Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature review

Indexación: Scopus; Scielo.La diabetes mellitus tipo 1 es la patología endocrina crónica más común en niños. El tratamiento incluye dieta, actividad física, medicación con insulina y un autocontrol adecuado. Este autocontrol puede ser dificultoso, provocando que niños, adolescentes y sus familias sufran diversas complica ciones psicosociales. Existe una relación inversa entre autocontrol y presencia de complicaciones psicosociales, siendo los principales problemas ansiedad y depresión, donde los adolescentes llegan a ser 2,3 veces más propensos a presentar problemas de salud mental. Las familias se ven afectadas inicialmente en el período de debut por un estado de shock, con sentimientos de angustia e ira. Los necesarios cambios de hábitos y estilos de vida pueden generar problemas psicosociales entre los que destacan trastornos ansiosos, depresivos y alimenticios. Posteriormente, el niño o adolescente y su grupo familiar pueden transitar a un nuevo equilibrio caracterizado por un buen autocontrol y adherencia al tratamiento o profundizar los trastornos individuales y grupales, trastornos que pue den reaparecer, especialmente en la adolescencia. El tratamiento integral de la diabetes mellitus tipo 1 requiere atender estos aspectos mediante equipos multidisciplinarios que incluyen profesionales médicos y del ámbito psicosocial. En esta revisión se analizan los principales aspectos relacionados al impacto psicosocial en niños y adolescentes con diabetes mellitus tipo 1 y sus familias.Type 1 diabetes mellitus is the most common chronic endocrine pathology among children. Treatment includes diet, physical activity, insulin medication, and proper self-control. This self-control may be difficult, resulting in children, adolescents and their families suffering diverse psychosocial complications. There is an inverse relationship between self-control and psychosocial complications, the main problems being anxiety and depression, where adolescents are 2.3 times more likely to have mental health problems. Families are initially affected, in the debut period by a state of shock, with feelings of distress and anger. The necesary changes in habits and lifestyles can lead to psychosocial problems, including anxiety, depression and eating disorders. Subsequently, the child or adolescent and his or her family group may move into new balance characterized by good self-control and adherence to tratment, or deepen individual and group disorders which may reappear, especially in adolescence. The comprehensive treatment of type 1 diabetes mellitus requires addressing these aspects through multidisciplinary teams which include medical and phychosocial professionals. This review analyses the main aspects related to the psychosocial impact of diabetes mellitus type 1 among children, adolescents and their families.https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062018005000507&lng=en&nrm=iso&tlng=e

The current status of dental education and the dental profession in Chile

Indexación: Scopus.Objective: To describe the current situation of the dental profession in Chile, including training and workforce issues. Material and Methods: Data were collected from different national institutions, which included information regarding number of current registered dentists, university of graduation, geographical distribution, professional position, additional specialty certifications obtained, the number and characteristics of dental surgeons who work in the public and private sectors, the traditional character of the university, the accreditation status of the undergraduate dental programs and the general population number. Results: Currently there are 32 schools of Dentistry in Chile, of which 21 have their quality certified. There are 19,100 Chilean dentists and 1,727 foreign dentists registered. The number of graduates from private universities has increased significantly. Currently, 2,164 dentists work for MINSAL. Less than a third hold a specialty certification. Forty-five percent of the dental specialists obtained their certification from universities. The current professional ratio is 104 dentists per 100,000 habitants. Conclusion: The number of dentists in Chile has increased progressively during the last years, mainly associated with the opening of new dental schools. Only 28% of the Chilean dental schools have certified their quality for the total duration of the undergraduate program. Regarding the workforce, there is a public/private and geographical inequities in dentists’ distribution.http://revista.uepb.edu.br/index.php/pboci/article/view/3875/pd

Zastosowanie programu gwarancji dla zdrowia jamy ustnej w opiece nad kobietą w ciąży w rodzinnym centrum zdrowia w Concepción, Chile, w latach 2014–2015

Indexación: Scopus.Background. Oral health plays a crucial role in general health, quality of life and well-being of pregnant women and their newborns. In Chile, pregnant women have dental care guaranteed by law. However, due to the lack of previous epidemiological studies on the benefits of this guarantee, it is necessary to describe this situation and evaluate the need to change the methods of providing dental services. Objectives. The objective of this study was to describe the pattern of providing dental benefits resulting from the Explicit Health Guarantee – Integral Oral Health in Pregnant Women (GES-SOIE) program to pregnant women attending the Juan Soto Fernández Family Health Center, Concepción, Chile, in 2014–2015. Material and methods. A cross-sectional study of the electronic dental records of patients admitted to GES-SOIE was conducted. The variables studied were sociodemographic data, dental chair hours, non-attendance, treatment completion, and the type of referral to secondary healthcare (SHC). Results. Of 233 pregnant women, 65.2% were registered for non-attendance, 21.2% required referral to SHC and 76.4% completed their treatment. When performing logistic regression, it was found that for each non-attendance the chance of not completing the treatment increased 1.4 times. Conclusions. The level of non-attendance and opting out of the treatment in pregnant women is high, which hinders the proper functioning and effectiveness of GES-SOIE. © 2018 by Wroclaw Medical University and Polish Dental Society.http://www.dmp.umed.wroc.pl/en/article/2018/55/2/179

Developing competencies for the dental care of people with sensory disabilities: A pilot inclusive approach

Indexación: Scopus.Objectives: Different training programs for healthcare students that have a bio-psychosocial approach have been reported to have a significant beneficial impact on their education, attitudes and competencies towards Persons with Disabilities. In Chile, however, there are no explicit legal obligations to provide healthcare professionals with the skills required to offer their services in public or private healthcare facilities to Persons with Disabilities. Given this situation, a pilot one-semester elective course for dental students was carried out focusing on people with visual disabilities and people with hearing disabilities, incorporating Deaf and blind teachers. The aim of this paper is to describe the perceptions and results of this pilot course aimed at identifying and responding to the healthcare needs of people with visual or hearing disability pilot one-semester elective course for dental students was carried out focusing on people with visual disabilities and people with hearing disabilities, incorporating Deaf and blind teachers. Materials and methods: A multi-strategy 17-week elective course was carried out in the first semester of Dentistry School with 14 students enrolled. Educational strategies used were lectures, guided discussion (GD), role-play (RP), standardized patients (SP) and case method teaching (CM), with the participation of Deaf and blind teachers. Once the program had finished, the students answered a survey designed with open-ended questions, and GD, RP, SP, CM, attendance and grades obtained were recorded and analyzed. Results: Attendance was 82-100%. All students passed the course with the highest score, and thus were able to define the medical approach needed in cases of hearing and visual disability, recognize the cultural and linguistic aspects of people with visual disability and people with hearing disability and learn their means of communication. Conclusions: This course was successful in helping the students to identify and respond to the healthcare needs of people with visual or hearing disability.https://dergipark.org.tr/en/pub/cumudj/issue/55396/70651

Ausencia de perspectiva de género en la educación médica. Implicaciones en pacientes mujeres y lgbt+, estudiantes y profesores

Indexación: Scopus.Health is a state of complete well-being, where biological, sociocultural and psychosocial factors interact with each other; gender is one of them. Nowadays, it has been proven that differences between sexes and genders have effects on many diseases; these differences are not usually addressed in medical education. Some of the main consequences are the inadequate attention of patients and the existence of various types of discrimination within medical education. The following review will examine how the absence of gender perspective in health education has effects on female patients and medical students, and on LGBT+ patients and medical students. In conclusion, there have been improvements, both in the attention of patients as well as in medical education, but the efforts on the subject must continue, especially in initial training of medical professionals.https://revistas.udea.edu.co/index.php/iatreia/article/view/33687

The future of pediatric dentistry education and curricula : A Chilean perspective

Publisher Copyright: © 2016 The Author(s). Copyright: Copyright 2016 Elsevier B.V., All rights reserved.Background: A meeting was organised to consolidate a network of researchers and academics from Australia, Brazil, Chile, the UK and the USA, relating to Early Childhood Caries (ECC) and Dental Trauma (DT). As part of this meeting, a dedicated session was held on the future of paediatric dental education and curricula. Twenty-four paediatric dentistry (PD) academics, representing eight Chilean dental schools, and three international specialists (from Brazil and Latvia) participated in group discussions facilitated by five members of the ECC/DT International Collaborative Network. Data were collected from group discussions which followed themes developed as guides to identify key issues associated with paediatric dentistry education, training and research. Discussion: Participants discussed current PD dental curricula in Chile, experiences in educating new cohorts of oral health care providers, and the outcomes of existing efforts in education and research in PD. They also, identified challenges, opportunities and areas in need of further development. Summary: This paper provides an introspective analysis of the education and training of PD in Chile; describes the input provided by participants into pediatric dentistry education and curricula; and sets out some key priorities for action with suggested directions to best prepare the future dental workforce to maximise oral health outcomes for children. Immediate priorities for action in paediatric dentistry in Chile were proposed.publishersversionPeer reviewe