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Introdução: Há uma estimativa, para o ano de 2050, de mais de dois bilhões de pessoas acima de 60 anos no mundo. Essa projeção do envelhecimento da população ressalta a importância de avaliar a saúde bucal do idoso e, consequentemente, evidenciar qual o papel das políticas públicas e do cirurgião dentista na promoção de saúde neste contexto. Objetivo: O objetivo deste artigo é abordar as principais alterações bucais que ocorrem no idoso e a importância dada a isso pelas políticas públicas. Discussão: A literatura enfatiza a política nacional de saúde da pessoa idosa e o dever do profissional em promover a qualidade de vida preservando a autonomia e a independência funcional do paciente. Conclusão: Várias políticas públicas garantem os direitos assegurados às pessoas com idade igual ou superior a 60 anos, no que se refere à atenção integral à saúde, porém muito se tem a fazer para que os idosos sejam beneficiados e tenham pleno acesso a ela. Cabe ao cirurgião dentista o despertar para essa realidade e necessidade.

Introduction: For the year 2050, the estimate is to have more than two billion people over the age of 60 worldwide. This projection of population aging highlights the importance of assessing the oral health of the elderly and, consequently, highlighting the role of public policies and the dental surgeon in health promotion in this context. Objective: The purpose of this paper is to approach the main oral changes that occur in the elderly and the importance given to this by public policies. Discussion: The literature emphasizes the national health policy of the elderly and the duty of the professional to promote the quality of life while preserving the autonomy and functional independence of the patient. Conclusion: Several public policies ensure the rights guaranteed to people aged 60 years or older regarding whole health care for the elderly. However, much needs to be done for them to benefit and have full access to this service. Therefore, it's the dental surgeon's responsibility to bring awareness to this reality and need.

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The aim of this study was to identify trends in hospitalization for diabetes mellitus and their correlation with the Family Health Strategy (FHS) coverage in the state of Paraná, by Health District (HD), between 2000 and 2012. It is an ecological study based on secondary data from the Hospital Information System of the Brazilian Unified Health System and the Primary Care Department. There was downward trend for general admission rates (from 10.2 to 9.0/10,000 inhabitants), but upward trend for some HDs. No correlation was observed between admission rates and the FHS coverage for the state. However, there was strong inverse correlation for Paranaguá, Metropolitan, Foz do Iguaçu and Umuarama HDs, and strong and direct correlation for Pato Branco, Campo Mourão, Cianorte, Telêmaco Borba and Ivaiporã HDs. Overall, hospitalizations for diabetes mellitus proved to be decreasing and without correlation with FHS coverage; however, there were differences according to HDs.

Objetivou-se identificar a tendência das internações por Diabetes Mellitus e a correlação com a cobertura da Estratégia Saúde da Família (ESF) no Estado do Paraná, segundo Regionais de Saúde (RS), entre 2000 e 2012. Estudo ecológico de dados secundários do Sistema de Informações Hospitalares do Sistema Único de Saúde e do Departamento da Atenção Básica. Verificou-se tendência decrescente para as taxas de internação geral (de 10,2 para 9,0/10.000 habitantes), porém, tendência crescente para algumas RS. Observou-se correlação entre as taxas de internação e a cobertura da ESF para o estado; correlação forte e inversa para as RS de Paranaguá, Metropolitana, Foz do Iguaçu e Umuarama; e correlação forte e direta para as RS de Pato Branco, Campo Mourão, Cianorte, Telêmaco Borba e Ivaiporã. No geral, as internações por Diabetes Mellitus mostraram-se decrescentes e sem correlação com a cobertura da ESF, porém, observaram-se diferenças conforme as RS.

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Resumo Objetivou-se identificar a tendência das internações por Diabetes Mellitus e a correlação com a cobertura da Estratégia Saúde da Família (ESF) no Estado do Paraná, segundo Regionais de Saúde (RS), entre 2000 e 2012. Estudo ecológico de dados secundários do Sistema de Informações Hospitalares do Sistema Único de Saúde e do Departamento da Atenção Básica. Verificou-se tendência decrescente para as taxas de internação geral (de 10,2 para 9,0/10.000 habitantes), porém, tendência crescente para algumas RS. Observou-se correlação entre as taxas de internação e a cobertura da ESF para o estado; correlação forte e inversa para as RS de Paranaguá, Metropolitana, Foz do Iguaçu e Umuarama; e correlação forte e direta para as RS de Pato Branco, Campo Mourão, Cianorte, Telêmaco Borba e Ivaiporã. No geral, as internações por Diabetes Mellitus mostraram-se decrescentes e sem correlação com a cobertura da ESF, porém, observaram-se diferenças conforme as RS.

Abstract The aim of this study was to identify trends in hospitalization for diabetes mellitus and their correlation with the Family Health Strategy (FHS) coverage in the state of Paraná, by Health District (HD), between 2000 and 2012. It is an ecological study based on secondary data from the Hospital Information System of the Brazilian Unified Health System and the Primary Care Department. There was downward trend for general admission rates (from 10.2 to 9.0/10,000 inhabitants), but upward trend for some HDs. No correlation was observed between admission rates and the FHS coverage for the state. However, there was strong inverse correlation for Paranaguá, Metropolitan, Foz do Iguaçu and Umuarama HDs, and strong and direct correlation for Pato Branco, Campo Mourão, Cianorte, Telêmaco Borba and Ivaiporã HDs. Overall, hospitalizations for diabetes mellitus proved to be decreasing and without correlation with FHS coverage; however, there were differences according to HDs.

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INTRODUCTION: Chronic kidney disease (CKD) causes sudden changes in the daily lives of patients, creates limitations to perform activities of daily life and creates a great impact on emotions and quality of life (QOL) of patients. OBJECTIVE: To understand the relationship between QOL of patients on dialysis and mortality rates, hospitalization and absences. METHODS: A prospective descriptive study with 286 patients on hemodialysis, by applying demographic questionnaire, KDQOL SF-36 and electronic medical record analysis Dialsist. RESULTS: The mean age was 54.71 ± 14.12 years, with a mean score of QOL 60.53 having as higher factor encouraging the support team (85.03) and lowest in work status (21.11). The days of hospitalization is negatively correlated to the compounds of the instrument, particularly in physical functioning (p = 0.000), mean score (p = 0.001) and emotional well-being (p = 0.005). Women had lower QOL in physical role scores, symptoms/problems, physical functioning, emotional well-being, energy and fatigue mean score (p ≤ 0.05). The lowest score was found to be related to treatment of patients in 1 year and 7 months and 5 years (59.93) and higher in patients with more than five years and one month (61.39). CONCLUSION: Hospitalizations decrease QV emotional and physical scores and absences are directly related to social support and age. The study looked through the data raise subsidies for the work of the aspects that need stimulation and adaptation in the lives of patients, providing a better balance in the individual's life.

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Abstract Introduction: Chronic kidney disease (CKD) causes sudden changes in the daily lives of patients, creates limitations to perform activities of daily life and creates a great impact on emotions and quality of life (QOL) of patients. Objective: To understand the relationship between QOL of patients on dialysis and mortality rates, hospitalization and absences. Methods: A prospective descriptive study with 286 patients on hemodialysis, by applying demographic questionnaire, KDQOL SF-36 and electronic medical record analysis Dialsist. Results: The mean age was 54.71 ± 14.12 years, with a mean score of QOL 60.53 having as higher factor encouraging the support team (85.03) and lowest in work status (21.11). The days of hospitalization is negatively correlated to the compounds of the instrument, particularly in physical functioning (p = 0.000), mean score (p = 0.001) and emotional well-being (p = 0.005). Women had lower QOL in physical role scores, symptoms/problems, physical functioning, emotional well-being, energy and fatigue mean score (p ≤ 0.05). The lowest score was found to be related to treatment of patients in 1 year and 7 months and 5 years (59.93) and higher in patients with more than five years and one month (61.39). Conclusion: Hospitalizations decrease QV emotional and physical scores and absences are directly related to social support and age. The study looked through the data raise subsidies for the work of the aspects that need stimulation and adaptation in the lives of patients, providing a better balance in the individual's life.

Resumo Introdução: A doença renal crônica (DRC) acarreta mudanças repentinas no cotidiano dos pacientes, cria limitações para realizar as atividades de vida diária e gera um grande impacto nas emoções e na qualidade de vida (QV) do paciente. Objetivo: Compreender a relação entre a QV do paciente em hemodiálise e as taxas de mortalidade, hospitalização e faltas. Métodos: Estudo descritivo e prospectivo com 286 pacientes em hemodiálise, mediante aplicação de questionário sociodemográfico, KDQOL SF - 36 e análise de prontuário eletrônico Dialsist. Resultados: Idade média de 54,71 ± 14,12 anos, com escore médio de QV de 60,53, tendo como fator mais elevado o encorajamento da equipe de apoio (85,03) e menor em status de trabalho (21,11). Os dias de hospitalização se correlacionaram negativamente aos compostos do instrumento, principalmente no funcionamento físico (p = 0,000), escore médio (p = 0,001) e bem-estar emocional (p = 0,005). As mulheres apresentaram menor QV em escores de papel físico, sintomas/problemas, funcionamento físico, bem-estar emocional, energia fadiga e escore médio (p ≤ 0,05). O menor escore encontrado foi referente aos pacientes em tratamento entre 1 ano e 7 meses e 5 anos (59,93) e o maior em pacientes com mais de 5 anos e 1 mês (61,39). Conclusão: As hospitalizações diminuem a QV do quesito emocional e físico e as faltas estão diretamente relacionadas ao suporte social e à idade. O estudo buscou, por meio dos dados, levantar subsídios para o trabalho dos aspectos que necessitam de estimulação e adaptação na vida dos pacientes, proporcionando um maior equilíbrio na vida do indivíduo.

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