Brief Oral Health Promotion Intervention Among Parents of Young Children to Reduce Early Childhood Caries.

Brief oral health promotion intervention among parents of young children to reduce early childhood caries.

BMC Public Health. 2013 Mar 20; 13(1): 245
Arrow P, Raheb J, Miller M

BACKGROUND: Severe untreated decay affects a child’s growth, body weight, quality of life as well as cognitive development, and the effects extend beyond the child to the family, the community and the health care system. Early health behavioural factors, including dietary practices and eating patterns, can play a major role in the initiation and development of oral diseases, particularly dental caries. The parent/caregiver, usually the mother, has a critical role in the adoption of protective health care behaviours and parental feeding practices strongly influence children’s eating behaviours. This study will test if an early oral health promotion intervention through the use of brief motivational interviewing (MI) and anticipatory guidance (AG) approaches can reduce the incidence of early childhood dental decay and obesity. METHODS: The study will be a randomised controlled study with parents and their new-born child/ren who are seen at 6–12 weeks of age by a child/community health nurse. Consenting parents will complete a questionnaire on oral health knowledge, behaviours, self-efficacy, oral health fatalism, parenting stress, prenatal and peri-natal health and socio-demographic factors at study commencement and at 12 and 36 months. Each child–parent pair will be allocated to an intervention or a standard care group, using a computer-generated random blocks. The standard group will be managed through the standard early oral health screening program; “lift the lip”. The intervention group will be provided with tailored oral health counselling by oral health consultants trained in MI and AG.Participating children will be examined at 24, and 36 months for the occurrence of dental decay and have their height and weight recorded. Dietary information obtained from a food frequency chart will be used to determine food and dietary patterns. Data analysis will use intention to treat and per protocol analysis and will use tests of independent proportions and means. Multivariate statistical tests will also be used to take account of socio-economic and demographic factors in addition to parental knowledge, behaviour, self-efficacy, and parent/child stress. DISCUSSION: The study will test the effects of an oral health promotion intervention to affect oral health and general health and have the potential to demonstrate the “common risk factor” approach to health promotion.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12611000997954. HubMed – eating


Lepidopteran caterpillar fauna on lactiferous host plants in the central Brazilian cerrado.

Rev Bras Biol. 1999 Nov; 59(4): 627-35
Diniz IR, Morais HC, Botelho AM, Venturoli F, Cabral BC

Nine lactiferous plants of five families were examined for caterpillars in a 4 ha cerrado sensu stricto (savanna-like vegetation) area of the University of Brasília Experimental Farm (DF, Brazil), from August 1995 to May 1997. In 5,540 censuses, less than 5% of the plants hosted caterpillars. All the caterpillars found, a total of 55 species in 15 families were reared under laboratory conditions. Pyralidae, Geometridae, Elachistidae, Megalopygidae, and Limacodidae were the richest caterpillar families recorded. Of the 55 species, more than 40% were polyphagous, feeding on different host plant families, while 21 were considered rare species with less than four records during the study period. The species’ rareness did not permit any analysis of diet breadth. The presence of latex in the host plants seems to affect both the proportion of host plants with caterpillars (abundance) and the caterpillar species richness. The habit of eating plants that characteristically produce latex occurs in several distantly-related lepidopteran families. The results support the argument that specific behaviors to circumvent plant latex defense may have arisen independently many times in the Lepidoptera. HubMed – eating