can anyone summarize for me the below passage and to add someinformation which You got from the below passage

Sense of Coherence Antonovsky took a very different tact inhealth promotion and disease prevention. Antonovsky's centralpremise is that it is more useful to study health than to studydisease. He referred to this method of study as salutogenesis, thebeginnings of health. Salutogenesis defines health in terms of acontinuum of ease to dis-ease and with the conditions surroundingthe individual providing coping resources. Antonovsky's objectionto the study of pathogenesis is that it tends to dichotomize peopleinto either a \"healthy\" or \"ill\" state. He contends there is acontinuum of \"ease to dis-ease\" state for most people.33 Thesalutogenesis model closely examines the role of stressors andtension as contributing factors for health and dis-ease. A stressoris defined as a source of disturbance that upsets a sense ofequilibrium. This may come from external or internal sources suchas illness, heredity, job stress, or lack of personal control. Manysources of stimuli are handled routinely as Journal of DentalHygiene, Vol. 78, No. 3, Summer 2004 Copyright by the AmericanDental Hygenists Association - 5 - individual and are notstressors. Stressors produce tension and it is the perception ofstress and the tension response that has an affect on theindividual.33 To cope with, and possibly to use, stressors toenhance life experience, people build a network of generalizedresistance resources (GRRs). A GRR is more than a specific copingskill for a particular event. GRRs include all available resourcesat an individual level, a community and a cosmic level that enablepeople to manage daily crises and cataclysmic events. A network ofGRRs may contain a person's heredity, education, finances, physicalresources, values, attitudes, or faith. GRRs can help an individualavoid stressors as in prevention, practicing good health habits, oravoiding dangerous situations. They may also enable a person toeffectively manage a stressor and avoid psychological, emotional,or physical impairment. An examination of the list of GRRs showsthat they encompass a broad range of elements. Included arebiological elements such as the immune system, cognitive elementssuch as knowledge, material resources such as personal income ormedical insurance, social factors such as support and social norms,and macrosocial support such as a belief in divine purpose.33 A GRRhas an element of farsightedness. This quality allows an individualto envision coping strategies and anticipate the response of theenvironment. The coping strategy is not the actual behavior but theplanned behavior. This may give an individual a measure of personalcontrol, but the actual response or behavior may be limited bycircumstances such as physical ability or material resources.33Sense of coherence (SOC) is the main construct of salutogenesis.SOC is a method of seeing the world and one's place in it. It iscognitive, perceptual, and social. SOC is central to a salutogenicorientation to health and disease. From a pathogenic perspective, aclinician will diagnose a condition and work to cure it. From asalutogenic perspective, a clinician can work with a patient ongoal-oriented behavior that will strengthen the sense of coherenceand thereby move the patient toward the \"ease\" end of the ease todis-ease continuum. SOC will move a person toward consistency andstability. 33 Researchers have found that mothers' SOC issignificantly associated with several oral health indicators inadolescents.34 Strong maternal SOC was associated with gingivalhealth, overall caries rate, anterior caries, and professionaldental visits. No longitudinal studies have been conducted tomeasure the long term impact of SOC on oral health.34 SummaryHealth behavior theories may be applied for both individual patientinstruction or in developing community-based programs. For example,in providing oral hygiene instructions for diabetes patients, thedental hygienist may help develop self-efficacy in a patient usingenactive attainment by pointing out how the patient's efforts haveimproved gingival health. Encouraging a patient to self-assess thegingival condition over time may allow the patient to observe thebenefits of daily plaque removal as tissues bleed less and becomefirmer. Asking the patient if he/she has noticed anyone with looseteeth may cause vicarious learning. Many patients have observedloose teeth and tooth loss in family members. Explaining this toothloss may have been caused by advanced periodontal disease allowsthe patient to learn vicariously through another person'sexperience without personally experiencing the adverse event.Dental hygienists may also help develop patients' sense ofcoherence by networking with medical providers, community supportgroups, and family members. Many preschools, elementary schools,and day care centers have toothbrushing programs and/or teachdental health to students and parents. Dental hygienists involvedin these community programs may use Theory of Reasoned Action toencourage daily brushing and thereby create a behavioral norm forthe parent and child. Social norms of good nutrition, appropriateweaning schedules, and healthy smiles established in these earlychildhood programs might have an impact long after the program hasended. Conclusion Principles of evidence-based medicine andprofessional ethics require health providers to keep theirknowledge current and employ tested techniques.1 Longitudinalresearch evaluates outcomes for programs based on various theories.Examination of outcomes allows dental hygienists to employ the mostappropriate theoretical base for patient education. Assistingpatients in partaking in their oral health maintenance remains aconstant challenge for oral health professionals at the communityand individual level. A brief review of theories commonly used inrelation to oral health shows that each Journal of Dental Hygiene,Vol. 78, No. 3, Summer 2004 Copyright by the American DentalHygenists Association - 6 - theory has proven successful in certainsituations; each has limitations. Many of the available studies arecross sectional and cannot be used to determine cause effectrelationships. It is possible that some theories are moreapplicable on a community level, and others more useful forindividual counseling. Longitudinal studies are needed to test thepredictive value of theories or the relative impact on variousconditions. The Surgeon General's national call to actionrecommends research designed to determine the complex interactionsof biological, social, and environmental influences on oral health.\"Such research must be complemented by prevention and behavioralscience research (including community-based approaches and ways tochange risk behaviors), health services research to explore how thestructure and function of health care services affect healthoutcomes, and by population health and epidemiology research tounderstand potential associations among diseases and possible riskfactors.\"35 Following this recommendation, and in light of thecurrent state of knowledge of the success and limitations of healthbehavior modification theories, research is needed to determine thelong term outcomes of programs based on various theoreticalconstructs. Research is also needed to examine possibleinteractions between health theories, possible multidimensionalmodels, or appropriateness of certain models for certainconditions. Dental hygienists routinely provide patientsinformation on a variety of oral health related issues. The benefitof time spent on in doing this may depend on the effectiveness ofthe intervention for a particular patient, particular condition,and in a particular setting. With a working knowledge of currenthealth modification theories, oral health professionals are betterequipped to provide educational services for patients andcommunities