297 resultados para ensaios clínicos aleatórios
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Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR
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Pós-graduação em Ciência Animal - FMVA
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Dermoid cyst of the floor of the mouth is an uncommon lesion that presents as a solitary mass, painless, with no history of fever or drainage, usually in the midline, and commonly in the upper level space mylohyoid. In this paper, the authors describe two patients with the same clinical presentation: a large mass in the floor of the mouth that does not regressed, resulting in dysphagia and dyspnea. The treatment was carried out in both complete surgical removal through an incision in the ventral surface of the tongue.
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The aim of his study was to review the current scientific literature in order to discuss the surgical, prosthetics and psychological/psychosocial aspects during the treatment planning of edentulous patients, when a total fixed prosthesis or overdenture is indicated. To identify studies to take part in this review, a search was conducted for the following databases: PubMed, Dentistry and Oral Sciences Source, Journals@Ovid, SpringerLink, Wiley Online Library, Nature (NPG), Oxford Journals. It was used as descriptors: total fixed prostheses and overdentures. Inclusion criteria were: clinical articles, clinical case reports, case series, literature reviews and systematic reviews that addressed the study and comparison of total fixed prostheses and overdentures for a surgical- prosthetic planning. Exclusion criteria were: laboratory and in vitro studies and those whose first language was not English or Portuguese. Of a total of 454 articles, after an analysis according to inclusion and exclusion criteria, 76 articles were selected. During an implantsupported prosthesis rehabilitation with dental in edentulous patients, the use of alternative procedures appear to be effective when compared to more invasive surgical techniques, and thus, the amount of dental implants possible to install associated with prosthetic issues such as lip support, smile line, quantity and quality of mucosa, phonetics, etc., will allow an appropriate treatment planning to each clinical case
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OBJECTIVE: The aim of this study was to gather information and discuss the predictability of implant-supported prostheses in patients with bruxism by performing a literature review. METHODS: In order to select the studies included in this review, a detailed search was performed in PubMed and Medline databases, using the following key words: bruxism, dental implants, implant supported prosthesis, and dental restoration failure. Items that were included are: case reports, randomized controlled trials, in vitro studies, literature and systematic reviews, with or without meta-analysis, of the last 20 years that addressed the theme. Articles without abstracts, animal studies, articles in languages other than English and articles from journals unrelated to the dental field were excluded. RESULTS: after analysis according to inclusion and exclusion criteria, 28 articles were selected from a total of 54. It is known from the array of scientific articles which have assessed, either through retrospective, prospective or experimental studies, that the biomechanical and biological impact of bruxism on implant-supported prostheses is small, and that the literature has contributed little to exemplify the prosthetic limits of safety for the specialist from a clinical point of view. CONCLUSION: Although there is still no general consensus on this matter, most of the literature review articles do provide clinical guidelines that contribute to implant supported prostheses longevity and stability in patients with bruxism.
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The aim of this study was to review the current scientific literature to discuss the biomechanical behavior and characteristics inherent to both cast post and core and the prefabricated posts used in the practice of restoring endodontically treated teeth. To identify studies of this review, it was performed a detailed and advanced search strategy to the databases PubMed and Medline. It was used as descriptors: endodontically treated teeth, post, core, fiber post and metal post. Inclusion criteria were: clinical trials, randomized controlled trials, in vitro studies, literature reviews and systematic reviews with or without meta-analysis of the last 10 years that addressed the theme. Exclusion criteria were: articles without abstracts, animal studies, articles whose language was not English and articles from journals that do not belong to the Dentistry field. Of a total of 35 articles, after an analysis according to inclusion and exclusion criteria, 23 articles were selected. Most of the current scientific literature indicates that the prefabricated fiber reinforced and ceramic posts should be appointed for endodontically treated teeth that have a minimum height of 2mm ferrule. As for the cast metal cores, along with pre-fabricated metal represent a good prosthetic option, when weakened teeth have to be restored for any reason. Despite the large number of studies, there is still a lack of longterm prospective studies that evaluate the effectiveness of these posts in the treatment of endodontically treated teeth.
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The relationship between the occurrence of enterococci in the oral microbiota and serious infections in patients hospitalized in intensive care units (ICU) has been established. This study evaluated the presence of Enterococcus faecalis and other species of this genus in the mouths of patients on ICU, correlating it with oral and systemic conditions. Data on health and socioeconomic, medication use, medical and family history of patients maintained for 72 hours in the ICU, diagnosed with severe infection or who have developed this condition after the entry to the unit were obtained. Fifty patients provided intraoral and extraoral clinical samples for analysis (above and subgingival biofilm, saliva and buccal mucosa, followed by obtaining samples of respiratory secretions for patients with pneumonia, and blood and urine for sepsis). The presence of target microorganisms was performed by polymerase chain reaction (PCR) and culture using selective media. The chi-square and Mann-Whitney tests were used for statistical analysis, and the significance level was 5%. The intraoral clinical conditions of the patients showed poor. E. faecalis was significantly more frequent microorganism, followed by E. faecium. The use of broadspectrum antimicrobial action was associated with the presence of these opportunistic microorganisms. These bacteria were more frequent in patients with periodontitis or gingivitis. The results showed that enterococci associated with serious infectious processes may originate from resident microbiota of patients and its prevalence is not elevated in healthy individuals.
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The diagnosis of hearing loss (HL) in a child constitutes a crisis, includinga possible crash in parental narcissism, requiring an individual, matrimonial andfamiliar reorganization process. The mother is the main figure to devote herselfattending the baby and generally takes the most responsibilities in the processof habilitation or rehabilitation of the child, while still having to deal with her frustratedexpectations and narcissism. This study aims to investigate the effects of a deaf child’s birth on the mother’s narcissism. Here understood as a normal stage of psychosexual development of the human being, needed for life preservation, nota pathology. Five different clinical pratical studies were developed with mothers of deaf children that were diagnosed less than one year ago. The data were collected using individual semi-structured interviews and Thematic Apperception Test (TAT). Based on these studies it was found that the birth of a deaf child makes it difficult to obtain the expected narcissist satisfaction. The mother, investing all her affection and longing almost only on her child, hopes to rebuild her dream obtaining the "cure" and "normality" of her baby by submitting him/her to a cochlear implant.
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Pós-graduação em Fisioterapia - FCT
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Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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In this paper it was evaluated the influence of the relative position of logs on the trees, the type of wood (juvenile and mature wood and pith) and the dimension of sawed wood elements on the velocity of propagation of stress waves into the material on condition. P. taeda L wood (43 years old trees) from Horto Florestal of Manduri (latitude 230 00’ south, longitude 400 19’ west and altitude de 700 m) São Paulo State, Brazil were used, considering its easy growth rings visualization and the better ju regions definition. Six trees were randomly chosen in the plantation. Trees were sawed into 4 logs (2,5 m long each. In each log it was delimited the central board (80mm tick) region and the lateral boards (25mm tick) regions, cons right hand. It were evaluated relation between velocity of stress waves on logs and the correspondent lumber (central and lateral boards), on green condition, on the three main region of the elements (mature wood results obtained revealed the concordance between velocities of stress waves in the material before and after the its mechanical processing. It was also revealed statistical differences between the velocity of stress waves at juvenile wood, mature wood and pith regions. Keywords: stress wave method, velocity 17 destrutivos de propagação da propagação de ondas de tensão em toras e madeira serrada de taeda L. Hernando Alfonso Lara Palma - Universidade Estadual Paulista Faculdade de Ciências Agronômicas – FCA/UNESP – Botucatu - SP, e-mail: awballarin@fca.unesp.br Luiz Antonio Vasques Hellmeister - Universidade Estadual Paulista - Faculdade de Arquitetura, FAAC/UNESP – Bauru - SP, e-mail: hellmeister@faac.unesp.br Este trabalho teve como objetivo analisar a influência do tipo de lenho, da posição da tora ao longo do fuste e das dimensões das peças desdobradas, na velocidade de as de tensão (Stress wave method), na condição de madeira verde. P. taeda L., originária de árvores de plantio do Horto Florestal de SP., com idade aproximada de 43 anos, pela facilidade de identificação dos anéis imento e demarcação das regiões de madeira adulta e madeira juvenil. Foram amostradas 6 árvores distintas, escolhidas ao acaso do talhão selecionado. De cada árvore foram retiradas 4 toras com comprimento de 2,5 m cada. Foram demarcadas nas toras a ha central (8 cm de espessura) e 4 tábuas laterais (espessura comercial de 2,5 cm), sendo duas à esquerda e duas à direita da prancha central. Foram avaliadas as relações existentes entre as velocidades de propagação das ondas de tensão na madeira íntegra (toras) e desdobrada (pranchas e tábuas), na condição de madeira verde, nas três regiões distintas do lenho: medula, madeira adulta e madeira juvenil. A análise comparativa dos resultados revelou a concordância entre as velocidades antes e após o desdobr madeira. Houve diferenciação estatisticamente significativa entre as velocidades de propagação das ondas de tensão nos lenhos adulto, juvenil e na medula. -destrutivos, método das ondas de tensão, Pinus taeda stress wave tests on green logs and lumber of Pinus taeda In this paper it was evaluated the influence of the relative position of logs on the trees, the type of wood (juvenile and mature wood and pith) and the dimension of sawed wood elements on the velocity of propagation of stress waves into the material on L wood (43 years old trees) from Horto Florestal of Manduri (latitude 19’ west and altitude de 700 m) São Paulo State, Brazil were used, considering its easy growth rings visualization and the better juvenile and mature wood regions definition. Six trees were randomly chosen in the plantation. Trees were sawed into 4 logs (2,5 m long each. In each log it was delimited the central board (80mm tick) region and the lateral boards (25mm tick) regions, considering 2 boards on the left and 2 at the right hand. It were evaluated relation between velocity of stress waves on logs and the correspondent lumber (central and lateral boards), on green condition, on the three main region of the elements (mature wood, juvenile wood and pith). Comparative analyses of results obtained revealed the concordance between velocities of stress waves in the material before and after the its mechanical processing. It was also revealed statistical differences ty of stress waves at juvenile wood, mature wood and pith regions