Evaluación del conocimiento de los cirujanos dentistas brasileños sobre aspectos bioéticos en el tratamiento odontológico

Professional-patient relationship and its importance for a good performance and success of the dental treatment must be reflected upon by means of their bioethical aspects. Our study aimed at evaluating dentist-surgeons' knowledge (n=163) in conducting specialization courses at São Paulo State University-UNESP, on these aspects. Out of the people surveyed, 88.1% mentioned that a decision for the treatment should be made by mutual agreement between professionals and patients, however, 26.4% report that patients' or their legal representative's participation in decision-making can cause negative interference. Professionals' acting when patients choose a less suitable treatment, 95.6% try to convince patients that it is not the best choice and persuade them for a better one by keeping the paternalistic model. It was noticed that 20.3% did not know how to relate the importance of professional-patient interaction as regards the dental treatment. It was therefore concluded that many dentist-surgeons are not taking these bioethical aspects into account in clinical practice.

La salud bucal en la percepción del adolescente

Objective An individual does not always experience the best health and vitality indexes during her/his adolescence. This study evaluated young people's awareness of their oral health and the factors involved in dental maintenance and promotion Material and Method Adolescents (n=493) from the Mirim Foundation in the town of Araçatuba in the state of São Paulo, Brazil, were asked to fill in a semi-structured questionnaire. Results 68.4 % of the youngsters interviewed regarded oral health as referring to hygiene and 16.2 % to physical appearance; 53.6 % of the group perceived their oral health to be good and 24 % optimum. 90.1 % indicated oral hygiene when asked how oral health could be ensured; however, only 4.8 % mentioned brushing their tongues. Physical appearance (62.9 %) was one of the main reasons stated as being important for teeth. A statistically significant relationship was observed between perception of regular dental and mouth health and having visited the dentist at least six months beforehand (x2=30.75; p<0.05). Conclusion Even though the youngsters had a general idea regarding their oral health, its maintenance and promotion, better information should be made available regarding such topics and be approached through health education so that these adolescents can have good oral health for the rest of their lives, as well as becoming knowledge multiplying agents for those who do not have access to the same information.

La sostenibilidad del desarrollo en América Latina y el Caribe: desafíos y oportunidades

Incluye Bibliografía

Protección del derecho humano al agua y arbitrajes de inversión

Incluye bibliografía

El derecho humano al agua y al saneamiento frente a los Objetivos de Desarrollo del Milenio (ODM)

Prólogo de Alicia Bárcena

Las condiciones de competencia en las principales rutas de aerolíneas nacionales e internacionales, y los mercados domésticos en cada país del Istmo Centroamericano

Incluye Bibliografía

Pasado, presente y futuro del proceso de integración centroamericano

Incluye Bibliografía

Aspectos determinantes del estado de la facilitación del transporte en América Latina: los casos de Colombia y el Perú (Comunidad Andina de Naciones)

Includes bibliography

Importancia del diagnóstico precoz de los lipomas de células grandes en la región maxilofacial

Lipoma is a benign tumor composed of proliferation of mature fat cells interspersed by fibrous connective tissue, blood vessels and muscles, delimited by a thin capsule. Although it represents a mesenchymal neoplasm most common human body, are rare occurrences in the oral cavity. Presents clinical and histopathological variables that do not alter their prognosis. The pathogenesis is still uncertain, although some authors consider heredity and endocrine disorders as possible causes. Occurs with greater prevalence in obese people, although their metabolism is completely independent of the normal body lipid metabolism. The clinical diagnosis of oral lipoma is the view of a nodular mass, soft, asymptomatic, flat surface, without ulceration and limited growth. The continuing growth of the lesion may cause difficulty in chewing, speech, dental adaptation and change in facial aesthetics of the patient, requiring surgical excision of the lesion. The final diagnosis is by histopathological examination. Aims to present a literature review and clinical cases of a retrospective study of 61 cases of lipomas diagnosed in pathological service between 1978 and 2009, among the 10 573 reports during that same period. It emphasizes the special cases of large lipomas of the maxillofacial region, and the importance of early diagnosis of these lesions. A dental surgeon should be able to diagnose lipomas in an early stage in the maxillofacial area avoiding a massive growth of these lesions.

Incidencia distributiva del impuesto a los combustibles en el Gran Santiago

Incluye Bibliografía

Aplicación del principio contaminador-pagador en América Latina: evaluación de la efectividad ambiental y eficiencia económica de la tasa por contaminación hídrica en el sector industrial colombiano

Incluye Bibliografía

Uso del tiempo de mujeres y hombres en Colombia: midiendo la inequidad

Incluye Bibliografía

Protección social y trabajo no remunerado: redistribución de las responsabilidades y tareas del cuidado. Estudio de caso Ecuador

Incluye Bibliografía

Brecha del Estado de bienestar y reformas a los sistemas de pensiones en América Latina y el Caribe

Incluye Bibliografía

Infraestructura y servicios de transporte ferroviario vinculados a las vías de navegación fluvial en América del Sur

Incluye Bibliografía