Extract of Cimicifuga racemosa (L.) Nutt protects ovarian follicle reserve of mice against in vitro deleterious effects of dexamethasone.

The present study aims to investigate if Cimicifuga racemosa (L.) Nutt extract (CIMI) reduces deleterious effects of dexamethasone (DEXA) in ovaries cultured in vitro. Mouse ovaries were collected and cultured in DMEM+ only or supplemented with 5 ng/mL of CIMI, or 4 ng/mL DEXA, or both CIMI and DEXA. The ovaries were cultured at 37.5°C in 5% CO2 for 6 days. Ovarian morphology, follicular ultrastructure, and the levels of mRNA for Bax, Bcl-2, and Caspase-3 were evaluated. The results showed that DEXA reduced the percentage of morphologically normal follicles, while CIMI prevented the deleterious effects caused by DEXA. In addition, DEXA negatively affected the stromal cellular density, while CIMI prevented these adverse effects. Ovaries cultured with DEXA and CIMI showed similar levels of mRNA for Bax, Bcl-2, and Caspase-3 compared to those cultured in control medium, while ovaries cultured with DEXA had increased expression of the above genes. Additionally, the ultrastructure of the ovaries cultured with CIMI was well preserved. Thus, the extract of CIMI was able to prevent the deleterious effects caused by DEXA on cultured mouse ovaries.

Extract of Cimicifuga racemosa (L.) Nutt protects ovarian follicle reserve of mice against in vitro deleterious effects of dexamethasone

The present study aims to investigate if Cimicifuga racemosa (L.) Nutt extract (CIMI) reduces deleterious effects of dexamethasone (DEXA) in ovaries cultured in vitro. Mouse ovaries were collected and cultured in DMEM+ only or supplemented with 5 ng/mL of CIMI, or 4 ng/mL DEXA, or both CIMI and DEXA. The ovaries were cultured at 37.5°C in 5% CO2 for 6 days. Ovarian morphology, follicular ultrastructure, and the levels of mRNA for Bax, Bcl-2, and Caspase-3 were evaluated. The results showed that DEXA reduced the percentage of morphologically normal follicles, while CIMI prevented the deleterious effects caused by DEXA. In addition, DEXA negatively affected the stromal cellular density, while CIMI prevented these adverse effects. Ovaries cultured with DEXA and CIMI showed similar levels of mRNA for Bax, Bcl-2, and Caspase-3 compared to those cultured in control medium, while ovaries cultured with DEXA had increased expression of the above genes. Additionally, the ultrastructure of the ovaries cultured with CIMI was well preserved. Thus, the extract of CIMI was able to prevent the deleterious effects caused by DEXA on cultured mouse ovaries.

Drying and storage of Melanoxylon brauna Schott. seeds.

The objective of this work was to evaluate the sensitivity of Melanoxylon brauna Schott. tree legume seeds to desiccation and storage. In the drying experiment, the Melanoxylon brauna seeds were submitted to two drying conditions: a forced air circulation chamber (40.18 °C ± 0.13 and 28.48% ± 3.95 RH) and a silica gel desiccator (27.19 °C ± 1.28 and 26.19% ± 0.94 RH) for different times (0, 12, 24, 36, 72, and 144 hours). A completely randomized design in a 2 (drying methods) × 5 (drying times) factorial scheme plus control and 4 replications of 25 seeds was used. The following variables were evaluated before and after drying: seed moisture content, percentage of germinated seeds, germination speed index, percentage of mortality, normal and abnormal seedlings. In the storage experiment the seeds were divided into two batches: pre-dried (at 5.0% humidity) and without drying (control at 8.9% humidity). The seeds were then stored in plastic bags in three environments: refrigerator at 5 °C, freezer at -20 °C and room temperature (29 °C). The seeds were removed every four months and submitted to the humidity and germination test for 24 months. Data from this storage experiment were analyzed considering a randomized block design in a 2 (drying levels: presence and absence) × 3 (storage environments: refrigerator, freezer or room temperature) factorial scheme + 2 controls (with and without drying at baseline) and 4 repetitions of 25 seeds. Drying reduced initial seed water content from 8.9% to 5.0%, without loss of viability. Drying in the chamber at 40 °C was faster and more efficient than in silica gel. The results enable classifying the seeds of this species as orthodox, i.e. tolerant to desiccation. The fridge and freezer were efficient for storing the Melanoxylon brauna seeds up to 24 months, independent of previous drying, while storing the seeds at room temperature with previous drying makes them last longer than without drying, as the seeds can last up to 16 months with drying, or 12 months without drying.

Drying and storage of Melanoxylon brauna Schott. seeds / Secagem e armazenamento de sementes de Melanoxylon brauna Schott

The objective of this work was to evaluate the sensitivity of Melanoxylon brauna Schott. tree legume seeds to desiccation and storage. In the drying experiment, the Melanoxylon brauna seeds were submitted to two drying conditions: a forced air circulation chamber (40.18 °C ± 0.13 and 28.48% ± 3.95 RH) and a silica gel desiccator (27.19 °C ± 1.28 and 26.19% ± 0.94 RH) for different times (0, 12, 24, 36, 72, and 144 hours). A completely randomized design in a 2 (drying methods) × 5 (drying times) factorial scheme plus control and 4 replications of 25 seeds was used. The following variables were evaluated before and after drying: seed moisture content, percentage of germinated seeds, germination speed index, percentage of mortality, normal and abnormal seedlings. In the storage experiment the seeds were divided into two batches: pre-dried (at 5.0% humidity) and without drying (control at 8.9% humidity). The seeds were then stored in plastic bags in three environments: refrigerator at 5 °C, freezer at ­20 °C and room temperature (29 °C). The seeds were removed every four months and submitted to the humidity and germination test for 24 months. Data from this storage experiment were analyzed considering a randomized block design in a 2 (drying levels: presence and absence) × 3 (storage environments: refrigerator, freezer or room temperature) factorial scheme + 2 controls (with and without drying at baseline) and 4 repetitions of 25 seeds. Drying reduced initial seed water content from 8.9% to 5.0%, without loss of viability. Drying in the chamber at 40 °C was faster and more efficient than in silica gel. The results enable classifying the seeds of this species as orthodox, i.e. tolerant to desiccation. The fridge and freezer were efficient for storing the Melanoxylon brauna seeds up to 24 months, independent of previous drying, while storing the seeds at room temperature with previous drying makes them last longer than without drying, as the seeds can last up to 16 months with drying, or 12 months without drying.

O objetivo deste trabalho foi avaliar a sensibilidade das sementes da leguminosa arbórea Melanoxylon brauna Schott à dessecação e ao armazenamento. No experimento de secagem as sementes de braúna foram submetidas a duas condições de secagem: câmara com circulação forçada de ar (40,18 °C ± 0,13 e 28,48% ± 3,95 UR) e dessecador com sílica gel (27,19 °C ± 1,28 e 26,19% ± 0,94 UR), por diferentes tempos (0, 12, 24, 36, 72, 144 horas). Foi utilizado delineamento experimental inteiramente casualizado, em esquema fatorial 2 (método de secagem) × 5 (tempo de secagem), mais a testemunha, com 4 repetições de 25 sementes. Foram avaliadas as seguintes variáveis antes e depois da secagem: teor de umidade da semente, porcentagem de sementes germinadas, índice de velocidade de germinação, porcentagem de mortalidade, de plântulas normais e de anormais. No experimento de armazenamento as sementes foram divididas em dois lotes: com secagem prévia (a 5,0% de umidade) e sem secagem (testemunha, a 8,9% de umidade), e foram armazenadas em embalagens sacos de plástico em três ambientes: geladeira a 5 °C, freezer a ­20 °C e temperatura ambiente (29 °C). A cada quatro meses as sementes foram retiradas e submetidas ao teste de umidade e de germinação durante 24 meses. Os resultados foram avaliados por meio do delineamento em blocos casualizados, com 4 repetições de 25 sementes, em esquema fatorial 2 (secagem) × 3 (ambiente de armazenamento) + 2 testemunhas. A secagem proporcionou a redução do teor de água inicial das sementes de 8,9% até 5,0%, sem perda da sua viabilidade. A secagem na câmara a 40 °C foi mais rápida e eficiente do que na sílica gel. Os resultados permitem classificar as sementes desta espécie como ortodoxas, ou seja, tolerantes à dessecação. A geladeira e o freezer foram eficientes para o armazenamento das sementes de braúna, até 24 meses, independente da secagem prévia das sementes, enquanto o armazenamento das sementes a temperatura ambiente é mais duradouro quando as sementes são submetidas previamente à secagem, podendo durar até 16 meses com secagem ou 12 meses sem secagem.

Drying and storage of Melanoxylon brauna Schott. seeds

Abstract The objective of this work was to evaluate the sensitivity of Melanoxylon brauna Schott. tree legume seeds to desiccation and storage. In the drying experiment, the Melanoxylon brauna seeds were submitted to two drying conditions: a forced air circulation chamber (40.18 °C ± 0.13 and 28.48% ± 3.95 RH) and a silica gel desiccator (27.19 °C ± 1.28 and 26.19% ± 0.94 RH) for different times (0, 12, 24, 36, 72, and 144 hours). A completely randomized design in a 2 (drying methods) × 5 (drying times) factorial scheme plus control and 4 replications of 25 seeds was used. The following variables were evaluated before and after drying: seed moisture content, percentage of germinated seeds, germination speed index, percentage of mortality, normal and abnormal seedlings. In the storage experiment the seeds were divided into two batches: pre-dried (at 5.0% humidity) and without drying (control at 8.9% humidity). The seeds were then stored in plastic bags in three environments: refrigerator at 5 °C, freezer at 20 °C and room temperature (29 °C). The seeds were removed every four months and submitted to the humidity and germination test for 24 months. Data from this storage experiment were analyzed considering a randomized block design in a 2 (drying levels: presence and absence) × 3 (storage environments: refrigerator, freezer or room temperature) factorial scheme + 2 controls (with and without drying at baseline) and 4 repetitions of 25 seeds. Drying reduced initial seed water content from 8.9% to 5.0%, without loss of viability. Drying in the chamber at 40 °C was faster and more efficient than in silica gel. The results enable classifying the seeds of this species as orthodox, i.e. tolerant to desiccation. The fridge and freezer were efficient for storing the Melanoxylon brauna seeds up to 24 months, independent of previous drying, while storing the seeds at room temperature with previous drying makes them last longer than without drying, as the seeds can last up to 16 months with drying, or 12 months without drying.

Resumo O objetivo deste trabalho foi avaliar a sensibilidade das sementes da leguminosa arbórea Melanoxylon brauna Schott à dessecação e ao armazenamento. No experimento de secagem as sementes de braúna foram submetidas a duas condições de secagem: câmara com circulação forçada de ar (40,18 °C ± 0,13 e 28,48% ± 3,95 UR) e dessecador com sílica gel (27,19 °C ± 1,28 e 26,19% ± 0,94 UR), por diferentes tempos (0, 12, 24, 36, 72, 144 horas). Foi utilizado delineamento experimental inteiramente casualizado, em esquema fatorial 2 (método de secagem) × 5 (tempo de secagem), mais a testemunha, com 4 repetições de 25 sementes. Foram avaliadas as seguintes variáveis antes e depois da secagem: teor de umidade da semente, porcentagem de sementes germinadas, índice de velocidade de germinação, porcentagem de mortalidade, de plântulas normais e de anormais. No experimento de armazenamento as sementes foram divididas em dois lotes: com secagem prévia (a 5,0% de umidade) e sem secagem (testemunha, a 8,9% de umidade), e foram armazenadas em embalagens sacos de plástico em três ambientes: geladeira a 5 °C, freezer a 20 °C e temperatura ambiente (29 °C). A cada quatro meses as sementes foram retiradas e submetidas ao teste de umidade e de germinação durante 24 meses. Os resultados foram avaliados por meio do delineamento em blocos casualizados, com 4 repetições de 25 sementes, em esquema fatorial 2 (secagem) × 3 (ambiente de armazenamento) + 2 testemunhas. A secagem proporcionou a redução do teor de água inicial das sementes de 8,9% até 5,0%, sem perda da sua viabilidade. A secagem na câmara a 40 °C foi mais rápida e eficiente do que na sílica gel. Os resultados permitem classificar as sementes desta espécie como ortodoxas, ou seja, tolerantes à dessecação. A geladeira e o freezer foram eficientes para o armazenamento das sementes de braúna, até 24 meses, independente da secagem prévia das sementes, enquanto o armazenamento das sementes a temperatura ambiente é mais duradouro quando as sementes são submetidas previamente à secagem, podendo durar até 16 meses com secagem ou 12 meses sem secagem.

Essential oil of Origanum majorana L., Illicium verum Hook. f. and Cinnamomum zeylanicum Blume: chemical and antimicrobial characterization / Óleos essenciais de Origanum majorana L., Illicium verum Hook. f. e Cinnamomum zeylanicum Blume: caracterização química e antimicrobiana

Essential oils of Origanum majorana L. (marjoram), Illicium verum Hook. f. (star-anise) and Cinnamomum zeylanicum Blume (cinnamon) were obtained by steam distillation using a modified Clevenger device. The antimicrobial activity of each oil was evaluated against the bacteria Staphylococcus aureus, Escherichia coli and the fungi Aspergillus flavus and Aspergillus parasiticus by observing their growth and/or mycelial inhibition through comparison with the standard dish (without oil). The essential oils were analyzed using a gas chromatograph coupled to a mass spectrometer for identification and coupled to a flame ionization detector for quantification. The major constituents of marjoram, star-anise and cinnamon essential oils were 4-terpineol, trans-anetole and cinnamic aldehyde, respectively. In in vitro tests, essential oils of marjoram and cinnamon promoted an inhibitory effect on the bacteria S. aureus and E. coli, while the essential oil of star-anise presented activity only against E. coli. Marjoram, star-anise and cinnamon oils were effective against the studied fungi, presenting an inhibitory effect. The minimal inhibitory concentration for the mycelial growth of A. parasiticus was 1 and 0.01 µL mL-1 for star-anise and cinnamon oils, respectively. The minimal inhibitory concentration for A. parasiticus was 0.25, 2 and 2 µL mL-1 for cinnamon, star-anise and marjoram oils, respectively.

Óleos essenciais de Origanum majorana L. (manjerona), Illicium verum Hook. f. (anis estrelado) e Cinnamomum zeylanicum Blume (canela) foram obtidos pela técnica de arraste a vapor d'água com aparelho de Clevenger modificado. Foram avaliadas as atividades antimicrobianas de cada um sobre as bactérias Staphylococcus aureus, Escherichia coli e para os fungos Aspergillus flavus e Aspergillus parasiticus, observando o crescimento e/ou inibição micelial, comparando-se estes com a placa-padrão (sem óleo). Os óleos essenciais foram analisados em cromatógrafo gasoso acoplado a espectrômetro de massa para a identificação e cromatógrafo gasoso com detector de ionização de chamas para a quantificação dos compostos. Os principais constituintes dos óleos essenciais de manjerona, anis-estrelado e canela foram o 4-terpineol, trans-anetol e aldeído cinâmico, respectivamente. Nos testes in vitro, os óleos essenciais de manjerona e canela promoveram efeito inibitório sobre as bactérias S. aureus e E. coli, enquanto o óleo essencial de anis estrelado apresentou atividade apenas frente E. coli. Os óleos de manjerona, anis estrelado e canela foram efetivos sobre os fungos estudados, apresentando efeito inibitório. A concentração mínima inibitória pra o crescimento micelial de A. parasiticus foi de 1 e 0,01 µL mL-1 para os óleos de anis-estrelado e canela, respectivamente. Enquanto a concentração mínima inibitória para A. parasiticus foi de 0,25; 2 e 2 µL mL-1 para os óleos de canela, anis-estrelado e manjerona, respectivamente.

Factors Associated to Infant Mortality in Sub-Saharan Africa

Half of the 10 million children who die annually in the world are from Sub-Saharan Africa (SSA). The reasons are known; but lack of will and resources avoid the development of sustainable policies. Associated factors to the high infant mortality rate (IMR) in SSA have been investigated in this research. An ecological multi-group study was designed comparing rates within SSA. The dependent variable is the IMR and health services; economic and development indicators are the independent variables. Information and data sources were WHO; World Bank; UNICEF and UNDP (1997-2007). IMR mean value is 92.2 (per 1000 live births) and a relationship with several of the factors could be observed. In the bi-variate analysis direct relationship was observed with maternal mortality rate and an inverse relationship was observed with prenatal care coverage; births assisted by skilled health personnel; gross national income per capita; per capita government expenditure on health; social security expenditure; adult literacy rate; net primary school enrolment rate; population with access to safe drinking water (in urban and rural areas) and with population with access to basic sanitation in rural areas. In the multi-variate analysis IMR had an inverse relationship with children under 5 years with diarrhoea who receive oral re-hydration; with social security expenditure as percentage of general government expenditure on health and with per capita government expenditure on health. The situation in SSA would change if their inhabitants received education and information to demand more equitable polices and better investments from their govern

Evaluación de la calidad del procedimiento de biopsia selectiva de ganglio centinela en pacientes con cáncer de mama / Evaluation of the quality of the sentinel lymph node biopsy procedure in patients with breast cancer

La biopsia de ganglio centinela (BGC) ha demostrado ser una alternativa segura a la linfadenectomía axilar en la estadificación del cáncer de mama. El equipo multidisciplinar debe realizarlo con rigor y demostrando cumplir unos criterios esenciales. Objetivo. Evaluar la calidad del procedimiento en la Unidad de Patología Mamaria del Hospital Puerta del Mar, utilizando la guía de autoevaluación de la Sociedad Española de Senología y Patología Mamaria. Material y método. Dicha guía establece unos criterios de evaluación objetivos y medibles en los aspectos que intervienen en la BGC. Cada criterio se asocia a 4 niveles de estándares de calidad. Existen 3 criterios esenciales de obligado cumplimiento para implementar la BSCG en la práctica clínica. Se evalúan: experiencia asistencial (6 criterios), aspectos operativos (18 criterios, 3 esenciales) y actividad científica (8 indicadores). Material y método. La fase de validación incluyó 50 pacientes y la fase de aplicación 120 pacientes hasta febrero de 2009. Resultados. Se cumplen los 3 criterios esenciales relacionados con la detección del ganglio centinela (98%), sensibilidad acreditada (90%), promedio de ganglios axilares centinelas (2,1). Resultados. La aplicación de la guía de autoevaluación ha resultado una puntuación global de 39 sobre 71 puntos. Siendo el nivel II el nivel de calidad más prevalente. Conclusión. Nuestra Unidad cumplió durante la validación los criterios establecidos para implementar la técnica. Tras ella, la utilización de la guía acredita la buena práctica del procedimiento de BGC y permite identificar las áreas de mejora, en nuestro caso las relacionadas con actividades científicas y formativas de la Unidad(AU)

The Sentinel Lymph Node Biopsy (SLNB) has been demonstrated to be a safe alternative to axillary lymph node dissection in breast cancer staging. The multidisciplinary team must do it with rigor and demonstrate that they have fulfilled some essential criteria. Objective. To evaluate the quality of the procedure in the Breast Pathology Unit of Hospital Puerta del Mar, using the self-evaluation guidelines of the Spanish Society of Senology and Breast Pathology. Material and method. These guidelines establish some objective and measurable evaluation criteria related to the aspects that intervene in the SLNB. Each criterion is associated to 4 levels of quality standards. There are 3 essential criteria of mandatory fulfillment to implement SLNB in the clinical practice. They evaluate care experience (6 criteria), operative aspects (18 criteria, 3 essential) and scientific activity (8 indicators). The initial validation phase included 50 patients and the application phase 120 patients (February 2009). Results. Three essential criteria related to the detection of the sentinel node (98%), accredited sensitivity (90%), and mean number of axillary sentinel nodes (2.1) were fulfilled. The application of self-evaluation guidelines in our Unit obtained a global score of 39 out of 71 points, quality level II being the most prevalent. Conclusion. During the validation phase, our unit fulfilled the criteria established to implement the procedure. Following that, the use of this guideline accredits the good practice of the SLNB procedure and makes it possible to identify the areas of improvement, in our case, those related to the scientific and training activities(AU)

[Evaluation of the quality of the sentinel lymph node biopsy procedure in patients with breast cancer]. / Evaluación de la calidad del procedimiento de biopsia selectiva de ganglio centinela en pacientes con cáncer de mama.

UNLABELLED: The Sentinel Lymph Node Biopsy (SLNB) has been demonstrated to be a safe alternative to axillary lymph node dissection in breast cancer staging. The multidisciplinary team must do it with rigor and demonstrate that they have fulfilled some essential criteria. OBJECTIVE: To evaluate the quality of the procedure in the Breast Pathology Unit of Hospital Puerta del Mar, using the self-evaluation guidelines of the Spanish Society of Senology and Breast Pathology. MATERIAL AND METHOD: These guidelines establish some objective and measurable evaluation criteria related to the aspects that intervene in the SLNB. Each criterion is associated to 4 levels of quality standards. There are 3 essential criteria of mandatory fulfillment to implement SLNB in the clinical practice. They evaluate care experience (6 criteria), operative aspects (18 criteria, 3 essential) and scientific activity (8 indicators). The initial validation phase included 50 patients and the application phase 120 patients (February 2009). RESULTS: Three essential criteria related to the detection of the sentinel node (98%), accredited sensitivity (90%), and mean number of axillary sentinel nodes (2.1) were fulfilled. The application of self-evaluation guidelines in our Unit obtained a global score of 39 out of 71 points, quality level II being the most prevalent. CONCLUSION: During the validation phase, our unit fulfilled the criteria established to implement the procedure. Following that, the use of this guideline accredits the good practice of the SLNB procedure and makes it possible to identify the areas of improvement, in our case, those related to the scientific and training activities.

Migration and diffusion of diphenylbutadiene from packages into foods.

Monitoring of exposure to chemicals from food contact materials is a subject of increasing importance. The concentration of the chemicals and their migration levels, as well as food consumption and packaging usage data, are required to enable calculation of the degree of such exposure. The present study investigated the migration kinetics of diphenylbutadiene (DPBD) from packages into flour, rice, honey, milk powder and toast. Migration was not always negligible, except in honey and skimmed milk powder. Experiments carried out with starch alone enabled us to conclude that diffusion of migrants occurred through starch and fat. Key diffusion parameters were determined (diffusion coefficient and partition coefficient) based on Fick's second equation. The following diffusion coefficients were obtained at 25 degrees C: 2.7 x 10(-10), 3.4 x 10(-11), 3.2 x 10(-10), 8.4 x 10(-11), 8.1 x 10(-11) cm(2) s(-1), for wheat flour, rice, milk powder and toast, with 4 and 21% fat, respectively. A very good fit between experimental and predicted data was achieved. The data obtained in the present study confirm the validity of the mathematical model for predicting migration from Food Contact Materials (FCM) into foods.

Anti-proliferative effect of the essential oil of Cymbopogon citratus (DC) Stapf (lemongrass) on intracellular amastigotes, bloodstream trypomastigotes and culture epimastigotes of Trypanosoma cruzi (Protozoa: Kinetoplastida).

This study analyses the anti-proliferative effect of lemongrass essential oil and its main constituent (citral) on all 3 evolutive forms of Trypanosoma cruzi. Steam distillation was used to obtain lemongrass essential oil, with chemical composition determined by gas chromatography (GC) and GC coupled to mass spectrometry (GC-MS). The IC50/24 h (concentration that reduced the parasite population by 50%) of the oil and of citral upon T. cruzi was determined by cell counting in a Neubauer chamber, while morphological alterations were visualized by scanning and transmission electron microscopy. Treatment with the essential oil resulted in epimastigote growth inhibition with IC50=126.5 microg/ml, while the IC50 for trypomastigote lysis was 15.5 microg/ml. The IC50/48 h for the Association Index (% macrophage infection x number of amastigotes per cell) was 5.1 microg/ml, with a strong inhibition of intracellular amastigote proliferation. Ultrastructural analysis demonstrated cytoplasmic and nuclear extraction, while the plasma membrane remained morphologically preserved. Our data show that lemongrass essential oil is effective against T. cruzi trypomastigotes and amastigotes, and that its main component, citral, is responsible for the trypanocidal activity. These results indicate that essential oils can be promising anti-parasitic agents, opening perspectives to the discovery of more effective drugs of vegetal origin for treatment of parasitic diseases. However, additional cytotoxicity experiments on different cell lines and tests in a T. cruzi-mouse model are needed to support these data.

El Programa Dental de Atención Infantil (PADI) de Navarra y del País Vasco: logros y nuevas metas / The Infant Oral Care Program (PADI) of Navarra and the Basque Country: achievements and new goals

Este trabajo analiza brevemente los resultados del Programa de Atención Dental Infantil (PADI) del País Vasco (1990) y Navarra (1991) dirigido a niños de 6 a 15 años. A los 12 años, la ausencia de caries pasó en el País Vasco del 31 por ciento en 1988 al 57 por ciento en 1998, siendo del 58 por ciento en Navarra (1997); el número de caries se redujo en Navarra en un 64 por ciento, y un 54 por ciento en el País Vasco, y el índice de restauración fue del 81 por ciento en Navarra y del 73 por ciento en el País Vasco (era 17 por ciento en 1988). Se destaca la importancia de una buena evaluación de estos programas y las oportunidades que abre el análisis comparado entre las comunidades autónomas españolas, para analizar la contribución de factores que son distintos, y valorar el impacto de los programas en las desigualdades sociales en salud. Los resultados del PADI superan los objetivos iniciales de los Planes de Salud de Navarra (1991) y del País Vasco (1990) y avalan la adopción de estos programas por parte de comunidades autónomas españolas. El desarrollo de estos programas plantea nuevos objetivos en la política de salud dental de Navarra y del País Vasco y, sobre todo, obliga a reflexionar sobre la necesidad de que España incluya la salud pública dental en su política de salud y de que el Sistema Nacional de Salud en su conjunto incluya los servicios dentales dentro de sus prestaciones. (AU)

[The Child Oral Care Program (PADI) of Navarra and the Basque Country: achievements and new goals]. / El Programa Dental de Atención Infantil (PADI) de Navarra y del País Vasco: logros y nuevas metas.

This paper briefly analyses the results of the Infant Dental Care Program (PADI) of the Basque Country (1990) and Navarra (1991), aimed at children aged from 6 and 15 years. At the age 12, the lack of caries rose from 31% in 1988 to 57% in 1998 in the Basque Country, while it was 58% in Navarra (1997); the number of caries fell in Navarra by some 64% and by some 54% in the Basque Country, and the index of restoration was 81% in Navarra and 73% in the Basque Country (it was 17% in 1988). Emphasis is placed on the importance of a good evaluation of these programs and the opportunities that are opened up by the comparative analysis between Spanish autonomous communities for analysing the contribution of factors that are different, and for evaluating the impact of the programs on social inequalities in health. The results of the PADI exceed the initial aims of the Health Plans of Navarra (1991) and of the Basque Country (1990), and endorse the adoption of these programs by the Spanish autonomous communities. The development of these programs raises new objectives in dental health policy in Navarra and the Basque Country and, above all, makes it necessary to reflect on the need for Spain to include public dental health in its health policy and for the National Health System as a whole to include dental services within its services