Periodontal and dental health and oral self-care among adults with diabetes mellitus.

ABSTRACT Bakhshandeh, Soheila. Periodontal and dental health and oral self-care among adults with diabetes mellitus. Department of Oral Public Health, Institute of Dentistry, Faculty of Medicine, University of Helsinki, Helsinki, Finland. 2011. 49 pp. ISBN 978-952-10-7193-5(paperback). The aim of the present study was to assess oral health and treatment needs among Iranian adults with diabetes according to socio-demographic status, oral hygiene, diabetes related factors, and to investigate the relation between these determinants and oral health. Moreover, the effect of an educational oral health promotion intervention on their oral health and periodontal treatment needs was studied. The target population comprised adults with diabetes in Tehran, Iran. 299 dentate patients with diabetes, who were regular attendants to a diabetic clinic, were selected as the study subjects. Data collection was performed through a clinical dental examination and self-administered structured questionnaire. The questionnaire covered information of the subject s social background, medical history, oral health behaviour and smoking. The clinical dental examinations covered the registration of caries experience (DMFT), community periodontal index (CPI) and plaque index (PI). The intervention provided the adults with diabetes dental health education through a booklet. Reduction in periodontal treatment needs one year after the baseline examination was used as the main outcome. A high prevalence of periodontal pockets among the study population was found; 52% of the participants had periodontal pockets with a pocket depth of 4 to 5 mm and 35% had periodontal pockets with pocket depth of 6 mm or more. The mean of the DMFT index was 12.9 (SD=6.1), being dominated by filled teeth (mean 6.5) and missing teeth (mean 5.0). Oral self-care among adults with diabetes was inadequate and poor oral hygiene was observed in more than 80% of the subjects. The educational oral health promotion decreased periodontal treatment needs more in the study groups than in the control group. The poor periodontal health, poor oral hygiene and insufficient oral self-care observed in this study call for oral health promotion among adult with diabetes. An educational intervention showed that it is possible to promote oral health behaviour and to reduce periodontal treatment needs among adults with diabetes. The simplicity of the model used in this study allows it to be integrated to diabetes programmes in particular in countries with a developing health care system.

Dental identification and aspects of medico-legal investigations of the Finnish victims of the Sumatra-Andaman earthquake on 26 December 2004

Tsunami waves of the Sumatra-Andaman earthquake on 26 December 2004 claimed approximately 230 000 lives and started the biggest identification operation in Interpol's history. The aim of this study was to resolve methods of the identification and results received. The viewpoint is mainly that of forensic odontology, but also includes other means of identification and results of the medico-legal examination performed in Finland. Of the 5395 victims in Thailand, approximately 2 400 were foreigners from 36 nations including 177 Finnish nationals. Additionally, a Finnish woman perished in Sri Lanka and a severely injured man after the evacuation in a hospital. The final numbers of missing persons and dead bodies registered in the Information Management Centre in Phuket,Thailand, were 3 574 ante-mortem (AM) and 3 681 post-mortem (PM) files. The number of identifications by December 2006 was 3 271 or 89% of the victims registered. Of Finnish victims, 172 have been identified in Thailand and 163 repatriated to Finland. One adult and four children are still missing. For AM data, a list of Finnish missing persons including 178 names was published on 30 December 2004. By February 2005 all useful dental AM data were available. Five persons on the list living in Finland lacked records. Based on the AM database, for the children under age 18 years (n=60) dental identification could be established for 12 (20%). The estimated number for adults (n=112) was 96 (86%). The final identification rate, based on PM examinations in Finland, was 14 (25%) for children (n= 56) and 98 (90%) for adults (n= 109). The number of Finnish victims identified by dental methods, 112 (68%), was high compared to all examined in Thailand (43%). DNA was applied for 26 Finnish children and for 6 adults, fingerprints for 24 and 7, respectively. In 12 cases two methods were applied. Every victim (n=165) underwent in Finland a medico-legal investigation including an autopsy with sampling specimens for DNA, the toxicological and histological investigation. Digital radiographs and computed tomography were taken of the whole body to verify autopsy findings and bring out changes caused by trauma, autolysis, and sampling for DNA in Thailand. Data for identification purposes were also noted. Submersion was the cause of death for 101 of 109 adults (92.7%), and trauma for 8 (7.3%). Injuries were 33 times contributing factors for submersion and 3 times for trauma-based death. Submersion was the cause of death for 51 (92.7%) children and trauma for 4 (7.3%). Injuries were in 3 cases contributing factors in submersion and once in trauma-based death. The success of the dental identification of Finnish victims is mainly based on careful registration of dental records, and on an education program from 1999 in forensic odontology.

Biomasa y nutrientes de arboles de sombra temporal y permanente en sistemas agroforestales con Coffea arabiga L de cinco años en el Pacifico de Nicaragua

Chavarria, E; Hernández, J. 2,006. Biomasa y nutrientes de árboles de sombra temporal y permanente en sistemas agroforestales con Coffea arabiga L de 5 años en el pacífico de Nicaragua. La presente investigación se realizó en sistemas agroforestales con café (Coffea arábiga L.) en el Municipio de Masatepe, Nicaragua, determinando el aporte de biomasa y los contenidos de N, P, K, Ca y Mg. de la sombra temporal y permanente. Se evaluaron dos factores de estudio en un diseño de bloques completamente al azar con arreglo de parcelas subdivididas: A) Tipo de sombra: temporal estableciéndose de forma homogénea y mixtas, especies de leguminosas más no leguminosas para sombra de café como Cajanus cajan y Ricinus communis y en sombra permanente, especies de árboles leguminosas y/o maderables (Inga laurina, Simarouba glauca, Samanea saman, Tabebuia rosea) y una parcela de café a pleno sol, distribuidas en parcelas grandes; B) Los niveles de insumos: Convencional Intensivo (CI) y Convencional Extensivo (CE), Orgánico Intensivo (OI) y Orgánico Extensivo (OE); relativos a aportes de nutrientes, manejo de enfermedades, malezas e insectos dañinos. La biomasa de sombra temporal se cuantificó en 2,002 por podas y 2,003 por eliminación de la misma. También se cuantificó la biomasa en la sombra permanente por podas en 2,004 y de raleo 2,005. La biomasa total por especie y tratamientos en sombra temporal y permanente, se obtuvieron a partir de los componentes hojas, tallos menores a 2 cm, tallos mayores de 2 cm de diámetro y tronco. Se tomó una muestra de biomasa fresca por tratamiento, se secó al horno a temperaturas de 65 ºC, para obtener el contenido de materia seca. A este mismo material, se procedió a la determinación de las concentraciones de los elementos minerales anteriormente mencionados. Los resultados obtenidos mostraron que la especie de sombra temporal no leguminosa Higuera (Ricinus communis) presentó el mayor aporte de materia seca con 4,356 kg ha-1 en dos años (2,002 + 2,003), representando también los mayores contenidos de N, P, K, Ca y Mg con 82, 28, 165, 68 y 57 kg ha-1 respectivamente. Respecto a las especies de sombra permanente, sometidas al manejo de poda el nivel de sombra Il+Sg produce los mayores aportes de MS con 5,695.66 kg ha-1 a-1 de los cuales el 39 % se recicla en el sistema, este mismo tipo de sombra aporta al sistema los mayores contenidos de N, P, K, Ca y Mg con 64, 55, 55, 66 y 36 % respectivamente. En el manejo de raleo el tipo de sombra que produjo mayor cantidad de MS es Sg+Tr con 9,096.89 kg ha-1 a-1 aportando al sistema el 45 %, este mismo tipo de sombra aporta al sistema las mayores cantidades de N, P, K, Ca y Mg con 67, 54, 70, 80 y 44 % respectivamente. Los porcentaje restante de materia seca y nutrientes tanto en poda y raleo correspondiente a tallos mayores de 2 cm de diámetro, es extraído del sistema como leña y postes respectivamente.

La unidad de la formación sacerdotal : relación entre el período inicial y la formación permanente

Como continuación del artículo publicado en 2009, Mons. Carmelo Giaquinta ofrece una reflexión actualizada sobre la formación sacerdotal a la luz de Presbiterorum Ordinis del Concilio Vaticano II y de la exhortación apostólica postsinodal Pastores dabo vobis de Juan Pablo II. Los temas que recorre en esta ocasión son los siguientes: el bautismo, la unidad de la formación presbiteral, el seminario como comunidad educativa, claves para el Seminario como comunidad eclesial, el Orden Sagrado como sacramento de comunión y la formación del pastor totalmente consagrado a Dios y a su pueblo. Concluye con una aguda consideración sobre el seminarista como “futuro presbítero”.

La formación permanente de los sacerdotes

Sumario: 1. Concepto. 2. Importancia. 3. Areas. 3.1. Area Teológica. 3.2. Area Espiritual. 3.3. Area Humana. 3.4. Area Pastoral. 3.5. Jurídico-canónica. 3.6. El área de las ciencias auxiliares de la pastoral. 4. Los responsables de la formación permanente. 4.1. Los sacerdotes. 4.2. El Obispo (o el Superior). 4.3. Maestros idóneos. 4.4. El pueblo de Dios. 5. Etapas. 6. Medios para realizarla. 7. Conclusión

As áreas de preservação permanente e a questão urbana

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Área de preservação permanente em áreas urbanas

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Relatório de atividades 2007 : subcomissão permanente destinada a analisar a eficácia do sistema de reserva legal e avaliar os resultados dos trabalhos de zoneamento ecológico-econômico

Relata as atividades realizadas durante o ano de 2007 pela Subcomissão permanente destinada a analisar a eficácia do sistema de reserva legal e avalia os resultados dos trabalhos de zoneamento ecológico-econômico. Apresenta as principais disposições presentes na legislação ambiental em vigor acerca do zoneamento ecológico-econômico e da reserva legal.

La importancia de la materia en la conservación y restauración de bienes culturales

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Medidas provisórias e sua tramitação por uma única comissão mista permanente : uma análise crítica

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Análisis de una experiencia de formación permanente en el deporte escolar a través de un programa de habilidades sociales

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Cell Reprogramming, IPS Limitations, and Overcoming Strategies in Dental Bioengineering

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