Desenvolvimento e validação de um questionário multidimensional de avaliação da qualidade de vida relacionada ao melasma (HRQ-Melasma)

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Quality of life in women with vulvar cancer submitted to surgical treatment: a comparative study

Objectives: To investigate the occurrence and severity of lymphoedema of the lower extremities (LLE), quality of life (QoL), and urinary and sexual dysfunction in women with vulvar cancer submitted to surgical treatment.Study design: Twenty-eight patients with vulvar cancer submitted to vulvectomy and inguinofemoral lymphadenectomy and 28 healthy, age-matched women (control group) were evaluated. The occurrence and severity of LLE were determined by Miller's Clinical Evaluation. QoL, urinary function and sexual function were assessed by the EORTC QLQ-C30, SF-ICIQ and FSFI questionnaires, respectively. The differences between groups and correlations were assessed using Student's r-test, Chi-squared test, Mann-Whitney U-test and Spearman's rho test.Results: The groups were similar in terms of marital status, educational status, menopausal status, hormone therapy and height. The occurrence and severity of LLE were higher in women with vulvar cancer compared with the control group (p < 0.001 and p = 0.003, respectively). A significant association was found between the severity of LLE and advanced age (p = 0.04), and the severity of LLE and higher body mass index (BMI; p = 0.04) in patients with vulvar cancer. In the patients with vulvar cancer, there was a significant correlation between the severity of LLE and worse QoL in the following domains: physical, cognitive, emotional, social, fatigue, pain, sleep and financial questions (p < 0.05). There was no difference in urinary function between the two groups (p = 0.113). Age and number of deliveries were the only variables associated with the occurrence of urinary incontinence (p = 0.01). Urinary incontinence was present in women with a mean age of 74.9 +/- 4.6 years and a mean of 7.3 +/- 1.3 normal deliveries. There was no difference between the groups in terms of the sexual function. Multivariate analysis showed an association between sexual function and age (p = 0.01), and sexual function and being in a stable relationship (p = 0.02).Conclusion: Patients submitted to vulvectomy or inguinofemoral lymphadenectomy for vulvar cancer are at higher risk of developing LLE compared with healthy, age-matched women. This has a negative effect on QoL, but does not interfere with urinary or sexual function. (C) 2012 Elsevier B.V. All rights reserved.

Depressive symptoms and level of physical activity in patients with Alzheimer's disease

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

Rho-nucleon tensor coupling and charge-exchange resonances

The Gamow-Teller resonance in Pb-208 is discussed in the context of a self-consistent RPA, based on the relativistic mean field theory. We inquire on the possibility of substituting the phenomenological Landau-Migdal force by a microscopic nucleon-nucleon interaction, generated from the rho-nucleon tensor coupling. The effect of this coupling turns out to be very small when the short range correlations are not taken into account, but too large when these correlations are simulated by the simple extraction of the contact terms from the resulting nucleon-nucleon interaction. (C) 2000 Elsevier B.V. B.V. All rights reserved.

Search for a W ' or Techni-rho Decaying into WZ in pp Collisions at root s=7 TeV

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Sintomas depressivos e prejuízo funcional de idosos de um Centro-Dia Geriátrico

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

ZERO SOUND-VELOCITY IN PI, RHO-MESON GASES

Sharp transitions are perhaps absent in QCD, so that one looks for physical quantities which may reflect the phase change. One such quantity is the sound velocity which was shown in lattice theory to become zero at the transition point for pure glue. We show that even in a simple bag model the sound velocity goes to zero at temperature T = T(v) not-equal 0 and that the numerical value of this T(v) depends on the nature of the meson. The average thermal energy of mesons goes linearly with T near T(v), with much smaller slope for the pion. The T(v) - s can be connected with the Boltzmann temperatures obtained from transverse momentum spectrum of these mesons in heavy-ion collision at mid-rapidity. It would be interesting to check the presence of different T(v) - s in present day finite T lattice theory.

NOLEN-SCHIFFER ANOMALY AND RHO(0)-OMEGA MIXING

The Nolen-Schiffer anomaly is the long standing discrepancy between theory and experiment of binding energy differences of mirror nuclei. It appears that the anomaly is largely explained by the charge symmetry breaking force generated by the rho(0)-omega mixing. In this paper I discuss the effect of the rho(0)-omega mixing to the binding energy differences in relativistic models of the nucleus. I also discuss the issue of momentum dependence of rho(0)-omega mixing amplitude and present an alternative explanation of the anomaly based on the partial restoration of chiral symmetry in the nucleus.

Patients' Expectations Before and Evaluation After Dental Implant Therapy

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Rho-omega mixing and neutron-proton self-energies in the Walecka model

We use the Walecka model to investigate the influence of the charge symmetry breaking ρ0-ω mixing interaction on the neutron-proton self-energy difference in nuclear matter. Using 2mρ〈ρ0|H|ω〉 = -4500 MeV2, and employing the Dirac-Hartree-Fock approximation, we find that the neutron-proton self-energy difference is a decreasing function of the nuclear matter density, and that it has a value of the order of 700 keV at the normal density. The results indicate that the Nolen-Schiffer anomaly might be explained by means of relativistic nuclear models in a similar way as it is explained by means of non-relativistic models.

Exploring the multifactorial nature of autism through computational systems biology: Calcium and the Rho GTPase RAC1 under the spotlight

Autism is a neurodevelopmental disorder characterized by impaired social interaction and communication accompanied with repetitive behavioral patterns and unusual stereotyped interests. Autism is considered a highly heterogeneous disorder with diverse putative causes and associated factors giving rise to variable ranges of symptomatology. Incidence seems to be increasing with time, while the underlying pathophysiological mechanisms remain virtually uncharacterized (or unknown). By systematic review of the literature and a systems biology approach, our aims were to examine the multifactorial nature of autism with its broad range of severity, to ascertain the predominant biological processes, cellular components, and molecular functions integral to the disorder, and finally, to elucidate the most central contributions (genetic and/or environmental) in silico. With this goal, we developed an integrative network model for gene-environment interactions (GENVI model) where calcium (Ca2+) was shown to be its most relevant node. Moreover, considering the present data from our systems biology approach together with the results from the differential gene expression analysis of cerebellar samples from autistic patients, we believe that RAC1, in particular, and the RHO family of GTPases, in general, could play a critical role in the neuropathological events associated with autism. © 2013 Springer Science+Business Media New York.

Validação do questionário Baecke modificado para idosos e proposta de valores normativos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Effects of Light Activation, Agent Concentration, and Tooth Thickness on Dental Sensitivity After Bleaching

Examining three bleaching systems, this in vivo clinical trial evaluated the relationship among tooth sensitivity, light activation, and agent concentration, and it correlated dental sensitivity with tooth thickness.Materials and Methods: Eighty-seven volunteer patients were included. Inclusion criteria were the presence of anterior teeth without restorations as well as the absence of a previous bleaching experience and absence of non-carious cervical lesions or dental pain. Exclusion criteria included pregnancy or breastfeeding, a maximum of TF3 hypoplasia, tetracycline-fluorosis stains, malpositioned teeth, orthodontic treatment, periodontal disease, and/or analgesic/anti-inflammatory intake. Patients were randomly assigned to three bleaching groups: Group A (n=25) was treated with 15% H2O2 and nitrogenous-titanium-dioxide and was light activated (Lase Peroxide Lite, DMC, SaoCarlos, Sao Paulo, Brazil); Group B (n=27) was treated with 35% H2O2 and was light activated (Lase Peroxide Sensy, DMC); and Group C (n=35) was treated with 35% H2O2 (White Gold Office, Dentsply, 38West Clark Ave., Milford, USA) without light activation. Tooth sensitivity (TS) was self-reported by the patients using the visual analog scale (VAS) at baseline (TSO), immediately after treatment (TSI), and at seven days after treatment (TS7). In 46 patients, tooth thickness was determined by computed tomography. TSO, TSI, and TS7 were compared between the A and B groups to determine the effect of concentration and between the B and C groups to determine the effect of light using analysis of covariance. The correlation between tooth thickness and TSI was determined by Spearman Rho test (SPSS 15).Results: Eighty-seven patients were evaluated at baseline, and 61 were evaluated at seven days. Separated by groups, tooth sensitivity, expressed as VAS value at the time points TS0, TS1, and TS7, respectively, were as follows: Group A: 13.76 +/- 13.53, 24.40 +/- 25.24, and 5.94 +/- 5.5; Group B: 15.07 +/- 18.14, 42.4 +/- 31.78, and 8.68 +/- 17.99; and Group C: 10.80 +/- 14.83, 31.51 +/- 29.34, and 7.24 +/- 9.2. Group A showed significantly lower tooth sensitivity than group B at TSI (p=0.032). No differences were observed in the tooth sensitivities between groups B and C. No correlation was encountered between tooth thickness and tooth sensitivity immediately after treatment (Rho=-0.088,p=0.563). The median tooth thickness was 2.78 +/- 0.21 mm.Conclusions: Increases in the concentration of bleaching agents directly affect tooth sensitivity, and LED/laser activation and tooth thickness are not correlated with tooth sensitivity after dental bleaching.

Shear viscosity of a pion gas resulting from rho pi pi and sigma pi pi interactions

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

Correlación entre diferentes métodos de evaluación de color en el clareamiento dental. Correlation between different methods for co

The aim of this study was to evaluate the correlation of color change on bleaching tooth through delta E (ΔE) by the spectrophotometer Spectroshade (SS) and digital program Scanwhite (SW). Methods: 25 patient volunteers were recruited from Operative Dentistry at Universidad de Chile Dental School, between 18 to 30 years, with good oral hygiene. Exclusion criteria: Previous experienced tooth bleaching, anterior restorations, cervical lesions, pain dental, pregnant patient, stained teeth, malposition of the teeth and periodontal pathology. The bleaching was made in two sessions with three different bleaching systems which were randomly. The assessment of color change through ΔE was made on the two upper central incisors (N=50) by the SS and SW. The color in the same teeth were measured before (T0) and after (T1) of the bleaching treatment. Data were analyzed using test Spearman correlation coefficient (Rho) with a significant level of 95%. Results: The results showed a positive and significant correlation (0.676), with a statistically significant difference (p<0.05). Conclusion: There is correlation in the measurement of color change on bleaching tooth by SS and SW.