Análise quantitativa e qualitativa do nível de conhecimento dos alunos do curso de fisioterapia sobre a atuação do fisioterapeuta em saúde pública

Fisioterapia é a ciência da saúde que estuda, previne e trata os distúrbios cinéticos funcionais em órgãos e sistemas do corpo humano. O objetivo deste estudo é verificar a expectativa dos alunos do primeiro ao quinto semestre de fisioterapia sobre a atuação do fisioterapeuta em saúde pública e a expectativa desses alunos quanto à inserção do profissional de fisioterapia no Programa de Saúde da Família (PSF). Trata-se de estudo realizado na Faculdade Marechal Rondon, com 107 alunos, tendo como critério de exclusão os alunos do sétimo semestre. Foi usado um questionário, contendo onze questões, sendo oito de múltipla escolha e três dissertativas. Os dados passaram por tratamento estatístico, em que foram utilizadas a análise descritiva através do programa Microsoft Excel 2003 e análise do discurso do sujeito coletivo. A respeito da atuação do fisioterapeuta no Sistema Único de Saúde (SUS), 44% dos alunos consideram muito importante, 36% consideraram que o papel do fisioterapeuta no PSF é muito importante, enquanto 24% dos alunos consideram não saber informar quanto à eficácia de seu atendimento. Os alunos consideram importante a atuação do fisioterapeuta no SUS e PSF, mas pouco tem conhecimento sobre a atuação do fisioterapeuta em saúde pública.

Developing an Anchor system to enhance postural control

This article uses an anchor metaphor to explain the dynamic interplay between the human body's active uses of nonrigid tools to mediate information about its adjacent environment to enhance postural control. The author used an anchor system (ropes attached to varying weights resting on the floor) to test blindfolded adults who performed a restricted-balance task (30 s one-foot standing). Participants were tested while holding the anchors under a variety of weight conditions (125 g, 250 g, 500 g, and I kg) and again during a baseline condition (no anchors). When compared with the baseline condition, there was a significant reduction in the amount of body sway across the anchor conditions. The author found that mechanical support provided by the anchor system was secondary to its haptic exploratory function and that an individual can use the anchoring strategy with a dual purpose: for resting and for reorientation after intrinsic disruptions.

Synthetic and natural polycations for gene therapy: State of the art and new perspectives

Currently, the major drawback of gene therapy is the gene transfection rate. The two main types of vectors that. are used in gene therapy are based on viral or non-viral gene delivery systems. There are several non-viral systems that can be used to transfer foreign genetic material into the human body. In order to do so, the DNA to be transferred must escape the processes that affect the disposition of macromolecules. These processes include the interaction with blood components, vascular endothelial cells and uptake by the reticuloendothelial system. Furthermore, the degradation of therapeutic DNA by serum nucleases is also a potential obstacle for functional delivery to the target cell. Cationic polymers have a great potential for DNA complexation and may be useful as non-viral vectors for gene therapy applications. The objective of this review was to address the state of the art in gene therapy using synthetic and natural polycations and the latest strategies to improve the efficiency of gene transfer into the cell.

Estudio de la pasivacion de la aleacion Co-Cr-Mo en suero fisiologico

Results are presented on the mechanism of passivation of Co-Cr-Mo biological implant alloys in physiological serum using open circuit potentiometry, potentiodynamic curves, and electrochemical impedance spectroscopy. The potential dependence of impedance data and the analysis of the parameters obtained indicate a progressive diminution of the initial layer thickness and the simultaneous formation of a second higher resistive layer. In more severe conditions than the existent in human body, the metallographic examination of the alloy surface shows localized corrosion in interdendritric regions. Elemental analysis of the surface reveals the presence of higher chromium content in these regions. The presence of chlorine was not detected, which suggested that during preferential attack, soluble species are also formed.

Prototipagem como forma alternativa para realização de cranioplastia com metilmetacrilato: Nota técnica

The prototyping is a method for reconstruction of human body segments by computer software. It has been used in neurosurgery for cranial reproduction in patients allowing the programming of surgical procedures and the production of prosthesis to reconstruct bone failures in the skull. We present two cases of cranioplasty performed with the use of acrylic prosthesis constructed by prototyping. After 10 months of follow-up, they donot present signs of infection and show good aesthetic result. The advantages pointed at the literature for this method (reduction of surgical time, easy technical handle, and good aesthetic result) were confirmed.

Propriedades mecânicas e de corrosão de dois aços inoxidáveis austeníticos utilizados na fabricação de implantes ortopédicos

ASTM F 138 austenitic stainless steel is extensively used as an orthopedic implant material. However, some aspects, such as low strength in the annealed condition and susceptibility to localized corrosion, limit wider use of this kind of steel. Recently, a high-nitrogen austenitic stainless steel, specified in the standard ISO 5832-9, has been indicated as an alternative to ASTM F 138 steel for more severe loading and permanent application inside the human body. In this work, microstructure, mechanical properties, corrosion resistance and fatigue behavior of both steels were determined and compared. ISO 5832-9 steel displayed better mechanical and corrosion behaviors than did ASTM F 138 steel The combination of these features lead ISO steel to enhanced fatigue performance in both neutral and aggressive environments. Analyzed were the role of nitrogen in solid solution, combined with niobium in the Z-phase, and the factors that led to superior ISO 5832-9 properties.

Comparative study on the posture of individuals with and without cervical pain

Posture can be defined as the overall position and spatial orientation of the human body and its members relative to each other. The study of posture can be applied either static, with the subject standing still. Objectives: to identify and quantify the static posture alignment of individuals who were either symptomatic or asymptomatic for cervical pain. Methods: A cross-sectional study was carried out on subjects with cervical pain and individuals with no complaints of pain. The procedure consists in placing markers on specific points. Several views, following the protocol of the Posture Assessment software, regarding the measurement of angles (in degrees) and differences in lower leg lengths (in centimeters). Angles were analyzed through the comparison of averages between the groups using test t Student, (alpha=5%). Results: There enrolled 27 subjects. There were differences in horizontal alignment of head (3.37x1.33), acromia (2.60x1.18), iliac spines (2.91x0.67), vertical alignment of head (25.70x18.26) and in length of lower limbs (1.36x0.75) in respect to cervical and asymptomatic subjects. Conclusions: Was possible identify and quantify the static posture alignment of individuals with and with no cervical pain. The data obtained suggest the presence of asymmetry in all the symptomatic individuals studied. The data obtained suggest the presence of overall asymmetry in all the symptomatic individuals studied. © 2009 Springer-Verlag.

Importancia del diagnóstico precoz de los lipomas de células grandes en la región maxilofacial

Lipoma is a benign tumor composed of proliferation of mature fat cells interspersed by fibrous connective tissue, blood vessels and muscles, delimited by a thin capsule. Although it represents a mesenchymal neoplasm most common human body, are rare occurrences in the oral cavity. Presents clinical and histopathological variables that do not alter their prognosis. The pathogenesis is still uncertain, although some authors consider heredity and endocrine disorders as possible causes. Occurs with greater prevalence in obese people, although their metabolism is completely independent of the normal body lipid metabolism. The clinical diagnosis of oral lipoma is the view of a nodular mass, soft, asymptomatic, flat surface, without ulceration and limited growth. The continuing growth of the lesion may cause difficulty in chewing, speech, dental adaptation and change in facial aesthetics of the patient, requiring surgical excision of the lesion. The final diagnosis is by histopathological examination. Aims to present a literature review and clinical cases of a retrospective study of 61 cases of lipomas diagnosed in pathological service between 1978 and 2009, among the 10 573 reports during that same period. It emphasizes the special cases of large lipomas of the maxillofacial region, and the importance of early diagnosis of these lesions. A dental surgeon should be able to diagnose lipomas in an early stage in the maxillofacial area avoiding a massive growth of these lesions.

New approaches to dental occlusion: A literature update

Because the study of occlusion is a basic area in dentistry, its components, physiology and integration with the stomatognathic system (SS) have been the subject of interest in the scientific literature. However, the focus given to this issue has changed substantially. Currently, new approaches have been proposed in order to update concepts and to demonstrate the full integration and functionality of this system within the human body. With this approach, the authors proposed the following literature review aimed at gathering recent papers (published from 2000 to 2010) with innovative study design, methodology and/or results. The authors' intention is to show the main trends in the study of occlusion and the SS. The literature review was conducted in the PubMed database, using initially the term dental occlusion as a key-word. As items of interest were found, papers were grouped by categories according to their main subject matter. Forty-seven articles were selected and the main categories obtained were: 1. functional magnetic resonance imaging (fMRI); 2. brain activation; 3. masticatory/occlusal function; 4. body function and physical performance; 5. osseoperception; 6. finite element models; and 7. occlusion and pain. Observing the current literature, the authors found that recent studies present different methodologies for the study of occlusion. These studies have allowed scientists to obtain detailed information about the physiology of occlusion and the SS, as well as about its integration in the body. Research in this area should be continued in order to clarify, in detail, the role of each component of the SS and its interaction with human physiology. © 2012 by CHROMA, Inc.

Predicción de ecuaciones para el porcentaje de grasa a partir de circunferencias corporales en niños pre-púberes

Introduction: The analysis of body composition through direct and indirect methods allows the study of the various components of the human body, becoming the central hub for assessing nutritional status. Objective: The objective of the study was to develop equations for predicting body fat% from circumferential body arm, waist and calf and propose percentiles to diagnose the nutritional status of school children of both sexes aged 4-10 years. Methods: We selected intentionally (non-probabilistic) 515 children, 261 children and 254 being girls belonging to Program interaction and development of children and adolescents from the State University of Campinas (Sao Paulo, Brazil). Anthropometric variables were evaluated for weight, height, triceps and subscapular skinfolds and body circumferences of arm, waist and calf, and the% fat determined by the equation proposed by Boileau, Lohman and Slaughter (1985). Through regression method 2 were generated equations to predict the percentage of fat from the body circumferences, the equations 1 and 2 were validated by cross validation method. Results: The equations showed high predictive values ranging with a R2 = 64-69%. In cross validation between the criterion and the regression equation proposed no significant difference (p > 0.05) and there was a high level of agreement to a 95% CI. Conclusion: It is concluded that the proposals are validated and shown as an alternative to assess the percentage of fat in school children of both sexes aged 4-10 years in the region of Campinas, SP (Brazil).

Free tools and strategies for the generation of 3D finite element meshes: Modeling of the cardiac structures

The Finite Element Method is a well-known technique, being extensively applied in different areas. Studies using the Finite Element Method (FEM) are targeted to improve cardiac ablation procedures. For such simulations, the finite element meshes should consider the size and histological features of the target structures. However, it is possible to verify that some methods or tools used to generate meshes of human body structures are still limited, due to nondetailed models, nontrivial preprocessing, or mainly limitation in the use condition. In this paper, alternatives are demonstrated to solid modeling and automatic generation of highly refined tetrahedral meshes, with quality compatible with other studies focused on mesh generation. The innovations presented here are strategies to integrate Open Source Software (OSS). The chosen techniques and strategies are presented and discussed, considering cardiac structures as a first application context. © 2013 E. Pavarino et al.

In Situ Formation of Dendrites in Eumelanin Thin Films between Gold Electrodes

Eumelanin is a ubiquitous pigment in the human body, animals, and plants, with potential for bioelectronic applications because of its unique set of physical and chemical properties, including strong UV-vis absorption, mixed ionic/electronic conduction, free radical scavenging and anti-oxidant properties. Herein, a detailed investigation is reported of eumelanin thin films grown on substrates patterned with gold electrodes as a model system for device integration, using electrical measurements, atomic force microscopy, scanning electron microscopy, fluorescence microscopy, and time-of-flight secondary ion mass spectroscopy. Under prolonged electrical biasing in humid air, one can observe gold dissolution and formation of gold-eumelanin nanoaggregates, the assembly of which leads to the formation of dendrites forming conductive pathways between the electrodes. Based on results collected with eumelanins from different sources, a mechanism is proposed for the formation of the nanoaggregates and dendrites, taking into account the metal binding properties of eumelanin. The surprising interaction between eumelanin and gold points to new opportunities for the fabrication of eumelanin-gold nanostructures and biocompatible memory devices and should be taken into account in the design of devices based on eumelanin thin films. © 2013 WILEY-VCH Verlag GmbH & Co.

Tissue engineering: Using collagen type i matrix for bone healing of bone defects

Among the many tissues in the human body, bone has been considered as a powerful marker for regeneration and its formation serves as a prototype model for tissue engineering based on morphogenesis. Therefore, collagen type I is one of the most useful biomaterials used in tissue engineering as extracellular matrix components capable to promote bone healing. The literature reveals excellent biocompatibility and safety due to its biological characteristics, such as biodegradability and weak antigenicity, making collagen type I the primary resource in medical applications. Thus, it was also used for tissue engineering including skin replacement, bone substitutes, and artificial blood vessels and valves. The authors describe the treatment of an abscessed apical periodontal cyst and show good outcomes of bone healing, using tissue engineering, as collagen type I matrix. © 2013 by Mutaz B. Habal, MD.

Dança: difusão e discussão : um projeto social na cidade de São Paulo

Pós-graduação em Artes - IA

Tàpies e seus corpos: um olhar sexuado

Pós-graduação em Artes - IA