Cephalometric analysis for the diagnosis of sleep apnea: a comparative study between reference values and measurements obtained for Brazilian subjects

OBJECTIVE: To verify if the reference values of Sleep Apnea cephalometric analysis of North American individuals are similar to the ones of Brazilian individuals presenting no craniofacial anomalies. The study also aimed to identify craniofacial alterations in Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) patients in relation to individuals without clinical characteristics of the disease through this cephalometric analysis. METHOD: It were used 55 lateral cephalograms consisting of 29 for the control group of adult individuals without clinical characteristics of OSAHS and 26 apneic adults. All radiographs were submitted to Sleep Apnea cephalometric analysis through Radiocef Studio 2.0. The standard values of this analysis were compared, by means of z test, to the ones obtained from the control group and these were compared to values from apneic group through Student's t test. RESULTS: There were no significant differences between values obtained from control group and standard values. On the group of OSAHS patients it was observed a decrease on the dimensions of upper airways and an increase on the soft palate length. CONCLUSIONS: The standard values of Sleep Apnea analysis can be used as reference in Brazilian individuals. Besides, through lateral cephalograms it was possible to identify craniofacial alterations in OSAHS patients.

Estudo da correlação linear entre a dimensão da largura maxilar e as dimensões das larguras de outras grandezas, lineares, transversas da face, em portadores de fissura transforame incisivo unilateral, através da cefalometria radiográfica, em norma frontal

This research presents the results of a cephalometric radiography study, in frontal norm, that was used to measure the possible linear correlations between several linear dimensions of the face, in a sample of a 140 caucasian brazilians, with an average age of 20 years, who were distributed in 2 groups as follows: Control group - formed of 35 males and 35 females, with no apparent facial deformities and with dental oclusion, not necessarily, in Angle's Class I; Unilateral cleft lip and palate group - formed of 35 males and 35 females with surgical correction of the up in the first year and of the palate until the third year of life, without orthodontic treatment. ln each teleradiography, the following parameters were measured using a computer: - Lateral orbit width or external orbit width (LOe) - Medial orbit width or internal orbit width (LOI) - Zygomatic width or facial width (LZI) - Mastold width (LMa) - Maxilar width (LMx) - Nasal width (LNa) - Condilar width (LCo) - Antigonial width (LGa) The values obtained were treated statistically using quantitative analysis (arithmetic mean, standard deviation, standard mean error, Person's variation factor and Pearson factor linear correlation). Theirs significance was established by Student's t test. The Pearson factor linear correlations determined between transverse linear cephalometric width dimensions of face in frontal norm for individuals of both groups and sex, with an average age of 20 years, were: ...

Dimensões de competitividade para a empresa Brasileira: informação e conhecimento, qualidade, tecnologia e meio ambiente

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

Adherence to standard precautions from the standpoint of the Health Belief Model: the practice of recapping needles

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

Ingestão Oral e Grau de Comprometimento da Disfagia Orofaríngea Neurogênica Pré e Pós-Fonoterapia

Objective. To compare, pre- and post-swallowing therapy, the level of oral intake scale, and the degree of severity of neurogenic oropharyngeal dysphagia. Method. 19 patients with oropharyngeal dysphagia: 10 Post-Stroke adults, aged from 44 years to 76 years (group 1 – G1), and nine children with Cerebral Palsy, aged from two years and five months to 15 years (group 2 – G2). We excluded individuals in the process of spontaneous recovery. We held retrospective analysis of clinical protocols for clinical speech therapy evaluation with classification of the degree of dysphagia severity, applied before and after swallowing therapy. We used the Functional Oral Intake Scale - FOIS to assess the level of oral ingestion, pre and post-swallowing therapy. Results. The degree of commitment of dysphagia was favorable change only in adults, and in FOIS these changes occurred in both groups. Conclusion. There were favorable changes in the degree of impairment of oropharyngeal dysphagia and levels of FOIS, pre and post - speech therapy in stroke, but in ECINP markers used showed no favorable changes should even be reviewed for application in this population. Future studies are needed to investigate the variables in this sample.

Mensuração das dimensões cardíacas pelo método VHS (Vertebral Heart Size) em cães

It is imortant to be able to evaluate the cardiact size . In 1995, was proposed by Buchanan and Bücheler a new way to measure the dimensions of the cardiac silhouette. This study aims to gather several studies of the cardiac dimensions by VHS method in the right lateral recumbency of of different breeds of dogs in a single work, facilitating the assess to information. Deep chest breeds have a smaller mean VHS value than the barrel chest breeds, showing that there is a variation of the VHS values acoording to the thoracic conformation of each breed, which indicates that there is a need to recognize the specific VHS values according to the breed standard to not to interpret the cardiac measurement in a wrong way through not compatible reference values for the animal. There is the individual variation that should be taken into accont at the time of measurement. The VHS is a helper method to a radiographic evaluation of the heart, and the ultrasonography remains the gold standard for the evaluation of the cardiac chambers and other changes of the heart

Comportamento do IDEB nos municípios paulistas da região de Barretos e região central: algumas discussões para responsabilização e comprometimento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Study of thermocycling effect on the bond strength between an aluminous ceramic and a resin cement

This study evaluated the effect of thermocycling on the bond strength between Procera AllCeram (Nobel-Biocare) and a resin cement (Panavia F, Kuraray CO). Nine ceramic blocks with dimensions of 5x6x6mm were conditioned at one face with Rocatec System (Espe). After, they were luted with Panavia F to composite resin blocks (Clearfil AP-X, Kuraray CO). The nine groups formed by ceramic, cement and composite resin were split up obtaining 75 samples with dimensions of 12x1x1mm and adhesive surface presenting 1mm2±0.1mm2 of area. The samples were divided into 3 groups (n=25): G1 - 14 days in distilled water at 37ºC; G2 – 6,000 cycles in water (5ºC - 55ºC – 30s); G3 – 12,000 cycles in water (5ºC - 55ºC – 30s). The samples were tested in a universal testing machine (EMIC) at a crosshead speed of 1mm/min. Data were analyzed by ANOVA and Tukey tests. The results indicated that mean values of rupture tension (MPa) of G1 (10.71 ± 3.54) did not differ statistically (p <5%) from G2 (9.01 ± 3.90), however there was statistical difference between G1 and G3 (7.28 ± 3.00). It was concluded that thermocycling significantly reduced the bond strength values when samples were submitted to 12,000 cycles.

Dimensões da qualidade em serviços: um estudo no setor de B2C brasileiro

With the focus on quality of services, this work uses a methodology based on questionnaires for evaluating companies and consumers, with the objective of studying the dimensions of quality within the segment of Brazilian e-commerce. The research conducted a study to identify the situation of companies regarding the dimensions of quality and, among costumers, a survey was done to determine their requirements with regard to these dimensions and to identify those dimensions considered as winning factors when making the orders. The results demonstrate that customers consider reliability to be the most important order winner, followed by safety and communications. The study of these enterprises demonstrates that their quality of service is good, however there is a need for improvements in the business processes related to the dimensions of service quality.

Dos sujeitos e lugares da punição: da passagem do/a jovem perigoso/a para o/a jovem em perigo: um estudo das dimensões do dispositivo da gestão dos riscos e de controle social da juventude

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Plasticity of stomatal distribution pattern and stem tracheid dimensions in Podocarpus lambertii: an ecological study

Leaf and wood plasticity are key elements in the survival of widely distributed plant species. Little is known, however, about variation in stomatal distribution in the leaf epidermis and its correlation with the dimensions of conducting cells in wood. This study aimed at testing the hypothesis that Podocarpus lambertii, a conifer tree, possesses a well-defined pattern of stomatal distribution, and that this pattern can vary together with the dimensions of stem tracheids as a possible strategy to survive in climatically different sites. Leaves and wood were sampled from trees growing in a cold, wet site in south-eastern Brazil and in a warm, dry site in north-eastern Brazil. Stomata were thoroughly mapped in leaves from each study site to determine a spatial sampling strategy. Stomatal density, stomatal index and guard cell length were then sampled in three regions of the leaf: near the midrib, near the leaf margin and in between the two. This sampling strategy was used to test for a pattern and its possible variation between study sites. Wood and stomata data were analysed together via principal component analysis. The following distribution pattern was found in the south-eastern leaves: the stomatal index was up to 25 higher in the central leaf region, between the midrib and the leaf margin, than in the adjacent regions. The inverse pattern was found in the north-eastern leaves, in which the stomatal index was 10 higher near the midrib and the leaf margin. This change in pattern was accompanied by smaller tracheid lumen diameter and length. Podocarpus lambertii individuals in sites with higher temperature and lower water availability jointly regulate stomatal distribution in leaves and tracheid dimensions in wood. The observed stomatal distribution pattern and variation appear to be closely related to the placement of conducting tissue in the mesophyll.

Three-Dimensional Finite Element Analysis of Stress Distribution on Different Bony Ridges With Different Lengths of Morse Taper Implants and Prosthesis Dimensions

This finite element analysis (FEA) compared stress distribution on different bony ridges rehabilitated with different lengths of morse taper implants, varying dimensions of metal-ceramic crowns to maintain the occlusal alignment. Three-dimensional FE models were designed representing a posterior left side segment of the mandible: group control, 3 implants of 11 mm length; group 1, implants of 13 mm, 11 mm and 5 mm length; group 2, 1 implant of 11 mm and 2 implants of 5 mm length; and group 3, 3 implants of 5 mm length. The abutments heights were 3.5 mm for 13- and 11-mm implants (regular), and 0.8 mm for 5-mm implants (short). Evaluation was performed on Ansys software, oblique loads of 365N for molars and 200N for premolars. There was 50% higher stress on cortical bone for the short implants than regular implants. There was 80% higher stress on trabecular bone for the short implants than regular implants. There was higher stress concentration on the bone region of the short implants neck. However, these implants were capable of dissipating the stress to the bones, given the applied loads, but achieving near the threshold between elastic and plastic deformation to the trabecular bone. Distal implants and/or with biggest occlusal table generated greatest stress regions on the surrounding bone. It was concluded that patients requiring short implants associated with increased proportions implant prostheses need careful evaluation and occlusal adjustment, as a possible overload in these short implants, and even in regular ones, can generate stress beyond the physiological threshold of the surrounding bone, compromising the whole system.

As dimensões humana, instrumental e estratégica da Comunicação Organizacional: recorte de um estudo aplicado no segmento corporativo

Na perspectiva de que a Comunicação que ocorre no dia a dia nas organizações assume, entre outras, três principais dimensões (humana, instrumental e estratégica), o principal objetivo desta pesquisa empírica foi verificar, junto a uma amostra representativa de empresas atuantes no território brasileiro, como essas dimensões estão presentes nas práticas cotidianas de Comunicação. Aplicou-se questionário junto a 36 empresas a partir de uma a mostra de 258. Os dados obtidos mostram que a Comunicação vem sendo praticada nessas três dimensões. As organizações evoluíram gradativamente dos modelos mecânicos da transmissão unilateral de informações para a implantação de processos comunicativos mais interativos. No entanto, ainda falta uma Comunicação que permita a abertura de canais dialógicos de fato e que possibilite maior valorização das pessoas.

Utilization of fringe projection technique for evaluation of wound dimensions and of healing progress.

Background: The methods used for evaluating wound dimensions, especially the chronic ones, are invasive and inaccurate. The fringe projection technique with phase shift is a non-invasive, accurate and low-cost optical method. Objective: The aim is to validate the technique through the determination of dimensions of objects of known topography and with different geometries and colors to simulate the wounds and tones of skin color. Taking into account the influence of skin wound optical factors, the technique will be used to evaluate actual patients’ wound dimensions and to study its limitations in this application. Methods: Four sinusoidal fringe patterns, displaced ¼ of period each, were projected onto the objects surface. The object dimensions were obtained from the unwrapped phase map through the observation of the fringe deformations caused by the object topography and using phase shift analysis. An object with simple geometry was used for dimensional calibration and the topographic dimensions of the others were determined from it. After observing the compatibility with the data and validating the method, it was used for measuring the dimensions of real patients’ wounds. Results and Conclusions: The discrepancies between actual topography and dimensions determined with Fringe Projection Technique and for the known object were lower than 0.50 cm. The method was successful in obtaining the topography of real patient’s wounds. Objects and wounds with sharp topographies or causing shadow or reflection are difficult to be evaluated with this technique.

The nasopalatine duct cyst: an analysis of the relation between clinical symptoms, cyst dimensions, and involvement of neighboring anatomical structures using cone beam computed tomography

This study evaluates the dimensions of nasopalatine duct cysts (NPDCs) and the involvement of neighboring anatomical structures using standardized limited cone beam computed tomography (CBCT) and a possible correlation to the patient's age, gender, preoperative symptoms, and postsurgical complications.