Introdução: A escola é um espaço privilegiado para o desenvolvimento de ações de promoção da saúde e melhoria das condições de bem-estar dos educandos. O Programa Saúde na Escola PSE, criado em 2007, é uma iniciativa intersetorial, entre Ministérios da Saúde e da Educação que objetiva implementar ações de diagnóstico, atenção, prevenção e promoção à saúde dos escolares, em escolas públicas brasileiras. O acompanhamento do estado nutricional de crianças e adolescentes é uma das atividades previstas para o PSE e é acompanhado sistematicamente pela Atenção Básica - AB dos SUS por meio do Sistema de Vigilância Alimentar e Nutricional SISVAN. Objetivo: Realizar um diagnóstico da estruturação do Programa nos municípios brasileiros, com foco nas ações de alimentação e nutrição e avaliar a evolução do estado nutricional de crianças e adolescentes com idades entre 7 e 18 anos, atendidos pela Atenção Básica e verificar qual o momento mais oportuno para a realização de intervenções que objetivem o adequado desenvolvimento do crescimento, e consequentemente, do estado nutricional em crianças e adolescentes. Metodologia: A tese está organizada em duas seções, sendo a primeira composta por um estudo transversal, com levantamento direto de dados com os gestores municipais do PSE do setor saúde, por meio de formulário eletrônico, com questões sobre a gestão do programa, estrutura do município e organização das ações de alimentação e nutrição e; a segunda seção é um estudo longitudinal de avaliação da tendência de variação do estado nutricional de escolares entre 7 e 18 anos, frequentadores da AB, com dados registrados no SISVAN, entre os anos de 2008 e 2012, com avaliação da média de escore-Z do indicador de IMC para-a-idade, em comparação com as curvas de referência da Organização Mundial da Saúde propostas em 2007. Resultados: Para a análise do Programa foi proposto um modelo lógico de avaliação, baseado nos componentes do PSE. Dentre os principais achados, destaca-se: Os municípios (n=380), que responderam o formulário possuem um número médio de 45 escolas e contam em média com 11 equipes de Saúde da Família. Cerca de 59 por cento dos municípios realizaram diagnóstico prévio para implantação do programa e apenas 62,8 por cento dos municípios pactuaram as ações do PSE no Conselho Municipal de Saúde. Cerca de metade dos gestores do programa (53,6 por cento ) são enfermeiros. Para potencializar as ações no ambiente escolar quase dois terços dos gestores municipais alegam contar com o auxílio de outros parceiros para a execução das ações. No que se refere às ações de alimentação e nutrição desenvolvidas nos municípios: 93,6 por cento tem no seu quadro de funcionários nutricionistas, sendo que cerca de 70 por cento possuem um nutricionista na alimentação escolar, 43,9 por cento contam com equipes de NASF e em 84,3 por cento das equipes de Núcleos de Apoio à Saúde da Família há um nutricionista. Dos respondentes, cerca de 62,5 por cento realizaram a Semana Saúde na Escola no ano de 2012 e 90 por cento declararam ser esta uma ação que fortalece o PSE no município. Na análise temporal do estado nutricional dos escolares, observou-se que em todas as idades a média do escore Z do IMC para a idade está acima de zero, sendo sempre maior do que o valor de referência. Ao longo das idades essa média apresenta crescimento entre as crianças com idades entre 7 e 10 anos, com uma pequena queda entre 10 e 14 anos e com uma tendência ascendente após os 15 anos para ambos os sexos. A tendência de aumento dos valores também é observada ano a ano. Entre o período analisado (anos de 2008 a 2012) ocorre um incremento constante nesta média, sendo este um reflexo do incremento do peso corporal destas crianças e adolescentes. O comportamento do escore-Z deveria ser constante e em uma população saudável a distribuição seria praticamente igual ao das curvas de referência. Conclusão: O PSE possui ferramentas que lhe conferem capacidade de enfrentar os desafios em saúde e as ações devem ser planejadas e discutidas de maneira a propiciar um ambiente de práticas e hábitos saudáveis. O Estado Nutricional apresenta uma tendência de aumento anual do IMC médio dos escolares, reforçando os diferentes estudos que mostram o aumento do excesso de peso em todas as fases do curso da vida. O melhor momento para a intervenção entre crianças e adolescentes é o intervalo entre os 10 e 14 anos, onde há uma tendência de declive na curva de IMC para a idade. / Introduction: The school is a privileged space for the development of health actions and promotion as well as the improvement of the students health conditions. The Program Health in the School - PSE, created in 2007, is an intersectoral initiative, between Education and Health department that objectives to implement action of diagnosis, attention, prevention and promotion of the students health, in Brazilian public schools. The monitoring of the nutritional status of children and adolescents is one of the activities planned for the PSE and systematically followed by Primary Care - PC of SUS through the Food and Nutrition Surveillance System - SISVAN. Objective: Realize a diagnosis of the structure of the Program in the cities, with focus to the actions of feeding and nutrition and to evaluate the evolution of the nutritional status of children and adolescents (ages between 7 and 18 years), taken care by the PC and to verify the most opportune moment for the accomplishment of interventions that objectify the adequate development of growth in children and adolescents. Methodology: The thesis is organized in two sections of results, the first presents a transversal study, with direct survey of data answered by the municipal managers of the PSE of the sector health, through an electronic form, with questions about the management of the program, structure of the city and organization of actions; the second section is a longitudinal study of evaluation of the trend of variation of the nutritional state of adolescent children and (public-target of the PSE), assisted by the basic attention to the health, with data registered in the SISVAN, with evaluation of the average of the Z-score of the IMC for-the-age, in comparison with the curves of reference of the World Health Organization proposed in 2007. Results: For the analysis of the Program it has been considered a logical model of evaluation, based on the components of PSE. Among the main findings, we detach: The cities that had answered the form possess an average number of 45 schools and count with in average on 11 teams of Health of the Family. About 59 per cent of the cities made a previous diagnosis for implementation of the program and only 62.8 per cent of the cities had agreed to the actions of the PSE in the City council of Health. About half of the managers of the program (53.6 per cent ) are nurses. To potentiate the actions in the school environment almost two third parts of the municipal managers allege to count with the aid of other partners for the execution of the actions. In what the actions of developed feeding and nutrition are mentioned in cities 93.6 per cent has nutritionists among their employees, and about 70 per cent of them has a nutritionist who cares for the feeding program at the school. 43.9 per cent count on NASF teams and in 84,3 per cent of the NASF teams there is a nutritionist. Of the respondents, about 62,5 per cent had carried through the Health Week in the School in the year of 2012 and 90 per cent had declared to be this an action that fortifies the action of the PSE in the city. In the secular analysis of the nutritional state of the pertaining to school, we can always observe that in all ages the average of the score Z of the IMC for the age is above of zero, being ever bigger than the value of reference. To long of the ages this average presents growth between the children with ages between 7 and 10 years, with a small fall between 10 and 14 years and with an ascending trend after the 15 years for both girls and boys. The trend of increase of the values also is observed year after year. During the analyzed period (years of 2008 the 2012) occurs a constant increment in this average, being this a consequence of the increment of the corporal weight of these children and adolescents. The behavior of Z-score would have to be constant and in a healthful population the distribution would practically be equal to the one of the reference curves. Conclusion: The PSE offers tools that confers it ability to face the health challenges and the actions must be planned and discussed in order to provide an environment of healthy practices and habits. The Nutritional Status shows a trend of annual increases in mean BMI in schoolchildren, reinforcing the different studies showing the increase of overweight at all stages of the life course and bringing more alert about this specific age group. The best time to an intervention among children and adolescents is in the interval between 10 and 14 years, where there is a trend of decline in the BMI curve for age.

Made available in DSpace on 2016-01-26T12:51:27Z (GMT). No. of bitstreams: 1 reginaalbuquerque_dissert.pdf: 1289335 bytes, checksum: bdada36c8f2dc438e0dc3f7785a85142 (MD5) Previous issue date: 2009-11-23 / Several population-based studies have shown been headache as one of the most common symptoms in childhood. These have provided important consequences in headache diagnosis and treatment, since only about 11% of children with chronic headache seek medical treatment. Objectives: This study aimed at selecting a sample of school-aged children who complained headache in the last year, and to assess the headache prevalence in children and adolescents in São José do Rio Preto city (SJRP), SP. Casuistic and Methodology: A total of 5,232 children and adolescents (aged from 6 to 18 years) from SJRP randomly comprised this sample. They have been attended from the 1st to 8th grade in the year of 2004 in 13 schools: 10 public and 3 private. A questionnaire answered by parents and/or responsibles of children and adolescents was handed out in the schools to collect data. The used variables for descriptive demographic profile of the population were: age, gender, color, grade, and school for descriptive analysis of this population s demographic profile. Results: The majority was women (53.3%), white color (74.7%), and attending from the 1st to 4th grade (60%) and from the 5th to 8th grade (40%) of the elementary school. The returning of questionnaires was 61.7% in the public schools and 60% in the private. Out of the children and adolescents who have answered the questionnaire, 70% reported headache complain in the last year, only 7.2% of them did not. Out of the ones who have complained headache in the last year, 51.5% presented it occasionally during the year; 15.5%% once a month at least, 11.9% monthly and 5.2% daily. A significant difference observed in the study was regarding to the complain between the girls and the boys. More frequent headaches were reported by the girls; daily headache was twice higher than the percentile of the boys (6.6% and 3.6%, respectively). A higher headache frequency with the increase of age was observed in relation to headache and age. Our study has pointed out that headache prevalence was high in this studied population; predominantly the frequency being higher (monthly, weekly and daily) in girls and older age group. / Uma série de estudos populacionais tem mostrado que a cefaléia é um dos sintomas mais comuns na infância. Estes estudos têm importantes implicações no diagnóstico e tratamento das cefaléias, desde que somente 11% das crianças com cefaléia crônica procuram atendimento médico. Objetivos: O objetivo deste estudo foi selecionar uma amostra de escolares que declararam ter sentido dor de cabeça no último ano e estimar a prevalência de cefaléia em crianças e adolescentes da cidade de São José do Rio Preto (SJRP), SP. Casuística e Método: O grupo amostral foi constituído por 5.232 crianças e adolescentes (idades de 6 18 anos) de SJRP, que cursaram da 1ª a 8ª série no ano de 2004 em 13 escolas, sendo 10 públicas e 3 particulares, feita por seleção aleatória. A coleta de dados foi realizada por aplicação de um questionário distribuído nas escolas, respondido pelos pais e/ou responsáveis. As variáveis utilizadas foram: idade, gênero, cor, série e escola para a análise descritiva do perfil demográfico desta população. Resultados: O grupo amostral foi composto na maioria por mulheres (53,3%), cor branca (74,7%), cursando da 1ª a 4ª série (60%) e da 5ª a 8ª série (40%) do ensino fundamental. A taxa de devolução dos questionários foi de 61,7% nas escolas públicas e 60,1% nas particulares. Das crianças e adolescentes que participaram do estudo, 70% declararam ter sentido dor de cabeça no último ano, sendo que somente 7,2% nunca se queixaram de dor. Dos que responderam ter sentido cefaléia no último ano, 51,5% apresentaram cefaléia somente algumas vezes ao longo do ano, 15,5% pelo menos uma vez ao mês, 11,9% semanalmente e 5,2% diariamente. Uma diferença significativa observada em nosso estudo foi relacionada à queixa entre meninas e meninos. Cefaléias mais freqüentes foram relatadas pelas meninas, sendo que a queixa de cefaléia diária entre as meninas foi duas vezes maior que o percentual para os meninos (6,6% contra 3,6%). Observou-se uma relação da cefaléia com a idade, indicando que houve um aumento da freqüência da cefaléia com o aumento da idade. Nosso estudo indicou que a prevalência de cefaléia na população estudada foi alta, com maior predomínio de cefaléias mais freqüentes (mensalmente, semanalmente e diariamente) nas meninas e na faixa etária mais velha.

Made available in DSpace on 2015-04-22T22:06:28Z (GMT). No. of bitstreams: 1 sonia oliveira.pdf: 2531249 bytes, checksum: 7e7cb37ad572069870aa92e90ad2b74c (MD5) Previous issue date: 2013-08-30 / FAPEAM - Fundação de Amparo à Pesquisa do Estado do Amazonas / Intestinal parasites are a serious public health problem in many regions of the world, especially in developing countries where rapid urban growth not keeping pace with demand for sanitation. The diagnostic tests used for detection of intestinal parasites have accuracy less than 100%, leading to diagnostic errors with false-negative results. Rarely discusses the optimal amount of readings for each stool sample to be examined by the method of sedimentation. Thus, this study aims to estimate the prevalence of intestinal parasites evaluating the strategy of increasing the sampling to detect parasites and establish possible correlations between parasites and environmental conditions. A group of 101 school students from the urban area of Manaus and 100 students of rural Rio Pardo, municipality of Presidente Figueiredo - Amazonas - Brazil were selected after sample calculation. Stool samples were collected and analyzed by the method of sedimentation using three stool samples and a total of nine readings blades. The prevalence of intestinal parasites was higher in urban areas with 90.10 %. The multiparasitism was 62.68 %. The common parasite that has been identified from both populations was Entamoeba coli rate of 34.49 % followed by 18.36 % Giardia intestinalis with statistical difference between two intestinal parasites proportion of urban and rural areas were : Giardia intestinalis (p - value = 0.0030 , OR 3.10 , CI 1.70 to 5.67) , Endolimax nana (p - value = 0.0000 , OR 37.44 , CI 13.92 to 100.71) , Ancylostoma spp. ( p - value = 0.0065 , OR 3.93 , CI 1.39 to 11.12) , Iodamoeba butschlii (p - value = 0.0007 , OR 7.01 , CI 2.00 to 24.64) , Hymenolepis nana (p - value = 0.0181 , OR 5.99 CI 1.29 to 27.76). There was no sex predominance in both populations. Only the rural statistical significance for variables 1-2 bedrooms (p - value = 0.0243), treatment of drinking water (p = 0.0227) and sewage disposal in the stream (p = 0.0447) . With the increased number of stool samples and reads blades there was also a considerable increase in positivity of most analyzes parasitological stool tests. The Wilcoxon test to determine the proportion of positive aspects of the readings of the blades had statistical significance in almost all intestinal parasites, except Endolimax nana (p - value = 0.059) and Hymenolepis nana (p - value = 0.317). From the fourth blade, the positive samples had an increased cumulative frequency ranging from 21% to five times coming. Procedures sedimentation increasing the number of samples and readings blades showed high ability to detect intestinal parasites. / As parasitoses intestinais constituem um grave problema de saúde pública em diversas regiões do mundo, principalmente nos países em desenvolvimento onde o rápido crescimento urbano não acompanha a demanda de saneamento básico. Os testes diagnósticos empregados na detecção de enteroparasitas possuem acurácia menor que 100%, levando a erros diagnósticos com resultados falso-negativos. Raramente se discute sobre a quantidade ideal de leituras para cada amostra de fezes a serem examinadas pelo método de sedimentação espontânea. Sendo assim, este estudo tem como objetivo estimar a prevalência de parasitoses intestinais avaliando a estratégia de aumentar a amostragem para detecção de parasitos e estabelecer possíveis correlações entre parasitoses e as condições socioambientais. Um grupo de 101 alunos da escola da zona urbana do município de Manaus e 100 alunos da zona rural de Rio Pardo, município de Presidente Figueiredo - Amazonas - Brasil foram selecionados após cálculo amostral. Foram coletadas amostras de fezes e analisadas pelo método de sedimentação espontânea utilizando três amostras de fezes e com um total de nove leituras de lâminas. A prevalência das parasitoses intestinais foi maior na área urbana com 90,10%. O multiparasitismo foi de 62,68%. O parasita comum que foi identificado a partir de ambas as populações foi a Entamoeba coli com taxa de 34,49% seguido da Giardia intestinalis com 18,36% Diferença estatística de entre duas proporção parasitos intestinais da área urbana e rural foram: Giardia intestinalis (p-valor = 0,0030; OR 3,10; IC 1,70-5,67), Endolimax nana (p-valor = 0,0000; OR 37,44; IC 13,92-100,71), Ancylostoma spp. (p-valor = 0,0065; OR 3,93; IC 1,39-11,12), Iodamoeba butschlii (p-valor = 0,0007; OR 7,01; IC 2,00-24,64), Hymenolepis nana (p-valor = 0,0181; OR 5,99 IC 1,29-27,76). Não foi observada predominância de sexo nas duas populações. Somente a área rural significância estatística para as variáveis de 1-2 quartos (p-valor = 0,0243), tratamento de água para consumo (p = 0,0227) e destino do esgoto no igarapé (p = 0,0447). Com o aumento do número de amostras de fezes e de leituras de lâminas houve também um aumento considerável na positividade da maioria das análises dos testes parasitológicos das fezes. O teste de Wilcoxon para verificar a proporção das positividades das leituras das lâminas teve significância estatística em quase todos parasitos intestinais, com exceção da Endolimax nana (p-valor = 0.059) e Hymenolepis nana (p-valor = 0,317). A partir da quarta lâmina, a positividade das amostras teve um aumento da frequência acumulativa que variou de 21% chegando a cinco vezes mais. Os procedimentos de sedimentação espontânea aumentando o número de amostras e de leituras de lâminas demonstraram alta capacidade para detecção de parasitas intestinais.

<p>Validerat; 20101217 (root)</p>

<p>This thesis studied environmental factors in relation to asthma and respiratory symptoms among schoolchildren in two countries. In Sweden, 1014 pupils (5-14 year) in 8 schools participated. Wheeze was reported by 7.8%, current asthma by 5.9%, doctor-diagnosed asthma by 7.7%, cat allergy by 6.8% and dog allergy by 4.8%. Current asthma was less common among those consuming more fresh milk and fish. Doctor-diagnosed asthma was less common among those consuming olive oil. Cat, dog and horse allergens were common in settled dust and related to respiratory symptoms. Pupils consuming butter and fresh milk had less respiratory symptoms in relation to allergen exposure. In schools with increased levels of microbial volatile organic compounds and selected plasticizers (Texanol and TXIB) asthma and respiratory symptoms were more common.</p><p>In Korea, 2365 pupils (9-11 year) in 12 schools participated (96%). In total, wheeze was reported by 8.0%, current asthma by 5.7%, doctor-diagnosed asthma by 5.4%, cat allergy by 2.6% and dog allergy by 4.9%. Contamination of dog and mite (<i>Dermatophagoides farinae</i>) allergen was common while cat allergen was uncommon. Remodelling, changing floor and building dampness at home were positively associated with asthma and respiratory symptoms. The strongest associations were found for floor dampness. Indoor/outdoor concentration of NO₂, formaldehyde and ultrafine particles (UFP) at schools were positively associated with asthma and respiratory symptoms. </p><p>When comparing Sweden and Korea, Korean pupils had more breathlessness and asthma but reported less cat and pollen allergy. Swedish schools had CO₂-levels below 1000 ppm, while most Korean schools exceeded this standard. Since both home and school environment may affect pupil’s asthma and respiratory symptoms, air quality should be an important health issue. Moreover, changes in dietary habits may be beneficial to decrease asthma and allergies. Furthermore, interaction between diet and environment needs to be further investigated.</p>

This thesis studied environmental factors in relation to asthma and respiratory symptoms among schoolchildren in two countries. In Sweden, 1014 pupils (5-14 year) in 8 schools participated. Wheeze was reported by 7.8%, current asthma by 5.9%, doctor-diagnosed asthma by 7.7%, cat allergy by 6.8% and dog allergy by 4.8%. Current asthma was less common among those consuming more fresh milk and fish. Doctor-diagnosed asthma was less common among those consuming olive oil. Cat, dog and horse allergens were common in settled dust and related to respiratory symptoms. Pupils consuming butter and fresh milk had less respiratory symptoms in relation to allergen exposure. In schools with increased levels of microbial volatile organic compounds and selected plasticizers (Texanol and TXIB) asthma and respiratory symptoms were more common. In Korea, 2365 pupils (9-11 year) in 12 schools participated (96%). In total, wheeze was reported by 8.0%, current asthma by 5.7%, doctor-diagnosed asthma by 5.4%, cat allergy by 2.6% and dog allergy by 4.9%. Contamination of dog and mite (Dermatophagoides farinae) allergen was common while cat allergen was uncommon. Remodelling, changing floor and building dampness at home were positively associated with asthma and respiratory symptoms. The strongest associations were found for floor dampness. Indoor/outdoor concentration of NO2, formaldehyde and ultrafine particles (UFP) at schools were positively associated with asthma and respiratory symptoms. When comparing Sweden and Korea, Korean pupils had more breathlessness and asthma but reported less cat and pollen allergy. Swedish schools had CO2-levels below 1000 ppm, while most Korean schools exceeded this standard. Since both home and school environment may affect pupil’s asthma and respiratory symptoms, air quality should be an important health issue. Moreover, changes in dietary habits may be beneficial to decrease asthma and allergies. Furthermore, interaction between diet and environment needs to be further investigated.

Syftet var att undersöka aktivitetsnivå och måltidsvanor hos skolungdomar i årskurs 6-9 efter en intervention, och jämföra de uppnådda resultaten med en kontrollgrupp, samt jämföra mellan flickor och pojkar. Hallands Idrottsförbund startade med stöd av Region Halland ett projekt på en skola i Halland, för att öka den fysiska aktiviteten bland eleverna i samarbete med olika idrottsliga föreningar. Detta var en kvantitativ studie och enkäter användes som datainsamlingsmetod. Resultatet visade att den aktiva gruppen hade fler idrottslektioner i veckan än kontrollgruppen. Inga andra skillnader påvisades. Mellan flickor och pojkar sågs betydligt fler skillnader. Pojkar var genomgående mer fysisk aktiva än flickorna. Mer fokus bör därför läggas på att nå flickorna och öka utövandet av den fysiska aktiviteten. Förutsättningar behöver skapas för alla, men framför allt för de som är fysiskt inaktiva.

Introduction. Asymmetric body posture lately is more and more often diagnosed among adolescents in Lithuania also in other countries. In this stage of development, the posture undergoes many adjustments and adaptations due to changes of the body and to demanding psychosocial factors. Consequences of this widely spreading health disorder are very important as for physical health and so for social and mental wellbeing. Asymmetric body posture is considered not only one of the most common adolescents’ musculoskeletal system disorders (Juškelienė, 1996; Lindišienė, 1999; McEvoy, 2005) but also one of the possible signs or reasons of scoliosis (Nissinen et al., 1993; Hazebroek et al, 1992). Posture asymmetry may influence reduced musculoskeletal system functioning. It was established negative influence of asymmetric posture on cardiovascular system’s function (Sucato, 2003), pulmonary function (Lin, 2001), urogenital system’s function (Mohanty, 2000), nervous system’s functioning (Wiggins, 2003). Also children with posture disorders more often have insecurity and inferiority feelings (Saccomani, 1998), and more often suffer from depression and anxiety episodes (Norris, 1992). The normal development of spine curvatures depends on the interaction between heritable growth factors and the mechanical environment in which the spine grows. Sedentary life style among schoolchildren decreases their physical and social wellbeing. The research works emphasize, that proper physical activity... [to full text]

SUMMARY With changing public attitude to health and health care, health indicators and health care priorities are changing too. This situation is increasing special demands for health care system and for schoolchildren health care in schools too. Health care situation in schools has changed, because become popular to think that school was responsible for schoolchildren health education but not for their treatment (Vienonen, Springett, 1998/1999). Health indicators of children and young people are going lower (Juskelienė, Kalibatas, 2003). We have to pay a big attention to children and youth health service. Aim of study – to analyze school nurses view of schoolchildren health care and it‘s developing possibilities. Objectives: 1. To reveal schoolchildren health problems in a view or school nurses. 2. To analyze school nurses problems in a process of their work. 3. To present schoolchildren health care developing possibilities/ways. Methods. This research methodology consists of theoretical analysis (scientific literature and documents) and written questionnaire with quantitative data analysis. The questionnaire was answered by 202 school nurses from the biggest Lithuania cities (Vilnius, Kaunas, Klaipeda, Siauliai, Panevezys) schools. The written questionnaire was analyzed using descriptive statistics methods, counting average of respondents opinion, discriminantive analysis. The SPSS 12.0 (Statistical Package for Social Sciences) was using for data analysis. Results... [to full text]

Uždaviniai : 1. įvertinti mokinių sveikatą ir jų naudojimąsi sveikatinimo paslaugomis; 2. nustatyti mokinių žinias apie sveikatą, gyvenseną ir žalingus įpročius; 3. nustatyti veiksnius, įtakojančius mokyklos sveikatos specialisto veiklos vertinimą; 4. palyginti nuomones apie VSS veiklą tarp mieste ir rajone gyvenančių mokinių bei tarp mokinių, lankančių vidurines mokyklas ir gimnazijas. Metodika. Tyrimo objektas – mokyklos sveikatos specialisto veiklos vertinimas. Tiriamos VSS veiklos sąsajos su mokinių sveikatos vertinimu ir sveikatos raštingumu. Atlikta anoniminė anketinė apklausa ir lyginamoji statistinė analizė naudojant SPSS programą (12.0 versiją). Apklausoje dalyvavo 406 8-tų ir 11-tų klasių mokiniai iš Kauno miesto ir rajono gimnazijų bei bendrojo lavinimo mokyklų. Atsako dažnis – 95,7 proc. Rezultatai. Mokiniai mokyklos VSS veiklą vertino patenkinamai. Paaugliai nurodė, jog pagrindinis, gautos sveikatinimo informacijos šaltinis yra gydytojas, antrasis – artimieji, tik 4 proc. nurodė VSS. Trečdalis paauglių sveikatos žinių negauna per jokias pamokas. 42,6 proc. dėl traumos apsilankiusiųjų specialisto darbą vertino gerai. Dauguma apsilankiusių iš jo negavo pakankamai informacijos. 59,9 proc. nurodė, jog VSS veikla nepakito. Blogiausiai įvertintos dvi VSS veiklos sritys – medicininės pagalbos, patarimų sveikatos klausimais teikimas bei jų suprantamumas, geriausiai – prevencinių priemonių įgyvendinimas. Dauguma buvo nepatenkinti VSS darbo laiku. Svarbiausia veikla... [toliau žr. visą tekstą] / Goals: 1. to evaluate schoolchildren’ health status and ability to seek for medical help. 2. to evaluate schoolchildren’ knowledge of health, lifestyle and bad habits. 3. to evaluate assessment of school health care specialists influencing factors. 4. to compare students opinion about SHCS activity between urban and rural, comprehensive school and gymnasium. Methodology. The object of research – activities of school health care specialists (SHCS) from schoolchildren’ point of view. Researching SHCS activities coherence with schoolchildren knowledge of health and own health status. Methods – questionnaire survey and statistical data analysis using statistical package SPSS 12.0. 406 students studying in 8th and 11th grades from various gymnasiums and schools of Kaunas (urban and rural areas) were questioned. The feedback – 95.7%. Results. The schoolchildren evaluated the activities of a SHCS as satisfactory. A half of teenagers the main source of health information noted doctor and family members. Only 4 % marked SHCS. The third children don’t get any health information during their lessons. 42.6 % children, visited SHCS with trauma, described his work as fine. The majority of visitors had insufficiency in health information from SHCS. 59.9 % noted that SHCS work hasn’t changed. The worst evaluations have medical help, advices rendering and its transparency, the best – promoting preventive implements. Respondents wished SHCS to be on full time. As the main SHCS activity... [to full text]