Problematic Internet use, emotional problems and quality of life among adolescents / Uso problemático de Internet, problemas emocionais e qualidade de vida entre adolescentes / Uso problemático de Internet, problemas emocionales y calidad de vida entre adolescentes

This study aimed to evaluate the prevalence of Problematic Internet Use (PIU) among adolescents (N = 466) and its possible association with emotional problems and quality of life. Students (Mage = 12.8 years; SD = 1.9) from five public schools in a city in the State of São Paulo participated in this study and completed four instruments: a sociodemographic questionnaire; Internet Addiction Test (IAT); Depression Anxiety Stress Scale (DASS-21) and Pediatric Quality of Life Inventory (PedsQL). No significant differences were detected about the frequency and intensity of symptoms of depression, anxiety, and stress compared to those who did not have problems with the use of the Internet. No differences were observed between the groups in respect of quality of life either. However, those individuals who felt that their internet use impaired their daily activities presented higher average IAT scores and higher levels of stress. These findings indicated that the perception of internet use was the main variable associated with emotional symptoms. (AU)

O objetivo deste trabalho foi avaliar a prevalência de Uso Problemático de Internet (UPI) entre adolescentes (N = 466) e sua possível associação com problemas emocionais e qualidade de vida. Estudantes (Midade = 12,8; DP = 1,9) de cinco escolas públicas de um município do Estado de São Paulo participaram deste estudo e preencheram quatro instrumentos: Questionário sociodemográfico; Internet Addiction Test (IAT); Depression Anxiety Stress Scale (DASS -21) e Pediatric Quality of Life Inventory (PedsQL). Não se encontrou relação significante entre a frequência e intensidade dos sintomas de depressão, ansiedade e estresse em comparação com aqueles que não possuem problemas com o uso da internet. Em relação à qualidade de vida, também não foram observadas diferenças entre os grupos. Entretanto, aqueles que possuíam uma percepção de uso de internet prejudicial a suas atividades cotidianas apresentaram maior pontuação média do instrumento IAT e maiores níveis de estresse. Esses achados indicam que a percepção do uso do uso de internet foi a principal variável associada com sintomas emocionais. (AU)

Este estudio tuvo como objetivo evaluar la prevalencia del Uso Problemático de Internet (UPI) entre adolescentes (N = 466) y su posible asociación con problemas emocionales y calidad de vida. Los estudiantes (Midade = 12,8; DS = 1,9) de cinco escuelas públicas en una ciudad de la provincia de São Paulo participaron en este estudio y completaron cuatro instrumentos: un cuestionario sociodemográfico; Internet Addiction Test (IAT); Depression Anxiety Stress Scale (DASS-21) y Pediatric Quality of Life Inventory (PedsQL). No se detectaron diferencias significativas sobre la frecuencia y la intensidad de los síntomas de depresión, ansiedad y estrés en comparación con aquellos que no tuvieron problemas con el uso de Internet. Tampoco se observaron diferencias entre los grupos con respecto a la calidad de vida. Sin embargo, aquellas personas que sintieron que su uso de Internet perjudicaba sus actividades diarias presentaron escores promedios más altos de IAT y niveles más altos de estrés. Estos hallazgos indicaron que la percepción del uso de Internet fue la principal variable asociada a los síntomas emocionales. (AU)

Como os integrantes profissionais de uma Unidade Básica de Saúde (UBS) conhecem e praticam os conteúdos de Odontologia - análise de um caso / How the agents of a Basic Health Unit (UBS) know and practice the dental content - analysis of a case

A Atenção Primária em Saúde (APS), que é base para o Sistema Único de Saúde (SUS), tem dois componentes fundamentais que são a integralidade e a educação em saúde. Compreender as moléstias crônicas em seu contexto social e familiar é dever dos profissionais que atuam nas equipes de Saúde da Família (eSF). Neste cenário, a incorporação dos profissionais da área de Saúde Bucal (SB) à Estratégia Saúde da Família (ESF) trouxe novas necessidades de conhecimento e prática para os trabalhadores da equipe de Saúde da Família executarem suas tarefas especialmente no atendimento domiciliar. Portanto, há necessidade de criação de materiais educacionais em Teleodontologia que sejam adequados às necessidades de informação e que respeitem o conhecimento prévio dos trabalhadores sobre Saúde Bucal (SB). Assim, é importante saber o que os profissionais da Estratégia Saúde da Família (ESF) conhecem e como aplicam os conceitos da promoção em Saúde Bucal (SB). Esta pesquisa procura saber o quanto cada categoria de profissionais de uma equipe de Saúde da Família (eSF) do Município de Platina, SP, conhecem e praticam Saúde Bucal (SB) e aplicam em suas atividades diárias. Para isso, foi elaborado um questionário aberto de livre adesão e os respondentes emitiam, com total e irrestrita liberdade, as suas observações, avaliações e sugestões relativas às suas experiências pessoais no seu trabalho na eSF a que pertencem. A coleta de dados contemplou uma única equipe, o que permitiu trabalhar com dados confiáveis. A partir das respostas tabuladas, analisadas qualitativamente e com percentuais de frequência, verifica-se que há necessidade dos trabalhadores se instrumentalizarem para as tarefas de ensinar e supervisionar o conjunto dos membros das famílias atendidas, quanto aos procedimentos de prevenção, de manutenção e promoção da saúde bucal, tornando a integralidade e conhecimento com educação em saúde bucal uma consequência efetiva na saúde geral de cada cidadão e da comunidade

The Primary Health Care (APS), the basis of the Unified Health System (SUS), has two main components: completeness and health education. Understanding the chronic diseases in their social and family environment is the duty of the professionals who work in the Family Health Teams (eSF). In this context the incorporation of professionals from the oral health area (SB) into the Family Health Strategy (ESF), brought new needs of knowledge and practice to the agents of the Family Health Teams (eSF) to perform their tasks especially in home care. Therefore, it is necessary to create educational materials on Teledentistry that are appropriate to the information needs, respecting the prior knowledge of the Oral Health agents (SB). Thus, it is important to know what the professionals of the Family Health Strategy (FHS) know and how they apply the concepts of promotion in Oral Health (SB). This research has the objective of knowing how much each category of professionals from the Family Health Team (eSF) in the municipality of Platina, SP, knows and practices Oral Health (SB) and apply it in their daily activities. In this regard, we designed an open free adhesion questionnaire where the responders had full and unrestricted freedom to issue their comments, evaluations and suggestions about their personal experiences in their work with the eSF they belong. Data collection included a single team. This allowed the work with reliable data. From the quantitatively tabulated responses, including the percentage of frequency, it appears that there is a need of the agents to prepare themselves to the task of teaching and supervising all the members of the families as to the procedures of prevention, maintenance and oral health promotion. All this makes the completeness and knowledge about oral health education an effective result in the overall health of every citizen and the community

Prevalence of signs and symptoms of temporomandibular dysfunction in male adolescent athletes and non-athletes.

PURPOSE: The aim of the study was to compare the prevalence of signs and symptoms of temporomandibular dysfunction (TMD) in male adolescent athletes-basketball players and non-athletes and to examine the association between signs and symptoms of TMD in male adolescents in different Tanner stages. METHODS: The subjects were 46 male basketball players ages 10-13 years and 41 male adolescent non-athletes ages 10-18 years selected from the Department of Pediatrics (School of Medicine, Federal University of São Paulo) as a control group. A questionnaire was used to assess the signs and symptoms of TMD. According to the answers on the questionnaire the adolescents were classified in two categories: no signs or symptoms present (score A-absent), at least one sign or symptom present (score P-present). The ones who got score "P" were submitted to a standardized functional examination of the masticatory system by the same examiner. Pubertal status was assessed based on physical examination by physicians from our Division. The adolescents were classified according to Tanner stages into three subgroups: subgroup 1 (before the growth spurt), subgroup 2 (growth spurt period), subgroup 3 (end of growth spurt). Significant differences between athletes and non-athletes were assessed using non-parametric Wilcoxon test for continuous variables and the Fisher's exact test for categorical variables. The level of significance used was 5%. RESULTS: There was no significant difference between the athletes and non-athletes in exhibiting at least one sign or symptom of TMD (p=0.1148). When comparing the adolescents who presented at least one symptom of TMD to the different subgroups of Tanner Stages no statistically significant differences were found (p=0.8357). CONCLUSION: The lack of significant differences among male adolescents athletes and non-athletes may be caused by the size of the sample, the age of the athletes or by a probable protective action of testosterone levels in male athletes. The lack of statistical difference comparing the adolescents who presented at least one sign or symptom of TMD to subgroups of Tanner is probably because estrogen is the risk factor hormone and the levels of estrogen in male adolescents are very low.