Níveis de arraçoamento e freqüência alimentar no desempenho produtivo do acará-bandeira Pterophyllum scalare

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A profissionalização docente: identidade e crise

Pós-graduação em Educação Escolar - FCLAR

Eficácia da sublobectomia comparada à lobectomia no tratamento do cãncer de pulmão de não pequenas células em estádios iniciais: metanálise proporcional de série de casos

Pós-graduação em Bases Gerais da Cirurgia - FMB

Sistemas apostilados de ensino e trabalho docente: estudo de caso com professores de ciências e gestores de uma rede escolar pública municipal

Pós-graduação em Educação para a Ciência - FC

An alternative approach to deal with the absence of clinical trials: a proportional meta-analysis of case series studies

PURPOSE: Systematic reviews are criticized for frequently offering inconsistent evidences and absence of straightforward recommendations. Their value seems to be depreciated when the conclusions are uncertain. To describe an alternative approach of evaluating case series studies in health care when there is absence of clinical trials. METHODS: We provide illustrations from recent experiences. Proportional meta-analysis was performed on surgical outcomes: (a) case series studies, (b) use of cryoablation or radiofrequency ablation, and (c) patients with small renal cell carcinoma. The statistically significant difference between both interventions studied was defined if their combined 95% confidential interval (CI) did not overlap. RESULTS: As demonstrated by the example, this analysis is an alternative approach to provide some evidence of the intervention´s effects under evaluation and plotting all available case series in the absence of clinical trials for the health field. CONCLUSIONS: Although we are leading to a low level of evidence to determine efficacy, effectiveness and safety of interventions this alternative approach can help surgeons, physicians and health professionals for a provisionally decision in health care along with their clinical expertise and the patient´s wishes and circumstances in the absence of high-quality primary studies. It´s not a replacement for the gold standard randomized clinical trial, but an alternative analysis for clinical research.

Gliding Mentoplasty: A New Technique

The goal of mentoplasty is to improve chin projection. Traditionally, this is accomplished by either mandibular osteotomy or alloplastic implants. However, these procedures are not free of complications. This report describes gliding mentoplasty, a novel, simple technique for chin projection.The 12 patients in this study underwent gliding mentoplasty. By means of a 2-cm intraoral incision, a subcutaneous dissection was made in the caudal direction. The dissection then proceeded in the subperiosteal plane, leaving a 1-cm cuff of muscle attached to the bone, and advanced toward the lower border of the chin. Subsequently, the dissection was extended laterally, and the whole mental area was dissected from the surrounding tissue. Three 2-0 monofilament nylon sutures were placed in the submandibular periosteum and connected through the remaining muscle cuff to the periosteum. These key sutures allowed the submandibular region to slide forward, project the subcutaneous tissue and mentalis muscle, define the labiomental fold, and improve the pogonion projection.Gliding mentoplasty resulted in a symmetric projection of the chin in all cases. In two patients, a submandibular dimple developed, which spontaneously resolved in 1 month. No revision surgery was performed, and no tissue relapse was noted. The mean follow-up period was 24.7 +/- A 5.17 months (range 19-33 months). All the patients were satisfied with the result.Gliding mentoplasty is a simple, easy-to-perform, rapid surgical technique of chin projection that produces low pain, rapid recovery, and excellent cosmetic results.This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Estudo da infiltração marginal em restaurações de resinas compostas para dentes posteriores: efeito de material, preparo cavitário e condicionamento do esmalte a nível cervical

Pós-graduação em Odontologia Restauradora - ICT

Clinical, biomechanical and histological study on oophorectomy induced menopause

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Facial Reanimation Utilizing Combined Orthodromic Temporalis Muscle Flap and End-to-Side Cross-Face Nerve Grafts

Individuals with facial paralysis of 6 months or more without evidence of clinical or electromyographic improvement have been successfully reanimated utilizing an orthodromic temporalis transfer in conjunction with end-to-side cross-face nerve grafts. The temporalis muscle insertion is released from the coronoid process of the mandible and sutured to a fascia lata graft that is secured distally to the commissure and paralyzed hemilip. The orthodromic transfer of the temporalis muscle overcomes the concave temporal deformity and zygomatic fullness produced by the turning down of the central third of the muscle (Gillies procedure) while yielding stronger muscle contraction and a more symmetric smile. The muscle flap is combined with cross-face sural nerve grafts utilizing end-to-side neurorrhaphies to import myelinated motor fibers to the paralyzed muscles of facial expression in the midface and perioral region. Cross-face nerve grafting provides the potential for true spontaneous facial motion. We feel that the synergy created by the combination of techniques can perhaps produce a more symmetrical and synchronized smile than either procedure in isolation.Nineteen patients underwent an orthodromic temporalis muscle flap in conjunction with cross-face (buccal-buccal with end-to-side neurorrhaphy) nerve grafts. To evaluate the symmetry of the smile, we measured the length of the two hemilips (normal and affected) using the CorelDRAW X3 software. Measurements were obtained in the pre- and postoperative period and compared for symmetry.There was significant improvement in smile symmetry in 89.5 % of patients.Orthodromic temporalis muscle transfer in conjunction with cross face nerve grafts creates a synergistic effect frequently producing an aesthetic, symmetric smile.This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.spinger.com/00266.

A multisensor, multitemporal approach for monitoring herbaceous vegetation growth in the Amazon floodplain

The Amazon River floodplain is an important source of atmospheric CO2 and CH4. Aquatic herbaceous vegetation (macrophytes) have been shown to contribute significantly to floodplain net primary productivity (NPP) and methane emission in the region. Their fast growth rates under both flooded and dry conditions make herbaceous vegetation the most variable element in the Amazon floodplain NPP budget, and the most susceptible to environmental changes. The present study combines multitemporal Radarsat-1 and MODIS images to monitor spatial and temporal changes in herbaceous vegetation cover in the Amazon floodplain. Radarsat-1 images were acquired from Dec/2003 to Oct/2005, and MODIS daily surface reflectance products were acquired for the two cloud-free dates closest to each Radarsat-1 acquisition. An object-based, hierarchical algorithm was developed using the temporal SAR information to discriminate Permanent Open Water (OW), Floodplain (FP) and Upland (UL) classes at Level 1, and then subdivide the FP class into Woody Vegetation (WV) and Possible Macrophytes (PM) at Level 2. At Level 3, optical and SAR information were combined to discriminate actual herbaceous cover at each date. The resulting maps had accuracies ranging from 80% to 90% for Level 1 and 2 classifications, and from 60% to 70% for Level 3 classifications, with kappa values ranging between 0.7 and 0.9 for Levels 1 and 2 and between 0.5 and 0.6 for Level 3. All study sites had noticeable variations in the extent of herbaceous cover throughout the hydrological year, with maximum areas up to four times larger than minimum areas. The proposed classification method was able to capture the spatial pattern of macrophyte growth and development in the studied area, and the multitemporal information was essential for both separating vegetation cover types and assessing monthly variation in herbaceous cover extent.

High-intensity resistance training attenuates dexamethasone-induced muscle atrophy

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Evidence for the monoclinic-tetragonal phase coexistence in Pb(Zr(0.53)Ti(0.47))O(3) thin films

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Mites and leaf domatia: no evidence of mutualism in Coffea arabica plants

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Evidence for production of single top quarks

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Spectroscopy properties and energy level location of Gd(2)O(2)S:Pr(3+),Ce(3+)

In this work we propose the study of the spectroscopy properties and the energy level location of Ce(3+) and Pr(3+) in Gd(2)O(2)S, along with the effects of Ce(4+) (Ce(2)O(2)S(2)) incorporation in Gd(2)O(2)S and Gd(2)O(2)S: Pr(3+) in order to understand the formation and position of the associated defects energy levels in relation to the band structure of Gd(2)O(2)S and Pr(3+) energy levels. Ce-, Pr(3+)-doped and Pr(3+), Ce-doped Gd(2)O(2)S were prepared by the sulfidization of a basic gadolinium carbonate with S(8) using H(2)/N(2) (3.0/97.0%) and air during the firing of the precursor. Samples were analyzed by X-ray diffraction in order to guarantee the formation of the Gd(2)O(2)S single phase. Diffuse reflectance spectroscopy and luminescent measurements (emission/excitation) were used to locate Ce(3+), Pr(3+) and defects energy levels in relation to the band structure of Gd(2)O(2)S. (C) 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim