Reduced knee flexion is a possible cause of increased loading rates in individuals with patellofemoral pain

Stair ascent is an activity that exacerbates symptoms of individuals with patellofemoral pain. The discomfort associated with this activity usually results in gait modification such as reduced knee flexion in an attempt to reduce pain. Although such compensatory strategy is a logical approach to decrease pain, it also reduces the normal active shock absorption increasing loading rates and may lead to deleterious and degenerative changes of the knee joint. Thus, the aims of this study were (i) to investigate whether there is reduced knee flexion in adults with PFP compared to healthy controls; and (ii) to analyze loading rates in these subjects, during stair climbing. Twenty-nine individuals with patellofemoral pain and twenty-five control individuals (18-30years) participated in this study. Each subject underwent three-dimensional kinematic and kinetic analyses during stair climbing on two separate days. Between-groups analyses of variance were performed to identify differences in peak knee flexion and loading rates. Intraclass correlation coefficient was performed to verify the reliability of the variables. On both days, the patellofemoral pain group demonstrated significantly reduced peak knee flexion and increased loading rates. In addition, the two variables obtained high to very high reliability. Reduced knee flexion during stair climbing as a strategy to avoid anterior knee pain does not seem to be healthy for lower limb mechanical distributions. Repeated loading at higher loading rates may be damaging to lower limb joints.

Avaliação da floco-decantação de manta de lodo associada à decantação de alta taxa no tratamento de águas de consumo humano

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

Balanço de massa de reatores anaeróbicos de fluxo ascendente com manta de lodo (UASB) tratando águas residuárias de suinocultura

Foi obtido o balanço de massa, a partir dos valores médios das determinações de demanda química de oxigênio (DQO) e produção de metano (CH4), em dois reatores UASB de bancada com volume de 10,5 L tratando águas residuárias de suinocultura, submetidos a condições operacionais distintas no que diz respeito às concentrações de sólidos suspensos totais do afluente (SST de 500; 1.000; 1.500 e 2.000 mg L-1), tempo de detenção hidráulica (TDH de 30; 20; 12 e 8 h), taxas de carregamento orgânico volumétrico (TCOV de 0,8 a 8,0 kg DQO total (m³ d)-1) e temperatura (ambiente e controlada a 25º e 30ºC). Verificou-se que a DQO total removida convertida em CH4 variou de 28 a 51% e a relação DQO-CH4 por DQO dissolvida removida de 0,94 a 2,07; indicando alta participação da remoção física dos sólidos do afluente, de 49 a 72%, na remoção de DQO total nos reatores, a qual variou de 75 a 92%. A concentração de SST do afluente, a temperatura, o TDH e a TCOV influenciaram nesse desempenho dos reatores UASB.

Reatores anaeróbios operados em batelada sequencial, seguidos de lagoas de polimento, para o tratamento de águas residuárias de suinocultura. Parte I: produção de metano e remoção de DQO e de sólidos suspensos

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

Reatores anaeróbios operados em batelada sequencial seguidos de lagoas de polimento para o tratamento de águas residuárias de suinocultura. Parte II: remoção de nutrientes e coliformes

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

Cassava wastewater (manipueira) treatment using a two-phase anaerobic biodigestor

Um biodigestor anaeróbio de duas fases foi utilizado para se analisar a produção de metano com diferentes cargas de entrada de manipueira. A fase acidogênica foi realizada em processo de batelada e a metanogênica em biodigestor anaeróbio de fluxo ascendente e leito fixo com alimentação contínua. As cargas orgânicas de entrada variaram de 0,33 a 8,48 gDQO (Demanda Química de Oxigênio)/L.dia. A maior porcentagem de metano encontrada foi de 80,9%, com carga orgânica de 0,33g e a menor, 56,8%, obtida com 8,49gDQO/L.d. A maior taxa de redução de DQO foi de 88,89%, obtida com carga orgânica de 2,25g e a menor, 54,95%, com 8,48gDQO/L.d. Analisando-se os dados apresentados verificou-se que a biodigestão anaeróbia pode ser conduzida, pelo menos, de duas maneiras, ou seja, para produção de energia (metano) ou para redução de carga orgânica. A carga orgânica de entrada deve ser calculada em função do objetivo a ser alcançado com a biodigestão anaeróbia.

Tratamento de águas residuárias de suinocultura em reator anaeróbio operado em batelada sequencial

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

Anaerobic treatment of wastewater from coffee pulping in upflow anaerobic sludge blanket (UASB) in two stages

In this work, the efficiency of two-stage upflow anaerobic sludge blanket (UASB) reactors was evaluated in bench scale, for treating a liquid effluent from coffee pulping. Hydraulic detention times (HDT) were 4.0; 5.2 and 6.2 days, resulting in organic loading rates (OLR) of 5.8; 3.6 and 3.0g total COD per (L-d) in the first reactor (Rl) and HDT of 2.0; 2.6 and 3.1 days with OLR of 5.8; 0.5 and 0.4 g total COD per (L-d) in the second reactor (R2). The medium values of total COD affluent varied from 15.440 to 23.040 mg O 2/L, and in the effluent to the reactors 1 and 2 were from l.lOO to 11.500 mg 0 2/L and 420 to 9.000 mg O 2/L, respectively. The medium values of removal efficiencies of total COD and TSS varied from 66 to 98% and 93 to 97%, respectively, in the system of treatment with the UASB reactors, in two stages. The content of methane in the biogas varied from 69 to 89% in the Rl and from 52 to 73% in the R2. The maximum volumetric methane production of 0.483 m 3 CH 4per (m 3 reactor d) was obtained with OLR of 3.6 g total COD per (L reactor d) and HDT of 6.2 days in the Rl. The volatile fatty acids concentration was kept below 100mg/L with HDT of 5.2 and 6.2 days in the Rl and HDT of 2.6 and 3.1 days in the R2.

Performance of UASB reactors in two stages followed by post-treatment with activated sludge in wastewater batch of wet-processed coffee

In this study it was evaluated the efficiency of the treatment of wet-processed coffee wastewater in upflow anaerobic sludge blanket (UASB) reactors in two stages, in bench scale, followed by post-treatment with activated sludge in batch. The first UASB reactor was submitted to an hydraulic retention time (HRT) of 6.2 d and organic loading rates (OLR) of 2.3 and 4.5g CODtotal (L d)-1, and the second UASB reactor to HRT of 3.1 d with OLR of 0.4 and 1.4g CODtotal (L d)-1. The average values of the affluent CODtotal increased from 13,891 to 27,926mg L-1 and the average efficiencies of removal of the CODtotal decreased from 95 to 91%, respectively, in the UASB reactors in two stages. The volumetric methane production increased from 0.274 to 0.323L CH4 (L reactor d)-1 with increment in the OLR. The average concentrations of total phenols in the affluent were of 48 and 163mg L-1, and the removal efficiencies in the UASB reactors in two stages of 92 and 90%, respectively, and increased to 97% with post-treatment. The average values of the removal efficiencies of total nitrogen and phosphorus were of 57 to 80% and 44 to 60%, respectively, in the UASB reactors in two stages and increased to 91 and 84% with the post-treatment.

Avaliação da auto-suficiência energética de reatores anaeróbios no tratamento de esgoto sanitário e de água preta

The purpose of this project is to verify whether anaerobic reactors applied to sewage treatment are energetically self-sufficient. This evaluation can be made by balancing the methane produced through the anaerobic transformation stages (hydrolysis, acidogenesis, acetogenesis and methanogenesis) and the reactor energy consumption requirements. The original project included methanogenic activity tests, which could not be performed due to setbacks in the installation of an analytical instrument. Scientific articles about bench- and full-scale anaerobic reactors were investigated instead. An average substrate-to-methane conversion efficiency of 58,2±18,6% was found for the bench-scale reactors and higher efficiencies (89,2%) were found for the cases which had higher Organic Loading Rates (OLRs) values. The average energy output was 0,013 kWh/Lsewage, value unable to meet the energy needs for the reactor operation, considering equipments normally used such as temperature controller. This balance can become positive if few hypotheses are made, for example (i) to eliminate the use of temperature controller (ii) to alter the operation pattern from continuous to intermittent. Based on energy balance assessment of eight bench-scale reactors, it was observed that the implementation of a system for biogas utilization is not energetically feasible. However, interesting results were found for a full-scale sewage treatment plant, ETE Ouro Verde – Foz do Iguaçu, PR, Brazil. Even though its substrate-tomethane conversion efficiency was about 10% only, the energy balance was quite positive, with energy consumption of 68 kWh/month and energy production of 660 kWh/month. This analysis leads us to conclude that energy recovery from full-scale sewage treatment plants should be practiced by other plants

Avaliação da construção e operação de técnicas compensatórias de drenagem urbana: o transporte de finos, a capacidade de infiltração, a taxa de infiltração real do solo e a permeabilidade da manta geotêxtil

This work aimed to evaluate some aspects of construction and operation of full-scale best management practices and their effects on infiltration loading rate. Two systems were studied: i) filter-swale-trench (FST) and ii) infiltration well (IW). In these units, field essays and full-scale measurements were made in order to assess the soil permeability. Further, the fine particles transportation and the geotextile blanket permeability were determined before and after operation. The results pointed out that there were soil transportation to inside the FST and IW systems, despite of the installed protections, and that these material were responsible for diminishing the geotextile (reduction from 30 to 90% for FST and 40 to 70% for IW) and the full-scale infiltration loading rates (varying from 4,7 x 10-6 to 10-5 m.s-1).

Clinical Viability for Immediate Loading of Dental Implants: Part II-Treatment Alternatives

The treatment with implants aims to obtain a direct interface between bone and implant. The implant is kept load-free during 4 to 6 months in the 2-stage procedure, which is considered a requisite for osseointegration. However, this period is based on empirical principles and uncomfortable for patient. So, the immediate loading protocol was Suggested to submit implants to occlusal function after placement. This protocol has been applied for several conditions of edentulism. The aim of this study was to evaluate the treatment alternatives for immediate loading of complete and partial edentulous patients. In general, the studies have demonstrated high previsibility for rehabilitation of complete edentulous arches with full-arch, implant-supported prosthesis. The rehabilitation with immediate loading for maxillary overdenture is questionable because there is no longitudinal study in literature. The studies with partial edentulous arches have demonstrated high success rates for implants placed in the mandibular and maxillary anterior region. Additional care is recommended for posterior region mainly in the maxillary arch, and further studies are suggested to corroborate this treatment.

Weathering rates and anthropogenic influences in a sedimentary basin, São Paulo State, Brazil

The weathering rate of rocks and chemical dynamics of the Corumbatai River basin, São Paulo State, Brazil, were evaluated using major elements as natural tracers. This basin has serious environmental problems in terms of quality of surface and rainwater, which affect the determination of weathering rate. The Corumbatai River, downstream from Rio Claro City, receives several elements/compounds through anthropogenic activities, with only K, SO42- and alkalinity yielding positive flux values. The negative flux of some anions/cations can be attributed to atmospheric loading mainly related to anthropogenic inputs, providing K a value of 16.7 ton/km(-2)a(-1) for the material removed by weathering in the Corumbatai River basin. This is equivalent to 26 x 10(6) kg of rock being removed each year by the Corumbatai River. The instantaneous flux was found to be a function of discharge, with the majority of dry residue (dissolved load) being transported during the summer (wet) months. The removed material in Corumbatai River basin derives mainly from two sub-basins (Cabegas River and Passa Cinco River), where the sandstones weather more easily than siltstones and claystones in the basin. (C) 2003 Elsevier Ltd. All rights reserved.

Early loading of single crowns supported by 6-mm-long implants with a moderately rough surface: a prospective 2-year follow-up cohort study

AimTo evaluate prospectively the clinical and radiographic outcomes after 2 years of loading of 6 mm long moderately rough implants supporting single crowns in the posterior regions.Material and methodsForty SLActive Straumann (R) short (6 mm) implants were placed in 35 consecutively treated patients. Nineteen implants, 4.1 mm in diameter, and 21 implants, 4.8 mm in diameter, were installed. Implants were loaded after 6 weeks of healing. Implant survival rate, marginal bone loss and resonance frequency analysis (RFA) were evaluated at different intervals. The clinical crown/implant ratio was also calculated.ResultsTwo out of 40 implants were lost before loading. Hence, the survival rate before loading was 95%. No further technical or biological complications were encountered during the 2-year follow-up. The mean marginal bone loss before loading was 0.34 +/- 0.38 mm. After loading, the mean marginal bone loss was 0.23 +/- 0.33 and 0.21 +/- 0.39 mm at the 1- and 2-year follow-ups. The RFA values increased between insertion (70.2 +/- 9) and the 6-week evaluation (74.8 +/- 6.1). The clinical crown/implant ratio increased with time from 1.5 at the delivery of the prosthesis to 1.8 after 2 years of loading.ConclusionShort implants (6 mm) with a moderately rough surface loaded early (after 6 weeks) during healing yielded high implant survival rates and moderate loss of bone after 2 years of loading. Longer observation periods are needed to draw more definite conclusions on the reliability of short implants supporting single crowns.To cite this article:Rossi F, Ricci E, Marchetti C, Lang NP, Botticelli D. Early loading of single crowns supported by 6-mm-long implants with a moderately rough surface: a prospective 2-year follow-up cohort study.Clin. Oral Impl. Res. 21, 2010; 937-943.doi: 10.1111/j.1600-0501.2010.01942.x.

Immediate X delayed loading dental implants: An overview

The aim of this investigation was to accomplish an overview about the principles of the indication and of the success parameters involving immediate and delayed loading dental implants procedures. Studies about the philosophies (immediate and delayed loading dental implants) and their clinical indications will be discussed in order to overview the rules for the clinical success in both techniques. In addition, studies regarding the criteria for immediate loading implants as primary stabilization, surface treatments and bone density and amount will be also analyzed. More important than the philosophy selection, is how and when to use it according to biomechanical rules and principles. Among the vast limitations pointed by the literature regarding procedures of immediate and delayed loading are evidenced the parafunctional habits, primary stabilization, bone quality, surface treatments and the number of dental implants. The anterior region of the jaw seems to be associated with a major percentage of satisfactory results, regardless of rehabilitation procedures. Although several studies have demonstrated high success rates for the immediate loading dental implants, several aspects remain without an explicit definition and further studies are needed to elucidate some reservations.