Caries-preventive effectiveness of fluoride varnish as adjunct to oral health promotion and supervised tooth brushing in preschool children: a double-blind randomized controlled trial.

OBJECTIVES To evaluate the effect of biannual fluoride varnish applications in preschool children as an adjunct to school-based oral health promotion and supervised tooth brushing with 1000ppm fluoride toothpaste. METHODS 424 preschool children, 2-5 year of age, from 10 different pre schools in Athens were invited to this double-blind randomized controlled trial and 328 children completed the 2-year programme. All children received oral health education with hygiene instructions twice yearly and attended supervised tooth brushing once daily. The test group was treated with fluoride varnish (0.9% diflurosilane) biannually while the control group had placebo applications. The primary endpoints were caries prevalence and increment; secondary outcomes were gingival health, mutans streptococci growth and salivary buffer capacity. RESULTS The groups were balanced at baseline and no significant differences in caries prevalence or increment were displayed between the groups after 1 and 2 years, respectively. There was a reduced number of new pre-cavitated enamel lesions during the second year of the study (p=0.05) but the decrease was not statistically significant. The secondary endpoints were unaffected by the varnish treatments. CONCLUSIONS Under the present conditions, biannual fluoride varnish applications in preschool children did not show significant caries-preventive benefits when provided as an adjunct to school-based supervised tooth brushing with 1000ppm fluoride toothpaste. CLINICAL SIGNIFICANCE In community based, caries prevention programmes, for high caries risk preschool children, a fluoride varnish may add little to caries prevention, when 1000ppm fluoride toothpaste is used daily.

State of the art of integrated therapy approaches in the treatment of schizophrenia: empirical evidence and clinical relevance

Objective: Integrated behavior therapy approaches are defined by the combination of behavioral and or cognitive interventions targeting neurocognition combined with other goal-oriented treatment targets such as social cognition, social skills, or educational issues. The Integrated Psychological Therapy Program (IPT) represents one of the very first behavior therapy approaches combining interventions of neurocognition, social cognition, and social competence. This comprehensive group-based bottom-up and top-down approach consists of five subprograms, each with incremental steps. IPT has been successfully implemented in several countries in Europe, America, Australia and in Asia. IPT worked as a model for some other approaches designed in the USA. IPT was undergone two further developments: based on the social competence part of IPT, the three specific therapy programs focusing residential, occupational or recreational topics were developed. Recently, the cognitive part of INT was rigorously expanded into the Integrated Neurocognitive Therapy (INT) designed exclusively for outpatient treatment: INT includes interventions targeting all neurocognitive and social cognitive domains defined by the NIMH-MATRICS initiative. These group and partially PC-based exercises are structured into four therapy modules, each starting with exercises on neurocognitive domains followed by social cognitive targets. Efficacy: The evidence of integrated therapy approaches and its advantage compared to of one-track interventions was becoming a discussion tool in therapy research as well as in mental health systems. Results of meta-analyses support superiority of integrated approaches compared to one-track interventions in more distal outcome areas such as social functioning. These results are in line with the large body of 37 independent IPT studies in 12 countries. Moreover, IPT research indicates the maintenance of therapy effects after the end of therapy and some evidence generalization effects. Additionally, the international randomized multi-center study on INT with 169 outpatients strongly supports the successful therapy of integrated therapy in proximal and distal outcome such as significant effects in cognition, functioning and negative symptoms. Clinical implication: therapy research as well as expert’s clinical experience recommends integrated therapy approaches such as IPT to be successful agents within multimodal psychiatric treatment concepts. Finally, integrated group therapy based on cognitive remediation seems to motivate and stimulate schizophrenia inpatients and outpatients to more successful and independent life also demanded by the recovery movement.

Esthetic, Functional, and Everyday Life Assessment of Individuals with Cleft Lip and/or Palate

OBJECTIVES To evaluate the level of satisfaction of individuals with cleft lip and/or palate (CLP) and their parents concerning the esthetic and functional treatment outcomes, the impact of the cleft on everyday life, and potential associations with treatment outcome satisfaction. SUBJECTS AND METHODS The sample consisted of 33 patients (7 CP, 20 unilateral CLP, and 6 bilateral CLP; median age: 17.1, range: 9.0-33.1 years) and 30 parents, who responded to a questionnaire in an interview-guided session. All participants received their orthodontic treatment at the Department of Orthodontics in the University of Athens. RESULTS Patients and their parents were quite satisfied with esthetics and function. Patients with UCLP primarily were concerned about nose esthetics (BCLP about lip esthetics and CP about speech). Increased satisfaction was associated with decreased influence of the cleft in everyday life (0.35 < rho < 0.64, P < 0.05). Parents reported significant influence of the cleft on family life, while patients did not. CONCLUSIONS Despite the limited sample size of subgroups, the main concerns of patients with different cleft types and the importance of satisfying lip, nose, and speech outcomes for an undisturbed everyday life were quite evident. Thus, the need for targeted treatment strategies is highlighted for individuals with cleft lip and/or palate.

Norm enforcement in the city revisited: An international field experiment of altruistic punishment, norm maintenance, and broken windows

In laboratory experiments, people are willing to sanction norms at a cost—a behavioral tendency called altruistic punishment. However, the degree to which these findings can be generalized to real-world interactions is still debated. Only a small number of field experiments have been conducted, and initial results suggest that punishment is less frequent outside of the lab. This study replicates one of the first field experiments on altruistic punishment and builds ties to research on norm compliance and the broken windows theory. The original study addressed the enforcement of the anti-littering norm in Athens. We replicate this study in Bern, Zurich, and New York City. As an extension, we investigate how the experimental context (clean vs littered) impacts social norm enforcement. As a second extension, we investigate how opportunity structure impacts the maintenance of the anti-littering norm. Findings indicate that norms are universally enforced, although significantly less than in the standard laboratory experiment,and that enforcement is significantly more common in Switzerland than in New York. Moreover, individuals prefer more subtle forms of enforcement to direct punishment. We also find that enforcement is less frequent in littered than in clean contexts, suggesting that broken windows might not only foster deviant behavior but also weaken informal social control. Finally, we find that opportunity structure can encourage people to maintain norms, as indicated by the fact that people are more likely to voluntarily pick up litter when it is closer to a trash bin.

Cuál es la forma legítima de enseñar y ejercer la filosofía : Veladas formas de la competencia entre escuelas en República VI

La enseñanza de la filosofía ha sido históricamente escenario de agón y competencia, no sólo de cooperación. Quisiera llamar la atención sobre el modo en que Platón alude, en el libro VI de la República, a una lucha que se ha entablado en Atenas por dirimir cuál es la legítima forma de transmitir y ejercitar la filosofía. Ofreceré argumentos para mostrar que en las provocadoras respuestas que ofrece Sócrates a los dos reproches que se le hacen a la filosofía -su inutilidad y el carácter raro y perverso de los filósofos- se objeta implícitamente el modo en que Isócrates concibe la filosofía, su función social y su transmisión. Contrastaré esas respuestas con algunas posiciones de Contra sofistas. Aunque las opiniones de Isócrates sobre este tema se desarrollan en varios escritos me concentraré en Contra sofistas para trazar una correspondencia 'agónica' no sólo filológica y especulativamente plausible sino también cronológicamente viable

Los objetos escénicos y su funcionalidad en Caballeros de Aristófanes

Nos proponemos estudiar, a partir de un análisis filológico-literario, la comedia Caballeros de Aristófanes, que se puso en escena y obtuvo el primer premio en las Leneas del año 424 a. C. La composición de esta obra es consecuencia directa de los acontecimientos ocurridos en Pilos durante el séptimo año de la Guerra del Peloponeso y resulta una sátira de carácter político en la cual constantemente se ataca a Cleón y se exponen abiertamente los vicios de la administración en Atenas. El objetivo de esta investigación es detectar e indagar los objetos presentes en el universo ficcional para dilucidar la funcionalidad de los mismos en relación con las distintas partes de la obra. Nos centraremos en aquellos que aparecen mencionados en el texto dramático atendiendo a los distintos sentidos que asumen a lo largo de la obra porque los consideramos elementos propulsores del desarrollo de la trama, caracterizadores de personajes, generadores de malos entendidos y poseedores de sentido simbólico

¡Me engañaste, me mentiste! La embajada persa a Atenas (Ar. Ach. 61-124) y sus implicaturas frente al público

Atendiendo a la relación establecida entre la comedia y los ámbitos político- legales que la circundan, se ha podido instituir un vínculo entre la ficción cómica y la realidad política de la Atenas clásica que se percibe fundamentalmente en las primeras comedias de Aristófanes. Dentro de Acarnienses podremos entonces determinar un nuevo punto de análisis si consideramos que en las breves declamaciones del persa se cifra uno de los recursos más notorios de la diplomacia estatal: la manipulación ante la asamblea del discurso de los embajadores de una nación por parte de la voz autorizada de la pólis receptora (Ammendola: 2001-2002). Será nuestro propósito abordar un costado diverso de esta escena definiendo su peso específico, aparentemente secundario, en la trama total de la obra. De ese modo nos interesará detectar la verdadera trascendencia del comportamiento del embajador persa respecto de los ciudadanos atenienses representados en la persona del viejo Diceópolis

El agón como el problema platónico : Una lectura deleuziana

Hay todo un entorno del problema griego según Deleuze: el agón. La ciudad ateniense es una rivalidad entre pretendientes. En la obra platónica, a la que Deleuze se refiere a menudo como la Odisea filosófica, el enfrentamiento entre rivales aparece constantemente y en todos los ámbitos, en el amor, los juegos, la política, los tribunales, incluso la filosofía tendrá también sus pretendientes. La pregunta es platónica es, según Deleuze, ¿cómo seleccionar a los pretendientes? La Idea juega el rol de paradigma de autenticidad dentro del método dialéctico cuya función debe ser entendida, según Deleuze, en términos de selección y no de clasificación. En el presente trabajo nos proponemos presentar esta lectura deleuziana a los efectos de evaluar sus alcances

Aristófanes e a guerra dos sexos em Lisístrata

En Lisístrata, los hombres utilizan armas letales en combate, las mujeres utilizan la sensualidad y seducción como una herramienta contra la misma guerra, sexual, política, sin embargo, son equivalentes a sus rivales cuando toman la Acrópolis de Atenas y el tesoro de guerra en su poder. En la parábasis, las mujeres cuentan su historia de formación religiosa como un ciudadano ateniense, que les da el derecho de presentar un discurso en la ciudad de Atenas. En el agón, ganan los hombres en el habla y la lucha física. El objetivo de este trabajo es mostrar la importancia del agón en Lisístrata, que, según algunos estudiosos, se alimenta de la confrontación ritual más antigua entre las fuerzas rivales de la naturaleza, pero que se basa, principalmente, en mujeres guerreras iguales a los hombres a través de los paradigmas míticos

Edipo en Colono, el agón de un átimos

Edipo en Colono presenta, por un lado, una pólis que evoca el tiempo mítico junto a la persecución del destino humano; por el otro, una Atenas que se funda sobre la ley de la justicia. El llega a las fronteras de Atenas acompañado por Antígona, la única de los hijos consciente de la inocencia del padre. Edipo se declara átimos, sufre de atimía, situación límite e ignominia para los griegos, condición jurídica y moral de aquellos que han sido excluidos de la comunidad. Sobre su cuerpo, vivo o muerto, se juega la soberanía de Tebas: aquél que será capaz de gobernar lo ingobernable, de conducir la múltiple naturaleza humana a la unidad. Edipo representa la alteridad, está entre la díke mítica y la ley de la pólis, emergentes del agón con los otros personajes y el coro. Sobre su competencia y cooperación para amonestar dicha pólis trata este trabajo