EsSEx: Revista Científica

7-14

Authors: Guilherme Fernandes Loures, Mariano Craveiro de Oliveira

Despite technical-scientific advances in rehabilitation therapy in dentistry, health education and preventive measures are still the most valuable tools in the control of periodontal disease and tooth decay. Recognition of the collective health of a given group, which is the target of some assistance plan or preventive measure, demonstrates the forecast of future expenditure on therapeutic treatments for this group and the effectiveness of that group, elucidating the importance of epidemiological surveys. This study aimed to analyze, through the collective epidemiological profile of students from the 2021 Army Health School Officers’ Training Course, therapeutic demands and preventive measures to avoid absences from the work environment of these new soldiers. For this, a descriptive structured qualitative applied research was carried out through an online questionnaire on the google forms platform. After the period established for answering the questionnaire, it was found that the largest number is physicians (80.2%) and the smallest number of veterinarians (2.5%). Most are at 31 (17.3%) and 30 years (16.0%). The states of Rio de Janeiro with 23.5% and Minas Gerais with 22.2% lead among the natives of students. Preventive dentistry is the greatest need reported by the military, with 55.6% of the answers in relation to self-perceived need for dental treatment, and the main prior guidance received by a professional in the area (42.0%). Given this analysis, it can be concluded that the various demands of the military will be met by the Army’s assistance plan, 75.3% of respondents are interested in FUSEX care and, probably in the next year, whether in the therapeutic modality or educational activity. Therefore, will bring costs and temporary removal of some specific military personnel.

24-31

Authors: Joyce Cristina Chevi da Rocha, Mariano Craveiro de Oliveira

Dental mobile units are dental offices structured in vehicles adapted and equipped for the development of oral care actions, offering dental services to populations in places that have greater difficulty in accessing health services. In order for the required complexity of some procedures to be met and for the number of appointments to be increased, the acquisition of a mobile dental unit by the Brazilian Army would be of great value, as in addition to increasing the number of dental appointments in campaign exercises and giving conditions to carry out complex procedures, the service would be less costly to the Union and with greater operational capacity. Therefore, the objective of this work is to identify and describe the procedures performed within the mobile dental unit, create a list of these procedures and point out the most common care. A literature review of articles, ordinances that regulate campaign exercises and statistical data provided by the Air Force Health Board was carried out. It was possible to conclude that mobile dental units are instruments of great value for care in remote areas, enabling treatment and prevention.

43-52

Authors: Ingrid Souza Reis Santos, Claudio Russio de Oliveira

Process auditing is currently a topic of growing relevance in the literature. In the Brazilian Army's health auditing services, auditing is an activity of the Military Health Organization (WHO) whose objective is, among others, to optimize financial resources, increase service performance, improve operational processes hospital and mainly to increase the level of customer satisfaction. Therefore,the possibility of improving services for greater efficiency is useful. Thus, in order to improve health services and practices, studies are needed that combine process auditing with health services. This work aims to present the application and benefits of auditing processes in organizations/com panies, and analyze its applicability and benefits in health audit services in Military Organizations (OM). This is a literature review study, having as source of reference books, articles and electronic publications on the subject analyzed, limited to publications in the period 2006-2021. Process auditing is a type of quality audit and is built on a systematic and independent analysis of the activities that make up the work processes. Divided into three stages, planning, execution and monitoring, it is a continuous contributor to the improvement of processes and consequently of quality, not only being a tool for detecting failures, but also, when executed in its perfect conformity, it is beyond a reactive methodology. With a view to the evolution and improvement of management, the Brazilian Army, in recent years, has been striving to modernize the health audit and inspection sector. The implementation of process auditing in the army’s health audit system can bring several benefits to the system. As an important improvement tool for something that already exists, process auditing adds value to what is already being audited by identifying the characteristics of the process, requiring strict compliance with what is foreseen and thus providing more quality to the final product. Avoiding the continuity of failures and inhibiting the emergence of other errors that affect the final product that reaches the user, it favors a higher quality of care, with less costs and greater productivity both in the audit sector and in the sectors audited from the process

64-77

Authors: Betania Amim Rubim, Claudia de Andrade Medeiros

Blood transfusion saves thousands of lives worldwide. However, to acquire a blood bag, the candidate for donation must undergo a questionnaire, clinical and hematological screening, for subsequent collection from the blood unit. In this collection, blood samples are taken in order to perform serological tests for HIV, HBV, HCV, HTLV, syphilis and Chagas disease. Objectives: To identify the epidemiological profile of IBEx blood donors. Methods: This is a retrospective study with a quantitative approach, using the HEMOVIDA system for data collection. A total of 14,732 blood bags collected at IBEx were evaluated in the period from 2015 to 2020. For data analysis, tables and graphs with absolute values and percentages were created. Results: There were 92.96% suitable donors in the serological screening and 7.03% unsuitable, with reactivity for syphilis representing 50.04% of serological unsuitability, 25.16% for Anti-HBc, 8% for Chagas disease, 7.13% for HIV, 4.33% for HTLV, 2.98% for HbsAg and 2.31% for Anti-HCV. The data found were compared with those obtained by the State Hemorrede of the state of Rio de Janeiro. Observing the epidemiological profile of IBEx blood donors, it is essential to implement continuous sexual education campaigns with the aim of improving the quality of blood offered to the military family, as well as minimizing the discard of blood. Conclusion: The present study demonstrated a high rate of serological incapacity, making it necessary to raise awareness for the act of blood donation based on campaigns that encourage individuals about the essential conditions, thus promoting the reduction of incapacity of donors.

91-103

Authors: Gabriel Ferreira Cid, Gabriel Lobo Ferreira

During the years 1914 and 1918, the global conflict known as the Great War or the First World War took place. Due to the naval blockade, the underwater campaign against neutral nations and the subsequent attack on Brazilian ships by the German government, Brazil made war on the Central Empires, being the only South American country to take part in the confrontation. The entry into the country took place in 1918, with an emphasis on the participation by sendind a medical mission to France. The Military Medical Mission was perhaps Brazil’s greatest contribution on the conflict, having as its main purposes the foundation and mobilization of a hospital in city of Paris. The Franco-Brasileiro Hospital was of fundamental importance, as it provided support to allied health services, acting with great proeminence in assisting the wounded in combat and patients affected by the Spanish flu epidemic.

7-14

Authors: Eliane Schaeffer, Liuhan Oliveira de Miranda, Diogo de Souza Leão da Rocha Pereira

Major Depressive Disorder (MDD) is a common mental health disorder in the Brazilian Army (BA), where most of its members are healthy, young and fit men. In order to enable a better diagnosis and treatment of MDD in the military, predictive models (PM) were created in other countries, which currently do not exist in BA. This article aims to propose, for the first time, a predictive model of this pathology aimed specifically at the population group of military personnel in the BA. A systematic review was carried out based on the databases: Pubmed, LILACS and BDEX, where the search words: 'depression', 'military' and 'mental health' were used. A total of 190 articles were selected, among which 12 were chosen for the review composition after applying the inclusion and exclusion criteria. The presence of two large international MPs (the STARRS-LS and Finnegan et al.) Was observed, which serve as a theoretical basis for the structuring of our MP, plus 3 articles belonging to the Brazilian army and allies on the Brazilian terrestrial border

25-34

Authors: Nivaldo Chirindza, Lucilia Mangona

Since the beginning of the outbreak of COVID-19, Mozambique, according to MISAU (2020), has registered 18 265 positive cases, 16 119 recovered and 161 dead, as well as some infection cases in the military. Officially, the first case was registered on March 22, 2020. The aim of this study was to evaluate the knowledge and practices of the military in relation to COVID-19. To this end, a questionnaire was conducted with questions about knowledge in relation to the good prevention practices of COVID-19, with a sample of 162 military personnel, at the Army Command-Mozambique. The display of a high level of knowledge about COVID-19. A little more than half tends to practices consistent with the prevention of contamination and / or the spread of infection by Covid-19. Such data obtained that health education interventions should be directed to this population segment, in particular, especially with regard to practices, since, an increased number of demonstrations have deviant practices in relation to the COVID-19 prevention measures recommended by health entities.

45-51

Authors: Gisele de Sá Mascarenhas, Otavio Augusto Brioschi Soares

Cholera is a serious public health problem in Haiti, introduced after the arrival of Nepalese soldiers on a peacekeeping mission by the United Nations (UN). This paper studies the cholera outbreak in Haiti in 2010 associated with the UN peacekeeping mission in Haiti; seeks to understand the origins and consequences of this outbreak, with emphasis on the socioeconomic and health determinants related to the spread of cholera; and describes, according to the UN protocols, how the preparation of a peace mission must take place so that situations of disease dispersal do not occur. The research was a historical bibliographic review, with its sources searched in reference bases of medical, military literature, newspapers and magazines of journalistic and historical content. The literature review identifies that the cholera outbreak was caused by the union of the country's poor sanitary infrastructure with the lack of care for human waste from the UN mission's Nepalese soldiers' camp, with catastrophic consequences for the local population; highlights the importance of preparing a peace mission to prevent the occurrence and spread of epidemics and the role of hygiene measures, antibiotic prophylaxis and the use of vaccines for the same purpose

61-74

Authors: Audrey Cristiane Alves Costa, Diego Huk Carlin, Suzelaine Taize Stadler

Hearing loss may be aggravated by exposure to occupational noise. Therefore, there is relevance for a reliable auditory evaluation in the incorporation of conscripts in the mandatory military service, since, during this training period, the activities are intense, with the purpose of training a trained military, being possible the optional stay of the soldiers. conscript for another seven years in the professional staff. That said, this research focuses on discussing the methods and parameters used in the auditory assessment of conscripts for compulsory military service, comparing with the civilian scope, governed by the Regulatory Norms of the Ministry of Labor Ordinance. As well as, identify the audiological evaluation criteria contained in the General Instructions for the Health Inspection of Conscripts in the Armed Forces (IGISC) and the Technical Norms for the Selection Commissions (EB30-N-30.004), these standards being used as parameters in the complementary selection. When faced with the norms used in the complementary selection, there was a significant distortion between the evaluation methods compared to the civil sphere, which is more precise and reliable. It is also noteworthy, the importance of auditory control both in the recruitment made in the complementary selection and in the annual (re) engagement of the temporary military. For the solution of the problem presented in this research, it is evident how favorable it is to increase the number of vacancies for the incorporation of professionals in the field of Speech Therapy, composing the health squads.