ResumenLa 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 complicaciones 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 pueden 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. Keywords:Diabetes mellitus type 1; psychosocial impact; family AbstractType 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
Advertising has become a critical success factor for companies. In the case of dental products, consumers primarily consider the benefits of the product before purchasing. However, there are other relevant factors in consumer interaction with the dental advertising. The aim of this article is to present the results of research on advertising and its influence on purchasing decisions of products and / or dental services. Several authors have identified factors related to successful ads, some speak about creativity and others give importance to brand management, among others. Dentists found that consumers are generally receptive to the use of advertising. Advertising can be a powerful tool for recruiting future patients and to ensure current patients, but the precepts required by dental ethics code must be respected. It is necessary further research about the implications of advertising in dental services.
The social area is of great importance, dentists not only work with mouths, tongues or teeth, as behind all that there is a person. Such person lives and is inserted in a community, and has social interactions. As dentists, we must take not only a biological approach, but work with people in a more holistic way, using a biopsychosocial approach.My experience as a senior dental student in a Master in Social Work and Social Policies program has been very rewarding. Social work is different area, which although it has relation with Dentistry, it is a little developed area in our profession. In my undergraduate training I did not have any course that included social issues. 1 Most of my classmates in the Master program are social science professionals and teachers, all of whom have supported me and encouraged me. These professionals from other areas have realized the lack of development of social aspects in health-related careers. Moreover, Dentistry is perceived as an only for-profit and aesthetics profession.Studying the Master in Social Work and Social Policies at the University of Concepción has helped me to expand this view of people and social processes. When people have impaired oral health is not exclusively their responsibility, rather it is the result of the sum of social determinants throughout their life. I have also realized that many of the preventive and curative plans and programs in Dentistry are poorly developed and executed.We must stop blaming people for the situation they live in and begin to have a more self-critical attitude of our role as health professionals who treat people, not teeth.
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