Alterações de linguagem oral e escreta em crianças pré-escolares e escolares com epilepsia

A epilepsia cursa com diversas comorbidades e, entre elas, estão as alterações de linguagem, que levam a criança a problemas educacionais e sociais desfavoráveis. A etiologia das alterações de linguagem envolve aspectos orgânicos, cognitivos e sociais, ocorrendo, na maioria das vezes, uma interrelação entre todos esses fatores. A idade da primeira crise epiléptica, o tipo de epilepsia, o uso de drogas antiepilépticas e a intervenção medicamentosa em politerapia podem implicar na ocorrência dessas alterações em crianças. O objetivo dessa pesquisa foi verificar a ocorrência de alterações de linguagem em crianças pré-escolares e escolares com diagnóstico de epilepsia atendidas no setor de Neurologia Infantil do Hospital de Pediatria Professor Heriberto Ferreira Bezerra. Caracterizou-se como um estudo prospectivo e transversal realizado com 90 crianças com epilepsia, submetidas à avaliação fonoaudiológica de linguagem oral e de leitura e escrita e como pesquisa interdisciplinar uma vez que envolveu áreas como a Fonoaudiologia, a Neurologia e a Psicologia. Os critérios de inclusão foram: 1) diagnóstico inequívoco de epilepsia, segundo a definição da ILAE (2005), 2) idade de 3 aos 12 anos, 3) padrão neurológico e desenvolvimento neuropsicomotor normais; os de exclusão: 1) diagnóstico de epilepsia duvidoso, 2) padrão neurológico e desenvolvimento neuropsicomotor alterados, 3) crianças com patologias pediátricas associadas. Foram analisadas as seguintes variáveis: sexo, idade da primeira crise epiléptica, tipo de crise epiléptica, regime de tratamento, presença de crise epiléptica, frequência à escola, tipo de escola e repetência. A análise estatística centrou-se na análise descritiva; determinou-se a razão de chances (odds ratio), adotando-se um intervalo de confiança de 95%; e na aplicação do teste exato de Fisher, levando-se em consideração p<0,05. Portanto, no que se refere à presença de alterações de linguagem oral, pôdese observar que o início das crises epilépticas durante o período de aquisição e desenvolvimento da linguagem oral bem como o tratamento medicamentoso neste período podem interferir no desenvolvimento da linguagem devido à imaturidade do sistema nervoso central além dos aspectos socioambientais, uma vez que o estigma e as crenças errôneas interferem negativamente no processo interacional tão importante para a aquisição e desenvolvimento da linguagem, o que também repercute nas habilidades de leitura e escrita. Dessa forma percebe-se a importância da atuação de uma equipe interdisciplinar (Fonoaudiologia, Psicologia e Neurologia Infantil) no processo avaliativo e no acompanhamento dos pacientes com epilepsia, o que trará benefícios psicosocioafetivos no que se refere à reorganização da sua qualidade de vida e, consequentemente, de seus familiares.

Aptidão física relacionada à saúde de escolares Norte- Rio-Grandenses

O sedentarismo é cada vez mais acentuado entre os adolescentes em todo o mundo. Objetivou-se neste estudo analisar o estado nutricional e a aptidão física de escolares norte-rio-grandenses. Participaram 2065 sujeitos, selecionados aleatoriamente (Masc = 1066, Fem = 999) (Natal n=1158; Mossoró n= 312; Lajes n= 231), divididos em três grupos etários pelos estágios maturacionais: 10 a 12 anos, 13 a 14 anos e _ 15 anos. Foi avaliada a composição corporal (IMC, dobras cutâneas tríceps e subescapular); o hábito alimentar (questionário de prevalência do consumo por grupo alimentar); o índice de atividade física (questionário Baeck) e o nível de aptidão física (testes do salto em distância, flexibilidade, resistência abdominal e cardiovascular). Utilizando-se a estatística descritiva, testes de médias pela análise dos intervalos de confiança, o teste de Kruskall-Wallis, teste t, o Qui2 e o coeficiente de contingência. Encontraram-se diferenças significativas com p < 0001 na distribuição do índice de massa corporal (n = 1701); Região Leste Potiguar (RLP) com excesso de peso e obesidade de 16,8 % e 15,2 %, a Região Oeste 16,3% e 9,6 % e a Região Central 10,4 % e 3,9 %, com as escolas privadas contribuindo significativamente na prevalência dessas variáveis nas RLP e ROP com p < 0,003 e p < 0,001 respectivamente. O hábito alimentar demonstrou que 98,3% dos sujeitos consomem alimentos do grupo das massas 98,3%; cereais 97,7%; laticínios 94,7%; frutas 92,3%; gorduras 88,3% e as hortaliças 61,6%, não havendo diferenças significativas no consumo alimentar entre o tipo de escolas e gênero (n = 300). No índice de atividade física habitual há diferenças entre esses respectivos extratos: 2,65±0,78 e 2,81±0,80 (p < 0,014) e 2,89±0,82 e 2,57±0,78 (p < 0,001), com as práticas de atividades esportivas, programas de exercícios físicos e lazer ativo mais significativo em escolas privadas 2,85 ± 1,06 e 3,37±1,26 (p < 0,001) em prol do sexo masculino com 3,47±1,24 e 2,75±1,03 (p <0,001). Resistência abdominal ( =19) e força de membros inferiores ( =128,5 cm) foram classificadas como muito fraco , a flexibilidade ( =26,9 cm) razoável e resistência geral ( =1439 m) como bom . Conclui-se que o hábito alimentar e o baixo índice de atividade física habitual influenciam negativamente os índices da aptidão física relacionada à saúde dos escolares, com menor incidência em instituições privadas em função das práticas esportivas. Este estudo apresenta relação de interface multidisciplinar, tendo o seu conteúdo uma aplicação nos campos da Medicina, Nutrição e Educação Física

Estudo epidemiológico das parasitoses oculares na população de escolares da cidade de Natal-RN, Brasil

The objective of this study is to estimate the prevalence of Ocular Toxocariasis, Diffuse Unilateral Subacute Neuroretinitis (DUSN), Toxoplasma gondii infection and Ocular Toxoplasmosis in a student population in Natal-RN/Brazil and relate it to demographic, epidemiologic and socio-economic risk factors. The incidence of DUSN was observed in patients at the Federal University of Rio Grande do Norte Ophthalmology Service and the Prontoclinica de Olhos Ophthalmology clinic in Natal. In cases where a worm was found in the subretinal space, the result of treatment with photocoagulation using Green Laser (Eye Light ALCON) was evaluated in relation to final visual result. The sample was randomly selected among the schools of the four districts of Natal, according to the type of institution (public or private), its level (elementary or secondary), and study period (morning, afternoon or evening). The school population was studied from March to May, 2001. Initially, the students answered a questionnaire to evaluate demographic, epidemiologic and socio-economic risk factors. Afterwards, the following procedures were carried out: blood samples were taken for Toxoplasmosis (IgG, IgM) serology, hemogram, ophthalmological examination, consisting of clinical history, measurement of visual acuity, refraction under cycloplegia, biomicroscopy of the anterior segment and annexa, funduscopy and examination of extrinsic motility. The prevalence of Toxocariasis was 0.2% or 2 per one thousand students. The sample was insufficient to estimate the prevalence of DUSN. Seventy patients with DUSN diagnosis were examined from January, 2001 to January, 2003. A live worm was found in the subretinal space of all four patients in the acute phase, and these were treated with laser photocoagulation. After follow-up (average = 11.5 months), visual acuity improved in three eyes and remained unaltered in one eye. Worms were found in 22 of the 66 patients in the chronic phase, and these also were treated with laser photocoagulation. After a follow-up period of 13.1 months, on average, visual acuity improved in two of the patients, remained unchanged in 19 and worsened in one. The comparison of visual result before and after treatment was not statistically significant (p = 0.302). The diagnosis of DUSN in the acute phase, followed by prompt localization and destruction of the worm by photocoagulation, can improve the patient s vision. However, destruction of the worm by laser photocoagulation in eyes with DUSN in the chronic phase does not improve visual acuity. Seroprevalence for IgG was 46% (Confidence Interval CI 95%-42.9-49.2%) and for IgM it was 1.4% (CI 95% = 0.8-2.4%). The prevalence of ocular lesion was 1.15% (CI 95% = 0.6 - 2.0%). Socio-economic conditions were determinants in the prevalence of Systemic and Ocular Toxoplasmosis in the bivaried analysis and confirmed in the multivaried analysis (mother s scholarity illiterate/ OR = 2.9 and p < 0.001). The T. gondii infection prevalence, although high, was less than that found in studies performed in the South and Southeast of Brazil and that of Ocular Toxoplasmosis was completely discrepant, varying from 5 to 17 times less. Although important epidemiological variables such as owning a cat, drinking unfiltered water, and coming into contact with rivers or lakes showed an association in the preliminary analysis, they lost their influence when included in the logistic model. Future studies are scheduled to begin in March, 2004, in collaboration with other Brazilian and American universities in an attempt to discover the reason for these findings, as well as identifying the different strains of Toxoplasma gondii, and studying the sources of water utilized by the population of Natal Brazil

Análise do processo judicial eletrônico (PJe) sob os parâmetros da discursividade processual e do acesso democrático à justiça

The conceptions of the judicial function, the process and the factors of legitimacy of the norm of decision are changed according to the model of State (liberal, social democratic and constitutional). The right of access to justice, likewise, follows the ideals present in constitutional movements experienced in different historical moments. The deficit of legitimacy of the judiciary is recurring subject of study in the doctrine, especially in the face of democratic standards that permeate the current paradigm of state. Under the process law, the essential element for the distinction of the states based on the rule of law (formal and material) and the democratic constitutional state lies in the democratic guarantee of participation to the litigants in the process of elaborating the norm of decision. The concern about the participatory democracy and the concretion of fundamental rights has as presupposition the conception of popular sovereignty. Keeping this effort in mind, the civil procedure cannot be oblivious to such considerations, especially when it justifies its constitutional conformation from the institutionalization of discourse within the procedural field (democratic principle) and of the democratization of access to justice, leading to the necessary contestation of the theory of instrumentality of the process. The democratic prospects of civil procedure and the concern about the legitimacy of the rule of decision cannot be moved away from the analysis of the judicial function and the elements that influence the legal suit s progress. The computerization of the judicial process entails extensive modification in the way the judicial function is developed, in view of automation of activities held, of the eliminating of bureaucratic tasks, manual and repetitive, and of streamlining the procedure. The objective of this study is to analyze the dogmatic changes and resulting practices from the implementation of the Judicial Electronic Process (JEP), prepared by the National Council of Justice, under the parameters of procedural discourse and democratic access to justice. Two hypotheses are raised, which, based on a bibliographic-documentary, applied and exploratory research, are contested dialectically. The expansion of publicity of procedural acts and the facilitating of communication and practice of such acts are elements that contribute to the effective participation of the recipients of the norm of decision in its making process and, therefore, the democratic principle in the procedural field. Ensuring access (to the parts) to the case files and reasonable duration of the process along with the preservation of its founding principles (contradictory, legal defense and isonomy) are essential to ensure democratic access to justice within the virtual system

A escola normal de natal (Rio Grande do Norte, 1908-1971)

The research aims to analyze Professor Education in Natal, Rio Grande do Norte-Brazil in the period of 1908 to 1971. The work falls under the theme History of Scholar Institutions as well as Professor Education. The research investigates the evolution of the so called Normal School, a school that aimed professor education. It was based on assumptions by works of Chartier (1990), Chervel (1990), Elias (1994), Nóvoa (1987), Schriewer (2000), amongst others. The research dealt with a great array of documents in different institutions such as Minutes, Public Instruction Management Reports, Laws, newspaper articles (from the newspaper A Capital, A Ordem e A República), magazines such as Pedagogium (1921-1940); all of which present in the Geographical and Historical Institute of Rio Grande do Norte in Brazil. In the State´s public archive it was possible to find a book called Livro de Honra (1914-1919) as well as class diaries and books that contained details related to Scholar group Inscriptions. In the Atheneu Memorial the Atheneu Congregation of Normal School (1897) document was analyzed. In the Kennedy Superior Institute the researcher analyzed the Professor Nominal Graduation Registry Book. The work proposes a comparative study regarding the genesis present in the Lisbon Primary Normal School and the ones situated in Natal. The analysis dealt with institutional meanings attributed by educators. Documents from The Portuguese National Library as well as the Lisbon Superior Education School were analyzed. In this in environment, it was possible to analyze documents such as Minutes, Books, Manuals, Internal Regiments related to Pedagogy. The study allowed acknowledging that these Normal Schools emerged from the same historical substrate and present consonance between the two countries regarding once both were associated with politicians, professors, doctors, hygienists and professionals evolved with education. It was also possible to acknowledge that there is a presence of a pedagogical discourse attached to the primary school universe and professor education. The Natal Normal School was present in different contexts and was consolidated as an institution that was responsible for the education and preparation of primary school teachers. The school was considered a locus where it was possible to produce and work with specific knowledge in a peculiar fashion. This knowledge provided the necessary support for professor education and was in accordance with the world´s professional pedagogical movement as well as ideas, discussions and reflections. This school was considered a space for pedagogical activities, professional affirmation allowing action reflection enabling professor representation as knowledge producers legitimating professor instruction

Ingressar na ufrn: trajetórias escolares e universitárias de estudantes egressos da educação básica da rede pública

On the beginnings of the XXI century the brazilian universities was claimed by the Government and by the society to rebuild your ways of selecting students. Many questions are behind this theme, that goes since the concernings of the higher education institutions about select and graduate students, and now also students from disadvantaged sectors of the society; but also about personal issues, like concerns of the everyday of millions of youngs that integrates the brazilian society and that need to decide about your professional future after the finish of the Basic Education. The present thesis has as objective analyse the processes of the transition between the Basic Education and Higher Education on the point of view of students that achieved a place on the public university. This study was accomplished on the Federal University of Rio Grande do Norte [UFRN on the original language], that implemented an Access and Social Inclusion Policy (PAIS [on the original language]) on the year of 2003, and since than a series of social actions had been developed. Among the main, we highlight the Inclusion Score action, an adicional score [on the entrance selection exam] for graduated students from public schools, which considers social and economic criteria and the academic development of these candidates on your Basic Education. Through quizzes and interviews with the graduated university students from public network, we could know the social, economic and academic profile of the students that entered on the UFRN by the time of the development of your PAIS, your schools and university trajectories, revealing some of the dilemmas, strategies, difficulties and personal cost of those that try to remain on the educational system besides the adversity conditions of schooling. For the theory foundation, we use authors like Bourdieu (1992, 1996, 2003); Coulon (1993, 2008); Ramalho (2004, 2007, 2008, 2010); Ramalho, et al (2011); Charlot (2001, 2003, 2005); Zago (2011); Nogueira, Romanelli e Zago (2011), among others, that contributed for a better analysis and understanding of thought and actions of the students in your own formative trajectories. Although we know that the educational inequalities are many, we found that the UFRN policy brought and is bringing many significant results, on the perspective of contribute with the increase of access for graduated students from the public network, and with the inclusion of these on the university

Grupo Escolar Duque de Caxias festas escolares: uma celebração de múltiplos significados - 1949 1962

El trabajo que aquí se presenta tuvo como objetivo investigar una institución escolar en la ciudad de Macau / RN. Esta institución, que fue innovadora en su contexto social y pedagógico, fue pesquisada a la luz de los parámetros de la historia cultural. Una escuela que fue creada en el siglo XX, en el año de 1923, cuando el país aún vivía la efervescencia de la implantación del nuevo ordenamiento político - la República. Elegimos como objeto de estudio las fiestas escolares, que tuvo lugar en esta institución durante el periodo 1949-1962, procurando aclarar cómo ocurría la realización de estas fiestas y cómo fueron fundamentales para el funcionamiento de las relaciones políticas, sociales y culturales en el ámbito escolar. El análisis y la interpretación de las fuentes documentales escolares, los documentos de otras instituciones, las entrevistas abiertas, la información oral, la legislación de la educación y de las escuelas, los periódicos y documentos oficiales de la época relacionados con la temática y que formaron el corpus documental, se basaron por obras de Souza (1998), Juliá (2001), Castro (1997), Kossoy (2001) Saviani (2005), Escolano (1992) y Carvalho (1990). Por tratarse de una institución de enseñanza, el análisis central es la cultura escolar y la historia de la educación brasileña es el campo de la investigación, haciendo una relación de las fiestas escolares. En el relato, se reconstituyen las festividades cívicas, solemnes y recreativas, además de los elementos de formación que se evidencian en el discurso de la educación moderna. Para ello, buscamos entender que, en las prácticas cotidianas de la escuela, había un método de actuación que seguía las directrices del Departamento de Educación. Estas directrices eran dadas por medio de las normas y decretos editados y se adentraban en el discurso en torno de las iniciativas emprendidas para difundir las nuevas prácticas pedagógicas, y dentro de ellas, en el momento apropiado, los profesores dedicaban un tiempo de sus clases para explicar acerca de los días festivos y sus organizaciones. Estas constataciones fueron certificadas por la documentación listada y por las entrevistas abiertas, y nos señaló para el modelo escolar propugnado por el Grupo Escolar Duque de Caxias, que era fruto del nuevo orden republicano

Relação entre hábitos bucais, alterações oronasofaringianas e mal-oclusões em pré-escolares de Vitória, Espírito Santo, Brasil

O objetivo deste estudo foi estimar a prevalência das mal-oclusões e variáveis a elas associadas, como hábitos deletérios (HD) e as alterações oronasofaringianas (AO), respiração bucal, deglutição atípica e fonação atípica, em crianças com idade de três anos, no Município de Vitória, Espírito Santo, Brasil. A amostra constituiu-se de 291 crianças de ambos os sexos, matriculadas nos Centros de Educação Infantil, selecionadas por meio de amostragem probabilística por conglomerados. A análise de regressão logística indicou maior risco relativo (RR) de crianças com sobressaliência alterada, mordida aberta e mordida cruzada, em apresentar: respiração bucal (RR = 1,89; IC: 1,56-2,03), (RR = 2,46; IC: 2,00-3,02), (RR = 1,45; IC: 1,23-1,72); deglutição atípica (RR = 2,57; IC: 1,87-3,52), (RR = 3,49; IC: 2,53-4,81), (RR = 1,86; IC: 1,46-2,39) e fonação atípica (RR = 2,25; IC: 1,66-3,05), (RR = 3,18; IC: 2,38-4,25), (RR = 1,71; IC: 1,32-2,22), respectivamente. Foi mostrado haver associação entre sucção de dedo e de chupeta com sobressaliência alterada (p < 0,001) e sucção de chupeta e mordida aberta (p < 0,001). Esses resultados indicam que a prevalência das mal-oclusões está associada aos HD e às AO.

Opiniões de professores do ensino médio: refletindo sobre os projetos escolares e a interdisciplinaridade

Official documents indicate to a curriculum organization that promotes the dialogue in different areas of knowledge. Among the proposals strategies are the "School Projects". This research appears from the staff need evidenced in the development of practice of the researcher in recent years as Pedagogical Advisor in high school. The comments made in the daily work on the kinds of projects and how they were developed in the school, generated concerns. They aroused the interest in further the discussion, aiming to reflect with teachers about the implementation of a pedagogic action on the use of educational projects in the classroom, as a didactic strategy which promotes the learning of students. In this sense, it seeks to develop studies and discussions by the application of questionnaires and the holding of a workshop with teachers in the area of Science of Nature and Mathematics in private high school institutions from Natal, searching opinions of them as the preparation and development of school projects. As general purpose, it aims to contribute with elements to the reflection of the teachers on the use of this strategy of education. For both, we propose: the knowledge of ideas/opinions of teachers on planning, development and evaluation of projects, both disciplinary and interdisciplinary, identifying the main difficulties of these teachers about the work with projects at school; reviewing projects developed at school after the press conference in a meeting with teachers, incorporating the identified aspects as weak points. In the course of the methodology research, questionnaires were used with open and closed questions for the lifting of preliminary ideas for teachers in order to subsidize the planning of a developed meeting later in the school itself on the subject in question. 10 teachers took part of the first step and 17 in the second one (pressconference). In the third stage, an individual interview was carried out and analysis of projects already developed. It is observed that, as the main difficulty for the development of projects in school, pointed to the time factor in the planning team, followed by excessive working hours for teachers that, generally, also work in other schools. Some teachers say they do not develop projects for not having knowledge of how to develop school projects, neither disciplinary, nor interdisciplinary

Associação entre estado nutricional e pressão arterial em escolares

The aim of this study was to analyze the association between nutritional status and blood pressure in adolescents from a private school. Were recruited 316 young of both gender with age raging from 11 to 15 years old. Were measured body mass, stature, systolic blood pressure and diastolic blood pressure. The statistic procedures were composed by median, interquartile range, chi-square test and Poisson regression. The prevalence of overweight and high blood pressure was significantly higher in boys (38% and 24%, respectively) when compared to girls (19.3% and 14.4%, respectively). Overweight adolescents presented a higher risk (about 2-fold) to develop high blood pressure. In conclusion, overweight seems to be associate with high blood pressure in adolescents.

Manual do professor, muito prazer em (re)conhecê-lo! Uma análise sociorretorica do gênero

Esta pesquisa de natureza documental e etnográfica se insere no campo da Linguística Aplicada, tendo por objeto de estudo o Manual do Professor, que acompanha o livro didático de Língua Portuguesa, e por objetivo geral (re)conhecer os aspectos sociorretóricos do gênero Manual do Professor. O interesse desta tese está concentrado no uso situado desse gênero, a partir do qual se observam seus aspectos sociorretóricos, a saber: o que está posto no produto, o ambiente de interação onde é encontrado e como é visto por seus usuários em potencial. Em um primeiro momento, produzimos um quadro epistemológico que nos permitiu, dentre outros reparos, (i) compreender gênero textual como ação retórica tipificada baseada numa situação retórica recorrente e (ii) obter um panorama dos programas de governo voltados para a avaliação de coletâneas didáticas, nos quais encontramos aspectos indispensáveis a um Manual do Professor. Os aportes teóricos adotados neste estudo referem-se à concepção sociorretórica dos estudos de gênero textual à luz, sobretudo, de Johns et al. (2006), Bazerman (2011) e Miller (2011). Em um segundo momento, sob o viés da abordagem sociorretórica, procuramos definir o Manual do Professor como gênero textual e apresentamos os aspectos retóricos encontrados nas amostras que analisamos, considerando a organização constitutiva, o contexto de uso desse gênero e as percepções de seus usuários autores e professores. A geração de dados deu-se inicialmente a partir da seleção de três exemplares de Manuais de coletâneas didáticas adotadas no IFRN; em seguida, no sentido de reconhecer as percepções dos usuários desse gênero, realizamos grupo focal com professores e entrevistamos o coautor de uma das coletâneas. Para análise dos dados, elegemos o método etnográfico de análise de gêneros postulado por Reiff (apud JOHNS et al, 2006), que nos permitiu analisar o objeto de estudo em contextos autênticos de uso do gênero. Nossos resultados mostram que o Manual do Professor está inserido num sistema de gêneros e no sistema de atividades profissionais de domínio do professor e não se limita apenas a explicar como está organizado o livro didático do aluno. Outros sete propósitos foram observados, dentre os quais se encontram: possibilitar ao docente uma reflexão sobre a sua prática de ensino e sugerir caminhos para a melhoria do processo de ensino-aprendizagem. Acreditamos que esta pesquisa poderá estimular professores, em relação à importância (e não obrigatoriedade) de consultas periódicas aos Manuais; autores, no que se refere a estabelecer uma interlocução mais pessoalizada com seus leitores em potencial e no sentido de esclarecer ainda mais as facetas do livro didático; e editoras, sobretudo no que tange a recursos de editoração, para que o Manual do Professor se torne mais atrativo

Práticas educativas e problemas de comportamento: uma análise à luz das habilidades sociais

Este artigo tem por objetivo analisar as relações entre práticas educativas dos pais e problemas de comportamento dos filhos, à luz do referencial teórico-prático do treinamento em habilidades sociais. A forma como os pais educam seus filhos parece ser crucial à promoção de comportamentos socialmente adequados, porém, com freqüência, as famílias acabam estimulando comportamentos inadequados por meio de disciplina inconsistente, pouca interação positiva, pouco monitoramento e supervisão insuficiente das atividades da criança. Considera-se que os pais, para promoverem comportamentos adequados em seus filhos, necessitam ter habilidades sociais educativas, tais como expressar sentimentos e opiniões, estabelecer limites evitando coerção, entre outras. Conclui-se que, intervenções com pais, com a finalidade de promover habilidades sociais educativas, são importantes meios para prevenção e redução de problemas de comportamento em crianças, de forma a evitar dificuldades escolares e de socialização na meninice e na adolescência.

Habilidades sociais educativas de mães separadas e sua relação com o comportamento de pré-escolares

Este estudo teve por objetivo: (a) caracterizar uma amostra de mães e filhos, em famílias separadas, quanto às suas habilidades sociais; (b) investigar relações entre as habilidades sociais educativas das mães e o comportamento das crianças; e (c) comparar grupo clínico e não-clínico quanto ao repertório comportamental. Participaram da pesquisa 43 mães de crianças de ambos os sexos, com idade entre quatro e seis anos. As participantes responderam a um Questionário Sociodemográfico, Roteiro de Entrevista de Habilidades Sociais Educativas Parentais, Child Behavior Checklist - CBCL, Questionário de Respostas Socialmente Habilidosas e Escala Infantil A2 de Rutter. Para análise de dados, empregaram-se os testes Spearman e Mann-Whitney. Os resultados mostraram que habilidades sociais educativas das mães estiveram relacionadas a habilidades sociais das crianças, enquanto práticas negativas foram relacionadas a problemas de comportamento. Discutem-se como as habilidades sociais maternas podem influenciar o comportamento dos filhos em famílias separadas.

Impacto da cárie precoce severa na infância na qualidade de vida relacionada à saúde bucal de pré-escolares sob privação social

Early childhood caries, especially in its severe form, which is characterized by an acute and aggressive nature, can have negative impacts on thequality of life of a child, due to effects such as difficulty in chewing, decreased appetite, weight loss, insomnia, changes in behavior and a decreased performance in school, among others. Moreover, the quality of life of the child`s family can also be affected, as the pain and discomfort caused by this type of caries result in loss of working days of parents, spending on dental treatments, changes in sleep patterns and stress. The aim of this study was to evaluate the impact of severe early childhood caries in the Oral Health-Related Quality of Life (OHRQoL) of public daycares`s preschool children through the Escala de Impacto da Saúde Bucal na Primeira Infância, a Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). A single calibrated examiner (kappa=1.0) evaluated, through the dmfs index, the oral health of 116 children aged between 3 and 5, which were included in one of three study groups: "caries-free", "not-severe early childhood caries" and "severe early childhood caries". The parents responded to ECOHIS, to assess their perception regarding the OHRQoL of their children, and a questionnaire on socioeconomic conditions. The OHRQoL was measured through the total scores and domains of ECOHIS. Descriptive analysis, Mann-Whitney test, Kruskal-Wallis test, chi-square test and Poisson multiple regression with robust variance were used. Among the children observed, 38.8% were caries-free, 27.6% showed not-severe early childhood caries and 33.6% showed severe early childhood caries. Regarding the total score of ECOHIS, severe early childhood caries had a greater negative impact on OHRQoL, compared to caries-free and not-severe early childhood caries groups (p <0.001). Regarding the child subscale, there was significant difference between the "severe early childhood caries" group and the other groups in all domains, except for theone of self-image / social interaction. In the family subscale domains, there was statistical significance between the severe early childhood caries and the caries-free groups in all domains (p <0.001), whereas between the "severe early childhood caries and not-severe early childhood caries groups there was a statistically significant difference only in the domain of parental anguish (p <0.001). Multivariate analysis showed that early childhood caries and the parent`s age were significantly associated to OHRQoL (p <0.05), independently of the other variables in the model. The presence of severe early childhood caries resulted in greater negative impact on OHRQoL (AdjPR= 6.016; 95%CI = 3.12 11.56; p<0.001), while older parents reported better OHRQoL (AdjPR = 0.603; 95%CI = 0.428 - 0.850; p = 0.004). The presence of severe early childhood caries had a negative impact on OHRQoL of preschool children and their families.

Influência das condições de saúde bucal no desempenho das atividades diárias de adolescentes escolares

Instruments are used in odontology to measure the Quality of Life Related to Oral Health (OHRQoL) to scale how the oral condition interferes with functional areas, of the people s psychological and social life. This cross-sectional study, held in Natal/RN, with 215 students from the Federal Institute of Education, Science and Technology of Rio Grande do Norte (IFRN) has investigated the association between the performance of daily activities and oral health status of school adolescents from 15 to 19 years of age, through the normative index DMFT (permanent teeth decayed, missing and filled), CPI (Community Periodontal Index) and DAI (dental Aesthetic Index) and subjective questionnaire assessment of quality of life related oral health OIDP index (oral impacts on daily performance). It was also carried out the socioeconomic characteristics of students through IFRN own data. Concerning the analysis of data was performed a descriptive analysis of the variables by their absolute and relative frequencies and measures of central tendency. The chi-square test was used to assess the association between the dependent variable and the independent categorical variables and the Student t test for quantitative. It was also conducted a further multiple analysis out using Poisson regression with robust variance between the outcome "presence of impact" and the independent variables that showed p <0.20. It was used for all the statistical tests a significance level of 5%. Among the adolescents surveyed, 51.16% reported that at least one activity assessed by OIDP had hampered its implementation due to some dental problem. The difficulties were more pronounced in the activities of eating (31.6%), oral hygiene (25.6%) and smile (25.1%).The tooth position, followed by toothache, were the causes of the impacts reported by most teenagers. There was a significant association between the presence and impact of the presence of one or more decayed teeth (p = 0.012), the presence of gum bleeding (p = 0.012) and for orthodontic treatment (p = 0.003), independently of other variables. There was no significant association between oral health status and socioeconomic and demographic characteristics of the adolescents. The survey results showed that there is an association between oral health status of the population studied and reports of difficulties in carrying out daily activities evaluated. The worse the oral health status, the greater the impact of this condition on the adolescents quality of life