This study evaluated the implementation of the School Health Program (PSE in Portuguese) in the city of Belo Horizonte, Minas Gerais State, Brazil, the mechanisms favoring inter-sector action, and municipal administrators' perceptions concerning inter-sector collaboration. A case study was developed with document search and the application of an online questionnaire. The document search analyzed federal and municipal legislation on the PSE published in the Federal Register and Municipal Register and news on the program published in the Municipal Register. A semi-structured online questionnaire was completed by 30 municipal administrators. Content analysis was used on the qualitative data from the document search and questionnaire. The quantitative data were interpreted by descriptive analysis using Stata v. 13. Integrative mechanisms were identified in the federal and municipal provisions and in the unique PSE model adopted by the city. These mechanisms can potentially promote permanent linkage between health and education. However, the study with municipal administrators showed limited use of these mechanisms and the predominance of a sector-based logic in the program. There was evident difficulty in developing inter-sector collaboration in the program's activities. The potentialities of inter-sector action identified in the official documents and described in the institutional news failed to reverberate in either the administrators' practices or the impact on the schools' territories.

Results The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, and lower in those with very high socioeconomic risk (PR = 0.79, ConclusionThe results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.

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.

A doença celíaca (DC) é uma doença autoimune caracterizada por alterações intestinais associadas com a expressão de linfócitos T em indivíduos geneticamente predispostos que fazem a ingestão de glúten. A DC afeta aproximadamente 1% da população mundial. Suas manifestações clínicas clássicas aparecem nos primeiros dois anos de idade, enquanto seu segundo pico ocorre entre os 20 e 30 anos. A fisiopatologia da DC é uma interação entre a genética e o ambiente. Indivíduos com genes mais propensos à intolerância parcial à gliadina presente no glúten são indivíduos que possuem essa predisposição para DC. Assim, quando expostas aos derivados do glúten, as células T sensíveis tornam-se ativas, causando inflamação e atrofia da mucosa do intestino delgado, o que leva à má absorção. A maioria dos pacientes com DC não apresentam sintomas, todavia, os sintomas da DC, quando presentes, podem ser encontrados nos intestinos, em outras partes do corpo ou em ambos. Ademais, podem haver complicações em diferentes gravidades tanto para homens quanto para mulheres. O diagnóstico da DC requer uma associação de fatores. Considera-se que a DC possui três pilares que ajudam a confirmar sua presença: testes sorológicos, histologia duodenal e testes dietéticos. Estes são os maiores responsáveis ​​pelo diagnóstico final da doença. O tratamento mais eficaz para DC é a remoção do glúten da dieta, juntamente com um monitoramento dietético rigoroso e mudanças no estilo de vida.