The objective of this study was to assess the prevalence, aetiology, place of occurrence and rates of treatment of traumatic dental injuries (TDI) among 12-year-old schoolchildren in Herval D'Oeste, Brazil. A cross-sectional survey was carried out through clinical examination of upper and lower permanent incisors and interviews with 297, 12-year-old schoolchildren enrolled in public and private schools. Intra-examiner diagnosis variability, measured by kappa values on tooth-by-tooth basis was above 0.7. The prevalence of TDI was 17.3% (95% CI 12.7-21.9). Children who had an incisal overjet size >5 mm were 3.5 (95% CI 1.5-8.1) times more likely to have TDI than children who had an incisal overjet of <5 mm (P = 0.005). The most common type of injury found was enamel fracture alone. Of the total of 87 traumatized teeth, only 27.6% were treated. Acid etch restorations were the most common treatment provided. Acid etch restorations were the most common type of treatment needed. The majority of the cases of TDI occurred at home (17.8%) and at school (17.8%). Collisions (24.5%), mainly with doors, and physical leisure activities (20.0%) such as cycling and playing soccer were the main activities related to TDI aetiology. It can be concluded that there is a great treatment need reflecting neglect of TDI treatment. The main causes of TDI were collisions and physical leisure activities.

The prevalence of dental erosion in 12-year-old schoolchildren living in a small city in southern Brazil appears to be lower than that seen in most of epidemiological studies carried out in different parts of the world. Further longitudinal studies should be conducted in Brazil in order to measure the incidence of dental erosion and its impact on children's quality of life.

Traumatic dental injuries appear to affect schoolchildren's OHRQoL.

The objective of this study was to assess the knowledge of dentists working in the city of Tubarão, southern Brazil, about the immediate treatment of traumatic dental injuries. A cross-sectional study was carried out involving all dentists who were working in the city in 2004 (n = 108). Data were collected through self-applied questionnaires with questions about sex, time elapsed since graduation, whether the dentists had attended postgraduate courses and also four questions about traumatic dental injuries in which the dentists selected the best answer. The response rate was 86.1%. For the two questions related to dental avulsion, 36.6% and 16.1% of professionals respectively, chose the correct answer according to the literature. For the question related to coronal fracture, 75.3% chose the correct answer. For the questions related to an incident without dental avulsion or fracture, 73.1% chose the correct answer. Time elapsed since graduation was the only variable statistically associated with the correct answer for the question related to coronal fracture. A significantly greater number of professionals with < or = 10 years of experience chose the correct answer when compared with professionals with >10 years experience (P < 0.001). It can be concluded that the great majority of professionals would not intervene according to the literature in the cases of avulsion. Less time elapsed since graduation was statistically associated with the correct answer in the coronal fracture case.

Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

The multidisciplinary nature of the follow-up evaluations of traumatic dental injuries (TDI) requires that both the lay public and practitioners possess knowledge of the treatment strategies involved. The aim of this paper was to assess the level of knowledge of elementary public schoolteachers, parents and dentists of the city of Joaçaba, Southern Brazil, about the emergency management of TDI. Three independent cross sectional studies were carried out involving samples of elementary public schoolteachers (n = 245), parents (n = 107) and dentists (n = 85) in the city in 2001. Data were collected through structured interviews for schoolteachers and dentists, and questionnaires for parents, containing questions about socio-demographic characteristics and about incidents resulting in TDI. The responses in the three studies showed a wide variability of indicated procedures for the situations of TDI proposed. The results of association studies showed that older schoolteachers (P = 0.003), older dentists (P = 0.013) and dentists who had graduated more recently (P = 0.032) chose significantly more correct answers in some TDI incidents. The answers of schoolteachers, parents and dentists showed a wide variability of indicated procedures for the situations proposed. The great majority of them would not follow the approaches most recommended in the literature. A greater importance should be placed on TDI through educational campaigns aiming schoolteachers and parents and also through undergraduation and postgraduation dental curricula in order of improving its management.

Pesquisa avaliativa sobre a gestão municipal do Programa Nacional de Alimentação Escolar (PNAE) nos dez maiores municípios de Santa Catarina, Brasil. A matriz de indicadores contempla duas dimensões: político-organizacional (DPO), com as subdimensões recursos, atuação intersetorial e controle social; e técnico-operacional (DTO), com as subdimensões eficácia alimentar e nutricional, monitoramento alimentar e nutricional, e atuação pedagógica para a alimentação saudável. Foram elencados 22 indicadores e os dados foram coletados por meio de entrevistas com nutricionistas do PNAE. A DPO resultou em 60% dos casos regulares e 40% ruins, e a DTO obteve 90% dos casos ruins, consequência do baixo desempenho no monitoramento e na atuação pedagógica. Embora os casos avaliados tenham resultados pouco satisfatórios, a avaliação oferece dados importantes sobre a gestão do PNAE. Ressalta-se a importância de avaliações com esse caráter como possibilidade de alertar os gestores para a revisão e qualificação das ações.

the proposed classification grouped similar municipalities regarding influential factors in health management, which allowed the identification of comparable groups of municipalities, setting up a consistent alternative to performance evaluation studies.