Monday 19 October 2015

630. Master's thesis (oral health)

Dear colleagues,
My name is Ana Firmino, have basic training in Oral Hygiene since 2010 by FMDUL, I'm not exercising, and now I find myself preparing my master's thesis by ENSP-UNL, whose theme is related to the Oral Health .
Given the current economic conjecture of our country and according to the inequalities of access to the population is subject, in particular in relation to oral health as a public health component, increasingly it appears an oral health deterioration of our population and other associated problems.
Since it is a field of great concern to professionals in our area, mostly argue that oral health should be part and be 'delivered' to the population free of charge, not a right for us acquired described in the Constitution with the following words:

"1. Everyone has the right to health protection and the duty to defend and promote.
2. The right to health protection is achieved:
a) Through a national universal service and overall health, and bearing in mind the economic and social conditions of citizens, tend Free;
b) The creation of economic, social, cultural and environmental conditions that guarantee, specifically, the protection of children, youth and old age (...)
3. To ensure the right to health protection, primary duty to the state:
a) Ensuring access of all citizens, regardless of their economic circumstances, care of preventive medicine, curative and rehabilitative;
b) ensure a rational and efficient coverage of the whole country in human resources and health facilities (...). "

We know that in relation to oral health is not what is practiced in reality. Therefore, contact you with goals to request some information (studies, articles, papers, posters, etc.) relevant to me they can provide.
Essentially intend to make an introduction to the hygienist, dentist, stomatologist, dentist in order to highlight what roles and function of each of the oral health of the individual, how they can work together and how they complement each other.
I also want to address the supply and access to oral health in public and private side face the population's needs (No. professionals - those mentioned above, but essentially HO and MD - number of public and private spaces, perceived need of the population - the elderly , pregnant women, children and young people, HIV carriers, etc.).
Desire to seek out new approaches and programs applied in other reference countries (European or otherwise), avant-garde in this area and pointing positive results due to the implementation of their programs.
In order to address the aspect of Human Resource Management (number of professionals, number of professionals in service, number of professionals by type public or private, dentist check number issued by various levels and number of use thereof, results of programs oral health previously carried out, etc.) over the existing needs, we need reliable information and based on the evidence.
Still intend to compare results of oral health with other countries and its programs, finally intend to propose new methods and more effective programs that create larger population conditions for access to a public shed with equal access for all.
I really appreciate if I can provide as much information and I ask or think that may be relevant for my study.
I accept suggestions or some sort of guidance if they wish or deem necessary.
They will eventually require a statement of the institution to which I belong belongs, thank you ma request as soon as possible in order to carry out the project without further delay.
I await feedback.
Thanks,
Ana M. P. Firmino,
24 HO Course (FMDUL)
VIII Master in Health Management (National School of Public Health - UNL).
Electronic mail:

margarida_firmino88@hotmail.com or FaceBook

629. Seven foods that make healthy teeth and gums

Raw Food - The strength made for chewing raw food support teeth stronger, guaranteeing them firmly. In this case, other difficult to chew food, such as meat and mace, also help.Vitamin C - Lack of vitamin C causes bleeding gums and decreased bone mass, which in the long term can lead to tooth loss. One should not overdo the intake of very acidic foods - like orange and pineapple, rich in vitamin C - because let their teeth more porous. One option is to rinse with water to neutralize the acid after ingestion, not advising immediate brushing, because the friction of the brush with the glaze will cause the teeth to further wear.Water - Consuming water is important because it eliminates waste, sugars and acids. Furthermore, water of big cities contains fluorine, which enhances the resistance of tooth enamel.Milk and milk products - in this case, what is essential is the consumption of calcium, as the nutrient composition is part of teeth, and appropriate levels ensures good health and tooth formation. Another source of calcium are dark leafy greens such as kale.High-fiber foods - Besides contributing to gastrointestinal health, these foods promote self-cleaning teeth, preventing the formation of plaque - causing cavities and gingivitis.Vitamin D - Vitamin D increases the efficiency of intestinal calcium absorption by 40% the phosphorus and 80%; also help in fixing the calcium in bone and tooth bases.Sugarless gum - sugar-free chewing gum between meals stimulate saliva formation, which contributes to cleaning teeth. The chewing gum may become even more valuable when provided xylitol (see the label), a sweetener that helps the dental remineralization process and contributes to the longevity and protection of the teeth.
Oneida Werneck

Monday 5 October 2015

628. The SNS is necessary and sustainable

By ignorance of reality or political strategy, some people say that the National Health Service (SNS) is spender and unsustainable. It is exactly the opposite!Let's talk numbers, based on the latest OECD data, relating to 2010. In terms of percentage of GDP, Portugal spent 10.7% in Health (public and private spending), France and Germany 11.6% and OECD average was 9.5%. But per capita, the comparison is fair and honest, Portugal spent only $ 2,728, compared to 3974 in France, 4338 in Germany and 3268 the average of OECD countries. However, for the previous amount, the Portuguese State only contributes 65.8%. Against 77.0% in France, 76.8% in Germany and 72.2% on average across OECD countries. In other words, Portugal has a global budget system and, above all, cheaper for the state. It is recalled that in the meantime, from 2010 to 2012, the government reduced the public contribution to the SNS by 20% and that for 2013 the State Budget provides that public spending on health is only 5.1% of GDP.
And the quality? Portugal has 3.4 hospital beds per 1,000 inhabitants, while France has 6.4, Germany 8.3 and the OECD average is 4.9. You can not cut more hospital beds without harming patients! The mean duration of hospitalization in days was 5.9 in Portugal, 5.7 in France, 9.5 in Germany, 7.1 in the OECD average. The Portuguese hospital specialists work well!
Life expectancy of women at 65: 20.6, 22.6, 20.9 and 20.7 years respectively in Portugal, France, Germany and the OECD average. We are very well, but we can improve, which goes mainly to combat risk factors, prevent and treat chronic diseases.
Infant mortality in 2010 (deaths in the first year per 1,000 live births): 2.5 in Portugal, 3.6 in France, 3.4 in Germany and 4.3 in the OECD. One of the best parameters of global analysis of the quality of a health system. Portugal was the best in 2010!
Only in per capita expenditure on the consumption of drugs would compare not so well. This year we spent $ 508.1 versus 634.5 in France, 640.0 and 495.4 of Germany to the OECD average. But in the meantime, from 2010 to 2012, the value of the drug in ambulatory market and the average cost per package declined about 20% as a result of the measures implemented by the Government. Which means that today we are already below the OECD average and that there is slack to introduce innovative medication.
As shown by the coldness of the OECD numbers, the SNS is of great quality and cheap. As recently stated in Brussels at a meeting organized by the European Public Health Alliance (EPHA), the Portuguese health system is the world's best, excludes no one, is sustainable and should be preserved. Who want to claim otherwise, you will have to show underlying!
If any government want to have democratic legitimacy to destroy the SNS, the parties that support it will need to apply for elections with this explicit program, or undergo option for Health in Portugal to a national referendum. It was not the 10% of GDP on health Portugal that led to bankruptcy. It was mediocre, spender and corrupt way "the other 90%" is spent by successive governments.
José Manuel Silva