MICROCEFALIA E A ODONTOLOGIA BRASILEIRA / MICROCEFALIA AND THE BRAZILIAN DENTISTRY / LA MICROCEFALIA Y ODONTOLOGÍA BRASILEÑA

Objetivos: alertar os cirugiões-dentistas para os problemas bucais das crianças com microcefalia no Brasil. Métodos: estudo reflexivo, realizado em setembro de 2016, tendo como alvo crianças com microcefalia, suas alterações sistêmicas e bucais e a complexidade no atendimento odontológico a partir de dados adquiridos através de referências bibliográficas. Resultados: os últimos estudos apontam que as crianças com microcefalia no Brasil possuem inúmeras alterações bucais englobando desde doenças periodontais a traumatismos dentais, impondo novos desafios para a assistência odontológica. Considerações finais: diante do surgimento de novos casos de crianças com Microcefalia, faz-se necessário chamar a atenção dos cirurgiões-dentistas e demais membros da equipe de saúde sobre os cuidados com essas crianças, quanto aos problemas bucais mais frequentes e quanto a necessidade de um correto manuseio de técnica e condução adequada de cada caso, que inclui não somente a criança, mas também seus familiares.

Objective: to alert professionals to the oral problems of children with microcephaly in Brazil. Method: reflective study, conducted in September 2016, targeting children with microcephaly, their oral changes and complexity in dental care from data acquired through bibliographic references. Results: the latest studies indicate that children with microcephaly in Brazil have numerous oral alterations ranging from periodontal diseases to dental traumatisms, imposing new challenges for dental care. Final considerations: in the face of the emergence of new cases of children with Microcephaly, it is necessary to draw the attention of dentists and other members of the health team about the care with these children, the most frequent oral problems and the need for a correct handling of technique And appropriate handling of each case, which includes not only the child, but also their families.

Objetivo: alertar a los profesionales a los problemas dentales de los niños con microcefalia en Brasil. Método: estudio reflexivo, realizado en septiembre de 2016, dirigida a los niños con microcefalia, los cambios en la boca y la complejidad en la atención dental de los datos adquiridos a través de referencias. Resultados: los últimos estudios muestran que los niños con microcefalia en Brasil tienen varias enmiendas orales que abarcan desde los traumatismos dentales enfermedad periodontal, imponiendo nuevos retos para cuidado dental. Consideraciones finales: antes de la aparición de nuevos casos de niños con microcefalia, es necesario llamar la atención de los dentistas y otros miembros del equipo de salud sobre el cuidado de estos niños, ya que los problemas dentales más frecuentes y, como la necesidad de un manejo técnico correcto y adecuado desarrollo de las actuaciones, que incluye no sólo al niño sino también a sus familias.

Avaliação do processo de investigação e análise de óbitos maternos, fetais e infantis em uma região de saúde de Minas Gerais, Brasil / Assessment of investigation and analysis process of maternal, infant deaths and stillbirths in a health region of Minas Gerais, Brazil

A redução da mortalidade materna, fetal e infantil é uma prioridade internacional e nacional devido ao alto potencial de evitabilidade desses óbitos. A vigilância de óbitos e a implantação dos Comitês de Prevenção de Óbitos se configuram como importantes mecanismos para o alcance deste objetivo. Na Superintendência Regional de Saúde de Belo Horizonte (SRS/BH), que incorpora 39 municípios de Minas Gerais, os indicadores de mortalidade materna, perinatal e infantil ainda podem ser melhorados e a vigilância e os Comitês de Prevenção de Óbitos encontram-se em estágios diversos de estruturação e organização. Objetivo: Avaliar a Vigilância de Óbitos Maternos, Fetais e Infantis e os Comitês de Prevenção de Óbitos nos municípios da SRS/BH em relação à estrutura, aos processos e aos resultados. Métodos: Trata-se de estudo ecológico descritivo. Para avaliar a vigilância e os comitês municipais, foi utilizado um questionário validado, aplicado às referências técnicas municipais nestas ações. Os municípios foram avaliados e classificados quanto à adequação às normas do Ministério da Saúde nas áreas componentes dos domínios Estrutura, Processo e Resultado. A análise descritiva destas variáveis de adequação nas áreas e domínios foi realizada por categorias de porte populacional e tipo de gestão dos municípios estudados. Resultados: Do total de 38 municípios estudados, somente 5,3% foram classificados como adequados em sua estrutura e 8,4% adequados com relação ao processo. Já no domínio Resultado, 27,8% dos municípios estavam adequados. Na avaliação detalhada por área, observou-se que, de modo geral, os municípios de grande porte e de Gestão Plena do Sistema Municipal apresentaram melhores percentuais de adequação. Conclusões: A avaliação realizada permitiu identificar que a vigilância de óbitos e os Comitês de Prevenção de Óbitos Maternos, Fetais e Infantis nos municípios da SRS/BH apresentam-se, de forma...

Reducing stillbirths and mortality in mothers and infants is a national and international priority due to the high potential preventability of these deaths. Mortality surveillance and the implantation of Committees for the Prevention of Mortality are an important mechanism to reach this target. In the State of Minas Gerais, Brazil, the RegionalHealth Superintendence of Belo Horizonte incorporates 39 municipalities in which indicators of maternal, infant, and perinatal mortality can stand to be further improved; surveillance and these Committees are in various stages of structuring and organization. Objective: To evaluate the structure, process, and outcomes of mortality surveillance and the Committees for the Prevention of Stillbirths, Infant and Maternal Mortality in the municipalities of the Regional Health Superintendence of Belo Horizonte. Methods: This is an ecological descriptive study. A validated questionnaire was applied to the municipal technical references to assess surveillance of stillbirths, maternal, and infant mortality and the municipal committees. Municipalities were evaluated and classified according to their appropriation to the standard of the Health Ministry in the component areas of Structure, Process, and Outcome domains. The descriptive analysis of these appropriation variables, in the areas and domains, was performed by population size and management type categories of the municipalities. Results: From the 38 municipalities analyzed, only 5.3% had their Committees’ structures classified as appropriate and 8.4% were appropriate concerning its process. In Result domain, 27.8% of the municipalities were appropriate. In the detailed analysis of the areas, it was observed, in general, large municipalities and those with fullmanagement of the municipal system presented the best percentages of appropriation. Conclusions: This assessment identified mortality surveillance and the...

Las estadísticas de morbilidad y mortalidad en La Habana entre 1870 y 1877: Ambrosio González del Valle y la Junta Superior de Sanidad / Statistics on morbidity and mortality in Havana between 1870 y 1877: Ambrosio González del Valle and the Superior Council of Sanitary services

El presente trabajo forma parte de una serie de estudios que realiza sobre la situación de la Higiene, la Sanidad Pública y la epidemiología los siglos XIX y XX. La importancia de los estudios de morbilidad y mortalidad por enfermedades infecto-contagiosas, y de las epidemias causadas por ellas, reflejan a veces alteraciones profundas en una comunidad. Las afectaciones demográficas provocadas por las epidemias pueden causar perturbaciones importantes en los más diversos aspectos de la vida de una región, de ahí que resulte conveniente realizar estudios detallados del factor epidémico como complementación de los estudios de otro tipo (económico, político o social) que han permitido distinguir etapas diferentes en un determinado proceso histórico. El objetivo del presente trabajo es comparar algunos aspectos de las estadísticas compiladas por Ambrosio González del Valle y Cañizo, con las que aparecen en los registros de la Junta Superior de Sanidad, para el período de 1870 -1877.

The present work is part of a series of studies carried out on the situation of the Hygiene, the Public Sanity and the epidemiology in the XIX and XX centuries. The importance of the morbility and mortality studies for infect-contagious illnesses, and of the epidemics caused by them, which sometimes reflect deep alterations in the community. The demographic affectations caused by the epidemics can cause important interferences in the most diverse aspects in the life of a region, with the result that it is convenient to carry out detailed studies of the epidemic factor as complementation of the studies of another type (economic, political or social) that have allowed to distinguish different stages in a certain historical process. The objective of the present work is to compare some aspects of the statistics compiled by Ambrosio González of the Valley and Hurdle, with those that appear in the registrations of the Superior Meeting of Sanity, for the period of 1870 -1877.

The effects of insurance coverage on the medical care utilization in public health institutions in a rural area / 예방의학회지

This study was to examine the effects of insurance coverage on the utilization of public health institutions and to identify the factors associated with the utilization. The data were obtained from household interview surveys conducted twice in Hwachun Gun, Kangwon Do. The time period covered in the first survey was December 17~31, 1987, before the implementation of regional medical insurance for the self-employed, and that of the second survey was January 28~February 11, 1990, after its implementation. Major findings emerged from the analysis can be summarized as follows. (1) Medical care utilization of rural people markedly increased after they were covered by medical insurance. The insurance coverage increased the utilization of public health institutions as well, and this increase was mainly attributable to the utilization by chronically ill patients. (2) Between 1987 and 1990, the proportion of the utilization of public health institutions over whole medical care utilization decreased. But the proportion increased for chronically ill patients covered by regional medical insurance during the same time span. (3) The results of logistic regression suggested that the rural self-employed utilized public health institutions at an increased rate after they were covered by medical insurance. It was also indicated that the increase resulted from the utilization by chronically ill patients. (4) The relative importance of public health institutions for rural medical care decreased after the implementation of regional medical insurance. But considering that the utilization of public health institutions by chronically ill patients increased after insurance coverage, attention should be directed to improving the capability of public health institutions to control chronic degenerative diseases.