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.

El tratamiento fisioterapéutico ¿es efectivo en el mantenimiento físico y en la reducción del declive cognitivo de las demencias?

Introduction. Dementia is a chronic and neurodegenerative disease responsible for a progressive decline of cognition and physical capacity. Objective: To verify the effectiviness of three months of physiotherapy intervention on cognitive functions and balance of institutionilized elderly people with dementia. Patients and methods. This study has comprised thirty subjects, divided in two groups: EG (experimental group) and CG (control group). EG was composed by 15 participants with mean age of 71,6 ± 8,5 years and scholarity of 4,7 ± 4,2 years. CG was formed by 15 subjects with mean age of 78,5 ± 7,6 years and scholarity of 2,2 ± 1,8 years. The sample was evaluated by means of the following instruments: Mini-Mental State Examination, Semantic Verbal Fluency test, Clock Drawing test, Berg Balance Scale and Timed Get Up and Go test. The statistical procedures were done by means of Multivariate Analisis of Variance (MANOVA), with significance of 5 % (p < 0,05). Results. The results has shown a heterogeneity of both groups related to age (F = 0,2, p < 0,05) and scholarity (F = 2,6, p < 0,05). MANOVA pointed beneficts of physiotherapy on balance (F = 7,3, p < 0,01) but not on cognitive functions (F = 0,3, p > 0,05). Conclusions. Three months of physiotherapy were effective to improuve physical capacity of institucionilized elderly people with dementia. Neverthless, it was not able to minimize cognitive decline commonly seen on dementia. The question if a prolonged intervention could propitiate cognitive beneficts remains, specially in a more homogeneous groups.

Percepción del cirujano-dentista respecto del uso del consentimiento informado en el tratamiento odontológico

The objective of this study was to evaluate: the profile of the surgeon-dentist that undergoes a course in specialization at the Odontology Faculty of Aracatuba/UNESP, Brazil; if they requested informed consent from the patient and/or their legal representative before the realization of procedures, and if the treatment was decided upon with the patient. It was elaborated, validated and applied in questionnaire form, and the data obtained was analyzed by the program EPI-INFO 3.3 The conclusion was, given that surgeon-dentists still do not obtain any type of document before beginning treatment, a large percentage of them are totally vulnerable if submitted to ethical or legal prosecution and that it is necessary to be aware of this aspect.

Aplicabilidad del proceso de nitritación/desnitritación en el tratamiento de lixiviado de relleno sanitario

The biological nitritation/denitritation process in the removal of organic matter and nitrogen in a landfill leachate was studied, using an activated sludge sequencing batch reactor. Treatment cycles were formed by an anoxic and an aerobic phases, in which the conditions for oxidation of the influent N load and the prevalence of nitrite concentration at the end of aerobic treatment cycles were determined, as well as the use of organic matter present in the leachate as a carbon source for denitrifying organisms in the anoxic stage. The removal efficiencies of N-NO 2-at the end of the anoxic process (48h) ranged between 14 and 30%, indicating low availability of biodegradable organic matter in the leachate. As for the accumulation of N-NO 2-at the end of the aerobic phase (48h) of treatment cycles, imbalances were not observed, while 100% removal efficiencies of N and specific nitritation rates from 0.095 to 0.158kgN-NH 3/kgSSV per day were recorded, demonstrating the applicability of simplified nitrification in the treatment of effluents with low C/N ratios.

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.

Violencia en la pareja: tratamiento legal: evolución y balance = Violence within couples: legal treatment: review of progress and results

Incluye Bibliografía

Migración y salud en zonas fronterizas: el Estado Plurinacional de Bolivia y la Argentina

Incluye Bibliografía

El tratamiento del problema de población en la producción de los científicos sociales en Chile, 1958-1972

Incluye Bibliografía

Desafíos y tendencias de la modernización de los sistemas estadísticos nacionales: el tratamiento de la confidencialidad de las informaciones estadísticas en el Instituto Brasileño de Geografía y Estadística

Documento de referencia, n. 15

Violencia en la pareja: tratamiento legal; evolución y balance

Documento de Referencia DDR/5

El tratamiento a la inversión extranjera en América Latina y el Caribe

Incluye Bibliografía