Showing papers by "Renato Moreira Arcieri published in 2017"

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.

La violencia intrafamiliar y los procesos notificatorios bajo la óptica del profesional de salud pública

Abstract: Objetivo: Evaluar la percepcion y el conocimiento de los profesionales del area de la salud sobre la violencia intrafamiliar y el proceso de notificacion obligatoria. Metodos: Estudio exploratorio transversal, cuantitativo y cualitativo, con 84 profesionales de la salud y del servicio publico de dos municipios del estado de Sao Paulo, Brasil. Para la colecta de datos se utilizo una encuesta con preguntas abiertas y cerradas. Para El analisis estadistico de las variables cuantitativas. se utilizo el test Chi-Cuadrado de Pearson. Resultados: Se verifico que el 53,57 % de los entrevistados ya habian asistido algun tipo de violencia en su puesto de trabajo, siendo las principales victimas los ninos, mujeres y adultos ancianos. Cuando se les pregunto si deberian hacer algo respecto en los casos de violencia, el 78,31 % contesto que si, sin embargo, cuando se les pregunto que podrian hacer, el 31 % no supo contestar y solo el 7 % menciono la notificacion. Se encontraron asociaciones significativas entre el tiempo de trabajo en el servicio publico y las siguientes variables: conocimiento de la legislacion en casos de violencia ( p= 0,0083), el acto notificatorio ( p= 0,0356 ) y la ficha de notificacion obligatoria ( p= 0,0030 ) . Conclusion: Los profesionales de salud tienen dificultades para diagnosticar los casos de violencia y en la ejecucion de las atribuciones necesarias para el manejo de tales problemas, como la notificacion obligatoria.

Perfil da farmacoterapia utilizada por idosos institucionalizados

Abstract: Introducao: O desenvolvimento de patologias cronicas aumenta com o avancar da idade, bem como a quantidade de medicamentos administrados, desafiando o Sistema Unico de Saude quanto a polifarmacia e a farmacovigilância. Objetivos: Este estudo objetivou verificar o perfil da farmacoterapia utilizada por idosos institucionalizados, atraves da identificacao dos medicamentos mais usados, da deteccao da ocorrencia da polifarmacia e do uso de medicamentos inapropriados para idosos. Material e Metodo: Os dados foram obtidos atraves de consulta aos prontuarios medicos dos idosos e entrevistas semi-estruturadas as enfermeiras responsaveis de seis Instituicoes de Longa Permanencia para Idosos de quatro municipios do estado de Sao Paulo. A polifarmacia foi definida atraves do uso concomitante de cinco ou mais medicamentos diarios, sendo que os medicamentos potencialmente inapropriados para idosos foram identificados atraves dos criterios de Beers. Tambem foi verificado os fatores associados ao uso de MPI, por meio de analise multivariada. Resultados: Participaram do estudo 261 idosos com idade ≥ 60 anos, sendo que 73,9% foram acometidos pela polifarmacia. Foram prescritos 1452 medicamentos, sendo a maioria (36%) com acao sobre o Sistema Nervoso Central. 50,6% consumiam pelo menos um MPI diariamente, sendo o diazepam (8,4%) e a fluoxetina (7,7%) os mais utilizados. Conclusao: Desta forma, a polifarmacia se faz presente entre a maioria dos idosos, havendo uma prevalencia de antipsicoticos e antidepressivos. Quanto ao uso de medicamentos potencialmente inapropriados verificou-se uma alta prevalencia, sendo a polifarmacia e a depressao os fatores associados a sua utilizacao.Descritores: Uso Indevido de Medicamentos sob Prescricao; Idoso; Prescricao Inadequada.

Evaluación Comparativa del Conocimiento Sobre Salud Oral Entre Equipos Pedagógicos que Recibieron y no Recibieron Promoción en Salud

Abstract: This study's goal was to comparatively evaluate the differences between the oral health knowledge of two teaching staff groups: those that were part of the oral health promotion programs and those that were not. Seventy six (76) teachers at ten nursery schools participated in this transversal study. The teaching staff of the intervention group were part of the activities of the “Oral Health Promotion Program in state-funded nursery schools of Araçatuba, São Paulo State” of the Araçatuba Dental School (Faculdade de Odontologia de Araçatuba FOA/UNESP) (n=38), however, the teachers from the control group were not part of the activities (n=37). The data were collected through questionnaire with the goal of identifying the educator (sex; function at the school; age; years of schooling), and to evaluate the educator's knowledge regarding oral health (dental plaque, dental caries, toothbrush, storage of toothbrushes, tooth paste, pacifier, oral hygiene habits). The independent variables were compared between the groups through statistical tests. 76.6 % of the sample was of teachers of the nursery schools and only one participant was male. The average age between both groups was 41 and the average education level was of graduation (88.1 %). The research identified a very similar behavior in the questionnaire answers from both groups, and the knowledge identified on the evaluation was close to common sense. This study concluded that there were not significant differences on the oral health knowledge between the evaluated groups.

Percepção e conduta dos acadêmicos de Odontologia frente á violência intrafamiliar

Abstract: A violencia tem crescido nos ultimos tempos e passou a ser foco de atencao a saude apos ocupar destaque nas ocorrencias de morbimortalidade na populacao brasileira. Objetivou-se neste estudo verificar a percepcao e a conduta dos academicos de odontologia de uma Faculdade Estadual de Sao Paulo sobre violencia intrafamiliar. Trata-se de um estudo descritivo transversal, realizado com 78 alunos de graduacao do curso de odontologia. Foi aplicado um instrumento semiestruturado com perguntas sobre o tema. Utilizou-se analise estatistica descritiva e obteve-se aprovacao do Comite de Etica em Pesquisa em Seres Humanos da Faculdade de Odontologia de Aracatuba- UNESP. Os resultados nos mostraram que todos os entrevistados (n=78) acreditavam que a violencia intrafamiliar e um problema social. Foi verificado que 45% atribuiram as causas de agressao domestica com a dependencia quimica e alcoolica. Na percepcao dos alunos, 73% acreditavam que as mulheres sao mais vitimas de agressao. Quando questionados se haviam recebido algum tipo de informacao sobre o tema, 27% responderam que nao. Apesar da maioria se sentir responsavel pela notificacao compulsoria, 41% dos alunos nao sabiam o que era e 82% desconheciam a ficha. De acordo com a conduta dos academicos, 45% nao encaminhariam as vitimas a algum orgao especializado. Conclui-se que os academicos de odontologia em sua maioria tem alguma percepcao sobre violencia intrafamiliar, porem grande parte nao sabe qual conduta seguir frente aos casos. Descritores : Violencia Domestica; Conhecimento; Estudantes de Odontologia.

Identificação dos casos de violência contra crianças em escolas municipais de ensino básico de Araçatuba, São Paulo

Abstract: The aim of this study was to report on the eight-year experience of Faculdade de Odontologia de Aracatuba (FOA/UNESP) with a project entitled “Identification of violence against children in the statefunded nursery schools of Aracatuba, Sao Paulo State, Brazil”. This extension project provides undergraduate and postgraduate students with coaching and training in order to detect, report and handle violence cases detected in the community, benefiting the teaching staff of nursery schools as well as parents and/or guardians. This project serves approximately 1500 children, aged 0-6 years old, in 15 institutions. The violence cases detected are described and registered accordingly. The records are subsequently handed over to the school coordination, which eventually report them to Child Care Councils. The notifications made until now are largely related to parents’ neglect in the care of children. To a lesser extent, it is possible to observe children with relationship difficulties. It is important to point out that lectures and discussion groups are held with all the teaching staff and parents so as to raise awareness of all the social actors about violence. In this manner, the activities foster greater interaction between the university and the community, transforming the real wishes of the population and getting them closer to the practice, besides helping in identifying abuse and protect children from violence

Violencia contra la mujer: levantamiento de casos registrados en una Comisaría del Estado de Minas Gerais, Brasil

Abstract: Introduccion: la violencia contra las mujeres es muy significativa, pues comprende una problematica que no se restringe solo a determinadas regiones, sino que posee alcance mundial Este estudio transversal cuantitativo tuvo como objetivo identificar el perfil de los agresores y de las victimas y caracterizar las agresiones Materiales y metodos: se realizo el levantamiento de datos en una comisaria de mujeres, ancianos y ninos de un municipio del oeste del estado de Minas Gerais, Brasil Para el analisis descriptivo fueron evaluadas las variables: tipo de agresion, sexo de la victima, sexo del agresor, grado de parentesco, edad de la victima, edad del agresor, fecha de la agresion, hora de la agresion, motivacion para la agresion, zona corporal afectada y recidiva Se analizaron los registros de ocurrencias fechados de julio a diciembre de 2013 Resultados: se observo la existencia de 247 registros de violencia contra mujeres En su mayoria, las victimas eran mujeres jovenes, entre 20-35 anos de edad (77%) El agresor, en el 89,8% de los casos, era del sexo masculino, con franja etaria entre 28-45 anos (82%) Las agresiones ocurrian por la tarde (31%) y noche (30%) La forma de violencia predominante fue la verbal (48,4%) El motivo que mas generaba violencia era el intento de la pareja de poner fin a su relacion sentimental (35%) Se resalta que hubo recidiva en las situaciones de agresion en el 54,5% de las ocurrencias Conclusion: son elevados los indices de violencia contra las mujeres en este municipio de Minas Gerais Se recomienda mejorar la calidad de vida de las mujeres victimizadas, ya que esta es una de las mejores estrategias para combatir la violencia contra las mujeres