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      Experiences of family members regarding the oral health care of children Translated title: Experiencias del familiar en relación al cuidado con la salud bucal de niños Translated title: Experiências do familiar em relação ao cuidado com a saúde bucal de crianças

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          Abstract

          The aim of this study was to comprehend the experiences of family members regarding the oral health care of children. This was a qualitative study, conducted in 2007, in the health district of Ribeirão Preto, with 12 caregivers. The theoretical framework of vulnerability and the hermeneutical perspective were used. Three empirical categories were established: the meanings of oral health care, in search of the causes and prevention of oral diseases, and the reality of oral health services. Among other potentiating factors of infantile vulnerability to oral diseases, the overvaluation of biological causality, of high complexity care and of esthetic dentistry emerged, and among the protective factors, the valorization of popular knowledge and the integration of professional actions and knowledge were observed. This study indicates the necessity for a review of prevention and oral health promotion strategies and provides elements to assist health services to reorganize oral health care for children.

          Translated abstract

          Este estudio objetivó verificar la comprensión de las experiencias de los familiares en relación al cuidado con la salud bucal de los niños. Es un estudio cualitativo, realizado en 2007, en un distrito de salud del municipio de Ribeirao Preto-SP, con 12 cuidadores. Se utilizó el referencial teórico de la vulnerabilidad y la perspectiva hermenéutica. Tres categorías empíricas fueron elaboradas: los significados del cuidado con la salud bucal, en busca de las causas y de la prevención de daños bucales, y la realidad de los servicios de salud bucal. Entre otros elementos potencializadores de la vulnerabilidad infantil a los daños bucales, emergieron la supervalorización de la causalidad biológica, la atención de alta complejidad y la odontología estética; y, entre los protectores, la valorización de la sabiduría popular y la integración de acciones y conocimientos profesionales. Se señala que debe ser efectuada la revisión de las estrategias de prevención y promoción de la salud bucal, ofreciendo elementos para auxiliar a los servicios de salud a reorganizar el cuidado con la salud bucal de niños.

          Translated abstract

          Este estudo objetivou verificar a compreensão das experiências dos familiares em relação ao cuidado com a saúde bucal das crianças. É estudo qualitativo, realizado em 2007, em distrito de saúde do município de Ribeirão Preto, SP, com 12 cuidadores. Utilizou-se referencial teórico da vulnerabilidade e a perspectiva hermenêutica. Três categorias empíricas foram elaboradas: os significados do cuidado com a saúde bucal, em busca das causas e da prevenção de agravos bucais e a realidade dos serviços de saúde bucal. Entre outros elementos potencializadores da vulnerabilidade infantil aos agravos bucais, emergiu a supervalorização da causalidade biológica, do atendimento de alta complexidade e da odontologia estética e, entre os protetores, a valorização do saber popular e a integração de ações e conhecimentos profissionais. Aponta-se para a revisão das estratégias de prevenção e promoção de saúde bucal, fornecendo elementos para auxiliar os serviços de saúde a reorganizarem o cuidado com a saúde bucal de crianças.

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          Educação Permanente em Saúde: desafio ambicioso e necessário

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            Vulnerability, human rights, and comprehensive health care needs of young people living with HIV/AIDS.

            We sought to identify and understand the health care needs of young people living with HIV/AIDS, particularly in terms of their psychosocial well-being. We conducted a qualitative analysis of HIV-positive young people and their caregivers, focusing on the implications of an HIV diagnosis for health care needs. Stigma was a recurrent issue that arose in the interviews conducted with the respondents, and it was evident that youths had been denied many rights related to health. We concluded that young people living with HIV need comprehensive care based on a human rights approach. In this regard, we offer some practical recommendations for health programs.
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              Early childhood caries: current evidence for aetiology and prevention.

              Despite the fact that it is largely preventable, dental caries (decay) remains one of the most common chronic diseases of early childhood. Dental decay in young children frequently leads to pain and infection necessitating hospitalization for dental extractions under general anaesthesia. Dental problems in early childhood have been shown to be predictive of not only future dental problems but also on growth and cognitive development by interfering with comfort nutrition, concentration and school participation. To review the current evidence base in relation to the aetiology and prevention of dental caries in preschool-aged children. A search of MEDLINE, CINALH and Cochrane electronic databases was conducted using a search strategy which restricted the search to randomized controlled trials, meta-analyses, clinical trials, systematic reviews and other quasi-experimental designs. The retrieved studies were then limited to articles including children aged 5 years and under and published in English. The evidence of effectiveness was then summarized by the authors. The review highlighted the complex aetiology of early childhood caries (ECC). Contemporary evidence suggests that potentially effective interventions should occur in the first 2 years of a child's life. Dental attendance before the age of 2 years is uncommon; however, contact with other health professionals is high. Primary care providers who have contact with children well before the age of the first dental visit may be well placed to offer anticipatory advice to reduce the incidence of ECC.
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                Author and article information

                Journal
                rlae
                Revista Latino-Americana de Enfermagem
                Rev. Latino-Am. Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo (, SP, Brazil )
                0104-1169
                1518-8345
                February 2011
                : 19
                : 1
                : 171-178
                Affiliations
                [01] SP orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto Brazil lima@ 123456eerp.usp.br
                [02] SP orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto Brazil palha@ 123456eerp.usp.br
                [04] Botucatu SP orgnameUniversidade Estadual Paulista Júlio de Mesquita Filho orgdiv1Faculdade de Medicina de Botucatu Brazil cparada@ 123456fmb.unesp.br
                [03] SP orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto Brazil zanetti@ 123456eerp.usp.br
                Article
                S0104-11692011000100023 S0104-1169(11)01900123
                d487c7dd-f8be-44c2-a2ae-552b70b6ba67

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 26 August 2009
                : 27 April 2010
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 8
                Categories
                Original Articles

                Niño,Salud Bucal,Vulnerabilidad,Saúde Bucal,Vulnerabilidade,Criança,Oral Health,Vulnerability,Child

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