health Unit of Bom Pastor, Natal / RN.

    The Ethics Committee of HUOL, with opinion n º 1,808,237, approved this research.

    To collect the data, a semi-structured interview with identification data and sociodemographic profile was used. The data was analyzed using the Bardin Content Analysis, emerging categories: Care; Access and Resolutivity. It was observed that the elderly consider the host as care and respect to the person, this conception is a broad conception, exceeding the biological view.

    In the second category, care and access to services was reported, despite the difficulties in waiting, having an appointment time scheduled, the acquisition of records, and the lack of doctors.

    Regarding the third category, it was mentioned that there is a resolution for the problems, but the long wait and bureaucratization of the health system was emphasized again and because of this, the search for private health care services has been their choice. Although, we can see advances in the SUS, and in effect in Basic Care, the study showed that the Welcoming to the elderly person still has many frailties, standing out the contradictions in the humanization of the actions in health.

29
  • AMANDA CIBELLY BRITO GOIS
  • Prevalence and associated factors with voice disorders  in elderly residents of the community

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • CYNTHIA MARIA BARBOZA DO NASCIMENTO
  • JULIANA FERNANDES GODOY
  • KENIO COSTA DE LIMA
  • Data: 03-ago-2017


  • Resumen Espectáculo
  • The changes that occur along the aging process are reflected in the voice, one of the fundamental elements for human communication. Voice disorders (VD) occur when the individual is unable to transmit the verbal message satisfactorily, which generates interference in physical, emotional and social capacities, reflecting a greater risk of worsening general health. In this sense, the objective of this study was to determine the prevalence and associated factors with vocal alteration in elderly residents in the community. The instrument Screening for Voice Disorders in Older Adults (RAVI) was used, whose interpretations of the results are valid and reliable for the purpose of this study. Variables related to individual socioeconomic-demographic characteristics were collected; lifestyle and general health conditions of the elderly. Data were analyzed descriptively and variables with more than two categories, dichotomized. A bivariate analysis was performed using the Pearson's chi-square test or the Fisher's exact test, and the magnitude of the association was the prevalence ratio. Poisson regression was performed, considering only the variables with a critical value of p less than 0.20. For all calculations, the level of significance was 5%. According to a quota sampling process, 463 individuals living in the city of Natal / RN, without cognitive decline, with a predominance of females and an average of 70 (± 7.74) years of age were interviewed. The prevalence of VD was 51.4% (95% CI: 46.8-55.9). The main complaints were related to the sensation of dry throat, throat coughing and throat itching. The multivariate analysis showed a statistically significant association between VD and hyposalivation, smoking, selfreported hearing loss and seeking medical or health care professionals because of VD. This study demonstrated that in the city of Natal / RN, the prevalence of VD in elderly residents in the community is high and is associated with general health, lifestyle and self-perception factors of the elderly, which leads to a decrease in communicative capacity and demand attention of managers and professionals involved with the community. The investment in strategies that minimize the negative impact of VA and its associated factors can contribute to the maintenance of vocal and communicative quality, full social insertion and better general health conditions of the elderly population

30
  • GERLAYNE BARROS DE AGUIAR
  • Use of Impression Technique to Identify Areas of Super Compression before Installation of New Complete Dentures: A Pilot Randomized Clinical Trial

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ERIKA OLIVEIRA DE ALMEIDA
  • SANDRA LÚCIA DANTAS DE MORAES
  • Data: 29-ago-2017


  • Resumen Espectáculo
  • The aim of this study was to identify areas of super compression by a printing technique and adjustment prior to installation can decrease ulcer frequency. The influence of this procedure on the number of ulcers after installation, patient satisfaction and quality of life were evaluated to measure the sample size. Thirty-five complete denture wearers, who sought replacement dentures because of complaints associated with them were included in the study. The participants used their current dentures for at least one year. According to the inclusion criteria, the participants were selected and randomly divided in two groups. In 15 subjects, super compression areas were identified by printing technique with fluid silicone and in these areas denture base was adjusted before installation (Test group-TG); twenty subjects received new complete dentures without adjustments before installation (Control group-CG). The number of ulcers were registered 1, 7, 15 and 30 days after installation. patient satisfaction and oral health impact on quality of life with the Oral Health Impact Profile (OHIP) were collected before and after 1 month of installation. Statistical analysis was performed to evaluate differences between groups and within each group pre-and post-treatment using non-parametric Mann- Whitney, Wilcoxon and Friedman tests. Sample size was calculated using Open Epi software. Application of the printing technique did not decrease the number of ulcers after installation of new dentures. The results for each group for the mandible showed a reduction in the number of the ulcers over the time(p<0,001). Patient satisfaction and the quality of life related oral health was improved after installation of new dentures in both groups (p2 <0,005). No difference were observed between groups when considered analised variables. Although patient satisfaction and OHIP were improved after installation of new dentures,the printing technique with fluid silicone did not improve the adaptation to new dentures. The high sample size calculated suggests the need for adjustments in the proposed thecnique.

31
  • MARIA DE FÁTIMA LUCENA DOS SANTOS
  • Management of work in the evaluation of National Program for Access and Quality Improvement in Primary Care

  • Líder : PAULO DE MEDEIROS ROCHA
  • MIEMBROS DE LA BANCA :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • PAULO DE MEDEIROS ROCHA
  • QUENIA CAMILLE SOARES MARTINS
  • Data: 29-ago-2017


  • Resumen Espectáculo
  • Health professionals are fundamental to the process of strengthening the
    Unified Health System (SUS) and, especially, in Primary Health Care,
    it is necessary that the worker can guarantee a continuity of actions,
    with longitudinal care. The present study analyzes the work management in APS based on data
    from the second cycle of the National Program for Access and Quality Improvement in Primary Care and its relation to the performance of the
    participating teams. The collected data were
    subjected to descriptive exploratory and inferential analysis, with a
    significance level of 5%. Pearson's chi-square tests and an adjusted
    logistic regression model was performed. There was a greater presence of precarious employment tie in small towns and the implementation of Career and
    Salary Progression Plan is still low in all regions of Brazil. However, in the calculation of odds ratio (OR) the results were not significant, which shows that there is no relation between the type of employment tie with the performance of the teams participating in the program.

32
  • CÁSSIA RENATA DE FIGUEIRÊDO RÊGO
  • The occlusal splint, manual therapy and counseling are effective in reducing the pain and anxiety of patients with temporomandibular disorders? Randomized clinical trial.  

  • Líder : ERIKA OLIVEIRA DE ALMEIDA
  • MIEMBROS DE LA BANCA :
  • ALFREDO JÚLIO FERNANDES NETO
  • EDUARDO JOSE GUERRA SEABRA
  • ERIKA OLIVEIRA DE ALMEIDA
  • Data: 29-sep-2017


  • Resumen Espectáculo
  • Introduction: Anxiety is considered a relevant psychosocial factor in the multifactorial etiology of temporomandibular dysfunction (TMD). Aim: To determine the effect of treatment with occlusal splint (PO), manual therapy (TM), counseling (AC) and the association of occlusal splint + counseling (PAC) in the measurement of pain and anxiety in patients with TMD. Methods: A randomized clinical trial was conducted with 89 patients from the Integrated Center for the Care of Patients with Stomatognathic Device Disfunction (CIADE), diagnosed with TMD through RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders) and divided into four groups of treatment: PAC (n = 25), PO (n = 24), TM (n = 21) and AC (n = 19). Participants were assessed before and after 1 month of therapy for pain, anxiety and TMD diagnosis. Pain measurement was done according to a visual analogue scale (VAS). To assess anxiety, three questionnaires were used: the Hospital Anxiety and Depression Scale (HADS), the Beck Anxiety Inventory (BAI) and the Trait-State Anxiety Index (IDATE-T and E). The data were analyzed using SPSS (Statistical Package for Social Science) 22.0 with the Split Plot ANOVA test, with a confidence level of 95%. Results: Among the participants, there was a predominance of females (82.1%, n = 72) and the mean age was 28 years (± SD = 9.34). The four groups obtained a significant reduction (p <0.001) in the pain variable after 1 month of treatment. The evaluation of anxiety, made with three different questionnaires, showed that there was reduction of anxiety symptoms after 1 month for all groups. However, this reduction was only statistically significant when evaluated over time, HADS (p <0.001), BAI (p <0.001), IDATE-T (p = 0.006), and therefore, there was no significant decrease in symptoms among different treatment groups. Only for the evaluation of state-anxiety by the IDATE-E, no significant reduction was found between the groups (p = 0.068) nor over time (p = 0.760). Conclusion: The results of this study showed that the therapies used were effective in reducing pain and anxiety symptoms in patients diagnosed with TMD. However, no group was superior to the other in reducing the studied variables.

33
  • YRIU LOURENÇO RODRIGUES
  • BIOMECHANICAL ANALYSIS IN DIFFERENT EXTENSIONS OF CUSTOM TEMPOROMANDIBULAR PROSTHESES

  • Líder : JOSE SANDRO PEREIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • BRUNO ALEXANDRE PACHECO DE CASTRO HENRIQUES
  • JOSE SANDRO PEREIRA DA SILVA
  • JULIO CESAR MATIAS DE SOUZA
  • Data: 29-sep-2017


  • Resumen Espectáculo
  • When the surgical treatment of temporomandibular joint replacement is indicated, customized prostheses vary in design and extension in order to provide a proper rehabilitation to the patient. However, there is a great lack of information in the literature regarding the understanding of biomechanical behavior and stability when the dimensions of TMJ prostheses vary. The present study aimed to investigate the biomechanical influence of the increase of the size of custom temporomandibular prostheses, through the Finite Element Method. From a computerized tomography, a 3D computational model of the mandible was generated. This model was replicated and underwent three different progressive resections, which were rehabilitated with custom temporomandibular prostheses, based on TMJ Concepts®. The models that underwent resection were rehabilitated with a custom temporomandibular prosthesis, based on TMJ Concepts®. Thus generating three experimental models (MIM, MLO and M3M) plus the intact mandible (MC). Based on the geometries generated, four models of finite elements were created, aiming to mimic a real condition. The models were considered isotropic, homogeneous and linearly elastic. Using virtual simulation software, the actions of the main muscular forces acting on the mandible were reproduced, and an analysis of the distribution of stress and strain on the adjacent bones of the prosthesis, opposite condyle to the prosthesis, personalized prosthesis, and on fixation screws were performed. It was possible to observe that there was an increase in von Mises equivalent values in the adjacent bones and in the opposing condyles, after the installation of the prostheses. However, these values remain similar between prostheses. Stress concentrations in adjacent bones and prostheses occurred in the region around the screws, and the latter had the highest stress peaks ranging from 836 MPa to 13010 MPa. In the analysis of the strain distribution, it was possible to observe that there was no concentration of deformation in the opposing condyles. However, the MIM showed the highest deformation peaks in the adjacent bone and prosthesis, whereas the M3M presented the highest on the screws, reaching 9770 μԑ. The increase of the size of the customized prostheses led to the increase of the tension peaks at critical values in the bones adjacent to the prostheses and fixation screws, compromising the stability and function of the prostheses in all the experimental models, requiring then more than three fixing screws.

34
  • FERNANDA GONDIM LEMOS DE OLIVEIRA MEDEIROS
  • EFFECT OF DIFFERENT CONSERVATIVE THERAPIES ON PAIN, PATIENT QUALITY OF LIFE AND SLEEP WITH DTM. RANDOMIZED CLINICAL TRIAL.

  • Líder : ERIKA OLIVEIRA DE ALMEIDA
  • MIEMBROS DE LA BANCA :
  • ALFREDO JÚLIO FERNANDES NETO
  • EDUARDO JOSE GUERRA SEABRA
  • ERIKA OLIVEIRA DE ALMEIDA
  • Data: 29-sep-2017


  • Resumen Espectáculo
  • Introduction: Temporamandibular dysfunction (TMD) can have a major impact on a patient's daily life, limiting their quality of life and sleep. In view of the variety of existing treatments, it is necessary to determine which ones inferred in these factors. Objective: To evaluate the effectiveness of different conservative therapies in the quality of life, sleep and pain in TMD diagnosed patients. Methods: The clinical trial consisted of 78 patients and distributed in four modalities: occlusal splints, physiotherapy, counseling and occlusal splints in association with counseling. The critters were evaluated by means of the Visual Analogue Pain Scale (EVA), Pittsburgh Sleep Quality Index (PSQI), World Health Organization Quality of Life (WHOQOL-BREF) and Oral Health Impact Profile (OHIP-14). Slip Plot ANOVA statistical test was used to observe the results, with a confidence level of 95%. Results: All therapy modalities were successful in TMD treatment over time with regard to pain (p <0.001), sleep quality (p = 0.003), oral health impact on quality of life (p <0.001) and quality of life in all domains (p<0.001), but there was no significant difference between therapies. Conclusion: The conservative therapies studied were effective in improving pain, quality of sleep and quality of life, however, no therapeutic group was superior to the other.

35
  • ANDRESSA DE SOUSA LEITE BISPO
  • EFFECTS OF THE SPLINT OCCLUSAL AND COUSELING ON PAIN, PSYCHOSOCIAL ASPECTS AND RELATED SLEEP IN PATIENTS WITH TEMPOROMANDIBULAR DYSFUNCTION: RANDOMIZED CLINICAL TRIAL.

  • Líder : GUSTAVO AUGUSTO SEABRA BARBOSA
  • MIEMBROS DE LA BANCA :
  • ALFREDO JÚLIO FERNANDES NETO
  • ANDRE ULISSES DANTAS BATISTA
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • Data: 02-oct-2017


  • Resumen Espectáculo
  • Introduction: Temporomandibular disorders (TMD) have a multifactorial etiology and encompass muscular, articular problems of the stomatognathic system. The literature reports that possible psychosocial impacts can be found, among them, the presence of sleep disturbances, negative influence on quality of life, general and oral health. Objective: To evaluate the effects of occlusal plaque therapy and counseling, alone or in combination, on pain, sleep and quality of life in patients diagnosed with TMD. Methods: A randomized blind clinical trial with 55 patients was performed, applying three therapies: Occlusal Plaque (PO); counseling (AC); occlusal plaque associated with counseling (PAC). Three-month follow-up was performed after the treatments to assess pain using the Visual Analogue Pain Scale (EVA), sleep quality through the Pittsburgh Sleep Quality Index (PSQI), quality of life in health with the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) and the impact of oral health on quality of life with the Oral Health Organization 14 (OHIP-14). The diagnosis of TMD was made through the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD). The Split Plot ANOVA test was used to observe the difference between the groups over time and within the group, with a confidence level of 95%. Results: The three therapies applied in the three-month period showed significant improvement in pain (p = 0.000), sleep quality (p = 0.008) and the impact of oral health on quality of life (p = 0.000) and did not show any significant differences in general quality of life (0.118), however, the levels found did not show differences between different therapies (p> 0.05) for all indices evaluated. Conclusion: Within the limitations of the study, it can be concluded that occlusal plaque treatments and counseling, individually or in combination, were effective in reducing pain, improving sleep and the impact of oral health on quality of life, showed no significant improvement in overall quality of life. As well, no therapeutic group was superior to the other in reducing the observed parameters

36
  • MARIANA SILVA BEZERRA
  • Spatial distribution of the prevalence of food insecurity associated with the conditions of social vulnerability in Brazil

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 08-dic-2017


  • Resumen Espectáculo
  • The objective was to analyze the spatial distribution of food insecurity and its correlation with indicators of social vulnerability, socioeconomic conditions and infant mortality in Brazil, and to observe the prevalence of food insecurity according to the presence or absence of individuals under the age of 18 years in the household. Ecological study, with data from two national surveys, the Brazilian National Household Survey (2009) from the Brazilian Institute of Geography and Statistics, and Altas Brasil from the Institute of Applied Economic Research. For the bivariate analysis, we used the Moran Local spatial statistics. The highest prevalence of food insecurity occurred in the North and Northeast regions, where most households had individuals under the age of 18 years. The prevalence of food insecurity showed a negative and moderate spatial correlation with HDI (-0.643; p<0.05); positive and moderate with % of extremely poor (0.684; p<0.05), infant mortality (0.572; p<0.05), social vulnerability index (0.654; p<0.05), social vulnerability index - human capital (0.636; p<0.05); positive and strong with social vulnerability index – income and labor (0.716; p<0.05) and positive and weak with social vulnerability index – infrastructure (0.273; p<0.05). It was concluded that the occurrence of food insecurity was unevenly distributed in the Brazilian territory, in which the highest prevalence rates were found in the North and Northeast regions, especially in households with individuals under 18, where there is a lower Human Development Index and increased vulnerability associated to poor income and labor.

37
  • ISRAEL ALEXANDRE DE ARAUJO SENA
  • Effect of antimicrobial photodynamic therapy with Chloro-aluminum phthalocyanine on the clinical parameters of patients with chronic periodontitis

  • Líder : ANA RAFAELA LUZ DE AQUINO MARTINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • MAIARA DE MORAES
  • Data: 19-dic-2017


  • Resumen Espectáculo
  • Antimicrobial photodynamic therapy (PDTa) its  applied as an adjunct to scaling and root planing (SRP)  in the treatment of chronic periodontitis. Chloro-aluminum phthalocyanine (AlClPc), as a photosensitizing drug, has shown favorable results in clinical and laboratory studies, but no reports of its application in PDTa in patients with chronic periodontitis. Thus, the purpose of this study was to evaluate the effect of adjuvant PDTa with AlClFc on non-surgical periodontal treatment in periodontal clinical parameters of patients with chronic periodontitis.The study was characterized as randomized split-mouth double-blind clinical trial, longitudinal and prospective. Fifty-four periodontal sites were randomly distributed into two groups: 27 in the test group (SRP + PDTa) and 27 in the control group (SRP). The RACR was performed in a single session and the periodontal clinical parameters - plaque index [PI], bleeding on probing [BOP], probing depth [PD] and clinical attachment level [CAL] - were assessed at the baseline and after 3 months. The data collected were tabulated and submitted to statistical analysis with non-parametric Wilcoxon and Mann-Whitney tests, at a significance level of 5%. For the test group, there was an increase in PI (p = 0.554), whereas in the control group there was a reduction (p = 0.319). There was a reduction in the BOP in both treatment groups, with adjuvant PDTa (p = 0.003) and only RACR (p = 0.001) between T0 and T3. In the intergroup comparison for PI and BOP, there was no statistically significant difference between the groups at any of the evaluation times. In relation to PD and CAL, there was statistically significant reduction of PD and clinical attachment gain for both treatment groups (p <0.05) after 3 months of therapy. In the intergroup comparison, there was no statistically significant difference (p> 0.05) at baseline and at 3 months. Adjuvant PDTa to SRP did not provide additional benefits for clinical parameters assessed after three months of intervention.

38
  • LAYANNE CRISTINI MARTIN SOUSA
  •  
    THE HEALTH SURVEILLANCE FROM THE PERSPECTIVE OF ITS WORKERS
  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • FRANKLIN DELANO SOARES FORTE
  • LUIZ ROBERTO AUGUSTO NORO
  • MAISA PAULINO RODRIGUES
  • Data: 20-dic-2017


  • Resumen Espectáculo
  • Health Surveillance is characterized as an articulated set of actions focused on health promotion and disease prevention, from the point of view of integral care. The objective of this study is to analyze the Health Surveillance from the perspective of its workers using a qualitative approach. A total of 28 central-level Health Surveillance professionals were interviewed in  Natal and Rio Grande do Norte. The semi-structured interviews were carried out between November and December 2016. The material produced was analyzed using the Content Analysis technique in light of the theoretical reference of Bardin. Four thematic categories emerged: conception of Surveillance in Health; intrinsic and extrinsic articulation of Health Surveillance; Health Surveillance’s potential; and, conversely, it’s challenges. The results showed that the workers have an expanded concept of Health Surveillance, although the technician’s view is still present. Consequently, their actions developed a fragmented result, both between surveillance and health services. The workers, who have shown commitment in its functions and satisfaction, pointed out some challenges to be overcome to improve health surveillance such as: investing in diverse resources, professional evaluation and greater support on the part of management. In this process of transformation points out the necessity of reorganization of the work processes and training in health.

Tesis
1
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • ACCESS TO HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS WITH TUBERCULOSIS

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • SEVERINA ALICE DA COSTA UCHOA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • ARDIGLEUSA ALVES COELHO
  • RAFAEL NICOLAU CARVALHO
  • Data: 14-feb-2017


  • Resumen Espectáculo
  • Tuberculosis is a public health problem, and in children, it is related to the bacilliferous adult, and the access to the care network is essential for the diagnosis and treatment of the disease. The objective of this study was to analyze the access to health services for people with tuberculosis under fifteen years old. This is a case study, with a qualitative approach, performed in two cities in a Brazilian state especially for tuberculosis control. Initially, the number of cases of tuberculosis in children under fifteen years old in 2014 was surveyed. Subsequently, semi-structured interviews were carried out with 11 parents of children and adolescents with tuberculosis, 11 nurses of the basic health units and 3 coordinators of the program of tuberculosis, selected in an intentional way. The interviews were recorded, transcribed and organized in Atlas Software ti. The methodological assumptions of Bardin (2011) were used to analyze the speeches. As a result, four categories emerged: the gateway to the health system; Paths traveled: the search for the diagnosis and treatment of tuberculosis; The experience of tuberculosis: factors that hindered and facilitated access to health services; The stigma and prejudice of tuberculosis in the family and the society. It is possible to identify that parents used emergency services as a gateway to the health system, showing the fragility of the family bond with primary care and the difficulty of the professionals of these services to diagnose tuberculosis in the children. The diagnosis was made in children´s hospitals, confirmed by imaging tests. This shows the lack of knowledge about tuberculosis in children during the approach of professionals and difficulty in carrying out examinations in this age group. The treatment was done in the basic health units and the monitoring by two services at the same time. The closure of the cases was hampered by the lack of information from the parents and the absence of home visits by the professionals. The access was evaluated in a positive way, in the distance from the residence to the health unit, the time spent, the availability of collective transportation, the spontaneous demand service, the assistance incentive, in the food stamps and free supply of medicines. Factors such as violence in the territory, difficulty in physical access, lack of knowledge about the organization and the hours of operation of the units were cited as barriers to diagnosis and treatment. The expenses in this process were related to transportation, food, hygiene materials, absences from parents to work, contracts of care for the child, loss of employment, routine or imaging examinations and acquisition of financial loans. The stigma and prejudice were observed in the family by professionals and the community. Being difficult to diagnose tuberculosis in children, it is necessary to investigate adults with tuberculosis, to train professionals at different levels of care about infant tuberculosis and to increase the dissemination of the disease in the most accessible media to the population. Thus, political, financial and personnel investment and an integrated and resolute health care network are necessary.

2
  • ANDRÉ IGOR FONTELES
  • Effect of transcranial direct current stimulation associated with acute physical exercise on cognitive performance, cerebral oxygenation and cardiac autonomic regulation in healthy adults: randomized intervention study

  • Líder : ALEXANDRE HIDEKI OKANO
  • MIEMBROS DE LA BANCA :
  • ALEXANDRE HIDEKI OKANO
  • EDUARDO BODNARIUC FONTES
  • HASSAN MOHAMED ELSANGEDY
  • EDGARD MORYA
  • WAGNER LUIZ DO PRADO
  • Data: 20-feb-2017


  • Resumen Espectáculo
  • Cognitive impairment, even in the absence of dementia, is also associated with mortality, with cognitive impairment being one of the greatest challenges to public health. There is a growing interest in the effects of non-pharmacological interventions on cognitive functions. Physical exercise and transcranial direct current stimulation (TDCS) have been shown to influence brain function in improving cognitive performance by promoting an increase in blood flow and cerebral oxygenation. Therefore, the objective of the study was to analyze the effect of TDCS associated with acute physical exercise on cognitive performance, cerebral oxygenation and cardiac autonomic regulation in adults. Twenty physically active adult males were recruited for convenience. To verify the cognitive performance, the Stroop Color Test was used. The volunteers performed, on different days and random order, four encounters, being: three rectangular exercises for 30 minutes, in a mild, moderate or severe intensity and a control condition. After that moment, we had two more meetings, with the participation of all the volunteers submitted to the TDCS real session and Sham in a randomized and counterbalanced way every other day. The TDCS was applied for 20 minutes with current intensity of 2 mA, the cathode electrode was positioned in the T4 region, and the anode in the F3 region on Pre Frontal Frontal Cortex (CPDL). Brain activity was assessed from the monitoring of cerebral hemodynamics through absolute concentrations of oxyhemoglobin (HbO), deoxyhemoglobin (Hb) and total hemoglobin (Hbtot) using near infrared spectroscopy (NIRS). The two-way ANOVA (2 conditions X 3 moments) with repeated measures was used to compare the responses of cognitive performance, brain activity and HRV between conditions. The significance of the analyzes was assumed when P <0.05. Comparing the intensities of exercise vs. control, moderate and severe intensity showed a higher oxygenation indicating an increase in activity in the prefrontal cortex, concomitantly with improvement in cognitive performance. Exercise-associated TDCS increased brain activity through increased post-exercise oxygenation. However, these brain changes did not impact on better cognitive performance. On the other hand, physical exercise increased cognitive performance by decreasing reaction time and making mistakes when compared to the control condition. In addition, the exercise-related TDCS did not modulate the Heart Rate Variability (HRV). These results suggest that non-pharmacological practices of low cost, easy applicability and noninvasive can be a useful tool in public health for prevention and improvement of cognitive behavior.

3
  • ANGELICA TERESA NASCIMENTO DE MEDEIROS
  • EVALUATION OF PERTUSSIS REEMERGENCE IN BRAZIL

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • DIEGO BONFADA
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARISE REIS DE FREITAS
  • Data: 17-mar-2017


  • Resumen Espectáculo
  • Pertussis is an infectious disease, currently regarded as a reemerging infection. Factors such as decreased immunity, year following immunisation, changes in the genotype of a bacterium and increased susceptibility among young and adults are considered to have contributed to increase the disease incidence rate. Thus, this study aimed to verify the spatial distribution of confirmed pertussis cases between 2007 and 2015; to identify the patterns in the time-series of pertussis incidence rates during the period 2001 to 2015 in Brazil and to evaluate the effectiveness of pertussis vaccine in Rio Grande do Norte state. Therefore, the methodological research was divided into three parts. The analysis of the spatial distribution considered the 482 Regions Immediate Urban Articulation as unit of analysis and used the Terraview software to construct the thematic maps. In order to verify the trend in the series we chose to use the adjustment of a polynomial function in time, using polynomial regression models. To analyze the effectiveness of the vaccine, a control case study was carried out. For the case-control study, data source was available through the State's Secretariat of Health in Rio Grande do Norte, consisting of confirmed cases of pertussis from 2011 to 2014 in the whole state. The controls were the cases discarded from the same database. The results suggests that the disease has a democratic spatial distribution throughout the country, forming small clusters with high incidence rates in the urban articulation from the South and Southeast regions. It was also identified in the time-series an increasing tendency of the disease over a period of 15 years. Finally, the results indicate that regardless of vaccination status, individuals are getting sick with pertussis, which did not generate enough scientific evidence to measure the effectiveness of the vaccine. The findings suggest that aspects of vaccination need to be further investigated to ensure disease control. It is also necessary to improve the surveillance strategies to assure a reliable epidemiological representation of the disease.

4
  • IRAMARA LIMA RIBEIRO
  • Evaluation and Development of a Serious Game about Food Education for Schoolchildren

  • Líder : IRIS DO CEU CLARA COSTA
  • MIEMBROS DE LA BANCA :
  • ANDRE LUIS SANTOS DE PINHO
  • ANTONIO MEDEIROS JUNIOR
  • IRIS DO CEU CLARA COSTA
  • MICHELLE FERRET BADIALI
  • RITA DE CÁSSIA RIBEIRO DA SILVA
  • Data: 02-may-2017


  • Resumen Espectáculo
  • Current society has been preoccupied about childhood eating habits because of the rising prevalence of overweight / obesity in this stage of life. However, in so far as children increasingly take ownership of technologies, Serious Games in the perspective of Food and Nutrition Education can contribute to the improvement of this scenario. This study aims to evaluate the perception of healthy eating by schoolchildren between 7 and 10 years of age from an electronic game developed for this purpose. This is an action research of qualitative approach and developed by the technique of participatory design and under the light of the perception of Merleau-Ponty in three steps: I. Understanding of the participants about food and interests to the game, besides testing of a paper prototype; II. Construction of the game; III. Evaluation of satisfaction and perception of the game by schoolchildren. Results of step one showed that the students' understanding of healthy foods was influenced by parents, teachers, socioeconomic factors and the media. As for the electronic game, the interviewees proposed the inclusion of the themes of physical activity and hygiene habits. The prototype test pointed to the need for improving menus and characters, as well as adapting the game script. This was materialized by the creation of the Ran-gO® game under a structure of role-playing game in which the player assumes the role of a character. In step three, the user satisfaction test demonstrated children's satisfaction as to knowledge about feeding, motivation and user experience. The need for adjustments was identified in order to reduce information overload to increase confidence. The older the child the higher was the satisfaction. However, there were difficulties of those with seven years in relation to the ability / competence to play. The perception assessed by means of interviews in the last step was associated to the nutritional quality of the food and the amount consumed by the character in the game environment, and there was contextualization of the child to its real life. The perceptive experience was related to the past and the present of the child, which can lead to habit, in a relationship with the future. Ran-gO® shows itself as a Food Education tool fruitful as what concerns informing the child about food habits to make its choices consistent with its needs.

5
  • JANUSE NOGUEIRA DE CARVALHO
  • EPIDEMIOLOGY OF MULTIMORBIDITY IN BRAZILIAN ADULT POPULATION

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GILMARA CELLI MAIA DE ALMEIDA
  • GISETTI CORINA GOMES BRANDÃO
  • Data: 15-may-2017


  • Resumen Espectáculo
  • The simultaneous occurrence of two or more chronic diseases in a person is called multimorbidity. Knowing the occurrence of this condition in the population has been the subject of study in recent years, since it impacts on the quality of life of the population, in addition to expanding the use and spending of health services. This study was based on data from the National Health Survey, a household survey conducted in Brazil in the year 2013 and the objective was to evaluate the multimorbidity profile of the Brazilian adult population (≥18 years) and its relations with socioeconomic, demographic, behavioral variables and health services utilization. Data from 60,202 participants were included. A descriptive analysis was performed to estimate the prevalence (%) of multimorbidity considering a 95% confidence level. In order to observe the relationship between the presence of multimorbidity and the independent variables, the multivariate analysis was performed using Poisson regression with robust variance. To observe the combinations between chronic conditions, a cluster analysis was performed. The results show a considerable number of people with two or more chronic diseases in Brazil. The prevalence of multimorbidity was 23.6% and was higher among women, in ≥60 years old (57.1%), people with low schooling (46.4%), living with partners (28.6%), living in urban areas (28.9%) and had no occupation (34.7%). The most frequent combination of diseases was hypertension with hypercholesterolemia (7.2%). The states of the southern region were more prevalent. There was a higher prevalence among ex-smokers, those who did not practice physical activities and those with obesity. The use of health services was significantly higher for individuals with multimorbidity for consultations, hospitalizations and urgent and emergency at home. Socioeconomic, demographic and behavioral aspects should be considered in the planning of health services and development of strategies for the prevention and treatment of multiple chronic diseases.

6
  • LEONIDAS DE OLIVEIRA NETO
  • nursing homes; Health of Institucionalized Elderly; Chronic inflammation; Muscular Diseases; cytokines.

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANDRE LUIZ SILVA DAVIM
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • HASSAN MOHAMED ELSANGEDY
  • IGOR CONTERATO GOMES
  • KENIO COSTA DE LIMA
  • Data: 05-jun-2017


  • Resumen Espectáculo
  • Clinical diagnosis for sarcopenia is not adapted to the conditions of the institutionalized elderly. More over, although the loss of muscle mass is determinant for the diagnosis of sarcopenia and the inflammatory state is considered a trigger for the loss of muscle mass, associated loss of fat and lean mass has been observed in sarcopenic elderly, concurring in the development of a Inflammatory state in the elderly and in the development of the theoretical construct of sarcopenia. Objective: To discuss the calculation for the diagnosis of sarcopenia in institutionalized elderly patients and to verify the association between inflammation and sarcopenia, as well as to analyze their associated factors. Methodology: Three studies were conducted in elderly people of both sexes, living in institutions of long stay in the city of Natal / RN. In study 1 (n = 219) an adaptation of the European Consensus for Diagnosis of Sarcopenia (2010) was carried out, adding elderly people with low physical and cognitive capacity. Study 2 (n = 75) found which factors are associated with sarcopenia. In study 3 (n = 187), the analysis of the conglomerates of the elderly according to their inflammatory state was performed and the factors associated with this condition were verified. Results: Inclusion of elderly individuals with low physical and cognitive status (study 1) increased the prevalence of sarcopenia by 32.2%. In study 2, the factors associated with sarcopenia were knee height, eutrophy and excess weight (according to BMI) and the ability to ambulate, developing 2.71%, 37.71%, 91.81% and 30.08% chance protection for sarcopenia. In study 3, it was possible to verify that increase of 1 unit μg / dL in LDL, HDL and triglycerides presented increase of 1.5%, 4.1% and 0.9% of the chance of inflamm-aging and elderly people aged ≥80 years ) Had an 84.9% chance of inflammation. Conclusion: Inclusion of elderly with good physical and cognitive capacity to calculate sarcopenia is valid and representative to the institutionalized elderly, presenting the nutritional, anthropometric and physical aspects as their main associated factors. In addition, no association of Inflamm-aging with sarcopenia was observed, corroborating with the construct that in sarcopenia there is no selective loss of muscle mass.

7
  • JOHNNATAS MIKAEL LOPES
  • SLEEP DISORDERS IN THE BRAZILIAN POPULATION: ANALYSIS OF FACTORS ASSOCIATED WITH THE COMPLAINTS OF INSONMIA AND SLEPPINESS, AND IMPLICATIONS IN DEATH AND CARDIO-CEREBROVASCULAR EVENTS

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ALVARO CAMPOS CAVALCANTI MACIEL
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FÁBIO GALVÃO DANTAS
  • GRASIELA PIUVEZAM
  • LUIZ ATAÍDE JUNIOR
  • Data: 27-jul-2017


  • Resumen Espectáculo
  • The aim this study was to identify biological, behavioral and social factors associated with the presence of dyssomnias in the Brazilian population as well as their effects on the occurrence of death and cardio-cerebrovascular events. The study was developed based on three designs. The first was an analysis of cross-sectional data from the National Health Survey of 2013 that aimed to estimate association with insomnia, excessive daytime sleepiness and sleep repair function. The second design is a prospective cohort of elderly community-based adults in 2009, divided into dyssomnic exposed and non-exposed groups, to estimate their effects on mortality and cardiovascular events in eight-year follow-up. The third design consisted of a historical cohort exposed to the diagnosis of Obstructive Sleep Apnea Syndrome and non-exposed after a polysomnographic diagnosis in general population. The study was submitted to the Research Ethics Committee of Hospital Onofre Lopes, register with number 2.048.708. The results of the first study indicate approximately 28.2% (95%CI: 27.4%-29.0%) of adults and 34.1% (95%CI: 32.6%-35.7%) in the elderly had insomnia/SED. The sleep-repair function was reduced by 34.1% (95% CI: 32.6%-35.7%) in adults and 29.2% (95% CI: 27.2%-30.6%) in the elderly. There’s association between depressive symptoms (PR = 3,10, 95% CI: 2.70-3.56), emotional oscillation (PR = 2.14, 95% CI: 1.89-2.42), poor perception Of general health (PR = 2.44, 95% CI: 2.05-2.90), chronic health condition (PR = 1.57, 95% CI: 1.40-1.77) and live in urban areas (RP = 1.32, 95% CI: 1.14-1.52) with the occurrence of dyssomnias. The studies suggest that dyssomnias are very common health conditions in Brazil, related to other morbidities, aggravating them and predisposing to death.

8
  • ROSIMERY CRUZ DE OLIVEIRA DANTAS
  • Construction and validation of protocol for consultation and follow-up of hypertensive users in Primary Health Care

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • CIPRIANO MAIA DE VASCONCELOS
  • MARCELO COSTA FERNANDES
  • THEREZA MARIA MAGALHÃES MOREIRA
  • Data: 16-ago-2017


  • Resumen Espectáculo
  • Primary Health Care (PHC) is the first contact with the health system, highlighting three essential functions: resolution, communication and accountability. Despite its strengthening, hospitalizations for diseases that could be controlled under its action continue to occur, such as systemic arterial hypertension (SAH), whose control is based on continuous monitoring and recording, with an evaluation of the effective of the treatment. It is justified the construction of a protocol for multiprofessional care to hypertensive patients in PHC. The purpose of this study was to construct and validate a care protocol for consultation and follow-up of hypertensive patients in PHC. It was a methodological research, using the Delphi method for validation of the construct, developed in 4 phases: 1. Preliminary reading of the theoretical references, 2. Construction of the instrument and presentation to the bench of judges, 3. Validation by Experts, 4. Reproducibility. The research involved 20 experts distributed in nine physicians and 11 nurses and 160 hypertension patients allocated for convenience. The collection took place from July / 2015 to August / 2016. The analysis was made by the Likert Scale, Index of agreement (CI) among the experts, Content Validity Index (IVC), Pearson Correlation, Kappa Coefficients (Ϗ) and Intraclass Correlation Coefficient (ICC). The study followed the recommendations of Resolution 466/2012 that deals with research with human beings and was submitted and approved by the Ethics Committee of the Federal University of Rio Grande do Norte under n°. 1.144.406. The protocol have 50 items.  The Likert Scale was> 4, the CI among the experts was 98.1%, the IVC> 0.90, Pearson's correlation was moderate to strong (p <0.001). Kappa was > 75 and ICC > 0.80. The instrument showed robust evidence of validity and reliability, as well as reproducibility, making it propitious for its use in PHC, besides being a guide for conducting and follow-up of the hypertensive client, allowing a greater dialogue between the professional and the patient. As well as a space for the registrations to happen more effectively, guaranteeing a more personalized service, focusing on the individual needs of each one.

9
  • MARIA CECILIA AZEVEDO DE AGUIAR
  • Longitudinal study of oral health conditions in nursing home residents

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANA KARINE MACEDO TEIXEIRA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • EUDES EULER DE SOUZA LUCENA
  • KENIO COSTA DE LIMA
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 30-oct-2017


  • Resumen Espectáculo
  • The aim of this research was to evaluate the oral health of institutionalized elderly over
    time and the associated risk factors. Therefore, it was carried out a prospective cohort
    study in 11 Long-term Institutions for the Elderly (LTIEs) in the city of Natal (Brazilian
    Northeast), in the years of 2013 and 2017, resulting in a final sample of 124 elderly. The
    data collection included oral examination of the elderly, application of a questionnaire
    to them, consultation to the medical records and interview to the institutional leaders. A
    descriptive analysis of the variables was performed, followed by evaluation of the
    influence of the independent variables (sociodemographic, institutional, general health
    conditions and access to dental services) on the difference in the situation over time of
    the oral conditions (grouped in dimensions and, after qualitative comparison, labeled as
    &quot;worsening&quot; or &quot;stability / improvement&quot;). The bivariate analysis had significance level
    of 5%, using chi-square or Fisher&#39;s exact tests, assessing the magnitude of the effect
    through measures of relative risk (RR) with 95% confidence interval. As a result, in
    2013 the mean age of the elderly was 79.1 years (± 8.44), with an average
    institutionalization time of 4.9 years (± 5.37), the majority being female, race / white
    color, residents of ILPI non-profit. Between the two observation waves, there was
    stability in most of the parameters evaluated, but the root caries occurrence (from
    13,56% to 35,59%, p &lt;0.001) and upper and lower central sextants absence (from
    55,37% to 69,40%, p &lt;0.001) had increased, and the number of valid sextants for
    periodontal assessment (from 99 to 86, p &lt;0.05) , p &lt;0.001) and &quot;oriented&quot; cognitive
    status (from 73.77% to 51.6%, p &lt;0.001) and had decreased. The bivariate analysis
    showed that, during the cohort, there was an increased risk of worsening in the dental
    and functional dimension (35.6%) and in the periodontal dimension (66.3%) in people
    aged 60 to 79 years, in relation to those with 80 or more years. The probability of
    worsening in the periodontal dimension was 75% lower in the elderly with moderate to
    severe cognitive decline, compared to those with intact cognition or mild decline. Signs
    and symptoms of xerostomia and hyposalivation over time showed a risk of worsening
    in 82.4% of diabetics, in 58.3% in the aged with multimorbidities and in 73.1% in those
    who had last visit to the dentist for less than one year. There were no statistically
    significant associations regarding the influence of the independent variables on the
    dimensions of oral rehabilitation and on temporomandibular dysfunction. It can be
    concluded that, although there are considerable differences in the sociodemographic,
    institutional and general health conditions among the institutionalized elderly, oral
    health conditions have remained largely stable over time and are influenced only by age
    and some health conditions. The results of this research indicate the need for collective
    interventions with a view to modifying this epidemiological picture.
10
  • MARCELLO BARBOSA OTONI GONCALVES GUEDES
  • CONSTRUCTION AND VALIDATION OF A QUESTIONNAIRE FOR EVALUATION OF SOCIAL INFORMAL SUPPORT FOR ELDERLY

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • LUCIANA BRANCO DA MOTTA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 28-nov-2017


  • Resumen Espectáculo
  • Population aging is a reality in Brazil and in the world, evidencing, besides a demographic transition, an epidemiological transition. New demands for the integral care of the elderly are made present and to be considered, the multidimensionality of health, its social aspects should also be considered in health assessment. Among social factors important for the evaluation of the elderly, Social Support, especially the informal, deserves special mention. Thus, the objectives of this study were to construct and validate a questionnaire to evaluate informal social support for the elderly. It is a descriptive, observational, quantitative type research. The project was approved by the research ethics committee of the Onofre Lopes University Hospital, and was performed between January and December 2016 in the city of Natal-RN and other locations in Brazil through face-to-face interviews with the elderly and a questionnaire with virtually the specialists. Inclusion criteria were: proven experience in the social support area (for specialists) or 60 years of age or older and have preserved cognitive ability (for the elderly). In the VC stage, was evaluated by relevance of the items according to the General Content Validity Index (IVC) and per item and panel assembly were evaluated with the observations made by the specialists. In the VPR stage, the understanding of the items by the target audience was evaluated. For factorial validity we proceeded with Exploratory Factor Analysis (AFE). For the realization of the AFE the statistical program M PLUS Version 7® was used. Variable grouping (type R) and factor extraction were performed with analysis of common factors, using oblique rotation Geomin. As criterion of exclusion of the items was adopted a reference value greater than or equal to 0.35 of factorial load and greater or equal to 0.5 of commonality per item. To determine the amount of retained factors, the criteria of own values> 1, minimum cumulative explained variance of 60% and parallel Horn analysis were observed. In the VC stage with specialists, a total of 40 interviewees were obtained, 90% were Doctors, 7.5% Masters and 2.5% Specialists. The general IVC was 0.88 and only one item had considered poor. After panel evaluation, two items were included and the others modified. In the VPR stage with the elderly, a total of 41 interviewees were obtained. After analyzing the panel of observations made by the elderly, the issues went through modifications for their improvement. A sample of 259 elderly people from the five regions of Brazil answered the questionnaire. After AFE, 4 items were excluded due to the poverty of their factorial loads and 4 factors were identified: "composition and extension of the social network", "instrumental and availability", "reciprocity and longitudinality" and "emotional support and social participation". The questionnaire showed a good relevance of the proposed items and the observations made by the interviewees allowed an approximation of the language used in the instrument, to the language used by the elderly. The instrument with 20 items and 4 retained factors presented good psychometric properties, such as: acceptable factor loads and excellent commonalities. We suggest 42 as the overall optimal cut score.

     

11
  • WILMA MARIA DA COSTA MEDEIROS
  • Analysis of the impact of traffic accidents on the self-reported health of the victim and on social security costs

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARIA ANGELA FERNANDES FERREIRA
  • ROSA LÍVIA FREITAS DE ALMEIDA
  • Data: 22-dic-2017


  • Resumen Espectáculo
  • This study aimed to estimate the prevalence of traffic accidents in self-reported health (SAR) of the Brazilian population and Social Security costs. A cross-sectional, descriptive and exploratory, population-based study with data collected in 2013 by the National Health Survey (PNS) and secondary database of the Department of Information Technology of the National Health System (SIH-DATASUS) and the Ministry of Social Security (SUB-MPS); In addition, the population-based data from the Brazilian Institute of Geography and Statistics (IBGE) and the Statistical Yearbook of Social Security (AEPS), from 2007 to 2016. The relationships between TA and SAR were analyzed for reasons of prevalence and 95% confidence intervals. Traffic accidents occurred in 3.2% (~ 4.5 million individuals) of the Brazilian adult population, being more frequent among men, young adults, up to 40 years old. Among the injured young adults who suffered sequelae and / or disabilities, compared to non-injured, they reported a worse health condition, with men having a probability 1.35 (95% CI: 1.05-1.65) and women 1.60 (95% CI: 1.15-2.05). Those injured over 40 years of age, who suffered sequelae and / or disabilities compared with non-injured, reported a precarious state of health, with men being 1.40 (95% CI: 1.09-1.72 ) and women 1.41 (95% CI: 1.10-1.72). Thus, men and women who were victims of TA, especially over 40 years of age, had a precarious health self-assessment when they had sequelae and / or disabilities. The part of the research related to the analysis of the impact of TA on Social Security costs is in the execution phase.

2016
Disertaciones
1
  • LUCIANA MARGARIDA DE SANTANA MADRUGA
  • A integração ensino serviço no processo de formação dos graduandos em fisioterapia da UFPB

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FRANKLIN DELANO SOARES FORTE
  • MARIZE BARROS DE SOUZA
  • Data: 04-feb-2016


  • Resumen Espectáculo
  • O paradigma de saúde, consolidado no século passado, direcionou a formação dos profissionais de saúde, educados sob a égide do modelo de formação flexneriano, fragmentário e hospitalocêntrico. Contudo, este provou ser insuficiente para atender as demandas do Sistema Único de Saúde (SUS) e da população. Nesse sentido, as Diretrizes Curriculares Nacionais (DCN) para os Cursos de Graduação em Saúde despontam como marco normativo na proposição de um novo perfil profissional, como também na recomendação de estratégias para a reestruturação dos currículos e das práticas pedagógicas, e uma delas é a integração ensino-serviço. Portanto, o objetivo do presente estudo foi investigar o processo de formação dos acadêmicos do Curso de Fisioterapia da Universidade Federal da Paraíba (UFPB), tendo como eixo orientador a integração ensino-serviço, considerando as DCN. Para tanto, o método escolhido foi o estudo de caso, com abordagem qualitativa. A amostra foi do tipo intencional, incluindo todos os docentes do quadro permanente do Departamento de Fisioterapia da UFPB, vinculados a componentes curriculares cujos cenários de prática ocorrem na rede de serviços do SUS e com tempo de atividade superior a um ano naquele componente. A técnica de coleta de dados foi a entrevista semi-estruturada. A análise dos dados foi realizada por meio da técnica de análise de conteúdo. Foram consideradas as seguintes categorias: Formação Profissional para o SUS, A integração dos estudantes aos serviços Rede SUS, A relação teoria e prática na formação do fisioterapeuta, Parceria docente-profissional de saúde no processo de ensino-aprendizagem e Os Programas de Reorientação da Formação e sua integração com o Curso. Os resultados permitiram identificar como potencialidades no processo de integração ensino-serviço: reconhecimento da importância das atividades de integração entre a universidade e os serviços de saúde a partir da valorização da inserção do estudante na rede, da atuação conjunta com os profissionais de saúde do serviço e da oportunidade de trabalhar em equipe interprofissional; existência da Rede Escola estruturada e organizada; participação de estudantes e docentes em programas governamentais que oferecem a experiência de inserção no universo do trabalho. Como fragilidades da integração se sobressaíram: dificuldades nos processos de pactuação, planejamento e avaliação das atividades junto ao serviço; descompasso entre atividades teóricas e práticas; indefinição dos papeis do docente e do profissional de saúde do serviço no processo de formação e frágil relação dos programas de reorientação da formação profissional com as atividades curriculares do Curso. A integração ensino-serviço, como eixo orientador da análise da formação do profissional fisioterapeuta revela limites e possibilidades para uma  formação que atenda as necessidades de saúde da população. Assim, o posicionamento e as escolhas das instituições de ensino frente ao modelo assistencial exercem influência nas práticas em saúde, bem como o compromisso firmado pela gestão e serviços e a permeabilidade às instâncias de controle social contribuem decisivamente para a orientação da formação dos futuros profissionais de saúde. Logo, é indispensável o comprometimento de todos os atores envolvidos para a efetiva mudança do processo de formação e do paradigma de saúde.

2
  • ERICO GURGEL AMORIM
  • Saúde mental de sujeitos com deficiência visual sob a ótica dos determinantes sociais de saúde

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • ANA KARENINA DE MELO ARRAES AMORIM
  • LENINA LOPES SOARES SILVA
  • Data: 17-feb-2016


  • Resumen Espectáculo
  • Saúde mental de sujeitos com deficiência visual sob a ótica dos determinantes sociais de saúde

3
  • ANA LUÍSA DE BARROS PASCOAL
  • EFICIÊNCIA MASTIGATÓRIA E QUALIDADE DAS PRÓTESES TOTAIS CONFECCIONADAS PELAS TÉCNICAS TRADICIONAL E SIMPLIFICADA.

  • Líder : PATRICIA DOS SANTOS CALDERON
  • MIEMBROS DE LA BANCA :
  • ANDRE ULISSES DANTAS BATISTA
  • PATRICIA DOS SANTOS CALDERON
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 07-mar-2016


  • Resumen Espectáculo
  • Os métodos tradicionais de confecção de próteses totais exigem uma ampla sequência de procedimentos clínicos e laboratoriais, entretanto, não há evidência científica de que eles produzam resultados superiores aos métodos simplificados. Objetivo: Avaliar a efetividade de uma técnica simplificada (S) para confecção de prótese total, comparando-a a tradicional (T), através da eficiência mastigatória e da avaliação da qualidade das próteses. Método: Realizou-se um ensaio clínico controlado randomizado com 50 pacientes, 25 reabilitados com próteses totais duplas produzidas pela técnica tradicional e 25 reabilitados por uma técnica simplificada. Avaliou-se a eficiência mastigatória pelo método colorimétrico com o auxílio de uma cápsula mastigatória. A qualidade das próteses foi obtida por meio do instrumento desenvolvido por Sato et al. em 1998. Resultados: 39 pacientes concluíram o estudo, sendo 18 do grupo tradicional e 21 do grupo simplificado. Não houve diferença entre os grupos para a eficiência mastigatória (p=0.835). Um paciente apresentou prótese com qualidade ruim (grupo S), nove com qualidade regular (T= 3; S=6) e 29 pacientes apresentaram próteses com qualidade boa (T= 15; S= 14), sem diferenças entre os grupos. A qualidade das próteses obteve diferença significativa para a atura do rebordo inferior (p=0.05). Conclusão: as próteses totais duplas confeccionadas pelo método simplificado foram consideradas eficazes do ponto de vista da eficiência mastigatória e da qualidade das próteses, apresentando resultados semelhantes às confeccionadas pelo método tradicional.

4
  • MONIQUE RAMOS PASCHOAL
  • ANÁLISE ESPACIAL E TEMPORAL DA COBERTURA DA TRIAGEM AUDITIVA NEONATAL NO BRASIL (2008-2015)

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • HANNALICE GOTTSCHALCK CAVALCANTI
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 01-abr-2016


  • Resumen Espectáculo
  • A triagem auditiva neonatal (TAN) é a primeira etapa de um programa para detecção de perda auditiva em recém-nascido, pois quando identificada e tratada precocemente minimizam as consequências da patologia. Na literatura existe um consenso quanto a universalidade da triagem, ou seja, o índice de triagens realizadas nos programas deve ser superior a 95% dos nascidos vivos. Nesse sentido, o objetivo deste estudo é realizar a análise espacial e temporal da cobertura de triagem auditiva neonatal no Brasil no período de janeiro de 2008 a junho de 2015. Trata-se de um estudo ecológico e utiliza como base o território Nacional e como unidade de análise as 161 Regiões Intermediárias de Articulação Urbana. A população de referência foram os nascidos vivos no país usuários do SUS no período de janeiro de 2008 a junho de 2015. Para o cálculo da porcentagem da cobertura da triagem auditiva neonatal foi utilizado como fonte de dados o Sistema de Informação de Nascidos Vivos (SINASC), o Sistema de Informações Ambulatoriais (SIA/SUS) e o Sistema de Informações de Beneficiários (SIB) da Agência Nacional de Saúde Suplementar (ANS). Os dados foram divididos em quatro períodos, na qual foi realizada a análise exploratória dos quatro mapas, através do programa TerraView 4.2.2. Em seguida, para o mapa mais recente, foi realizada a análise espacial estatística, por meio do Índice de Moran Global e do Moran local. A cobertura da triagem auditiva neonatal apresentou uma evolução de 9,3 para 37,2 % no período estudado.  Em 2008-2009 observa-se que a porcentagem da cobertura variou de 0,00 a 79,92%, porém a maioria das regiões obteve cobertura entre 0,0 e 20%, já em 2014-2015 a cobertura variou entre 0,0 a 171,77%, observou-se um visível aumento da porcentagem da cobertura no país e doze regiões apresentam cobertura maior que 95 %. O Índice de Moran Global teve valor de 0,397 (p=0,01), caracterizando um padrão de cluster disperso. Na análise espacial estatística observamos que a maioria das regiões são não significantes e que o estado do Rio Grande do Sul predominou o cluster Alto-Alto e algumas regiões dos estados do Paraná e São Paulo. Conclui-se que, a cobertura da triagem tem crescido ao longo do tempo, mas ainda é baixa e apresenta uma distribuição desigual no território podendo ser explicada pelas leis e políticas locais e pela disposição das diferentes modalidades de serviço de saúde auditiva no país.

5
  • AILA MAROPO ARAUJO
  • DESIGUALDADE NA MORTALIDADE POR VIOLÊNCIA EM IDOSOS NO TERRITÓRIO BRASILEIRO

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA ANGELA FERNANDES FERREIRA
  • WILTON RODRIGUES MEDEIROS
  • Data: 18-abr-2016


  • Resumen Espectáculo
  • Este estudo objetivou investigar a distribuição espacial da mortalidade por agressão em idosos e a correlação com os determinantes sociais da saúde. Trata-se de um estudo ecológico realizado nas Regiões de Articulação Urbana do Brasil entre 2009 e 2013. Os dados foram provenientes do Sistema de Informação sobre Mortalidade, Sistema de Indicadores de Saúde e Acompanhamento de Políticas do Idoso, Instituto Brasileiro de Geografia e Estatística e Atlas de Desenvolvimento Humano, coletados entre janeiro e agosto de 2015. Os óbitos para o cálculo da taxa de mortalidade por agressão em idosos foram definidos segundo a Classificação Internacional das Doenças – 10ª Revisão (CID-10). Foi utilizado o programa Tabwin 3.2 para a coleta de dados. Em seguida, realizou-se a análise estatística com a correlação de Pearson, com um nível de significância estatística de 95%. Foram encontrados 12.600 óbitos por agressão em idosos, a maioria (85,53%) do sexo masculino, faixa etária de 60 a 69 anos (49,61%), raça/cor parda (46,39%), escolaridade de 1 a 3 anos de estudo (17,34%). O local de ocorrência foi no hospital (28%) e a principal fonte de informação foi o boletim de ocorrência (57,37%). Os tipos de causas mais frequentes foram agressão por meio de disparo de arma de fogo ou de arma não especificada (X95) (37,25%) e agressão por meio de objeto cortante ou penetrante (X99) (22,95%). A taxa de mortalidade por agressão em idosos nacional foi de 9,97 por 100.000, as regiões sul e sudeste foram as maiores: 18,33/100.000 e 18,42/100.000. Dentre as Unidades da Federação, foram: Roraima (23,51 por 100.000), Rondônia (22,90 por 100.000), Alagoas (22,11 por 100.000), Acre (20,88 por 100.000) e Mato Grosso (20,20 por 100.000). Das Regiões de Articulação Urbana, as maiores taxas foram: Uruguaiana (59,87 por 100.000), Curitiba (47,75 por 100.000), São Félix do Araguaia – Confresa – Vila Rica (44,32 por 100.000), Macaé (42,40 por 100.000) e Marabá (41,91 por 100.000). Na análise de correlação de Pearson, as variáveis com significância estatística e correlação fraca foram: índice de Gini (r=0,394, p<0,001), proporção de idosos residentes em domicílios na condição de outro parente (r=0,222, p<0,005), razão de dependência de idosos (r=-0,399, p<0,001), proporção de idosos que vivem em domicílio adequado (r=-0,147, p<0,06) e mortalidade da população em geral por agressão (r=0,518, p<0,001). As altas taxas de mortalidade por violência em idosos são explicadas pela estrutura social, econômica e de sistemas políticos no território brasileiro que geram iniquidades sociais, onde a violência está arraigada a essa estrutura atingindo toda a população do país.

6
  • NAYARA PRISCILA DANTAS DE OLIVEIRA
  • CAPACIDADE FUNCIONAL DE MULHERES SUBMETIDAS AO TRATAMENTO DO CÂNCER DE MAMA

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DANIELA MENDES DA VEIGA PESSOA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 20-abr-2016


  • Resumen Espectáculo
  • O câncer de mama apresenta altas taxas de incidência e atualmente observa-se aumento considerável na taxa de sobrevida, de modo que a qualidade desta sobrevivência passa a ser considerada uma importante questão de saúde pública. O objetivo do estudo foi verificar a prevalência de incapacidade funcional e seus fatores associados em mulheres sobreviventes ao tratamento do câncer de mama. Trata-se de um estudo transversal, realizado com 101 mulheres residentes no município de Natal-RN com diagnóstico de neoplasia maligna da mama, que foram submetidas ao tratamento oncológico há no mínimo um ano e que ainda permanecem em acompanhamento clínico na Liga Norte Riograndense contra o Câncer. O estudo foi composto por duas fases de coleta de dados, realizadas com o acesso aos prontuários das pacientes e com entrevistas individuais. A capacidade funcional foi aferida por meio do instrumento Disabilities of the Arm and Shoulder (DASH). Coletaram-se também variáveis relacionadas às características socioeconômicas, hábitos de vida, condições de saúde, histórico ginecológico e obstétrico, características clínicas do tumor e abordagem terapêutica. A análise bivariada foi realizada por meio do teste teste Qui-quadrado de Pearson (Exato de Fisher). A análise multivariada foi feita por meio da Regressão de Poisson com variância robusta. Considerou-se o nível de confiança de 95%. A idade média das mulheres incluídas no estudo foi de 56,19 anos (±10,6), com renda média mensal de 3,88 (±4,5) salários mínimos e com acesso ao serviço de saúde público predominante (50,5%). Em sua maioria, as pacientes foram submetidas à abordagem cirúrgica conservadora (53,5%). A prevalência de incapacidade funcional foi de 22,8% (IC95%: 13,9-31,6). A capacidade funcional mostrou-se associada de maneira estatisticamente significativa à idade e ao tipo de acesso ao serviço de saúde. Pode-se concluir que as pacientes mais jovens sofreram maior impacto do tratamento do câncer de mama na funcionalidade quando comparadas às mulheres mais idosas. Quanto ao acesso ao serviço de saúde, as mulheres que receberam acompanhamento clínico público apresentaram maior ocorrência de incapacidade funcional, o que aponta para a necessidade de serviços de saúde mais organizados na sua rede assistencial, menos burocráticos e efetivamente resolutivos, minimizando os impactos do tratamento oncológico nas condições de vida e saúde das sobreviventes do câncer de mama.

7
  • LUIZ EDUARDO LIMA DE ANDRADE
  • Evolução da cultura de segurança em hospitais brasileiros após a implantação do Programa Nacional de Segurança do Paciente

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • HELAINE CARNEIRO CAPUCHO
  • MARISE REIS DE FREITAS
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 13-may-2016


  • Resumen Espectáculo
  • Introdução: A promoção de uma Cultura de Segurança do Paciente (CSP) nas organizações de saúde tem sido recomendada como uma prática que contribui para a redução do risco de danos desnecessários associados ao cuidado de saúde, porém não há evidências das intervenções em saúde pública que devem ser implantadas. O sistema de saúde brasileiro regulou uma série de medidas para este objetivo, porém sua efetividade ainda não foi avaliada. Objetivo: Analisar o efeito do Programa Nacional de Segurança do Paciente (PNSP) na Cultura de Segurança do Paciente. Método: Trata-se de um delineamento quase-experimental com abordagem descritivo-analítica. A CSP foi avaliada em três hospitais com diferentes perfis, três meses antes (n=215) e quinze meses após (n=450) a implantação do programa nacional de segurança do paciente. Utilizou-se um instrumento validado e adaptado à realidade brasileira (Hospital Survey On Patient Safety Culture). A evolução da CSP foi avaliada por meio de 14 indicadores simples e 2 compostos. Resultados: A CSP teve evolução positiva de forma consistente após a implementação do PNSP. Os hospitais melhoraram a CSP em 14 dos 16 indicadores avaliados, que incluem 11 das 12 dimensões avaliadas, a Porcentagem de Respostas Positivas total, a média da nota para a segurança do paciente e o índice de CSP. O hospital que apresentou maior melhoria foi o estadual seguido do federal e privado, isto demonstra que o PNSP foi um indutor da homogeneização dos serviços prestados no Brasil, pois esta ordem era inversa do nível de cultura antes do PNSP. Conclusão: O estudo evidencia uma melhoria consistente da CSP em hospitais após o PNSP, apontando para a efetividade da regulação nacional externa, que por sua vez aparentam ser moduladas pela variabilidade do contexto interno.

8
  • ADRIANA TORQUATO DA SILVA
  • JUDICIALIZATION HEALTH AND MEDIATION: PRACTICES AND PERCEPTIONS ABOUT THE EXPERIENCE "SUS MEDIATED" IN CHRISTMAS.

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • ELIANA COSTA GUERRA
  • ALBA MARIA PINHO DE CARVALHO
  • Data: 30-may-2016


  • Resumen Espectáculo
  • In Brazil the twenty-first century twenty-seven years after the promulgation of the Constitution, is still challenging the achievement of fundamental social rights, where par excellence, is the right to health. The growing demand of citizens for full health care promised by the Constitution of 1988 highlighted the difficulties between the constitutional promise and the political, administrative and financial capacity of the Brazilian State to fulfill it. Citizens who do not find the answer to your attention needs actions and health services networks seek, through the judiciary intervention, the solution to your problem, which has resulted in a phenomenon called "Legalization of Health." Parallel to this phenomenon other situation was confirmed: the difficulties of the justice system in dealing with social rights. The model of justice has to be incompatible with the urgent nature involving lawsuits in health, challenging the creativity of legal professionals, health professionals and managers in the search for alternative solutions to deal with the complexity of the issue. This research aimed to analyze the social technology of mediation applied to the phenomenon of legalization of health as an extrajudicial settlement of conflicts, from the experience of SUS CHRISTMAS MEDIATED Program. The research, qualitative approach, accomplished documentary analysis of program records and interviews with actors involved in the same - Law operators, representatives of the Judiciary, technical employees and program managers of the SUS, the municipal and state levels. The study period included the years 2012 to 2014. This was a profile and referrals made during the period studied in relation to quantitative consultations, agreements, actions proposed by the DPE, referrals actions to DPU, resoluteness index and demands index not filed against state and county, and perceptions about the practices experienced by the actors involved. The results showed that the perceptions of actors linked to law and health are contradictory as to the legalization of health phenomenon, between negative and positive aspects. As regards the creation and development of the SUS program MEDIATED at Christmas there was a consensus that it helped to realize the right to health. The mediation similar views were identified considering it is an appropriate tool to deal with the legalization because it reduces the number of actions proposed in the judiciary, directs better skills to federative while searching the administrative resolution of cases. It was noted that the problems that pervade the mediation are much the same identified in the operation of the health system: insufficient offers, difficulty of access to new technologies, deficit and need for better training of human resources, difficulties in the organization of work processes . It is concluded that for these issues or the legalization or mediation will perform as resolute response. It is considered, finally, the educational potential of mediation as an important contribution of the program, as the dialogue on health system issues allow the user orientation and at the same time, positively discloses SUS with the citizens, reconciling -o with the health system. This communication is face to SUS and can contribute simultaneously optimization of Justice and Health Management, and advances in citizenship and realization of social rights.

9
  • CAMILA ALVES DOS SANTOS SIQUEIRA
  • Projeções e tendências da mortalidade por melanoma maligno de pele no Brasil.

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GILMARA CELLI MAIA DE ALMEIDA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • Data: 03-jun-2016


  • Resumen Espectáculo
  • O melanoma maligno de pele é dos principais tipos de câncer de pele, com baixa incidência, contudo, alta letalidade. OBJETIVO. Realizar projeções e analisar as tendências de mortalidade por melanoma, no período de 1998 a 2032, no Brasil e em suas regiões. METODOLOGIA. Estudo ecológico, com dados de mortalidade por melanoma maligno de pele, obtidos no Sistema de Informação sobre Mortalidade (SIM), e dados populacionais do Instituto Brasileiro de Geografia e Estatística (IBGE). A análise dos óbitos compreendeu o período de 1998 a 2012. Para projeção dos dados, foi usado o software Nordpred, que consta no programa R, considerando-se o modelo idade-período-coorte. Foram calculadas se as modificações ocorridas com o tempo resultam de mudanças populacionais ou no risco de óbito pela doença. Como método de análise de tendências, utilizou-se a Regressão loglineal (Joinpoint regression), com taxas padronizadas pela população mundial, para estimar a porcentagem anual de mudança, com o intervalo de confiança de 95%. RESULTADOS: No período de 2008 a 2012, foram registradas 8.269 mortes por melanoma (4.750 homens e 3.519 mulheres), cujas projeções para períodos futuros revelou, entre 2028 e 2032, um aumento para 13.639 mortes (7.987 homens e 5.652 mulheres). A análise das tendências de mortalidade resultou, no Brasil, em uma tendência a redução para homens (APC = -0,4; IC95%= -0,6; -0,1; p<0,01) e mulheres (APC = -0,8; IC95%= -0,9; -0,7; p<0,01). A região Centro-oeste apresentou aumento para os dois sexos, em oposição ao Sudeste, com redução em ambos. O Norte apresentou estabilidade para homens e aumento para mulheres; o Sul teve redução em homens e estabilidade em mulheres; e, por fim, o Nordeste revelou um joinpoint para cada sexo. Nos homens, com o primeiro período de aumento e outro de estabilidade; e, nas mulheres, com estabilidade seguida de redução.

10
  • MEILY DE MELLO SOUSA
  • HABITS OF USE AND CONSUMPTION OF ORAL HEALTH PREVENTIVE SUPPLIES

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DANIELA MENDES DA VEIGA PESSOA
  • KENIO COSTA DE LIMA
  • Data: 21-jun-2016


  • Resumen Espectáculo
  • This study aimed to identify the prevalence of the use and the consumption pattern of oral health preventive supplies by the population of two cities with similar demographic characteristics and different oral health status, as well as factors associated with their use. The study was individual, observational and analytical sectional with comparison group. The survey took place in the cities of Natal/RN and Florianópolis/SC. The sample consisted of 963 individuals, divided between both cities, from the age of 20 and up. The sampling was by quotas and the collection was through questionnaires structured with information of socioeconomic and demographic characteristics, usage habits and consumption of oral health preventive supplies and possible associated factors. The interviews took place in busy locations in both cities. The data were submitted to chi-square statistical test and logistic regression type stepwise forward. For all tests it was adopted a 5% significance level. The use of toothbrush and dentifrice was made by 100% of the sample and about 70.0% use them 3 or more times daily. The use of dental floss was 66.0% for Natal/RN and 81.5% for Florianópolis/SC. And the use of mouthwash was 52.9% and 59.3% for Natal/RN and Florianópolis/SC, respectively. The predominant frequency of use in both cases was once a day. The results of Florianópolis/SC were better in the categories socioeconomic status and hygiene habits. There was an association between the use of dental floss and the fact that individuals resided in Florianópolis/SC, were female, were married, were in the age group of 40-49 years, had a higher level of education, attended private dental service, performed oral hygiene more times daily and did not report toothache in the previous six months. The variables associated with the use of mouthwash were predominantly those representing the socio-economic condition of the individual, those in better condition were the ones who most used this product. In conclusion, the access to health services and the education level, which represent socioeconomic status, were the main determinants of the oral hygiene habits of the sample. The main diseases in oral health are reversible and resolvable through basic care procedures in oral health. Therefore, it was identified the need to provide means so that information on the oral health care reach the entire population, so that their preventive effects are achieved.

11
  • DAYANNE MONIELLE DUARTE MOURA
  • THE EFFECT OF A NEW STRATEGY OF CEMENTATION IN THE BOND STRENGTH OF THE ZIRCONIA-DENTIN INTERFACE

  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • ISAUREMI VIEIRA DE ASSUNCAO
  • LUCAS COSTA DE MEDEIROS DANTAS
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 22-jun-2016


  • Resumen Espectáculo
  • The aim of this study was to evaluate the influence of the different strategies of thermal aging and systems of cementation on bonding at zirconia/bovine dentine interface. To accomplish that, the crowns of 120 bovine teeth were embedded in acrylic resin and abraded on buccal surface for dentine exposure (#220,400,600).  A total of 120 sintered zirconia cylinders (Ø: 3.4mm; height: 4 mm) (Vita In-ceram 2000) were fabricated and divided into 12 groups (n=10) based on the system of cementation (Panavia F; RelyX Ultimate) and aging (24h, 30 days and 6 months in distilled water /37°C; 5, 10, 20,000 cycles at 5/55°C,30s). Zirconia cylinders and dentin were treated according to the cement manufacturer. The base paste and the catalyst paste of each cement were handled and the cylinders were cemented on dentine (750g). The samples were aged and submitted to protocol according to the experimental group. Then, the samples underwent shearing (1 mm/min) in a universal testing machine and analysis of failure. The dada obtained from the shearing test was submitted to the Kruskall-Wallis analysis, followed by the Dunn test and by the Wilcoxon test. After 6 months of water storage, the shear bond strength test of the Panavia F and the Rely- X Ultimate significantly differed. As for the Ultimate cement, the group ULT30D was significantly superior to the groups ULT5TC and ULT10TC, and similar to the remaining groups.  As for the Panavia F, the lowest bonding strength was the PAN10TC group, being only statistically different from the control group. Therefore, the cement RelyX Ultimate promoted the best   bonding strength to the interface zirconia- dentin after 6 months of water storage. However, termocycling decreased bond strength to the dentin of both cements.

12
  • ANA CARLA BEZERRA DE CARVALHO JUSTO FERNANDES
  • DEGREE CONVERSION OF EXPERIMENTAL ADHESIVE SYSTEMS CONTAINING DIFFERENT MONOMER CONCENTRATIONS, PHOTOINITIATORS SYSTEMS AND GENERATIONS LED's

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • FABIO ROBERTO DAMETTO
  • JOSE RENATO CAVALCANTI DE QUEIROZ
  • Data: 23-jun-2016


  • Resumen Espectáculo
  • Objective: to evaluate the degree of conversion (CG) of simplified experimental adhesive systems by varying the formulation with different proportions of acid monomer 1,3-glycerol dimethacrylate phosphate (GDMA-P), and the presence of alternatives photoinitiators photoactivated by light-emitting diodes (LED) second and third generations. Methods: Initially the monomer GDMA-P acid was synthesized, and further manipulated 12 adhesives according to the following compositions: monomeric blend containing GDMA-P, Urethane dimethacrylate (UDMA) and 2-hydroxyethyl methacrylate (HEMA) in proportions of 30/20/20; 30/10/30 and 30/30/10% by mass, respectively. The photoinitiator system was composed camphorquinone (QC), bis(acyl)phosphine oxide (BAPO), Ethyl 4-Dimethylamine Benzoate (EDMAB), Diphenyliodonium Hexafluorphosphate (DH) in the following amounts: 1.0/0.0/1.0/0.2; 0.0/1.0/1.0/0.2; 0.0/1.0/0.0/0.2; 0.5/0.5/1.0/0.2 mol%, respectively. As the solvent was used ethanol and water (1:1). The spectral distribution of light from two LEDs was measured using a spectrometer computer controlled. Five samples of each adhesive were subjected to spectroscopy medium infrared Fourier transform (FTIR) spectroscopy with attenuated total reflectance device (RD) before and after curing the samples. For curing procedures were used two LED light sources, a 2nd generation - Flash Lite1401 (2nd generation) and another 3rd generation - Bluephase G2 (3ªG). Results: The increase of GDMA-P had effect on CG of adhesives (p <0.05). In general, the presence of BAPO offered higher CG compared to QC in the adhesive systems when 3ªG photocured for all monomers concentrations tested (p <0.05). The 3ªG LED has increased the GC  than 2ªG LED for all adhesive systems BAPO (p <0.05). The 2ªG was more effective in adhesive systems containing CQ / EDMAB / DH, except concentration 10/30/30 (p <0.05). Analysis of variance and post-hoc Tukey were used to analyze the data (P <0.05). Conclusions: Low concentrations of GDMA-P, using BAPO and 3ªG LED improved degree of conversion of the experimental adhesives.

13
  • LÍVIA MARIA DE AZEVEDO
  • AGEISM IN NATAL/RN MUNICIPALITY: OCCURRENCE AND RELATED FACTORS.

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DIEGO BONFADA
  • KENIO COSTA DE LIMA
  • Data: 30-jun-2016


  • Resumen Espectáculo
  • This study objectified to verify the occurrence of velhismo and factors related to it in the reality of elderly that are not institutionalized. This is a cross-sectional study with a quantitative approach, involving 188 individuals older than 60 years who were selected for convenience in a sample by quotas. It was used for data collecting a questionnaire containing demographic profile economic, social, health and Map Aged Relations Minimum beyond the Ageism Survey instrument translated and adapted, used to check the occurrence of velhismo. In the treatment the data was done to characterize the sample by descriptive analysis, after that it was obtained the possible significant associations with the chi square test (p <0.20), and then was made a multivariate analysis by logistic regression (p <0.05). It was found as the variable "suffered some form of discrimination" that elderly patients with fewer comorbidities were more discriminated against than the diseased. The same happened to the elder who is responsible for his house, to which suffers more discrimination than who has the son or the family responsible. The elder who used public transportation also suffers from ageism more than that does not use, as well as those who have more time for retirement compared to those who have less time. Similarly, older people had more sons were more victims of ageism, and older women suffer more discrimination than men. In relation the variable "severity of ageism," the elderly who do not receive emotional support or receive from someone who is not family, suffer the most severe form of ageism when compared to those who receive emotional support from a family member. was also noted that older people that have had four or more sons and are female suffered ageism more severe form. With these results, we observed how the ageism is common and is generalized to the majority of elderly respondents, being related to their living conditions and health. This situation is aggravated when the ignorance of the population is observed, including the elder, about this form of discrimination, as well as their gravity and the problems that it can to cause.

14
  • LORENA MACHADO DE ARAUJO
  • PATIENT SAFETY FROM THE PERSPECTIVE OF NURSING PROFESSIONALS INTENSIVE CARE

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • REJANE MILLIONS VIANA MENESES
  • Data: 06-jul-2016


  • Resumen Espectáculo
  • Introduction: In recent years, patient safety has received worldwide emphasis due to the growing number of adverse events, considered a problem inherent in the modern health care system. According to the World Health Organization, one in ten patients suffer damage / injury arising from supportive care, reflecting the increased hospital costs and avoidable morbidity and mortality. The Intensive Care Unit (ICU), characterized by complexity and specificity, is favorable environments to the occurrence of adverse events, requiring greater attention and prepare technical and scientific professionals. Therefore, it asks-: What is the perception of health professionals, nurses and nursing technicians, about the safety of the patient. Objective: This research aims to understand the significance of patient safety in the hospital environment for nurses and nursing technicians. Methodology: descriptive / exploratory qualitative study with ethnomethodological approach, proposed by Harold Garfinkel. The survey was conducted at a university hospital in Natal / RN in the ICU sector in the period from August to September 2015. The sample consisted of a group of five nurses and five nursing technicians with experience in intensive care for at least two years. Data collection was carried out from a semi-structured individual interview, the same being recorded and analyzed using the content analysis technique, according to Bardin. The defined categories were: meaning of patient safety and humane care; daily practice in the intensive care unit; weaknesses for the development of patient safety and prospects for a secure assistance. Results and Discussion: In the research it became clear that the word security is related to the patient's recovery, their well being, responsibility and quality of care provided by the multidisciplinary team. The types of damage most often cited in the survey were related to medication administration, procedures, the development of pressure ulcers and falls. The multiple factors that hinder the development of actions for care insurance include problems in the work process, such as lack of cooperation / team communication; insufficient resources; reduced number of professionals in contrast to the large number of students and professionals without experience; inappropriate and lack of incentive management. Therefore, professionals adopt as key strategies identifying the patient, infection control, care medication administration, to prevent falls and Pressure Ulcers. It was identified as suggestions training and team training, improvement of work processes, including updating protocols, availability of materials and equipment and the maintenance of an adequate number of professionals. Conclusion: It appears that the meaning of security goes well beyond just protecting the damage to the patient. Despite the difficulties encountered in day to day work, the nursing staff can design a preventive vision and develop actions for the safety of responsibly patient, sensitive and ethics.

15
  • THAIS SOUSA RODRIGUES GUEDES
  • Body Image in Women Submitted to Breast Cancer Treatment

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • KARLA VERUSKA MARQUES CAVALCANTE DA COSTA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 26-jul-2016


  • Resumen Espectáculo
  • Breast cancer is the most common neoplasia among women. Consequential changes from treating breast cancer are responsible for the way women see their body image and how these patients interact with other people. This study aims to determine the prevalence of women dissatisfaction with their own body perspective and associated factors after surviving to breast cancer treatment. This is a cross-sectional study, which evaluated 103 women living in the city of Natal, Brazil, diagnosed with breast cancer at least one year ago, that were still under treatment against cancer, and remained in clinical follow-up. Data collection was performed by accessing medical records of patients diagnosed with breast cancer and conducting individual interviews. The dependent variable Body Image was measured using the validated questionnaire Body Image Scale (BIS). Socioeconomic variables, gynecological history, clinical and life habits were also collected. The bivariate analysis was performed using Pearson's chi-square test (Fisher's Exact), calculating the prevalence ratio using 95% confidence interval. Multivariate analysis was performed by Poisson regression with robust variance. The statistical significance level of 0.05 was considered. The mean age of patients included in the study was 55.97 years (± 10.6), mostly Caucasian, married, and employed before treatment (81.6%). The prevalence of dissatisfaction with body image was 74.8%, CI (0.65 to 0.82). Body Image showed a statistically significant association with multidisciplinary professionals monitoring the patient and the presence of employment after treatment. We conclude that the prevalence of body image dissatisfaction was high. Women who reported having an occupation after treatment for cancer showed more changes in self-perception regarding their appearance. Concerning the follow up by multidisciplinary professionals, those patients who did not receive care after the treatment reported a negative impact on their body image. This finding highlights the need for strategies to increase the resolvability of services to meet the main demands of this population.

16
  • RAYANNE KARINA SILVA CRUZ
  • Severity index of dental caries : construction and validation.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • ROGER KELLER CELESTE
  • Data: 01-ago-2016


  • Resumen Espectáculo
  • The oral health national survey, known as "SB Brazil Project," is considered as the main oral health surveillance strategy in the production of primary data, cooperating to build a policy based on epidemiologically-orientend assistance models in Brazil. In a low caries prevalence scenario, sometimes the current indices used nowadays can reduce their discriminatory power. Objective: To create and validate a caries severity index, through an arbitrary set of scores according to dental caries and treatment needs. Methods: This study worked with data from SB Brazil 2003 and 2010 for the construction and validation of a Severity Index Dental Caries. The research is individual-based using secondary data having, as unit of analysis, the Brazilian population in the age groups of 12 years, 15-19 years and 35-44 years. The methods were divided into stages, the first was the formulation of proposals with different scores for the progression of caries through the specific assignment of scores for tooth conditions, from sound teeth to those requiring extraction, from the association between the DMFT index and Treatment Need conditions. The second step was the analysis of the coefficients of variation and the third was the construct validation. Results: There were no differences between the proposals, when the variation where analyzed. The construct validation was made considering the variables: region, type of city (capital/ non-capital), ethnic group, family income and years of schooling. It was observed that the new index could discriminate the different stages of decayed teeth. Conclusions: the study product will be useful for planning activities in public health dentistry, as it will be possible prioritizing access to the service for the group with greater severity, adding a more discriminatory power to both caries and treatment needs indexes.

17
  • SANDERSON JOSE COSTA DE ASSIS
  • Factors associated with scoliosis in schoolchildren: A case-control study

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JOSÉ PATRÍCIO BISPO JÚNIOR
  • Data: 01-ago-2016


  • Resumen Espectáculo
  • Scoliosis is characterized by three-dimensional, with deviations in the sagittal, coronal, and horizontal planes. School constitute them as a risk group for this deformity by going through the growth spurt phase of growth, coupled with other factors such as sitting for long periods of time, asymmetric straps on school backpacks and/or backpacks overloaded with school supplies, the use of inappropriate footwear, and other factors. Considering the limited literature addressing the risk factors for scoliosis, this study aims to analyze the risk factors for scoliosis in school. Methodology. This is a cross-sectional and quantitative study case-control with school in the city of Santa Cruz, Brazil. We evaluated the presence of scoliosis, physical activity, competitive sports practice and postural habits. In order to identify factors risk with scoliosis, were estimated odds ratio (OR) and confidence intervals (95%) were estimated by means of conditional multiple logistic regression, a significance level of 5% was used. Results.  Seventy-eight pairs participated in the study, totaling 156 students, including 86 girls and the average age of 13.88 years. In conditional logistic regression, physical activity bivariate analysis showed statistical significance (p = 0.041) showing that those who practiced little physical activity (irregularly active) have more risk of having scoliosis when compared with active children (OR: 2.64 ; 95% CI: 1.18 to 5.89), however when compared with sedentary school there was no statistical significance (p = 0.893). This significance remained in the adjusted model, to be set by competitive sports practice and backpack transport. The other variables were not statistically significant. Conclusions. Low physical activity is presented as a risk factor for scoliosis in school and may indicate a physical activity as a protective factor for scoliosis.

18
  • FRANCISCO DE ASSIS DE SOUZA JUNIOR
  • CHANGES IN FACIAL PROFILE IN PATIENTS UNDERGOING SURGERY ORTHOGNATHIC

  • Líder : JOSE SANDRO PEREIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • JOSE SANDRO PEREIRA DA SILVA
  • MARCELO AUGUSTO DE OLIVEIRA SALES
  • Data: 09-ago-2016


  • Resumen Espectáculo
  • Orthognathic surgery is the main modality of treatment for dental-facial deformities. Changes to skeletal bases are only performed after predicting surgical movements through cephalometric analysis and determining the optimal placement of the expected hard and soft facial tissues. True Vertical Line (TVL) has been used as a stable reference for diagnostic and predictive verification in cephalometric analysis as it does not change from bone movements performed in orthognathic surgery. The objective of this study was to evaluate the correlation between hard tissue movement on the soft tissue using TVL as a reference in patients undergoing orthognathic surgery, and according to measurements of movements performed in the anteroposterior direction. The study sample consisted of analyzing 54 radiographs of 27 patients (09 males and 18 females) with an average age of 29 years. Imaging studies were performed before and 6 months after orthognathic surgery. Six points, being three for soft tissue (PALS, PALI, Pg') and three for hard tissue (PA, PB, Pg) were marked using a software, and TVL served as an outlined parameter to perform horizontal measurements. All measurements were performed with the Meazure 2.0 program. A higher correlation of movement between the points Pg-TVL/Pg’-TVL was found with =0.49, followed by PB – TVL / PBLI – TVL with =0.45 and PA – TVL / PALS – TVL with =0.41. Soft tissue had the highest average of movement where point Pg '- TVL = 4.6mm had the highest average, followed by point PALI – TVL= 3.0mm and point PALS – TVL= -2.3mm. Points of hard tissue had minor changes compared to soft tissue, being: Pg – TVL= 3.45mm, PB – TVL= 2.40mm; PA – TVL= -2.93. Thus, we conclude that the lower third has a higher correlation of movements after orthognathic surgery when compared to the middle third. Among the analyzed points, Pg and Pg' had the highest correlation index in the lower third. Modifications less than 1mm in the middle third (PA) did not lead to changes in the correlated points (PALS) while changes less than 1mm in the lower third (PB; Pg) had repercussions on correlated soft tissues points (PALI, Pg'), although in different proportions.

19
  • ALINE DE SOUSA BARBOSA FREITAS PEREIRA
  • Effects of metformin in ligature-induced periodontal disease in Wistar rats.

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • LEÔNIA MARIA BATISTA
  • RAIMUNDO FERNANDES DE ARAUJO JUNIOR
  • Data: 12-ago-2016


  • Resumen Espectáculo
  • Periodontitis is a chronic inflammatory disease characterized by gum inflammation, degeneration of periodontal ligaments, alveolar bone and cementum. It is considered one of the most important cause of tooth loss in adults. Experimental studies have shown pharmacological new alternatives for the treatment of periodontal disease in order to alleviate the inflammation and alveolar bone loss. The aim of this study was to evaluate the effects of metformin (MET) on inflammation, oxidative stress, and bone loss in a rat model of ligature-induced periodontitis. Male Wistar albino rats were randomly divided into 5 groups of 24 rats each and given the following treatments for 10 days: (NL) no ligation + saline, (L) ligation + saline, (MET 50) ligation + 50 mg/kg MET, (MET 100) ligation + 100 mg/kg MET, and (MET 200)  ligation + 200 mg/kg MET. Periodontal tissue was analysed to determine the bone loss and histopathological characteristics. Immunohistochemical was used to examine MMP-9, COX-2, the RANKL/RANK/OPG pathway, SOD-1, and GPx-1. Spectroscopic UV-VIS analysis was used to examine the levels of Malonaldehyde, glutathione, IL-1β and TNF-α. Reverse transcription polymerase chain reaction was used to quantify the gene expression of AMPK, NF-Kβ p65, and Hmgb1. A p-value of <0.05 indicated a significant difference. Treatment with 50 mg/kg MET significantly reduced concentrations of malonaldehyde IL-1β and TNF-α (p < 0.05). Weak staining for COX-2, MMP-9, RANK, RANKL, SOD-1, and GPx-1, and  strong  staining  for  OPG. Increased AMPK expression and decreased expression of NF-Kβ p65 and Hmgb1. Metformin decreases the inflammatory response, oxidative stress  and bone loss in ligature-induced periodontitis in rats.

20
  • RENATO DUARTE DE CARVALHO
  • ANALYSIS OF DIFFERENT METHODS FOR DETERMINING PERIODONTAL BIOTYPE.

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • JANAINA CAVALCANTE LEMOS
  • Data: 18-ago-2016


  • Resumen Espectáculo
  • AIM: The aim of this study was to determine, through different methods, periodontal biotype of teeth and prosthetic spaces in patients prior to the unitary rehabilitation with dental implants and immediate loading in aesthetic areas. MATERIALS AND METHODS: This is a study of diagnosis through the periodontal evaluation of patients before treatment unit prostheses on dental implants. An initial sample of 34 patients was considered. The study included patients with unit absences in cosmetic area and periodontal health. They excluded patients with multiple candidates absences rehabilitation unit with prosthesis in no aesthetic region. RESULTS: No statistically significant correlation between horizontal mucosal thickness were found in the prosthetic space and vertical mucosal thickness of the prosthetic area (p <0.001) and the horizontal thickness of the mucosa adjacent teeth the Prosthetic space and the horizontal thickness of the prosthetic area (p = 0.001) . There were no correlations between the horizontal / vertical thickness and other variables of interest: the transparency survey, gender, height and width of the crowns and buds, depth vestibular probing and right height / width of crowns and buds. cluster analysis (cluster) resulted in two well defined groups, G1 (thick biotype) and G2 (thin biotype) which, when analyzed for the above variables, showed significant differences for transparency survey (p = 0.04) vertical thickness of the prosthetic area (p <0.001), horizontal thickness of the adjacent teeth (p <0.001), buccal probing depth (p = 0.05) and ratio height / width of the papillae of adjacent teeth (p = 0.02) . The poll transparency test achieved 77.8% sensitivity and 56.3% specificity with overall accuracy of 67.7%. CONCLUSION: Periodontal biotypes are classifiable, have different morphometric parameters and have as key influencers horizontal gingival thickness, vertical gingival thickness and transparency vestibular probing for classification. The method of transparency on probing was effective in diagnosing types evaluated periodontal biotypes.

21
  • DANIELLE LOREN COSTA
  • ANALYSIS OF THE RELATIONSHIP BETWEEN MENTAL HEALTH AND WORK IN UNIVERSITY TEACHERS

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • DIEGO BONFADA
  • JACILEIDE GUIMARAES
  • SORAYA MARIA DE MEDEIROS
  • Data: 26-ago-2016


  • Resumen Espectáculo
  • Mental health and work have been issues of great relevance in studies and research, since the mental illness of the worker is increasingly present in the everyday life of work, entails withdrawals for long periods and provokes losses to both the employer and to the worker itself and its network of relationships. The teaching practice is regarded as a profession with mental and physical risk and therefore deserves a special attention geared towards the health of these professionals. Accordingly, this study is intended to analyze the relationship between the work and the mental health of teachers of a federal public institution of higher education. It is an exploratory and descriptive study, with a qualitative approach, which was divided into two stages. In the first stage, we performed a documentary research with the survey of withdrawals due to leave for health treatment in the UFRN servants, by ICD-F (mental and behavioral disorders), between 2010 and 2014, through a management report obtained from the Federal Public Administration System (SIAPE-SAÚDE, as per its acronym in Portuguese). In the second stage of this study, we performed a field research with the teachers, through a semi-structured interview with guiding questions about pleasure and suffering at work. In order to analyze the interviews, we used the content analysis technique, in its thematic analysis modality, proposed by Minayo (2013), and the theory of Psychodynamics of Work, according to Dejours (1992), as theoretical benchmarks. The data collection period encompassed between November/2015 and June/2016. The results of the first stage showed that mental and behavioral disorders have filled the first places of causes for withdrawing the work because of health reasons in UFRN servants (technical-administrative and teaching staff), and even reached, in 2014, 25% of occurrences of leave for health treatment. The most frequent diagnoses in the withdrawals were the mixed anxiety and depressive disorder (F 41.2), the severe depressive episode without psychotic symptoms (F 32.2) and the recurrent depressive disorder, current episode severe without psychotic symptoms (F 33.2). Regarding the second stage, we extracted two of analytical categories: suffering and pleasure in the teaching work, with three sub-categories corresponding to each, namely: Academic productivism – “Publishing or perishing”; Teacher: is it an omnipresent being?; Wear in work relationships; The enchantment of the classroom; The recognition and Experiences that promote quality of life in the work place. Faced with the results, one can realize that teachers, despite the suffering experienced at work, the uncomfortable conditions, malaise, which occasionally even culminates in illness, recognize their work as a stimulant, as a propelling force, that gives their existence a meaning, and that the simple fact of being a teacher and the exercise of teaching could be considered by them as promoters of pleasure and quality of life in the work place.

22
  • MARIA HELENA PIRES ARAUJO BARBOSA
  • Predictions and trend of mortality in lung cancer in Brasil.

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARIANNA DE CAMARGO CANCELA
  • Data: 29-ago-2016


  • Resumen Espectáculo
  • Neoplasms represent the second cause of death worldwide. Among them, lung cancer stands out as the most common of all malignant tumors and a major cause of death among men and women in developed countries. The aim of this study is to analyze the trend of mortality from lung cancer from 1998 to 2012 and to realize prediction of mortality by the year 2032. This is an ecological study of mixed type that evaluated the mortality rate lung cancer noting the age of the population, as well as the place of residence of these deaths considering a historical series of 15 years. The predictions of each period were calculated using the model age - period - cohort Nordpred program in software R. The mortality trend analysis was performed using the Joinpoint Regression Program software. The Annual Percentage Chance (APC) was used to assess the trend of each segment analyzed and estimating statistically significant values considering a 95% confidence level. In addition, we evaluated whether changes in the number of deaths are related to the population or the risk of developing lung cancer. In Brazil 2.237.346 deaths were due to cancer in the period from January 1TH 1998 to December 31TH, 2012 and 273.357 (12.21%) were from lung cancer. The age group with the highest number of deaths in both men and women, was understood by persons aged greater than or equal to 60 years. The analysis by Joinpoint showed significant reduction in the standardized mortality rate for the entire Brazilian territory, as well as in all regions for men. For women, the North tended to stability with subsequent joinpoint in 2015 and a significant reduction trend. But the analysis revealed that both Brazil and to other regions, except the North, there was a trend of significant increase and presence of joinpoint with subsequent period of stability. However, these changes in men and women will be related to the size or to change the age of the population. We conclude that in the period investigated, considering men and women, there will be differences in mortality from lung cancer in Brazil and the Brazilian regions. And, among other factors, this change will have regard to the size and age of the study population.

23
  • ISIS CRISTIANE BEZERRA DE MELO CARVALHO
  • ADAPTATION AND VALIDATION OF THE Safe Childbirth Checklist OF THE WORLD HEALTH ORGANIZATION FOR THE BRAZILIAN CONTEXT

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • NILBA LIMA DE SOUZA
  • IGOR THIAGO BORGES DE QUEIROZ E SILVA
  • Data: 30-ago-2016


  • Resumen Espectáculo
  • Maternal and infant mortality is still a serious public health problem in Brazil, despite the broad access to institutionalized deliveries. The World Health Organization (WHO) has developed the "Checklist for the safe delivery" (LVPS), a potentially useful technology to improve the quality of care during labor and to promote better health outcomes. The objective of this work is culturally adapt and validate the WHO LVPS for Brazilian hospitals, for the simple translation collides with consolidated national clinical practice. After translation into Portuguese of Brazil, there were three stages of adaptation and validation: 1 nominal group panel of experts, three obstetricians and six medical nurses (three obstetricians and three pediatricians), held in person (first two polls ) and completed the distance (final vote); 2 Consensus Conference in two University Hospitals, in extended meetings for all professionals who would use the list; and 3 structured questionnaire for health professionals (n = 40) after 30-day pilot study using the list. The criteria for validation were the face validity and list content, suitability for national protocols, terminology and viability in the local context. In the first stage, all 29 items were approved after 3 rounds and some national adaptations (eg. Rapid test for HIV instead of CD4). In the second stage, there was an increase of 24 items and changes in initial items. In the third stage, was the exclusion of nonviable 3 items, 2 items were joint and 1 item has been added due to their clinical importance in the Brazilian context. The validation process enabled the provision of a LVPS 49 potentially useful items for the Brazilian context, with evidence of validity and feasibility of the national context which must be confirmed in future studies focused on the effectiveness or validity criteria.

24
  • LAURA GÉSSICA DANTAS DA SILVA
  • RELATIONSHIP BETWEEN ANXIETY AND QUALITY OF LIFE WITH TEMPOROMANDIBULAR JOINT DYSFUNCTION.

  • Líder : GUSTAVO AUGUSTO SEABRA BARBOSA
  • MIEMBROS DE LA BANCA :
  • EDUARDO JOSE GUERRA SEABRA
  • ERIKA OLIVEIRA DE ALMEIDA
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • Data: 30-ago-2016


  • Resumen Espectáculo
  • The temporomandibular disorders (TMD) has a multifactorial etiology, and among the contributing factors, the psychosomatic origin may represent a negative influence on the trial of pain to the systemic health and quality of life. Objective: evaluate the relationship between temporomandibular dysfunction, anxiety, quality of life and demographic aspects associated of TMD patients. Methods: We applied 4 questionnaires in 120 patients (60 with TMD and 60 without TMD) to assess signs of anxiety and quality of life. The TMD diagnosis was performed by RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders). For the analysis of quality of life used the World Health Organization Quality Of Life-Brief Version (WHOQOL-BREF), and for the analysis of anxiety, three instruments: Inventory Beck Anxiety (BAI), the Anxiety Index State-trait (IDATE- T and E) and the Hospital Anxiety and Depression Scale (HADS). The colected data were analyzed with the Pearson chi-square test (χ2), Student's t test, odds ratio (odds ration- OR), and non conditional logistic regression. Results: Observing a greater percentage of participants with TMD (60%) among women and men, only 30% had dysfunction (p = 0.002). Marital status showed, for individuals without a partner, the highest percentage of TMD (65.1%), and for married 40.0% (p = 0.009). Regarding employment status, participants with DTM represented 71.4% of the professional occupation, and 42.9% among the unemployed (p = 0.008). The questionnaire evaluating anxiety found that most individuals with elevated levels of anxiety presented TMD HADS 75% (p <0.001), STAI, and 55.6% (p = 0.035), STAI 54.9% (p = 0.011) and BAI 63.9% (p = 0.002) compared to individuals without TMD. And the WHOQOL-BREF showed in all areas and in general, higher levels of quality of life for participants without TMD, p <0.001. Among the sociodemographic sex showed greater association with TMD (OR = 3.5), followed by professional status (OR = 3.3) and marital status (OR = 2.8). The WHOQOL showed greater strength of association (OR = 9.2). And anxiety, this was observed in the HADS (OR = 5.0), followed by STAI (OR = 4.2), BAI (OR = 3.2) and STAI-E (2,5). Conclusion: The results suggest that TMD patients have higher levels of anxiety and low quality of life. These aspects can interfere with the course of treatment, which reinforces the need for therapies with a focus on several factors involved in the dysfunction.

25
  • ROBERTA KARLINE LINS DA SILVA
  • ADHERENCE EVALUATION TREATMENT AND CONTROL DIABETES MELLITUS IN PRIMARY HEALTH CARE.

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • PAULO DE MEDEIROS ROCHA
  • JOÃO BOSCO FILHO
  • Data: 30-ago-2016


  • Resumen Espectáculo
  • The number of diabetic patients is increasing due to the growth and aging population, greater urbanization, the increasing prevalence of obesity and sedentary lifestyle. Studies report that non-adherence to treatment in chronic diseases is public health problem. Adherence corresponds to agreement between the medical prescription and the conduct of the patient, and includes values and beliefs, as well as aspects related to the disease and its treatment. Understanding the variables that influence adherence is one of the pillars underlying the planning and implementation of educational interventions, by their relevance to the promotion of self-care. While it is necessary, adherence to treatment is not an easy behavior to acquire. Many are the elements that make the issue of treatment adherence reason of study among researchers. There is evidence in the literature that the higher membership levels, the lower the generated complications, a fact that justifies the effort to obtain better adherence to the proposed treatment. This study aimed to assess adherence to treatment in people living with diabetes living in the coverage area of a Family Health Unit, as well as evaluate the metabolic control measures and weight, used in monitoring the disease and to examine associations between these variables. We evaluated 98 patients with diabetes, 18 years, monitored and registered at the health facility and participating in the self-care group of the unit. This is a cross-sectional study, which were collected clinical information on individual records and conducted direct interviews with diabetes about the self care measures, according to the Self-Care Activities Questionnaire instrument with diabetes "(PAF), adapted and validated in Brazil. Data were arranged in the database for descriptive analysis of socio-demographic variables and control and subjected to statistical analysis for visualization of possible significant associations. The results indicated that the sample was predominantly female, married civil state, received less than or equal to two minimum wages, arising from pensions and benefits. Had less than four years of study and diagnosis of diabetes more than ten years. As for metabolic data and weight were most overweight, changed glycated hemoglobin, normal fasting glucose and half of the sample had normal triglyceride levels. For evaluation of the PAF activities activities that showed better adherence were using medication, foot care, and consumption of sweets and those with poor adherence were blood glucose monitoring and physical activity. In the associations of biochemical parameters and QAD observed moderate association between medication and cholesterol, BMI and triglycerides, fasting glucose and cholesterol, and triglycerides. It was concluded that the sample presented poor adherence to physical activity and blood glucose monitoring, while showed excellent adherence to foot care and medication use, there were no associations between self-care and sociodemographic characteristics, except physical activity and sex , requiring more effective educational approaches to better adhesion.

26
  • ANDRÉ COSTA CARTAXO
  • Impact of radiotherapy in head and neck region on periodontal and oral hygiene conditions

  • Líder : ANA RAFAELA LUZ DE AQUINO MARTINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • ANDRE LUIS DORINI
  • MARIA DE LOURDES SILVA DE ARRUDA MORAIS
  • Data: 30-ago-2016


  • Resumen Espectáculo
  • Radiotherapy consists in a therapeutic method that uses ionizing radiation to combat malignancies, being an extremely effective treatment for handling head and neck tumors, as both a primary mode as an adjuvant to surgery. This treatment has high survival rates in the treatment of cancer in early stages. Radiotherapy in the head and neck cause frequent oral complications. In the oral cavity, the major adverse effects are mucositis, hyposalivation, osteoradionecrosis, trismus, radiation caries and periodontal changes. Despite the reporting of possible adverse effects of radiation therapy in the oral cavity, little is known about the evolutionary process and pathogenesis of these diseases after radiotherapy. Thus, this study conduct a research, evaluating the development of periodontal disease before and after radiotherapy aiming at providing a better understanding of the role of radiotherapy on the periodontal structures and thus contribute to the development of strategies to reduce the incidence and severity of it. 14 patients was evaluated, of whom 12 men and 2 women, which 11 had periodontitis after the radiotherapy, and yet, 9 had poor oral hygiene condition after the radiotherapy. 7 of the 11 subjects with periodontitis presented the tumors in the oral cavity. There was a decrease in PI and GI. The research was unable to establish a significant association between radiation therapy and oral hygiene condition and periodontitis. The poor oral hygiene condition predominated in the sample, which can be associated with the presence of debilitating conditions. The direct radiation on the oral cavity may have influence on the development of periodontitis. The development of gingivitis and periodontitis was not influenced by dose, fraction or duration of radiotherapy in the study period.

27
  • HELICARLOS BATISTA DE MORAIS
  • EFFECT OF gliclazide ON A MODEL EXPERIMENTAL DISEASE PERIODONTAL INDUCED RATS Wistar

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • JEYMESSON RAPHAEL CARDOSO VIEIRA
  • RAIMUNDO FERNANDES DE ARAUJO JUNIOR
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • Periodontal disease is a group of immuno inflammatory diseases that have the potential to affect both the protective fabrics as support teeth, the principal etiologic agent is bacterial biofilm, but the destruction of periodontal tissue is primarily caused by excessive response the host immune system. Recent studies show anti-inflammatory and antioxidant effect of oral antidiabetic drugs belonging to the sulfonylurea class of some inflammatory diseases. The aim of this study was to evaluate the action of gliclazide (GLI), an oral antidiabetic which has shown anti-inflammatory and antioxidant effect on periodontal disease in rats that were induced by ligation. We used 125 Wistar rats were randomly divided into 5 groups of 25 animals each: (NL) inducing periodontal disease has not been submitted but received saline solution; (L) has undergone induction of periodontal disease and received saline; (GLI 1mg) inducing periodontal disease GLU has been made and received 1 mg / kg; (GLI 5mg) was subjected to induction of periodontal disease GLU and received 5 mg / kg; and (GLI 10mg) was subjected to induction of periodontal disease GLU and received 10 mg / kg. The groups were treated with saline (NL and L) or GLI (1 GLY, GLY GLY 5 and 10mg) over a period of 10 days. After sacrificing the animals, which occurred on the eleventh day, the periodontal tissues were removed and passed the following tests: morphometric histopathologic, immunohistochemical, glutathione (GSH), real-time PCR (RT-PCR), malondialdehyde (MDA) and myeloperoxidase (MPO). It is noted that treatment with GLI 1 mg / kg was able to reduce the MDA (p <0.05) IL-1β (p <0.05), TNF-α (p <0.05) and MPO (p <0.05). also decreased MMP-2 expression, RANK, RANKL, cathepsin K, SOD and increased OPG expression. Still in the dose GLI 1mg / kg simultaneously reduced NF-ҡB p65 expression of AKT Pl3K and also compared to the L group (p <0.01). These results show that the GLI dosage of 1mg / kg could provide the anti-inflammatory action induced periodontal disease because the effects of decreased alveolar bone loss, caused a reduction in the levels of pro-inflammatory cytokines and increase expression of anti-agents inflammatory.

28
  • EMANUELLE LOUYDE FERREIRA DE LIMA
  • Screening Phytochemistry And Spondias mombin L. Antibacterial Action Bacteria On Oral Planktonic.

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • ISAUREMI VIEIRA DE ASSUNCAO
  • CICERO ROMAO GADE NETO
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • Due to the high prevalence of oral diseases and the considerable therapeutic potential of vegetable raw materials, and based on the fact that Brazil is a country of great ethnobotanic variety, the present study sought to phytochemically analyze plant material, as well as determine the antibacterial action of the extract of Spondias mombin L. (caja) on oral planktonic bacteria. To achieve this, phytochemical screening of the plant material was performed, along with the determination of the Minimum Inhibitory Concentration (MIC) and the Minimum Inhibitory Concentration of Adherence (MICA) of Spondias mombin L. extract (caja) against S. mutans and S. oralis, and the bactericidal kinetic extract on S. mutans. It was found that the extract inhibited bacterial growth at all the MICs tested, and prevented the adhesion of the microorganisms to the glass wall at a concentration of 1:512 of the extract. As such it was more effective in these two tests than 0.12% chlorhexidine gluconate. It was also found that crude extract of Spondias mombin L. exhibited antibacterial action after two hours of contact with S. mutans, while the extract in its minimum inhibitory concentration displayed a bactericidal effect after four hours of contact time with S. mutans. Thus, it is concluded that: the Spondias mombin L. extract is shown quite promising as a bactericide against Streptococcus mutans and S. oralis compared to chlorhexidine digluconate.

29
  • EROTIDES TEREZA DE OLIVEIRA DAMASCENO LUCAS
  • SPACE-TIME DISTRIBUTION OF DIABETIC FOOT AND AMPUTATIONS FOR DIABETES PREVALENCES IN BRAZIL BEFORE AND AFTER THE LAW Nº11.347/06 (2002-2012)

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • MARIA ANGELA FERNANDES FERREIRA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • The demographic transition that has taken place in the world and in Brazil brings with it a change in the pattern of diseases found in populations. The chronic non-communicable diseases (NCDs) has appeared rather prominently in this epidemiological transition scenario, and its morbidities have affected considerably individuals, such as Diabetes Mellitus (DM) associated with diabetic foot and amputations. The aim of study was analyze the space-time distribution of prevalence rates of diabetic foot and amputations for diabetes mellitus in Brazil, before and after the law 11.347/06. This is an ecological study, which used as units of analysis 161 Urban Articulation Regions intermediate and DATASUS data of individuals over 40 years in 2002-2012. We used the Global Moran and Local Moran tests and joinpoint analysis of rates in the country. We conducted bivariate spatial analysis of the main variables and primary care coverage rates (professionals/institutions). The results showed that in 2002, the prevalence rates of diabetic foot and amputations were higher (4.2/100.000 and 2.8/100.000, respectively). There was an annual reduction of 11.73% in the prevalence of diabetic foot and 9.52% in the amputation rate from 2002 to 2012. There was a higher spatial concentration of diabetic foot rates in the North, Northeast and Midwest. There was negative autocorrelation when performed bivariate analysis with the rate of establishments in primary care (ranging from I= -0,10 a -0,12, p< 0,05). This suggests important relationship between the small number of establishments in the regions and the highest prevalence. It concludes that despite the decrease in prevalence rates, it was not possible to identify direct influence of the law on reduced rates of diabetic foot and amputations for diabetes mellitus in Brazil.

30
  • MARCOS ANDREY ARAÚJO DE AZEVEDO
  • ACUPUNCTURE IN BRAZILIAN PUBLIC HEALTH SYSTEM: TIME SERIES AND SPATIAL ANALYSIS STUDY

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • LEVI HIGINO JALES JUNIOR
  • Data: 02-sep-2016


  • Resumen Espectáculo
  • Acupuncture treatment is gaining more demand and importance in Brazilian society and in the professional and scientific culture of health care. This study aims to quantify the historical evolution of Acupuncture in the Brazilian Public National Healthcare System (SUS). We made a time series of the healthcare coverage rates of acupuncture consultations recorded in the Ambulatory Information System of the SUS (SIA/SUS), between the years 2000 and 2014. We calculated the rate of acupuncture consultations for 100,000 health procedures/year in SUS in Brazil and regions. The rate of acupuncture consultations for each group of 10,000 inhabitants per year, was calculated for Brazil; regions and 27 Brazilian federative units, as a relative index of population coverage by acupuncture services offered by SUS. These coverage rates were used to carry out a time series with trend analysis, between 2000 and 2014, associated with an exploratory spatial analysis, performed to do a geographical illustration of the evolution of these rates before and after the implementation of the National Policy on Integrative and Complementary Practices (PNPIC). The trend in the coverage rates in these two periods in Brazil, was also analyzed by comparing the annual percentage change values (APC) of each period. The results showed that there was a gradual increase in the rates of acupuncture consultations/10,000 inhab./year, in the SIA/SUS, in Brazil and in most part of Brazilian regions and units of federation, between the years 2000 and 2014. The emphasis was to the states of São Paulo, Rio de Janeiro and Paraíba, with rates ranging between 52 and 72 acupuncture consultations/10,000 inhab./year, in 2014. In this same year, the lowest number of consultations rates were recorded in the states of Amazonas, Rio Grande do Norte and Mato Grosso do Sul, with rates ranging between 0.3 and 2.8 acupuncture consultations/10,000 inhab./year. Rondônia and Piauí have not showed acupuncture consultations records in the SUS across the time series. In Brazil, during the study period, there was a quantitative increase in the number of acupuncture consultations (5.78 times); in the healthcare coverage rates provided by acupuncture services in SUS (4.74 times) and in the rates of acupuncture consultations compared with all health procedures registered in the SUS (3.12 times). The trend of growth in coverage rates was higher after the start of the implementation of PNPIC (APC=16.6%; p=0.05) than before (APC=1.4%; p=0.05). We conclude that the growth of acupuncture coverage rates occurred heterogeneously, although Brazil and most part of Brazilian regions and federative units showed a growth trend when we compare the beginning and end of the time series. The PNPIC can be an enhancer factor of this growth trend. Coverage rates of acupuncture in public health system of Brazil are low and they have a great growth potential.

31
  • JEFERSON MESSIAS DE ALENCAR CRUZ
  • LIFE AT WORK QUALITY, ANXIETY AND DEPRESSION IN OCCUPATIONAL HEALTH TO PROVIDE CHILD CARE UNITS IN HOSPITARES

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GERALDO EDUARDO GUEDES DE BRITO
  • Data: 16-sep-2016


  • Resumen Espectáculo
  • The work plays an important role in the lives of individuals and can often contribute negatively on the health and quality of working life (QWL) of these individuals. The aim of this study was to evaluate the QWL, the prevalence of anxiety and depressive symptoms among health professionals working in hospitals of pediatrics and neonatology in the city of Natal / RN. This is an observational cross-sectional study, conducted from December 2015 to April 2016. We used a convenience sampling (or availability sampling) of 102 healthcare professionals (doctors, nurses / nursing assistants and physiotherapists). In order to check the occupational and sociodemographic profile was used a form developed by the authors. For the evaluation of QWL and the prevalence of anxiety and depression in this population we used specific instruments and questionnaires validated for the Brazilian reality. The profile of health personnel was characterized by a mean age of 36 (± 8.3) years old, female (82.4%), single (44.1%), with income of up to nine Brazilian minimum wages (76.5%), working in intensive care units (69.6%) in part-time (12 hours per duty, day shift) (45.1%) and the mostly of health personals had more than one job in others hospitals (53.9%). The average hours worked in the places surveyed was 33.6 (± 8.4) hours per week and 56.0 (± 20.9) hours per week when all sifts were summed. The main causes of dissatisfaction with the work were “remuneration” (30.4%), “working conditions” (19.6%), “few time for social activities” (17.6%),“shifts and work schedule” (16.7 %) and “professional recognition” (6.9%). The final score of QWL was 65.76 (±11.6) and about QWL’s domains was found 62.86 (± 13.8) for "Physical and Health”, 66.83 (±16 2) for "psychological", 75.31 (±14.46) for "Personal" and 58.03 (±14.05) for the "Professional". The prevalence of anxiety was 17.6% and 12.7% for depressive symptoms among healthcare personnel working in children´s hospitals. In conclusion, we observed in this study that healthcare professionals presented satisfactory QWL in all domains of QWL. However, the prevalence of anxiety and depression was associated to low scores of "Physical and Health" field from QWL, which suggests that interventions towards prevention and health promotion, improvement of work conditions, as well as professional valorization should be more encouraged to safeguard the quality of life in this population.

32
  • ANA KARLA BEZERRA LOPES
  • The Congenital Syphilis in the big cities of Brazil

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANA MARIA DE BRITO
  • KENIO COSTA DE LIMA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 27-sep-2016


  • Resumen Espectáculo
  • The Congenital Syphilis is characterized as infection of the conceptus, predominantly by transplacental transmission, from infected pregnant untreated or inadequately treated. In Brazil, the cities with more than 100,000 inhabitants, considered large cities, concentrated almost 80% of all reported cases of the disease. Thus, the objective of the study is to understand the distribution of congenital syphilis in large cities and assess its correlation with socioeconomic indicators and health services between 2007 and 2013. This is an ecological study and used as the unit of analysis the 283 Brazilian cities with more than 100,000 people. The study population consisted of all cases of congenital syphilis reported in the Notifiable Diseases Information System (SINAN), in these cities. Descriptive analysis of reported cases was performed. Then there was the bivariate analysis using Pearson's correlation coefficient to assess the degree of relationship of the prevalence of congenital syphilis with each of the 14 indicators selected for the study, as IDHM, GINI, percentage of vulnerable to poverty, percentage of black women, unemployment rate, percentage of women aged 10 to 17 years with children, rate of Syphilis Gestational, percentage of live births with 7 or more prenatal visits, primary care coverage and the Family Health Strategy . In the period from 2007 to 2013 were reported 38,533 cases of the disease in Brazil. Most of the cases consisted of children reported before 7 days of life, black, equally distributed between the sexes, mothers who underwent prenatal and were diagnosed in that period or at delivery. The northern and northeastern regions stood out for being the only ones with average prevalence above the national (2.54 / 1.000NV) in the period analyzed. Among the variables related to the quality and coverage of health services, the significant one was the percentage of live births variable with 7 or more prenatal consultations (r = -0.264). The IDHM (r = - 0.151), GINI index (r = 0.166), vulnerable percentage of poverty (r = 0.218), percentage of black women (r = 0.255), unemployment rate (r = 0.286), percentage of women 10 to 17 years with children (r = 0.256), Syphilis rate Gestational (r = 0.480) were significantly correlated. Considering the results reaffirmed the importance of prenatal care in the face of congenital syphilis and the influence of socioeconomic factors in the rates presented by this disease.

Tesis
1
  • MATHEUS FIGUEIREDO NOGUEIRA
  • AVALIAÇÃO MULTIDIMENSIONAL DA QUALIDADE DE VIDA EM

    IDOSOS: UM ESTUDO NO CURIMATAÚ OCIDENTAL PARAIBANO

  • Líder : MARIA DO SOCORRO COSTA FEITOSA ALVES
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • EDNA MARIA DA SILVA
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • LUCIANA DANTAS FARIAS DE ANDRADE
  • MARIA DO SOCORRO COSTA FEITOSA ALVES
  • Data: 29-feb-2016


  • Resumen Espectáculo
  • O acelerado crescimento da população idosa é uma realidade mundial, configurando-

    se um dos maiores desafios para a saúde pública contemporânea. Considerando o

    envelhecimento um fenômeno multidimensional e a ampliação da expectativa de

    vida, põe-se em evidência a necessidade de investigar se o prolongamento da

    longevidade está acompanhado de níveis satisfatórios de qualidade de vida (QV).

    Objetivou-se neste estudo avaliar a QV facetada e global de idosos da microrregião do

    Curimataú ocidental paraibano, explicada por suas condições de vida e saúde. Consta

    de um estudo observacional transversal com desenho quantitativo realizado com 444

    idosos de cinco municípios: Barra de Santa Rosa, Cuité, Nova Floresta, Remígio e

    Sossego. Para obtenção das informações, foram utilizados os seguintes instrumentos:

    I) Questionário para coleta de dados pró-idoso, para as características

    sociodemográficas, clínicas e comportamentais; e II) Questionário WHOQOL-Old, para

    mensuração e avaliação da QV. Os dados foram processados no software IBM-SPSS

    Statistics 20.0 por meio dos testes ANOVA (one-way), t-Student, Mann-Whitney,

    Kruskal-Wallis e correlação de Pearson, sendo p-valores<0,05 aceitos como

    estatisticamente significativos. Os resultados apontam uma boa QV global

    (ETT=65,69%), com melhor avaliação por idosos do sexo masculino, com idade entre

    60 e 74 anos, casados, morando com cônjuge e filhos, sem cuidador, praticantes de

    exercícios físicos, com até um problema de saúde diante de um aspecto de

    multimorbidade e com muito boa e/ou boa avaliação das necessidades básicas. O

    estresse autorreferido apresentou uma correlação significativa negativa diante da QV

    global, onde quanto maior a percepção do estresse, pior a avaliação da QV. Na

    avaliação facetada da QV, o Funcionamento Sensório apresentou o melhor

    desempenho (ETF=68,86%) e a Participação Social (PSO) o pior (ETF=60,37%). No

    modelo de regressão linear múltipla, a PSO isoladamente é responsável por 51,8%

    (R2=0,518) de explicação da QV global. Na intercorrelação entre as facetas do

    WHOQOL-Old, apenas Morte e Morrer não revelou significância. A harmonia

    evidenciada entre as facetas suscita a necessidade de assegurar uma atenção integral

    à saúde do idoso, em especial na compreensão da participação social como elemento

    intrínseco à QV e que demanda a rediscussão e reconstrução de ações individuais e

    coletivas, familiares e comunitárias, políticas e governamentais. Logo, garantir um

    envelhecimento ativo, saudável, participativo e com QV é o grande desafio.

2
  • ANNA PAULA SEREJO DA COSTA
  • MORTALIDADE DE MULHERES VÍTIMAS DE VIOLÊNCIA RELACIONADA

    ÀS DESIGUALDADES SOCIAIS, ESTILO DE VIDA E VIOLÊNCIA URBANA NO BRASIL

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CARMEN SIMONE GRILO DINIZ
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • EDMILSON LOPES JUNIOR
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 04-mar-2016


  • Resumen Espectáculo
  • Introdução: O Brasil possui um dos maiores índices de homicídios femininos do

    mundo. Entretanto, tal magnitude ainda não pode ser bem dimensionada, pois

    poucas pesquisas de base populacional foram desenvolvidas no país e os estudos, em

    sua maioria, ocorrem de forma isoladas no serviço de saúde e na Secretaria de

    Segurança. Objetivo: Analisar a distribuição espacial e a evolução das taxas de

    mortalidade da violência de gênero no Brasil, no período de 2008-2012 e identificar

    possíveis determinantes ecológicos e sociais. Método: Estudo ecológico cuja variável

    dependente foi a Taxa de Mortalidade de mulheres vítimas de violência com idades

    entre 15 e 59 anos. Para a análise da autocorrelação espacial entre as 161 Regiões de

    Articulação Urbana (RAU) do Brasil foram aplicados os testes de Moran Global e local.

    O LISA e o teste de correlação de Pearson foram usados para avaliar a correlação

    entre a variável desfecho e as variáveis independentes (econômicas, demográficas,

    desigualdade de gênero, pobreza, desigualdade social, vulnerabilidade e de violência

    urbana). A  verificação da evolução da mortalidade das mulheres, comparado a dos

    homens, no período de 2000-2012, foi feita através do JoinPoint.  Resultados: No

    período de 2008 a 2012, 19 mil mulheres morreram vítimas de agressão no Brasil, o

    que resulta um coeficiente de mortalidade médio padronizado de 5,9 óbitos/100.000

    habitantes. Dessas mulheres, a maioria era de jovens, solteiras, negras e de baixa

    escolaridade.  Foi observada autocorrelação espacial para mortalidade por agressão

    em mulheres (I=0,4384;p=0,01), com maior concentração dos óbitos na região

    Sudeste, nas RAUs de Vitória, São Mateus, Colatina; na região Nordeste em Teixeira

    de Freitas, Ilhéus-Itabuna, Arapiraca, Maceió e João Pessoa; na região Norte em

    Redenção e Marabá; na região Sul, em Curitiba e na Região CentroOeste em Rio

    Verde. A violência urbana apresentou uma forte correlação com a mortalidade de

    mulheres vítimas de violência (I=0,38;r=0,88;p<0,05).  Já as variáveis econômicas e

    sociodemográficos apresentaram fraca ou ausência de correlação. Entre os anos de

    2000 a 2012 pode-se visualizar para o Brasil uma tendência crescente significativa da

    mortalidade de mulheres por agressão a partir de 2007, semelhante a encontrada

    também para a violência urbana. Conclusão: Entre as variáveis associadas ao evento,

    destaca-se a mortalidade masculina por agressão, indicando a importância da redução

    da violência estrutural como proteção das mulheres contra a violência. A mortalidade

    por violência contra mulher não se mostrou relacionada às demais características do

    entorno, o que se faz pensar que realmente perpassa fatores de classe, raça,

    escolaridade, religião e estado civil.

3
  • LIDIANE MARIA DE BRITO MACEDO FERREIRA
  • INCIDÊNCIA E FATORES DE RISCO RELACIONADOS A QUEDAS EM UMA COORTE DE IDOSOS INSTITUCIONALIZADOS

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KARYNA MYRELLY OLIVEIRA BEZERRA DE FIGUEIREDO RIBEIRO
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • MARIA ANGELA FERNANDES FERREIRA
  • MONICA RODRIGUES PERRACINI
  • Data: 13-jun-2016


  • Resumen Espectáculo
  • A queda é uma síndrome geriátrica associada à alta morbimortalidade nos idosos. Este trabalho tem como objetivo determinar a incidência e os fatores de risco relacionados a quedas em idosos institucionalizados na cidade do Natal-RN. Para esse fim, foi realizado um estudo longitudinal tipo coorte com período de duração de um ano. Foram avaliados idosos residentes nas 10 Instituições de longa permanência para idosos (ILPI) do município do Natal-RN, que deambulassem e possuíssem capacidade cognitiva preservada, avaliada a partir do questionário de Pfeiffer. Do total de 364 idosos residentes nas ILPI, 130 foram incluídos de acordo com os critérios estabelecidos para inclusão e exclusão. Foi questionado ocorrência de quedas no último ano. Variáveis referentes à instituição, condições sócio-demográficas e saúde do idoso foram coletadas por meio de questionário aplicados aos idosos ou cuidadores, ou ainda pela coleta nos prontuários. Foram utilizados os questionários Escala de depressão geriátrica, Escala de depressão CES-D, Escala de sonolência de Epworth e o Índice de Barthel. Dados ambientais, antropométricos e de exame físico (Timed up and go – TUG, Escala de Equilíbrio de Berg – EEB, Velocidade de marcha – VM, Força de preensão palmar – FPP e Teste do sentar e levantar - TSL) foram obtidos a partir de dados secundários. As análises estatísticas foram realizadas por meio dos testes de Qui-quadrado ou Exato de Fisher e Regressão Logística, considerando o nível de significância de 5%. Como resultados, na análise ambiental nenhuma instituição cumpriu todas as normas da ANVISA. Pela avaliação físico-funcional, há inferência para risco de quedas. Sessenta e dois idosos caíram ao final dos doze meses de avaliação, com incidência de 47,7% (IC95%=39,59-55,81) e uma taxa de quedas por pessoa/ano de 1,65 (+ 8,43). Para quedas recorrentes, a incidência foi de 26,92% (IC= 22,38 - 31,46), representando 56,45% dos idosos que caíram. A maioria das quedas ocorreu no quarto e foram encontrados como fatores de risco o uso de antiepilépticos e fadiga e como fatores de proteção o declínio de mobilidade e uso de medicamentos antitrombóticos, ajustados pela terapêutica tireoidiana, funcionalidade, sexo e hospitalização. Para duas ou mais quedas, foram identificados fadiga como fator de risco e uso de betabloqueadores como fator de proteção, ajustados pelo uso de medicamento antitrombótico, antiepiléptico, funcionalidade, sexo e idade. Conclui-se que queda é um evento bastante incidente nas ILPI e que a fadiga foi  identificada como fator de risco para queda única ou recorrente, devendo a condição física do idoso e o cansaço serem levados em consideração no momento de sua avaliação.

4
  • DIVIANE ALVES DA SILVA
  • Contextual factors of population aging in Northeastern Brazil

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • DAMIAO ERNANE DE SOUZA
  • KENIO COSTA DE LIMA
  • LARA DE MELO BARBOSA ANDRADE
  • MARIA ANGELA FERNANDES FERREIRA
  • RENATO PEIXOTO VERAS
  • Data: 28-jun-2016


  • Resumen Espectáculo
  • The changing age distribution in Brazil occurs quickly and in an unfavorable environment socio-economically. The Brazilian Northeast, historically, highlighted by the presence of deep social inequality appears as the third most aged region of the country and this fact becomes important, considering its extensive territorial dimension as well as an unfavorable socio-environmental context. The aim of this study was to analyze the relationship between the context and the aging population in the Northeast of Brazil. This is an ecological study, whose scenario corresponds to the Northeast region, consisting of nine states and 1,794 municipalities. We collected demographic data and several socioeconomic indicators in the electronic databases of the Brazilian Institute of Geography and Statistics (IBGE), Applied Economic Research Institute (IPEA), the Human Development Atlas of the United Nations Development Programme (PNUD) and the SUS Department of Informatics (DATASUS). The outcome of the study was the levels of population aging, defined from cluster analysis that grouped municipalities, considering five demographic aging indicators (percentage of elderly, aging index, “sobreenvelhecimento”, senile dependence and population replacement in active age index). The principal component analysis was used to obtain socioeconomic-demographics factors, which represented the independent variables of the study. Other variables with theoretical importance for the outcome were also selected. It was held geoprocessing of the outcome variable data using TabWin 3.6b, for visual identification of Northeast aging profile, according to the levels of aging. In association analyzes used the ANOVA test for the factors and others quantitative variables and the chi-square test for categorical variables. In both tests it was considered a 5% significance level. We used the ordinal logistic regression analysis to verify the actual associations with the outcome. It was observed that aging in the Northeast shows a pattern of heterogeneous distribution, with concentration higher levels in the region belonging to the semi-arid region, covering the interior and south-central of the Ceará state, parts of the western, central and harsh regions of Rio Grande do Norte state, and almost all of the area of Paraiba state, except the coastal region. The high levels of aging were associated with good levels of education, dependence on government income, the net migration of the general population and some states of the region, taking as reference for comparison, the state of Paraiba. It is important the aging situational study in Northeast Brazil, a region that, although unequally, has a large contingent of elderly. The understanding of such distribution, in turn, can lead to the identification of local and/or general determinants of the population aging, to be addressed in the pro-aging policies.

5
  • LARISSA PRACA DE OLIVEIRA
  • MORTALITY AND PROGNOSTIC FACTORS IN THE ELDERLY RESIDENTS IN NURSING HOMES

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • IGOR CONTERATO GOMES
  • KENIO COSTA DE LIMA
  • MARIA ANGELA FERNANDES FERREIRA
  • RENATO PEIXOTO VERAS
  • Data: 29-jun-2016


  • Resumen Espectáculo
  • Population aging is a global phenomenon. In Brazil, the increase in the proportion of elderly in the population has been accompanied by changes in the epidemiological profile, which are prevalent noncommunicable chronic diseases, which are the leading causes of morbidity, disability and mortality, especially in the elderly residing in nursing homes. The shortage of studies involving the situation of health and mortality in institutionalized elderly motivated this research, which aims to determine the mortality and its prognostic factors in institutionalized elderly in the city of Natal-RN. This is a prognostic study with dynamic population, started in October 2013 with duration of 18 months follow-up to all elderly residents (n = 345) in nursing homes, with and without profit. During this period, were realized seven assessment waves, where the following anthropometric variables were measured: weight (kg), height (cm), brachial perimeters (cm) and calf (cm). The nutritional screening was performed using the Mini Nutritional Assessment. Information about the food consumption and serum albumin concentration were obtained from the data analysis of a survey which this study is part. As for the information about morbidities, hospitalizations, diet type and number of medications they were obtained through medical records. Socioeconomic, demographic and sociocultural data were collected through structured interviews with questionnaires assistance. The information on mortality was obtained after analysis of death certificate. The statistical analysis was carried out through the analysis of survival by the Kaplan-Meier method, and then Cox regression at multivariate analysis, with the respective hazards ratios (HR).  Thes 345 elderly evaluated presented mean age equal to 81.2 (9.3) years, with the largest proportion of the population ≥ 75 years. Most institutionalized are female (76.5%), are single (45.8%) and have some degree of schooling (61.4%). A total of 179 elderly (51.9%) have mobility restriction, 89.0% were diagnosed with chronic diseases, 54% with malnutrition and 45.2% use more than five drugs a day. Chronic diseases such as hypertension (45.5%) and diabetes (25.0%) are the most frequent. During follow-up, 70 elderly (20.3%, CI:16.25- 25.00) died, in which respiratory diseases (44.3%) and circulatory (30.0%) were the its main causes. The probability of overall survival of institutionalized elderly was 78.7% (CI: 0.74-0.83) at the end of the cohort, where the main prognostic factors identified in the Cox analysis were age ≥ 75 years (HR = 3 85), calf perimeter equal and less than 31cm (HR = 2.58), tube feeding (HR = 2.59), doughy food (HR = 2.23), with mobility restrictions (HR = 1, 76), male (HR = 1.75) and polypharmacy (HR = 1.55). In this way, improvements in health, with actions directed to prevention of cardiovascular and respiratory diseases, as well as the recovery of nutritional status and fitness on prescription food and medications can result in reducing the risk of early mortality.

6
  • FABIENNE LOUISE JUVÊNCIO PAES DE ANDRADE
  • INCIDENCE AND RISK FACTORS FOR HOSPITALIZATION OF INSTITUTIONALIZED OLDER ADULTS

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GERALDO EDUARDO GUEDES DE BRITO
  • IGOR CONTERATO GOMES
  • KENIO COSTA DE LIMA
  • WILTON RODRIGUES MEDEIROS
  • Data: 01-jul-2016


  • Resumen Espectáculo
  • The accelerated aging process of the Brazilian population is associated with an increase in non-transmissible chronic diseases, which in turn increases the demands for health services. The hospitalization rates of older adults are higher than what is observed in other age groups, especially in those that reside in Long Term Institutions for the Elderly (LTIE), due to inherent vulnerability and frailty of these individuals. The objective of the work presented herein was to verify the incidence and risk factors associated with the hospitalization of institutionalized older adults in the city of Natal/RN, Brazil. A prospective cohort study was carried out throughout a monitoring period of 12 months, with older adults over the age of 60, who resided in the 10 LTIE that accepted to participate in the study. Initial data collection included sociodemographic information related to the institution, health conditions and incidence of negative outcomes in the health state of residents. The Stepwise Forward method was utilized for Multiple Logistic Regression Analysis, with a 5% significance level and confidence interval (CI) 95%. Of the participating 320 elderly, there was a predominance of females (75,3%), average age 81.4 years (Standard Deviation, SD: ±9,0). Of these, 20.6% (CI 95%: 16,5-25,4) were hospitalized, with an average permanence time of 16,1 days (SD: ±17,1). The main hospitalization cause was pulmonary disease (30,3%). The final model showed that malnutrition or risk of malnutrition (p=0,016) and the use of medication for the cardiovascular system (p=0,003) were risk factors for hospitalization, adjusted by age, sex and type of institution. These findings indicate a high incidence of hospitalization in institutionalized elderly. Malnutrition or risk of malnutrition and the use of cardiovascular medication were considered to be risk factors for hospitalization. There is a clear need for increased attention in multiprofessional evaluation, as well in interventions and services rendered to institutionalized elderly.

7
  • JAVIER JEREZ ROIG
  • Functioning in a cohort of institutionalized older people

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIA VICTORIA ZUNZUNEGUI
  • RICARDO OLIVEIRA GUERRA
  • Data: 23-ago-2016


  • Resumen Espectáculo
  • The main objectives of this work were: to verify the prevalence of functional disability (FD) in the basic activities of daily living (BADL) and its associated factors (Study 1) and verify the incidence of functional decline and predictor factors of functional decline (Study 2) in institutionalized older people. The sample of the study was formed by individuals aged 60 years and over belonging to 10 nursing homes (NH) in Natal/RN, being excluded hospitalized or palliative care residents. The Study 1 is a cross-sectional study (October-December 2013) and FD was evaluated by Katz scale and characterized when there was limitation in one or more BADL (eating, sphincter control, transferring, personal hygiene, dressing and bathing). As independent variables sociodemographic, instituition-related health-related variables were considered. The Chi-square test, Fisher's exact test or the linear Chi-square test for the bivariate analysis and logistic regression for multivariate analysis were applied. The sample consisted of 321 individuals and the prevalence of FD was 72.9% (95% CI: 67.8-77.5%). The most affected task was 'bathing', followed by 'dressing' and 'toileting.' The final model found association with private NH (PR=1.33, p<0.001), age 83 and over (RP=1.26, p=0.003), reason for institutionalization “lack of caregiver” (RP=1.17, p=0.033) and osteoporosis (RP=1.23, p=0.045), adjusted by sex. The Study 2 is a 24-months longitudinal study with follow-up every 6 months (5 waves). Apart from the criteria considered in the Study 1, residents with FD for all BADL (bathing, personal hygiene, dressing, toileting, walking, transferring and eating) at baseline were excluded. The presence of functional decline was defined when there was a reduction the total score of BADL, which were assessed by a 5-point Likert scale. All independent variables of the Study 1 were considered, as well as the mobility status, cognitive status (Pfeiffer test), toxic habits, physical activity and time-dependent variables. Statistical analysis was performed using the actuarial method, log-rank test, Cox univariate analysis and Cox regression. The cohort was composed of 280 individuals: 140, 50.0% (95% CI: 44.2-55.8%) experienced functional decline; 94, 33.6% (95% CI: 28.3-39.3%), maintained their functional capacity, and; 40, 14.3% (95% CI: 10.7-18.9%), showed functional improvement at one or more waves. The cumulative probability of functional maintenance was 44.0% (95% CI: 37.7-50.2%) at 24 months. The ability to eat showed the largest decline during the period (-0.54 points), followed by walking (-0.43), dressing (-0.35), transferring (-0.31), bathing (-0.29), personal hygiene (-0.24) and toileting (-0.22). The final model showed that the predictors factors of functional decline were severe cognitive impairment (HR=1.98, p=0.003), continence decline (HR=1.70, p=0.013) and incidence of hospitalizations (HR=1 65, p=0.023).

8
  • LAURA CAMILA PEREIRA LIBERALINO
  • DIETARY PATTERN OF RESIDENTS ELDERLY IN NURSING HOMES

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • CELIA MARCIA MEDEIROS DE MORAIS
  • CLELIA DE OLIVEIRA LYRA
  • FILIPE FERNANDES OLIVEIRA DANTAS
  • FLÁVIA EMÍLIA LEITE DE LIMA FERREIRA
  • KENIO COSTA DE LIMA
  • Data: 26-ago-2016


  • Resumen Espectáculo
  • Food is a human need on free demand and with many meanings. However, at the nursing homes it becomes a collective good, with defined schedules and controlled quantities, which may change the eating comportment and compromise the health of the elderly. In this sense, identify dietary patterns based on representative data for the population, can improve the understanding of dietary practices and assist the nutritional and educational interventions. The scarcity of information about food and nutrition situation of institutionalized elderly living in nursing homes in Natal, Rio Grande do Norte, Brazil, motivated to meet the dietary patterns of this group to support the development of strategies to improve the health status of the elderly. This study aimed to identify and characterize the dietary pattern of the elderly living in nursing homes  and propose a Food Frequency Questionnaire (FFQ) for elders living there. This is a cross-sectional study, involving all elderly residents in philanthropic and private nursing homes located in Natal (n = 300). Food and dietary consumption data was obtained in 2013, through the food record method, by direct weighing of food for two alternate days. Dietary patterns were identified from the Principal Component Analysis, considering the average amount of food consumed (in grams). The factor scores of dietary patterns were categorized into tertile (low, moderate and high consumption) and were verified associations with sociodemographic characteristics, lifestyle, health, nutritional status and dietary practices, revealing the existence (or not) of tendency for each feature and the consumption levels for each pattern. To prepare the FFQ, it was previously defined a list of foods from the percentage contribution of energy, carbohydrate, protein, total fat, calcium and vitamin D. Among the most consumed foods are highlighted: dairy products, rice and preparations based on it, fruits and oil seeds, beans and legumes, fruit juices and drinks. It is noteworthy the higher consumption of corn and flour in philanthropic nursing homes, as well juices and drinks, potatoes, cheese and cured higher among the elderly over 70 years. It was observed that pap and porridge are the main contributor to the energy supply, protein, carbohydrate and calcium in the dietary. Three patterns were identified in food consumption, called "rice, potatoes and meat", "Fish and Pasta" and "beans and soups," explaining about 70% of total consumption variability. It was found that physically active elderly has tendency to a high consumption of the "rice, potatoes and meat" pattern. The elderly men, aged between 60-69 years, physically active, smokers, without mobility restrictions, which have excessive intake of energy and do not need help to feed, tend to high consumption of "fish and pasta". Finally, the male elderly with mobility restrictions and with pasty dietary tend to a high consumption of "beans and soups". Thus, the diagnosis of dietary pattern shows that food interventions need to be implemented to prevent the raise of malnutrition prevalence in elders and, when planning the menus, the nursing homes need to encourage the intake of other food groups, especially fruits and vegetables, so that these items made part of the habitual food consumption of institutionalized elderly in Natal.

9
  • ANDRÉ LUIZ BARBOSA DE LIMA
  • FACTORS ASSOCIATED WITH FUNCTIONAL CAPACITY IN ELDERLY IN THE BRAZILIAN CONTEXT.

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DAMIAO ERNANE DE SOUZA
  • JULIANA MARIA GAZZOLA
  • KENIO COSTA DE LIMA
  • PAULO BORGES DE SOUZA JUNIOR
  • Data: 24-oct-2016


  • Resumen Espectáculo
  • Activity limitations are difficulties an individual may have to perform certain tasks of daily life and determines part of the individual's disability status. In Brazil, the prevalence of activity limitation reaches 32% of the population of elderly people. Knowing the prevalence of activity limitations in terms of functional capacity of the elderly and to examine the associations between functional capacity and socio-demographic and economic characteristics of individuals, as well as the social gender inequality and socioeconomic characteristics within the Brazilian Federative Units are fundamental to the structure of assistance actions and health surveillance. Therefore, the aim of this study was to create the functional capacity index and thus able to estimate the magnitude of gender differences in functional capacity among the elderly and examine whether these differences could be associated with social gender inequality and socioeconomic contextual factors in terms of Federative Units. This is a cross-sectional and ecological population-based study that included residents aged 60 years old participating in the National Health Survey, conducted in 2013, in Brazil. The functional capacity index was developed and validated from a hybrid model of generalized partial credit and two-parameter logistic of Item Response Theory, provided the assumptions of dimensionality of the latent space and stochastic local independence. Gender differences were estimated in functional capacity in each Federative Unit. To determine if the social gender inequality and socioeconomic contextual variables were associated with gender differences in functional capacity were adjusted multilevel linear regression models with cross-level interaction, controlled by individual- and contextual-level variables, which yielded coefficients and their 95% confidence intervals. For Brazil, the results indicated that 17% of the elderly had some limitation in activities of daily living and 29% in instrumental activities of daily living. Women had higher functional capacity disadvantages than men and was found in the group of octogenarians a prevalence of 70% in activity limitations. The smallest functional capacity indexes were found among older people with older age, especially the group of octogenarians and illiterate. It was noted that the North and Northeast Region had greater disadvantages in functional capacity, especially among women. Amazonas, Rio Grande do Norte, Paraiba and Alagoas detained the worst conditions of functional capacity among the elderly. Moreover, in Alagoas, Pernambuco and Maranhao the magnitude of gender differences, in disadvantage for women, were higher. Based on these results, the hypothesis of this study was confirmed by demonstrating that the Brazilian Federative Units with the largest gender differences in functional capacity were those with the greatest social inequalities of gender, being largely influenced by higher income inequality.

10
  • ROSIRES MAGALI BEZERRA DE BARROS
  • ANALYSIS OF POWER RELATIONS IN THE PROCESS OF DECENTRALIZATION OF HEALTH SURVEILLANCE IN NATAL / RN.

  • Líder : IRIS DO CEU CLARA COSTA
  • MIEMBROS DE LA BANCA :
  • EDNA MARIA DA SILVA
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • IRIS DO CEU CLARA COSTA
  • MARISMARY HORSTH DE SETA
  • Data: 09-dic-2016


  • Resumen Espectáculo
  • Sanitary surveillance is the promotion, in the field of collective health, of activities aimed at controlling the production and sale of goods, products and services, with a view to eliminating or minimizing risks, for the health of the community. The objective of this study is to analyze the power relations established in the process of decentralization of the sanitary surveillance in the city of Natal / RN and to understand this process from the analysis of the policies formulated by the federal body, from the relations of power between the federative entities and between the actors involved in this process. This research was developed in three stages: the first stage consisted in the study of theoretical and empirical reference that served as a framework for analysing the decentralization sanitary surveillance policy; the second one to constructing the report and the analysis of how the decentralization of sanitary surveillance in Natal / RN happened; the third one contemplated the analysis of the power relations between the different administrative divisions of the Federation in this municipality, in the light of the theoretical reference and the decentralization policy in the country. The methodological approach is qualitative, descriptive and exploratory. Data collection was done through documentary research and interviews with key informants who held management positions in sanitary surveillance in the city of Natal and in the state of Rio Grande do Norte. The review of the literature on the decentralization of sanitary surveillance was carried out from the metassynthesis of publications ranging from 1990 to 2014, with the support of the IRAMUTEQ Program. The analysis of the interviews was also carried out with the support of this software. The results showed that the decentralization of sanitary surveillance in Natal happened as a result of a correlation of forces between the state and municipality, marked more frequently by moments of distension. These power relations were asymmetric and the advances and setbacks in this process happened in function of these relations. At the end of this study, it was possible to broaden the understanding of the decentralization of sanitary surveillance in the city of Natal and contribute to the understanding of this guideline in the field of sanitary surveillance, since this process has not yet been concluded, in Natal, nor in the rest of the country.

2015
Disertaciones
1
  • SALOMÃO ISRAEL MONTEIRO LOURENÇO QUEIROZ
  • MEDIDAS DE HEMOSTASIA LOCAL PÓS-EXODONTIAS EM PACIENTES QUE FAZEM USO DE VARFARINA: UM ESTUDO CLÍNICO CONTROLADO E RANDOMIZADO

  • Líder : JOSE SANDRO PEREIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • FABRICIO BITU SOUZA
  • JOSE SANDRO PEREIRA DA SILVA
  • Data: 20-ene-2015


  • Resumen Espectáculo
  • O presente trabalho trata-se de um ensaio clínico, controlado, cego e randomizado com pacientes em terapia anticoagulante com varfarina comparando medidas de hemostáticos locais para o controle do sangramento pós-exodontias. Para isso foram empregados dois métodos de hemostasia local, sendo o grupo I (controle) utilizando somente irrigação, compressão com gaze com soro fisiológico e sutura e o grupo II (estudo) utilizando irrigação, compressa com gaze embebida com ácido tranexâmico e sutura. A amostra foi composta de 37 pacientes com media de idade de 45,5 anos e 62,2% do sexo feminino. Após randomização 20 foram alocados para o grupo controle e 17 para o grupo estudo, sendo realizado um procedimento cirúrgico por paciente. Na avaliação pré-operatória a pressão arterial sistólica teve um media de 122,4 (±15,5) mm/Hg, a pressão arterial diastólica de 74,5 (±8,6) mm/Hg. A frequência cardíaca ficou com uma media de 77,9 (±12,1) batimentos por minuto. O hematócrito com 38,5 (±4,9) %, plaquetas com 306189,1 (±83994,3) por mm3, TP com 29,7 (±7,3) segundos, TTPa com 37,1 (±7,1) e INR 2,4 (±0,7) com mínimo de 1,17 e máximo de 3,61. O tempo de realização do procedimento cirúrgico durou em média 30,9 (±7,5) minutos. Todas essas variáveis semelhantes entre os grupos, não sendo verificadas diferenças significativas (p>0.05). Na avaliação do sangramento imediato a média para conseguir o estancamento do sangramento foi de 9,1 (±3,6) minutos. No grupo estudo o tempo para conseguir essa hemostasia foi bem menor se comparado com o controle, sendo essa diferença (6,018 / IC 95%: 4,677-7,359) estatisticamente significante (p<0,001). Avaliando o controle do sangramento de forma mediata o uso do ácido tranexâmico mostrou-se mais associado significativamente com a não ocorrência de sangramento, principalmente nas primeiras 24h. Assim sendo o uso do ácido tranexâmico de forma tópico com compressa com gazes e irrigação local foi eficaz como um protocolo de hemostasia local na redução do tempo de hemostasia imediata e prevenção da mediata, com as resalvas da dificuldade de avaliação do sangramento.

2
  • ANDERSON NICOLLY FERNANDES DA COSTA
  • Eficácia da clorexidina associada ao tratamento não-cirúrgico de mucosite peri-implantar: uma avaliação de 18 meses

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • SUZANA PERES PIMENTEL
  • Data: 29-ene-2015


  • Resumen Espectáculo
  • A mucosite peri-implantar é uma inflamação da mucosa ao redor do implante em resposta ao acúmulo do biofilme bastante prevalente. Existem diversos protocolos para o seu tratamento da mucosite peri-implantar, mas ainda não existem evidências consistentes para escolha de um protocolo ideal. Em virtude disso, essa pesquisa objetiva verificar a eficácia longitudinal do uso da clorexidina a 0,12% como um adjuvante ao tratamento não-cirúrgico da mucosite peri-implantar. Trinta e sete pacientes previamente diagnosticados com mucosite peri-implantar foram separados aleatoriamente em dois grupos. Todos os pacientes receberam o tratamento não-cirúrgico associado (grupo teste) ou não (grupo controle) a clorexidina a 0,12% além de instrução de higiene bucal individualizada. Os pacientes foram avaliados no baseline, 3, 6, 12 e 18 meses quanto aos índices de placa visível e sangramento gengival, profundidade de sondagem e sangramento à sondagem. Os dados foram analisados estatisticamente pelos testes de Friedman, Wilcoxon, Mann-Whitney, Correlação de Spearman e Qui-quadrado, utilizando um a de 5%. A análise intragrupo mostrou que ambos os tratamentos propostos foram eficazes na redução dos índices de placa visível e sangramento gengival, profundidade de sondagem e sangramento à sondagem (p<0,05). No entanto, nenhum dos grupos alcançou resultados superiores em relação ao outro. As variáveis independentes de interesse também não exerceram influência na redução dos parâmetros clínicos investigados.  Destarte, conclui-se que a terapia mecânica por si só é eficaz na redução dos parâmetros clínicos analisados e que, como os grupos tornaram-se iguais pelo fato do efeito da clorexidina não mais existir, a terapia de suporte peri-implantar fora eficiente em reduzir os índices de placa visível e sangramento gengival, profundidade de sondagem e sangramento à sondagem ao final do estudo.

3
  • IRMA LÚCIA DA SILVEIRA SILVA
  • Formação profissional do cuidador de idosos em Instituições de Longa Permanência

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • ALTAMIRA PEREIRA DA SILVA REICHERT
  • MAISA PAULINO RODRIGUES
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 12-feb-2015


  • Resumen Espectáculo
  • O trabalho do cuidador de idoso busca minimizar a morbidade advinda das limitações físicas, cognitivas e emocionais deste indivíduo, constituindo-se em uma práxis que tem influências da singularidade dos sujeitos envolvidos e, portanto, está em constante construção. Neste sentido, conhecer as demandas por capacitação, averiguar os conteúdos estudados durante a formação e identificar as percepções e as dificuldades relacionadas ao trabalho do cuidador formal, pode contribuir para o aprimoramento do seu processo de formação profissional. E as Instituições de Longa Permanência para Idosos (ILPIs) são, por excelência, as mais indicadas para levantar tais informações. Desta forma, este estudo de caráter transversal, descritivo e analítico com abordagem quantitativa e qualitativa, objetivou investigar a formação profissional dos cuidadores que trabalham em ILPIs em Natal/RN no ano de 2014. Para tanto, realizou-se uma entrevista semiestruturada com 63 cuidadores em 09 ILPIs, representando 75% do total desses profissionais nessas instituições. As entrevistas captaram dados relativos ao perfil socioeconômico, a formação profissional e a percepção sobre a profissão de cuidador. Para análise dos dados, foram utilizadas a estatística descritiva e a análise do conteúdo de Bardin. De modo geral, identificou-se que a maioria dos cuidadores eram de baixa condição socioeconômica e se inseriam na ocupação sem a realização de um curso específico prévio. Contudo, entre os que realizaram algum curso, a maioria relata que os conteúdos vistos na grade curricular deram segurança para a práxis do cuidado, embora também reportem a necessidade de capacitação. A percepção sobre o cuidado está preponderantemente relacionada ao amar e ao cuidar do outro e a escolha profissional relaciona-se a identificação com a prática do cuidar em si. Diante dos resultados, conclui-se que há a persistência de um baixo nível de preparação formal para a ocupação. Além disso, a formação apresenta fragilidades que se iniciam com a ausência de um currículo básico norteador e se intensificam com a baixa escolaridade requerida para o exercício profissional.

4
  • MARCÍLIA RIBEIRO PAULINO
  • SATISFAÇÃO E IMPACTO DA SAÚDE ORAL NA QUALIDADE DE VIDA EM PACIENTES REABILITADOS COM PRÓTESE TOTAL DUPLA

  • Líder : PATRICIA DOS SANTOS CALDERON
  • MIEMBROS DE LA BANCA :
  • PATRICIA DOS SANTOS CALDERON
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANDRE ULISSES DANTAS BATISTA
  • Data: 23-feb-2015


  • Resumen Espectáculo
  • Introdução:A reabilitação de pacientes desdentados totais é um dos principais desafios da Odontologia. As próteses totais (PT) convencionais são a base do tratamento para o edentulismo e sua necessidade permanecerá para o futuro previsível devido à suamelhor relação custo-eficácia quando comparada à reabilitação implantossuportada. Objetivo:Avaliar a satisfação e o impacto da saúde oral na qualidade de vida de pacientes reabilitados com PT duplas convencionais. Método:Realizou-se um ensaio clínico com 25 pacientes reabilitados com PT duplas convencionais. Avaliou-se o impacto da saúde oral na qualidade de vida dos indivíduos através da versão brasileira do OHIP-EDENT e a satisfação do paciente com as próteses através de questionário específico. Os instrumentos foram aplicados antes e 3 meses após a reabilitação.Resultados:Houve uma melhora estatisticamente significante (p<0,001) do impacto na qualidade de vida dos usuários de prótese total dupla após a nova reabilitação.A análise dos 4 domínios do OHIP também apresentaram melhora estatisticamente significativa(p<0,001).A satisfação geral final com as próteses foi estatisticamente superior à satisfação inicial (p<0,001).Quando analisados os aspectos específicos de satisfação com a PT após 3 meses da reabilitação tambémobservamos resultados importantes de melhoria em todos os aspectos.Conclusão:Pacientes usuários de prótese total dupla, insatisfeitos com suas próteses, após nova reabilitação convencional melhoraram a qualidade de vida, com diminuição do impacto negativo das próteses na saúde oral, e melhoraram o índice de satisfação.

5
  • LIVIA MARIA RODRIGUES DE PONTES MEDEIROS
  • A Gestão do Programa Saúde na Escola no município de Natal/RN: Um estudo de caso

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FRANKLIN DELANO SOARES FORTE
  • MAISA PAULINO RODRIGUES
  • Data: 25-feb-2015


  • Resumen Espectáculo
  • A atual concepção de saúde envolve diversos fatores determinantes, dentre eles a educação. É fundamental a organização intersetorial para o atendimento à saúde de jovens e adultos. Nesse contexto foi instituído o Programa Saúde na Escola (PSE), que prevê uma articulação contínua entre saúde e educação auxiliando na efetivação do Sistema Único de Saúde. Objetivo: Analisar o Programa Saúde na Escola no município de Natal/RN, considerando a intersetorialidade das ações na perspectiva da gestão. Metodologia: O método escolhido foi o estudo de caso, com abordagem qualitativa. A amostra foi do tipo intencional incluindo todos os componentes do Grupo de Trabalho Intersetorial Municipal de Natal-RN, formado por representantes da Secretaria Municipal de Educação, Secretaria Estadual de Educação e Secretaria Municipal de Saúde. A técnica de coleta de dados foi a entrevista semi-estruturada. A análise dos dados foi realizada por meio da técnica de análise de conteúdo. Para apresentação dos dados foram consideradas as seguintes categorias de análise: Significado da intersetorialidade; Planejamento das ações; Formação continuada e permanente para a autonomia na promoção da saúde; Dificuldades e potencialidades para a operacionalização das ações. Resultados: Os resultados permitem identificar no PSE de Natal práticas intersetoriais ainda incipientes. Os profissionais gestores, da saúde e educação ainda não conseguem reconhecer o potencial da intersetorialidade. O planejamento é realizado de forma setorializada e sem a participação ativa dos educandos e comunidade. O grupo gestor destaca como dificuldades acúmulo de funções, desestímulo por parte de alguns servidores do grupo gestor e a falta de compromisso de alguns profissionais, inadequação estrutural e dificuldade na continuidade das ações do programa. Apesar da fragmentação existente, o grupo gestor do programa tem contribuído com a qualificação profissional e o desenvolvimento das ações de educação em saúde junto aos educandos. Conclusão: Conclui-se portanto, que a saúde, a educação e a sociedade têm muitos desafios a enfrentar para a consolidação da intersetorialidade e do Programa Saúde na Escola, bem como a concretização das diretrizes do Sistema Único de Saúde em Natal/RN.

6
  • MARQUIONY MARQUES DOS SANTOS
  • AIDS EM IDOSOS NO BRASIL NO PERÍODO DE 2000 A 2012: uma análise da série temporal e dos fatores contextuais associados.

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANA MARIA DE BRITO
  • KENIO COSTA DE LIMA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 27-feb-2015


  • Resumen Espectáculo
  • O perfil epidemiológico dos indivíduos que desenvolvem aids no Brasil mudou no decorrer do tempo. Dentre estas modificações, um dado preocupante é o aumento da incidência de aids em idosos em todo país. Mas, no entanto, ainda não está claro se o aumento dos casos de aids é suficiente para produzir uma mudança nas medidas de tendência nos últimos anos nos estados brasileiros, e se esse aumento possui um efeito a partir dos indicadores socioeconômico-demográficos. Neste sentido, o objetivo do presente estudo é analisar as taxas de incidência de aids em idosos no Brasil e o seu efeito nas desigualdades socioeconômico-demográficas, no período de 2000 a 2012. Trata-se de um estudo ecológico de séries temporais para conhecer o comportamento da série histórica das taxas de incidência de aids em idosos no período de 2000 a 2012. As taxas foram calculadas utilizando os dados secundários do Sistema de Informação de Agravos de Notificação e do Instituto Brasileiro de Geografia e Estatística. Os dados foram submetidos a tratamento estatístico para conhecer as tendências das taxas de incidência, através do modelo de regressão polinomial e do modelo de regressão log-linear joinpoint, como também, a análise de regressão linear simples para conhecer a relação das tendências com as variáveis socioeconômico-demográficas. Foram utilizados os programas SPSS 20.0® e Joinpoint 4.1.1. Todos os testes foram realizados considerando uma significância estatística de 5%. Após a análise, no Brasil foram notificados 62.052 casos novos de aids em idosos no período de 2000 a 2012. Neste período, foi encontrado um crescimento significativo para o sexo masculino, tanto na faixa etária de 50 a 59 anos (APPC: 3,46%; p<0,001), como acima de 59 anos de (AAPC: 4,38%; p<0,001). Para o sexo feminino, o crescimento foi significativo e possui os maiores incrementos da série histórica, quando comparado ao sexo masculino, nas duas faixas etárias, (AAPC: 4,62%; p<0,001 e AAPC: 6,53%; p<0,001) respectivamente. Os maiores incrementos são observados em mulheres e nos estados das Regiões Norte e Nordeste. Nos estados da Região Sudeste observa-se estabilização das taxas em toda série histórica. As tendências da razão entre os sexos tiveram uma redução significativa, como também, uma aproximação nas duas faixas etárias do estudo, chegando a uma proporção de 1,7 homens para cada mulher na faixa etária mais jovem. As tendências estiveram relacionadas com as taxas de analfabetismo, com o aumento da desigualdade social e com o menor desenvolvimento humano nos estados brasileiros. Conclui-se que no Brasil a incidência de aids em idosos segue uma tendência de aumento em indivíduos maiores de 50 anos. Destacam-se os maiores índices do estudo em mulheres e nos estados das Regiões Norte e Nordeste. Nesse sentido, o país precisa aprimorar as políticas voltadas aos idosos com DST/aids, capacitando profissionais de saúde e  desenvolvendo medidas eficazes para a prevenção e diagnóstico precoce das pessoas contaminadas, principalmente em locais com recursos limitados e com alta desigualdade social. Em longo prazo, cabe desenvolver novos estudos para compreender se as medidas tomadas foram eficazes para reduzir as tendências apontadas neste estudo.

7
  • HUGO DE ALMEIDA VARELA
  • Efeito da Azilsartana sobre a doença periodontal em um modelo de doença periodontal com ratos wistar

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • RAIMUNDO FERNANDES DE ARAUJO JUNIOR
  • RENATA FERREIRA DE CARVALHO LEITÃO
  • Data: 19-mar-2015


  • Resumen Espectáculo
  • O objetivo desse estudo foi avaliar os efeitos da azilsartana (AZT) na perda óssea alveolar, inflamação, expressão das metaloproteinases da matriz (MMP), ligante do receptor do fatornuclear kapa B (RANKL), receptor ativador do fator  nuclear kapa B (RANK), osteoprotegrina (OPG), ciclooxigenase-2 (COX-2), e catepsina K no modelo de doença periodontal induzida por ligadura em ratos.

     

    Materiais e métodos: 50 ratos wistar foram divididos randomicamente em 5 grupos com 10 ratos cada: (1)não ligados, água; (2) ligados, água; (3) ligados, AZT 1mg/kg; (4) ligados, AZT 5 mg/kg; e (5) ligados, AZT 10 mg/kg.  Todos os grupos foram tratados com solução salina ou AZT por 10 dias.  Os tecidos periodontais sofreram análise histopatológica e imunohistoquímica para detecção de MMP-2, MMP-9, RANKL, RANK, OPG e catepsina K.  Níveis deIL-1β, IL-10, TNF-α, mieloperoxidase (MPO), e glutationa (GSH) foram determinados  por ELISA.

    Resultados: O tratamento com AZT 5 mg/kg reduziu  o MPO (p<0.05) e IL-1β (p<0.05), elevou os níveis de  IL-10 (p<0.05), e reduziu a expressão de MMP-2, MMP-9, RANK, RANKL, catepsina K, e elevou a  expressão de OPG .

     

    Conclusões: Os achados revelam que a AZT melhora a resposta anti-inflamatória de citocinas e GSH, diminuindo a perda óssea na periodontite induzida por ligadura em ratos

8
  • JULIANA GONÇALVES
  • Formação do Profissional Sanitarista: caminhos e percalços

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • KÁTIA SUELY QUEIROZ SILVA RIBEIRO
  • LUIZ ROBERTO AUGUSTO NORO
  • MAISA PAULINO RODRIGUES
  • Data: 23-mar-2015


  • Resumen Espectáculo
  • A Saúde Coletiva é um projeto de luta por uma saúde democrática, resolutiva, equânime e que pretende assistir o corpo social e coletivo a partir de suas reais necessidades, estando totalmente envolvida com questões de desigualdades, de determinação social. Desse modo, é de fundamental importância formar um profissional engajado com este projeto. O presente estudo se propõe a compreender o processo de formação do Profissional Sanitarista no Brasil. Para tanto, procura-se responder ao seguinte questionamento: Que elementos são relevantes para a construção do profissional sanitarista? Trata-se de uma pesquisa de campo, descritiva e exploratória, com abordagem qualitativa. Para coleta dos dados, foi utilizada a técnica da entrevista semiestruturada junto a profissionais veteranos enquanto Sanitaristas e docentes da área de Saúde Coletiva. Os dados foram analisados à luz da técnica de análise temática de conteúdo proposta por Bardin. Tal técnica consiste em estruturar o texto em unidades, em categorias segundo reagrupamento analógico. Nesse sentido, foram organizadas três categorias de análise, cujos títulos foram guiados de acordo com os objetivos do estudo, a saber: “A Formação Institucional de Sanitaristas”; “Elementos que contribuem para a formação Sanitarista” e “Caminhos possíveis na formação Sanitarista”. Destacou-se quatro principais elementos de formação sanitarista: Capacidade técnica para desenvolver o trabalho de sanitarista, alicerçada nos três pilares conceituais da Saúde Coletiva; Arcabouço, alicerce e respaldo nas Ciências Sociais, no pensamento social em saúde; História de vida do discente, implicação deste com o objeto da Saúde Coletiva; Atuação em campo, no território, diretamente integrado ao serviço e sistema de saúde. Os entrevistados imaginam um caminho para formação sanitarista: a Saúde Coletiva deve ser bem trabalhada em sua teoria e prática na graduação, seja em qualquer área da saúde e obviamente na graduação em Saúde Coletiva; os cursos lato sensu, especialmente as residências, precisariam de uma readaptação teórica, dada a criação de cursos de graduação na área; os cursos stricto sensu mantêm sua função de formar pesquisador e docente da área, com produções envolvidas com o sistema de saúde e o objeto da Saúde Coletiva, de modo a trazer um retorno efetivo, em termos de aplicabilidade, no sistema de saúde. Sugere-se que tal caminho deveria ser complementar, no sentido de agregar conhecimento à medida que se percorre pela graduação, pós-graduação lato sensu e pós-graduação stricto sensu. A ideia, no geral, é que o conjunto graduação-residência/especialização-mestrado/doutorado componha uma formação linear, ascendente e complementar. Para acompanhar todo esse processo de forma efetiva, faz-se necessário, e urgente, pensar em estratégias de regulação dos procedimentos formativos. Recomenda-se também mais estudos sejam realizados nesta área, principalmente uma avaliação mais criteriosa das graduações em Saúde Coletiva, que é uma questão atual e relativamente nova sobre a formação na área.

9
  • TAIANA BRITO MENEZES FLOR
  • A FORMAÇÃO DO NUTRICIONISTA PARA ATUAÇÃO NO SUS: Um olhar sobre a produção científica obrigatória dos cursos do Rio Grande do Norte

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ANDHRESSA ARAÚJO FAGUNDES
  • CELIA MARCIA MEDEIROS DE MORAIS
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 24-mar-2015


  • Resumen Espectáculo
  • As Diretrizes Curriculares Nacionais (DCN) para o curso de Nutrição preveem uma formação direcionada à atuação no Sistema Único de Saúde (SUS), assim como a realização obrigatória do Trabalho de conclusão de curso (TCC). Nesse sentido, foi objetivo deste estudo analisar a formação de nutricionistas no Rio Grande do Norte (RN) para atuação no SUS, à luz da produção científica obrigatória prevista para formação. Trata-se de um estudo bibliométrico, de abordagem quantitativa, realizado com os TCC de 5 cursos de graduação em Nutrição do RN a partir do ano de 2013. A partir da leitura dos trabalhos, foram coletadas as seguintes variáveis: natureza da instituição, categoria administrativa da instituição, local, título do trabalho, número de autores, formato do trabalho, titulação do professor orientador, tipo de estudo, área de interesse, cenário de realização, submissão ao comitê de ética, adequação dos descritores e, se pertencente ao campo da saúde coletiva, o subcampo da saúde coletiva e a temática abordada. Também foi realizada a leitura dos Projetos Pedagógicos dos Cursos e identificação das oportunidades de desenvolver pesquisa na graduação. Para detecção de categorias significativas foi aplicado o teste Qui-Quadrado de Pearson. Foram analisados 195 trabalhos, oriundos em sua maioria de cursos pertencentes a universidades (79,0%) e de instituições privadas (56,4%). Observou-se maior frequência de artigos (68,2%), desenvolvidos por um aluno (65,6%), orientados por professores mestres (57,9%), com desenho de estudo transversal (49,2%), realizados em laboratório (25%) e sem necessidade de submissão a comitê de ética em pesquisa (49,2%). A mediana de adequação dos descritores correspondeu a 50%. Quanto ao interesse do estudo, houve maior frequência de trabalhos no campo da saúde coletiva (p<0,001), dentro desta destacando-se o subcampo Epidemiologia nutricional (63,0%) (p<0,001) e a temática avaliação nutricional (57,4%) (p<0,001). Em recorte sobre três grandes áreas de atuação do nutricionista, foi significativa a realização de trabalho no campo da saúde coletiva em instituições públicas (p<0,05). A presença de atividades complementares foi unânime nos projetos de curso. Os resultados do estudo revelaram algumas fragilidades metodológicas nos contornos das pesquisas, assim como uma formação hegemonicamente positivista. Apesar do destaque à saúde coletiva, percebeu-se pouca aproximação das políticas e programas de nutrição no contexto da pesquisa obrigatória dos cursos do RN.

10
  • DANIELLE BEZERRA DE FARIAS
  • AVALIAÇÃO DOS TECIDOS PERIIMPLANTARES EM PACIENTES REABILITADOS COM SOBREDENTADURAS E PRÓTESES FIXAS IMPLANTOSSUPORTADAS

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANA CLÁUDIA PAVARINA
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 16-abr-2015


  • Resumen Espectáculo
  • Avaliar as condições dos tecidos periimplantares e suas características anatômicas, bem como a quantidade de biofilme após 3 e 12 meses de reabilitação, em pacientes desdentados totais reabilitados com prótese total convencional superior e prótese fixa implantossuportada ou sobredentadura mandibulares. Materiais e Métodos: Realizou-se um ensaio clínico não randomizado com uma amostra de 32 pacientes desdentados bimaxilares usuários de próteses totais convencionais duplas que tiveram sua prótese convencional inferior substituída por prótese sobre implantes (fixa ou removível). Os pacientes foram divididos em dois grupos: reabilitados com sobredentaduras sobre dois implantes com sistema de retenção barra clipe (grupo 1-G1) e reabilitados com próteses totais fixas implantossuportadas sobre 4 ou 5 implantes (grupo 2-G2). O acompanhamento se deu por meio de controles periódicos nos períodos de 3 meses (T1) e 12 meses (T2) desde a instalação das próteses sobre os implantes. Foram avaliados: índice de biofilme no implante e no mini pilar, índice de sangramento, grau de inflamação periimplantar, faixa de mucosa ceratinizada, profundidade de sondagem e nível da margem da mucosa. Resultados: Ao comparar as avaliações nos períodos T1 e T2 observou-se um aumento no índice de biofilme no mini pilar (p=0,033) e grau de