Suzely Adas Saliba Moimaz

Bio: Suzely Adas Saliba Moimaz is an academic researcher from Sao Paulo State University. The author has contributed to research in topics: Pacifier & Population. The author has an hindex of 14, co-authored 19 publications receiving 829 citations.

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: 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.

Longitudinal study of habits leading to malocclusion development in childhood

Abstract: The increased prevalence of malocclusions represents a secular trend attributed to the interaction of genetic and environmental factors. The analysis of factors related to the causes of these changes is essential for planning public health policies aimed at preventing and clinically intercepting malocclusion. This study investigated the sucking habits, nocturnal mouth breathing, as well as the relation of these factors with malocclusion. This is a longitudinal study in which 80 mother-child pairs were monitored from the beginning of pregnancy to the 30th month after childbirth. Home visits for interviews with the mothers were made on the 12th, 18th and 30th months of age. Finger sucking, pacifier sucking, bottle feeding, breastfeeding and nocturnal mouth breathing, were the variables studies. On the 30th month, clinical examinations were performed for overjet, overbite and posterior crossbite. A previously calibrated single examiner (Kappa coefficient = 0.92) was responsible for all examinations. Data were analyzed using the chi-squared or Fisher’s exact tests, at a significance level of 5%. Bottle feeding was the most prevalent habit at 12, 18 and 30 months (87.5%; 90% and 96.25%, respectively). Breastfeeding was 40%, 25% and 12.50% at 12, 18 and 30 months, respectively. Nearly 70% of the children in this study had some sort of malocclusion. Pacifier sucking habit at 12, 18 and 30 months of age was associated with overjet and open bite; and at 30 months, an association with overbite was also observed. Finger sucking habit and breastfeeding at 12, 18 and 30 months were also associated with overjet and open bite. The posterior crossbite was associated with bottle feeding at 12 and 30 months, and nocturnal mouth breathers at 12 and 18 months. Sucking habits, low rates of breastfeeding, and nocturnal mouth breathing were risk factors for malocclusion.

Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition

Abstract: The aim of this study was to analyze the influence of socio-behavioral variables on the prevalence and severity of dental caries in 4- to 6-year-old children. A cross-sectional study was performed on a sample of 1993 children enrolled in 58 public preschools from Aracatuba City, Sao Paulo State, Brazil, during 2010. The exams were made using the decayed, missing, and filled teeth index (World Health Organization methodology) and detection criteria for non-cavitated lesions. A tested, self-administered questionnaire was sent to parents to obtain information about their socio-behavioral characteristics. Standardization was performed to verify concordance among examiners (kappa = 0.84). The prevalence of cavitated caries lesions was 41.2% (821), and the prevalence of both, cavitated and non-cavitated caries lesions, was 43.9% (875). The means ± standard deviations of the decayed, missing, and filled teeth index for children aged 4, 5, and 6 years were 1.18 ± 2.45, 1.65 ± 2.67, and 1.73 ± 2.77, respectively. Caries were significantly more prevalent in children from families with low incomes and low educational levels. The presence of dental caries was associated with access to dental services (p < 0.05). The associations between both, cavitated and non-cavitated dental caries lesions, and the frequency of oral hygiene were statistically significant. The prevalence of dental caries in preschoolers was strongly associated with factors related to the children's parents. Therefore, information about parents' socio-economic status, behaviors, and attitudes in relation to oral health should be considered when planning prevention and educational programs for the oral health of preschool children.

The human volatilome: volatile organic compounds (VOCs) in exhaled breath, skin emanations, urine, feces and saliva

Abstract: Breath analysis is a young field of research with its roots in antiquity. Antoine Lavoisier discovered carbon dioxide in exhaled breath during the period 1777-1783, Wilhelm (Vilem) Petters discovered acetone in breath in 1857 and Johannes Muller reported the first quantitative measurements of acetone in 1898. A recent review reported 1765 volatile compounds appearing in exhaled breath, skin emanations, urine, saliva, human breast milk, blood and feces. For a large number of compounds, real-time analysis of exhaled breath or skin emanations has been performed, e.g., during exertion of effort on a stationary bicycle or during sleep. Volatile compounds in exhaled breath, which record historical exposure, are called the 'exposome'. Changes in biogenic volatile organic compound concentrations can be used to mirror metabolic or (patho)physiological processes in the whole body or blood concentrations of drugs (e.g. propofol) in clinical settings-even during artificial ventilation or during surgery. Also compounds released by bacterial strains like Pseudomonas aeruginosa or Streptococcus pneumonia could be very interesting. Methyl methacrylate (CAS 80-62-6), for example, was observed in the headspace of Streptococcus pneumonia in concentrations up to 1420 ppb. Fecal volatiles have been implicated in differentiating certain infectious bowel diseases such as Clostridium difficile, Campylobacter, Salmonella and Cholera. They have also been used to differentiate other non-infectious conditions such as irritable bowel syndrome and inflammatory bowel disease. In addition, alterations in urine volatiles have been used to detect urinary tract infections, bladder, prostate and other cancers. Peroxidation of lipids and other biomolecules by reactive oxygen species produce volatile compounds like ethane and 1-pentane. Noninvasive detection and therapeutic monitoring of oxidative stress would be highly desirable in autoimmunological, neurological, inflammatory diseases and cancer, but also during surgery and in intensive care units. The investigation of cell cultures opens up new possibilities for elucidation of the biochemical background of volatile compounds. In future studies, combined investigations of a particular compound with regard to human matrices such as breath, urine, saliva and cell culture investigations will lead to novel scientific progress in the field.

Saliva as a diagnostic tool for oral and systemic diseases.

Abstract: Early disease detection is not only vital to reduce disease severity and prevent complications, but also critical to increase success rate of therapy. Saliva has been studied extensively as a potential diagnostic tool over the last decade due to its ease and non-invasive accessibility along with its abundance of biomarkers, such as genetic material and proteins. This review will update the clinician on recent advances in salivary biomarkers to diagnose autoimmune diseases (Sjogren's syndrome, cystic fibrosis), cardiovascular diseases, diabetes, HIV, oral cancer, caries and periodontal diseases. Considering their accuracy, efficacy, ease of use and cost effectiveness, salivary diagnostic tests will be available in dental offices. It is expected that the advent of sensitive and specific salivary diagnostic tools and the establishment of defined guidelines and results following rigorous testing will allow salivary diagnostics to be used as chair-side tests for several oral and systemic diseases in the near future.

Hybrid volatolomics and disease detection

Abstract: This Review presents a concise, but not exhaustive, didactic overview of some of the main concepts and approaches related to "volatolomics"-an emerging frontier for fast, risk-free, and potentially inexpensive diagnostics. It attempts to review the source and characteristics of volatolomics through the so-called volatile organic compounds (VOCs) emanating from cells and their microenvironment. It also reviews the existence of VOCs in several bodily fluids, including the cellular environment, blood, breath, skin, feces, urine, and saliva. Finally, the usefulness of volatolomics for diagnosis from a single bodily fluid, as well as ways to improve these diagnostic aspects by "hybrid" approaches that combine VOC profiles collected from two or more bodily fluids, will be discussed. The perspectives of this approach in developing the field of diagnostics to a new level are highlighted.