Publications by authors named "Alessandro Decarli"
Article Synopsis
- The study investigates how Matrix Support (MS) affects integration between Primary Health Care (PHC) and Dental Specialty Centers (CEOs) in Brazil.
- Findings reveal that nearly half of the CEOs lack collaborative therapeutic projects with PHC oral health teams, which is linked to various factors like poor case discussions and absence of joint educational activities.
- The conclusion emphasizes that individual practices within CEOs play a more significant role in the integration issues than broader contextual factors from local municipalities.
Objective: The aim of this study was to investigate, at a national level, which individual factors of the work process/infrastructure are associated with the achievement of goals in the periodontics specialty in Brazilian Dental Specialty Centers (BDSC).
Methods: This was a quantitative, analytical, cross-sectional study. Secondary data from DATASUS and the external evaluation of the second cycle of the BDSC Access and Quality Improvement Program were used.
Background: This systematic review and network meta-analysis aimed to compare the clinical efficacy of bioactive and conventional restorative materials in controlling secondary caries (SC) and to provide a classification of these materials according to their effectiveness.
Methods: A search was performed in Pubmed, Web of Science, Embase, BBO, Lilacs, Cochrane Library, Scopus, IBECS and gray literature. Clinical trials were included, with no language or publication date limitations.
Article Synopsis
- Timely diagnosis of oral cancers is essential, and the study focuses on understanding factors affecting waiting times for oral biopsies in Brazil.
- The research utilized secondary data to analyze the scheduling of biopsies and identified that 51.8% of dental specialty centers had non-immediate waiting times.
- The study concluded that longer waiting times are linked to coverage provided by dental centers, particularly those serving only one municipality, while other contextual factors were not significant.
We assessed parental reflective functioning (PRF) with the Parent Development Interview-Revised and investigated its association with parenting behaviors, that is, autonomy support and psychological control (operationalized in terms of behaviors promoting and undermining autonomy relatedness), and stress responses (cortisol reactivity) during a parent-child conflict interaction task (Family Interaction Task). Participants were 40 mothers and 28 fathers, who took part in the study together with their adolescent children ( = 49). Mothers had significantly lower PRF and displayed more psychologically controlling behaviors in the interaction with their children than fathers.
View Article and Find Full Text PDFObjective: The objective of the present study was to analyse the quality of adults and older adults health care in Primary Health Care (PHC) services in the State of Mato Grosso do Sul, 2018.
Methods: A quantitative survey was carried out in which the municipalities participating in the study included the four macro-regions following the Director Regional Plan (DRP). In this study, the quality of care was verified using the validated version of the PCAT-Br for adult and older adults users over 18 years of age and professionals.
Background: Brazil experienced an expansion of the population's access to oral health policies after the creation of the Unified Health System (SUS, Sistema Único de Saúde). Through public policies, the consolidation of Primary Health Care (PHC) and the incorporation of dental care into primary and hospital care took place. The objective of this study was to identify epidemiological aspects, including the temporal trend, of hospital morbidity from oral and oropharyngeal cancer in Brazil, considering hospitalizations for this neoplasm in a hospital network linked to the public care system.
View Article and Find Full Text PDFBackground: Congenital syphilis (CS) is a problem of great concern for public health, especially in Brazil. The aim of this study was to analyse the time trends and the space-time dynamics of morbidity and mortality from CS in Brazil.
Methods: An ecological and time series study, which included all cases and deaths from CS recorded in a national Brazilian database from 2013 to 2019 was performed.
Background: Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. Therefore, factors associated with dental appointments scheduling can affect positively or negatively the use of dental services.
View Article and Find Full Text PDFBackground: Oral and oropharyngeal cancers are considered important public health problems worldwide. This study aims to analyze the association between late diagnosis of oral and oropharyngeal cancers in Brazil and the contextual indicators of socioeconomic variables and coverage of Primary Health Care (PHC), and to assess the temporal trend of late diagnosis.
Methods: In this cross-sectional observational study, secondary data were evaluated with a time series analysis.
Article Synopsis
- Chikungunya fever, transmitted mainly by Aedes mosquitoes, significantly affects patients' quality of life, with unclear oral manifestations that the study aims to clarify.
- A systematic review analyzed 27 studies, highlighting various oral issues like ulcers, gingival bleeding, and changes in taste which primarily cause discomfort during chewing.
- The findings suggest that these oral symptoms are more common in women and older adults, typically easing within 3 to 10 days, and are linked to viral infections and an inflammatory response.
The current study examined the effects of attachment on autonomy, relatedness, and emotion regulation during an attachment interview (Friends and Family Interview; FFI) and a Parent×Child Conflict interaction (Family Interaction Task; FIT) in 49 adolescents (11 to 17 years old). Disorganized adolescents displayed behaviors promoting autonomy and relatedness less frequently and at a lower extent than organized ones in the FIT with mothers but not with fathers. Disorganized adolescents also showed a steeper decrease in heart rate variability (HRV) than organized ones, during both the FFI and the FITs.
View Article and Find Full Text PDFObjective: The objective of this study was to verify whether the inclusion of professionals who completed a specialized distance learning course in family health teams is associated with rates of hospitalization for primary healthcare-sensitive conditions and better monitoring of chronic conditions in municipalities within the state of Mato Grosso do Sul, Brazil.
Methods: Negative binomial regression models with fixed effects were used for the 79 municipalities in the state, with repeated observations for the selected years (2009-2015). For our reference, the parameter "Municipality Ratio" was the number of professionals who completed the course divided by the total number of PHC professionals in the municipality.
Article Synopsis
- - The study aimed to find out what individual and contextual factors influence elderly Brazilians' self-perceived need for dental treatment and prostheses, using data from a large national health survey.
- - Data from 7,619 elderly participants showed that about half felt they needed dental treatment, while over half thought they needed prostheses, with significant factors including gender, skin color, income, and access to oral health services.
- - The findings indicated that individual factors played a major role in how elderly Brazilians perceive their dental treatment needs, highlighting social inequalities and helping to inform health service planning.
Article Synopsis
- * The most common focus of these articles was the implementation of oral health teams, which made up 18% of the identified themes, with the Northeast of Brazil contributing the most articles (61 total).
- * Findings showed a trend towards quantitative research and highlighted a growing interest in understanding how oral health is integrated into primary care, especially concerning professional roles and teamwork dynamics.
Article Synopsis
- Dental trauma is a significant public health issue among 12-year-old children in Brazil, with a prevalence rate of 23.96%, and factors like sociodemographic background and occlusal problems play key roles in its occurrence.
- Female children showed lower risk for traumatic outcomes, while non-white children faced higher risks for specific injuries like maxillary tooth fractures.
- The study highlights that traumatic dental injuries negatively affect oral health-related quality of life and suggests promoting preventive measures like mouthguard use through family and school health initiatives.