Dentist attitudes and responsibilities concerning child sexual abuse: a review and a case report

According to the World Health Organization, child abuse and neglect is “every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power”. The aim of the present report is to inform about the most relevant aspects of child abuse and the characteristics of injuries to the head, neck, and orofacial regions, in addition to the suggested role of, and management by, the dentist for the evaluation of this condition, and also for reporting a case of a physically and sexually abused girl aged 5 years 8 months. Throughout the appointments, some type of abuse in this patient was suspected by the treating dentists at the clinic, mainly due to the initial behavior exhibited by the patient in the dental chair. Based on the clinical diagnostic an intensive preventive plan and restorative treatment was realized. The timely detection of the signs and symptoms of sexual abuse, often present in the orofacial region, place the pediatric dentist in a strategic situation, with the capacity to recognize, register, and later report those cases considered as suspect, including the dental treatment delivered and the intensive behavioral-psychological management, in order to achieve acceptation by the otherwise very anxious patient of the indicated restorative and preventive dental procedure

Emprendimiento en la Universidad de Extremadura - GUESS 2016

En este trabajo, el lector puede encontrar evidencias, medidas, conocimiento, creo que muy interesantes y, sobre todo útiles, sobre la intención emprendedora de los estudiantes de la Universidad de Extremadura, y sus condicionantes, fenómeno, el de la intención, que es consecuencia de la actitud, las normas subjetivas y la percepción, y predictor, directamente, del comportamiento emprendedor. En todos y cada uno de los centros y grados que oferta la Universidad de Extremadura hay estudiantes con potencial emprendedor. Estimamos que este conocimiento, aportado por GUESSS, puede y debe empujar hacia la construcción de un Modelo de Universidad Emprendedora, al servicio del desarrollo económico y social de su entorno, la Comunidad Autónoma de Extremadura. La Educación Emprendedora, es clave para cambiar, de fondo, la situación económica de Extremadura. Creemos que, con los adecuados modelos, metodologías y profesorado, debería implantarse en todo el sistema educativo, y, en la Universidad, en todos sus grados, posgrados y doctorados.In this work, the reader can find evidence, measures, knowledge, I think very interesting and, above all, useful, about the entrepreneurial intention of the students of the University of Extremadura, and its determinant, phenomenon, that of the intention, which is consequence of attitude, subjective norms and perception, and predictor, directly, of enterprising behavior. In each and every one of the centers and degrees offered by the University of Extremadura there are students with enterprising potential. We believe that this knowledge, contributed by GUESSS, can and should push towards the construction of an Entrepreneurship University Model, at the service of the economic and social development of its surroundings, the Autonomous Community of Extremadura. Entrepreneurship Education is key to change, in the background, the economic situation of Extremadura. We believe that, with the appropriate models, methodologies and teaching staff, it should be implemented throughout the educational system, and, at the University, in all its degrees, postgraduate and doctoral degrees

Un análisis de la actividad emprendedora de Extremadura de los últimos 15 años. Elaborado a partir de los datos del observatorio GEM 2003-2018

Universidad de Extremadura, Junta de Extremadura, Sodiex, CC. NN. Almaraz-Trillo, Philip Morris Spain, S.L., Grupo Ros Multimedia, Diputación de Badajoz, Tambo, Tany Nature, Avante Extremadura, Fundecyt-Parque Científico de Extremadur

Sustentabilidad y tecnología. Herramientas para la gestión segura y eficiente del hábitat

Por décadas permeó una visión de la tecnología como una de las principales fuentes del ataque al medio ambiente y de su degradación. Hoy se le considera como un aliado para combatir los efectos negativos de la perenne negligencia ecológica humana. El uso de la tecnología para la implementación de estrategias innovadoras y eficaces en favor del medio ambiente, un hábitat seguro y sustentable, se abordó en el Congreso Internacional sobre Sustentabilidad en los Hábitats, realizado en 2016. De este encuentro entre estudiantes, especialistas, autoridades y organizaciones civiles de América Latina, Asia y Europa emana este libro, que incluye dos ejes de relevancia global: los retos en el manejo sustentable de los recursos naturales y el uso de tecnologías para la edificación sustentable. En el primero se atienden desde los riesgos asociados al crecimiento demográfico desproporcionado hasta acciones de carácter remedial para la contaminación; mientras que en el segundo se aborda el desarrollo de tecnología e infraestructura para mejorar el hábitat urbano, así como procesos donde alumnos y profesores confeccionan soluciones para la sustentabilidad energética. En su conjunto, es una obra de consulta que busca ser un detonador para generar nuevas líneas de trabajo, repensar las soluciones y dialogar con lectores interesados en la construcción de un mundo mejor.Consejo Estatal de Ciencia y Tecnología de Jalisc

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Dental Management of a Young Child Affected by Galactosialidosis and a Gigantic Abdominal Growth

Galactosialidosis (GS) is a rare form of lysosomal storage disease that involves a broad spectrum of skeletal and soft tissue abnormalities. We report here on a 4-year 7-month-old boy with mild mental retardation, exhibiting multiple caries cavities and associated infectious foci and macroglossia. A huge abdominal enlargement due to peritoneal ascites was evident. Behavioral management and patient positioning on the dental chair represented a true challenge. The patient was treated under general anesthesia. However, life-threatening postoperative complications occurred because of the impossibility of extubating the patient. A very careful preanesthetic assessment is crucial in children affected by general conditions associated with airway anomalies, such as GS

Usos del láser terapéutico en Odontopediatría: Revisión de la literatura. Reporte de casos

The term "LASER" is an acronym for "Light Amplification by the Stimulated Emission of Radiation" (in Spanish "Amplificación de Luz por Emisión Estimulada de Radiación"). The use of laser technology in dentistry has had a constant evolution and development in the last 30 years. Two large groups of lasers should be distinguished: high-power or surgical and low-power or therapeutic. The most used in pediatric dentistry is the therapeutic or LLLT (or "soft"). The therapeutic laser is indicated for various anomalies such as hypersensitivity, gingivitis, herpes, paresthesias, trigeminal neuralgias, trismus, TMJ dysfunction, implants, activation of teeth whitening chemicals, among others. This article intends to perform an update of the applications of low power laser in the field of Pediatric Dentistry, as well as the presentation of 4 representative clinical cases.El término “LÁSER” es un acrónimo de “Light Amplification by the Stimulated Emission of Radiation” (en español "Amplificación de Luz por Emisión Estimulada de Radiación"). La utilización de la tecnología láser en Odontología ha tenido una constante evolución y desarrollo en los últimos 30 años. Se deben distinguir dos grandes grupos de láseres: De alta potencia o quirúrgicos y de baja potencia o terapéuticos. El más empleado en odontología pediátrica es el terapéutico o LLLT (o “blando”). El láser terapéutico está indicado para diversas anomalías tales como la hipersensibilidad, gingivitis, herpes, parestesias, neuralgias del trigémino, trismus, disfunción ATM, implantes, activación de químicos de blanqueamiento dental, entre otros. Este artículo pretende realizar una actualización de las aplicaciones del láser de baja potencia en el ámbito de la Odontología Pediátrica, así como la presentación de 4 casos clínicos representativos

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures