Relação entre a cárie precoce da infância com o índice de Apgar e outros fatores de risco

The aim of this cross-sectional study was to investigate the association of early childhood caries (ECC) with the Apgar score (AS) and other variables related to the child (conditions at birth and medical history) and related to the child and parents and / or guardians and family (demographic, socioeconomic and behavioral). One hundred and twenty healthy children aged between 3-5 years-old treated by Pediatric Dentistry Area of Dentistry College of the Federal University of Uberlandia during 2015 were selected. To obtain qualitative and quantitative variables a questionnaire was applied as an interview to the parents and/or guardians. The 5-minute AS (interest exposure) was obtained through the record in the Child Health Handbook. To assess the prevalence of caries (clinical dependent variable), a single calibrated researcher conducted the clinical examination, according to the criteria of the World Health Organization. Caries experience was measured using the indexes dmft and dmfs. The children were classified into three groups, according to age and dmfs index: no caries (NC), with ECC and with severe early childhood caries (S-ECC). Data were tabulated and submitted to statistical analysis using the SPSS software (IBM, Inc, Chicago, Illinois, USA) 17th version. Three logistics models were carried out having the following classifications: NC and ECC, NC and S-ECC, ECC and S-ECC (p<0.05). The overall ECC prevalence, considering children with ECC and S-ECC, was 55,8% (n= 67). The AS was not a statistically significant variable. The child’s age, weaning age and recent hospitalization were variables associated with the ECC prevalence. The age of brush start and the educational level of the mother were variables associated with the S-ECC prevalence. Considering the ECC and the S-ECC groups, the child's age and the beginning of the use of fluoride toothpaste, recent hospitalization, the educational level of the mother and the father's income were associated with the S-ECC prevalence. Considering the methodology employed and the analysis of results, it was concluded that there was no association between the ECC with the AS in healthy children. However, an association was found of ECC and S-ECC with some variables related to birth and to medical history of the child (recent hospitalization), demographic (child’s age), socioeconomic (educational level of the mother and father's income) and behavioral (age of brush start, weaning age and use of fluoride toothpaste) related to children and to the parents and/or guardians.

“É acompanhante ou usuária?” Implicações sobre a posição da família no atendimento a crianças e adolescentes em um Centro de Atenção Psicossocial da Infância e Adolescência - CAPSi

This study emerged and founded itself with the aim to analyze the position taken by the family – and the implications in this subjective area – in attending children and adolescents in a Childhood Psychosocial Care Center (CAPSi). A secondary goal has come up as the comprehension surrounding the institutional representation made about the family and the service offered to children, adolescents and relatives. For such, the historical perspective on the relation between the State (laws and institutions) and the family was resumed, and the understanding of how it was reconciled by the medical knowledge and attended the ideological and political means. The social and ideological transformations of the 20th century culminated in the need of change required by the Psychiatric Reform and the achievement of patients on the right to return home and to their families. This new situation, permeated by the attempt of building an assistance model in Mental Health, presented a peculiarity–the close relationship between family and Mental Health services. The observations and conversations at CAPSi that were the investigation objects in this research, intended to learn on the quotidian of families and the possible treatment alternatives that would take into account the family circumstances. Conceiving the status of the families in Mental Health services is a germinal matter yet to be adjusted among the active knowledge in the post-Reform devices. The discussion about the family bonds, anchored in the theoretical perspective of Binding Psychoanalysis brought up elementary concepts such as psychic heritage, denial pact, unconscious alliances, the familiar psychic set, among other. The concept of family organizer helped to think of the family trajectories and stablishes a sort of identity for the family, as well as interferes in the establishment of its boundaries. The family path within the institution, as well as the status they establish facing the institutional approach, reflect the ghosts and the organizers shared by the group-family. It follows that the family is an important protagonist to be considered in the current therapeutic and political processes and, thus, is key to welcome the family bonds for the alliances act over the affective destinations, as well as try to remain sealed from the proposed changes.

Capela de nossa Senhora da Piedade de Campo Formoso: a invenção de uma cidade à margem da modernidade, 1889-1930

This research objective is to analyze the historical aspects of the city ―Capela de Nossa Senhora da Piedade de Campo Formoso‖, located in the micro region Pires do Rio, southeast of Goiás in the period of the First Republic, 1989-1930. To understand a city is to try to understand the individuals who inhabit it, as they are the ones who are responsible for the structures that forms that space. Therefore this thesis brings to the historiography a study of the city of Capela de Nossa Senhora da Piedade de Campo Formoso through various mechanisms as oral sources, official documents of the municipality collected in public bodies of the city made available in town halls, municipal public and archive file of the prefecture. These sources have helped us to make the knowledge of the place approached. The Republic has brought to different places of Brazil expectations and/or solutions, of innovations that modernized in order to erase the marks the old colonial system. The cities to be created would be part of the molds republicans and this way, should follow models ready coming, basically, from European countries. However, the city of the Capela de Nossa Senhora da Piedade de Campo Formoso is outside of this process moderniser, having been relegated by several years to difficulties of a distant region and without resources. The historiography of Goiás summarizes the period of the arrival of the railroad in the southern region of the State, such as a time of progress in all the sectors of the life of this society. Then, to understand the specificity of Campo Formoso, we approached from the documentary sources exist various elements constitutor city history: its political constitution formed by the most affluent of the city, the strength of the colonels, the role of the Church as a political power. These power relations in the region were decisive for the deviation of the railroad. In this way, also we sought to analyze how the process of urbanization has occurred and which represented for the history of the city Capela de Nossa Senhora da Piedade de Campo Formoso the passage of the Railroad Goiás not within its limits. In the meantime we situate the special policies of a city in the interior of Goiás, which is on the edge of a project set up as amodernizer moved by the First Republic.