99 resultados para reabilitação vestibular


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INTRODUÇÃO: A paralisia facial periférica (PFP) consiste no acometimento do sétimo nervo craniano, de forma aguda, podendo ser precedida por dor na região mastoidiana e resultando em paralisia completa ou parcial da mímica facial. É, na sua grande maioria, de causa idiopática ou apresenta diversas etiologias como diabetes mellitus, hipertensão arterial, herpes zoster, viroses, otites médias, infecções (lepra, sífilis, doença de Lyme), sarcoidose, traumatismo e tumores. Apesar da paralisia facial periférica ter sido descrita em 1821, por Sir Charles Bell, ainda hoje existe muita controvérsia a respeito da etiologia e tratamento. A incidência da PFP encontra-se entre 20 a 30 casos por 100 mil habitantes, com prevalência ligeiramente maior entre as mulheres. Baseado nessas premissas, este estudo teve por objetivo avaliar a evolução de pacientes com paralisia facial periférica submetidos a um protocolo de reabilitação. METODOLOGIA: No estudo foram incluídos 30 pacientes com diagnóstico de paralisia facial periférica idiopática, atendidos no Centro de Estudos e Reabilitação em Fisioterapia (CEAFIR), da FCT-UNESP, campus de Presidente Prudente. O presente estudo adotou como procedimento fisioterapêutico os protocolos I, II, III e IV. Antes de realizar qualquer técnica, abaixo mencionada, foi explicado ao paciente cada passo, para evitar surpreendê-lo. Conforme os pacientes apresentassem melhora e evoluções nas reavaliações elétricas, foram feitas recomendações de exercícios para mímica facial, em frente ao espelho. As repetições eram aumentadas gradativamente, posteriormente os mesmos exercícios, mas agora ativos resistidos. RESULTADOS: Os valores das variáveis reobase, cronaxia e acomodação, nos garantem que o protocolo usado permite avaliar a condução nervosa do facial, o grau de evolução da condução nervosa, bem como acompanhar... (Resumo completo, clicar acesso eletrônico abaixo)

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This paper attempts to quantify the occurrences of verb agreement, as well as evaluative repercussions on a sample of one hundred and eight essays compiled by candidates entering the São Paulo State University- UNESP in 2006 through an annual entrance exam conducted by the Foundation and applied for Vestibular the Unesp - VUNESP in November 2005. Our reflections are observing about the possible relationships between the performances obtained in newsrooms observed (high, medium and low) and precepts found in the rules established by normative grammars. Our study is based on theoretical and methodological framework of variationist sociolinguistics and search through the quantification of data, discuss the factors that influence verb agreement in the corpus analyzed. Our results show not only a high index of cases of verbal agreement (standard variant) in the three types of essays analyzed, as well as cases of overcorrection that may be explained by the misapplication of the rules of agreement

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This work has as a central concern in analyze the causes of the still limited access of young Brazilians to public higher education in socioeconomic and cultural.In Brazil, onçy 14,4% of the young between 18 and 24 years old attend this educational level.If we consider that the public university offer just 1/4 of the vacancies, can be affirmed that this institutions are not able to attend neither 4% of the young between 18 and 24.Brazil shows,in this level of education,a lower access that most of its neighbors: Argentina(40%), Venezuela(26%), Chile(20%),Bolivia(20%).In this work were analyzed the data reports of entrance exam of Universidade Estadual Paulista (Unesp) entre 2004 e 2009,prepared by Fundaçao para o Vestibular da Universidade Estadual Paulista(Vunesp). In this analysis,can be noted the influence of some aspects socioeconomic and cultural related to possibilities os the young acces to public univercity. Stand out among these: family income,the possibility to dadicate only to studies and attend preparatory courses,as well as the parents level of education.

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The aim of the research that originated this article was the analysis of the social trajectory of students from a public preparatory course and the verification of their expectations about higher education. Data collection was based on a questionnaire with open and closed-ended questions and a semi-structured interview, based on the models used by Muzzetti (1997). Data were analyzed by the elaboration of thematic charts. Based on the researches conducted by Pierre Bourdieu (1997, 2007), this research concluded that the students understand that schooling is, besides being a viable alternative in the search for social ascension, the redeeming of social ills. Profession choice based on natural talent or divine gift generate expectations which attest the lack of knowledge about the school system by students and their parents, which is reinforced by the belief in opportunity equality.

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

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This article is based on the sociological and historical approach of the origin of the university entrance exams in Brazil and shows the preparatory courses (preps) expanding simultaneously as a strategy of the lower and middle classes to get their children into university. Thus, the paradox of an antipedagogical practice becomes an essential condition for students to have access to prestigious university courses, what justifi es the historical movement by the lower and middle classes to appropriate this practice.. We propose that measures are taken to improve the results of important affi rmative actions that aim to enable students to enter university, as well as highlight Professional Guidance as a necessary resource which constitutes a new challenge in this fi eld of action.

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The early tooth loss and periodontal disease often leave inadequate bone volume for installation of osseointegrated implants. The autogenous bone graft is considered the gold standard for reconstruction of residual bone defects. Some surgical techniques can be performed, including extra or intraoral donor sites depending on the degree of bone loss, depending on surgical-prosthetic planning and general condition of the patient. The intraoral bone grafts offer a safe option to rebuilt bone volume in smaller rehabilitations, with low morbidity and minimal postoperative discomfort. Among the possible donor sites, the mandibular ramus and body, which offer predominantly cortical bone, and the chin area, which offers corticomedullary bone tissue, can be harvested. The graft will be suitable both in quantity and quality, preserving the capacity of osteogenesis, osteoinduction and osteoconduction, which differentiate autogenous grafts from other biomaterials. The aim of this study was to report a clinical case in which the mandibular ramus graft was used for total reconstruction of an edentulous maxilla, showing that even large areas can be reconstructed with grafts from intraoral origin. All the steps that allowed the complete reconstruction of the maxilla done by an intraoral donor area are listed in the text, culminating in an extremely satisfactory clinical result.

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Osteodistraction is a clinical reality, available in the last decades for the resolution of large bone deficiencies, in cases that there are pre-existing, but misplaced implants and teeth. The aims of thearticle is to present a case report in which a new possibility for bone distraction, based on tooth-implant bone distractors, made from standard orthodontic expansion-screws, was used in an area where there was an extensive need of alveolar bone and aesthetical recovery, allied to teeth and dental implant misplacement. This technique presented good clinical results, associated to effective simplicity and low cost, becoming viable clinical solution for bone tissue augmentation and aesthetical optimization. In resume, it is possible to say that the suggested technique achieved its objectives, improving the hard and soft tissue profile, whilst allowing completion of oral rehabilitation.

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Introdution: Tooth extraction results in alveolar ridge resorption due to the progressive reabsorption, which frequently is a limitating factor of dental implants treatment, in function of the insufficient bone height for execution, could be indicated the use of grafts for increase of the alveolar edge. However, the success of the bone graft requests the meticulous attendance of the clinical stages. Proposition: The objective of this research was to evaluate the postoperative complications associated to the autogenous bone grafts. Materials and Methods: Through a random retrospective analysis, 90 file records of patients submitted to the surgical procedure of autogenous bone graft in the period of January from 2000 to the March of 2008. A clinical record was elaborated with base in the necessary data for this evaluation. Results: About the file data analysis, 59 female with average of 49,42 years and 31 male with average of 47,90 years. The previous diseases most related were arterial hypertension, stomachache and diabetis. The smokers was noticed in 13,3% of patients. The donor site most used was a mandibular ramus. The postoperative complications in receiving area represented 17,8% of file datas analysed and in the donor site only one patient showed parestesis. Conclusion: Among the total analyzed files it was observed that the postoperative complications associated with the autogenous bone grafts represented 18,9% of the patients submitted to the procedure, more frequently affecting the receiving area, obtaining partial exposure of the bone graft and absence of inserted gingiva on vestibular cortical bone.

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The Combination Syndrome represents an important pathologic condition of the masticatory system that requires a complex rehabilitation treatment. The presence of flaccid mucosa is one of the most common features due to bone resorption of the pre-maxilla caused by anterior hyperfunction of the mandibular teeth on the maxillary complete denture, where the impact of oclusal loading in this region results in movement of the maxillary prosthesis into the ridge, resulting in increased resorption of the residual ridge, internal misfit and loss of the retention of the maxillary complete denture. The presence of flaccid mucosa, in such cases, leads to problems of support and stability of the maxillary complete denture, which can be treated by surgical reduction of the thickness of the tissue or using specific techniques of fabrication of prostheses. This article describes the oral rehabilitation of a patient with the Combination Syndrome where the surgical reduction of flaccid mucosa was not performed, using a modified technique of functional impression in two steps, with the objective of generating forces and less distortion in flaccid mucosa during functional impression.