Mastigatory efficiency in denture wears with bilateral balanced occlusion and canine guidance

The maintenance of masticatory function is especially important for patients wearing complete dentures due to their limitations. Thus, the bilateral balanced occlusal concept is used to achieve greater masticatory efficiency. However, a critical review of the literature reveals that there is not sufficient scientific evidence to support bilateral balanced occlusion as the most appropriate occlusal concept in complete dentures. Therefore, the aim of this study was to evaluate the masticatory efficiency in complete dentures wearers with bilateral balanced occlusion and canine guidance. A double-blinded controlled crossover clinical trial was conducted. The sample was composed by 24 edentulous patients who wore sets of complete dentures with both occlusal concepts during equal periods of 3 months. Objective data were collected through the masticatory efficiency test performed by the colorimetric method with the beads, in which capsules of a synthetic material enclosing fuchsine-containing granules were used. Subjective data were recorded by patient's ratings of their chewing function. No significant statistical difference was found for masticatory efficiency (p=0.095) between the two occlusal concepts studied. The results suggest that bilateral balanced occlusion does not improve the masticatory efficiency in complete denture wearers.

Mastigatory efficiency in denture wears with bilateral balanced occlusion and canine guidance

The maintenance of masticatory function is especially important for patients wearing complete dentures due to their limitations. Thus, the bilateral balanced occlusal concept is used to achieve greater masticatory efficiency. However, a critical review of the literature reveals that there is not sufficient scientific evidence to support bilateral balanced occlusion as the most appropriate occlusal concept in complete dentures. Therefore, the aim of this study was to evaluate the masticatory efficiency in complete dentures wearers with bilateral balanced occlusion and canine guidance. A double-blinded controlled crossover clinical trial was conducted. The sample was composed by 24 edentulous patients who wore sets of complete dentures with both occlusal concepts during equal periods of 3 months. Objective data were collected through the masticatory efficiency test performed by the colorimetric method with the beads, in which capsules of a synthetic material enclosing fuchsine-containing granules were used. Subjective data were recorded by patient's ratings of their chewing function. No significant statistical difference was found for masticatory efficiency (p=0.095) between the two occlusal concepts studied. The results suggest that bilateral balanced occlusion does not improve the masticatory efficiency in complete denture wearers.

Los EE.UU. en Centroamerica, 1980-1990: ¿ayuda económica o seguridad nacional?

El objeto de este trabajo es realizar una primera aproximación al fenómeno, en concreto a los orígenes, montos, canalización, implementación, objetivos e impacto de la asistencia norteamericana. Nos detendremos especialmente en las modalidades de asistencia denominadas “ayuda económica”; es decir, aquellas en las que el Congreso norteamericano ha prohibido expresamente un uso militar. Nuestra hipótesis es que tanto la estabilización como la transformación económica, han estado subordinadas a las prioridades de seguridad norteamericanas. En este contexto, los objetivos de la ayuda han sido sobre todo tres: a) El sostenimiento y los apoyos a los gobiernos amigos frente a la oleada insurreccional y los conflictos internos de finales de los setenta y la década de los ochenta; b) La implementación de la estrategia antisandinista, cercando al régimen nicaragüense y c) las transformaciones estructurales en las economías aquejadas de una crisis de carácter estructural. De ello deriva la hipótesis principal: en la medida que la ayuda en buena medida ha servido para alimentar los conflictos de la región, y se ha orientado al mantenimiento y consolidación de regímenes y modelos en crisis, se ha convertido más en un factor de la crisis que en un mecanismo para su resolución.

Métodos heurísticos para un problema multicriterio de distribución de ayuda humanitaria

Large scale disasters, such as the one caused by the Typhoon Haiyan, which devastated portions of the Philippines in 2013, or the catastrophic 2010 Haiti earthquake, which caused major damage in Port-au-Prince and other settlements in the region, have massive and lasting effects on populations. Nowadays, disasters can be considered as a consequence of inappropriately managed risk. These risks are the product of hazards and vulnerability, which refers to the extent to which a community can be affected by the impact of a hazard. In this way, developing countries, due to their greater vulnerability, suffer the highest costs when a disaster occurs. Disaster relief is a challenge for politics, economies, and societies worldwide. Humanitarian organizations face multiple decision problems when responding to disasters. In particular, once a disaster strikes, the distribution of humanitarian aid to the population affected is one of the most fundamental operations in what is called humanitarian logistics. This term is defined as the process of planning, implementing and controlling the effcient, cost-effective ow and storage of goods and materials as well as related information, from the point of origin to the point of consumption, for the purpose of meeting the end bene- ciaries' requirements and alleviate the suffering of vulnerable people, [the Humanitarian Logistics Conference, 2004 (Fritz Institute)]. During the last decade there has been an increasing interest in the OR/MS community in studying this topic, pointing out the similarities and differences between humanitarian and business logistics, and developing models suited to handle the special characteristics of these problems. Several authors have pointed out that traditional logistic objectives, such as minimizing operation cost, are not the most relevant goals in humanitarian operations. Other factors, such as the time of operation, or the design of safe and equitable distribution plans, come to the front, and new models and algorithms are needed to cope with these special features. Up to six attributes related to the distribution plan are considered in our multi-criteria approach. Even though there are usually simple ways to measure the cost of an operation, the evaluation of some other attributes such as security or equity is not easy. As a result, several attribute measures are proposed and developed, focusing on different aspects of the solutions. Furthermore, when metaheuristic solution methods are used, considering non linear objective functions does not increase the complexity of the algorithms significantly, and thus more accurate measures can be utilized...

Localising the auditory N1m with event-related beamformers:localisation accuracy following bilateral and unilateral stimulation

The auditory evoked N1m-P2m response complex presents a challenging case for MEG source-modelling, because symmetrical, phase-locked activity occurs in the hemispheres both contralateral and ipsilateral to stimulation. Beamformer methods, in particular, can be susceptible to localisation bias and spurious sources under these conditions. This study explored the accuracy and efficiency of event-related beamformer source models for auditory MEG data under typical experimental conditions: monaural and diotic stimulation; and whole-head beamformer analysis compared to a half-head analysis using only sensors from the hemisphere contralateral to stimulation. Event-related beamformer localisations were also compared with more traditional single-dipole models. At the group level, the event-related beamformer performed equally well as the single-dipole models in terms of accuracy for both the N1m and the P2m, and in terms of efficiency (number of successful source models) for the N1m. The results yielded by the half-head analysis did not differ significantly from those produced by the traditional whole-head analysis. Any localisation bias caused by the presence of correlated sources is minimal in the context of the inter-individual variability in source localisations. In conclusion, event-related beamformers provide a useful alternative to equivalent-current dipole models in localisation of auditory evoked responses.

Learning from Incredible Commitments: Evolution and Impact of Bilateral Investment Treaties

Ostensibly, BITs are the ideal international treaty. First, until just recently, they almost uniformly came with explicit dispute resolution mechanisms through which countries could face real costs for violation (Montt 2009). Second, the signing, ratification, and violation of them are easily accessible public knowledge. Thus countries presumably would face reputational costs for violating these agreements. Yet, these compliance devices have not dissuaded states from violating these agreements. Even more interestingly, in recent years, both developed and developing countries have moved towards modifying the investor-friendly provisions of these agreements. These deviations from the expectations of the credible commitment argument raise important questions about the field's assumptions regarding the ability of international treaties with commitment devices to effectively constrain state behavior.

O papel da cooperação bilateral Cabo Verde/Luxemburgo em Santo Antão, nos anos 90 do século XX

A Cooperação para o Desenvolvimento tem sido objeto de debate desde o fim da II Guerra Mundial e só a sua aplicação prática, sobretudo com a implementação do Plano Marshall, foi possível recuperar a Europa da destruição provocada pelo conflito. País pequeno e desprovido de recursos naturais, Cabo Verde teve de apostar nas Relações Internacionais para garantir a sua sobrevivência e sonho de desenvolvimento, embora não dispusesse, no momento da independência, de um quadro estável a nível da diplomacia. Ainda assim, o país optou por uma aposta forte numa diplomacia que “forçasse" a abertura dos caminhos da cooperação para o desenvolvimento. Efetivamente, com a independência nacional, a cooperação desempenhou um papel fundamental na viabilização do jovem país que era, a priori, considerado inviável. Por isso, o recurso à cooperação como forma de potenciar o desenvolvimento de Cabo Verde foi prática dos diferentes governos da república desde a independência nacional. A localização da cooperação bilateral nalgumas ilhas foi, igualmente, uma prática seguida pelos governos, até ao ano 2000, e, no esforço de infraestruturação da ilha de Santo Antão, são de destacar os casos da cooperação holandesa, com investimentos nas áreas da agricultura e na infraestruturação hidráulica, da cooperação italiana na infraestruturação rodoviária da ilha e, mais recentemente, nos anos 1990, da cooperação luxemburguesa, objeto de estudo neste trabalho. Com efeito, a cooperação luxemburguesa fez diferença no desenvolvimento da ilha de Santo Antão, uma ilha em que “estava (quase) tudo por fazer” tendo em conta que os investimentos feitos até por volta de 1990 não tinham tido a capacidade de alavancar o desenvolvimento da ilha, funcionando, sobretudo, como instrumentos de garantia de sobrevivência das populações locais, com a abertura de frentes de alta intensidade de mão-de-obra (FAIMO). Com a localização da cooperação luxemburguesa em Santo Antão, a partir de 1990, e com a realização de investimentos mediante a identificação de necessidades e planificação de metas por parte da Associação dos Municípios de Santo Antão (AMSA) a ilha entrou, de facto, nos trilhos do desenvolvimento que os dados, utilizados na realização deste trabalho, indicam.

Quantitative evaluation of visual function 12 months after bilateral implantation of a diffractive trifocal IOL

PURPOSE: To quantitatively evaluate visual function 12 months after bilateral implantation of the Physiol FineVision® trifocal intraocular lens (IOL) and to compare these results with those obtained in the first postoperative month. METHODS: In this prospective case series, 20 eyes of 10 consecutive patients were included. Monocular and binocular, uncorrected and corrected visual acuities (distance, near, and intermediate) were measured. Metrovision® was used to test contrast sensitivity under static and dynamic conditions, both in photopic and low-mesopic settings. The same software was used for pupillometry and glare evaluation. Motion, achromatic, and chromatic contrast discrimination were tested using 2 innovative psychophysical tests. A complete ophthalmologic examination was performed preoperatively and at 1, 3, 6, and 12 months postoperatively. Psychophysical tests were performed 1 month after surgery and repeated 12 months postoperatively. RESULTS: Final distance uncorrected visual acuity (VA) was 0.00 ± 0.08 and distance corrected VA was 0.00 ± 0.05 logMAR. Distance corrected near VA was 0.00 ± 0.09 and distance corrected intermediate VA was 0.00 ± 0.06 logMAR. Glare testing, pupillometry, contrast sensitivity, motion, and chromatic and achromatic contrast discrimination did not differ significantly between the first and last visit (p>0.05) or when compared to an age-matched control group (p>0.05). CONCLUSIONS: The Physiol FineVision® trifocal IOL provided satisfactory full range of vision and quality of vision parameters 12 months after surgery. Visual acuity and psychophysical tests did not vary significantly between the first and last visit.

Bilateral lung and liver hydatid cysts. Case report

Introduction. Synchronous occurrence of pulmonary and hepatic hydatid cysts is an uncommon manifestation of hydatid disease that is observed in less than 10% of cases. We report a rare case of bilateral lung (with bronchial fistula) and liver cyst, surgically treated after medical therapy. Case report. A 44-year-old housewife reporting fever, anorexia and fatigue that had been present for the previous 20 days received diagnosis of bilateral lung and liver hydatid cyst. Because of the dimensions of right lung cyst and the successive bronchial fistolization, we proceeded to three-stage operation of two thoracotomies and a laparotomy to control the risk of further rupture. After surgery, all post-operatives were uneventful. Complete resolution of the therapy with no evidence of recurrence at 2 years follow-up. Conclusion. We emphasize the need to search for additional hydatids in patients who present with either pulmonary or liver hydatids. The simultaneous treatment of liver and lung should be reserved to patients in good conditions; in all other cases, especially when one cyst is more symptomatic than the others or has more risk of rupture, we prefer to treat single cyst.

SAVIA. Un sistema web de ayuda a la decisión para control de plagas

Este trabajo presenta SAVIA, una aplicación web de soporte a la decisión en el control de plagas y enfermedades en el cultivo de la uva de mesa. Para su construcción se ha aplicado un método de desarrollo de software basado en la metodología de desarrollo de software dirigido por modelos, que permite la generación automática de la aplicación web a partir del modelo conceptual del problema.

Successful management of evisceration occurred after exploratory laparotomy for bilateral ovarian micropapillary serous borderline tumors

Micropapillary serous borderline tumor of the ovary is characterized by a more frequent association with extraovarian, especially invasive, implants. The aim of this study was to report the clinicopathological findings of a rare case of micropapillary serous borderline tumor of the ovary since there are less than 100 similar cases in the published literature. Additionally, the successful management of evisceration that complicated the postoperative stay of the patient is analyzed. The incidence of this severe complication is estimated between 0.29-2.3%. There are four main causes: suture tearing through the fascia, knot failure, suture failure, and extrusion of abdominal contents between sutures placed too far apart. At least 50% of the cases are due to technical error with a potentially lethal result.

One-stage laparoscopic procedure for a patient with bilateral colorectal tumours and renal carcinoma

We describe a case of a patient with synchronous bilateral colorectal tumours and renal carcinoma who underwent one-stage laparoscopic surgery procedure with right transperitoneal nefrectomy, right hemicolectomy and sigmoidectomy. One-stage laparoscopic procedure can be used safely and successfully for a patient with multiple primary tumours.

Autosuficiencia y seguridad alimentaria sustentada en la promotoria rural en 8 comunidades del municipio de Río Blanco, Matagalpa: Pasantía Junio-Diciembre 2014, Fundación Ayuda en Acción, Proyecto “Extremadura y Gestión de Auspiciamiento”

El proceso de pasantía es una cadena de aprendizaje y una formas de culminació n de estudios la cual se realizaron con el fin de optar al título profesional de Licenciatura en Desarrollo Rural, las pasantías han sido realizadas en la Fundación Ayuda en Acción (AeA), en el Área de Desarrollo Territorial (ADT) del Municipio de Rio Blanco -Matagalpa, en el período compre ndido de Junio a Diciembre del 2014. La Fundación AeA es una organización No Gubernamental de Desarrollo (ONGD) independiente, aconfesional y apartidista, fundada en España en 1981. Los proyectos que implementa son intersectoriales, articulando acciones en educación, salud, prevención de riesgos, gobernabilidad, seguridad y soberanía alimentaria entre otros, con la finalidad de impulsar cambios estructurales que contribuyan a la erradicación de la pobreza. El área de trabajo asignada al pasante estuvo enfoc ada en proyectos productivos, dirigidos a mejorar los ingresos de las familias, dietas alimenticias, nutrición, así como la creación de conocimientos en diferentes temáticas a través capacitaciones. Entre las funciones asignadas al pasante se menciona: proceso se apoyó al desarrollo y ejecución organizativa del proyecto “Familias Campesinas Promoviendo la Soberanía y Seguridad Alimentaria con participación de actores locales en 15 Comunidades de Matigüas y Río Blanco” (Extremadura) sust entada en la promoto ria rural, e n esta área el pasante trabajó en 8 Comunida des en la identificación y selección de las familias participantes del proyecto Extremadura apoyando a 188 familias capacitadas y a implementar la producción agroecológica . Otras actividades orientadas al pasante fue facilitar eventos de capacitación, reuniones, talleres e intercambios de experiencia, elaboración de informes, levantar información secundaria, coordinar y planificar con el equipo técnico. Otra área de trabajo donde el susténtate se desempeñó fue el desarrollo de las actividades del programa “Gestión de Auspiciamiento (GdA) y Vinculo Solidario (VS) donde se recolectar on 914 mensajes de la niñez auspiciada en 18 Comunidades y 3 barrios en el ADT de Rio Blan co, el auspiciamiento es la relación entre una niño/a nicaragüense y una ciudadana Español o Ingles, basada en la dignidad y la acción solidaria. Está relación permite que a través del intercambio de comunicaciones fortalecer las relaciones humanas, motiva r la solidaridad y emprender proyectos de desarrollo Comunitarios . El pasante trabajo en actividades extra pal orientadas donde facilito 4 talleres los cuales iban dirigidos a hombre y mujeres para extraer información y hacer un analices para la actualización del diagnóstico del municipio para que la Fundación pueda formular nuevos proyectos partiendo del Análisis una Realidad analizar . También como actividades extra plan al pasante le orientaron trabajar en el desarrollo de actividades del proyecto SSAN . En cuanto al desarrollo de la pasantía es necesario que desde un inicio se establezcan coordinaciones y planes entre la universidad y la fundación donde el pasante desempeñara sus funciones .

Quantitative evaluation of visual function 12 months after bilateral implantation of a diffractive trifocal IOL

PURPOSE: To quantitatively evaluate visual function 12 months after bilateral implantation of the Physiol FineVision® trifocal intraocular lens (IOL) and to compare these results with those obtained in the first postoperative month. METHODS: In this prospective case series, 20 eyes of 10 consecutive patients were included. Monocular and binocular, uncorrected and corrected visual acuities (distance, near, and intermediate) were measured. Metrovision® was used to test contrast sensitivity under static and dynamic conditions, both in photopic and low-mesopic settings. The same software was used for pupillometry and glare evaluation. Motion, achromatic, and chromatic contrast discrimination were tested using 2 innovative psychophysical tests. A complete ophthalmologic examination was performed preoperatively and at 1, 3, 6, and 12 months postoperatively. Psychophysical tests were performed 1 month after surgery and repeated 12 months postoperatively. RESULTS: Final distance uncorrected visual acuity (VA) was 0.00 ± 0.08 and distance corrected VA was 0.00 ± 0.05 logMAR. Distance corrected near VA was 0.00 ± 0.09 and distance corrected intermediate VA was 0.00 ± 0.06 logMAR. Glare testing, pupillometry, contrast sensitivity, motion, and chromatic and achromatic contrast discrimination did not differ significantly between the first and last visit (p>0.05) or when compared to an age-matched control group (p>0.05). CONCLUSIONS: The Physiol FineVision® trifocal IOL provided satisfactory full range of vision and quality of vision parameters 12 months after surgery. Visual acuity and psychophysical tests did not vary significantly between the first and last visit.