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Vânia Cristina Marcelo

Bio: Vânia Cristina Marcelo is an academic researcher from Universidade Federal de Goiás. The author has contributed to research in topics: Health promotion & Health care. The author has an hindex of 7, co-authored 14 publications receiving 198 citations.

Papers
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Journal ArticleDOI
TL;DR: The perceptions of a group of undergraduate dental students about the dentistry-medical emergency interface were identified and an interface between dentistry and medical emergencies in the dental office was proposed that is comprised of the following intertwined concepts.
Abstract: Dental students have little understanding about medical emergencies, and there is very little in-depth data about the importance they place on this important area that is fundamental to their professional training. This study aimed to identify the perceptions of a group of undergraduate dental students about the dentistry-medical emergency interface. Twenty undergraduate dental students at the Federal University of Goias, Brazil, took part in this study. The data were collected through in-depth interviews with these students and were interpreted using qualitative content analysis. Two themes emerged from this data analysis: dentistry as a comprehensive health science, and students' knowledge, feelings, and attitudes about medical emergencies in the dental office. Based on the students' perceptions, an interface between dentistry and medical emergencies in the dental office was proposed that is comprised of the following intertwined concepts: 1) dentistry is a health science profession that should focus on the whole patient instead of being limited to the oral cavity; 2) medical emergencies do occur in the dental office, but students' minimal knowledge about these incidents and their etiology causes feelings of insecurity, dissatisfaction, and a limited appreciation of the dentists' responsibility; and 3) the inability to perform proper basic life support (BLS) technique in the dental office is the ultimate consequence. Undergraduate health courses need to develop strategies to teach professionals and students appropriate behavior and attitudes when facing life-threatening emergencies.

56 citations

Journal ArticleDOI
TL;DR: In this paper, a review of the 2006 National Health Promotion Policy (PNPS) is described, and the results are systematically ordered with the aid of an analytical matrix organized by objectives, principles, guidelines, themes and actions, resulting in a new PNPSP.
Abstract: Public policy can be understood as the translation of government proposals and the aspirations of society. Driven by the advances and challenges of social transformation, the need for the coordination of agendas and limited social participation in the drafting of the 2006 National Health Promotion Policy (PNPS), the Ministry of Health and the Thematic Group on Health Promotion/Abrasco proposed the PNPS review. This article describes the steps in that process. It involves policy analysis conducted by literature review and document analysis from the "internal triangulation" standpoint. The revision process adopted multiple approaches on data gathering (Regional Workshops and Health Councils, Intra/Intersectorial Delphi and Electronic Questionnaire). It also used heterogeneous sources of information, different local contexts (five regions of Brazil) and peer validation. The results were systematically ordered with the aid of an analytical matrix organized by objectives, principles, guidelines, themes and actions, resulting in a draft of the new PNPS. Lastly, a national seminar was organized in which the results of the process and a synthesis of the revised text were presented, making it possible to identify process gains and the next steps for the actors involved with the new PNPS.

33 citations

Journal ArticleDOI
TL;DR: Oral health care of the elderly was perceived as a burden by caregivers, and did not follow a standard protocol, so the need for education and training in oral health issues is reinforced.
Abstract: doi: 10.1111/j.1741-2358.2010.00366.x Oral health of institutionalised elderly: a qualitative study of health caregivers’ perceptions in Brazil Objective: The aim of this study was to qualitatively explore caregivers’ perceptions of oral health care and factors influencing their work in a public long-term care institution for the elderly in Goiania, Brazil. Method: Data were collected from a sample of 10 caregivers using personal in-depth interviews and observation. Results: Caregivers were mainly nurses’ aides without training in oral health care. Oral health was associated with access to dental treatment, oral hygiene and use of dentures. Edentulousness, use of inappropriate dentures and appetite loss were perceived as negative images. Procedures used for oral hygiene were toothbrushing, mouth cleaning with a gauze and using a mouthwash. Conflicting priorities in routine care, lack of caregivers’ knowledge and the co-operation of the elderly were the main obstacles to satisfactory oral care. Conclusion: Oral health care of the elderly was perceived as a burden by caregivers, and did not follow a standard protocol. Caregivers’ knowledge and perceptions reinforce the need for education and training in oral health issues.

29 citations

Journal ArticleDOI
TL;DR: In this paper, a qualitative study aimed to explore mothers' perceptions of their children's refusal to submit to dental treatment was conducted with 14 mothers of 4-12-yr-old children resistant to dental treatments who were attending two pediatric dentists.
Abstract: Very little is known about mothers' beliefs concerning children's refusal of dental treatment. This qualitative study aimed to explore mothers' perceptions of their children's refusal to submit to dental treatment. Semistructured interviews were conducted with 14 mothers of 4-12-yr-old children resistant to dental treatment who were attending two pediatric dentists. Thematic content analysis was used to interpret the data. From this, three categories were developed and labeled origins of child behavior, caregiver attitudes, and the culture of resistance. The origins of the children's behavior were related to the childs' temperament, behavior disorders, lack of affection, level of development, and refusal to submit to health procedures or other situations. Caregiver's attitudes included discipline, protection, incoherence, partnership in dental treatment, and mother-child feeling. The culture of resistance referred to the parents' or guardians' refusal of dental treatment and the mothers' recognition of this. In conclusion, the wide variety of mothers' accounts reinforced the idea that every child is unique, and it is not possible to standardize child behavior models in a dental setting.

19 citations


Cited by
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Journal ArticleDOI
TL;DR: DFA/DBMP are common, and several psychological factors are associated with the development of these problems, and in order to better understand these relationships, a number of issues concerning design of research and measurement of DFA/ DBMP have to be dealt with.
Abstract: Objectives. The objectives of this article were to examine the literature published from 1982 to 2006 and to evaluate prevalence of dental fear and anxiety (DFA) and dental behaviour management problems (DBMP) in children and adolescents, and their relationships to age, sex, general anxiety, temperament, and general behavioural problems. Methods. A broad search of the PubMed database was performed using three combinations of search terms. Results. A large proportion of the identified articles could not be used for the review owing to inadequate endpoints, measures or poor study design. Thirty-two papers of acceptable quality were identified and reviewed. The prevalence of both DFA and DBMP were estimated to 9%, with a decrease in prevalence with age. DFA/DBMP were more frequent in girls. DFA/DBMP were related to general fear and both internalizing and externalizing behavioural problems, although these relationships were not clear-cut. Temperament was related to both DFA and DBMP but with different temperamental characteristics, while general behavioural problems mainly correlated with DBMP. Conclusions. DFA/DBMP are common, and several psychological factors are associated with the development of these problems. In order to better understand these relationships, a number of issues concerning design of research and measurement of DFA/DBMP have to be dealt with.

510 citations

Journal ArticleDOI
01 Apr 2007
TL;DR: In this paper, the authors highlighted the contribution of both contexts to human development promotion, emphasizing their implications on evolutionary processes, and discussed the issues about family links, configurations, and the importance of the social support network for family development.
Abstract: School and family constitute two developmental contexts essential for the lifespan trajectories. In this article, it is highlighted the contribution of both contexts to human development promotion, emphasizing their implications on evolutionary processes. The issues about family links, configurations, and the importance of the social support network for family development are discussed. The school functions are focused considering their influences on developing persons. Considerations are also made about the necessity of understanding the inter-relations between the school and the family, aiming to promote learning and human development. The integration between these two contexts is a challenge for both the professional practice and the empirical research.

208 citations

Journal ArticleDOI
01 Apr 2007
TL;DR: In this paper, the authors highlighted the contribution of both contexts to human development promotion, emphasizing their implications on evolutionary processes, and discussed the issues about family links, configurations, and the importance of the social support network for family development.
Abstract: School and family constitute two developmental contexts essential for the lifespan trajectories. In this article, it is highlighted the contribution of both contexts to human development promotion, emphasizing their implications on evolutionary processes. The issues about family links, configurations, and the importance of the social support network for family development are discussed. The school functions are focused considering their influences on developing persons. Considerations are also made about the necessity of understanding the inter-relations between the school and the family, aiming to promote learning and human development. The integration between these two contexts is a challenge for both the professional practice and the empirical research.

149 citations

Journal ArticleDOI
TL;DR: Brazilian dentists are not fully prepared to manage medical emergencies and have insufficient experience training in CPR, and the most prevalent medical emergencies are presyncope and orthostatic hypotension.
Abstract: The main objective of this study was to evaluate the prevalence of emergencies in dental practices and the prepared-ness and the training experience in cardiopulmonary resuscitation (CPR) of Brazilian dentists in dealing with emergencies. The volunteer participants in the study were 498 Brazilian dentists who were present at the 27th International Congress of Dentistry in Sao Paulo. The most prevalent emergency was presyncope (reported by 54.20 percent of respondents), followed by orthostatic hypotension (44.37 percent), moderate allergic reactions (16.86 percent), hypertensive crisis (15.06 percent), asthma (15.06 percent), syncope (12.65 percent), angina (6.82 percent), convulsion (6.22 percent), hypoglycemia (5.62 percent), hyperventilation crisis (5.22 percent), choking (2.20 percent), and cerebrovascular accident (0.8 percent). Anaphylaxis, myocardial infarction, and cardiac arrest were the rarest emergencies, reported by only 0.4, 0.2, and 0.2 percent of dentists, respectively. Only 41 percent of the dentists judged themselves capable to diagnose the cause of an emergency during a dental visit. The majority responded that they would be capable of performing initial treatment of presyncope, syncope, orthostatic hypotension, convulsion, and choking. However, most of them felt unable to treat anaphylaxis, myocardial infarction, or cardiac arrest. Further, the majority felt unable to perform CPR or undertake an intravenous injection. It was concluded that the most prevalent medical emergencies in dental practice of Brazilian dentists are presyncope and orthostatic hypotension. The occurrence of life-threatening medical emergencies like anaphylaxis, myocardial infarction, cardiac arrest, and cerebrovascular accident is rare. Brazilian dentists are not fully prepared to manage medical emergencies and have insufficient experience training in CPR.

97 citations

Journal ArticleDOI
TL;DR: A lack of robust evidence is found on barriers and facilitators that care aides perceive in providing oral care to nursing home residents, suggesting a need for robust research studies in this area.

90 citations