Qualidade de vida profissional de trabalhadores de saúde que atuam na atenção primária à saúde / Quality of professional life of health workers working in primary health care

Objetivo: conhecer os aspectos que influenciam a qualidade de vida no trabalho de profissionais de saúde que atuam nos serviços de atenção primária à saúde. Métodos: foi conduzido um estudo de revisão integrativa de literatura, a busca foi realizada por meio dos descritores estratégia saúde da família, condições de trabalho e qualidade de vida nas bases de dados secundários Biblioteca Virtual em Saúde, Literatura Latino-Americana e do Caribe em Ciências da Saúde e Scientific Electronic Library Online. Resultados: identificou-se 15 artigos elegíveis para o estudo, que após análise dos critérios de inclusão resultaram em 6 artigos. Os resultados foram apresentados por meio de um quadro descritivo e, em seguida, discutidos à luz da literatura. Conclusão:  o trabalho na atenção básica possui variáveis tais como: rotina de trabalho, falta de reconhecimento, relações interpessoais, infraestrutura, maturidade e autonomia profissional, sobrecarga, satisfação, identificação com o trabalho e o trabalho em equipe que influenciam de forma negativa na qualidade de vida profissional dos trabalhadores.

Evaluation of Intracanal Post Removal Using Ultrasound

The aim of this study was to determine the effect of ultrasonic vibration on the force necessary to remove pre-fabricated and anatomic and cast posts. Two hundred and forty teeth were divided into two groups. In group I, a 0.8-mm metallic pre-fabricated post, UnimetricMaillefer, was utilized; in group II, cast copper-aluminum alloy posts measuring 0.8, 1.0 and 1.2 mm in diameter were used. The root canals were prepared in three different diameters: 0.8, 1.0 and 1.2 mm, with a length of 10 mm. The posts were cemented with glass monomer cement resulting in 20 specimens for each subgroup. Half of the sample was submitted to ultrasonic vibration for 3 min, while the other half did not receive any vibration. The specimens were submitted to traction in a universal testing machine. The results were analyzed by non-parametric Mann-Whitney U, Wilcoxon and Kruskal-Wallis tests. The application of ultrasonic vibration significantly reduced the retention provided by the glass ionomer cement in the fixation of intracanal posts. The ultrasonic action was effective in both pre-fabricated and anatomic and cast posts. The effectiveness of the ultrasonic vibration was not related to the cementation line or the diameter of the post

Evaluation of intracanal post removal using ultrasound

The aim of this study was to determine the effect of ultrasonic vibration on the force necessary to remove pre-fabricated and anatomic and cast posts. Two hundred and forty teeth were divided into two groups. In group I, a 0.8-mm metallic pre-fabricated post, Unimetric-Maillefer, was utilized; in group II, cast copper-aluminum alloy posts measuring 0.8, 1.0 and 1.2 mm in diameter were used. The root canals were prepared in three different diameters: 0.8, 1.0 and 1.2 mm, with a length of 10 mm. The posts were cemented with glass monomer cement resulting in 20 specimens for each subgroup. Half of the sample was submitted to ultrasonic vibration for 3 min, while the other half did not receive any vibration. The specimens were submitted to traction in a universal testing machine. The results were analyzed by non-parametric Mann-Whitney U, Wilcoxon and Kruskal-Wallis tests. The application of ultrasonic vibration significantly reduced the retention provided by the glass ionomer cement in the fixation of intracanal posts. The ultrasonic action was effective in both pre-fabricated and anatomic and cast posts. The effectiveness of the ultrasonic vibration was not related to the cementation line or the diameter of the post

Comparison of methods to evaluate implant-abutment interface

Aim: To compare two main methods of two-dimensional measurement of fit at the implant prosthodontic interface, testing the hypothesis that optical microscopy (OM) can reliably and efficiently scanning electronic microscopy (SEM). Methods: Four frameworks with four titanium abutments joined with titanium bars were used. The implant-abutment interfaces were examined by three different methods, forming 3 groups: analysis by OM (40x), and analysis by SEM at 300x and 500x. Readings were taken at the mesial and distal proximal surfaces on the horizontal and vertical axes of each implant (n=32). One-way ANOVA with a significance level of 5% was used for statistical analysis. Results: Neither the horizontal fit nor vertical fit values of the 3 groups presented statistically significant differences (p=0.410 and p=0.543). Conclusions: OM was found to be an accurate two-dimensional method for abutment-framework or implant-abutment interface measurements, with lower costs than SEM. SEM micrographs at 500x presented technical difficulties for the readings that might produce different results

Comparison of methods to evaluate implant-abutment interface

compare two main methods of two-dimensional measurement of fit at the implant prosthodontic interface, testing the hypothesis that optical microscopy (OM) can reliably and efficiently scanning electronic microscopy (SEM). Methods: Four frameworks with four titanium abutments joined with titanium bars were used. The implant-abutment interfaces were examined by three different methods, forming 3 groups: analysis by OM (40x), and analysis by SEM at 300x and 500x. Readings were taken at the mesial and distal proximal surfaces on the horizontal and vertical axes of each implant (n=32). One-way ANOVA with a significance level of 5% was used for statistical analysis. Results: Neither the horizontal fit nor vertical fit values of the 3 groups presented statistically significant differences (p=0.410 and p=0.543). Conclusions: OM was found to be an accurate two-dimensional method for abutment-framework or implant-abutment interface measurements, with lower costs than SEM. SEM micrographs at 500x presented technical difficulties for the readings that might produce different results

Shear bond strength of dental porcelains to nickel-chromium alloys

The continuous technological advance and increasing availability of new base metal alloys and ceramic systems in the market, coupled to the demands of daily clinical practice, have made the constant evaluation of the bond strength of metal/porcelain combinations necessary. This study evaluated the metal/porcelain shear bond strength of three ceramic systems (Duceram, Williams and Noritake) in combination with three nickel-chromium (Ni-Cr) alloys (Durabond, Verabond and Viron). Thirty cast cylinder specimens (15 mm high; 6 mm in diameter) were obtained for each alloy, in a way that 10 specimens of each alloy were tested with each porcelain. Bond strength was measured with an Emic screw-driven mechanical testing machine by applying parallel shear forces to the specimens until fracture. Shear strength was calculated using the ratio of the force applied to a demarcated area of the opaque layer. Mann-Whitney U test was used for statistical analysis of the alloy/ceramic combinations (p<0.05). Viron/Noritake had the highest shear bond sregnth means (32.93 MPa), while Verabond/Duceram (16.31 MPa) presented the lowest means. Viron/Noritake differed statistically from other combinations (p<0.05). Viron/Duceram had statistically significant higher bond strengths than Verabond/Duceram, Verabond/Williams and Durabond/Noritake (p<0.05). It was also found significant difference (p<0.05) between Verabond/Noritake, Verabond/Duceram and Durabond/Noritake. No statistically significant difference (p>0.05) were observed among the other combinations. In conclusion, the Noritake ceramic system used together with Viron alloy presented the highest resistance to shear forces, while Duceram bonded to Verabond presented the lowest bond strength. Viron/Duceram and Verabond/Noritake provided intermediate results. The combinations between the Williams ceramic system and Ni-Cr alloys had similar shear strengths among each other

Avaliação dos diferentes protocolos de tratamento da Disfunção Temporomandibular miogênica: Revisão de Literatura

Introdução: A síndrome dolorosa miofascial (SDMf) é definida como disfunção neuromuscular caracterizada pela presença de contratura muscular e sintomotologia. Devido ao carácter multifatorial, vários tratamentos, isolados ou concomitantes, são indicados para essa disfunção. Apesar de diversos estudos disponíveis na literatura sobre essas modalidades de terapia, esses são pouco conclusivos. Objetivo: Revisar a literatura apresentando os diferentes tipos de tratamentos empregados para SDMf.  Materiais e Métodos: A estratégia de busca foi realizada na base de dados do Pubmed, Scielo e Cochrane por meio dos seguintes descritores: Temporomandibular Joint Disorders, Myofascial Pain Syndromes, treatment, Randomized Controlled Trial. A avaliação dos estudos foi realizada em duas etapas por revisores independentes. Na primeira etapa, os títulos e resumos foram investigados e aqueles que apresentassem os critérios de elegibilidade eram selecionados. Na segunda etapa, os artigos foram lidos na íntegra e posteriormente incluídos conforme o consenso dos dois revisores baseando-se nos critérios de inclusão e exclusão. Resultados: 100 citações foram identificadas e 43 lidas na íntegra. 8 artigos reuniram os critérios de elegibilidade. Diversos tratamentos foram abordados como orientações ao paciente, tratamento fisioterapêutico, odontológico e terapia medicamentosa. Conclusão: As terapias como as orientações, treinamento com relaxamento muscular, exercícios da mandíbula, manipulação facial, terapia com placa oclusal, toxina botulínica, acupuntura  são eficazes no controle da dor miofascial.

Development of a mobile application to represent food intake in inpatients: dietary data systematization

Abstract Background Nutritional risk situations related to decreased food intake in the hospital environment hinder nutritional care and increase malnutrition in hospitalized patients and are often associated with increased morbidity and mortality. The objective of this study is to develop and test the reliability and data similarity of a mobile application as a virtual instrument to assess the acceptability and quality of hospital diets for inpatients. Methods This intra- and interobserver development and reliability study investigated an in-hospital food intake monitoring application based on a validated instrument for patients with infectious diseases who were treated at the Evandro Chagas National Institute of Infectious Diseases (INI/FIOCRUZ). The instrument was sequentially administered to patients 48 h after admission to INI hospital units using the printed instrument (paper) and the digital application (ARIETI) simultaneously. The tested reliability factor was the consistency of the method in the digital platform, checking whether the application provided equivalent data to the paper instrument, and finally, a statistical analysis plan was performed in the R platform version 4.2.0. This project was authorized by the FIOCRUZ/INI Research Ethics Committee. Results The ARIETI was developed and tested for reliability in 70 participants, showing a similar ability to calculate caloric intake in Kcal, protein intake (g), the proportion of caloric intake and protein intake relative to the prescribed goal. These instrument comparison analyses showed statistical significance (p < 0.001). The application was superior to the paper-based instrument, accelerating the time to perform the nutritional risk diagnosis based on food intake by approximately 250 s (average time). Conclusions The ARIETI application has demonstrated equivalent reliability compared to the original instrument. Moreover, it optimized the time between the diagnosis of nutritional risk related to dietary intake and the nutritionist’s decision making, showing an improved ability to maintain information quality compared to the paper-based instrument

Nutritional status of human T-lymphotropic virus 1 patients: a retrospective study

Submitted by Janaína Nascimento ([email protected]) on 2019-11-07T12:36:42Z No. of bitstreams: 1 ve_Bacelo_Adriana_etal_INI_2019.pdf: 308698 bytes, checksum: 8992ac97d665f1835bddb94631a577d8 (MD5)Approved for entry into archive by Janaína Nascimento ([email protected]) on 2019-11-07T13:49:06Z (GMT) No. of bitstreams: 1 ve_Bacelo_Adriana_etal_INI_2019.pdf: 308698 bytes, checksum: 8992ac97d665f1835bddb94631a577d8 (MD5)Made available in DSpace on 2019-11-07T13:49:07Z (GMT). No. of bitstreams: 1 ve_Bacelo_Adriana_etal_INI_2019.pdf: 308698 bytes, checksum: 8992ac97d665f1835bddb94631a577d8 (MD5) Previous issue date: 2019Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.State University of Rio de Janeiro. Nutrition Institute. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Plataforma de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Background & aims: The nutritional status of people with human T-lymphotropic virus (HTLV-1) infection has been poorly described because it involves a neglected disease. The few studies that have been conducted mostly involve people with neurologic consequences and the possible clinical evolutions of the disease. The aim of this study was to describe the nutritional status of patients with HTLV-1, including those with associated myelopathy/tropical spastic paraparesis, and to evaluate food security in these patients. Methods: A retrospective observational study was conducted in people with HTLV-1 admitted to a referral hospital. We collected data from 17 medical records, including anthropometric data (i.e., body mass index, mid-upper arm circumference, triceps skinfold, and mid-arm muscle circumference), laboratory test results (i.e., haemoglobin, haematocrit, albumin, globulin, iron fixation capacity, and iron), the Subjective Global Assessment (SGA) method, and food security (Brazilian Food Insecurity Scale) data. The data were analysed using the R-project software. To evaluate possible associations between the outcomes and predictors (age at hospitalisation, food security, presence of children <18 years of age living in the household, income, schooling, ANSG, BMI, difference between ideal weight and hospitalisation, TSF, MUAC ICU days, hospitalisation outcome, rehospitalisation in the first year after discharge, interval between readmissions, death, associated conditions, constipation upon admission), we used KruskaleWallis, ManneWhitney, Fisher's exact, chi-square tests with continuity correction, and Spearman's correlation coefficient. Hypothesis tests were considered statistically significant when p ≤ 0.05. Results: The mean age of the patients was 57 (52-60) years. The patients were predominantly women (59%) and had an income lower than the local minimum wage with at least 6 years of schooling (52.3%). Only 18.2% of patients were eutrophic according to their BMI and 23.5% of patients were malnourished based on the SGA method. Patients predominantly had food security (64.7%) and good intestinal functions (64.7%) during their hospital stay. Conclusion: Despite having a limited number of patients in this study, HTLV-1 patients admitted to hospital are at high risk of malnutrition based on the scores from the SGA method