Anais da II Mostra Estadual de Educação Permanente em Saúde e I Mostra de Pesquisa Científica em Saúde: ciência e educação na saúde: transformando práticas / Proceedings of the 2nd State Exhibition of Permanent Education in Health and 1st Exhibition of Scientific Research in Health: science and education in health transforming practices

Anais da segunda Mostra Estadual de Educação Permanente em Saúde e da primeira Mostra de Pesquisa Científica em Saúde: Ciência e educação na saúde: transformando práticas realizadas em 7 e 8 de dezembro de 2022 em Palmas no Tocantins. Os temas abordados tratam de diferentes aspectos da área de saúde e suas práticas, com foco em melhorias nos processos de assistência, educação e gestão. São mencionados temas como primeiros socorros, humanização do atendimento hospitalar, segurança do paciente, planejamento estratégico, coleta de exames, regulamentação do trabalho na área da saúde, aleitamento materno, vigilância alimentar e nutricional, impactos da Covid-19, saúde mental, assistência odontológica, saúde do trabalhador, uso de tecnologia na capacitação em saúde, entre outros. As propostas e experiências relatadas buscam aprimorar a qualidade da assistência e dos serviços de saúde prestados à população, por meio da capacitação, atualização e aperfeiçoamento de profissionais, implementação de políticas públicas e melhoria dos processos de gestão e atendimento.

Proceedings of the Second State Exhibition on Permanent Education in Health and the First Scientific Research Exhibition in Health: Science and Education in Health: Transforming Practices held on December 7th and 8th, 2022, in Palmas, Tocantins. The topics covered deal with different aspects of the health field and its practices, focusing on improvements in the processes of assistance, education, and management. Topics such as first aid, humanization of hospital care, patient safety, strategic planning, examination collection, regulation of work in the health area, breastfeeding, food and nutritional surveillance, impacts of Covid-19, mental health, dental care, occupational health, use of technology in health training, among others, are mentioned. The proposals and experiences reported aim to improve the quality of assistance and health services provided to the population, through training, updating, and professional development, implementation of public policies, and improvement of management and care processes.

Actas de la Segunda Exhibición Estatal sobre Educación Permanente en Salud y la Primera Exhibición de Investigación Científica en Salud: Ciencia y Educación en Salud: Transformando Prácticas realizadas el 7 y 8 de diciembre de 2022 en Palmas, Tocantins. Los temas tratados abordan diferentes aspectos del campo de la salud y sus prácticas, enfocándose en mejoras en los procesos de asistencia, educación y gestión. Se mencionan temas como primeros auxilios, humanización de la atención hospitalaria, seguridad del paciente, planificación estratégica, recolección de exámenes, regulación del trabajo en el área de la salud, lactancia materna, vigilancia alimentaria y nutricional, impactos del Covid-19, salud mental, atención dental, salud ocupacional, uso de tecnología en la capacitación en salud, entre otros. Las propuestas y experiencias reportadas buscan mejorar la calidad de la asistencia y los servicios de salud proporcionados a la población, a través de la capacitación, actualización y desarrollo profesional, implementación de políticas públicas y mejora de los procesos de gestión y atención.

Predictors of Prosthodontic Treatment-Related Behavior Using the Theory of Planned Behavior Framework.

The Theory of Planned Behavior (TPB) was used to assess subjects' intentions and behavior to predict willingness to undergo prosthodontic care. A questionnaire was administered to 225 adults with history of teeth loss who currently were not under prosthodontic treatment. The questionnaire comprised TPB components (attitude toward behaviour [ATB], subjective norm [SN], and perceived behavioral control [PBC]) containing items with potential influence on the intentions and behavior of individuals toward prosthodontic care. Clinical and socioeconomic data were also assessed. A path regression model was constructed explaining two dependent variables simultaneously: one explained the influence of PBC on intention (R2=0.04) and another explained the influence of dental arch, position of lost teeth, socioeconomic status, and PBC on behavior (R2=0.31). It was concluded that PBC was a relevant TPB component that encompasses perception of costs, opportunity cost, perceived need, and access to dental care. Clinical and socioeconomic factors were also major determinants of behavior toward prosthodontic treatment.

Exploring motivations to seek and undergo prosthodontic care: a cross-sectional study in a Brazilian adult sample.

This study explored the influence of individual and social factors regarding intentions and behaviors related to prosthodontic treatment, using the theory of planned behavior (TPB). A cross-sectional study was designed with a sample of 225 individuals with some degree of tooth loss. A questionnaire was used containing factors that would have potential influence on the intentions and behaviors of individuals, as well as clinical and sociodemographic data. Descriptive statistics, internal consistency analysis, chi-square test for trend, and logistic regression were used for data analysis. The TPB components - attitude toward the behavior (ATB), subjective norm (SN), and perceived behavioral control (PBC) - showed good internal consistency (alpha = 0.60-0.78). Intention and behavior were associated with TPB components and the overall scale. Similarly, positive intentions and behaviors were associated with age, upper tooth loss, anterior tooth loss, and higher social status. Multiple logistic regression showed that intention was associated with PBC (OR =1.57; P<0.016), while behavior was associated with tooth loss in both arches (OR =9.3; P<0.001), anterior tooth loss (OR =5.13; P<0.001), higher social status (OR =3.06; P<0.03), and PBC (OR =1.38; P=0.03). The presence of anterior tooth loss was the most relevant factor for prosthodontic treatment demand and utilization, while socioeconomic status and an individual's perceived ease or difficulty in undergoing treatment played a significant, but secondary, role in behavior toward prosthodontic care.

Exploring motivations to seek and undergo prosthodontic care: an empirical approach using the Theory of Planned Behavior construct.

Motivations for seeking and undergoing prosthodontic care are poorly understood and are not often explored for clinical purposes when determining treatment need and understanding the factors related to the demand for health care and effective use. This article uses the Theory of Planned Behavior construct to identify factors related to the motivations of edentulous subjects to seek and undergo prosthodontic treatment. The conceptual framework of the Theory of Planned Behavior includes attitude toward behavior, an individual's positive or negative evaluation of self-performance of the particular behavior; the subjective norm, an individual's perception of social normative pressures or relevant others' beliefs that he or she should or should not perform such behavior; and perceived behavioral control, or an individual's perceived ease or difficulty in performing the particular behavior, determined by the total set of accessible control beliefs. These components mediate a subject's intention and behavior toward an object and may also explain health-related behaviors, providing strong predictions across a range of health behaviors. This study suggests categories for each component of the Theory of Planned Behavior, based on clinical evidence and practical reasoning. Attitudes toward behavior include perceived consequences of no treatment, perceived potential benefits and risks of treatment, dental anxiety, previous experiences, and interpersonal abilities of the health care providers. The subjective norm includes the opinions of relevant others, advertisement, professionally defined normative need, perceived professional skills, and technical quality of care. Perceived behavioral control includes subject's time, availability and opportunity, treatment costs, subject's perceived need, and accessibility to dental care. This conceptual model represents a theoretical multidimensional model that may help clinicians better understand the patient's treatment behaviors and provide additional information for clinical research on patient's adherence to interventions in prosthodontics.

Bethanecol chloride for treatment of clomipramine-induced orgasmic dysfunction in males.

PURPOSE: To investigate whether bethanecol chloride may be an alternative for the clinical management of clomipramine-induced orgasmic dysfunction, reported to occur in up to 96% of male users. METHODS: In this study, 12 fully remitted panic disorder patients, complaining of severe clomipramine-induced ejaculatory delay, were randomly assigned to either bethanecol chloride tablets (20 mg, as needed) or placebo in a randomized, double-blind, placebo-controlled, two-period crossover study. A visual analog scale was used to assess severity of the orgasmic dysfunction. RESULTS: A clear improvement was observed in the active treatment period. No placebo or carry-over effects were observed. CONCLUSION: These findings suggest that bethanecol chloride given 45 minutes before sexual intercourse may be useful for clomipramine-induced orgasmic dysfunction in males.

Bethanecol chloride for treatment of clomipramine-induced orgasmic dysfunction in males

OBJETIVO: Investigar se o uso do cloridato de betanecol é uma alternativa útil no manejo clínco da disfunção orgásmica induzida pela clomipramina, relatada por até 96 % dos usuários do sexo masculino. MÉTODOS: Foram estudados 12 pacientes do sexo masculino em remissão completa de transtorno de pânico porém com queixas de disfunção orgásmica grave secundária ao uso da clomipramina. Os pacientes foram aleatoriamente distribuídos ao tratamento com cloridrato de betanecol (20 mg quando necessário) ou placebo em um estudo duplo cego "crossover" de dois períodos. RESULTADOS: Foi observado um benefício claro no período de uso da droga ativa. Não foram observados efeito placebo ou "carry-over" nos pacientes inicialmete alocados ao medicamento ativo. CONCLUSÕES: Os resultados deste estudo sugerem que o cloridato de betanecol, usado em doses únicas, 45 minutos antes da relação sexual, pode ser útil em pacientes do sexo masculino apresentado disfunção orgásmica secundária ao uso da clomipramina.