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O estudo teve como objetivo analisar o processo de trabalho das equipes de saúde bucal no Estado de Pernambuco, Brasil, segundo porte populacional, enfocando a articulação junto à comunidade e a organização do atendimento clínico. Foram aplicados questionários estruturados a 121 equipes de saúde bucal de 29 municípios. Para verificar a associação entre as ações realizadas e o porte populacional dos municípios, utilizou-se o teste qui-quadrado. Na integração das equipes com a comunidade, observou-se o maior foco nas escolas (81,2%), entretanto a integração com igrejas (p = 0,000) e creches (p = 0,000) demonstrou associação com os municípios de grande porte. A forma de organização do atendimento clínico evidenciou a atenção aos grupos prioritários (82,3%), sendo ainda bastante presente a marcação por demanda espontânea, principalmente nos municípios de pequeno porte. Assim, é necessário investir em educação permanente para a adequação dos processos de trabalho realizados pelas equipes e a redução das diferenças entre as práticas realizadas nos diversos municípios de Pernambuco.

Objective: To introduce the main theoretical and methodological aspects of the external evaluation of the 1 st cycle National Program for Quality Evaluation (AE-PMAQ/CEO). Material and Methods: This is an evaluative and quantitative research carried out in all Centers for Dental Specialties-CEO of Brazil, and macro-geographical regions were taken into account for analysis. The general AE-PMAQ/CEO coordination was from the Collaborative Centre for Oral Health Surveillance of the

Resumo A implantação do Programa Academia da Saúde é uma das estratégias para a efetivação da Política Nacional de Promoção daEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

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Objectives The majority of available scores to assess mortality risk of coronavirus disease 19 (COVID-19) patients in the emergency department have high risk of bias. Therefore, our aim was to develop and validate a score at hospital admission for predicting in-hospital mortality in COVID-19 patients, and to compare this score with other existing ones. Methods Consecutive patients (≥18 years) with confirmed COVID-19 admitted to the participating hospitals were included. Logistic regression analysis was performed to develop a prediction model for in-hospital mortality, based on the 3978 patients admitted between March-July, 2020. The model was validated in the 1054 patients admitted during August-September, as well as in an external cohort of 474 Spanish patients. Results Median (25th-75th percentile) age of the model-derivation cohort was 60 (48-72) years, and in-hospital mortality was 20.3%. The validation cohorts had similar age distribution and in-hospital mortality. Seven significant variables were included in the risk score: age, blood urea nitrogen, number of comorbidities, C-reactive protein, SpO 2 /FiO 2 ratio, platelet count and heart rate. The model had high discriminatory value (AUROC 0.844, 95% CI 0.829 to 0.859), which was confirmed in the Brazilian (0.859 [95% CI 0.833 to 0.885]) and Spanish (0.894 [95% CI 0.870 to 0.919]) validation cohorts, and displayed better discrimination ability than other existing scores. It is implemented in a freely available online risk calculator (https://abc2sph.com/). Conclusions We designed and validated an easy-to-use rapid scoring system based on characteristics of COVID-19 patients commonly available at hospital presentation, for early stratification for in-hospital mortality risk of patients with COVID-19.

The purpose of this study was to analyze the perception of the users of the Academia da Cidade Program in Recife, Northeastern Brazil, regarding their satisfaction with the provision of services and perception of changes linked to quality of life after joining this program. Therefore, a case study with a qualitative approach was performed. The study subjects were 28 users aged between 28 and 73 years, selected intentionally, using the criterion of saturation and diversity of centers. Data collection was carried out from August to December 2014. The gathering of meanings proposed by Kvale was the method used to analyze the interviews. Lack of materials, time and type of activities were the complaints made by users. The perception of changes associated with quality of life was observed through the perception of improvement in health, the pleasure of physical activity, social interaction and good relationship with the professionals involved in the Academia da Cidade Program-Recife. It was concluded that one of the fundamental aspects of quality of service refers to the satisfaction of its users and the quality of satisfaction that produces effective and positive effect on their quality of life.

Análise da atenção à saúde bucal na Estratégia de Saúde da Família do Distrito Sanitário VI, Recife (PE)Analysis