A articulação entre política externa e política de defesa no Brasil: uma Grande Estratégia inconclusa

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

3D superimposition and understanding temporomandibular joint arthritis

Structured AbstractObjectivesTo investigate the 3D morphological variations in 169 temporomandibular ioint (TMJ) condyles, using novel imaging statistical modeling approaches.Setting and sample populationThe Department of Orthodontics and Pediatric Dentistry at the University of Michigan. Cone beam CT scans were acquired from 69 subjects with long-term TMJ osteoarthritis (OA, mean age 39.115.7years), 15 subjects at initial consult diagnosis of OA (mean age 44.914.8years), and seven healthy controls (mean age 4312.4years).Materials and methods3D surface models of the condyles were constructed, and homologous correspondent points on each model were established. The statistical framework included Direction-Projection-Permutation (DiProPerm) for testing statistical significance of the differences between healthy controls and the OA groups determined by clinical and radiographic diagnoses.ResultsCondylar morphology in OA and healthy subjects varied widely with categorization from mild to severe bone degeneration or overgrowth. DiProPerm statistics supported a significant difference between the healthy control group and the initial diagnosis of OA group (t=6.6, empirical p-value=0.006) and between healthy and long-term diagnosis of OA group (t=7.2, empirical p-value=0). Compared with healthy controls, the average condyle in OA subjects was significantly smaller in all dimensions, except its anterior surface, even in subjects with initial diagnosis of OA.ConclusionThis new statistical modeling of condylar morphology allows the development of more targeted classifications of this condition than previously possible.

Body posture evaluations in subjects with internal temporomandibular joint derangement

The aim of this study was to verify possible relationships between global body posture and temporomandibular joint internal derangement (TMJ-id), by comparing 30 subjects presenting typical TMJ-id signs to 20 healthy subjects. Body posture was assessed using the analysis of muscle chains on several photographs. Results show a higher frequency of lifted shoulders (p=0.04) and of changes in the antero-internal hip chain (p=0.02) in the test group, but no further differences were found significant between the control and test groups. The test group was then divided into three subgroups according to the Helkimo index of temporomandibular disorder severity. Again, no significant differences were found between the subgroups. However, there was a trend noticed in the group with the most severe dysfunction, to present a forward head and shoulders posture. Results are discussed in light of previous studies using the same sample.

Diagnostic index of three-dimensional osteoarthritic changes in temporomandibular joint condylar morphology

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

Lateral pterygoid muscle volume and migraine in patients with temporomandibular disorders

Lateral pterygoid muscle (LPM) plays an important role in jaw movement and has been implicated in Temporomandibular disorders (TMDs). Migraine has been described as a common symptom in patients with TMDs and may be related to muscle hyperactivity. This study aimed to compare LPM volume in individuals with and without migraine, using segmentation of the LPM in magnetic resonance (MR) imaging of the TMJ. Twenty patients with migraine and 20 volunteers without migraine underwent a clinical examination of the TMJ, according to the Research Diagnostic Criteria for TMDs. MR imaging was performed and the LPM was segmented using the ITK-SNAP 1.4.1 software, which calculates the volume of each segmented structure in voxels per cubic millimeter. The chi-squared test and the Fisher's exact test were used to relate the TMD variables obtained from the MR images and clinical examinations to the presence of migraine. Logistic binary regression was used to determine the importance of each factor for predicting the presence of a migraine headache. Patients with TMDs and migraine tended to have hypertrophy of the LPM (58.7%). In addition, abnormal mandibular movements (61.2%) and disc displacement (70.0%) were found to be the most common signs in patients with TMDs and migraine. In patients with TMDs and simultaneous migraine, the LPM tends to be hypertrophic. LPM segmentation on MR imaging may be an alternative method to study this muscle in such patients because the hypertrophic LPM is not always palpable.

Temporomandibular disorders in females: acupuncture compared to occlusal splint

To compare the effect of acupuncture and occlusal splint in the treatment of temporomandibular disorders (TMD) in female patients.Method: Forty-eight female patients (mean age of 39.3±6.8 years) with diagnosed pain in muscles or joint according to RDC/TMD criteria were attended at UNESP - Aracatuba Dental School. Including criteria were reported pain in the chewing muscles and/or in the temporomandibular joint measured by a visual analogue scale (range from 0 to 10) and a reported reduction of the maximum mouth opening. Excluding factors were major occlusal problems, systemic diseases, pregnancy and age below 18 years. After randomization, the first group was treated with acupuncture performed by instructed dentist. The second group was treated with occlusal splint. The outcome variables were assessed at baseline (prior to the first treatment session) and after 1, 3 and 6 months. Primary criteria of success were improvement of mouth opening and pain reduction.Result: Acupuncture group exhibited chewing pain decrease from 5 (at baseline) to 1, 2 and 1 after 1, 3 and 6 months, respectively. In the splint group, chewing pain decreased from 4 to 2, 1 and 2 after 1, 3 and 6 months, respectively. The mouth opening (in mm) increased from 28 (at baseline) to 42, 44 and 46 after 1, 3 and 6 months, respectively in the acupuncture group. In the splint group, mouth opening improved from 29 to 40 after 1 month, and to 43 and 42 after 3 and 6 months. A significant pain reduction was noted for both groups when compared to the baseline (p<.001; Wilcoxon test). Acupuncture group had a significant clinical improvement of opening mouth (Mann-Whitney). Conclusion: The present outcomes suggest a positive association among acupuncture and occlusal splint on the reduction of chewing pain. Acupuncture was more effective in the mouth opening increase.

Projeto Sempre Sorrindo: 10 anos de atenção ao idoso institucionalizado

Introduction: To correctly attend the health needs of the elderly population, it is necessary to invest in training of human resources. Thus, it becomes indispensable to insert the geriatric dentistry content into graduation courses. Objective: To describe the experiences and the results obtained during 10 years of an university extension project focused on oral health care of institutionalized elderly. Methodology: This is a documental and descriptive work, which was analyzed the institutional process of ten years of the University Extension Program, “Always Smiling - Dental Care for the Elderly Institutionalized of Araçatuba, “ developed at the Araçatuba Dental School, FOA/ UNESP. It were collected quantitative and qualitative data, and these were classified and interpreted according to the technique of categorizing the content. Results: In ten years of implementation, the project “Always Smiling” involved undergraduate students, professors and post-graduate students, who together have developed practical activities such as health education, hygiene supervision, recreational and educational activities, epidemiological surveys of oral health conditions and consequently, dental care according to the need of the treatment. Conclusion: The project “Always Smiling” serves as a working model for elderly health care, because it acts involves many aspects, from the prevention of diseases, even to the training of elderly caregivers, benefiting the institutionalized elderly and health professionals.

Jornalismo e sociedade: a Invisibilidade do idoso na imprensa brasileira

This article intends to inventory the medias that also cover Third Age in Brazil, in view of that all the demographic pointers reveal the accented process of aging of the world-wide population, and therefore of our country. A time that the journalists cannot ignore the changes that occur in the interior of the society, in which it is the main area of performance of the journalism, we want to understand why the Brazilian media still dedicates so little space to this phenomenon of the elderly, in contrast of what occurs in other countries. We ask ourselves, then, if the change in the way of looking at the elderly one would not have to be born inside of the University, through the young who prepare for the exercise of the profession, with citizenship and social concern.

Jornalismo e sociedade: a (in) visibilidade do idoso na imprensa brasileira

This article intends to inventory the medias that also cover Third Age in Brazil, in view of that all the demographic pointers reveal the accented process of aging of the world-wide population, and therefore of our country. A time that the journalists cannot ignore the changes that occur in the interior of the society, in which it is the main area of performance of the journalism, we want to understand why the Brazilian media still dedicates so little space to this phenomenon of the elderly, in contrast of what occurs in other countries. We ask ourselves, then, if the change in the way of looking at the elderly one would not have to be born inside of the University, through the young who prepare for the exercise of the profession, with citizenship and social concern. In the Course of Journalism of the UNESP/Bauru a group of future journalists is searching this subject, for this they sign this article.

Jornalismo e sociedade: a (in) visibilidade do idoso na imprensa

This article intends to inventory the medias that also cover Third Age in Brazil, in view of that all the demographic pointers reveal the accented process of aging of the world-wide population, and therefore of our country. A time that the journalists cannot ignore the changes that occur in the interior of the society, in which it is the main area of performance of the journalism, we want to understand why the Brazilian media still dedicates so little space to this phenomenon of the elderly, in contrast of what occurs in other countries. We ask ourselves, then, if the change in the way of looking at the elderly one would not have to be born inside of the University, through the young who prepare for the exercise of the profession, with citizenship and social concern. In the Course of Journalism of the UNESP/Bauru a group of future journalists is searching this subject, for this they sign this article.

O conhecimento, as redes e a competência em informação (CoInfo) na sociedade contemporânea: uma proposta de articulação conceitual

Article exploratory nature that presents reflection on the information, knowledge and learning society and the social role of information and knowledge about new social structures that culminate in the emergence of the "network society". The concepts of knowledge, networks and the importance of information literacy are highlighted to learn to access and use the information wisely and foster the construction and sharing of knowledge through relationships without restrictions of space and time. It aims to establish a conceptual link between, trying to show the need for better understanding between these areas for innovation and the development of people and organizations in contemporary society.

Inclusão e cidadania digital no Brasil: a (des) articulação das políticas públicas

The incipient but quickly expansion action on the Information and Communications Technologies (ICT) in Africa it is now just having different impact on these societies. One of these relates bear on how users are identified with these tools. Just like that we find individuals identify as bloggers, twitter followers or cyber activist. This contribution analyzes the Senegal’s fact where a successful use of social nets and web 2.0 tools experience (at least in repercussion) as social and political involvement while presidential elections in 2012 is tied to come back an identity: Cyber activist. Senegalese circumstance shows us how this identity has a personal and assertiveness dimension as well collective aspects of belonging to a community. One as much as the other, show us personal traits in contrast to previous beliefs, basically because it fuse and confuse virtual and reality. Due to dynamics from expanding technology, this identity is youthful and urban, but not only. This situation creates new dynamics at least in this affected group. For this reason, besides knowing emergence and evolution of this fact, it raises some of the involvement in social and political involvement from groups traditionally “invisible”. Beyond the new social behavior there are new changes in the rules of the game in order to start new social revolution.

Centro da atividade modelo centro-dia do idoso no município de Presidente Prudente

This final work graduation presents a proposal model Seniors Center Day in the city of Presidente Prudente. The municipality has local (private and public) with socialization activities and some medical treatments for the elderly, but the attendance capacity is not sufficient and in some places the infrastructure is not adequate, as in Case Study Centro de Referência do Idoso Feliz Idade maintained by Presidente Prudente Prefecture. From projective references created the model Centro da Atividade that integrates users in the city through the spatial continuity (main architectural party) and physical and psychological comfort of the elderly. The space designed has strong links with the external environment, creating relationships of older people with nature through living spaces to free up and the psychological comfort (and the relation with nature) is present in the project through spaces with elements that make part of the affective memory of users

Envelhecimento e sociedade: um debate sobre o lugar do idoso no Brasil contemporâneo

Pós-graduação em Ciências Sociais - FFC

Eficácia e segurança do Sirolimus associado a tacrolimus em baixas doses em paciente idoso transplantado renal

Pós-graduação em Fisiopatologia em Clínica Médica - FMB