904 resultados para Drill and minor tactics
Resumo:
Pós-graduação em Odontologia Restauradora - ICT
Resumo:
In horses less than one year of age fractures of the third metacarpal bone (McIII) or metatarsal bone III (MtIII) are mainly attributed to trauma. Open reduction and internal fixation are the most common treatment method. A Quarter Horse filly with three months of age, which weighed 150kg presented a diaphyseal multifragmentar wedge fracture of right MtIII which was treated with transcortical pins and cast, associated with intralesional application of platelet rich plasma (PRP). After two years of surgery, the animal initiated a training program for racing, and six months later, the patient ran its first official match. The choice of therapeutic methods for treating fractures in horses should be one that provides an earlier repair and minor possibility of complications. Thus, the therapy association which was adopted was considered favorable, since allowed full reestablishment of locomotion of the patient and made possible its return to race.
Resumo:
This study focused on the validation of the Spanish version of the UNESP-Botucatu multidimensional composite pain scale to assess postoperative pain in cats. The original scale in Portuguese was translated into Spanish by two independent translators, and summarised in one version by a third individual. The summarised version was back-translated and minor adjustments were made. The scale was reviewed by three anesthesiologists with Spanish as their first language, and the final version was submitted to psychometric testing. Thirty cats undergoing ovariohysterectomy were video recorded during the perioperative period. Six observers from different spanish speaking countries, who had Spanish as the first language watched the videos and determined the pain scores using the Spanish version of the scale, identifying the cats that should receive analgesics. Videos were reanalysed in a different order about 2 months after the first assessment. The sensitivity to change, content and construct validity were established by the significant change in pain scores in response to surgery and analgesics. The agreement between the evaluations of the 'gold standard'(researcher that developed the scale) and the other observers confirmed the criterion validity. Inter- and intra-rater reliability, evaluated by intra-class correlation coefficient, ranged from good to very good for all scale items. The cut-off point for rescue analgesia identified by Receiver Operating Characteristic curve was > 7 with 92% of sensitivity and 91% of specificity. The Spanish version of the UNESP-Botucatu multidimensional composite pain scale is interpretable (has an optimal analgesic intervention score), valid and reliable instrument for assessing acute pain in cats undergoing ovariohysterectomy.
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Pós-graduação em Ciência e Tecnologia Animal - FEIS
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
In this action research study of my classroom of 8th grade algebra, I investigated students’ discussion of mathematics and how it relates to interest in the subject. Discussion is a powerful tool in the classroom. By relying too heavily on drill and practice, a teacher may lose any individual student insight into the learning process. However, in order for the discussion to be effective, students must be provided with structure and purpose. It is unrealistic to expect middle school age students to provide their own structure and purpose; a packet was constructed that would allow the students to both show their thoughts and work as a small group toward a common goal. The students showed more interest in the subject in question as they related to the algebra topics being studied. The students appreciated the packets as a way to facilitate discussion rather than as a vehicle for practicing concepts. Students still had a need for practice problems as part of their homework. As a result of this research, it is clear that discussion packets are very useful as a part of daily instruction. While there are modifications that must be made to the original packets to more clearly express the expectations in question, discussion packets will continue to be an effective tool in the classroom.
Resumo:
This workshop details the deculturalization process that takes place when Indigenous Peoples are used as mascots in school-related activities; examines the arguments(s) and defensive tactics used by sports fans and school officials to maintain these hegemonic images; and offers successful strategies for developing policy toward the elimination of Indigenous Peoples as mascots.
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
Osteoporosis is a global public health that affects postmenopausal women due to the deficiency of estrogen, a hormone that plays an important role in the microarchitecture of bone tissue. Osteoporosis predisposes to pathological bone fracture that can be repaired by conventional methods. However, depending on the severity and quantity of bone loss, the use of autogenous grafts or biomaterials such as hydroxyapatite might be necessary. The latter has received increasing attention in the medical field because of its good biological properties such as osteoconductivity and biocompatibility with bone tissue. The objective of this study was to evaluate using histologic and radiographic analyses, the osteogenic capacity of hydroxyapatite implanted into the femur of rats with ovariectomy-induced osteoporosis. Eighteen rats were divided into three groups with six animals in each: group nonovariectomized, bilaterally ovariectomized not receiving estrogen replacement therapy, and bilaterally ovariectomized submitted to estrogen replacement therapy. Defects were created experimentally in the distal epiphysis of the femur with a surgical drill and filled with porous hydroxyapatite granules. The animals were sacrificed 8 weeks after surgery. The volume of newly formed bone in the implant area was quantified by morphometrical methods. The results were analyzed by ANOVA followed by the Tukey test (P < 0.05). The hydroxyapatite granules showed good radiopacity. Histological analysis revealed less quantity of newly formed bone in the ovariectomized group not submitted to hormone replacement therapy. In conclusion, bone neoformation can be expected even in bones compromised by estrogen deficiency, but the quantity and velocity of bone formation are lower. Microsc. Res. Tech., 2011. (c) 2011 Wiley Periodicals, Inc.
Resumo:
Cochlear implantation is a safe and reliable method for auditory restoration in patients with severe to profound hearing loss. Objective: To describe the surgical complications of cochlear implantation. Materials and Methods: Information from 591 consecutive multichannel cochlear implant surgeries were retrospectively analyzed. All patients were followed-up for at least one year. Forty-one patients were excluded because of missing data, follow-up loss or middle fossa approach. Results: Of 550 cochlear implantation analyzed, 341 were performed in children or adolescents, and 209 in adults. The mean hearing loss time was 6.3 +/- 6.7 years for prelingual loss and 12.1 +/- 11.6 years for postlingual. Mean follow-up was 3.9 +/- 2.8 years. Major complications occurred in 8.9% and minor in 7.8%. Problems during electrode insertion (3.8%) were the most frequent major complication followed by flap dehiscence (1.4%). Temporary facial palsy (2.2%), canal-wall lesion (2.2%) and tympanic membrane lesion (1.8%) were the more frequent minor complications. No death occurred. Conclusion: There was a low rate of surgical complications, most of them been successfully managed. These results confirm that cochlear implant is a safe surgery and most surgical complications can be managed with conservative measures or minimal intervention.
Resumo:
Introduction: This study aimed to describe the anatomy of mandibular premolars with type IX canal configuration by using micro–computed tomography. Methods: Mandibular premolars with radicular grooves (n = 105) were scanned, and 16 teeth with type IX configuration were selected. Number and location of canals, distances between anatomic landmarks, occurrence of apical delta, root canal fusion, and furcation canals, as well as 2-dimensional (area, perimeter, roundness, major and minor diameters) and 3-dimensional (volume, surface area, and structuremodel index) analysis were performed. Data were statistically compared by using analysis of variance and Kruskal-Wallis tests (a = 0.05). Results: Overall, specimens had 1 root with a main canal that divided into mesiobuccal, distobuccal, and lingual canals at the furcation level. Mean length of the teeth was 22.9 2.06 mm, and the configuration of the pulp chamber was mostly triangle-shaped. Mean distances from the furcation to the apex and cementoenamel junction were 9.14 2.07 and 5.59 2.19 mm, respectively. Apical delta, root canal fusion, and furcation canals were present in 4, 5, and 10 specimens, respectively. No statistical differences were found in the 2-dimensional and 3-dimensional analyses between root canals (P > .05). Conclusions: Type IX configuration of the root canal system was found in 16 of 105 mandibular premolars with radicular grooves. Most of the specimens had a triangle-shaped pulp chamber. Within this anatomic configuration, complexities of the root canal systems such as the presence of furcation canals, fusion of canals, oval-shaped canals in the apical third, small orifices at the pulp chamber level, and apical delta were also observed
Resumo:
Eine der häufigsten Komplikationen bei der allogenen Blutstammzelltransplantation stellt die Transplantat-gegen-Wirt-Erkrankung (Graft versus Host Disease, GvHD) dar. Sie wird durch allogene Spender-T-Lymphozyten verursacht, die Gewebe des Transplantatempfängers erkennen und inflammatorische Entzündungsprozesse auslösen. Neben dieser Alloreaktivität induzieren Spender-T-Lymphozyten jedoch auch immuntherapeutisch erwünschte Transplantat-gegen-Leukämie-Reaktionen (Graft versus Leukemia, GvL-Reaktion), bei denen residuelle Tumor- bzw. Leukämiezellen im Patienten durch Spender-T-Zellen spezifisch erkannt und eliminiert werden. Im Rahmen einer verbesserten Immmuntherapie wird daher versucht, GvHD-reaktive und GvL-reaktive Spender-T-Lymphozyten effizient voneinander zu separieren und so eine wirkungsvolle GvHD-Prophylaxe bzw. optimierte GvL-Induktion zu erreichen. In diesem Kontext war es Ziel dieser Arbeit, murine dendritische Zellen (DZ) so zu modifizieren, daß sie für die spezifische Deletion alloreaktiver T-Zellen in murinen GvHD/GvL-Tiermodellen eingesetzt werden können. Die Modifikation der DZ sollte dazu führen, daß über das CD95/CD178-System Aktivierungs-induzierter Zelltod (activation induced cell death, AICD) in alloreaktiven T-Zellen ausgelöst wird. Hierzu wurden für die Modifikation der DZ zwei verschiedene Mechanismen angewandt: a) die Transfektion der DZ mit CD178-mRNA sowie b) die zielgerichtete Immobilisierung von hCD178-X-Fusionsproteinen auf Oberflächenmolekülen von DZ bzw. T-Zellen. Als Positivkontrolle für die Induktion CD95-vermittelter Apoptose diente der agonistische anti-CD95-Antikörper Jo2. Bei der Transfektion muriner DZ mit mRNA zeigte sich anhand des Reportergens EGFP, daß aus dem Knochenmark generierte DZ mit hoher Effizienz mit EGFP-mRNA transfizierbar waren. Im Falle von hCD178-mRNA führte die Transfektion jedoch zu einer insuffizienten CD178-Expression, die mit den regulatorischen Eigenschaften der zytoplasmatischen CD178-Region in Verbindung gebracht werden konnte. So führte die Verwendung einer zytoplasmatisch trunkierten Form der CD178-mRNA (CD178Dzyt) zu einer durchflußzytometrisch nachweisbaren CD178-Expression in DZ. Mit diesen CD178Dzyt-exprimierenden DZ konnte in einem Proliferationstest die Proliferation alloreaktiver T-Zellen inhibiert werden. Die Beladung von DZ bzw. von T-Zellen mit hCD178-X-Fusionsproteinen führte in vitro ebenfalls zu einer deutlichen Reduktion von Alloreaktivität. Dabei konnte eine spezifische Deletion/Inhibition alloreaktiver T-Zellen nachgewiesen werden. Die Elimination alloreaktiver T-Zellen erfolgte in beiden Verfahren über AICD. Darüber hinaus wurde eine Bifunktionalität der Fusionsproteine festgestellt, da sie neben der Induktion CD95-vermittelter Apoptose auch in der Lage waren, die Kostimulation allogener T-Zellen effizient zu inhibieren. Mit Hilfe adoptiver T-Zell-Transferexperimente konnten abschließend die in vitro gewonnenen Ergebnisse in vivo in zwei verschiedenen GvHD-Mausmodellen bestätigt werden.
Resumo:
Die DNA stellt aufgrund der genetischen Krankheitsursache nach wie vor ein überaus attraktives Target für das Design antitumoraktiver Zytostatika dar. Ein wesentlicher Schwerpunkt der heutigen Forschung besteht vor allem in der Entwicklung niedermolekularer, sequenzspezifischer DNA-Liganden zur gezielten Ausschaltung defekter Gene. Im Rahmen dieser Arbeit erfolgte daher in Anlehnung an die antitumoral wirksame Leitsubstanz Netropsin - ein AT-selektiver Minor Groove Binder mit Bispyrrolcarboxamid-Grundstruktur - erstmals der systematische Aufbau einer neuen Serie bioisosterer Hybridmoleküle, bestehend aus einem interkalierenden Strukturelement (Acridon, Naphthalimid, 5-Nitronaphthalimid, Anthrachinon, 11H-Pyrido[2,3-a]carbazol) und Thiophenpyrrol-, Imidazolpyrrol-, Thiazolpyrrol- bzw. Bisimidazolcarboxamid als rinnenbindende Oligoamid-Einheit (sog. Combilexine). Die chromophoren Systeme am N-Terminus wurden hierbei über aliphatische Linker variabler Kettenlänge mit der Carboxamid-Kette verknüpft. Als C-terminale Funktion kam sowohl die N,N-Dimethyl-1,3-diaminopropan- als auch die um ein C-Atom kürzere Dimethylaminoethylamin-Seitenkette zum Einsatz. Unter Verwendung modernster Reagenzien aus der Peptidkupplungschemie ist es gelungen, ein präparativ gut zugängliches, reproduzierbares Verfahren zur Synthese dieser bioisosteren Combilexine zu entwickeln. Anhand biophysikalischer/biochemischer, zellbiologischer und physikochemischer (1H-NMR-spektroskopischer und röntgenstrukturanalytischer) Methoden sowie Molecular Modelling Studien wurden erstmals bezüglich der DNA-Bindung, der Topoisomerase-Hemmung und der Antitumor-Zellzytotoxizität in einem breiten Rahmen vororientierende Struktur-Wirkungsbeziehungen an bioisosteren Liganden erstellt. Wenngleich zwischen den in vitro und in silico ermittelten Befunden keine konkreten Gesetzmäßigkeiten zu erkennen waren, so ließ die Summation der Ergebnisse dennoch darauf schließen, dass es sich bei den Naphthalimidpropion- und Acridonbuttersäure-Derivaten mit C-terminaler Propylendiamin-Funktion um die aussichtsreichsten Kandidaten in Bezug auf die DNA-Affinität bzw. Zytotoxizität handelte.