Renato Moreira Arcieri

Bio: Renato Moreira Arcieri is an academic researcher from Sao Paulo State University. The author has contributed to research in topics: Population & Oral hygiene. The author has an hindex of 10, co-authored 66 publications receiving 391 citations.

Agente comunitário de saúde: perfil adequado a realidade do Programa Saúde da Família?

Abstract: O presente artigo analisa o perfil e a realidade de trabalho dos agentes comunitarios de saude, visando contribuir para a otimizacao do Sistema Unico de Saude (SUS), especialmente em municipios de pequeno porte. Foram discutidos aspectos relacionados a sua insercao na equipe do Programa de Saude da Familia (PSF) e a sua interacao com a comunidade adscrita. Observou-se, entre outros, que ha falta de motivacao e experiencia por parte dos agentes, o que compromete a qualidade da atuacao na comunidade. Sabe-se que tais fatos encontrados sao reflexos e consequencias de todo um contexto estabelecido. Torna-se necessario um profundo repensar de pratica por parte da equipe e, especialmente, dos gestores, tendo como base os principios que regem o SUS e o PSF.

Cárie precoce: influência de variáveis sócio-comportamentais e do locus de controle da saúde em um grupo de crianças de Araraquara, São Paulo, Brasil

Abstract: The aim of this study was to evaluate the relationship between early childhood caries and socio-behavioral variables and the health locus of control in a group of children 24 to 35 months of age in Araraquara, Sao Paulo, Brazil. All children of both sexes enrolled in 7 municipal daycare centers were evaluated (n = 110). Exams were performed by an examiner previously trained to apply WHO criteria for determination of dental status. A questionnaire was completed by the mothers, with information on socioeconomic background, behaviors, and attitudes related to the child's oral health and the multidimensional health locus of control. Prevalence of early childhood caries (cavitated or non-cavitated lesions) was 28.2%; there was a significant association between paternal educational level and severe early childhood dental caries (p = 0.01); there were no statistically significant differences between the means for each health locus of control sub-scale and early childhood caries. The results suggest that fathers should be viewed not merely as providers but as an important influence on the child's development as a whole.

Humanização na Atenção à Saúde do Idoso

Abstract: O artigo discute as praticas de assistencia, politicas, estrategias e acoes governamentais formalizadas para a saude do idoso, visto que, embora o tema "humanizacao" se faca presente em varias discussoes e que, inclusive, tornou-se diretriz da tao aclamada Politica Nacional de Humanizacao, esses pacientes enfrentam, ainda, varios obstaculos para assegurar alguma assistencia a saude. A desinformacao e ao desrespeito aos cidadaos da terceira idade somam-se a precariedade de investimentos publicos para atendimento as necessidades especificas dessa populacao, a falta de instalacoes adequadas, a carencia de programas especificos e de recursos humanos. Dessa forma, faremos uma reflexao sobre a humanizacao na assistencia a saude focada nessa populacao, primeiramente fazendo um resgate da humanizacao nos diversos cenarios do setor saude, considerando a valorizacao dos diferentes sujeitos implicados nesse processo, para que o cuidado dessa especial e crescente fatia da populacao seja realizado de forma humanizada, visto ser este um paciente especial que requer um atendimento diferenciado.

Musculoskeletal disorders and perception of working conditions: A survey of Brazilian dentists in São Paulo.

Abstract: OBJECTIVES To investigate the prevalence of work-related musculoskeletal disorders amongst dentists who work in public clinics in Sao Paulo, Brazil, to investigate their awareness of the presence of risk factors in the workplace, disability due to pain, and the influence of pain on this awareness and disability. MATERIAL AND METHODS A cross-sectional study was conducted among 204 dentists who work in public health clinics in the northwest of Sao Paulo, Brazil. The data was collected through interviews, using the Nordic Questionnaire and the Work-Related Activities that May Contribute to Job-Related Pain Questionnaire. In the case of workers who reported pain, the Pain Disability Questionnaire (PDQ) and the Numeric Pain Scale were also administered. Statistical analyses were performed using SPSS 21.0. RESULTS Most dentists (81.4%) had musculoskeletal disorders, especially in the neck, shoulders and lower back. We found that the presence of symptoms in the neck (15.7%), shoulders (12.7%) and lower back (15.7%) were the major causes of absenteeism over the past 12 months. Occupational risk factors perceived as the most problematic ones were: bending or twisting the back in an awkward way, continuing to work when injured or hurt and working in the same position for long periods. Comparison between the symptomatic and asymptomatic dentists showed a statistically significant difference (p < 0.05) in the perception of occupational risk factors. The analysis of the intensity of pain and disability with PDQ in the symptomatic dentists showed an average pain intensity of 3.8. Mean scores of the PDQ total (11.46) and its dimensions - functional condition (7.1) and psychosocial condition (4.4) - suggest a moderate disability in the dental surgeons. There was a strong t correlation (r = 0.697) between pain intensity and the total score of disability caused by pain. CONCLUSIONS Pain and work-related musculoskeletal disorders interfere significantly with the dentists' lives. In the case of dental surgeons there is a significant correlation between pain intensity and disability. Int J Occup Med Environ Health 2017;30(3):367-377.

Biosecurity in public and private office.

Abstract: Biosecurity is currently a concern for all health-related services, including dentistry, since infection control has a relevant importance. In dental practice, health-related occupations have contact with a great number of individuals who are potentially capable to transmit pathogens. This study comprised a descriptive evaluation of the universal precaution measures for infection control adopted by dental practitioners working at public and private offices in the city of Aracatuba, SP. Data collection was performed by a quiz with questions about individual and collective protection equipments. The results showed that the use of caps was reported by 55% of the professionals working at the public sector and 90% for the private sector. The use of masks and gloves was reported by all professionals surveyed; nevertheless, glove change between patients was not reported by 40% of professionals working at the public sector. There were more flaws in public offices as to the use of protective barriers, since except for the use of gloves, gowns and masks, the frequency of use of those barriers was smaller than at private offices.

Obesity and dental caries: systematic review

Abstract: OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.

Satisfação e percepção do usuário do SUS sobre o serviço público de saúde

Abstract: A avaliacao do grau de satisfacao dos usuarios do sistema de saude e um importante indicador a ser considerado no planejamento das acoes. O objetivo deste estudo foi avaliar o grau de satisfacao de usuarios dos servicos de saude publica municipal quanto aos servicos utilizados. Este estudo tipo inquerito foi conduzido em cinco municipios do Estado de Sao Paulo. A amostra foi selecionada de forma estratificada e aleatoria, sendo entrevistados 471 chefes de familia ou respectivos conjuges. Os dados qualitativos foram analisados pelo metodo de Analise de Conteudo, e os dados quantitativos foram processados utilizando-se o software estatistico Epi Info. Dentre os usuarios dos cinco municipios, 93,0% utilizam o servico municipal de saude. Para 72,0%, os servicos de saude prestados estao resolvendo os problemas e necessidades da populacao. Com base no acesso ao atendimento, 57,6% da populacao queixaram-se da presenca de filas para o atendimento. Mais da metade (69,5%) afirmou ter confianca na equipe de saude; no entanto, muitos relatos demonstraram a carencia de um atendimento humanizado. Em relacao aos servicos de saude, 61,7% classificaram-os como otimo ou bom. Conclui-se que a maior parte dos usuarios mostrou-se satisfeita com os servicos de saude municipais, apesar da grande quantidade de queixas quanto ao atendimento, falta de humanizacao e acolhimento, deficiencia de recursos fisicos e materiais. A percepcao do usuario e de extrema importância ao se dimensionar o reflexo das acoes que vem sendo desenvolvidas no setor saude, e serve como vetor de direcionamento e planejamento do servico.

Agente Comunitário de Saúde: elemento nuclear das ações em saúde

Abstract: This research sought to identify the actions developed by the Community Health Worker (CHW) in the context of family health in Montes Claros, State of Minas Gerais, Brazil. The research was conducted under the Program of Education through Work for Health-PET-SAUDE, and is a quantitative study and census together with 241 CHWs. Most of them make family registrations and home visits, identify families with health risks and inform the health team. They also instruct families about available health services, arrange referrals and schedule consultations/exams, perform health education and teamwork reflections. Some also assist in the clinical environment. The majority who provide health education and those who are responsible for the referrals feel that they are professionally qualified for such tasks. CHWs are a core element of health actions, but the scope of performance requires investment in professional training to maintain the quality of the work executed by them in surveillance activities and teamwork reflection. In this way, the CHW can be jointly responsible for primary care and integrate the system of health care administration.

Severe early childhood caries: an integral approach.

Abstract: Objective To provide information with the purpose of helping pediatricians to recognize the risk factors for the onset of severe early childhood caries, allowing for early intervention and thus avoiding this preventable disease and its consequences. Sources Information was collected from scientific articles published on the databases SciELO, MEDLINE and PUBMED in last 25 years, as well as technical books and guidelines of international committees. The keywords used were: early childhood caries, severe early childhood caries, dental caries, and children. Summary of the findings Severe early childhood caries affects infants and children. It is infectious, has a multifactor etiology and fast development, starting soon after dental eruption. Due to the presence of local sociocultural risk factors, it must be regarded as a symptom of alteration in the child's health and lack of adequate care. Its manifestations include pain, abscesses and chewing difficulty, affecting the child's feeding and sleep. Furthermore, it also affects the child's general health, speech, and self-esteem. Conclusions Preventive methods to avoid severe early childhood caries have been developed and they should be used as early as possible by means of prevention programs carried out in the community and with families. Professionals responsible for providing care to babies and children should be aware of cases at risk for caries and interfere in order to improve their patients' health.