Oral health in the family health strategy: a change of practices or semantics diversionism Saúde ... more Oral health in the family health strategy: a change of practices or semantics diversionism Saúde bucal na estratégia de saúde da família: mudança de práticas ou diversionismo semântico ABSTRACT OBJECTIVE: To evaluate public health dentistry practices of two different family health models. METHODS: Qualitative study conducted with data obtained from focus groups consisting of 58 dentists working in the Family Health Strategy for at least three years between August-October, 2006. The Paideia Family Health Approach was used in the city of Campinas and the Oral Health Initiative as part of the Family Health Strategy was implemented in the city of Curitiba, Southeastern and Southern Brazil, respectively. Data was analyzed using the hermeneutic-dialectic method. Analysis indicators were employed to indicate backwardness, stagnation or progress in oral health practices effective from the implementation of the strategies referred. The indicators used were: work process; interdisciplinary approach; territorialization; capacity building of human resources; health promotion practices; and responsiveness to users' demands. RESULTS: There was progress in user access to services, humanization of health care, patient welcoming and patient-provider relationship. The results related to health promotion practices, territorialization, interdisciplinary approach and resource capacity building indicated a need for technical and operational enhancements in both cities. CONCLUSIONS: Both models have brought about important advances in terms of increased access to services and humanization of health care. Universal access to oral health at all levels of complexity was not achieved in both cities studied. Local health managers and oral health program coordinators must bring more weight to bear in the arena that defi nes public policy priorities.
A provisão adequada de serviços de atenção primária à saúde e o acesso aos serviços especializado... more A provisão adequada de serviços de atenção primária à saúde e o acesso aos serviços especializados, também usualmente referidos como de média/alta complexidade, apresentam-se como uma dificuldade em vários municípios brasileiros, tendo em vista as questões gerenciais envolvidas que incluem a força de trabalho, os custos e a densidade tecnológica exigida. Este estudo objetivou compreender a prática discursiva de gestores em relação à articulação entre os níveis de atenção primária e de média/alta complexidade dos serviços públicos de saúde na Região Metropolitana de Curitiba (RMC). Realizouse um estudo exploratório de abordagem qualitativa com 17 gestores de saúde da RMC. Os dados discursivos foram coletados por meio de entrevista semiestruturada, sendo processados pelo método de análise de discurso. A interpretação do material permitiu a classificação dos dados discursivos, que foram agrupados em categorias: atenção primária municipal, acesso na média complexidade, atendimento hospi...
This study aimed to assess the percentage of articles with authors affiliated to Brazilian instit... more This study aimed to assess the percentage of articles with authors affiliated to Brazilian institutions in high-impact journals and SciELO journals and to evaluate trends in 5-year citations according to the author's affiliation and journal category. Bibliometric data were obtained using Scopus database from 1995 to 2019. Publications were selected from four journal categories: High-impact General Health (HGH), High-impact Public Health (HPH), SciELO General Health (SGH) and SciELO Public Health (SPH). The number of citations that were received five years after publication and the percentage of publications with any author affiliated to Brazil were calculated by each year. The same 146 journals were followed. There was a significant increase in percentage of articles with authors affiliated to Brazilian institutions in all sets of journals. Among HGH, there was an increasing from 0.3% to 1.5% between 1995-2019, for HPH from 1% to 3%, for SGH from 49.7% to 55.4%, and for SPH from...
Health Promotion interventions have broad attributes, involving the collaboration and participati... more Health Promotion interventions have broad attributes, involving the collaboration and participation of different actors and the use of multiple strategies. These characteristics turn complex the methods for measuring the impact regarding the structure, process and results of the interventions. This text explores some conceptual issues and evaluation schemes focused on the intersectoral approach and on the Health Promotion framework, based on the experience of Curitiba. The process evaluation, taken as qualitative assessment of the health promotion initiatives in the city, uncovers the importance of the social participation and intersectoral coordination afforded by the public administration in the delivering of the actions. The commitment of several actors involved in the intersectoral projects appears to be crucial for the sustainability of the public policies on health promotion, pointing towards the development of collaborative networks, in addition to political and legislative bases that allow for the upholding of the interventions.
Percursos para promoção da saúde bucal: a capacitação de líderes na Pastoral da Criança da Igreja... more Percursos para promoção da saúde bucal: a capacitação de líderes na Pastoral da Criança da Igreja Católica no Brasil *
Resumo O presente artigo é resultante de intensa busca nos referenciais teóricos sobre a temática... more Resumo O presente artigo é resultante de intensa busca nos referenciais teóricos sobre a temática universidade e formação docente e se propõe a analisar a formação do docente de odontologia, à luz dos antecedentes históricos da instituição universidade no mundo e no Brasil. Faz a identificação dos conflitos que colocam a universidade contemporânea em crise, identifica o início da atividade docente na história da humanidade e sua trajetória até os dias atuais, bem como as condições de profissionalização do docente do ensino superior, apontando para o modo como se deu a formação e a atividade dos primeiros docentes de odontologia no Brasil e as possíveis implicações para os dias atuais. A partir destes relatos e por meio de busca nos cadernos de indicadores da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes) do triênio 2004-2007 e de referenciais teóricos recentes sobre o tema da formação do docente de odontologia, em particular, buscou-se analisar as pós-graduações stricto sensu em Odontologia no Brasil e, assim, contribuir para o debate acerca dos problemas na formação dos profissionais da saúde, especificamente nessa área. O estudo não teve por objeto de análise o Pró-Saúde, podendo, este aspecto, ser uma limitação. Palavras-chave formação docente; competências pedagógicas; odontologia; pós-graduação stricto sensu.
This assignment applies to all translations of the Work as well as to preliminary display/posting... more This assignment applies to all translations of the Work as well as to preliminary display/posting of the abstract of the accepted article in electronic form before publication. If any changes in authorship (order, deletions, or additions) occur after the manuscript is submitted, agreement by all authors for such changes must be on file with the Publisher. An author's name may be removed only at his/her written request. (Note: Material prepared by employees of the US government in the course of their official duties cannot be copyrighted.
Objectives: Analyse the occurrence of cases of dental trauma using a geographical population data... more Objectives: Analyse the occurrence of cases of dental trauma using a geographical population database and the spatial behaviour of such occurrences. Investigate the significance of the spatial variation and to identify risk areas, as well as the respective coverage of the problem by the city Health System. Methods: From the geostatistical analysis of the database, thematic maps were generated with the distribution of cases of dental trauma by Health Districts and other variables of interest. The spatial variation of the risk of dental trauma was assessed using a generalized additive model in order to identify and control the individual risk factors and thus determine whether spatial variation is constant or not throughout the region studied. Taking the spatial distribution of the City of Curitiba’s Health Centres, an analysis was made of the coverage of dental trauma cases generating a thematic map. Results: The overall prevalence of dental trauma was 37.1%, with 53.1% being male an...
Objectives: Identify the oral health conditions in a population of individuals who collect recycl... more Objectives: Identify the oral health conditions in a population of individuals who collect recyclable materials and their relationship with health determinants and social exclusion. Methods: a quantitative population-based cross-sectional study. The sample was composed of 367 subjects aged between 12 and 65 yrs, residents in an irregular occupation' area. Socio-economic conditions, dental loss, pain, self-perception of dental health, and access to health services were investigated. Oral examination by a dentist in homes and interviews by structured questionnaires were performed. Results: 43% had average family incomes of up to the minimum wage, 74% had not completed an elementary education, and 14.4% were illiterate. 92% up to 19 yrs of age had all their teethl 19.5% of those between 20 and 64 years had all their teeth; 21% showed fewer than 20 teeth; and 8% were edentulous. The dental losses were greater in subjects who were not born in Curitiba (p = 0.00) and higher in illiter...
Objetivo. Investigar a correlação entre o índice Determinantes Sociais de Saúde Bucal (DSSB) e in... more Objetivo. Investigar a correlação entre o índice Determinantes Sociais de Saúde Bucal (DSSB) e indicadores sociais, indicadores de saúde bucal e determinantes sociais intermediários, representados pelos indicadores da Política Nacional de Saúde Bucal. Métodos. Este estudo ecológico abrangeu 5 915 adultos de 35 a 44 anos em 27 capitais no Brasil. Os indicadores de desfechos em saúde bucal-perda dentária, dentes restaurados e Índice de Cuidados Odontológicos (ICO)-foram obtidos do levantamento epidemiológico SB Brasil 2010. Os indicadores sociais (determinantes sociais estruturais) e da Política Nacional de Saúde Bucal foram obtidos de censos demográficos e do Ministério da Saúde. Resultados. Uma correlação de Pearson (r) moderada foi observada entre o índice DSSB e ICO (r = 0,580), dentes restaurados (r = 0,545) e perda dentária (r =-0,490). Houve uma correlação forte do componente equidade social com o ICO (r = 0,856), dentes restaurados (r = 0,822) e perda dentária (r =-0,665). Não houve associação estatisticamente significativa desses desfechos em saúde bucal com os componentes relativos à atenção primária e secundária à saúde bucal. O componente equidade social explicou 44% da variância da perda dentária, 68% da variância de dentes restaurados e 73% da variância do ICO. Conclusões. O índice DSSB e seu componente equidade social se correlacionaram significativamente com desfechos em saúde bucal de adultos nas capitais brasileiras. Portanto, políticas equitativas devem priorizar ações direcionadas aos DSSB, tais como ampliação da cobertura de saneamento e de água fluoretada, e redução da pobreza e das iniquidades regionais.
Objective: This study aimed to compare the extent of primary health care (PHC) attributes among d... more Objective: This study aimed to compare the extent of primary health care (PHC) attributes among different models of dental care services in a big city of the State of Parana, Southern Brazil. Method: The study participants were 33 dentists and 25 nurses, managers of three kinds of health facilities (Family Health Strategy with Family Dental Teams, Family Health Strategy with traditional dental workers and traditional primary health care facilities). Primary health care is assessed through essential attributes (access to first contact, longitudinality, coordination, comprehensiveness); and derived ones (community orientation, and family orientation). The managers responded to the questionnaire PCATool-Brazil, as indicated by the Ministry of Health to evaluate the PHC services. The dentists answered to a version of PCATool, adapted for dental services, which was previously pretested. Data were analyzed using parametric statistics. Result: There were higher extents of the attributes of...
To systematically evaluate the literature to investigate associations between social, demographic... more To systematically evaluate the literature to investigate associations between social, demographic, economic, psychosocial, and behavioral factors and the self-perception of oral health measured using the Oral Health Impact Profile (OHIP). In this systematic review of the literature, the Preferred Reporting Items for Systematic Reviews (PRISMA) were adapted for the performance of a qualitative metasummary, without meta-analysis. Articles about oral health and associated factors with implications for quality of life were selected, with a focus on the tool for self-rating of the oral health-disease process, the OHIP. Pubmed/National Library of Medicine (NLM) and the Virtual Health Library (Biblioteca Virtual em Saúde - BVS/BIREME) were searched. Articles published between 2001 and 2011 were included. The following Medical Subject Headings (MeSH) were employed: oral health, quality of life, sickness impact profile, and socioeconomic factors. Of 57 articles identified, 20 met the inclusi...
Objectives: This study adds knowledge to the Brazilian experience of the chronic privation of wat... more Objectives: This study adds knowledge to the Brazilian experience of the chronic privation of water and wastewater policies, access to potable water and fluoridation in the country. Thus, the aim of this study was to verify possible inequalities in the population's access to fluoridated drinking water in 246 Brazilian municipalities. Methods: The information on the process of water fluoridation in the municipalities and in the macro region in which each municipality is located was obtained from the national epidemiological survey which was concluded in 2003. The data relating to the human development index at municipal level (HDI-M) and access to mains water came from the Brazilian Human Development Atlas, whilst the size of the population was obtained from a governmental source. The Fisher exact test (P < 0.05) was employed to identify significant associations between the explanatory variables and their ability to predict the principal outcomes of interest to this study, nam...
Objetivo. Identificar e sintetizar os achados de estudos que descrevem intervenções cuja proposiç... more Objetivo. Identificar e sintetizar os achados de estudos que descrevem intervenções cuja proposição principal é a redução de lesões causadas pelo trânsito. Métodos. Trata-se de uma revisão sistemática integrativa, sem metanálise. Os critérios de qualidade Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) foram utilizados para sintetizar os achados dos artigos revisados. Foi realizada uma busca eletrônica de artigos no período de 2006 a 2011 nas bases de dados PubMed, Web of Science, SciELO e LILACS, utilizando os descritores "acidentes de trânsito", "avaliação" e "políticas públicas" na sua forma isolada ou combinados pela expressão booleana "And". Resultados. Foram incluídos 22 estudos, dos quais dois descreveram estratégias de engenharia, dois descreveram outras políticas de segurança viária, três descreveram estratégias de educação e 15 descreveram iniciativas de fiscalização. A fiscalização foi a estratégia que apresentou resultados imediatos aparentemente mais efetivos. A engenharia se mostrou importante no sentido de promover um ambiente seguro. Por fim, a educação teve um caráter mais informativo e de apoio às outras estratégias e não apresentou evidência significativa para uma mudança cultural de segurança viária. Conclusões. A fiscalização parece ser a estratégia mais efetiva para mudar o comportamento do condutor, principalmente em relação ao excesso de velocidade e ao consumo de álcool associado com direção. Acidentes de trânsito; avaliação; políticas públicas; revisão.
Descritores: Hepatite Viral; Descoberta de Conhecimento em Base de Dados; Mineração de Dados,C4.5... more Descritores: Hepatite Viral; Descoberta de Conhecimento em Base de Dados; Mineração de Dados,C4.5 Abstract -In Brazil, data collected by the Information Systems for Public Health are underused due to its bulk and complexity. In this work the Knowledge Discovery in Databases (KDD) technique has been used onto the National Information System of Diseases of Notification (SINAN), with the objective of
Oral health in the family health strategy: a change of practices or semantics diversionism Saúde ... more Oral health in the family health strategy: a change of practices or semantics diversionism Saúde bucal na estratégia de saúde da família: mudança de práticas ou diversionismo semântico ABSTRACT OBJECTIVE: To evaluate public health dentistry practices of two different family health models. METHODS: Qualitative study conducted with data obtained from focus groups consisting of 58 dentists working in the Family Health Strategy for at least three years between August-October, 2006. The Paideia Family Health Approach was used in the city of Campinas and the Oral Health Initiative as part of the Family Health Strategy was implemented in the city of Curitiba, Southeastern and Southern Brazil, respectively. Data was analyzed using the hermeneutic-dialectic method. Analysis indicators were employed to indicate backwardness, stagnation or progress in oral health practices effective from the implementation of the strategies referred. The indicators used were: work process; interdisciplinary approach; territorialization; capacity building of human resources; health promotion practices; and responsiveness to users' demands. RESULTS: There was progress in user access to services, humanization of health care, patient welcoming and patient-provider relationship. The results related to health promotion practices, territorialization, interdisciplinary approach and resource capacity building indicated a need for technical and operational enhancements in both cities. CONCLUSIONS: Both models have brought about important advances in terms of increased access to services and humanization of health care. Universal access to oral health at all levels of complexity was not achieved in both cities studied. Local health managers and oral health program coordinators must bring more weight to bear in the arena that defi nes public policy priorities.
A provisão adequada de serviços de atenção primária à saúde e o acesso aos serviços especializado... more A provisão adequada de serviços de atenção primária à saúde e o acesso aos serviços especializados, também usualmente referidos como de média/alta complexidade, apresentam-se como uma dificuldade em vários municípios brasileiros, tendo em vista as questões gerenciais envolvidas que incluem a força de trabalho, os custos e a densidade tecnológica exigida. Este estudo objetivou compreender a prática discursiva de gestores em relação à articulação entre os níveis de atenção primária e de média/alta complexidade dos serviços públicos de saúde na Região Metropolitana de Curitiba (RMC). Realizouse um estudo exploratório de abordagem qualitativa com 17 gestores de saúde da RMC. Os dados discursivos foram coletados por meio de entrevista semiestruturada, sendo processados pelo método de análise de discurso. A interpretação do material permitiu a classificação dos dados discursivos, que foram agrupados em categorias: atenção primária municipal, acesso na média complexidade, atendimento hospi...
This study aimed to assess the percentage of articles with authors affiliated to Brazilian instit... more This study aimed to assess the percentage of articles with authors affiliated to Brazilian institutions in high-impact journals and SciELO journals and to evaluate trends in 5-year citations according to the author's affiliation and journal category. Bibliometric data were obtained using Scopus database from 1995 to 2019. Publications were selected from four journal categories: High-impact General Health (HGH), High-impact Public Health (HPH), SciELO General Health (SGH) and SciELO Public Health (SPH). The number of citations that were received five years after publication and the percentage of publications with any author affiliated to Brazil were calculated by each year. The same 146 journals were followed. There was a significant increase in percentage of articles with authors affiliated to Brazilian institutions in all sets of journals. Among HGH, there was an increasing from 0.3% to 1.5% between 1995-2019, for HPH from 1% to 3%, for SGH from 49.7% to 55.4%, and for SPH from...
Health Promotion interventions have broad attributes, involving the collaboration and participati... more Health Promotion interventions have broad attributes, involving the collaboration and participation of different actors and the use of multiple strategies. These characteristics turn complex the methods for measuring the impact regarding the structure, process and results of the interventions. This text explores some conceptual issues and evaluation schemes focused on the intersectoral approach and on the Health Promotion framework, based on the experience of Curitiba. The process evaluation, taken as qualitative assessment of the health promotion initiatives in the city, uncovers the importance of the social participation and intersectoral coordination afforded by the public administration in the delivering of the actions. The commitment of several actors involved in the intersectoral projects appears to be crucial for the sustainability of the public policies on health promotion, pointing towards the development of collaborative networks, in addition to political and legislative bases that allow for the upholding of the interventions.
Percursos para promoção da saúde bucal: a capacitação de líderes na Pastoral da Criança da Igreja... more Percursos para promoção da saúde bucal: a capacitação de líderes na Pastoral da Criança da Igreja Católica no Brasil *
Resumo O presente artigo é resultante de intensa busca nos referenciais teóricos sobre a temática... more Resumo O presente artigo é resultante de intensa busca nos referenciais teóricos sobre a temática universidade e formação docente e se propõe a analisar a formação do docente de odontologia, à luz dos antecedentes históricos da instituição universidade no mundo e no Brasil. Faz a identificação dos conflitos que colocam a universidade contemporânea em crise, identifica o início da atividade docente na história da humanidade e sua trajetória até os dias atuais, bem como as condições de profissionalização do docente do ensino superior, apontando para o modo como se deu a formação e a atividade dos primeiros docentes de odontologia no Brasil e as possíveis implicações para os dias atuais. A partir destes relatos e por meio de busca nos cadernos de indicadores da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes) do triênio 2004-2007 e de referenciais teóricos recentes sobre o tema da formação do docente de odontologia, em particular, buscou-se analisar as pós-graduações stricto sensu em Odontologia no Brasil e, assim, contribuir para o debate acerca dos problemas na formação dos profissionais da saúde, especificamente nessa área. O estudo não teve por objeto de análise o Pró-Saúde, podendo, este aspecto, ser uma limitação. Palavras-chave formação docente; competências pedagógicas; odontologia; pós-graduação stricto sensu.
This assignment applies to all translations of the Work as well as to preliminary display/posting... more This assignment applies to all translations of the Work as well as to preliminary display/posting of the abstract of the accepted article in electronic form before publication. If any changes in authorship (order, deletions, or additions) occur after the manuscript is submitted, agreement by all authors for such changes must be on file with the Publisher. An author's name may be removed only at his/her written request. (Note: Material prepared by employees of the US government in the course of their official duties cannot be copyrighted.
Objectives: Analyse the occurrence of cases of dental trauma using a geographical population data... more Objectives: Analyse the occurrence of cases of dental trauma using a geographical population database and the spatial behaviour of such occurrences. Investigate the significance of the spatial variation and to identify risk areas, as well as the respective coverage of the problem by the city Health System. Methods: From the geostatistical analysis of the database, thematic maps were generated with the distribution of cases of dental trauma by Health Districts and other variables of interest. The spatial variation of the risk of dental trauma was assessed using a generalized additive model in order to identify and control the individual risk factors and thus determine whether spatial variation is constant or not throughout the region studied. Taking the spatial distribution of the City of Curitiba’s Health Centres, an analysis was made of the coverage of dental trauma cases generating a thematic map. Results: The overall prevalence of dental trauma was 37.1%, with 53.1% being male an...
Objectives: Identify the oral health conditions in a population of individuals who collect recycl... more Objectives: Identify the oral health conditions in a population of individuals who collect recyclable materials and their relationship with health determinants and social exclusion. Methods: a quantitative population-based cross-sectional study. The sample was composed of 367 subjects aged between 12 and 65 yrs, residents in an irregular occupation' area. Socio-economic conditions, dental loss, pain, self-perception of dental health, and access to health services were investigated. Oral examination by a dentist in homes and interviews by structured questionnaires were performed. Results: 43% had average family incomes of up to the minimum wage, 74% had not completed an elementary education, and 14.4% were illiterate. 92% up to 19 yrs of age had all their teethl 19.5% of those between 20 and 64 years had all their teeth; 21% showed fewer than 20 teeth; and 8% were edentulous. The dental losses were greater in subjects who were not born in Curitiba (p = 0.00) and higher in illiter...
Objetivo. Investigar a correlação entre o índice Determinantes Sociais de Saúde Bucal (DSSB) e in... more Objetivo. Investigar a correlação entre o índice Determinantes Sociais de Saúde Bucal (DSSB) e indicadores sociais, indicadores de saúde bucal e determinantes sociais intermediários, representados pelos indicadores da Política Nacional de Saúde Bucal. Métodos. Este estudo ecológico abrangeu 5 915 adultos de 35 a 44 anos em 27 capitais no Brasil. Os indicadores de desfechos em saúde bucal-perda dentária, dentes restaurados e Índice de Cuidados Odontológicos (ICO)-foram obtidos do levantamento epidemiológico SB Brasil 2010. Os indicadores sociais (determinantes sociais estruturais) e da Política Nacional de Saúde Bucal foram obtidos de censos demográficos e do Ministério da Saúde. Resultados. Uma correlação de Pearson (r) moderada foi observada entre o índice DSSB e ICO (r = 0,580), dentes restaurados (r = 0,545) e perda dentária (r =-0,490). Houve uma correlação forte do componente equidade social com o ICO (r = 0,856), dentes restaurados (r = 0,822) e perda dentária (r =-0,665). Não houve associação estatisticamente significativa desses desfechos em saúde bucal com os componentes relativos à atenção primária e secundária à saúde bucal. O componente equidade social explicou 44% da variância da perda dentária, 68% da variância de dentes restaurados e 73% da variância do ICO. Conclusões. O índice DSSB e seu componente equidade social se correlacionaram significativamente com desfechos em saúde bucal de adultos nas capitais brasileiras. Portanto, políticas equitativas devem priorizar ações direcionadas aos DSSB, tais como ampliação da cobertura de saneamento e de água fluoretada, e redução da pobreza e das iniquidades regionais.
Objective: This study aimed to compare the extent of primary health care (PHC) attributes among d... more Objective: This study aimed to compare the extent of primary health care (PHC) attributes among different models of dental care services in a big city of the State of Parana, Southern Brazil. Method: The study participants were 33 dentists and 25 nurses, managers of three kinds of health facilities (Family Health Strategy with Family Dental Teams, Family Health Strategy with traditional dental workers and traditional primary health care facilities). Primary health care is assessed through essential attributes (access to first contact, longitudinality, coordination, comprehensiveness); and derived ones (community orientation, and family orientation). The managers responded to the questionnaire PCATool-Brazil, as indicated by the Ministry of Health to evaluate the PHC services. The dentists answered to a version of PCATool, adapted for dental services, which was previously pretested. Data were analyzed using parametric statistics. Result: There were higher extents of the attributes of...
To systematically evaluate the literature to investigate associations between social, demographic... more To systematically evaluate the literature to investigate associations between social, demographic, economic, psychosocial, and behavioral factors and the self-perception of oral health measured using the Oral Health Impact Profile (OHIP). In this systematic review of the literature, the Preferred Reporting Items for Systematic Reviews (PRISMA) were adapted for the performance of a qualitative metasummary, without meta-analysis. Articles about oral health and associated factors with implications for quality of life were selected, with a focus on the tool for self-rating of the oral health-disease process, the OHIP. Pubmed/National Library of Medicine (NLM) and the Virtual Health Library (Biblioteca Virtual em Saúde - BVS/BIREME) were searched. Articles published between 2001 and 2011 were included. The following Medical Subject Headings (MeSH) were employed: oral health, quality of life, sickness impact profile, and socioeconomic factors. Of 57 articles identified, 20 met the inclusi...
Objectives: This study adds knowledge to the Brazilian experience of the chronic privation of wat... more Objectives: This study adds knowledge to the Brazilian experience of the chronic privation of water and wastewater policies, access to potable water and fluoridation in the country. Thus, the aim of this study was to verify possible inequalities in the population's access to fluoridated drinking water in 246 Brazilian municipalities. Methods: The information on the process of water fluoridation in the municipalities and in the macro region in which each municipality is located was obtained from the national epidemiological survey which was concluded in 2003. The data relating to the human development index at municipal level (HDI-M) and access to mains water came from the Brazilian Human Development Atlas, whilst the size of the population was obtained from a governmental source. The Fisher exact test (P < 0.05) was employed to identify significant associations between the explanatory variables and their ability to predict the principal outcomes of interest to this study, nam...
Objetivo. Identificar e sintetizar os achados de estudos que descrevem intervenções cuja proposiç... more Objetivo. Identificar e sintetizar os achados de estudos que descrevem intervenções cuja proposição principal é a redução de lesões causadas pelo trânsito. Métodos. Trata-se de uma revisão sistemática integrativa, sem metanálise. Os critérios de qualidade Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) foram utilizados para sintetizar os achados dos artigos revisados. Foi realizada uma busca eletrônica de artigos no período de 2006 a 2011 nas bases de dados PubMed, Web of Science, SciELO e LILACS, utilizando os descritores "acidentes de trânsito", "avaliação" e "políticas públicas" na sua forma isolada ou combinados pela expressão booleana "And". Resultados. Foram incluídos 22 estudos, dos quais dois descreveram estratégias de engenharia, dois descreveram outras políticas de segurança viária, três descreveram estratégias de educação e 15 descreveram iniciativas de fiscalização. A fiscalização foi a estratégia que apresentou resultados imediatos aparentemente mais efetivos. A engenharia se mostrou importante no sentido de promover um ambiente seguro. Por fim, a educação teve um caráter mais informativo e de apoio às outras estratégias e não apresentou evidência significativa para uma mudança cultural de segurança viária. Conclusões. A fiscalização parece ser a estratégia mais efetiva para mudar o comportamento do condutor, principalmente em relação ao excesso de velocidade e ao consumo de álcool associado com direção. Acidentes de trânsito; avaliação; políticas públicas; revisão.
Descritores: Hepatite Viral; Descoberta de Conhecimento em Base de Dados; Mineração de Dados,C4.5... more Descritores: Hepatite Viral; Descoberta de Conhecimento em Base de Dados; Mineração de Dados,C4.5 Abstract -In Brazil, data collected by the Information Systems for Public Health are underused due to its bulk and complexity. In this work the Knowledge Discovery in Databases (KDD) technique has been used onto the National Information System of Diseases of Notification (SINAN), with the objective of
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