Resumo O Programa Saúde na Escola é uma política intersetorial brasileira, sendo resultado da parceria entre os Ministérios da Saúde e da Educação, com a finalidade de ampliar as ações de saúde aos alunos da rede pública, com vistas à formação integral dos estudantes da Educação Básica. Estudo qualitativo realizado em 2016, com o objetivo de investigar a percepção que os escolares brasileiros possuem em relação às atividades desenvolvidas pelo Programa Saúde na Escola. A coleta de dados foi realizada com escolares de onze a quatorze anos, e, como instrumento de coleta, foi utilizado o relato escrito (redação). A partir da análise dos relatos, foram identificados dois temas: 1. O Programa Saúde na Escola como cuidado, e 2. O Programa Saúde na Escola como benesse? Para alguns, as atividades significam a possibilidade do cuidado na área de saúde, para identificar os problemas e encaminhar as soluções, ter a possibilidade de ter informações e algum aprendizado que poderá ser benéfico na manutenção da saúde. No entanto, para uns, foi uma oferta recebida passivamente. Para outros uma benesse, um favor, para o qual mostram a sua gratidão. Os escolares se mostraram passivos e receptivos sem, no entanto, o protagonismo necessário à produção da própria saúde. A corresponsabilização parece ser uma semente ainda germinando.

This cross-sectional study evaluated the quality of life and associated factors of climacteric women in Brazil using a random and representative sample of women assisted by primary care professionals. We investigated the variables using the Menopause-Specific Quality of Life Questionnaire, MENQOL, whose mean scores were compared using Mann–Whitney and Kruskal–Wallis tests according to the sample characteristics. The variables associated with the outcomes in univariate analyses with a p≤0.2 were jointly evaluated using multiple linear regression. In this study, 849 women ranging in age from 40 to 65 years were evaluated. The predictors of poor quality of life in the vasomotor domain were women with severe climacteric symptoms (p<0.001), increased Body Mass Index (BMI) (p = 0.006), sleep (p = 0.022), and postmenopausal (p<0.001) alterations. For the psychosocial domain, the associated variables were severe climacteric symptoms (p<0.001) and sleep alterations (p<0.001); for the physical domain, the associated variables were severe climacteric symptoms (p<0.001), increased BMI (p<0.001), sleep (p<0.001), and postmenopausal (p<0.001) alterations. Severe climacteric symptoms, low sleep quality, increased BMI, and postmenopausal status were factors that were more associated with impairments in quality of life. With the increase in life expectancy, we suggest that greater attention should be paid to women’s quality of life associated with climacteric symptoms.

This study aims to investigate the prevalence and factors associated with abdominal obesity in climacteric women assisted at Family Health Strategy units of the city of Montes Claros, State of Minas Gerais, Brazil. It is a cross-sectional analytical study. The women were selected by probabilistic sampling from August 2014 to August 2015. A questionnaire containing information referring to sociodemographic and economic characteristics, behavioral characteristics and clinical data was used. To estimate abdominal obesity, the measure of circumference � 88 cm was considered. To analyze the association between abdominal obesity and the independent variables, a bivariate analysis was performed by means of Pearson's chi-square test (p�0.25). Subsequently, a multiple Poisson regression analysis with robust variance was performed, through which prevalence ratios with level of significance of 5% (p<0.05) were obtained. A total of 805 women were evaluated, aged 40 to 65 years, and the prevalence of women with abdominal obesity was 62.4%. The mean and median of abdominal circumference were 93.0 cm. The associated variables were being sedentary (PR = 1.44) or irregularly active (PR = 1.39), presenting altered total cholesterol (PR = 1.21), and being hypertensive (PR = 1.31). The abdominal obesity in climacteric women was associated with physical inactivity, total cholesterol and arterial hypertension. The measurement of abdominal circumference must be valued and adopted in the routine of professionals who work in Primary Care.

Background Health education actions are strategic actions aimed at health promotion. Moreover, better health education practices have been linked to comprehensive care developed by primary health services. Aim To understand the perception of mothers about the health education developed by the Primary Health Care (PHC) services. Design We adopted a qualitative research approach, conducted using semi‐structured interviews, and assuming, as the theoretical reference, the attributes derived from PHC. Pregnant women and mothers of children under 1 year old attended by Brazilian Family Health teams were included. Results Eight pregnant women and twelve mothers of children under 1 year of age participated in the study. These mothers perceive educational actions as necessary only for primiparous mothers. They value the guidance of informal networks and maternity hospitals to the detriment of primary services, and they do not adhere to care that conflicts with their previous knowledge. The evidence shows that the educational actions of the primary health services do not adequately respond to the attributes of community orientation, family focus, and cultural competence. Conclusion It is necessary to modify the educational practices in order to incorporate and value the existing knowledge in the territory, thereby adapting the care guidelines to the local context.

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Este estudo teve por objetivo identificar as políticas públicas de diagnóstico precoce e rastreamento do câncer bucal no Brasil. Trata-se de revisão integrativa da literatura realizada nas bases Scientific Electronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Biblioteca Virtual em Saúde (BVS). Realizou-se cruzamento dos seguintes descritores: a) Sistema Único de Saúde (SUS); b) atenção primária em saúde; c) políticas públicas de saúde; d) programas de rastreamento; e) detecção precoce do câncer; e f) câncer bucal. Foram incluídos estudos nos idiomas português e inglês, publicados no período de 2008 a 2018, disponíveis em texto integral e acesso livre e gratuito. Os 12 artigos selecionados possibilitaram a identificação de 5 estratégias de prevenção para detecção precoce e rastreamento do câncer bucal: a) exame visual; b) levantamento da população de risco; c) autoexame bucal; d) vigilância em saúde; e e) fluxos assistenciais fortes. Constatou-se a necessidade de qualificar os profissionais da saúde para o atendimento, além de aumentar a oferta de serviços odontológicos de qualidade.

This study aimed to evaluate the validity and precision of the International Physical Activity Questionnaire (IPAQ) for climacteric women using computational intelligence techniques. The instrument was applied to 873 women aged between 40 and 65 years. Considering the proposal to regroup the set of data related to the level of physical activity of climacteric women using the IPAQ, we used 2 algorithms: Kohonen and k-means, and, to evaluate the validity of these clusters, 3 indexes were used: Silhouette, PBM and Dunn. The questionnaire was tested for validity (factor analysis) and precision (Cronbach's alpha). The Random Forests technique was used to assess the importance of the variables that make up the IPAQ. To classify these variables, we used 3 algorithms: Suport Vector Machine, Artificial Neural Network and Decision Tree. The results of the tests to evaluate the clusters suggested that what is recommended for IPAQ, when applied to climacteric women, is to categorize the results into two groups. The factor analysis resulted in three factors, with factor 1 being composed of variables 3 to 6; factor 2 for variables 7 and 8; and factor 3 for variables 1 and 2. Regarding the reliability estimate, the results of the standardized Cronbach's alpha test showed values between 0.63 to 0.85, being considered acceptable for the construction of the construct. In the test of importance of the variables that make up the instrument, the results showed that variables 1 and 8 presented a lesser degree of importance and by the analysis of Accuracy, Recall, Precision and area under the ROC curve, there was no variation when the results were analyzed with all IPAQ variables but variables 1 and 8. Through this analysis, we concluded that the IPAQ, short version, has adequate measurement properties for the investigated population.

O Programa Saúde na Escola é uma política intersetorial, resultado do trabalho entre o Ministério da Saúde e o Ministério da Educação, cuja finalidade é ampliar as ações de saúde aos escolares da rede pública. As escolas participantes devem incluir no projeto político pedagógico escolar os temas das atividades em saúde desenvolvidas no Programa, de modo a atender às expectativas dos professores e escolares. Os temas são abordados para facilitar o aprendizado e devem ser adequados às fases do desenvolvimento do escolar. Estudo qualitativo, realizado em 2016, com o objetivo de investigar as percepções dos escolares em relação às atividades desenvolvidas pelo Programa Saúde na Escola em Belo Horizonte, Brasil. A coleta de dados foi realizada utilizado desenho acompanhado de narrativa oral, com participantes na faixa etária de seis a dez anos. Foi possível demonstrar que os escolares puderam receber informações e compreendê-las, a ponto de poder reproduzi-las.