Introduction: dental fluorosis is the hypomineralization of enamel produced as a result of fluoride intake for a prolonged period during enamel formation. The aim of the present study was to identify the factors associated with dental fluorosis in children and teenagers from the city of Montería, Colombia. Methods: a quantitative, descriptive and retrospective study was conducted in a sample of 136 dental fluorosis cases in schoolchildren aged 6, 12, 15 and 18 years reported to the Surveillance and Control System from January to December 2016. Results: there was fluoride exposure in 81.6% of schoolchildren covered by the subsidized health system—the mechanism by which the poorest population, with not enough resources to pay, can access health services through a subsidy offered by the state in Colombia—. 89% were from the municipal center, defined by Colombia’s National Administrative Department of Statistics (Departamento Administrativo Nacional de Estadística, DANE) as the geographical area bounded by an urban perimeter, where the administrative headquarters of a municipality are located. 47% of patients had cavities. Tooth brushing in a frequency higher than three times a day was predominant with 48.5%, and the use of toothpaste on more than 3/4 of the brush with 52%. 71.3% of patients said they did not swallow toothpaste, and 93.4% did not swallow mouthwash. 82.4% of patients did not receive topical fluoride in the last year. Conclusions: several factors are more highly associated with dental fluorosis, such as the amount of toothpaste during brushing, the habit of brushing three or more times a day, consumption of diet salt, and unintentional intakeof toothpaste at an early age. Most schoolchildren had a moderate degree of dental fluorosis.
La Responsabilidad Social Empresarial desempeña un rol fundamental contribuyendo al desarrollo de una comunidad a través de la ejecución de estrategias direccionadas a mejorar su entorno; y para la salud pública impactando en el bienestar de los colectivos, pues una institución de salud socialmente responsable es capaz de implementar prácticas donde el eje central del proceso de atención sea el paciente. El objetivo de este estudio de caso fue determinar la Responsabilidad Social Empresarial de una institución de salud del Departamento de Córdoba en el año 2017, realizando un estudio descriptivo transversal con enfoque cuantitativo, para lo cual se aplicó un cuestionario a los grupos de interés “junta directiva, empleados, usuarios y comunidad” determinados en la muestra. Una vez recolectada la información se procedió al registro, procesamiento, análisis y discusión mediante cuadros estadísticos y gráficas. Como resultado, se obtuvo para las dimensiones evaluadas los siguientes puntajes: para la junta directiva (0,75), empleados (0,88), comunidad (0.45) y medio ambiente (0,69), alcanzándose en todos niveles inferiores de Responsabilidad Social; mientras que para los usuarios (1,2) los valores alcanzados correspondieron a un nivel bajo de Responsabilidad Social; como conclusión se plantea que la institución alcanzó un nivel inferior, con un promedio de 0,79, debido a que dicha institución no es socialmente responsable ante sus actores, ya que las acciones que genera son mínimas y no impactan la salud pública.
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