Questões de Inglês

Good oral health leads to general overall better health: How strokes may be preventable with oral care

1.º§     COLUMBIA, S.C. (WIS) - Neurologists at Prisma Health published results of a 17- year-long study of the potential link between oral health and stroke risk. A group of 9,666 patients was followed to study the relationship between gum disease severity and atrial fibrillation, an irregular heartbeat condition that doctors say is a huge risk factor for strokes. “We found that those who went to the dentist regularly – their risk of developing atrial fibrillation was almost 20% lower,” said Dr. Souvik Sen, researcher and Chair of Neurology at Prisma Health.

2.º§     Strokes are the third leading cause of death in South Carolina. The state is considered part of the Stroke Belt, a band of 11 southeastern states that exhibit higher rates of stroke mortalities. South Carolina is the buckle of the stroke belt, along with North Carolina and Georgia, and the buckle displays higher stroke mortality than other states in the country.

3.º§     Scruggs says the best way to maintain oral hygiene is to have a good routine at home of brushing twice a day and flossing once per day. Dentists say coming for dental checkups every six months is crucial for diagnosing gum disease and other issues. “Good oral health leads to general overall better health,” Sen said. “I think the 2 are very strongly tied to each other. Obviously, stroke is just one of them. There are other factors linked with oral health that would probably benefit as well.”

4.º§     “Gum disease is a painless problem that doesn’t have symptoms usually. The maintenance is the most important part because you really don’t know you have it until you have it – until you come in and it’s actually diagnosed,” said Dr. Caroline Hartley, a dentist at Southern Shores Dental.

5.º§      Sen says the study is in clinical trials and should wrap up by the end of this year. He says he expects to have the results of the study ready by early 2022.

Adapted from WISTV. Available at: https://www.wistv.com. Accessed 17 September 2021.

Instrução: A questão referem-se ao texto abaixo.

Prevention, Health Promotion, and Social Work: Aligning Health and Human Service Systems Through a Workforce for Health

Abigad M. Ross, PRO, MSW, MPH      Lisa de Saxen Zerden, PhD, MSW

    Access to and quality of health care account for onhy 20% of a person's health and welk-being; the physical
erwironment, social determinants, and benavioral factors account for 80% of health outcomes. The National Acade-
mies of Science, Engineering and Medicine (NASEM) report states, “The health sector must decide whether to build
capacity to dieciiy assist patients! nonmedical needs or, altematively, to partner wilh community-based organizabons

[5] that have experience in addressing social needs and the necessary capacity to address those needs.” We contend
that both oi these activities are possible and that both will be required to improve our nation's health. Likewise. an ex-
panded definition of the healh sector that not only refrains from bifurcating social and heallh servica dekvery systems
but also reconceptualizes membershãp in the existing health workoroa is paramount to transformalion.

     The NASEM report defines the composition of the traditional health care workforce as providers of medical
[10] care (i.e., physicians and nurses), it also acknowiedges critical contributions of the social care workforce in improving
patient hesith outcomes. Across the world, heaiih systems are increasingly recognizing that keeping people heslthy
and aloving them to tivive require more than access to and delivery of recommended medical care in large hospital
settings. As acknowiedged in the report, research increasinghy points to lhe need for health care service delivery to
shif from hospital to communiy-based settings. Refocusing on community-based care requires a prepared workfor-
[15] oe that can be deployed in nontradiional hsaih care settings with the skils needed to navigate community dynamics,
resources. and linkages. Regardiass of health seting. effectively addressing social determinanas of health (SDOH)
requires a skillad workforce prepared lo engage and inlervene with individuals, families, and communities; mobilize
resources; and work across systems. As a profession, social workers have long been experts in these aclivibes, the
profession has its origins in addressing one of the most potent and seemingty iniractable SDOH-—poverty—and has
[20] been bridging social and heaiih care systems for more than 100 years.

    By the nature of their knowledge base and skill set acquired through masters-level training groundad in per-
sor-in-environment and ecological systsms approaches, social workers ars experts in the delivery o! social care.
The social work woriforce is well versed in how individuais, familias, and communítes are shaped by thai environ-
ments. People do not operate in isotaton, rather, they are influenced by the pirysical and social ecology in which they
[25] live and interact.

Adapted from hips: aah aphapublications. org/daifuêr ID 2 10S/AJPH 2020 305890 Access on: 23 Oct 2021.

Instrução: A questão referem-se ao texto abaixo.

Prevention, Health Promotion, and Social Work: Aligning Health and Human Service Systems Through a Workforce for Health

Abigad M. Ross, PRO, MSW, MPH      Lisa de Saxen Zerden, PhD, MSW

    Access to and quality of health care account for onhy 20% of a person's health and welk-being; the physical
erwironment, social determinants, and benavioral factors account for 80% of health outcomes. The National Acade-
mies of Science, Engineering and Medicine (NASEM) report states, “The health sector must decide whether to build
capacity to dieciiy assist patients! nonmedical needs or, altematively, to partner wilh community-based organizabons

[5] that have experience in addressing social needs and the necessary capacity to address those needs.” We contend
that both oi these activities are possible and that both will be required to improve our nation's health. Likewise. an ex-
panded definition of the healh sector that not only refrains from bifurcating social and heallh servica dekvery systems
but also reconceptualizes membershãp in the existing health workoroa is paramount to transformalion.

     The NASEM report defines the composition of the traditional health care workforce as providers of medical
[10] care (i.e., physicians and nurses), it also acknowiedges critical contributions of the social care workforce in improving
patient hesith outcomes. Across the world, heaiih systems are increasingly recognizing that keeping people heslthy
and aloving them to tivive require more than access to and delivery of recommended medical care in large hospital
settings. As acknowiedged in the report, research increasinghy points to lhe need for health care service delivery to
shif from hospital to communiy-based settings. Refocusing on community-based care requires a prepared workfor-
[15] oe that can be deployed in nontradiional hsaih care settings with the skils needed to navigate community dynamics,
resources. and linkages. Regardiass of health seting. effectively addressing social determinanas of health (SDOH)
requires a skillad workforce prepared lo engage and inlervene with individuals, families, and communities; mobilize
resources; and work across systems. As a profession, social workers have long been experts in these aclivibes, the
profession has its origins in addressing one of the most potent and seemingty iniractable SDOH-—poverty—and has
[20] been bridging social and heaiih care systems for more than 100 years.

    By the nature of their knowledge base and skill set acquired through masters-level training groundad in per-
sor-in-environment and ecological systsms approaches, social workers ars experts in the delivery o! social care.
The social work woriforce is well versed in how individuais, familias, and communítes are shaped by thai environ-
ments. People do not operate in isotaton, rather, they are influenced by the pirysical and social ecology in which they
[25] live and interact.

Adapted from hips: aah aphapublications. org/daifuêr ID 2 10S/AJPH 2020 305890 Access on: 23 Oct 2021.

Instrução: A questão referem-se ao texto abaixo.

Prevention, Health Promotion, and Social Work: Aligning Health and Human Service Systems Through a Workforce for Health

Abigad M. Ross, PRO, MSW, MPH      Lisa de Saxen Zerden, PhD, MSW

    Access to and quality of health care account for onhy 20% of a person's health and welk-being; the physical
erwironment, social determinants, and benavioral factors account for 80% of health outcomes. The National Acade-
mies of Science, Engineering and Medicine (NASEM) report states, “The health sector must decide whether to build
capacity to dieciiy assist patients! nonmedical needs or, altematively, to partner wilh community-based organizabons

[5] that have experience in addressing social needs and the necessary capacity to address those needs.” We contend
that both oi these activities are possible and that both will be required to improve our nation's health. Likewise. an ex-
panded definition of the healh sector that not only refrains from bifurcating social and heallh servica dekvery systems
but also reconceptualizes membershãp in the existing health workoroa is paramount to transformalion.

     The NASEM report defines the composition of the traditional health care workforce as providers of medical
[10] care (i.e., physicians and nurses), it also acknowiedges critical contributions of the social care workforce in improving
patient hesith outcomes. Across the world, heaiih systems are increasingly recognizing that keeping people heslthy
and aloving them to tivive require more than access to and delivery of recommended medical care in large hospital
settings. As acknowiedged in the report, research increasinghy points to lhe need for health care service delivery to
shif from hospital to communiy-based settings. Refocusing on community-based care requires a prepared workfor-
[15] oe that can be deployed in nontradiional hsaih care settings with the skils needed to navigate community dynamics,
resources. and linkages. Regardiass of health seting. effectively addressing social determinanas of health (SDOH)
requires a skillad workforce prepared lo engage and inlervene with individuals, families, and communities; mobilize
resources; and work across systems. As a profession, social workers have long been experts in these aclivibes, the
profession has its origins in addressing one of the most potent and seemingty iniractable SDOH-—poverty—and has
[20] been bridging social and heaiih care systems for more than 100 years.

    By the nature of their knowledge base and skill set acquired through masters-level training groundad in per-
sor-in-environment and ecological systsms approaches, social workers ars experts in the delivery o! social care.
The social work woriforce is well versed in how individuais, familias, and communítes are shaped by thai environ-
ments. People do not operate in isotaton, rather, they are influenced by the pirysical and social ecology in which they
[25] live and interact.

Adapted from hips: aah aphapublications. org/daifuêr ID 2 10S/AJPH 2020 305890 Access on: 23 Oct 2021.

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"Mom said you should empty the dishwasher since I helped her update her phone and computer. It pays to be smart." 

(www.facebook.com/howtogeek)

AUS INOFMAI to DC SCared

    Do you have a terrible memory? Would others
agree, or do they say 1t's all in your head (pun
intended)? Whether you legitimately have a
terrible memory or not, I'm guessing by the fact

[5] — thatthis books in your hands you are concerned
about your memory in some way. | imagine at the
very least, you are curious, in search of answers,
perhaps even frustrated. Maybe things are not
what they used to be, or new challenges are

[I0] arising. Whether you've always had a terrible
memory or are finding yourself shipping, you are
not alone 1n your fear. Memory loss 1s a top fear
(Kelley, Ulin, and McGuire 2018), and for good
reason. Your fears are not frivolous. We rely

[15] heavily on our brains in our intelligence-based
culture and economy. A sharp memory 1s a
valuable resource; for many ofus, 1t's the basis of
our livelihoods, not to mention a source of pride
and status. Take a moment to think about how

[20] much money it would cost you, in lost income,
health care, and personal care expenses, 1f you
hadto stop working today or 1f people had to keep
an eye on you because you kept leaving the stove
on.

[25]     Those numbers can quickly spiral up into the
hundreds of thousands, and often millions, of
dollars. You may have already experienced some
of these losses. If so, then you know all too well
the impact that memory loss has on your bank

[30] account, not to mention your pride and your
self-esteem. These changes can be devastating.

    Depression and anxiety are common and
understandable reactions. Worse than a lot of
money, most people fear a loss of independence.

[35] Whatifyou couldn't drive yourself places or set
your own appointments! What 1f someone had
put their life on hold to care for you! These
scenarios aren't necessarily the end of the world.
Increasingly this 1s becoming the reality for many

[40] asthey care for aging parents. Imention it though
to acknowledge the fear most people hold
regarding what 1t would mean to lose memory
skills. Im also guessing that these are some ofthe
deep, perhaps unnamed, fears that drove you to

[45] pick up this book. No matter your circumstance,
there 1s a lot you can do, so I”m glad you came
here for help.

Adapted from ALL, Sherrie. The neuroscience of memory: Seven Skills to Optimize Your Brain Power, Improve Memory, and Stay Sharp at Any Age. Oakland: New Harbinger Publications, Inc.,2021.