Perda dentária em uma população rural e as metas estabelecidas pela Organização Mundial de Saúde

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

Fatores determinantes da carga de trabalho em uma unidade básica de saúde

As doenças decorrentes do exercício pro-fissional, sejam de ordem física ou emocional, têm apresentado aumento crescente na sociedade atual, nos diferentes segmentos laborativos, com projeção significativa junto aos profissionais da saúde como médicos, dentistas, enfermeiros, auxiliares de enfermagem e auxiliares administrativos envolvidos com a prestação de serviços nas unidades de saúde. Este estudo teve por objetivo conhecer a carga de trabalho e seus fatores determinantes, buscando identificar possíveis relações entre as condições de trabalho e o possível impacto para a saúde dos trabalhadores. Participaram da amostra 31 indivíduos: 12 médicos, 3 dentistas, 1 enfermeira, 9 auxiliares de enfermagem, 3 auxiliares odontológicos e 3 auxiliares administrativos de uma Unidade Básica de Saúde (UBS) no interior de São Paulo. Para a coleta dos dados foi elaborado um roteiro de entrevista estruturado e realizadas reuniões com os grupos específicos para uma descrição detalhada das atividades realizadas em cada setor e o levantamento de problemas e de características desejáveis. Os resultados indicam a presença de carga física, carga cognitiva e carga psíquica; processo de comunicação inadequado; equipamentos obsoletos; número excessivo de usuários e estrutura frágil para lidar com absenteísmo.

Conhecimentos de professores sobre perda auditiva e suas atitudes frente á inclusão

OBJETIVOS: verificar os conhecimentos dos professores sobre a perda auditiva, suas opiniões sobre a educação de alunos com esse tipo de privação sensorial e também conhecer suas atitudes frente à proposta da inclusão. MÉTODOS: participaram desta pesquisa quatro grupos de professores do ensino fundamental, com e sem experiência com aluno com perda auditiva. Os instrumentos utilizados na coleta de dados foram a Escala Lickert de Atitudes Sociais em Relação à Inclusão (ELASI) e um questionário. Comparações entre os resultados de diferentes grupos, por meio de provas estatísticas apropriadas, foram feitas, sempre que a natureza dos dados o recomendava. RESULTADOS: os professores de 1ª a 4ª séries, com e sem experiência com alunos com perda auditiva, apresentaram respostas semelhantes com referência às atitudes sociais acerca da inclusão, tanto na dimensão ideológica quanto na operacional. Professores de 5ª a 8ª séries, com e sem experiência com alunos com perda auditiva, apresentaram respostas semelhantes nos itens ideológicos, porém divergiram nos itens operacionais. em relação aos conhecimentos, os grupos de professores com experiência não apresentaram conhecimentos diferenciados sobre aspectos relativos à perda auditiva, quando comparados com os grupos de professores sem experiência, e todos os grupos enfatizaram os aspectos comunicativos. CONCLUSÃO: a análise revela que os dados provenientes de diferentes instrumentos se complementam e sugerem que os professores são ideologicamente favoráveis à inclusão, entretanto, não têm conhecimentos suficientes para operacionalizar tal proposta.

Aplicação do teste SSW em indivíduos com perda auditiva neurossensorial usuários e não usuários de aparelho de amplificação sonora individual

OBJETIVO: comparar o desempenho de pacientes usuários e não usuários de AASI, por meio do teste SSW. MÉTODO: o estudo foi realizado em 13 sujeitos com idade entre 55 e 85 anos, com perda auditiva bilateral, sendo seis usuários de prótese auditiva bilateral e sete não usuários de prótese auditiva. O teste de processamento auditivo aplicado foi o teste de reconhecimento de dissílabos em tarefa dicótica SSW. Foi realizado um tratamento estatístico feito por meio da técnica Bootstrap e do Teste de Hipótese Kolmogorov-Smirnov. RESULTADOS: o grupo de usuários apresentou melhor desempenho nas condições estudadas do que o grupo de não usuários, principalmente nas condições competitivas. CONCLUSÃO: os resultados obtidos nessa pesquisa apontam para a eficácia do uso do AASI na melhora da compreensão de fala da população estudada, não somente pela compensação da perda auditiva periférica, mas também pela interferência no processo de envelhecimento do sistema nervoso auditivo central.

Perda endógena e exigência de fósforo para mantença de cabritos Saanen

O trabalho foi conduzido com o objetivo de avaliar os efeitos da ingestão de rações com diferentes níveis de fósforo, por cabritos em crescimento, sobre a perda endógena fósforo. Dezoito animais da raça Saanen, machos, castrados, com 4 a 5 meses de idade, peso vivo médio de 25 ± 1,2 kg, foram alojados, por 45 dias, em gaiolas de metabolismo. Os animais receberam rações com três níveis de P (0,08; 0,15; e 0,38% na matéria seca) e semelhantes níveis de proteína bruta, energia metabolizável e relação Ca:P. Após 38 dias de fase pré-experimental, os animais receberam injeção (0,5 mL) com 7,4 Mbq de 32P (Na2HPO4 - livre de carregador), via jugular esquerda. Foram coletados sangue, fezes, urina e sobras das rações. Utilizou-se delineamento inteiramente casualizado, fazendo-se a análise de regressão para o P ingerido. A ingestão média de P variou de 20,9 a 132,3 mg P/kg PV/dia e influenciou a excreção de P fecal. A quantidade de P endógeno variou de 7,6 a 45,4 mg/kg PV/dia e foi também influenciado pela ingestão de matéria seca e P inorgânico no plasma. A exigência líquida de mantença para os caprinos estudados foi de 6,87 mg/kg PV/dia.

Avaliação da carga parasitária de helmintos e protozoários em bezerros manejados em sistema orgânico

The objective of this study was to evaluate the influence of helminths eggs and protozoan oocysts elimination in calves' feces kept in organic system production. The study was conducted from January 2008 to December 2009. Coproparasitological examinations were carried biweekly of 18 calves in pastures rotating system on Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA) Agrobiology. The egg counting average data had been submitted to the Kruskal Willis test and the larvae counting percentile values to the qui-square test. The average counting of eggs per gram of faces (EGF) varied of 250 the 800, characterizing low and moderate infection. Animals with inferior age the six months had presented superior results of EGF (P <.05) to the ones of between six and twelve months age. The biggest degrees of infection had been observed in the late spring and summer. In the fecal examinations was identified the following helminths: Haemonchus (73%), Trichostrongylus (24%) and Oesophagostomum (3%). The practical handling adopted in organic system production had been capable to keep the animals in moderate levels of infection, being indicated that it had helmintoses control in rotating system of pastures.

Influência da pós-carga sobre a taxa de variação da tensão desenvolvida (dT/dt). Estudo em músculo cardíaco isolado.

PURPOSE: To evaluate the effects of afterload on peak rate of tension rise (dT/dt) in the isolated muscle. METHODS: Left ventricular papillary muscles from Wistar rats were studied in isometric and isotonic afterloaded contractions. Muscles were analised in Krebs-Henseleit solution with calcium concentration of 2.52mM at 28 degrees C. The resting muscle length (preload) was maintained constant. The peak isometric developed tension (DT) and dT/dt were measured during increases of afterload (25, 50, 75 and 100% from DT). RESULTS: A rise in afterload corresponding to 50, 75 and 100% of DT, did not cause an increase in dT/dt values (p > 0.05). The dT/dt value decreased (p < 0.05) when afterload was changed from 75% to 25% of DT. CONCLUSION: The data suggest that an increase in the afterload from 50% of the DT did not promote changes in the dT/dt.

Influencia da Carga no Comportamento quanto ao Desgaste de um Aco ABNT-1020 Bifasico Revenido a 450°C

The wear rate of the dual-phase steel ABNT-1020 tempered at 450°C sliding against cemented steel ABNT-1020 in function of load value is investigated in wide load range. The alteration in behavior of this function at intermediate load level, like in the case of low hardness steel sliding against high hardness steel, is observed. The analysis by scanning electronic microscope before and after this alteration showed a change of wear mechanism from plastic displacement to embrittlement.

Control preventivo dinamico de sistemas de energia electrica usando redespacho de generacion y corte de carga

A model for preventive control in electrical systems is presented, taking into account the dynamic aspects of the network. Among these aspects, the effects provoked by perturbations which cause oscillations in synchronous machine angles (transient stability), such as electric equipment outages and short circuits, are presented. The energy function is used to measure the stability of the system using a procedure defined as the security margin. The control actions employed are load shedding and generation reallocation. An application of the methodology to a system located in southern Brazil, which is composed of 10 synchronous machines, 45 busses, and 72 transmission lines. The results confirm the theoretical studies.

Metabolismo oxidativo de neutrófilos em ovelhas naturalmente infectadas por nematódeos gastrintestinais e correlação entre nível sérico de cortisol e carga parasitária

The relationships between neutrophils oxidative metabolism, cortisol serum levels and worm burden, estimated by fecal egg count (EPG), were studied in sheep naturally infected by gastrointestinal parasites at the end of pregnancy, during lactation, and after weaning. Twenty-two Suffolk sheep three to four year old, of same parity and season of parturition were used. Serum cortisol was determined by radioimmunoassay and the neutrophils oxidative metabolism by the nitroblue tetrazolium (NBT) reduction test. The highest EPG values were observed on the fifth week of lactation while the highest rates of cortisol and reduction of NBT occurred on the fourth week after weaning. A positive correlation (r = 0.52; P<0.01) was observed between the neutrophils capacity to reduce the NBT and the serum cortisol concentration in the pre-parturition period. Otherwise, the neutrophils oxidative metabolism decreased near to the parturition. A negative correlation (r = -0.39; P<0.01) between EPG and NBT reduction test was observed after weaning, which was coincident with the increase in the neutrophils capacity to reduce NBT, indicating that animals showing better immune response after weaning have neutrophils with higher oxidative metabolism and lower worm burden.

Parâmetros geotécnicos e previsão da capacidade de carga de estacas apiloadas em solo tropical arenoso obtidos com o Pressiômetro Ménard

This paper presents and discusses Ménard Pressuremeter test results used to predict bearing capacity of pounded piles installed in a tropical sandy soil. Fifteen pre-bored pressuremeter tests were carried out at the Experimental Research Site from Unesp - Bauru up to 15 m depth, one test per meter. Several laboratory and in situ tests were carried out in this research site as well as load tests on plates and on piles. Pressuremeter test results were firstly analyzed to determine geotechnical soil parameters based on empirical methods, emphasizing the estimative of the earth pressure coefficient at rest (K0). After that, bearing capacity prediction of pounded piles with 4 m, 7 m and 10 m were made and compared with test results from instrumented load tests. Pressuremeter test results allowed a very good estimative of bearing capacity for the pile with 4 m length and underestimated in 25,7% and 20,0% the bearing capacity for the pile with 7 and 10 m length, respectively. The back analysis of the test results suggests that the appropriate value for the bearing capacity factor for the tested soil-pile system on this soil is equal to 2.

Efeito da cadência de pedalada sobre as respostas metabólica e cardiovascular durante o exercício incremental e de carga constante em indivíduos ativos

The main purpose of this study was to analyze the effect of the pedaling cadence (500 × 100 rpm) on the heart rate (HR) and the blood lactate response during incremental and constant workload exercises in active individuals. Nine active male individuals (20.9 ± 2.9 years old; 73.9 ± 6.5 kg; 1.79 ± 0.9 m) were submitted to two incremental tests, and to 6-8 constant workload tests to determine the intensity corresponding to the maximal steady state lactate (MLSSintens) in both cadences. The maximal power (Pmax) attained during the incremental test, and the MLSSintens were significantly lower at 100 rpm (240.9 ± 12.6 W; 148.1 ± 154.W) compared to 50 rpm (263.9 ± 18.6 W; 186.1 ± 21.2 W), respectively. The HRmax did not change between cadences (50 rpm = 191.1 ± 8.8 bpm; 100 rpm = 192.6 ± 9.9 bpm). Regardless the cadence, the HRmax percentage (70, 80, 90, and 100%) determined the same lactate concentrations during the incremental test. However, when the intensity was expressed in Pmax percentage or in absolute power, the lactate and the HR values were always higher at highest cadences. The HR corresponding to MLSSintens was similar between cadences (50 rpm = 162.5 ± 9.1 bpm; 100 rpm = 160.4 ± 9.2 bpm). Based on these results, it can be conclude that regardless the cadence employed (50 × 100 rpm), the use of the HR to individualize the exercise intensity indicates similar blood lactate responses, and this relationship is also kept in the exercise of constant intensity performed at MLSSintens. On the other hand, the use of the Pmax percentages depend on the cadence used, indicating different physiological responses to a same percentage.

Sobredentadura inmediata y con carga tardía: Revisión de la literatura

The oral rehabilitation of the patients toothless totals presents large difficulties, because diverse factors act limiting the treatment with complete dentures conventional, as severe reabsorption of the alveolar process, generating for the phonetic patient difficulties and of mastication, annoyance, retention lack and stability of the prosthesis. With the emergence of you implant them osseointegratin idealized by Prof o Branemark, these aspects were improved by means of the possibility of new treatment options, as the overdentures tissue-implant-supported. However, the protocol of Branemark demanded a period of scaring from three to six months, owing the patients to await this time for the placement of the final prosthesis. This way, the surgical technique of immediate load was proposed to abbreviate this period, improving the transition phase, at the same time that it reduces the problems psychological associates. This way, the objective of the present study is to carry out a literature revision about the works that used overdentures comparing immediate and late load, the best alternative and factors wrapped in the success of the procedure discussing. © 2008 1995, Editorial Ciencias médicas.

Os efeitos de um programa de atividade física de carga progressiva nas propriedades físicas e na força óssea de ratas osteopênicas

Background: Many studies have shown that physical exercises are able to stimulate bone formation and increase bone mass, constituting a therapeutic modality to treat bone loss due to osteoporosis. However, some points about the intensity, duration and frequency of the exercises remain confusing and contradictory. Thus, the aim of this study was to determine the effects of a progressive loading exercise program on femur of osteopenic rats. To induce osteopenia we used the animal model of ovariectomy (OVX). Forty animals was studied and divided into 4 groups: sham-operated sedentary (SS); ovariectomy-sedentary (OS); sham-operated training (ST) and ovariectomy training (OT). The trained groups performed jumps into water: 4 series of 10 jumps each, with an overload of 50% to 80% of the animal's body weight, during 8 weeks. Femora were submitted to a physical properties evaluation, a biomechanical test, calcium and phosphorus content measurement and a morphometric histological evaluation. Results: osteopenic animals showed a decrease of bone strength and lower values of bone weights, bone density and calcium content. The exercised osteopenic rats showed higher values of geometrical, physical properties, bone strength and calcium content compared to controls. The results of the present study indicate that the progressive loading exercise program had stimulatory effects on femora of osteopenic rats. It seems that the intensity and duration of the protocol used produced bone structural adaptations, which contributed to reverse bone loss due to ovariectomy.

Interação entre grau de perda auditiva e o incômodo com zumbidos em trabalhadores com história de exposição ao ruído

Hearing loss and tinnitus impact the lives of workers in every instance of their lives. Aim: this paper aims to investigate the existence of a dose-response relationship between hearing loss and tinnitus by determining whether higher levels of hearing loss can be associated with increased tinnitus-related discomfort. Materials and method: this cross-sectional case study assessed 284 workers exposed to occupational noise through pure tone audiometry. Test results were categorized as defined by Merluzzi. Individuals complaining of tinnitus answered the adapted and validated Brazilian Portuguese version of the Tinnitus Handicap Inventory. A generalized linear model was adjusted for binomial data to test the interaction between these factors. Results: over 60% of the ears analyzed had hearing loss, while more than 46% of them had tinnitus. Tinnitus prevalence and risk rates increased as pure tone audiometry results got worse. The association between both, considering all hearing loss degrees, was statistically significant. Conclusion: the results point to a statistical association between hearing loss and tinnitus; the greater the hearing loss, the greater the discomfort introduced by tinnitus. 2009 © Revista Brasileira de Otorrinolaringologia.