163) National Association of Dental Technicians of Angola (ANTEA)

The National Association of Dental Technicians of Angola (ANTEA) will hold the 1st National Congress on "Dental Medicine in the country" during the days 20 and 21 July this year. The event is in line with the continuous training of technicians, dental, in collaboration with the Order of Doctors Dentists Portugal.

The information was made recently in Luanda, the vice president of Antea, Avelino Cachilandala at the end of the lecture on "the importance of oral health buco and the prevention of diseases of the mouth" at the seminar of "Training of trainers of community agents "that runs on the premises of the Pediatric Hospital of Luanda. When Congress participate physicians, specialists in dentistry, nurses, technicians, diagnostics, and businesses, the distribution of medicines.

According Avelino Cachilandala the dental situation in the country because it is controlled in all provinces Antea has the technical and in collaboration with the Ministry of Health have developed training and actions of the campaign on dental health. The specialist said that oral hygiene is the implementation of a series of activities, using different elements to remove the waste of food, among other plaque from tooth surfaces, gums, tongue and mucous. For good dental health, Avelino Cachilandala recommended a good diet with fruits like banana, papaya, apple, other foods such as cereals, meat, fish, plants, vegetables, bread, cheese, milk and yogurt, which are rich in calcium, vitamin A and help care for and strengthen the teeth.

As for individual brush, the specialist advises the public to be replaced every three months and replace if it is used very much. "After using the brush, wash it with water and shake itself to be saved. You should avoid eating fresh for many citizens are not getting cavities or gengivites, "wrapped up.

A cavity, according Cachilandala Avelino, and is an infectious disease. It happens when there is the association between plaque cariogenic (a kind of film composed of bacteria live and food waste that would be deposited on and between teeth), inadequate diet and poor hygiene.

"When the sugar comes into contact with the plaque, made up acids that are responsible for removal of minerals from tooth", he stressed.

Jornal de Angola

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Let's see if the OMD is also due to efforts to look into and solve the serious problems of oral health that affect much of the population of Portugal.

Gerofil

162) Portugal in the last

The nearly six thousand dentists (5056 members are enrolled in Portuguese Dental Association) in Portugal would be enough for everyone to the Portuguese received the necessary care in dentistry. However, it is not what happens. And Portugal presents itself as the last of the European Union countries on health care at this level, about the second paragraphs of the order, 40 percent of the population does not receive the care they need.

And given this reality we can only lament the specialists Portuguese. And try to explain. The clarification - they say - based on the lack of dentists in the National Health Service and the weak economic resources of most Portuguese. Also the lack of information is often behind the mouths of the Portuguese badly treated, reminded the President of the Portuguese Dental Association (ODM) and - strengthened - "the lack of mechanisms facilitating access to Dental Medicine." And in this field, which includes elderly, the disabled or inherited diseases and infection of the forum, in need of care (even more) special.

For all this and more, particularly because "there is no health in general without oral health" is necessary that this specialty is introduced in the National Health.

When we refer to prices more or less stable throughout the country and from office to office - the order ensures that there are no tables or conciliation of prices, up by prohibition of the Competition Authority - as inhibitors of access services to a large part of Portuguese, Orlando Monteiro, Chairman, and Paulo Melo, medical and dental professor at the School of Dental Medicine of the University, are unanimous. "The prices only reflect the high costs imposed by the specificities of the consultation." And the chairman of the MDGs pointed out that the consultations this specialty are paid in full by the user, to give a real sense of values. On the contrary - argued - "the other specialties are offered by the state, paid by taxpayers through the tax, then, the burden is so diluted and mitigate."

Also the expert Paulo Melo acknowledged that "people of lower economic resources will not be able to go to a private consultation", but sent the justification for the failure of prices in this specialty in that direction was given by Orlando Monteiro: the costs involved in a Consultation of dentistry are high and that could easily fall. "The solution lies in an open access to consultation within the NHS to the poorest people," reinforced the specialist, whose numbers that made for those who can not be seen by a doctor dentist is close to 60 percent.

The lack of expertise in the management of Public Service, in addition to depriving a large number of Portuguese people from accessing "the constitutionally enshrined fundamental right, namely the right to health", led to the elimination of, because at the time, inadequate services the level of oral health. And the expert Paulo Melo gave his vision of what is happening. "Portugal must be of the few European countries that do not have a department of oral health in the Ministry of Health", so there is no national strategy at this level. " And reminded the process for the withdrawal of those services in health centers.

What exists in these structures were stomatologists health (people with the stroke of Medicine who made a specialization in Stomatology), but the current European legislation does not address the formation of this group of professionals, they will be endangered and ceased to be in health centers. "What would be normal" was the replacement of those dentists by doctors, but there is the career of these specialists in Civil Service, it seems obvious situation could not be achieved, leading to the cessation of oral health in the public sector.

Paulo Melo, who made the trip by the time to explain the purpose of the consultations in public service, referred to the still topical. And this shows that there are few health centers that rely on doctors and dentists when this happens is himself before hiring outside the ranks of the Civil Service.

In addition to the above reasons for which the Portuguese have 'mouths ugly, you can not pass along the news that from time to time give account of the illegality of around the sector. Generally, the unlawful actions based on lack of qualifications or inadequate qualifications of people who act as a dentist. The reported cases are awaiting response from the courts, which are often "poor", up by delays in resolving cases, pointed Orlando Monteiro. It is not easy (as in any other area) for the common user understand who are the real or those who are going through this.

Against this uncertainty, the chairman of the ODM advises the patient to seek professional certificate to whom it is providing the treatment. Or alternatively try out to the order if the doctor dentist is registered and has the appropriate qualifications to carry on or not, the treatment to which it proposes. This information can be obtained by phone or the Web site http://www.omd.pt/.

O Primeiro de Janeiro

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The radiograph of the situation is made; only lack the political will to resolve the situation.

Gerofil

161) IV Meeting of Oral Health of the Azores with the support of Executive Azores

The Regional Secretariat for Social Affairs will support the implementation of the Fourth Meeting of Oral Health of the Azores which will run from 26 to 28 this month, in the valley of Furnas, in San Miguel. The meeting, organized by the Center for Health of Povoação and accredited by the Portuguese Dental Association, aims to promote oral health among the population Azores, and especially of the school community.

This initiative, a biennial, national and regional professional part of Dental Medicine that will outline goals and strategies for continuity of work for the promotion of Oral Health. In addition to its scientific and social, the event aims to be the corollary of the work of prevention in the area of Oral Health that has developed over the past 10 years in primary schools of the Autonomous Region.

Alongside the conference which will take place for Medical and Dental Assistants in Clinical Dentistry, some activities are planned for the general public, including a session for children on the 26th, by 10 hours in the Povoação, and conferences on Oral Health for the population in general, on the morning of 28, in Terra Nostra Garden Hotel in Furnas.

Governo Regional dos Açores

160) In the Azores - About 18 thousand children with bulletin Oral Health

Introductory note: This post I want to be the public knowledge of Minister of Health and members of the Assembly of the Republic in the current legislatur.

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About 18 thousand children already have the Azores Bulletin Single Oral Health, a document unprecedented in the country which has all the information and medical history, announced today source connected to the project. The regional coordinator of the Program of Oral Health Promotion, Ricardo Cabral, said the agency Lusa that the project, which started in 2006, is taking place in a "positive" and already covers the nine islands of the Azores.

According to the doctor explained dentist, the bulletin is aimed at children and young people up to 18 years and can be requested free of charge in the 16 health centers in the region. "The aim in future is that the whole population may have a individual form of oral health, "said the expert, who represents the Azores in the National Program of Oral Health. With the creation of this document, the executive wanted to give the Azores Regional Health Service (SRS) of a tool for registration and consultation for health promotion and prevention of oral diseases in the islands.

For Ricardo Cabral, this document represents a further contribution to the oral health of Azorean, which together with other public awareness and information already held, has allowed the public awareness. The doctor dentist said that, although slow, the results of this study have emerged, pointing to the example of the rates of tooth decay in children Azores, which in 2000 stood at 4.5 percent and in 2005, rose to 2 , 1 percent.

Citing the findings of the latest survey of oral health conducted in the archipelago, Ricardo Cabral said that between 2000 and 2005, there was a "gain in health" at the level of real rates of tooth decay among children from 2.4 percent. As for the percentage of children free of caries at age six, the region fell from 30.8 percent in 2000 to 37.3 percent in 2005, and the World Health Organization recommends that in 2020, is reached the 80 per cent, he said.

The president of the Delegation of the Azorean Portuguese Dental Association, Arthur Lima, the Bulletin of Single Oral Health is an "important contribution" to health promotion, although alert to difficulties in implementing the project on the island of Faial. Arthur Lima said the Lusa that, in Faial, no dental practitioners in the public sector, so the distribution of newsletters have been done by teams of nursing. "The six medical dentists who work in Faial exercise all private clinic because the government Regional never opened vacancies for the civil service, "said Arthur Lima.

In the Azores carrying 74 dental professionals, covering all islands in the archipelago. Contacted by Lusa, the Regional Director of Health, Teresa Brito, said that the situation of Faial is unresolved, not a lack of will of guardianship, but due to issues with legal. "The hiring of employees required to unfreeze the first waves and the holding of a public tender," said Teresa Brito, for whom "the solution to this gap will reach the short term." According said, the legal proceedings "are not compatible" with the urgency of the situation, but underlines that the Azores government has done "a gradual work" to provide all health centers with new equipment and materials essential to the practice of dentistry.

Around hundred and half of doctors participating dentists at the end of the month, at a meeting on oral health in San Miguel Island, which will also serve to a free screening the population, said the source organization. The Fourth Meeting of Oral Health of the Azores runs from 26 to April 28 at the county's village, showed Ricardo Cabral, for whom the event will facilitate discussion and exchange experiences among the professionals associated with the oral health of the entire country. The program, beginning the April 26, is an act of free screening for the population, which will take place in the flag of the town's sports village.

ViaOceânica

159) The complete absurdity of the current policy of oral health in Portugal

In Portugal there are seven faculties of Medicine and Dentistry are being trained doctors in excess numbers, moving up - warned the president of the OMD - for "unemployment". The warning from Orlando Monteiro had the intention to reinforce the need for "political intervention".

The president noted, moreover, that "there are already more than 140 dentists Portuguese to exercise the function in the NHS from other European countries [England and Holland, for example]." As in the rest of the European Union there is this specialty in public health service and present shortage of dentists. The explanation of the relocation is not a free choice, but an alternative to economic difficulties that prevent these professionals to open their own clinics (only chance to practice in Portugal).

Again, the situation would minimize the introduction of specialty in public service.

O Primeiro de Janeiro

* * *

Black and white: it is wide spend thousands and thousands of euros of our taxes to train specialists who treat patients go abroad, where it is denied by our assistance to the NHS wide hundreds of thousands of children, young and old Portuguese for something like bread for the mouth.

Indeed, urges change whatever it is to put the final point in the trivialization of the person who runs practiced by the state.

Gerofil

158) Ministry of Health without department of oral health. The consequences to life.

"Portugal must be of the few European countries that do not have a department of oral health in the Ministry of Health." The observation of the doctor dentist Paulo Melo shows has also been a challenge. And the consequence of that statement is the absence of a national strategy for the oral health of the Portuguese.

The national policy - also continued the professor in the School of Dental Medicine, University of Porto - "never bother with the oral health of the Portuguese and never had the desire to go replacing the stomatologists that would be reforming for dental practitioners in health centers ". More a situation that has consequences and they "are there for all to see."

It would not be necessary to OECD (Organization for Economic Cooperation and Development) said that Portugal is in the tail of Europe at this level, because "those who walk in the street can realize the number of people without teeth." This is a undeniable reality, representing "an embarrassment, that politicians insist on ignoring."

Paulo Melo regrets a situation that - guarantees - "is not only worse by Portugal have the best dental practitioners in Europe."

"Embarrassing" is also the adjective used by the president of the Portuguese Dental Association (OMD), who, describing himself as "naive", is to be deposited in hopes of Oral Health Commission that the current government has established to assess the situation. At the end of May should be known conclusions.

Orlando Monteiro did not hide it expects "the conclusions are the obvious ...." And the obvious is the poor state of the mouths of Portuguese and need for the creation of means of access to consultations under the National Health Service, the poorest people. This public access to oral health is a battle of former OMD, which the president has given voice and which is striving. For now - though skeptical about the commissions in general - expected to see. But not for nothing.

And, drawing on the restructuring of health services, Orlando Monteiro has tried, particularly in the health units for the family (USF), responsible for raising the awareness of the need for this specialty be introduced in health centers and hospitals. This indicates responsible criticism, but also makes proposals. For example, Orlando Monteiro does not consider how best to open dental clinics in all health centers in the country at large investment that implies, advocates the creation of conventions and protocols between those establishments and private offices that exist within the geographical area which include the establishment, "taking advantage of that investment in infrastructure has been done by the private sector."

Recognizing that the Health Minister Correia de Campos, has shown "sensitivity in this area and will at least consider what might be done," the president of doctors dentists expected to be passed to practice the goodwill that has been demonstrated. And if that strengthened the National Health Plan is fulfilled, then by 2010 the hospitals must be equipped with this expertise, to respond to emergencies and emergencies that can not currently be treated. In situations of accident there is no response in emergencies.

In case of emergency be for the pain - "one of the strongest that the human body feels," pointed out - "at best is prescribed a painkiller." The expert is to ask point-blank: "We must act politically." And knowing that "it is impossible that everyone has everything, it is essential to do everything possible so that everyone has the best possible".

And, despite being short of the needs of society, the creation of a program of prevention and treatment, aimed at children from three to 16 years has been seen as positive by the president: "Despite still inaccessible to most children," even within this age group.

Even though for most people can be difficult to understand or even indifferent, the expert Paulo Melo wanted to separate the wheat from the chaff and highlighted the differences between various types of professionals who treat oral cavity of the Portuguese.

"There are three," he said. The stomatologists, trained in medicine, specializing in Stomatology and scope only differs from doctor dentist in access to the areas neighboring the oral cavity, where the can Stomatologist act. Doctors dentists with a course of six years (soon reduced to five seconds Bologna), have during the early years of medicine and general concepts of late training following a path itself. Its scope for action is broad, but includes only those structures that relate to the oral cavity.

There are also the dentist, who "have long exercised the function illegally, many had not even the basic training," and who have since been legalized by the Portuguese after they were given a few hours of training. Its scope for action is very narrow and is unable to perform more complex surgeries, prostheses and orthodontic fixed.

To complicate all this, the doctor assured dentist and lecturer at the Faculty of Dental Medicine, University of Porto, "the terminology adopted in various countries differ from ours, so that European professionals with the same name are the formations and areas of action completely different" . Paulo Melo also noted a fourth class of professionals who are the oral hygienists, more oriented to prevention "and should exercise the profession supervise by a medical doctor or dentist."

O Primeiro de Janeiro

157) ERS requires clinics that says the fees are illegal

The chairman of the Portuguese Dental Association classifies as' at least strange "and causing of" great indignation "the accusations made by the Health Regulatory Authority (ERS) according to which the majority of private health units (83%) are not licensed. This is because the ERS has been charged since the start of last year, mandatory fees to all of them.

In statements published in yesterday's edition of the Diário de Notícias, Orlando Monteiro da Silva says agree with the diagnosis outlined in the ERS report, but noted also that this is because, "even for those who wish fervently to complete the sacred way of licensing, the task it is practically impossible. " Acknowledging that there is no practice of dentistry degree in Portugal, the president criticizes, however, the ERS by drawing this situation without ever having made part of its responsibility in monitoring the functioning of the units.

"The case of the books of complaints from users is an example. The experience I have is that they go to the ERS and this is limited to distribute the cases to other organisms, 'says Monteiro da Silva.

Also the chairman of the Order of Physicians, Pedro Nunes, desfere criticism of ERS, the question: "The millions that the health units used to pay the ERS to make reports to conclude what everybody else knows for years?". Pedro Nunes denounces the fact that, while pointing the problems, the ERS does not move a "consistent solution" to deal with them, despite knowing for years that the law on licensing is not appropriate to the reality and "unlawful render all hospitals public, including St. Maria or St. Jose 'case should apply to units of the National Health Service.

Diário dos Açores (March 23, 2007)

156) 19 thousand students in the municipal network receive kit with brush and paste

Bauru (BRAZIL) - About 19 thousand students of the municipal system of education in Bauru, the nursery to primary education, are receiving education kit, containing oral door-brush, tooth brush and paste. The city invested U.S. $ 50 thousand in purchase of 23 thousand kits and even heaven puppet, macro models, books and educational slides that are being used in the activities of the Smile Bauru.

The program was restructured and, in this new phase, the dentists and dental assistants, are making visits to local schools. They hold lectures for students and teachers emphasizing the importance of oral health care with and teaching the correct brushing.

Yesterday, the municipal secretaries of Health, Mario Ramos, and Education, Ana Maria Daibem, participated in a visiting team's Smile program to Bauru Emei Maria Helena Amantini in Nucleus Green Gold. The Municipal Department of Health has three educational programs. Alongside them, and in addition to the dental clinics in schools, the city also offers free care to the population. Besides the Center for Dental Specialties (CEO), inaugurated at the University of the Sacred Heart (USC) last month, Aja has units in the dental office of health and Mobile Office. In 2006 were conducted 81,177 in dental care in the municipal system of health.

Jornal da Cidade de Bauru

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On the contrary, we all right here! While this remains general anesthesia society, there remains a continuing inertia and lack of efficiency of the competent authorities in relation to a policy of oral health for the entire population, this is, basically, always forgotten and doomed to the fate that has.

Unfortunately, both governments, parliaments and associations of professionals linked to oral health sector have complete and total responsibility for what has occurred over the last twenty years in Portugal - infest the public opinion on the facts but never been interested in solving the real problems of Oral health in our country.

I do not understand spending a few crumbs here and there, showing generosity by a handful of unfortunate people in life, then when there are thousands of millions to invest in treatment costs and completely avoidable, for the benefit and income from it is known there for whoever ...

Here's how it is the policy of oral health in Portugal.

Gerofil

155) Four out of five units do not have private health license

Most private health units (83 percent) in business in Portugal is not licensed, although this process is mandatory, advances to the Health Regulatory Authority (ERS).

Among the some 2 000 medical and dental clinics that exist in Portugal, there is not even a single licensee, as are the spas. "The licensing system does not work in Portugal", summarizes the chairman of the ERS, Alvaro Almeida Santos, stressing that this does not mean that the plants healthy is legalized not being able to work, but that this process is too "cumbersome and time consuming."

So how do people have assurances that these institutions are able to operate? "There are no guarantees ...", admits the chairman of the ERS. The "extreme case" of medical and dental clinics have a justification: the inability to set up a committee of technical verification - that made the surveys and inspections required for this type of establishments in the regional health - and the manual of good practices due to disagreement between the various stakeholders in the process (orders of doctors, dentists and the doctors associations of dentistry), explains the ERS.

In the case of spas, there is no licensing for lack of regulation of various issues, such as the requirements of a technical nature or the tables of staff. The problem of lack of licensing is still "particularly serious" in the laboratories of clinical pathology or clinical analysis (of 393, are licensed 98) and the more providers of radiation therapy and diagnostic radiology (of 451, only 90 are licensed).

Despite the lower the percentage of graduates is not yet significant in physical medicine and rehabilitation (47 percent) and private health units with hospitalization (25 percent). Already the 89 units of dialysis, only 11 are not licensed.

But this is not the only reason for the delays in examining applications for licensing. Anyway, the situation varies depending on the type of plant health, because there is no single legal regime for licensing, but specific qualifications. And there are even establishments - such as a doctor - which are not subject to this process, because the diploma that fits (a decree law of 1942) only obliges them to report their existence to the Directorate General of Health (DGS) and the Order of Doctors.

But even bizarre is that the applications for licensing of nursing posts (also made from DGS) have to be made upon presentation of a form of the National Printing-Mint (INCM). The problem is that "the INCM says that this form does not exist", which means that there is no center of licensed nursing, means that the ERS. In addition, the establishments of the public sector and social sector (such as private institutions of social solidarity) are not subject to licensing, but only to power guiding and inspection of the Ministry of Health.

Jornal O PÚBLICO

154) On the other side of the border

In 2006, PADIEx included 30,000 children aged 6, 7 and 8 years of age, of whom about 55% attended the dentist, a percentage that other communities, pioneers in this type of plan, it took five years to achieve.

In this regard, the Government has extremeño nuanced that this year, during the month of January, all children covered by the plan, born between 1998 and 2001, they were sent to his home for the heel of dental care and directory of dentists covered by the plan. In this way, parents of the child to be seen and can receive the appropriate assessment and treatment required by one of the 173 points located in the assistive region.

Specifically, each year join the plan that meet the children 6 years and remain there until Dec. 31 of that year met 15 years. Since the health centers and referral services for the monitoring of pregnancy, preventive activities are also conducted on pregnant women, and this activity, in recent introduction, has allowed that during the past year, were treated in these consultations around 3000 pregnant women. Also, activities of health education and prevention that benefit the oral health of the pregnant and are in the their unborn son.

In addition, the Plan of Dental Care of the Disabled has handled to date more than 10,000 consultations and has conducted more than 21,000 therapeutic procedures. According to the Board, have been intercepted under general anesthesia about 500 people who have not been met so conventional units Oral Health.

Region Digital

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Here is an example of the work done in the field of oral health in the Community of Extremadura (Spain). Clearly it is expected that the Portuguese authorities are also aware of the extreme urgency in the need of making the same kind of programs for oral health to the entire population, after all, like Spain, also are part of the European Union (or, saying in other words, it is not for lack of resources that do not deploy in Portugal these programs, oral health).

Gerofil

153) Mr. Antonio Goncalves wants clarification on health care in Flores

The member of the PSD Antonio Maria Goncalves, elected by constituency of Flores, expressed its concern regarding the provision of health care on the island. In the application tabled Regional Assembly, the parliamentary emphasizes that "the inhabitants of the island do not have access to some health care essential," and who recently questioned the Government on the status of the machine for imaging in the existing Health Center site, because "it presents no technical conditions of reliability as a supplementary means of diagnosis to be obsolete."

Antonio Goncalves says that the executive foresaw "the purchase and installation of a new unit of" X-ray "digital for the Health Center of Santa Cruz das Flores until the end of 2006", which is not turned out and motivates the question now presented. Concerning the Public Health Service Oral practiced in their island, he stressed that "the medical dentist who has moved to the island for the provision of primary health care of those unable to meet all the demands placed upon it because of its large number ", and" the inhabitants of the island have no other option but to resort to the provision of private services in the area, which involves huge costs for the family budget. " Further, "a first visit to oral health could mean a wait of more than four months, with access to the list made so bureaucratic and constrained by the second consultation, which is the dentist recommends medical treatments by following the same insiders.

Antonio Goncalves is whether there is knowledge of these realities and that government measures will be taken to modify the existing situation.

Canal de Notícias do Açores.net

152) Jose Falcon School inaugurated Office of Health Promotion

The Falcon School Jose de Miranda do Corvo inaugurated the Office of Health Promotion (GPS), which will operate each Monday afternoon with the presence of a nurse's Health Center for questions to students. "In a school population with about 700 students and a multitude of problems, it is essential that students find answers technical and professional questions about their" stressed Luis Fausto, chairman of the Group of Schools of Miranda do Corvo and director of the School Jose Falcon .

In an informal atmosphere, the inauguration was attended the councilwoman Carla Baptista, medical that will support the project technically, the director of the Center for Health, Cesar Fernandes, the head of the department of nursing, Jose Taborda, and nursing interns from the 4 . th year of the School of Nursing from Coimbra, who were authors of the project, in addition to other officials and a representative of the Association of Students. Through GPS, students will clarify questions about health, oral, healthy diet, physical activity, safety and accident prevention, sexuality, alcohol, drugs and other issues related to health.

The councilwoman Carla Baptista stressed the great 'educational value of the project ", which is based on a section on health promotion and disease prevention. "The aspect of health promotion has been forgotten in the country, but the Health Center of Miranda do Corvo showed that remains at the forefront of primary health care, promoting interventions of great educational value", stressed the mayor.

For the director of the Center for Health, Cesar Fernandes, the creation of GPS belongs to "implement a philosophy of medicine to a close, ever closer to the people". According to this doctor responsible, "the school population is so vulnerable that could benefit quite this space ', where students can present their concerns and questions in a space of open dialogue and confidential".

The GPS results from the partnership between the Health Center, the grouping of Schools Joseph Falcon and the City Council, with support from the Institute of Sport in Portugal.

Diário de Coimbra

151) Guardianship does not contain health centers

The regional secretary for Social Affairs in the government pledged yesterday that management is not foreseen in the medium term, the closure of any health center in the region. Conceição Estudante who spoke on the balance sheet presentation of activities relating to these units of health said that at the moment the main concern is to provide conditions for the smooth functioning of existing health centers.

Critical of those who believe that the closure of these services is a way to reduce costs, the regional secretary for Social Affairs sought to prove just the opposite, asserting that the effect may be contrary to the extent that the whole panoply of medical care and nurse assigned to the emergency room is a hospital or a health center is "objectively more expensive than the provision in a medical consultation."

In this sense, Conceição Estudante has left a clear idea that the reduction of costs on health goes, first, by backing the prevention and the proper provision of primary health care. One objective should be reflected in an increase in the number of available medical consultation in health centers.

Conceição Estudante also said that in recent years, the growth rate of expenditure of the Regional Health Service was below the rate of inflation. Because the efficiency of healthcare delivery in health centers passes for ensuring a sufficient number of doctors, family, the secretary assured of protection that goes in the right direction region. Are currently engaged in the health centers 109 professionals, among doctors from family and general practitioners that the sum is 24 more interns, doctors who are to finish this specialty. Although the number is sufficient for the approximately 114,387 users who attended last year, the health centers, does not satisfy the authority, which wants to raise the number of visitors these units.

According to figures released yesterday by Chairman of the Board of the Regional Health Service (SRS) the number of visitors amounts to only 42.5 percent of total subscribers (269,379), with an average of 3 for regular consultations during the last year. Regarding the total number of consultations, the SRS found about 334,507 documents, of which 13,524 were consultations of family planning, there is at this level, an increase of 5.5 percent over 2004.

Consultations home growth has been strong, around 42 percent over the past two years. The dentist was another area of greatest increase, with an increase of 113.9 percent. Indeed related to the extension of the Oral Health Program of the whole region, emphasized Filomeno Paulo.

Tânia Caldeira
Jornal da Madeira
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While this news does not carry the numbers of oral health consultations conducted in the region, at least it seems appropriate that this strength has reached a higher proportion of the local population.

Already have been submitted data on the evolution of oral health programs for children and young people in the mainland (previous posts). I thank those who can provide more statistics on trends in time and place of the national territory, on oral health.

Gerofil

150) Play and learn

On Monday, the Office of Public Health of Barreiro was doing an action to promote health among the young, this action which includes the school health project. Students of the School of the 1st cycle of Basic Education and the School of Coina 2 of the 1st cycle of basic education da Telha (St.André) that were well and happy in the end said they learned a lot.

Techniques, nurse, dietitian and oral hygienist did a puppet show to teach children how to eat well and wash your teeth.

The story begins with Little Red Riding Hood which is very greedy and has lazy to wash your teeth. The Capuchin will take your lunch to your friend Snow White who is ill, but finds the way in which Pinocchio is very liar. The girl tells you not like soup or fruit and who always wanted to eat sweets, the Pinocchio tells you to eat the sweets, do they do poorly. What is certain is that the Capuchin got belly ache and with a cavity in the tooth. Then find the Robin Hood says it is necessary that the intervention of Fairy Nutritionist, this tells the Capuchin who should always eat the breakfast before leaving home, eat soup, meat or fish and fruit to grow healthy and with energy. As the Capuchin also had pain of tooth, it was necessary to draw the oral hygiene taught to the boys and girls how to wash your teeth and can not eat many sweets.

The puppets to play, the boys learned that they should not eat candy in exaggeration, it is important to a healthy diet and should wash their teeth well, at least 3 times a day. The students were very carefully to the theater because they were interested in learning a different way. In the end, promised to take no more candy for lunch, thereby taking a healthy diet.

This is a good example of health promotion, so that the little ones to begin to take care of their health and live happy and healthy adults.

Jornal do Barreiro

149) Stomatology: Central Hospital with a waiting list of 3 years!

The Hospital of the Holy Spirit of Evora, providing public health care covering a population of over 150 000 residents, is now a waiting list of about 3 years for the consultation of Dentistry.

This deeply regrettable and the waiting list is inconsistent with a civilized country said, and it urgently deserves special attention in its resolution by the Minister Correia de Campos. Why is concerned a serious public health problem of the population of the district of Evora.

148) Pregnancy and oral health

One tip: during pregnancy visit your doctor dentist in the 3 months to perform a cleaning of the teeth, thus preventing the gingival problems, and to make a topical application of fluoride, which prevents tooth demineralization, thus preventing the emergence of new caries, or the development of caries background.

This way you can enjoy a pregnancy with an oral health much more stable.

A doctor's advice Jose Antonio Teixeira (Doctor of Dental Medicine, the Higher Institute of Health Sciences Egas Moniz, and Post-Graduate in Surgery and prosthesis on implants; teacher asked the chair of periodontics, the Higher Institute of Sciences Egas Moniz)

Jornal Oeste Online

147) Public Health

The air we breathe, the water are two public areas of intervention of the project to the environment and health clinic that the University Fernando Pessoa (UFP) is preparing to launch in the course of this month, in Ponte de Lima. The start of another project clinic not the end of the initiative said that since 2003, the UFP dedicated to oral health and public and which already amounted to 34,603 screenings poorest people.

The public health clinic project, covering the control of cholesterol, blood glucose and blood pressure, oral hygiene, medical tests and speech therapy, has been initiated in the district of Viana do Castelo and spent the last year for four counties in the district of Braga. The project manager, Jacinto Durães, makes an overall "highly positive".

In the district of Braga, where the project covered the counties of Guimaraes, Braga, Vila Verde and Fafe, 4784 surveys were conducted. "We meet people that we sought, but also schools, nurseries and homes for the elderly" said Jacinto Durães, which believes that with this project, the University gives a signal that "wants to reach people."

The areas are the most sought medical tests and health (cholesterol and glucose), as well as monitoring blood pressure, describes the project manager of the clinic. "We found many people with high cholesterol and blood glucose, blood pressure and the" points. For all institutions and educational establishments covered, was sent a report on the conditions encountered. In addition to the populations, the project involved hundreds of students of nursing, medical tests, dental care and speech.

After the district of Braga, in the academic year 2005/6, the project followed to Baião. Jacinto Durães ensures that the public health clinic "is to continue", in partnership with local authorities. "Given how important it is, the public health clinic project is claimed by other parts of the country" refers one responsible.

During the month of August last year, a team of graduates in dentistry, nursing, physiotherapy and medical tests was in Angola. The graduates of UFP have the technical training in these areas of health (282 in total) and had traces of oral hygiene and medical tests at two hospitals and two health centers.

Correio do Minho

146) The role of businesses in the health of its employees

BRAZIL - Shares of health promotion and prevention still has key role in corporations, who seek a better quality of life of employees, aim to maintain control over costs with the benefit-health. That is the view of Watson Wyatt to complete the research on health care benefits.

The highlight of the study was for the large number of companies (82%) offer dental plans, signaling to raise awareness that processing and maintenance of dental assistant avoid future health complications. In most cases, that membership is on a voluntary basis and with coverage intermediate (includes basic and complex treatments, except dentures and orthodontic), and the company assumes, in general, 50% of the cost.

Portal Nacional de Seguros & Saúde

145) Two Euros for their health

In the coming weeks to assess the campaign will launch "Two euros for their health." "Each person makes an application, two euros paid monthly and is entitled to access to medical care and the nursing home, paying five euros by doctors and three nurses per euro," said the president. This phase will be purchased two vehicles for the movement of doctors and nurses.

In the two days following the publication of the notice asking for general practitioners, assessing received several curricula. Regarding the clinic will open soon in the urbanization of Monte Penedo in Milheirós, in the municipal facilities, with the specialties of dentistry and podology. Are planned introduction of other medical specialties, which are not yet defined.

This draft medicine at home, organized by an association of local authorities, is unique in Portugal. Its clinical director is Jorge Rodrigues, plastic surgeon, and with the collaboration of the Hospital of Our Lady of Valongo, so they are carried in emergencies or in cases where it is necessary to perform more complex tests.

The draft of the doctors at home AVAL autosustentável want to be and do not rely on support from the town hall or other institution. The mayor of Milheirós states that "local authorities have changed their philosophy, no longer mere administrative posts, often developing the tasks of the town hall, and are now working to develop a more autonomous. That is why we have been increasingly systematically to say that the parishes must have own powers, and not delegated, and must have funds distributed by the General State Budget for these tasks. "

O Primeiro de Janeiro

144) Coimbra will receive the dental specialists

The University of Coimbra (UC) announced that the sixteenth Annual Meeting of Dental Medicine and Dentistry will take place in the UC Hospitals, between 22 and 24 March. The meeting will bring together students and scholars as well as national and international experts in the field of dentistry.

The program includes lectures tied to themes such as "The dental care to take in the elderly population", "News in implantology" and "How to perform an action of school education for oral health", but also includes several roundtable meetings and activities of conviviality . The sixteenth Annual Meeting of Dental Medicine and Dentistry is organized by the Department of Dental Medicine, Dentistry and Maxillofacial Surgery at the University of Coimbra.

Contacts:

Telef.: 239 484 183
Fax: 239 402 910
E-mail: mailto:cirur3dir@huc.min-saude.pt

143) Friendly business: taking care of teeth

BRAZIL - Alice Melgaço dos Santos, 11 years, is assiduous client 5 years ago the Social Project "Tooth that you want tooth," which has existed since 2000, financed by EIM plant. She is one of 150 children benefited from the free services of a dentist's office assembled by the company to meet certain neighborhoods at risk in Fortaleza, as Pantanal, Round Lake, Jangurussu and swampy New: "This is very good, the doctors are legal. The people taking part in various lectures we explain how to best take care of our teeth. I'm involved because of all is free. "

Jornal O POVO

* * *

I am grateful that I communicate the name of entities, agencies or companies in Portugal, also worry about the oral health of children and youth population.

Gerofil

142) Scientists create teeth of rats in the laboratory

JAPAN - For the first time, japanese scientists managed to successfully replace natural teeth in mice by others created from individual cells, tells this week's issue of the journal "Nature Methods." The scientists, coordinated by Takashi Tsuji, used mesenchymal stem cells from bone marrow and epithelial cells, which then turned into a tooth.

First, the scientists promoted the growth of each separate type of cell to obtain larger quantities of them. Then they were injected into a drop of collagen, a substance that the cells in an organism. The cells have grown up to become a tooth with great effectiveness.

When they were implanted in the tooth cavity of a mouse, have developed normally and have been shown to have the same composition and structure as the natural incisors.

According to the authors of the article, the study presents the first evidence of the successful regeneration of an organ through the full deployment of material obtained through bioengineering. For scientists, the search results greatly contribute to the development of bioengineering technologies and the future reconstruction of vital organs in vitro.

Moreover, the findings may encourage the development of organ replacement by regenerative treatment.

imirante.com

141) Pacifier: Leaving it up to three years

For years, the pacifier has become a pediatric maximum. This article that the babies so fond had become to blame for not wanting the little maternal breast, catch up infection in the ears, are apathetic and ill-tempered when no dummies and even by their smiles were a disaster in terms of teeth. Over time, demystify the science most of these beliefs and revealed in chucha a very useful tool for children and parents.

Portuguese experts warn, however, that the benefits of their use exist only up to two or three years of age at most. Thereafter, the child develops deformations of the cavity of the mouth, with consequences at various levels. The bottle reduces the incidence of sudden death of the newborn, is a very effective analgesic in painful procedures and the adverse effects that has on the proper alignment of the teeth are passengers. This means that for the toothlet back to the right place, the pacifier should disappear at the latest, to three years of age.

Nevertheless, a scientific study published in the latest issue of the journal 'General Dentistry' ultimately overthrow the idea that the pacifier is not as damaging to teeth of children. When a baby introduces the nipple drinker in the mouth of the bottle and do what the experts called non-nutritive sucking (the purpose of this act is not eat), the central lower teeth were slowly to deviate from inside, while those who are in the same plan, but in the upper jaw, tend to break away and go out ( 'teeth of rabbits'). Over time, the canine teeth clash with each other and both rows of teeth do not close properly (open bite).

In addition, the suction puts in place a series of muscles of the face, which together with the language, make the teeth in the upper and lower jaw lose parallelism (cross bite). To that malformations are appreciable is estimated to be necessary to exert a pressure more or less constant for six hours daily. The time factor and energy that applies in the small suction make a difference here.

"That explains why many children who use pacifiers do not develop any kind of tooth deformation," emphasizes Jane Soxman, author of the study and member of the American Society of Pediatric Dentistry, referring to children who use the bottle off at times (to go to sleep, for example) or are confined only to have it in your mouth without sucking. Liberius Ribeiro, the Portuguese Society of Pediatrics, suggests the consequences of a prolonged use of chucha: "The buccal cavity adapts to the characteristics of the pacifier and deforms the dental arch." But not only. According to pediatrician at the hospital in Santa Maria, Lisbon, the sky's mouth (palate) develops is oval in shape, which affect the mastication, respiration (by mouth) and orality. "In such cases, the child breathes evil, it is difficult to articulate words and chew on. The later withdrawing from the bottle to the child [after three years] becomes increasingly difficult to repair the deformation of the mouth. "

The long experience tells you that most parents can withdraw the bottle in due time - up to three years - but "there are still many cases of bottle five and six years". In these cases, Liberius Ribeiro advises parents to take the bottle after the child prior explanation, so that the small realize the situation and gives them incentives such as trips to playgrounds. This process must be done on vacation, which will allow parents and children relax after nights bad nights.

Correio da Manhã

140) Care from the cradle

The recipe is simple: brush their teeth after meals and using dental floss. That is the main measure for children and adults who have good oral health and prevent the onset of caries. It's that easy.

(...) The professor of preventive dentistry and social Unirp, Andre Luiz Marçal Terrero, explains that the consumption of sweets and biscuits should always be after meals and before brushing. "Foods with sugar favor the installation of caries in the tooth," he says. (...) According Terrero, the habit of brushing begins in the first days of life. Until the six months, the mother should do the cleaning with the use of gauze and filtered water. From that age, already exists in the specific brush for use in babies. The mother must also accompany the brushing up to eight years of age when the child acquires motor coordination alone to remove the plaque.

Terrero said that the use of dental floss should be done as soon as the first teeth emerge in children. He is to remove the plaque that causes cavities. The disease, according to specialists, is caused by bacteria that are in the mouth. They consume the sugar ingested in food and produce acids that decalcify the teeth until the formation of the lesion. If not treated, the caries progresses and reaches the pulp of the tooth, which must be removed (known treatment for channel).

From there the tooth has no life and is arrested only by the root. You can also move to gingivitis (inflammation of the gums) and periodontal disease, which is the loss of bone that leads to the collapse of the tooth. Terrero directs that the main brushing should be done at night, before bed. "When a person falls asleep, the natural cleansing of the mouth is reduced because of reduced production of saliva and the risk of developing dental caries is greater."

The oral health also depends on good calcification of the teeth, which is guaranteed early in the gestation period. The "teeth-of-milk" beginning to graduate from the 6th week and standing from the 5th month of intra-uterine life. "The pregnant woman must have healthy diet rich in calcium, phosphorus and vitamins so that the baby has a good dental calcification, says Professor Andrew Terrero.

He warns that the mother is more responsible for the transmission of microorganisms that cause decay. "As the caries is a disease can be transmitted to blow even when the pap or give a kiss on the lips of the baby. Mother or nanny must have good oral health standard, "he says.

Jornal Bom Dia

(It is prohibited to reproduce all or part of the contents for commercial purposes)

139) Trailer takes oral health to students

A trailer adapted with dental equipment will benefit students in the School Hall Maria Ovidiu Junqueira, with dental treatment free of charge from next Monday (12). The dental office sold by itinerant Sesi in partnership with City Hall, aims to bring oral health to students of 1st to 8th grades of municipal schools. In addition to basic treatment such as dental cleaning, filling and extraction, students will also receive as a work of prevention, talks of motivation, guidance of correct brushing and application of fluoride. The special treatment will be sent to the Center for Dental Specialties (CEO).

Students will be met from Monday to Friday from 7 am to 11 am and from 13h to 17h, for twenty-two professionals from dentists and auxiliaries, state and municipal network, which will rotate doing in school until meet all the demands of students. The professionals will be under the supervision of the coordinator of the Municipal Department of Dental Health, Agnaldo Augusto. " The trailer takes the oral care at all locations. Many of these children and young people have not yet had the opportunity to take care of the teeth, either by lack of guidance or financial difficulties. The trailer in the school will offer this contact and promote health, "said the coordinator." Before starting the treatment, students will go through a screening to detect if there is a need of treatment, to ascertain what degree of urgency of the problem mouth and with the permission of parents or guardians, the treatment begins, "said the current school director Maria Ovidiu, Rosemary Aparecida Perugini Torres.

The technique in dental hygiene Alice da Silva Jonsson, who will act as an auxiliary to the dentists, emphasizes the importance of working with students. "Here the students will be aware of the need to visit the dentist regularly. The trailer is at the school helps the student to receive guidance by the teacher of this need, and have the incentive and motivation the company's colleague, who also makes the treatment," said Alice.

The Oral Health Program of the Municipal Health Department also has two other dental trailers that are also working in rural areas.

Perfeituria Municipal de Poços de Caldas (Brasil)

* * *

I think the whole interest that in Portugal, also is due to copy some practical examples exist in Brazil. Have you had the opportunity to talk about the Oral Health Program that exists in Portugal - missing now see in practice this program in all our schools.

Why is any unfair discrimination in health care, whatever the reasons, access to this type of program is required to be disclosed and made available to all children and youth of the country, lest we violate the fundamental rights of the human being. It is therefore made here to call attention of the Minister of Health and the Minister of Education.

Gerofil

138) Dental implant

Who suffered bone loss and want to do dental implant without grafting or those who dream of entering into an implant on the same day and leave the office now with the provisional prosthesis but well installed can smile at will. This is possible thanks to technical innovations such as an anchor or fixing zygomatic. In addition to efficient, the technique of anchoring that is already held in Santa Maria, avoids the disadvantage of making the withdrawal a part of bones out of the mouth (chin, rib or pelvic) for graft in the jaw and then fix the implants and then the prostheses.

"With this method, which involves the zygomatic bone, the patient does not need to do bone graft. The titanium implants, measuring about 50 millimeters each, are placed in the back of the jaw, and set anchored to the bone cheeks. After installing the anchorages and the formation of bone around the implant, which runs the six-month period, are the definitive prosthesis, "explains the surgeon-dentist and periodontists, Jose Oscar Carlesso, 58 years, the first in town to do surgery. In total, as were five patients who returned the smile and safely recovered their self-esteem after the procedure which, he says, is less time (surgical procedure requiring general anesthesia and takes between 48 hours and 72 hours) and less traumatic . On the waiting list for more than 20 patients.

"With their teeth fixed, the sensation of eating better, smiling and talking with security being used to restore the self-esteem," celebrates one of the patients who came to surgery recently and who preferred not to identify. Without revealing figures, Carlesso, who is a member of the Latin American Academy of Osseointegration since 1993 and operates in 18 years with implants retirement, advance only that the procedure is on average 30% cheaper than the conventional. In conventional implants graft with the patient have to wait up to eight months for temporary placement of implants and wait one more time (around six months) for osseointegration to the placement of the long-awaited final prosthesis.

Lover of the profession, the surgeon-dentist who, as a child, came running out of the chair of a doctor in fear of the treatment, has courses in Sweden, London, Barcelona and Italy, among other countries and three children following the same path. "We never saw his father get home earlier and much less sad. A fact that just motivates us, "says one of the sons, Jonathan Carlesso, 23, which is post-graduate in implantodontic in Porto Alegre.

Elisete Tonetto

A Razão

137) Dental services in the NHS (Braga)

Website: Department of Stomatology

Hospital of San Marco (Braga)

Phone: (00 351) 25 320 9061

E-mail: estomato@hsmbraga.min-saude.pt

136) Dental services in the NHS (Oporto)

Website: Children's Specialized Hospital Center MARIA PIA

Office of Stomatology (Oporto)

Phone: (00 351) 22 608 9900

E-mail: addoentes@hmariapia.min-saude.pt

135) Dental services in the NHS (Lisbon)

Website: Department of Stomatology of

HOSPITAL OF SANTA MARIA (Lisbon)

Phone: (00 351) 21 780 5106

E-mail: estomatologia@hsm.min-saude.pt

134) "True national disgrace" (?)

"The National Health Service is able to achieve what the Portuguese ask, to fairness and quality arising from the decriminalization of a situation that is truly a national disgrace." (Correia de Campos, the prepositional the referendum on the Law of abortion, in: Public 12-02-07)

* * *

Minister, if in fact the National Health Service is able to achieve what the Portuguese ask, then it is requested that an immediate end to the shameful waiting list for dental consultations that in some hospitals, it reaches 3 years of waiting for a consultation - this is a real national disgrace in a country member of the European Union. Because you have been lucky enough to not go through that others passed (link), the rest of the conversation is meant as pure political demagoguery directed to the public.

Gerofil

133) Babies can have problems with teeth and oral cavity detected in the first year of life

Parents are worried about the oral hygiene of children and so it is increasingly common babies up to a year, making his first dental consultations. According to Marcelo Bonecker pediatric dentistry, the ideal age for the baby made his first visit to the dentist is the six months of life, a period in which the teeth begin to rise.

"It's interesting that parents bring the child to the dentist in the first year because their parents are more receptive to us to guide them and thus they use the methods outlined for the oral hygiene of children," said Bonecker. Moreover, in this age the child is also open to changes in habits, such as the care of their teeth.

In the first consultation, the pediatric dentistry is an analysis to see parents and children for, well, there are those such as food and hygiene habits of the family. "After that first conversation, we do a clinical examination to examine whether the baby is all right or if there is a problem in the dentition, oral cavity, or others. If there is, starts to be the most appropriate treatment, "emphasizes Marcelo.

In this first stage of life, parents are the main "agents of oral health", therefore, for children, they are the main examples. "Healthy Habits for hygiene, like brushing your teeth after meals, and meals are essential for the promotion of children," explains the pediatric dentistry. The brushing teeth begins as soon as the teeth start to rise and parents need to help children up to seven years and supervise up to 12 years.

Another point that parents can help greatly in the oral health of children is the prevention of diseases such as caries. Bonecker says that sweetened foods help prevent this action. "If the child receives sweetened milk or even the chest, or consume any food containing sugar, it is necessary to make the oral hygiene. Also, give preference to toothpaste with fluoride. " The pediatric dentistry also says that fluoride is the main vehicle for the prevention of caries.

"The quantity and frequency of application of fluoride in a dentist's office depends on each child, depends on whether you have cavities or not. Recalling that the minimum age of the baby is six months for this action, "said.

Caries, trauma, such as broken teeth and problems with the bite are the main problems that children face. "At this stage, children are learning to walk, run. So is the high incidence of injuries, "reports. Even so, parents have more access to information than in the past, and may help prevent more on issues of oral health of children.

Informe sergipe

132) Ruling of the Supreme Court of Justice

I - The crimes committed by negligence, are not punishable by terms of imprisonment exceeding one year, with or without fine, were the amnesty provisions of subparagraph w), Article 1 of Law No. 23/91 of July 4, since that ruling until April 25, 1991.

II - having been established that the applicant's civil claim, suffered pain, was left with a slight deformity in the chin area and needs a prosthesis for correction of a lesion in the region of the teeth, these facts are sufficient to cause the plaintiff personal injuries that must be balanced by giving the victim of a penny to be fixed equitably by the court, as specified in Articles 496 and 494, both of the Civil Code.

Ruling of the Supreme Court of Justice

131) Columbus: dental health program "A healthy mouth"

Colon (Argentina) - The Department of Health of the City of Columbus, through the Service Center's Preventive Dentistry Maternal and Child conjunction with the Dental Columbus Circle, reported the continuing program of oral licenses to "Healthy Mouth" implemented since 2000 in all schools in the Columbus game.

This program will be shown only to pupils in 1st, 3rd, 5th, 7th and 9th of EGB. Like the previous year, the student is going to the dentist of their choice (private or hospital), which, to find the mouth in terms of good oral health, provide a record of good oral, which will be switched on Preventive Center for Maternal and Infant an official certificate, legitimized with a seal hospital. Otherwise, the student must receive dental treatment to achieve high, given by the professional acting.

Agencia de Noticias Bonaerenses

130) Although the availability of the Ministry of Health

Concerning the assignment of "five million euros" for the National Program for Promotion of Oral Health for the population children and youth, and taking into account the national percentage of children and young people already covered by the program, I suggest that it becomes a responsibility solely the responsibility of public education, for whom the Ministry of Health would make the transfer.

So, without further charges, I sincerely believe that with the same "five million euros" transferred to schools according to their number of students, the program would cover a larger percentage of children and very young, would become and more efficient bureaucracy is the whole process, freeing up labor-bureaucrat of the Ministry of Health and its dependencies to other tasks of greater national interest, occupying socially better the times of non-academic school teachers - all this without adding a cent promised to "five million euros."

It is here the suggestion to Mr. Minister of Health, which I am asking that become public, all schools in the country, the list of clinics contracted by the Ministry of Health for the implementation of this program.

Gerofil

129) Board of Baião attentive to diseases

Striations on the ground, 24th of this month, a team of the Foundation for Education and Culture at the University Fernando Pessoa (UFP), consisting of doctors and students finalists of the Faculty of Health Sciences of UFP that, under a protocol of cooperation concluded with the City of Baião, will start a series of actions for screening the population baionense for six weeks - nearly two months. The actions will have to occur before the primary and secondary schools, retirement homes and joints parish in the aspects of preventive dentistry, medical tests for cholesterol and diabetes, nursing - control of blood pressure, drive human, physical therapy and speech therapy.

For the mayor of Baião, Jose Luis Carneiro, the protocol "is an initiative that fits in the effort that the municipality has developed in order to provide baionenses, particularly to the needy, living conditions more suited to the promotion of health ", refers to reported. Despite the activities related to health are not a responsibility of local authorities, the Board of thought adopt Baião a pro-active in ensuring the development of active social policies and to meet the specific needs of the municipality.

The Mobile Health and the provision of housing for doctors who want to practice the profession in the county are two examples, says the letter, the pro-active and have shown results. Shares of screening began in Ancede, one of the largest parishes of Baião and take place on Thursdays from 9:00 to 17:00 in different parts of the county.

O Primeiro de Janeiro

* * *

There is a good and sincere thanks for these initiatives by the City Council bay. An example to be followed by other municipalities, because all the money spent here will always be well spent, because it will always be in favor of the welfare of the population.

Gerofil

128) Autonomous Region of Madeira: Public Service already has three Regional Health Center with dental consultations

Since last September that the region apply the system of service contracts with doctors dentists, who pursue their activities in public service. That is how the Health Center of Porto Moniz, Porto Santo and the Bom Jesus give consultations of medicine and dental hygiene. There are other doctors available and only "are no longer, (the public service) because we are no longer equipped health centers for dental," says Gil Alves, the Order of Dentists of Madeira. The doctor points out that although the national level the EPE can also apply this system, the truth is that more and more hospitals and dental equipment whose health is degrading for lack of doctors. This, perhaps, the reason for the Portuguese are the Europeans with a major dental problems.

Gil Alves dispute the argument that this is due to the high price of treatments and remember that the cost of equipment and materials used in dentistry are high.

Jornal da Madeira

127) Promised better oral health

Correia de Campos ensures collaboration

with professionals of the sector

* * *

"I can assure that we are completely open and available to collaborate with you and discuss matters as the basic package, the establishment of a future Convention [of the National Dental Medicine] and the opening of Hospitals National Health Service (NHS) as proposed in the name of improvement the oral health of the Portuguese", said the Minister of Health, at the ceremony of swearing in of the new social organs of the Order of Dentists (MDGs) in Porto. At the meeting, held in the Stock Exchange Palace, Correia de Campos spoke of the success of the National Program for Promotion of Oral Health for the infant-juvenile population and that for this year has reflected "five million euros".

The governor said that "will not be the argument of lack of resources that will prevent program continue", despite admitting that "this support has increased so slow, however systematic and sustained up to say," given the results of some studies for cost benefits. The chairman of the MDGs, Orlando Monteiro da Silva, meanwhile sworn - and that will be ahead of the destinations of the Order until 2009 - reiterated that her main tasks is to "integrate the services of dentistry in the National Health System (NHS), to make it available to all Portuguese. "

According to the report, the vast majority of the Portuguese population has no access to dental services and contracting for dental practitioners with the public services "solve this problem. In that sense, thanked the opening of the Minister of Health and his ministry in "hear" the proposals of the Order, such as "payment of a moderating rate, to enable users to access to the NHS consultations."

O Primeiro de Janeiro

126) Horizontal equity in the Portuguese Health System

Horizontal equity in the Portuguese Health System

(Ana Simões, Ana Paquete and Marília Araújo)

* * *

The equity in the context of health is increasingly applicant as the public health systems based on this concept. In this study, the approach based on the concept of horizontal equity, checking the degree of equity in access to health care for individuals with equal need. The innovation here proposal was dealt with separately health care private and public. The analysis was based consultations of general practitioners (public sector), dentistry (private sector) and the specialty of cardiology (public / private).

The analysis, based on INS of 1998/99, was made by using the concepts of curves and indices of concentration in order to calculate the index of Le Grand. The results of this work have concluded that there is inequity in health Portuguese favouring higher income classes of the public sector and in private.

Gerofil

125) Tickets from Paris: Poor and very poor

Although the large majority of university students is home to more than wealthy (more than eighty percent come from families of professionals, engineers and technical staff and senior administrative and commercial), its economic situation cause seizures, which were listed in a report of a parliamentary committee: university students in large numbers, are facing difficulties to feed properly, abandon the idea of treating the teeth or the views (one in six), consume alcohol in excess (one in ten), and in the same proportion of one in ten, are victims of stages of depression.
O Primeiro de Janeiro
* * *
If this is the situation in France, as is currently in the universe of university students Portuguese?
Gerofil

124) Always too late for someone

What is lost in the best years of life
(...)

When I was fifteen years I have noticed that my friends of my age had their teeth treated - well, I asked my parents to leave me go to the city of Evora try to solve the problem of my teeth.

Depart me to the Hospital District of Evora, in receipt of the hospital told me once that there were no vacancies for consulting stomatology (or dental). I remember very well that even after I spoke to the sector of consultations and came to enter the office where they were installed the equipment for consultations in dentistry, but there was not anyone.

It was a "dentist" who worked in the street "Arcos" in Evora; unfortunately, I think I made the biggest mistake of my life, as the "dentist" I met told me that he had to do more extractions, before could do me a treatment for cleaning the teeth… Possibly by all the fears that had passed the Health Centre of Alandroal, then did not want to do more extractions.

I joined the University of Lisbon, the result of a scholarship.

Only able to enter the consultation of stomatology of Social Services-Medical University of Lisbon when we walked in the 4 th year of the University; unfortunately, too late to be treated as it should have been in early childhood.

(...)

Full text here

* * *

Where is the social justice in the country, please? There is courage on the part of those who should have.

Gerofil

123) Programme for the Promotion of Oral Health in children and adolescents

The Evaluation Report of the Contracting of the Year 2004 specifically that between the years 2000 and the year 2004 were covered 143 289 children and young people by the Program for Promotion of Oral Health.

Given the data from the National Institute of Statistics for 2004, Portugal had 1 648 996 for children between 0 and the 14 years of age and from 1 360 606 young people between 15 and 24 years of age. Making an extrapolation, the number of children and adolescents aged 6 to 16 years (ages covered by the program) would be around 1 261 519. This means that, after five years of the program, it covered only 11 in every 100 children and young people in age to be answered (or 89 in every 100 children and young people were left out in access to that program) .

Some some positive and negative aspects referred to by the managers of the Program in ARS's:

-It was the late-starting the process of contracting which has limited activities of the programme;

-The gap between the school year and the calendar year prevents better enforcement of contracts;

-Shortage of human resources in the Health Centres, for the amount of work that is necessary to achieve and that conditioned the final outcome;

-Delays in payments to health care professionals oral contract, with far beyond the time stipulated in the contracts;

-Delays in delivery of deployable by professionals hired;

-Handicapped-quality records in Fiche traveller Oral Health;

-Greater involvement of Health and Centers for oral health professionals;

-The mobility of children complicates its location and routing;

-Most of caries in children target of contracting, were treated at the end of the programme, however "some" professional contractors have a large number of caries by deal by the end of the programme;

-For many children this was the first opportunity to benefit from an oral intervention.

Gerofil

122) In 2001 we were well

NHS without dentists - About 90% of health centres of the National Health Service (NHS) have no dentist or provide consultations for oral health. In the few who have dental, consultations are targeted almost exclusively to children, only carried out on average once a week and, hence, have waiting lists, rising to three years. Who needs to treat the teeth is not even no choice but to pay a medical consultation in particular.

These are only some of the "dramatic" results of a survey done by the Order of Dentists in recent months to a broad sample of health establishments belonging to the public network. "The oral health is fully geared excluded health in Portugal ', commented in this regard the President of Dentists, Orlando Monteiro da Silva. 'And this means that, for economic reasons, much of the population is, quite simply, access to oral health care, "he added.

The survey covered more than 400 establishments of the NHS, spread across the country, with the majority of health centres. Of the more than 70 hospitals questioned on the provision of oral health, only 30% said they had dentists.

On the other hand, and the second shows the study, only 7% of health centres which have no dentist who is heading the sick to hospital. The problem is that access to these, as the other consultations, hospital specialty, is never directly - always implying a referral made by the family doctor.

If this routing is done by the family doctor, patients are forced to rely on the emergency. But the more likely it is to give the guy at the door. According to the Order, over 80% of hospitals that dentists have at your service admitted that no urgency to make oral health. "Patients have no alternatives, or to treat any conditions of its mouth", stressed the president.

As for health centres, the study says that 90% have no dentists, and that those who provide this consultation, there comes the waiting lists, for three years. This is because in most 10% of centres with consultation from dentists' is only accepted one marking a week. And if it is the small group of health centres with dentist, is non existent in the provision of emergency oral health, 'which is a factor of great concern "- says the Order. 'If users have a serious problem can not even go to a permanent telephone hotline (SAP), the study adds.

In health centres where there are dentists, patients are mostly (92%) referred to private doctors. But the latter, as Orlando Monteiro da Silva, has access only those who can pay.

Help from 55 escudos (23 cents) - The lifting of the Order shows are other disturbing data. For example, which in Alentejo and Algarve was only found one dentist to work in public health services and that Lisbon, despite the public offer be greater, is one of the poorest regions of the country in this specialty.

The Ministry of Health has already responded favourably to some of the proposals of the Order to solve this problem, notably through an expansion of agreements with private dentists. Until now, however, the process has not passed the plan of intentions.

Dentaria.com

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This text says almost everything on the relidade of oral health in the NHS in Portugal. Today, the situation has changed little. For more to say and if one thousand invent excuses, what is clear is that almost everything remains to be done in Portugal, when it comes to oral health.

Gerofil

121) Project Health Clinic at the University Fernando Pessoa crawled more than 12 thousand people

The Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP), which has the support of ratiopharm, held 12 064 free health screenings of September 2005 to August 2006. These surveys covered the provision of Dental Medicine, Clinical analysis (glucose / diabetes, and cholesterol), Nursing (control of blood pressure), Human Motion / Physical Therapy and Speech Therapy.

In this period, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) crossed the northern and central areas of the country as well, he went during the month of August, Angola, specifically in Luanda, with the main objective of provide training and conduct surveys to people in Hospitals and Health Centers.

According to the UFP, in total, 6 302 people were screened for blood glucose / diabetes and cholesterol, 210 children in valence of the Speech Therapy, 2,261 people on Oral Hygiene, 140 in the area of Motion Physical Therapy and Human and 3,151 in Nursing (control of blood pressure).

During the 2005-2006 school year, were involved in this project 244 students and 13 employees of UFP. As in previous years, this initiative was supported by the ratiopharm, leading pharmaceutical company in Portugal in the development and marketing of generic drugs (in units).

For the current school year, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) over the councils of Amarante, Baião, Santo Tirso among others, carrying out actions of screening in primary and secondary schools, centers and retirement homes in provision of medical tests for cholesterol and glucose, control of blood pressure, oral hygiene, drive human / physical therapy and Speech Therapy.

CiênciaPt