Anneli Mercedes Celis de Cárdenas

Objetivo: Compreender as experiências e perspectivas de familiares sobre o tratamento do pé torto congênito pelo método Ponseti, no contexto da implantação de uma clínica pública de referência no estado do Amapá. Métodos: Estudo qualitativo realizado com familiares de crianças em acompanhamento em uma clínica de referência para tratamento do pé torto congênito. As entrevistas semiestruturadas foram realizadas entre maio e setembro de 2024, gravadas, transcritas e submetidas à análise lexical com apoio do software IRaMuTeQ e à análise temática. Resultados: Participaram do estudo 13 familiares de crianças em tratamento. Os seus relatos descreveram sentimentos relacionados ao diagnóstico, desafios geográficos e socioeconômicos para acesso ao cuidado, experiências durante o tratamento, manifestações de fé e gratidão, perspectivas quanto ao futuro das crianças acompanhadas e o impacto positivo gerado pela presença de uma clínica de referência gratuita no estado. Conclusão: As experiências dos familiares evidenciaram que a implantação da clínica de referência foi percebida como facilitadora do acesso ao cuidado especializado e esteve associada à maior confiança, esperança e adesão ao tratamento pelas famílias entrevistadas.

RESUMO Objetivos: descrever as atividades e repercussões do curso de formação “Objetivos de Desenvolvimento Sustentável com foco na Vigilância de Doenças e Agravos não Transmissíveis na Amazônia Legal”. Métodos: estudo observacional e descritivo. Participaram 36 profissionais de saúde de 14 municípios do estado do Amapá, AP, Brasil. Foram aplicados pré e pós-testes e observações (não participante). Resultados: foram desenvolvidas, durante o curso, atividades de acolhimento e práticas educativas e teóricas voltadas para o aprimoramento profissional dos participantes. Observou-se, tanto pelas respostas aos testes quanto pelas observações das atividades, uma maior dificuldade dos profissionais na busca por evidências. O nível de conhecimento geral dos cursistas antes da formação presencial foi de 77,31%, e passou para 80,56% após a formação. Considerações Finais: com o curso, o nível de conhecimento geral dos cursistas passou de regular para bom.

Objectives: to describe the activities and repercussions of training course “Sustainable Development Goals with a focus on Surveillance of Noncommunicable Diseases and Injuries in the Legal Amazon”. Methods: an observational and descriptive study. Thirty-six healthcare professionals from 14 municipalities in the state of Amapá, AP, Brazil participated. Preand post-tests and observations (non-participant) were applied. Results: during the course, welcoming activities and educational and theoretical practices were developed to improve participants’ professional development. It was observed, both through responses to tests and through observations of activities, that professionals had greater difficulty in searching for evidence. Participants’level of general knowledge before in-person training was 77.31%, and increased to 80.56% after training. Final Considerations: with the course, participants’ level of general knowledge increased from regular to good.

Because of the importance of aesthetics today, dental implants have become a good solution for rehabilitation in cases of tooth loss. With the advent of osseointegration, case unit edentulous, partially or totally now be resolved in a period of three to six months, dependent on the jaw or mandibular location. However, the need to promote faster results allowed the proposal for immediate application load on implants were considered. Thus, several studies have shown that a single surgical stage in implantology could be as acceptable and predictable as two, resulting in the possibility of placing a prosthesis on implants that have just been set. In this case, they receive masticatory load after surgical and prosthetic stages, which are conducted at the same moment, without a waiting period for osseointegration process. From this perspective, this paper aims to make a literature review on the performance of immediate loading on implants in the aesthetic area, highlighting its benefits and indications. From the qualitative literature review, based on a review of books, scientific articles published, and specialized magazines, it was concluded that the use of immediate loading is becoming a viable therapeutic option, atraumatic, safe, providing an immediate rehabilitation of function and aesthetics in addition to getting greater acceptance and satisfaction of the patient. However, proper planning is critical, careful execution and adoption of a technique with scientific basis, for the use of this technique is only justified when well indicated and with careful analysis, respecting all clinical determinants and not excluding the conventional technique. Devido à importância da estética nos dias atuais, os implantes dentários tornaram-se uma boa solução para reabilitação em casos de perdas dentárias. Com o advento da osseointegração, casos de edêntulos unitários, parciais ou totais passaram a ser resolvidos em um período de três a seis meses, dependentes da localização maxilar ou mandibular. Mas a necessidade de promover resultados mais rápidos permitiu que a proposta de aplicação imediata de carga sobre implantes fosse considerada. Assim, inúmeros estudos demonstraram que um único estágio cirúrgico em Implantodontia poderia ser tão aceitável e previsível quanto dois, surgindo a possibilidade da colocação de uma prótese sobre implantes que acabaram de ser fixados. Nesse caso, eles recebem carga mastigatória logo após os estágios cirúrgicos e protéticos, que são realizados em um mesmo momento, não havendo um período de espera para o processo de osseointegração. Nessa ótica, o presente trabalho tem o objetivo de fazer uma revisão de literatura sobre a realização de carga imediata sobre implantes em área estética, ressaltando seus benefícios e indicações. A partir da pesquisa bibliográfica qualitativa, baseada na revisão de livros, artigos científicos publicados, e revistas especializadas, concluiu-se que o emprego da carga imediata vem se tornando uma opção terapêutica viável, atraumática, segura, proporcionando uma reabilitação imediata da função e estética, além de obter maior aceitabilidade e satisfação por parte do paciente. Porém, é fundamental o planejamento adequado, execução cuidadosa e adoção de uma técnica com embasamento científico, pois o uso dessa técnica só se justifica quando bem indicada e com análise criteriosa, respeitando todos os determinantes clínicos e sem excluir a técnica convencional.

When we think of quality of life, we rarely associate this concept with oral health. However, valuing a preventive conduct with regard to this aspect can have consequences ranging from maintaining the individual's well-being to even improving their self-esteem and social relationships. Thinking about it, we separate some of the main factors that show the close relationship between quality of life and oral health. Check it out below and find out how fundamental mouth care can be! Prevention of diseases Periodic visits to the dentist and proper oral hygiene on a daily basis are extremely important factors. In addition to aesthetic factors, it is worth mentioning that several diseases can manifest in the mouth or even be aggravated by poor oral health. One of these diseases is diabetes mellitus, which can bring great discomfort to patients who have gingivitis or periodontitis. According to studies, it may occur due to the difficulty that individuals with diabetes have in fighting bacterial infections. Good hygiene, as well as periodic visits to the dentist, can also prevent gingivitis and periodontitis, which cause great discomfort. Therefore, it is worth investing in this care that should be daily! Improvement of social relationships Oral health can have extremely relevant consequences for an individual's social relationships. A poorly cleaned mouth, with missing teeth or some type of aesthetic alteration can cause a bad external impression to an individual who does not have this type of concern. In this way, the lack of cleanliness and care for the health of the mouth can have impacts from social work relationships, even in love relationships, which are situations where the aesthetic aspect of the individual is relevant. Improved self-esteem A well-groomed mouth can make all the difference in maintaining good self-esteem. It composes an important aesthetic function in the face, which means that its due integrity is of enormous importance, both in the individual's appearance and in his self-acceptance. The loss of teeth, for example, can have serious consequences for people's self-esteem, at any age. A smile is part of the expression of several positive emotions, and drastic changes such as the loss of teeth can significantly undermine the impetus to express them. Consequently, there will be a progressive loss in the self-esteem of the person with this type of problem. Another change caused by lack of care for oral health can be bad breath, which is a condition that can be caused by poor oral hygiene or even the lack of it. From bacterial decomposition in the mouth, extremely unpleasant odors are released, which can be a source of embarrassment for people who have this type of problem. Oral health in childhood Even in the period of milk teeth, it is very important that there is special care for oral health in childhood. Frequent cleaning prevents the proliferation of bacteria that cause cavities, which can cause more serious problems after the birth of permanent teeth. It is also worth noting that, in some cases, orthodontic correction of teeth can be performed more quickly in childhood. This occurs because the skull has not yet fully grown and the consequent calcification of the bones, which allows for greater mechanical movement of the teeth in cases where there is a need for correction. Oral health in old age Care for the health of the mouth can be extremely important in old age. At this stage, it is common for there to be a natural weakening of different parts of the body, which also includes the teeth. Thus, negligence towards oral health can have consequences for the self-esteem of the elderly. It is also common for the elderly to have diseases such as diabetes, which requires more intense care in the prevention of gingivitis and periodontitis. From proper attention to oral health, it is possible to considerably increase the quality of life of the elderly. When we think of quality of life, we rarely associate this concept with oral health. However, valuing a preventive conduct with regard to this aspect can have consequences ranging from maintaining the individual's well-being to even improving their self-esteem and social relationships. Thinking about it, we separate some of the main factors that show the close relationship between quality of life and oral health. Check it out below and find out how fundamental mouth care can be! Prevention of diseases Periodic visits to the dentist and proper oral hygiene on a daily basis are extremely important factors. In addition to aesthetic factors, it is worth mentioning that several diseases can manifest in the mouth or even be aggravated by poor oral health. One of these diseases is diabetes mellitus, which can bring great discomfort to patients who have gingivitis or periodontitis. According to studies, it may occur due to the difficulty that individuals with diabetes have in fighting bacterial infections. Good hygiene, as well as periodic visits to the dentist, can also prevent gingivitis and periodontitis, which cause great discomfort. Therefore, it is worth investing in this care that should be daily! Improvement of social relationships Oral health can have extremely relevant consequences for an individual's social relationships. A poorly cleaned mouth, with missing teeth or some type of aesthetic alteration can cause a bad external impression to an individual who does not have this type of concern. In this way, the lack of cleanliness and care for the health of the mouth can have impacts from social work relationships, even in love relationships, which are situations where the aesthetic aspect of the individual is relevant. Improved self-esteem A well-groomed mouth can make all the difference in maintaining good self-esteem. It composes an important aesthetic function in the face, which means that its due integrity is of enormous importance, both in the individual's appearance and in his self-acceptance. The loss of teeth, for...

This article aims to carry out a review of the current medical literature on the relationship between quality of life and satisfaction in users of mucous-supported complete dentures and implant-supported complete dentures. Google Scholar, Scopus and Web of Science indexes were used as search engines for the selection of articles, using the keywords “Quality of life, Satisfaction, Mucus-supported complete denture, Implant-supported complete denture”. It is concluded that users of implant-supported complete dentures have better quality of life and satisfaction with their prostheses, when compared to users of mucous-supported complete dentures. Este artigo tem por objetivo realizar uma varredura da literatura médica vigente sobre a relação entre qualidade de vida e satisfação em usuários de prótese total mucossuportada e prótese total implantossuportada. Foram utilizados como motores de busca os indexadores Google Scholar, Scopus e Web of Science para seleção dos artigos, através dos unitermos “Qualidade de vida, Satisfação, Prótese total mucossuportada, Prótese total implantossuportada’’. Conclui-se que usuários de prótese total implantossuportada possuem melhor qualidade de vida e satisfação com suas próteses, quando comparados a usuários de prótese total mucossuportada.

The deviation from perfect bilateral symmetry is defined as fluctuating asymmetry (FA) and is a common phenomenon among living organisms. This deviation from perfection is thought to reflect the environmental pressures experienced during development and, therefore, the FA represents an epigenetic measure of the environmental stress, which affects all living beings from conception, progressively affecting all aspects of life. Rinaldi and Fontani hypothesized that the FA morpho-functional changes are originated by an adaptive motor behavior determined by functional alterations in the cerebellum and neural circuits, not caused by a lesion, but induced by the experienced environmental stress. They identified in the asymmetric activation of symmetrical muscle groups, detectable even in healthy subjects, the expression of the dysfunctional adaptation state of the subject and named this clinical semeiotic phenomenon functional dysmetria (FD). On these premises, they developed the radio electric asymmetric conveyer (REAC) technology, a neuromodulation technology aimed at optimizing the best neuro-psycho-motor strategies in relation to environmental interaction. Neuro postural optimization (NPO) is a neurobiological stimulation treatment administered with the REAC technology and it has been specifically studied to treat the state of dysfunctional adaptation that is revealed through the presence of FD. The purpose of this study was to verify whether a single administration of the REAC NPO treatment can trigger the improvement of the capacity of stress management and the quality of life in a population of children housed in a group home in Macapá, Brazil. The sample of this study consisted of nine children (six boys and three girls) in the age group of 6-11 years, which represented the totality of the children present in the structure. The children was investigated for the assessment of the presence of functional dysmetria and with the Pediatric Quality of Life Inventory TM 4.0 (PedsQL) before and one week after the administration of the REAC NPO. The stable disappearance of FD was found in all children at follow-up. In addition, improvements were found in stress management and quality of life, in the physical, emotional, social, and scholastic aspects evaluated with PedsQL. It was seen that the REAC NPO neurobiological modulation treatment induced the stable disappearance of FD and triggered the initial improvement of neurophysical aspects also in a population of children housed in a group home in the Amazon region of Macapá, Brazil.

Objetivo: avaliar proporção de evidências de neuropatia e doença arterial periférica e identificar sua relação com variáveis sociodemográficas, hábitos de vida e clínicas com a classificação de risco relacionado aos pés de pessoas com Diabetes Mellitus. Métodos: Estudo transversal, descritivo, quantitativo. Amostra por conveniência com 60 pessoas em três Unidades Básicas de Saúde. Utilizaram-se formulário sociodemográfico, ficha clínica para avaliação e rastreamento de dor neuropática, perda de sensibilidade protetora e doença arterial periférica na atenção básica e questionário para evidências de neuropatia diabética. No estudo de relação, aplicou-se teste de Pearson. Resultados: Predomínio do sexo feminino, média de idade 58,1 (±12,6) anos, tempo de diagnóstico 12 anos (±9,6) e glicemia casual 211,3mg/dL (±91,7). Cinco participantes apresentaram evidências para neuropatia e nenhum para doença arterial periférica. Houve correlação significativa entre classificação de risco, escores para comprometimento neuropático (p<0,05) e monofilamento (p<0,002). Conclusão: Evidenciou-se proporção baixa de neuropatia e doença arterial periférica. Escore de comprometimento neuropático e sensibilidade ao monofilamento apresentaram-se associados com a classificação de risco. Essas relações representam necessidade de intervenção pela prática de rastreamento às complicações, podendo contribuir para prevenção de pé diabético com desfecho de amputação.ABSTRACTObjective: To evaluate the proportion of evidence of neuropathy and peripheral arterial disease, and to identify its relationship with sociodemographic variables, lifestyle and clinical factors with the classification of risk related to the foot of people with Diabetes Mellitus. Methods: Cross-sectional, descriptive, quantitative study. Sample for convenience 60 people in three Basic Health Units. It was used a sociodemographic form, clinical form for the assessment and screening of neuropathic pain, loss of protective sensitivity and peripheral arterial disease in primary care, a questionnaire for evidence of diabetic neuropathy. Pearson’s test was applied in the relationship study. Results: Female predominance, mean age 58.1 (± 12.6) years, diagnosis time 12 years (± 9.6) and casual blood glucose 211.3mg / dl (± 91.7). Five participants presented evidence for neuropathy and none presented evidence for peripheral arterial disease. Significant correlation between risk classification, scores for neuropathic impairment (p <0.05) and monofilament (p <0.002). Conclusion: There was a low proportion of neuropathy and peripheral arterial disease, neuropathic impairment score and sensitivity to monofilament, were associated with risk classification. These relationships represent the need for intervention through the practice of screening for complications, which may contribute to the prevention of diabetic foot with amputation.RESUMENObjetivo: Evaluar la proporción de evidencia de neuropatía y enfermedad arterial periférica y identificar su relación con las variables sociodemográficas, estilo de vida y clínicas con la clasificación de riesgo relacionado con el pie de personas con Diabetes Mellitus. Métodos: Estudio transversal, descriptivo, cuantitativo. Muestra por conveniencia con 60 personas en tres Unidades Básicas de Salud. Se utilizó formulario sociodemográfico, ficha clínica de evaluación y seguimiento de dolor neuropática, pérdida de sensibilidad protectora y enfermedad arterial periférica en atención primaria y el cuestionario de evidencia de neuropatía diabética. En el estudio de la relación lineal entre variables se aplicó se aplicó la prueba de Pearson. Resultados: Predominio del sexo femenino, edad media 58,1 (± 12,6) años, tiempo de diagnóstico 12 años (± 9,6) y glucemia casual 211,3 mg / dl (± 91,7). Cinco participantes presentaron evidencia de neuropatía y ninguno presentó evidencia de enfermedad arterial periférica. Correlación significativa entre clasificación de riesgo, puntuaciones de deterioro neuropático (p <0,05) y monofilamento (p <0,002). Conclusión: Hubo una baja proporción de neuropatía y enfermedad arterial periférica. La puntuación de deterioro neuropático y la sensibilidad al monofilamento se asociaron con la clasificación de riesgo. Estas relaciones representan la necesidad de intervención a través de la práctica de seguimiento de las complicaciones, que pueden contribuir a la prevención del pie diabético con resultado de amputación.

Einleitung: Der Amazonas war schon immer Gegenstand zahlreicher Studien, die sich auf seine Umwelt, Gesellschaft und Gesundheit konzentrierten. Forschungsfrage: Welche Umweltfaktoren tragen zur Entstehung von Krankheiten im Amazonasgebiet bei? Ziel: Behandlung der wichtigsten Umweltfaktoren, die zur Entstehung von Krankheiten im Amazonasgebiet beitragen. Methode: Dies ist eine Übersicht über die Literatur in den Datenbanken Scientific Electronic Library Online (SciELO), US National Library of Medicine National Institutes of Health (PubMeD), Virtual Health Library (VHL) und National Institute of Space Research (INPE). Insgesamt wurden bei der Erstellung der Studie 18 Artikel verwendet, die alle die ein- und ausschlusskriterien durchliefen, die festgelegt wurden, um nur Zeitschriften mit thematischen Ansätzen zu filtern. Ergebnisse: Aus epidemiologischer Sicht weist der amazonische Raum, der durch die Interaktion des sozio ökologischen Systems gebildet wird, andere Merkmale auf als andere Teile des Landes. Dieser Unterschied wird durch die natürliche ökologische Grundlage und ihre Formen der Besetzung und Entwicklung verursacht. Schlussfolgerung: Die wichtigsten Umweltfaktoren, die zur Entstehung von Krankheiten im Amazonasgebiet beitragen, sind Entwaldung, Verbrennung, Flussverschmutzung, Urbanisierungsprozess und Agrarindustrie.

Введение: Амазонка всегда была объектом многочисленных исследований, посвященных окружающей среде, обществу и здоровью. Наводящий вопрос: какие факторы окружающей среды способствуют возникновению болезней в регионе Амазонки? Цель: подход основные факторы окружающей среды, способствующие возникновению болезней в регионе Амазонки Метод: это обзор литературы в базах данных Scientific Electronic Library Online (SciELO), US National Library of Medicine National Institutes of Health (PubMeD), Виртуальная библиотека здоровья (VHL) В и Национальный институт космических исследований (INPE) общей сложности при построении исследования было использовано 18 статей, каждая из которых прошла через критерии включения и исключения, установленные для фильтрации только журналов с подходами к теме. Результаты. С эпидемиологической точки зрения, пространство Амазонки, образованное взаимодействием социально-экологической системы, отличается от других частей страны характеристиками. Это различие вызвано естественной экологической основой и формами проживания и развития. Вывод: основными экологическими факторами, способствующими возникновению болезней в регионе Амазонки, являются вырубка лесов, пожары, загрязнение рек, процесс урбанизации и агробизнес.