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.

Chronic Suppurative Otitis Media in Cleft Palate: Microorganism Etiology and Susceptibilities

Objective: To investigate the microbial etiology of suppurative chronic otitis media (SCOM) in patients with complete cleft lip and palate and isolated cleft palate and to determine the sensitivity of isolated microorganisms to antibiotics by drug diffusion from impregnated discs in agar and the minimum inhibitory concentration of each drug to these microorganisms by drug dilution in agar.Design/Patients: Effusion samples of SCOM obtained from 40 patients with cleft lip and palate registered at the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, at Bauru, Brazil, were bacteriologically analyzed by cultures. The isolated bacteria were submitted to an in vitro susceptibility test to clinically used drugs.Results: Positive cultures were obtained in 100% of studied cases. Among the 57 strains observed, the most frequent were Pseudomonas aeruginosa (35%), Staphylococcus aureus (15.5%), Enterococcus faecalis (14%), and Proteus mirabilis (12%). The frequency of Gram-negative bacilli (enterobacteriaceae and nonfermentative bacilli) was 67%. Pseudomonas aeruginosa presented the highest sensitivity to ciprofloxacin, and enterobacteriaceae exhibited the highest sensitivity to gentamicin. The strains of S. aureus and E. faecalis presented the highest sensitivity to imipenem and sulfamethoxazole/trimethoprim, respectively.Conclusion: Patients with cleft lip and palate presenting with SCOM exhibited 100% positive cultures, with the highest frequency of Pseudomonas and enterobacteriaceae. With regard to the action of antibiotics, imipenem was effective against the four species of isolated microorganisms, followed by ciprofloxacin, which was effective against 75% of isolated species.

Oral-Facial-Digital Syndrome Type 1: Oral Features in 12 Patients Submitted to Clinical and Radiographic Examination

Objective: To evaluate the oral features in individuals with oral-facial-digital syndrome type 1 (OFD 1), previously diagnosed by the Genetic Sector of the Hospital of Rehabilitation of Craniofacial Anomalies of the University of São Paulo (HRAC-USP).Design: Twelve patients with OFD 1 were examined clinically and radiographically; their medical files were also evaluated.Results: Associated oral malformations were observed in all patients (100%). The most frequent findings were tongue hamartomas, multiple buccal frena, asymmetric lips, asymmetric tongue, and bilateral maxillary gingival swelling. Interestingly, atrophy of the maxillary midline frenum was also observed in all the individuals examined.Conclusions: Several extra and intraoral alterations were observed in patients with OFD 1. The authors suggest the inclusion of atrophy of the maxillary midline frenum as a commonly found characteristic of OFD 1.

Desarrollo ontogénico de plántulas de Guazuma ulmifolia (Sterculiaceae)

Guazuma ulmifolia is as popular reforestation tree all over Latin America. It is characteristic of the initial stages of the secondary sucession and presents potential utility in the restoring of degraded areas. There is no information about fruit, seed and seedling morphology, which is of fundamental importance for identification, extraction, management and seed germination as well as for the characterization of post-seminal development and normal seedling pattern. To obtain such information, external fruit, and external and internal seed structures were studied considenng shape, size, micropile and embryo localization, and tegumentar structures. All stages of this work were conduced in the Universidade Estadual Paulista (UNESP), Campus of Jaboticabal city. The fruits were collected in a mixed plantation in Jaboticabal city, State of São Paulo, Brazil. For the biometric study eight repetitions of ten fruits and eight repetitions of 100 seeds were utilized. For seed internal traits study, 50 seeds were drenched in a distiled water, cut, and observed with a scanning electron microscope and a stereomicroscope. For post-seminal study ten repetitions of seven seeds were scarificated chemically with sulphuric acid during 50 min, and placed to germinate in a culture medium, at 30°C, and eight hours of photoperiod. We found elipsoid, woody, indehiscent, pentacarpelar fruits, with a mean lenght of 22.61 mm (diameter 24.88 mm) and 64.0 seeds per fruit. Seed shape varies, mean length is 3.07 mm (width of 2.36 mm).The seed is bitegumented, tegmic, with a continuous, axial and curved embryo. The germination is epigeal and the seedlings are fanerocotiledoneus. Drawings of all stages are included.

Naso-orbicular tissue necrosis by Streptococcus parasanguis in a patient with Fanconi anemia: Clinical and laboratory aspects

Fanconi anemia (FA) is a rare autosomal recessive disorder, characterized by pancytopenia and progressive hypoplasia of the bone marrow. A 23-year-old woman with FA showed severe pancytopenia and developed an abscess on the infraorbicular region on the right side of the face that progressed to phlegmon and caused tissue necrosis of the nostrils, nasal septum, nasal fossa, and posterior orbital region. Laboratory examination showed Streptococcus parasanguis as the etiologic agent of the phlegmon. Supportive treatment was recommended due to donor incompatibility for bone marrow transplant. The intraoral examination showed spontaneous gingival bleeding, edema of the interdental papillae, hematomas on the superior and inferior lips, bacterial and fungal infections, and adequate oral hygiene. The patient was treated with the administration of an antibiotic (imipenem), an antifungal (amphotericin B), and mouth washing with antiseptic solutions. Periodontal prophylaxis and orientation to and control of oral hygiene and diet were also used during the remission period. For functional and esthetic rehabilitation of the alar regions and nasal dorsum, an acrylic resin nasal prosthesis was made, supported by a spectacle frame.

Diagnóstico de uma área compactada por atividade minerária, na floresta amazônica, empregando métodos geoestatísticos à variável resistência mecânica à penetração do solo

A quite common problem in the recovery of degraded areas in the mineral exploration understands the compaction of the soil due to the intense traffic of machines and earth movement. The most common problem of the compaction of a degraded surface is: increase of the mechanical resistance to the penetration of the rooats, reduction of the aeration, alteration of the water flow and heat. Thus the present work had the basic objective of diagnosing the compaction of a degraded area by mining in a space way, through the mechanical resistance the way penetration to guide a future subsoiling in the place seeking recovery. Through the studies it was concluded that the kriging method in agreement with the space variation allows the division of the area studies in sub areas facilitating a future work to reduce cost and unnecessary interference to the atmosphere. The method was shown quite appropriate and it can be used in diagnosis of the compaction in a degraded area by mining, foreseeing subsoiling need.

A new device in immediately loaded implant treatment in the edentulous mandible

Purpose: This article reports preliminary clinical results of the Speed Master system, a method for immediate loading of implants for the treatment of mandibular edentulism. Materials and Methods: Fifteen patients with edentulous mandibles were consecutively included in the study. Each received 4 implants between the mental foramina placed using the system's surgical guides. Permanent fixed prostheses fabricated over premanufactured titanium bars were attached to the implants on the day of implant placement. The patients were followed for 15 to 27 months (mean, 19 months). Peri-implant tissues were periodically evaluated. Marginal bone loss was monitored with periapical radiographs using a computerized technique. Satisfaction was assessed by means of a questionnaire. Results: The overall implant and prosthetic survival rates were 100%. At the time of the final follow-up visit, mean marginal bone loss was 1.11 mm, and bleeding on probing was not observed. Only 6.7% of the patients reported any discomfort during treatment, and all patients would recommend the procedure to others. Discussion: The immediate loading of implants placed in the edentulous mandible with the Speed Master surgical and prosthetic protocol reduces treatment time and number of surgical procedures in comparison to classic delayed loading protocols. Conclusion: The rehabilitation of the mandible with an immediately delivered occlusally loaded hybrid prosthesis supported by 4 implants does not appear to jeopardize the success of the osseointegration and represents a viable treatment option.

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.

Ossificação da sutura palatina mediana após o procedimento de expansão rápida da maxila: Estudo radiográfico

Objective: the current study aims at following up radiographically the evolution of the midpalatal suture during the expansion procedure since the opening of the suture until bone formation. Methods: the sample comprised 38 patients in the mixed dentition stage submitted to the rapid palatal expansion protocol of the Hospital for Rehabilitation of Craniofacial Anomalies. Results: it was observed an individual variation on the period of bone ossification of the midpalatal suture, which justifies the radiographic follow-up as determinant for the appliance removal. Due to long-term post-treatment stability, the expander should be removed after the new suture is completely formed. Conclusions: the findings show that it is necessary more than three months for the complete reorganization of the midpalatal suture during the passive phase of the rapid palatal expansion.

Técnicas de confección de prótesis facials

Facial prostheses are a integral part of rehabilitation of patients underwent face damages, being of pathologic, traumatic or congenital origin. Although success of treatment with facial prostheses is associated with artistic ability of professional to reproduce lost structures, we can not to obviate the good adaptability of prostheses regards association of material and techniques used to make buccomaxillofacial prostheses.

Overdenture as a restorative option for hypocalcified-hypoplastic amelogenesis imperfecta: a case report.

AIM: The aim of this report is to describe the restorative treatment of an 18-year-old patient diagnosed with autosomal recessive hypocalcified-hypoplastic amelogenesis imperfecta (AI). BACKGROUND: Esthetic and functional rehabilitations in AI cases are challenging and should consider individual aspects, such as age, socioeconomic status, AI type, and intraoral condition. REPORT: AI was diagnosed in an 18-year-old patient. SUMMARY: Considering the short length of crowns and roots, patient life expectancy, minimal invasiveness, amount of treatment time required, and lower costs, oral rehabilitation with overdentures provided an adequate functional and esthetic rehabilitation of the patient. CLINICAL SIGNIFICANCE: This report demonstrated overdentures to be a viable, relatively inexpensive, and non-invasive treatment choice of a patient with AI with concerns about treatment longevity, invasiveness, cost, esthetics, and long-term maintenance.

El ejercicio físico y su prescripción en pacientes con enfermedades crónicas degenerativas

Chronic degenerative diseases constitute one of the main causes of death at a global level, and their significant increase has alerted many countries, which are taking measures to reduce risk factors, some of which are modifiable; being the regular exercise a means of prevention and rehabilitation of these diseases. The objective of this revision is to analyze the necessary parameters to take into account for the prescription of an exercise program in patients with obesity, high blood pressure dyslipidemia and diabetes mellitus type 2.

Quebra de dormência em sementes de Sesbania virgata (Cav.) Pers

Forest species with hard seeds often pose considerable problems to nursery managers because their hard and impermeable seed coats hinder and delay germination. Therefore, this work aimed to determine the most efficient, practical and low cost methodology to overcome dormancy in Sesbania virgata (Cav.) Pers. Seed, a specie with potential for recovery of degraded areas. The seeds were submitted to chemical scarification by immersion in sulfuric acid during a period of 5, 10, 20 and 30 minutes, mechanical scarification and heat treatment. After the scarification the seeds were submitted to germ test in germination chambers at 25oC and photoperiod of 14 h. Treatment with mechanical scarification showed the highest germination percentage (98%), followed by chemical scarification for 30 minutes (57%). The heat treatment in spite of obtaining a higher germination percentage than the controls had abnormal development of seedlings and is not therefore recommended for seeds of S. virgata. From the parameters utilized in this study, we recommend the use of the mechanical scarification to overcome dormancy of S. virgata seeds.

Aplicação de técnica de geoprocessamento em áreas degradadas de mata ciliar e sua correlação com qualidade da água numa subbacia hidrográfica

Studying the physical environment of a watershed is the basic condition for a successful planning of the riparian forest preservation, and for water production and conservation. The aims of the present study were to analyze and quantify the spatial and temporal evolution (1984 and 2010) using Landsat-5 satellite images of Cintra Stream sub-watershed, Botucatu, São Paulo State, Brazil, processed by the software IDRISI Andes, as well as to analyze the water quality through the parameters pH, EC, DO and BOD5 at 4 different sites in the years 1999, 2008 and 2009. Considering the 1076.48ha area of the sub-watershed, the pasture class of 1984 was reduced by 25.55% in 2010, resulting in an increase in the remaining classes. The most important class was native forest and reforestation since it had an increase of 5.08%, which indicates recovery of the riparian forest. Degraded areas were identified close to the inferior limit of the sub-watershed (P3 and P4), as well as local contamination (P1 and P2) with worsening of the water quality in the remaining sites in the periods 2008 and 2009. Recovery and management of the ecological succession of degraded areas and water quality monitoring at 1 and 2 sites will be necessary to reestablish the natural condition of the area studied.

Dinámica del suelo y estoque de carbono después de diez años de la restauración de tierras degradadas usando especies arbóreas del bosque atlántico

Brazil's Atlantic Forest ecosystem has been greatly affected by land use changes, with only 11.26% of its original vegetation cover remaining. Currently, Atlantic Forest restoration is receiving increasing attention because of its potential for carbon sequestration and the important role of soil carbon in the global carbon balance. Soil organic matter is also essential for physical, chemical and biological components of soil fertility and forest sustainability. This study evaluated the potential for soil recovery in contrasting restoration models using indigenous Atlantic Forest tree species ten years after their establishment. The study site is located in Botucatu municipality, São Paulo State-Brazil, in a loamy dystrophic Red-Yellow Argisol site (Typic Hapludult). Four treatments were compared: i) Control (Spontaneous Restoration); ii) Low Diversity (five fast-growing tree species established by direct seeding); iii) High Diversity (mixed plantings of 41 species established with seedlings) and; iv) Native Forest (well conserved neighboring forest fragment). The following soil properties were evaluated: (1) physical-texture, density and porosity; (2) chemical-C, N, P, S, K, Ca, Mg, Al and pH; (3) biological-microbial biomass. Litter nutrient concentrations (P, S, K, Ca and Mg) and C and N litter stocks were determined. Within ten years the litter C and N stocks of the Low Diversity treatment area were higher than Control and similar to those in both the High Diversity treatment and the Native Forest. Soil C stocks increased through time for both models and in the Control plots, but remained highest in the Native Forest. The methods of restoration were shown to have different effects on soil dynamics, mainly on chemical properties. These results show that, at least in the short-term, changes in soil properties are more rapid in a less complex system like the Low Diversity model than in the a High Species Diversity model. For both mixed plantation systems, carbon soil cycling can be reestablished, resulting in increases in carbon stocks in both soil and litter.