Atenção à saúde bucal de gestantes e crianças de até seis anos na rede pública de saúde de Belo Horizonte - MG

Exportado OPUSMade available in DSpace on 2019-08-13T12:35:48Z (GMT). No. of bitstreams: 1 disserta__o___andreza_viana_lopes_cardoso.pdf: 3511936 bytes, checksum: 728a2021d6ba839cda79ecc7a2b29d8f (MD5) Previous issue date: 28O uso de serviços de saúde bucal não implica na resolução das necessidades apresentadas. A resolutividade do serviço caracteriza-se pelo atendimento do usuário frente a uma demanda em saúde. Este estudo transversal com dados secundários avaliou o uso e a resolutividade dos serviços públicos de saúde bucal ofertados a gestantes e crianças de até seis anos em Belo Horizonte MG. Para as gestantes, avaliou-se a frequência de primeira consulta e tratamento odontológico concluído no ano de 2013. Para as crianças, foi selecionada uma amostra representativa entre as que necessitavam de tratamento odontológico em Unidades Básicas de Saúde aleatoriamente escolhidas. Avaliou-se o uso de serviços no ano de 2014, e a situação do tratamento odontológico: concluído, em andamento, evasão e encaminhamento à atenção secundária por meio de consulta aos registros nos prontuários das crianças. Foram ainda coletados idade, sexo e etnia da criança, classificação socioeconômica de risco da família e Índice de Vulnerabilidade Social. Os dados foram submetidos à análise descritiva. A associação entre uso de serviços por crianças e variáveis socioeconômicas foi testada por meio da estimativa de Razão de Prevalência bruta e ajustada, por análise de regressão de Poisson simples e múltipla. No ano de 2013, havia 16.450 gestantes em acompanhamento pré-natal cadastradas na Estratégia Saúde da Família. Nesse período, foram realizadas 9.143 (55,6%) primeiras consultas odontológicas e 4.793 (52,4%) grávidas tiveram seu tratamento concluído. Das crianças com necessidade (2.314), houve perda de dados de 970 delas, sendo, portanto, avaliados os prontuários de 1.344 crianças. Dessas crianças, 55,7% não usaram o serviço de saúde bucal em 2014. A maioria tinha mais de quatro anos de idade (87%), era do sexo masculino (54,1%), possuía etnia parda (64,9%), residia em famílias com classificação socioeconômica de elevado e muito elevado risco (68,6%) e em áreas de médio e elevado Índice de Vulnerabilidade Social (69,4%). Houve maior prevalência de uso de serviços pelas crianças com necessidade de tratamento em 4 a 8 dentes (RP=1,48; IC95%: 1,23-1,78), e em 9 ou mais dentes (RP=1,80; IC95%: 1,32-2,46) e menor naquelas com muito elevado risco socioeconômico (RP=0,79; IC95%: 0,63-0,99). Das crianças que usaram o serviço, 49,6% tiveram seu tratamento odontológico concluído no período e 35% estão em tratamento. As situações de atendimento em tratamento (47,3%), evasão (9,1%) e encaminhamento (25,5%) foram mais frequentes nas crianças com nove ou mais dentes com necessidade. O uso de serviços odontológicos durante o pré-natal não é uma rotina na rede de atenção à saúde e a resolutividade desses serviços é baixa para esse grupo prioritário. Aproximadamente metade das crianças com necessidade usou o serviço odontológico, sendo maior naquelas com maior necessidade e menor nas com elevado risco socioeconômico. Os serviços de saúde bucal em Belo Horizonte têm dificuldades de atingir as crianças com piores classificações socioeconômicas. Um novo critério de priorização de atendimento odontológico deve ser construído, baseando-se na combinação da classificação do código INTO e do risco socioeconômico da população.Objective: To evaluate the use and resolubility of public oral health services offered to pregnant women and children up to 6 years. Methods: Cross-sectional study among pregnant women and children up to 6 years enrolled in the Family Health Strategy of Belo Horizonte - MG. The indicators of the use and resolubility for pregnant women were first dental appointment and completed dental treatment in 2013. Representative sample of children that presented need of dental treatment has been selected, their records were consulted to assess the use of services and status of dental treatment: completed, in progress, evasion and referral to secondary care. Other variables were also collected age, gender and child ethnicity, socioeconomic classification of the family and Social Vulnerability Index. Association between use of services and socioeconomic variables was assessed by single and multiple Poisson regression. Results: In 2013, there were 16,450 pregnant women in prenatal care; 9,143 (55.6%) held the first dental appointment and 4,793 (52.4%) had completed their treatment. We analyzed 1344 medical records of children up to 6 years and 70.1% had no need for dental treatment. Those in need, 55.7% did not use the service in 2014. There was a higher prevalence of use of services for children in need of treatment for 4-8 teeth (OR = 1.48; 95% CI: 1.23-1.78), and 9 or more teeth (OR = 1.80; 95% CI: 1.32-2.46) and lower in those with very high socioeconomic risk (OR = 0.79; 95% CI: 0.63-0, 99). Of those who used the service, 49.6% completed the treatment and 35% were under treatment. Conclusions: The use of dental services during prenatal care is not a routine health care network and the solving of these services is low for this priority group. Approximately half of the children in need have used dental service, being higher in those with the greatest need and the least with high socioeconomic risk. Oral health services in Belo Horizonte have difficulties to reach children with low socioeconomic conditions. A new dental care prioritization criteria should be built, based on combination of INTO code and populations socioeconomic risk

ATLANTIC BIRD TRAITS: a data set of bird morphological traits from the Atlantic forests of South America

Scientists have long been trying to understand why the Neotropical region holds the highest diversity of birds on Earth. Recently, there has been increased interest in morphological variation between and within species, and in how climate, topography, and anthropogenic pressures may explain and affect phenotypic variation. Because morphological data are not always available for many species at the local or regional scale, we are limited in our understanding of intra- and interspecies spatial morphological variation. Here, we present the ATLANTIC BIRD TRAITS, a data set that includes measurements of up to 44 morphological traits in 67,197 bird records from 2,790 populations distributed throughout the Atlantic forests of South America. This data set comprises information, compiled over two centuries (1820–2018), for 711 bird species, which represent 80% of all known bird diversity in the Atlantic Forest. Among the most commonly reported traits are sex (n = 65,717), age (n = 63,852), body mass (n = 58,768), flight molt presence (n = 44,941), molt presence (n = 44,847), body molt presence (n = 44,606), tail length (n = 43,005), reproductive stage (n = 42,588), bill length (n = 37,409), body length (n = 28,394), right wing length (n = 21,950), tarsus length (n = 20,342), and wing length (n = 18,071). The most frequently recorded species are Chiroxiphia caudata (n = 1,837), Turdus albicollis (n = 1,658), Trichothraupis melanops (n = 1,468), Turdus leucomelas (n = 1,436), and Basileuterus culicivorus (n = 1,384). The species recorded in the greatest number of sampling localities are Basileuterus culicivorus (n = 243), Trichothraupis melanops (n = 242), Chiroxiphia caudata (n = 210), Platyrinchus mystaceus (n = 208), and Turdus rufiventris (n = 191). ATLANTIC BIRD TRAITS (ABT) is the most comprehensive data set on measurements of bird morphological traits found in a biodiversity hotspot; it provides data for basic and applied research at multiple scales, from individual to community, and from the local to the macroecological perspectives. No copyright or proprietary restrictions are associated with the use of this data set. Please cite this data paper when the data are used in publications or teaching and educational activities. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

ATLANTIC BIRD TRAITS

Scientists have long been trying to understand why the Neotropical region holds the highest diversity of birds on Earth. Recently, there has been increased interest in morphological variation between and within species, and in how climate, topography, and anthropogenic pressures may explain and affect phenotypic variation. Because morphological data are not always available for many species at the local or regional scale, we are limited in our understanding of intra- and interspecies spatial morphological variation. Here, we present the ATLANTIC BIRD TRAITS, a data set that includes measurements of up to 44 morphological traits in 67,197 bird records from 2,790 populations distributed throughout the Atlantic forests of South America. This data set comprises information, compiled over two centuries (1820–2018), for 711 bird species, which represent 80% of all known bird diversity in the Atlantic Forest. Among the most commonly reported traits are sex (n = 65,717), age (n = 63,852), body mass (n = 58,768), flight molt presence (n = 44,941), molt presence (n = 44,847), body molt presence (n = 44,606), tail length (n = 43,005), reproductive stage (n = 42,588), bill length (n = 37,409), body length (n = 28,394), right wing length (n = 21,950), tarsus length (n = 20,342), and wing length (n = 18,071). The most frequently recorded species are Chiroxiphia caudata (n = 1,837), Turdus albicollis (n = 1,658), Trichothraupis melanops (n = 1,468), Turdus leucomelas (n = 1,436), and Basileuterus culicivorus (n = 1,384). The species recorded in the greatest number of sampling localities are Basileuterus culicivorus (n = 243), Trichothraupis melanops (n = 242), Chiroxiphia caudata (n = 210), Platyrinchus mystaceus (n = 208), and Turdus rufiventris (n = 191). ATLANTIC BIRD TRAITS (ABT) is the most comprehensive data set on measurements of bird morphological traits found in a biodiversity hotspot; it provides data for basic and applied research at multiple scales, from individual to community, and from the local to the macroecological perspectives. No copyright or proprietary restrictions are associated with the use of this data set. Please cite this data paper when the data are used in publications or teaching and educational activities. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora