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Biomedical subjects

B Edelstein

Publications and source records attributed to B Edelstein.

5 recordsLinked to original sources

[Witch hunt].

Owing to its sinister characteristics, as well as its temporal pertaining to the Modern Age, the Witch-Hunt historical episode has become an embarrassing affair for our supposedly rational beings' self-esteem. Long lastingly, therefore, Witch-Hunt has been either overpassed straight away or just attributed to violent and pathological a manifestation of collective craze as its own name indicates. Lately, though, many authors have met the challenge of finding out a rational background thereof, actually unearthing coldly calculated, relentlessly pursued outweighing political and economic interests. It is the author's contention that a serene, diligent consideration of all hypotheses that have been set before the connection with this episode--together with their very inherent disparities--could (apart from their own heuristic values) contribute eventually to both sharpening and broadening the understanding of our human condition, complex and fragile as it is.

Argentina

Screening preschool children for dental caries using a microbial test.

The present report describes the usefulness of a microbial caries screening test in a population of children younger than 6 years. Two hundred children presenting to a private pediatric dental office were screened for Streptococcus mutans using a test adapted for the dental office. The numbers of S. mutans colonies were recorded semiquantitatively and carious lesions were assessed clinically and radiographically. Ninety-three per cent of children with caries were positive on the test (sensitivity), while 57% of the infected children had caries (specificity). Uninfected children were almost always caries free (predictive value negative 95%). The results also showed an increasing percentage of children with caries in groups of children with increasing infection level. These findings are consistent with both the central role of S. mutans in caries initiation and the multifactorial nature of caries development. The dramatically better results in the present report may reflect a closer correlation between caries activity and S. mutans infection in younger than in older children. Microbial screening may be useful for identification of young children infected with cariogenic microorganisms so that preventive and therapeutic treatments can be tailored to the needs of individual patients.

Child, Preschool

COPE: a systematic approach to moving chronic patients into the community.

COPE, a program designed to help chronic psychiatric patients make the transition from institutionalization to independent living in the community, emphasizes both in-hospital training the systematic aftercare as two points on a continuum of treatment. The program includes four training phases, with each phase based upon the skills acquired in the preceding one. The residents are thereby assured of having the necessary skills for progressing to more complex tasks as they proceed through the program. During the last phase, support by the mental health system is gradually replaced by help from community support systems.

Activities of Daily Living

Relationship of microbiological, social, and environmental variables to caries status in young children.

This study was undertaken to investigate the significance of social, environmental, and biological variables in relation to caries status in a group of young children, and to determine whether incorporating data on social and environmental variables into a multivariate model could improve the accuracy of a screening approach that relies solely on quantifying levels of salivary Streptococcus mutans. Data regarding fluoride status and sociodemographic characteristics were collected from the dental records of 89 children who ranged in age from 10-71 months, and who had been screened previously for S. mutans. Multivariate analyses (logit) revealed that the probability of having clinically or radiographically detectable caries was associated with 1) higher levels of salivary S. mutans, 2) residing in a single-parent household, 3) having suboptimal levels of fluoride in the drinking water and 4) not being covered by a dental insurance plan. The findings attest to the importance of considering social and environmental factors, in addition to biological variables, when evaluating caries status in young children.

Child, Preschool