Perfil motor de escolares sobrepesos e obesos de ambos os sexo na faixa etária de 9 e 10 anos

Pós-graduação em Pediatria - FMB

Variação sazonal e espacial da estrutura de comunidades dos peixes demersais da Região de Foz dos Rios Amazonas e Tocantins - PA (0º 10'S - 2º30'N; 47º50'W - 50º30'W) - Brasil

A composição, abundância e freqüência de ocorrência das espécies de peixes demersais do estuário amazônico foram estudadas em três áreas delimitadas pelos estratos de profundidade de 5 — 10 m, 10 — 20 m e 20 — 50m. Os objetivos principais deste estudo foram de comparar a diversidade, abundância e distribuição das espécies de peixes demersais, nestas três áreas, durante um ciclo hidrológico, e avaliar a influência dos fatores ambientais sobre a estrutura da comunidade. As amostragens foram feitas a bordo de dois navios da frota industrial piramutabeira, com uma rede de arrasto sem porta, em seis cruzeiros com duração de quinze dias cada, divididos entre os períodos seco (entre março e abri1/97) e chuvoso (entre agosto e setembro/97). Foram capturadas 91 espécies em 237 amostragens, sendo que as famílias Sciaenidae e Ariidae foram as mais diversificadas, representando juntas 25% do número de espécies. Todas as espécies de arlideos com ocorrência na região foram muito abundantes. As espécies mais abundantes numericamente no inverno foram Macrodon ancylodon (Sciaenidae) (56,2%) e Brachyplatystoma vaillantii (Pimelodidae) (13,6%), e no verão Macrodon ancylodon (31%) e Stellifèr rastrifer (15,8) (Sciaenidae). Na área delimitada pelas isóbatas de 5 a 10 m (área 1), Brachyplatystoma vaillantii (Pimelodidae) e Macrodon ancylodon (Sciaenidae) foram as mais abundantes em ambos os períodos. O mesmo aconteceu para Macrodon ancylodon e Stellifer rastrifer (Sciaenidae) na área definida pelas isóbatas de 10 a 20 m (área 2), e para iviacrodon ancylodon (Sciaenidae) e Bagre bagre (Ariidae) na área delimitada pelas isóbatas de 20 a 50 m (área 3). As espécies mais freqüentes nas amostragens foram Macrodon ancylodon (Sciaenidae) (40,9%) e Anchoa spinifer (Engraulididae) (35%) no inverno, e Ivlacrodon ancylodon (Sciaenidae) (45,6%) e Anus grandicassis (Ariidae) (38,4%) no verão. Na área 1 Brachyplatystoma vaillantii e Brachypialystorna flavicans (Pimelodidae) tiveram maior freqüência de ocorrência nas amostragens, para os dois períodos; o mesmo acontecendo para Macrodon ancylodon (Sciaenidae) e Bagre bagre (Ariidae), na área 2; e para Macrodon ancylodon (Sciaenidae) e Anchoa spinifer (Engraulididae), na área 3. As espécies dominantes foram: Macrodon ancylodon (Sciaenidae), no inverno (56% dos exemplares coletados); e Macrodon ancylodon, Stellifér rastrifer (Sciaenidae) e Anus quadriscutis (Afiidae) no verão, que representaram 61% das capturas. Na área 1 dominaram Brachyplatystoma vaillantii (Pimelodidae) e Macrodon ancylodon (Sciaenidae) (73%), no inverno e, no verão, as duas espécies já citadas mais Anus grandicassis (Ariidae) (53%). Na área 2 foram dominantes apenas Macrodon ancylodon (Sciaenidae) (64%) no inverno, e Macrodon ancylodon e Stellifèr rastrifer (Sciaenidae) (53%) no verão e, na área 3, apenas il/lacrodon ancylodon (Sciaenidae) (70% no inverno e 49% no verão). Os padrões de distribuição foram principalmente influenciados pela salinidade. A área 1 apresentou a maior diversidade e eqüitabilidade em relação ás outras. Na área 2 a riqueza de espécies foi maior e, na área 3, houve uma maior dominância. Três assembléias de peixes foram identificadas na região: uma composta de espécies de águas continentais que exploram as áreas rasas entre 5 a 20 m; outra é composta de espécies resistentes ao gradiente salino, com ampla distribuição no estuário, principalmente na faixa dos 10 a 20 m; e a terceira é composta de espécies marinhas que se distribuem pelas áreas mais profundas do estuário, desde os 10 até a faixa dos 50 m.

Sobrevivênvia e sucesso de implantes osseointegrados com superfície tratada por ataque ácido: avaliação retrospectiva de 8 a 10 anos

Pós-graduação em Odontologia - FOAR

Compostos fenólicos de 10 variedades de uva

Phenolic compounds represent one of the main groups of secondary metabolites. Due to their chemical diversity, they have a variety of functions in plants, such as protection against ultraviolet radiation, herbivores and pathogens, and attraction of pollinators or dispersers of fruits and seeds. For human, the phenolic compounds are used like food colorings and flavors and, due to their pharmacological properties, mainly to antioxidant activity, they are associated with several health benefits, such as delay senility, prevention and therapy of cardiovascular diseases and of some cancers. The grapes are considered one of the main source of phenolic compounds and the fruit and its products are consumed in Brazil and worldwide. Considering the phenolic compounds diversity and their different distribution in the grape parts, this work had like aims the extraction, identification and quantification of the main classes of phenolic compounds of 10 grape varieties. The content of total phenols, flavanols and anthocyanins were determined, respectively, according to the Folin-Ciocalteu, DMACA and comparison of pH spectrophotometric methods. The content of total phenols varied from 142.75 + 1.86 to 483.39 + 5.90 mg.L-1 in the peel and from 86.50 + 0.54 to 146.32 + 9.97 mg.L-1 in the pulp. The amount of total flavanols varied from 3.68 + 0.03 to 6.92 + 0.26 mg.L-1 in the peel and from 0.90 + 0.00 to 1.36 + 0.00 mg.L-1 in the pulp. The content of total anthocyanins varied from 7.00 + 0.99 to 406.56 + 39.50 mg.L-1 in the peel and from 2.88 + 0.28 to 46.36 + 1.89 mg.L-1 in the pulp. The phenolic compounds concentration was higher in the peel than in the pulp. The total phenols and anthocyanins varied a lot while the total flavanols were more constant. The flavanols represent the smaller portion of phenolic compounds

Avaliação da prevalência das doenças peri-implantares e do sucesso e sobrevivência de implantes osseointegrados com 8 a 10 anos de função

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

10-Year Survival and Success Rates of 511 Titanium Implants with a Sandblasted and Acid-Etched Surface: A Retrospective Study in 303 Partially Edentulous Patients

Purpose: This retrospective study assessed the 10-year outcomes of titanium implants with a sandblasted and acid-etched (SLA) surface in a large cohort of partially edentulous patients. Materials and Methods: Records of patients treated with SLA implants between May 1997 and January 2001 were screened. Eligible patients were contacted and invited to undergo a clinical and radiologic examination. Each implant was classified according to strict success criteria. Results: Three hundred three patients with 511 SLA implants were available for the examination. The mean age of the patients at implant surgery was 48 years. Over the 10-year period, no implant fracture was noted, whereas six implants (1.2%) were lost. Two implants (0.4%) showed signs of suppuration at the 10-year examination, whereas seven implants had a history of peri-implantitis (1.4%) during the 10-year period, but presented with healthy peri-implant soft tissues at examination. The remaining 496 implants fulfilled the success criteria. The mean Plaque Index was 0.65 (±0.64), the mean Sulcus Bleeding Index 1.32 (±0.57), the mean Probing Depth 3.27 mm (±1.06), and the mean distance from the implant shoulder to the mucosal margin value -0.42 mm (±1.27). The radiologic mean distance from the implant shoulder to the first bone-to-implant contact was 3.32 mm (±0.73). Conclusion: The present retrospective analysis resulted in a 10-year implant survival rate of 98.8% and a success rate of 97.0%. In addition, the prevalence of peri-implantitis in this large cohort of orally healthy patients was low with 1.8% during the 10-year period.

Beneficial effect of recruitable collaterals: a 10-year follow-up study in patients with stable coronary artery disease undergoing quantitative collateral measurements

BACKGROUND: The prognostic relevance of the collateral circulation is still controversial. The goal of this study was to assess the impact on survival of quantitatively obtained, recruitable coronary collateral flow in patients with stable coronary artery disease during 10 years of follow-up. METHODS AND RESULTS: Eight-hundred forty-five individuals (age, 62+/-11 years), 106 patients without coronary artery disease and 739 patients with chronic stable coronary artery disease, underwent a total of 1053 quantitative, coronary pressure-derived collateral measurements between March 1996 and April 2006. All patients were prospectively included in a collateral flow index (CFI) database containing information on recruitable collateral flow parameters obtained during a 1-minute coronary balloon occlusion. CFI was calculated as follows: CFI = (P(occl) - CVP)/(P(ao) - CVP) where P(occl) is mean coronary occlusive pressure, P(ao) is mean aortic pressure, and CVP is central venous pressure. Patients were divided into groups with poorly developed (CFI < 0.25) or well-grown collateral vessels (CFI > or = 0.25). Follow-up information on the occurrence of all-cause mortality and major adverse cardiac events after study inclusion was collected. Cumulative 10-year survival rates in relation to all-cause deaths and cardiac deaths were 71% and 88%, respectively, in patients with low CFI and 89% and 97% in the group with high CFI (P=0.0395, P=0.0109). Through the use of Cox proportional hazards analysis, the following variables independently predicted elevated cardiac mortality: age, low CFI (as a continuous variable), and current smoking. CONCLUSIONS: A well-functioning coronary collateral circulation saves lives in patients with chronic stable coronary artery disease. Depending on the exact amount of collateral flow recruitable during a brief coronary occlusion, long-term cardiac mortality is reduced to one fourth compared with the situation without collateral supply.

Acetabular reinforcement ring in primary total hip arthroplasty: a minimum 10-year follow-up

INTRODUCTION: We report the results of a titanium acetabular reinforcement ring with a hook (ARRH) in primary total hip arthroplasty (THA), which was introduced in 1987 and continues to be used routinely in our center. The favorable results of this device in arthroplasty for developmental dysplasia and difficult revisions motivated its use in primary THA. With this implant only minimal acetabular reaming is necessary, anatomic positioning is achieved by placing the hook around the teardrop and a homogenous base for cementing the polyethylene cup is provided. MATERIALS AND METHODS: Between April 1987 and December 1991, 241 THAs with insertion of an ARRH were performed in 178 unselected, consecutive patients (average age 58 years; range 30-84 years) with a secondary osteoarthrosis in 41% of the cases. RESULTS: At the time of the latest follow-up, 33 patients (39 hips) had died and 17 cases had been lost to follow-up. The median follow-up was 122 months with a minimum of 10 years. Eight hips had been revised, leaving 177 hips in 120 living patients without revision. Six cups were revised because of aseptic loosening. Two hips were revised for sepsis. The mean Merle d'Aubigné score for the remaining hips was 16 (range 7-18) at the latest follow-up. For aseptic loosening, the probability of survival of the cup was 0.97 (95% confidence interval, 0.94-0.99). However, analysis of radiographs implied loosening in seven other cups without clinical symptoms. CONCLUSIONS: The results of primary THA using an acetabular reinforcement ring parallel the excellent results of these implants often observed in difficult primary and revision arthroplasty at a minimum of 10 years. Survivorship is comparable to modern cementless implants. Medial migration that occurs with loosening of the acetabular component seems to be prevented with this implant. Radiographic loosening signs can exist without clinical symptoms.

Physical examination during chemoradiation predicts outcome of locally advanced head and neck cancer. Secondary results of a randomized phase III trial (SAKK 10/94)

OBJECTIVES To analyze the prognostic value of clinical tumor response during chemoradiation for locally advanced head and neck cancer. PATIENTS AND METHODS The locoregional response at 50.4Gy was assessed by physical examination (PE) in patients treated within the randomized trial SAKK 10/94 using hyperfractionated radiotherapy (RT), median total dose 74.4Gy with or without cisplatin 20mg/m(2) chemotherapy on 5 consecutive days during weeks 1 and 5 or 6 of RT. Response was classified as a complete response (CR), complete response with uncertainty (Cru), partial response (PR), stable disease (SD), or progressive disease (PD). The primary endpoint was time to treatment failure (TTF) due to any cause. Secondary endpoints included locoregional-recurrence-free survival (LRRFS), distant metastasis-free survival (DMFS) and overall survival (OS). Univariate and multivariate Cox proportional hazards (PH) models were applied to analyze the associations between survival endpoints and clinical tumor response. RESULTS A total of 136, 131 and 97 patients were evaluable for response at the primary tumor, lymph nodes and both sites combined, respectively. At 50.4Gy 57/136 (42%), 46/131 (35%) and 21/97 (22%) patients had a good response (CR/Cru vs. PR/SD) at the primary tumor, the lymph nodes, and both sites combined, respectively. The median follow-up times were 11.4, 9.6 and 11.4years for the three groups. Good responses were all significantly associated with improved TTF, LRRFS, DMFS and OS in univariate analysis whereas good response at the primary tumor and lymph nodes remained significantly associated with TTF and OS after multivariate Cox PH models. CONCLUSIONS Locoregional response at 50.4Gy was identified as predictor of oncologic outcome. PE during treatment should not be underestimated in clinical practice.