Effects of resistance training in older women with knee osteoarthritis and total knee arthroplasty

OBJECTIVES: This study sought to analyze the effects of resistance training on functional performance, lower-limb loading distribution and balance in older women with total knee arthroplasty (TKA) and osteoarthritis (OA) in the contralateral knee. In addition, this older knee OA and TKA group (OKG) was compared to older (OG) and young women (YG) without musculoskeletal diseases who underwent the same resistance training program.METHODS: Twenty-three women divided into OKG (N = 7), OG (N = 8) and YG (N = 8) had their functional performance, lower-limb loading distribution and balance compared before and after 13 weeks of a twice-weekly progressive resistance training program.RESULTS: At baseline, the OKG showed lower functional performance and unilateral balance, and impaired lower-limb loading distribution compared to the OG and the YG (p<0.05). After resistance training, the OKG showed improvements in functional performance (similar to 13% in sit-to-stand and rising from the floor, similar to 16% in stair-climbing and similar to 23% in 6-minute walking (6 MW)), unilateral balance (similar to 72% and,78% in TKA and OA leg, respectively) and lower-limb loading distribution, which were greater than those observed in the OG and the YG. The OKG showed post-training 6 MW performance similar to that of the OG at baseline. Sit-to-stand performance and unilateral stand balance were further restored to post-training levels of the OG and to baseline levels of the YG.CONCLUSIONS: Resistance training partially restored functional, balance and lower-limb loading deficits in older women with TKA and OA in the contralateral knee. These results suggest that resistance training may be an important tool to counteract mobility impairments commonly found in this population.

Relative bioavailability of iron from organic sources for weanling piglets

Some authors consider minerals from organic sources more bioavailable for pig nutrition in comparison with inorganic sources. To evaluate the relative iron bioavailability from the organic source iron carbo-amino-phospho-chelate (ICAPC) to weanling piglets, it was conducted an experiment with 126 commercial piglets, using iron sulfate monohydrate (S) as standard. The experiment had a randomized block design with seven treatments (diet without adding specific source of iron, diet with 50, 100 and 150 ppm iron from S and diet with 50, 100 and 150 ppm iron from ICAPC), six replications and three animals per experimental unit. Performance parameters (average daily gain - ADG, feed: gain ratio - F:G) and blood variables (hemoglobin - Hb, hematocrit - Ht, transferrin - TR, latent iron-binding capacity - LIBC, total iron-binding capacity - TIBC, serum iron - Fe and transferrin saturation index - TSI) were evaluated. At the end of the experiment a piglet from each experimental unit was slaughtered and its liver and spleen removed for assessment of iron concentration by flame atomic absorption spectrometry (FAAS). The evaluated sources of iron yielded similar results for the variables of interest, but the increase in iron intake was followed by a linear increase in ADG, Hb, Ht, Fe and TSI as well as a linear decrease in the values of F:G, TR, LIBC and TIBC. Iron bioavailabilities from both ICAPC and S sources are similar for weanling piglets.

Relação lisina digestível e energia metabolizável para leitões em fase pré-inicial de creche

Estudou-se a melhor relação entre lisina digestível (LIS) e energia metabolizável (EM) e efeitos no desempenho e balanço de nitrogênio em leitões na fase de creche. No desempenho foram usados 216 leitões dos 6,90 ± 1,11 kg de peso inicial aos 12 kg, aproximadamente. No metabolismo eram 48 leitões com 9,31 ± 2,09 kg. As concentrações de LIS eram: 1,302; 1,390 e 1,497% e de EM: 3.510, 3.700 e 3.830 kcal/kg, combinadas em um arranjo fatorial 3 × 4 e distribuídas em delineamento de blocos ao acaso. No desempenho dos leitões houve interação LIS em no ganho de peso e conversão alimentar. No ganho de peso a resposta para LIS foi linear crescente nas dietas com 3.510 kcal e 3.830 kcal de EM. Na conversão alimentar observou-se efeito quadrático de LIS nas dietas que continham 3.510 kcal e efeito linear de LIS nas dietas com 3.830 kcal de EM. O efeito quadrático de LIS dentro de 3.510 kcal indicou 1,44% do aminoácido digestível como nível ótimo ou a ingestão de 4,16 g LIS/Mcal de em consumida. A resposta linear positiva na conversão alimentar ao acréscimo de LIS nas dietas com 3.830 kcal em indica maior eficiência dos leitões ao acréscimo do aminoácido quando o nível de energia é alto. No ensaio de metabolismo o aumento de em sugere maior retenção de N, enquanto o acréscimo de LIS sugere menor retenção do N ou na relação Mcal de EM:% LIS. A interação observada nos dois ensaios, todavia, indica que a relação LIS:EM, depende do nível energético e da característica considerada. A variação de LIS e em na dieta indica 4 g LIS/Mcal de em consumida, o que corresponde à ingestão diária aproximada de 7,8 g de LIS.

Condições de saúde bucal de crianças e adolescentes portadores de síndrome de Down

Patients with Down syndrome have shown different conditions of oral health, and there is a low occurrence of dental caries and a higher susceptibility to periodontal diseases. Thus, this study aimed to evaluate the prevalence of dental caries and periodontal diseases in subjects with Down syndrome. The population was composed of 40 patients with the syndrome, aged 6 to 18 years, of both genders, and an equal number of non-syndromic patients. The periodontal conditions were evaluated by mean of the criteria of PSR and dental conditions were registered following indexes dmft and DMFT. It was found that in children with Down syndrome, the dmft index was 1.17 and DMFT 3.53 while the control group was verified dmft 1.97 and DMFT 2.77. The results of PSR evidenced that 32.5% of children with Down syndrome were periodontally healthy, 65% were gingivitis patients and 2.5% were periodontitis patients, while in the control group, 50% healthy and 50% were gingivitis patients. The results evidenced similar populations of cariogenic cocci between patients with Down syndrome and non-syndromic subjects. It was concluded that the incidence of caries in children with Down syndrome was higher in permanent teeth compared with the control group, while in the occurrence of deciduous teeth caries was slightly higher in the control group, so when children with Down syndrome are subjected to periodic examinations, they present themselves periodontally healthy.

Pertubation du développement d'une incisive permanente incluse due à un traumatisme de la dent primire

Les anomalies du développement des dents permanentes peuvent être dues à un traumatisme des dents primaires, étant donné la proximité de la racine des dents primaires avec les dents permanentes sous-jacentes. Nous décrivons le cas d'un garçon de 14 mois qui a été dirigé vers la clinique pédiatrique de l'École de médecine dentaire de l'Universidad Estadual Paulista d'Araçatuba, au Brésil, après avoir subi un grave traumatisme qui a causé l'intrusion de l'incisive centrale droite primaire. L'examen radiographique réalisé 4 ans après le traumatisme a révélé un changement morphologique évolutif dans le germe de la dent permanente. Au moment de son éruption, l'incisive centrale permanente présentait une malformation coronaire avec hypoplasie de l'émail. Nous avons conclu qu'un suivi radiographique est indiqué après un traumatisme afin de surveiller les séquelles qui peuvent survenir dans les dents permanentes, même avant leur éruption.

Condições bucais de crianças e adolescentes portadores de síndrome de down

Os pacientes com síndrome de Down têm mostrado diferentes condições de saúde bucal, destacando-se uma baixa ocorrência de cárie e maior suscetibilidade às doenças periodontais. Assim, o presente estudo objetivou avaliar a prevalência de cárie, patologias periodontais e níveis de cocos cariogênicos em portadores de Síndrome de Down. A população foi constituída de 40 pacientes portadores da síndrome, com idade de 6 a 18 anos, de ambos os gêneros, e igual número de pacientes do grupo controle, os quais foram submetidos ao exame clínico periodontal segundo os critérios do PSR e para determinação do índice de cárie empregando-se os índices ceo-d e CPOD, e avaliação dos níveis de cocos cariogênicos através do real-time PCR. Verificou-se que nas crianças com síndrome de Down o índice médio ceo-d foi 1,17 e o CPO-D 3,53 enquanto que no grupo controle foi observado ceo-d 1,97 e o CPO-D 2,77. Verificou-se que 32,5% das crianças com síndrome de Down eram saudáveis, 65% com gengivite e 2,5% com periodontite e, no grupo controle, 50% foram saudáveis e 50% mostraram gengivite. Os resultados evidenciaram que a população de cocos cariogênicos foi similar entre pacientes portadores ou não de síndrome de Down. Concluiu-se que a ocorrência de cárie em crianças com síndrome de Down foi maior nos dentes permanentes comparadas com o grupo controle, enquanto que na dentição decídua a ocorrência de cárie foi maior no grupo controle, enquanto que as condições periodontais foram semelhantes entre os dois grupos.

Aggregatibacter actinomycetemcomitans em pacientes com síndrome de down: influência da condição periodontal e higiene bucal

Patients with Down syndrome have varying degrees of mental retardation, physical and motor, and apparently are more susceptible to infectious diseases. Thus, the present study aimed to evaluate the occurrence of Aggregatibacter actinomycetemcomitans in saliva and subgingival biofilms and above of children and adolescents with Down syndrome and analyze the influence of diet, socioeconomic and cultural factors and periodontal condition. After assessing the socio-economic and behavioral, were collected clinical specimens, which were transported to the laboratory of Microbiology and Immunology FOA-UNESP for detection of microorganisms by molecular method and periodontal conditions were evaluated according to the Periodontal Screening Index and Recording. The control group consisted of individuals without the syndrome. The results were analyzed by chi-square test for proportion analysis of variables with three or more categories, or the Mann-Whitney test. The data analysis of this study showed that the occurrence of A. actinomycetemcomitans ranged from 0.0% to 25.0%, both in the group of patients with Down syndrome, as for the control group and this was not affected by socioeconomic characteristics of the target population, either by oral hygiene standards

Avaliação do desempenho escolar de crianças contaminadas por chumbo

The lead contamination in children has been the subject of research in the field of public health. This study evaluated the academic performance of 102 children from first to fourth grade. The subjects were divided into two groups. The first group was composed of 34 children without lead poisoning or with poison at levels lower than 5 µg/dl. The second group was composed of 68 children with blood lead levels between 10 and 40 µg/ dl. The instruments used to evaluate the academic performance were anamnesis and a scholarly performance test called Teste de Desempenho Escolar, TDE. The results indicated better academic performances from the second group with significant differences in arithmetic, reading and general scores. In a comparison between genders, the girls had better performances than the boys. These results were consistent with the parents’ perception in anamnesis. Although other variables were present, the data showed great academic damage for children with higher leadpoison. These outcomes require political policies to control contamination and intervention in this population.

Um estuo dos modelos da geometria hiperbólica

Pós-graduação em Matemática Universitária - IGCE

Introdução a ontologias e suas aplicações

Different vocabularies and contexts are barriers to the communication between people or software systems. It is necessary a common understanding in the domain that is talked about, so it can be obtained a correct interpretation of the information. An ontology formally models the structure of a domain and turn explicit the shared understanding in the form of concepts and relations that emerge from its observation. Constitutes a sort of framework used in the mapping to the meaning of the information that is talked about. The formal accuracy in which they are defined, by means of axioms, allow machine processing, implicating in systems interoperability. Structured this way, the knowledge is easily transferred between people or systems from different contexts. Ontologies present several applications nowadays. They are considered the infra-structure to the Semantic Web, which is composed by Web resources with embedded meaning. Thereby, the automatic execution of complex tasks is allowed, with the benefit from the effective communication between Web software agents. Among other applications, they also have been used to structure the knowledge generated from several areas, like Biology and Software Engineering.

A adequação curricular como facilitadora da educação inclusiva

The present study aims to demonstrate the evaluation of the accomplishment results of a practical curricular adaptation activity to facilitate the academic progress of students with special educational needs. This activity is a requirement to mandatory subject of a refinement course called "Special and Inclusive Education Practices in mental deficiency issues". The course was accomplished in a virtual environment through TelEduc platform. On this text the evaluation of a 30-studentsample will be presented. The survey results highlight that curricular adaptation is a viable didactic-methodological strategy for intellectual deficient students to access the normal curriculum.

Situação de rua e evasão escolar: atenção para a educação inclusiva

This paper aims to present a study about the importance of Education as a public policy for the integral development of children and adolescents in street situation. As theoretical foundation, the authors used constructs from the National Policy of Special Education in the perspective of Inclusive Education, the Statute of the Child and Adolescent emphasizing the importance of family and social networks as a way to protect children and adolescents who left school and live under the precarious situation of street. In this sense, the National Policy of Special Education in the perspective of Inclusive Education has just pointed to the issues that pass by the inclusion of these children and adolescents to put them back to school. To do this, it is necessary to implement policies designed to the care of children and adolescents victimized by the living on the streets.

Material didático para alunos surdos: a literatura infantil em Libras

The storytelling is central to the early literacy of children, part of the objectives for the entire kindergarten. The story circle or storytelling is important and helpful in cognitive and emotional development of children, including the ones with disabilities. Seeking communicational accessibility, the aim of this work is to make the book "O Penuginha" by Luiz Vitor Martinello available in LIBRAS (Brazilian Sign Language). To facilitate the achievement of this objective, it was considered appropriate to develop a descriptive study following the methodology of qualitative research, to search for literature on how learning takes place in the Portuguese language by deaf students. This study resulted in a DVD with video recordings, the translation of the book "O Penuginha" in LIBRAS and the narration of the book in Portuguese. Therefore, this research is relevant because the paradigm of the twenty first century is the inclusion of all people in different scenarios and the school is one of the first places where the removal of barriers is essential.

Apoyando la inclusión educativa: un estudio de caso sobre el aprendizaje y convivencia en la educación infantil en Castilla La Mancha

El objetivo de este trabajo es analizar el proceso de inclusión educativa de un niño con discapacidad. Se centra en el proceso de aprendizaje y en los factores positivos que ha proporcionado esta convivencia. A través de la observación participante en la escuela durante seis meses y entrevistas a informantes clave, los datos muestran que el niño ha evolucionado favorablemente en su aprendizaje y entre los factores más destacables, resalta el cambio positivo que su tutora experimentó sobre el concepto de inclusión, así como el buen desarrollo de su labor profesional, educando en valores como la tolerancia y solidaridad.