Tooth separation: A risk-free procedure?

This article reports the case of a 12-year-old patient with tooth extrusion, pain, gingival bleeding, and localized periodontitis near the maxillary second premolar. Despite probing and radiographic examination, it was not possible to establish the etiology. Tooth extraction was indicated because of the severe tooth mobility and extrusion. Curettage of the tooth socket revealed a rubber separator. Preventive approaches are suggested to avoid iatrogenesis and legal problems. (Am J Orthod Dentofacial Orthop 2012; 142:402-5)

Analysis of the ethical aspects of professional confidentiality in dental practice

From the point of view of deontological ethics, privacy is a moral right that patients are entitled to and it is bound to professional confidentiality. Otherwise, the information given by patients to health professionals would not be reliable and a trustable relationship could not be established. The aim of the present study was to assess, by means of questionnaires with open and closed questions, the awareness and attitudes of 100 dentists working in the city of Andradina, São Paulo State, Brazil, with respect to professional confidentiality in dental practice. Most dentists (91.43%) reported to have instructed their assistants on professional confidentiality. However, 44.29% of the interviewees showed to act contradictorily as reported talking about the clinical cases of their patients to their friends or spouses. The great majority of professionals (98.57%) believed that it is important to have classes on Ethics and Bioethics during graduation and, when asked about their knowledge of the penalties imposed for breach of professional confidentiality, only 48.57% of them declared to be aware of it. Only 28.57% of the interviewees affirmed to have exclusive access to the files; 67.14% reported that that files were also accessed by their secretary; 1.43% answered that their spouses also had access, and 2.86% did not answer. From the results of the present survey, it could be observed that, although dentists affirmed to be aware of professional confidentiality, their attitudes did not adhere to ethical and legal requirements. This stand of health professionals has contributed to violate professional ethics and the law itself, bringing problems both to the professional and to the patient.

Atitudes distintas de profssionais de diferentes especialidades médicas relacionadas à autonomia e aspectos jurídicos no cuidado de pacientes com demência

The evaluation of competence of Alzheimer's disease (AD) patients to assume personal or collective responsibilities and the resulting legal implications is a relevant issue. Objectives: The aim of this study was to evaluate the attitudes of different medical specialists towards the disability of patients with Alzheimer's disease and practitioners' competence to interfere with decision-making autonomy. Methods: Professionals from different areas (Neurology, Psychiatry, Geriatrics, and General Practice) were interviewed by one of the authors, after being presented a fictitious clinical case which raised several topics, namely: [1] Critical judgment and capacity of the patient to take decisions related to daily activities; [2] The role of family physicians in nominating trustees and caregivers. Results: Answers to the first question did not differ regarding degree of preservation of awareness but at least 25% stressed that the patient must be carefully listened to, independent of caregiver or legal representative opinion. There were significant knowledge gaps in responses to the second question. Half of the physicians interviewed did not have adequate information about the legal aspects of caring for patients with Alzheimer's disease. Conclusions: Legal aspects is a topic that must be incorporated into professional training in order to improve attitudes toward the long-term management of patients with dementia.

Simulação de perdas de solo em função de cenários de adequação ambiental em microbacias agrícolas

In São Paulo state, deforestation and agriculture activities are increasing soil losses processes, especially in areas of susceptible soils where soil conservation practices are not adopted. Environmental adequacy at property level regarding Permanent Protection Areas and Legal Reserves is considered a potential factor for reducing soil losses and it was based on this fact that we assessed soil losses of different scenarios of environmental adequacy. Simulations of erosive processes were carried out in 15 catchments of the Corumbataí river basin, with different forest restoration scenarios, as well as the current situation of land use/ land cover. The scenarios include reforestation of Permanent Preservation Areas (PPA); the reforestation hydrological sensitive areas; and two scenarios, the Legal Reserve installation in 20% of each catchment, being one of them for most critical areas in terms of erosion and the other at random. It was observed that the establishment of PPA and the reforestation of hydrological sensitive areas (HSA), offered a small contribution to the control of the erosive process, resulting in a reduction of 10% and 7.4%, respectively, while the legal reserve in critical areas has the significant reduction of 69.8%. The random scenario, in turn, resulted in a reduction of 21.4% of erosion. Results show that reforestation can reduce soil losses, but previous studies of land prioritization and planning could significantly increase its efficiency.

União Européia: a luta pelo reconhecimento identitário e a questão da cidadania supranacional

Pós-graduação em Ciências Sociais - FFC

Polifonia educativo-cultural: aspectos históricos da radiodifusão educativa no Estado de São Paulo e as condicionantes para implantação de uma rádio univesitária em Araçatuba

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estrutura de mercado, padrões de concorrência e inovações na indústria fonográfica brasileira

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O programa Bolsa creche nos municípios paulistas de Piracicaba e Hortolândia: uma proposta para alocação de recursos estatais à educação privada ?

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Uso de alcool e competência moral em universitários

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Enquadramento dos corpos d'água em classes de uso como instrumento de gestão ambiental e de recursos hídricos: estudo aplicado na bacia do rio Corumbataí - SP

Pós-graduação em Geociências e Meio Ambiente - IGCE

A implantação da reforma do ensino de 1º e 2º graus no estado de São Paulo nas páginas da imprensa (1971-1982)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Legítimos vassalos: pardos livres e forros na Vila Rica colonial (1750-1803)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A competência informacional de graduandos de biblioteconomia da região sudeste: um enfoque nos processos de busca e uso ético da informação

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise da fragilidade ambiental em área urbana: o caso da bacia hidrográfica do Córrego do Castelo, Bauru (SP)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A relação professor-aluno: uma história de amizade

Pós-graduação em Educação - FFC