The aim of this study was describing and reflecting about the aspects related to the social history and public policies for the children's health assistance in Brazil. A brief historical contextualization was realized concerning changes on the way the society views the child in Brazil and around the world, also perspectives considering public policies for the children's health in the national context were presented. It was possible to identify that the historical evolution of the child participation in the society is linked to the changes in the assistance public policies, which were demonstrated in the child death decrease and associated to challenges, like the morbimortality reduction caused by perinatal injuries and avoidable causes. The advances and conquers in the child's health are evolved in a paradigmatic change movement into a model of a net formation and a comprehensiveness care. This context requires the human resources preparation for such area, based on the health promotion and prevention, as well as a better quality of life of the population.

Introduction Ameloblastomas are neoplasms that have inspired great controversy and clinical interest; their incidence, radiographic features, treatment and behavior are still discussed quite often in the literature. In 2017, the classification of these lesions underwent modifications in terminology with the introduction of prospective views based on updates in current genetic studies. Objective To describe the most important features of the new classification, as well as to evaluate the prevalence and the clinical and radiographic characteristics of 136 ameloblastomas. Methodology The clinical-pathological characteristics of 136 patients diagnosed with ameloblastoma in two large hospitals in São Paulo were analyzed. All the hematoxylin-eosin (HE) stained slides were reviewed using an optical microscope (Olympus Cover) and tumors were classified according to the new WHO criteria (2017). Two independent evaluators analyzed the slides; in cases where there was disagreement a third evaluator was used and the result was established in consensus. Results 71% of the lesions were of the conventional type, the predominant histopathological pattern being plexiform (40%), 72% of the tumors showed cortical expansion, and 84% had a radiographic pattern of the multilocular type. The treatment of choice in most cases was segmental resection (45%) and recurrence was present in 13% of the cases. Conclusion Studies with clinical-pathological correlations will be necessary in the near future, in order to provide new therapies that are more effective and conservative, improving the quality of life of patients effected.

Objective: To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process. Method: Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6. Results: The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care -Services Available (6.0) and Coordination -System information (7.4). As for the Process, the following results were obtained: First visit -Use (8.6), Longitudinally (6.1), Integrality -Services Provided (6.1) and Coordination -Integration of Care (6.9). Conclusion: The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.

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Objective: To identify the extension in primary health services of attributes for family and community guidance about the health of children health. Methods: This was a quantitative, cross-sectional and evaluation study. We administered 548 questionnaires (Brazilian Primary Care Assessment Tool, child version) to families and/or legal guardians of children younger than 12 years of age who were received care in 24 health units. Data were analyzed using SPSS software, version 17.0. Results: The basic public health services of the studied municipality were below what is considered ideal for primary health care with regard to the attributes of family and community guidance. Score of these attributes were 4.4 and 5.1, respectively. Scores considered satisfactory were ≥6.6. Conclusion: We found that it was difficult for services to integrate families and the community in the care process. This finding reinforces the healing care culture and individual-centered care. ResumoObjetivo: Identificar a extensão dos atributos da orientação familiar e orientação comunitária na atenção à saúde da criança nos serviços de atenção primária. Métodos: Estudo quantitativo, transversal, do tipo avaliativo. Foram aplicados 548 questionários PCATool -Instrumento de Avaliação da Atenção Primária -Brasil versão criança aos familiares e/ou cuidadores de crianças menores de 12 anos atendidas em 24 unidades de saúde, sendo os dados analisados no programa SPSS 17.0. Resultados: Os serviços básicos de saúde pública do município estudado possuem um percentual abaixo do considerado ideal para a atenção primária à saúde nos atributos de orientação familiar e orientação comunitária. O escore desses atributos foram 4,4 e 5,1, respectivamente, sendo considerados satisfatórios valores de escore ≥ 6,6. Conclusão: Identificou-se a dificuldade dos serviços em integrarem a família e a comunidade no processo de cuidado, fortalecendo a cultura de assistência curativa e centrada no indivíduo.

This paper presents a case of osteonecrosis of the jaw related to zoledronic acid (5 mg) administered once yearly to treat osteoporosis. A 79-year-old woman who has been treated for osteoporosis for 5 years with 5 applications of zoledronic acid was referred for evaluation. The patient had been submitted to dental implant placement and there was no osseointegration. On clinical examination, suppuration and exposed bone on the alveolar ridge were observed. Radiographic examination revealed an osteolytic area and bone sequestration. Both clinical and radiological features were suggestive of osteonecrosis. The treatment consisted of surgery to remove the affected bone completely. The patient is asymptomatic at 9 months after surgery. Dentists and oral surgeons should be alert to the possibility of osteonecrosis related to the use of once-yearly injections of zoledronic acid for the treatment of postmenopausal osteoporosis.

Epidermoid cysts are malformations that are rarely observed in the submental region. Imaging has an important role in surgical planning according to the size and location of the cyst in relation to geniohyoid and mylohyoid muscles. This article reports the case of a 15-year-old female patient complaining of submental swelling. The differential diagnosis included infection, tumor, ranula, and abnormalities during embryonic development. The lesion was surgically excised using an extra-oral approach. The histopathological examination revealed a cyst wall lined with stratified squamous epithelium with the presence of several horny scales consistent with the diagnosis of an epidermoid cyst. No recurrences were found after 1 year of follow-up.

O Transtorno de Déficit de Atenção e Hiperatividade (TDAH) é um distúrbio caracterizado pela falta de atenção, agitação, impulsividade podendo levar a dificuldades emocionais e de relacionamento, bem como o baixo desempenho escolar. O tratamento de crianças com TDAH envolve uma abordagem múltipla, englobando intervenções psicossociais e psicofarmacológicas, e exige um esforço coordenado, entre os profissionais da área da saúde em conjunto com educadores e pais. O objetivo deste trabalho foi analisar a percepção da massoterapeuta e da mãe sobre o comportamento de uma criança com TDAH do tipo desatento, após a participação da criança nas sessões de massagem Tui Na. Trata-se de um estudo de caso, descritivo com abordagem qualitativa. Os dados foram coletados por meio de uma entrevista semiestruturada que foi gravada e transcrita posteriormente, sendo submetidos a análise de conteúdo. A massagem foi uma forma de tratamento complementar importante na melhora da sintomatologia do TDAH, deixando a criança mais calma, relaxada, concentrada e sociável, melhorando o seu relacionamento familiar e social. Acredita-se que o toque proporcionado por meio da técnica de massagem tenha sido uma das principais ferramentas para a criação de vínculo entre terapeuta-criança-família-escola, fortalecendo a confiança necessária para o estabelecimento das relações sociais positivas.