A Meta-summarization of Qualitative Findings About Health Systems Performance Evaluation Models: Conceptual Problems and Comparability Limitations.

Due to the replacement of the issue of performance measurement in health policies worldwide this study identifies and analyzes the models for evaluating health systems performance. For this purpose, a systematic review of the literature on the topic "health systems performance evaluation" is done, making it compatible with a qualitative meta-synthesis of the type "meta-summarization." It works with all databases related to the theme (PubMed, Scopus, EMBASE, PubAdm and Lilacs/Scielo).

Effect of birth weight and nutritional status on transverse maxillary growth: Implications for maternal and infant health.

We analyzed the association between birthweight, nutritional status and transverse maxillary growth in 7- to 9-year-old schoolchildren. We undertook a cross-sectional survey nested in a population-based cohort study of 158 schoolchildren. The participants lived in the urban area of a small town within the Western Brazilian Amazon.

[Water fluoridation in Brazil: regional distribution and accuracy of information on surveillance in municipalities with more than 50,000 inhabitants].

Sanitation data for 2008 indicated that 74.4% of Brazilian municipalities (counties) with more than 50,000 inhabitants were receiving fluoridated water, but no criteria were adopted to validate the information. The study aimed to verify the accuracy of information on water fluoridation, using as the reference water surveillance data from municipalities with more than 50,000 inhabitants in 2008 and during 2010-2015.

Caries and fluoridated water in two Brazilian municipalities with low prevalence of the disease.

Objective: To analyze the association between exposure to fluoridated water and dental caries in a context of widespread use of fluoride toothpaste in Brazil, in a scenario of low prevalence of the disease.

Methods: This is a cross-sectional observational study, of the census type, in the form of a double population-based epidemiological survey carried out in two municipalities of the state of São Paulo in 2014. The sample consisted of adolescents aged 11 and 12 years, exposed (n = 184) or not exposed (n = 128) to fluoridated water for at least five years.

[Oral health care in the Xingu Indigenous Park, Brazil, from 2004 to 2013: an analysis based on evaluation indicators].

In 2011, the Brazilian National Oral Health Policy redefined its model of care for indigenous peoples, recommending the use of epidemiology and follow-up of the impact of activities using adequate indicators. The current study aimed to analyze trends in these indicators, proposed by the Brazilian Ministry of Health, in the Xingu Indigenous Park, Brazil, from 2004 to 2013. This was a quantitative study using secondary data from the Xingu Special Indigenous Health District and the Xingu Project of the Federal University of São Paulo.

Dental caries in peoples of Xingu Indigenous Park, Brazil, 2007 and 2013.

Objective: to describe the prevalence of dental caries and the supply of dental care in the population of Xingu Indigenous Park, Brazil, at 5, 12 and 15-19 years old, in 2007 and 2013.

Methods: cross-sectional study panel, with secondary data provided by the Indigenous Special Sanitary District of Xingu and Project Xingu.

Results: 368 indigenous people were examined in 2007 and 423 in 2013; there was no significant difference between the means of the number of decayed, missing and filled teeth at 5 years (6.

Water fluoridation in Brazilian cities at the first decade of the 21st century.

Objective: To assess the coverage of the fluoridation of the public water supply in Brazilian municipalities at the first decade of the 21st century, according to population size and municipal human development index (MHDI).

Methods: We have used data produced by national information agencies and the United Nations Development Programme. Population size was separated into < 10,000, 10,000-50,000, and > 50,000 inhabitants.

The ethics of in vivo calibrations in oral health surveys.

Objectives:: To analyze the ethics of in vivo calibration, using the discourse of the administrators of the National Oral Health Survey (SBBrasil 2010) as a starting point.

Method:: This is a qualitative research involving semi-structured individual interviews with 12 members of the Steering Group and Technical Advisory Committee of the Ministry of Health, and two coordinators, one State and the other Municipal. The discourse of the collective subject technique was used for data analysis.

[Dental caries in 12-year-old schoolchildren from a non-fluoridated municipality in the Western Brazilian Amazon, Brazil, 2010].

Objective: to describe dental caries occurrence and dental care received among 12-year-old schoolchildren in a small town in the Amazon region according to sex and area of residence.

Methods: this was a descriptive study conducted in Acrelandia-AC, Brazil, in 2010; DMFT and dental care indexes were estimated in accordance with World Health Organization recommendations.

Results: 186 schoolchildren participated, 47.

Oral health in the agenda of priorities in public health.

This study describes the scientific production on oral health diffused in Revista de Saúde Pública, in the 50 years of its publication. A narrative review study was carried out using PubMed, as it is the search database that indexes all issues of the journal. From 1967 to 2015, 162 manuscripts specifically focused on oral health themes were published.

[Prospective study on tooth loss in a cohort of dentate elderly].

The aim of this study was to assess factors associated with tooth loss in elderly 60 years or older during a four-year observation period. A representative cohort of dentate elderly from the city of São Paulo, Brazil, participated in the study. The outcome was teeth loss incidence from 2006 to 2010.

Factors associated with deterioration of self-rated chewing ability among adults aged 60 years and older over a 6-year period.

Aim: To assess factors associated with the deterioration of self-rated chewing ability among adults aged 60 years and older over a 6-year period.

Methods: We carried out a case-control study nested in a cohort involving 890 individuals living in the city of Sao Paulo from 2000 to 2006. The outcome was the reduction of self-rated chewing ability.

[Public water supply fluoridation in Brazil according to health sector leaders].

Various groups have opposed water supply fluoridation in Brazil, while others have supported the measure based on scientific evidence. This article describes the perceptions of delegates to the 13th National Health Conference on mandatory fluoridation of the country's public water supply. Interviews were processed using collective subject discourse analysis.

[Population surveys as management tools and health care models].

The article briefly systematizes health care models, emphasizes the role of population surveys as a management tool and analyzes the specific case of the Brazilian Oral Health Survey (SBBrasil 2010) and its contribution to the consolidation process of health care models consistent with the principles of the Sistema Único de Saúde (SUS, Public Health Care System). While in legal terms SUS corresponds to a health care model, in actual practice the public policy planning and health action, the system gives rise to a care model which is not the result of legal texts or theoretical formulations, but rather the praxis of the personnel involved. Bearing in mind that the management of day-to-day health affairs is a privileged space for the production and consolidation of health care models, it is necessary to stimulate and support the development of technical and operational skills which are different from those required for the management of care related to individual demands.

[Dental fluorosis in children from São Paulo, Southeastern Brazil, 1998-2010].

Objective: To assess the trend of dental fluorosis prevalence in 12-year-old children, in the context of exposure to multiple sources of fluoride.

Methods: An analysis was carried out of the trends in prevalence of dental fluorosis in the city of São Paulo, Southeastern Brazil, between 1998 and 2010. The rates of prevalence were calculated for different years (1998, 2002, 2008 and 2010) using secondary data obtained from epidemiological surveys of representative samples of 12-year-old children.

[Ethical responsibility in the SBBrasil 2010 from the perspective of the managers of the population survey].

Objective: To analyze the ethical problems involved in the Brazilian Oral Health Survey - SBBrasil 2010.

Methods: We carried out a descriptive qualitative case study from the perspective of the ethics of responsibility. Key informants (n = 14) involved in the planning and implementation of a population survey in the Federal District and 11 States were individually interviewed using a semi-structured questionnaire.

[Multiple aspects of the use of fluorine in public health from the viewpoint of healthcare leaders].

The article describes the perceptions of health care leaders on issues relating to the use of fluorine in public health. This is a descriptive study with a qualitative approach, using Collective Subject Discourse (DCS) as technique for processing the statements. The study population was comprised of delegates to the 13th National Health Conference; the sample was defined by convenience and consisted of 310 delegates: 56 at municipal level in Fortaleza (CE), 143 at state level (Ceará) and 111 at national level.

[Evolution in access to fluoridated water in São Paulo State, Brazil, from the 1950s to the early 21st century].

Access to fluoridated water is a known protective factor against dental caries. In 1974, fluoridation of the public water supply became mandatory by law in Brazil, resulting in improved coverage, especially in more developed regions of the country. Coverage increased across the country as a priority under the national oral health policy.

[Relevant methodological issues from the SBBrasil 2010 Project for national health surveys].

The SBBrasil 2010 Project (SBB10) was designed as a nationwide oral health epidemiological survey within a health surveillance strategy. This article discusses methodological aspects of the SBB10 Project that can potentially help expand and develop knowledge in the health field. This was a nationwide survey with stratified multi-stage cluster sampling.

[Scientific validity of epidemiological knowledge based on data from the Brazilian Oral Health Survey (SB Brazil 2003)].

Indicators and analyses that used the database from SB Brazil 2003 (the most recent nationwide oral health survey) have been criticized as unreliable due to sampling problems. The current study countered that this critique was based solely on statistical concepts, unsupported by empirical evidence. The critique's essentially epistemic approach leads to peremptory reductionism that denies other forms of knowledge and fails to recognize the multidisciplinary nature of epidemiology.

Dental health policies in Brazil and their impact on health inequalities.

This text systematizes available knowledge about the main dental health policies in Brazil in regards to their current degree of implementation and their impact on health inequalities. Although the fluoridation of publicly distributed water is legally mandated in Brazil, its implementation has been subject to marked regional inequalities. Data are presented about the extent of implementation for the intervention, and studies are reviewed that evaluate the intervention's impact upon increasing inequality in the experience of dental caries.

[Scientific output trends in oral health in Brazil].

Objective: To describe dental research trends in Brazil (especially population-based oral health) in the early Twenty-first Century.

Methods: The abstracts of studies presented at meetings of the Brazilian Society for Dental Medicine Research (Sociedade Brasileira de Pesquisa Odontológica) from 2001- 2006 were assessed in terms of methodological design (aggregate or population-based and individual-based studies, observational and intervention studies, cross-sectional and longitudinal studies); general type (literature review, studies with human subjects, and laboratory studies); and classification into one of the 19 specialty categories recognized by the Brazilian Federal Dentistry Council. Of the 10 406 abstracts presented in this period, 5 203 (50%) were reviewed.

Revised criteria for the assessment and interpretation of occlusal deviations in the deciduous dentition: a public health perspective.

Secondary data from a randomized sample of Brazilian preschool children were analyzed to evaluate the prevalence of occlusal deviations in the deciduous dentition that can adversely affect the permanent dentition, using revised criteria. Overjet and overbite used cut-off points described in the literature to exclude mild malocclusion cases. Overjet>3 mm and overbite>3 mm were present in 16% and 7% of the children, respectively.