Effect of a hyperbolide mastication apparatus for the treatment of severe sleep bruxism in a child with cerebral palsy: Long-term follow-up

Purpose: Sleep bruxism is common among the various oromotor alterations found in individuals with cerebral palsy (CP). Few studies have investigated the use of the mastication device denominated hyperbola (HB) and none was found describing the use of such a device for the treatment of bruxism in children with CP. The aim of the present study was to evaluate the effect of the HB on electromyographic (EMG) activity in the jaw-closing muscles and the reduction in sleep bruxism in a child with CP using surface EMG analysis before and after nine months of treatment. Methods: A seven-year-old boy with severe spastic CP and sleep bruxism was enrolled in this study. The HB was chosen as the treatment option for sleep bruxism in this case because the child did not accept an occlusal splint. The HB has a hyperbolic shape and is made of soft, non-toxic, odorless, tasteless silicone. There are five different sizes of HB manufactured based on the diversity of tooth sizes. This device produces proprioceptive excitation in the dentoalveolar nerve, spindles and Golgi tendon organs. HB has been employed for the treatment of temporomandibular disorder, abnormal oro-dental development, abnormal occlusion, xerostomy, halitosis and bruxism. HB therapy was performed for 5 min six times a day over a nine-week period. Surface EMG of the mandible at rest and during maximum contraction was performed on the masseter and temporalis muscles bilaterally to evaluate electromyographic activity before and after nine months of HB usage. Results: HB usage led to a visible tendency toward the reorganization of mastication dynamics, achieving a marked balance in electromyographic activity of the jaw-closing muscles and improving the child's quality of life. Conclusion: Based on the findings of the present study, this noninvasive therapy may be useful for individuals with cerebral palsy due to its positive effects and low cost, which allows its use in the public health realm. Further clinical studies with a larger sample size are needed to validate these results and allow the development of a new treatment protocol for patients with spastic cerebral palsy. © 2013 Elsevier Ltd. All rights reserved.

Aquatic Exercise is as Effective as dry Land Training to Blood Pressure Reduction in Postmenopausal Hypertensive Women

Background and Purpose: The evidence of the benefits from regular physical activity to hypertensives is based on dry land training studies. Therefore, the aim of this study is to compare the effect of aquatic exercise with dry land training on hypertensive women. Methods: This is a randomized controlled study with 52 post-menopausal hypertensive women. The patients were randomly allocated in three groups: water aerobic training group (n=19), dry land aerobic training group (n=19) and a non-intervention control group (n=14). The training protocol was performed by 12weeks. Results: There were no differences among the three groups concerning basal blood pressure (BP) and biochemical variables. In water group, there was a statistically significant reduction of systolic BP from 136±16mmHg at zero week to 124±18mm Hg at 11th week and 124±15mmHg at 12th week. In dry land training group, there was a statistically significant reduction of systolic BP from 138±15mmHg at zero week to 125±10mmHg at 7th week, 127±10mmHg at 10th week and 126±9mmHg at 12th week. The control group presented no change in any of the assessed variables. No changes were carried out in any antihypertensive medications during study. Discussion: This is a randomized controlled study that demonstrates the antihypertensive efficacy of aerobic aquatic exercise. © 2013 John Wiley & Sons, Ltd.

Exposición del Brigadier General Sr. Luis Danus Covián, Ministro Director de la Oficina de Planificación Nacional, del Gobierno de Chile, en la ceremonia inaugural del Simposio

El expositor resalta la importancia del Simposio, que reside en pretender analizar, a la luz de diversas corrientes ideológicas, los principales escollos con que se han topado los países de Latinoamérica para llevar adelante sus políticas de desarrollo social. Se refiere principalmente a la experiencia chilena en este campo.

A concepção de criança e desenvolvimento infantil e a coleção Biblioteca de Educação: uma análise das obras escritas pelos psicólogos funcionalistas franco-genebrinos e por Lourenço Filho

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The macro-economic effects and reconstruction requirements following hurricanes Luis and Marilyn in Saint Maarten, Netherlands Antilles = Los efectos macroeconómicos y las necesidades de reconstrucción en Saint Maarten, Antillas Neerlandesas, después de los huracanes Luis y Marilyn

Incluye Bibliografía

The macro-economic effects and reconstruction requirements following hurricane Luis in the Island of Anguilla

Includes bibliography

La actividad frutícola en el alto valle del río Negro

Incluye Bibliografía

La actividad frutícola en el alto valle del río Negro

Incluye Bibliografía

Paraguay: proyeccion de la poblacion por regiones segun sexo y grupos quinquenales de edades, 1970-2000 y proyeccion de los totales de poblacion del Depto. de Alto Parana y de las ciudades de Puerto Pdte. Stroessner, Puerto Pdte.Franco y Hernandarias

Incluye Bibliografía

Gestão de organizações não governamentais

Pós-graduação em Serviço Social - FCHS

Prescrições médicas contra os males da nação: diálogos de Franco da Rocha na construção das Ciências Sociais no Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O leitor nas trilhas do texto: um diálogo entre a teoria de Umberto Eco e a poética da leitura de Jorge Luis Borges

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)