Tracheostomy-dependent child with temporomandibular ankylosis and severe micrognathia treated by piezosurgery and distraction osteogenesis: Case report

Ankylosis of the temporomandibular joint in children is one the most difficult and complex conditions managed by oral and maxillofacial surgeons, and often leads to some facial deformity. Distraction osteogenesis of the mandible provides an excellent treatment for mandibular airway obstruction in children who do not respond to conservative measures, and allows for early removal of the tracheostomy. We report the case of a 1-year-old boy with severe micrognathia and temporomandibular ankylosis who was dependent on a tracheostomy; he was treated with piezosurgery and mandibular advancement by distraction osteogenesis. © 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Application of information and communication technologies for health systems in Belgium, Denmark, Spain, the United Kingdom and Sweden

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Anatomical features of the urethra and urinary bladder catheterization in female mice and rats. An essential translational tool

PURPOSE: To present fundamental anatomical aspects and technical skills necessary to urethra and urinary bladder catheterization in female mice and rats. METHODS: Urethral and bladder catheterization has been widely utilized for carcinogenesis and cancer research and still remains very useful in several applications: from toxicological purposes as well as inflammatory and infectious conditions to functional aspects as bladder dynamics and vesicoureteral reflux, among many others. RESULTS: Animal models are in the center of translational research and those involving rodents are the most important nowadays due to several advantages including human reproducibility, easy handling and low cost. CONCLUSIONS: Although technical and anatomical pearls for rodent urethral and bladder access are presented as tackles to the advancement of lower urinary tract preclinical investigation in a broaden sight, restriction to female animals hampers the male microenvironment, demanding future advances.

Poder político, território e crise ambiental na Colômbia

Political power, territory and environmental crisis in Colombia. We describe some forms of operation of the political power of the Colombian State and their impacts on the territory. The analysis uses some results of a doctoral research that sought to understand the institutional and regulatory foundations and the water management practices in two metropolitan areas of South America, Cali in Colombia, and Campinas in Brazil. The theoretical framework, primarily based on critical thought, starts by making an approach to the concept of power and then links it with the concepts of territory and governance. We present empirical evidence on how the political power of the Colombian State operates on the environmental institutional structure. We concluded that the authoritarian interference of the executive power has generated crisis on the institutional framework and facilitated the advancement of the neo-liberal capitalist model.

An Educational international partnership responding to local needs: Process evaluation of the Brazil FAIMER Regional Institute

The Brazilian public health system requires competent professionals sensitive to the needs of the population. The Foundation for Advancement of International Medical Education and Research (FAIMER) provides a two-year faculty development programme for health professions educators, aiming to build leadership in education to improve health. A partnership with governmental initiatives and FAIMER was established for meeting these needs. This paper describes the initial process evaluation results of the Brazilian FAIMER Institute Fellowship (FAIMER BR). Methods: Data were analysed for the classes 2007-2010 regarding: application processes; innovation project themes; retrospective post-pre self-ratings of knowledge acquisition; and professional development portfolios. Results: Seventeen of 26 Brazilian states were represented among 98 Fellows, predominantly from public medical schools (75.5%) and schools awarded Ministry of Health grants to align education with public health services (89.8%). One-third (n = 32) of Fellows' innovation projects were related to these grants. Significant increases occurred in all topic subscales on self-report of knowledge acquisition (eff ect sizes, 1.21-2.77). In the follow up questionnaire, 63% of Fellows reported that their projects were incorporated into the curriculum or institutional policies. The majority reported that the programme deepened their knowledge (98%), provided new ideas about medical education (90%) and provided skills for conflict management (63%). One-half of the Fellows reported sustained benefits from the programme listserv and other communications, including breadth of expertise, establishment of research collaboration and receiving emotional support. Conclusion: Contributors to initial programme success included alignment of curriculum with governmental initiatives, curriculum design merging educational technology, leadership and management skills and central role of an innovation educational project responding to local needs.

ECG arrhythmia classification based on optimum-path forest

An important tool for the heart disease diagnosis is the analysis of electrocardiogram (ECG) signals, since the non-invasive nature and simplicity of the ECG exam. According to the application, ECG data analysis consists of steps such as preprocessing, segmentation, feature extraction and classification aiming to detect cardiac arrhythmias (i.e.; cardiac rhythm abnormalities). Aiming to made a fast and accurate cardiac arrhythmia signal classification process, we apply and analyze a recent and robust supervised graph-based pattern recognition technique, the optimum-path forest (OPF) classifier. To the best of our knowledge, it is the first time that OPF classifier is used to the ECG heartbeat signal classification task. We then compare the performance (in terms of training and testing time, accuracy, specificity, and sensitivity) of the OPF classifier to the ones of other three well-known expert system classifiers, i.e.; support vector machine (SVM), Bayesian and multilayer artificial neural network (MLP), using features extracted from six main approaches considered in literature for ECG arrhythmia analysis. In our experiments, we use the MIT-BIH Arrhythmia Database and the evaluation protocol recommended by The Association for the Advancement of Medical Instrumentation. A discussion on the obtained results shows that OPF classifier presents a robust performance, i.e.; there is no need for parameter setup, as well as a high accuracy at an extremely low computational cost. Moreover, in average, the OPF classifier yielded greater performance than the MLP and SVM classifiers in terms of classification time and accuracy, and to produce quite similar performance to the Bayesian classifier, showing to be a promising technique for ECG signal analysis. © 2012 Elsevier Ltd. All rights reserved.

What kind of State? what kind of equality?: XI Regional Conference on Women in Latin America and the Caribbean: Brasilia, 13-16 July 2010

Available also in spanish and portuguese

Informe de la Undécima Conferencia Regional sobre la Mujer de América Latina y el Caribe

Versión en inglés y portugués disponible en Biblioteca

Report of the Eleventh Session of the Regional Conference on Women in Latin America and the Caribbean

Spanish and portuguese versions available at the Library

Informe da Décima Primeira Conferência Regional sobre a Mulher da América Latina e do Caribe

Versión en español e inglés disponible en la Biblioteca

Quel genre d'État pour quel genre d'égalité?: XI Conferénce régionale sur les femmes de l'Amérique latine et les Caraibes: Brasilia, 13 al 16 juillet 2010

Le document Quel genre d'état pour quel genre d'égalité? analyse les progrès de l'égalité entre les sexes dans la région, 15 ans après l'Adoption du Programme d'action de Beijing, 10 ans après la formulation des objectifs du Millénaire pour le développement et 3 ans après l'Adoption du Consensus de Quito à la dixième Conférence régionale sur les femmes de l'Amérique latine et des Caraïbes qui s'est tenue en 2007. Il examine en outre les succès et les défis auxquels sont confrontés les gouvernements à la lumière de l'interaction entre l'état, le marché et les familles, en tant qu'institutions sociales construites sur la base de politiques, de lois, d'us et coutumes qui, ensemble, créent les conditions pour rénover ou perpétuer les hiérarchies sociales et de genre.

Quel genre d'État pour quel genre d'égalité?: XI Conferénce régionale sur les femmes de l'Amérique latine et les Caraibes: Brasilia, 13 al 16 juillet 2010. Synthese

Le document Quel genre d'État pour quel genre d'égalité? analyse les progrès de l'égalité entre les sexes dans la région, 15 ans après l'adoption du Programme d'action de Beijing, 10 ans après la formulation des objectifs du Millénaire pour le développement et 3 ans après l'adoption du Consensus de Quito à la dixième Conférence régionale sur les femmes de l'Amérique latine et des Caraïbes qui s'est tenue en 2007. Il examine en outre les succès et les défis auxquels sont confrontés les gouvernements à la lumière de l'interaction entre l'État, le marché et les familles, en tant qu'institutions sociales construites sur la base de politiques, de lois, d'us et coutumes qui, ensemble, créent les conditions pour rénover ou perpétuer les hiérarchies sociales et de genre.

What kind of State? What kind of equality? XI Regional Conference on Women in Latin America and the Caribbean: Brasilia, 13-16 July 2010. Summary

The document What kind of State? What kind of equality? analyses the progress of gender equality in the region 15 years after the approval of the Beijing Platform for Action, 10 years after the drafting of the Millennium Development Goals and 3 years after the adoption of the Quito Consensus at the tenth session of the Regional Conference on Women in Latin America and the Caribbean, held in 2007. It also examines the achievements made and challenges faced by governments in light of the interaction between the State, the market and families as social institutions built on the foundation of policies, laws, and customs and habits which, together, establish the conditions for renewing or perpetuating gender and social hierarchies.

¿Qué Estado para qué igualdad?: XI Conferencia Regional sobre la Mujer de América Latina y el Caribe: Brasilia, 13 al 16 de julio de 2010. Síntesis

En el documento ¿Qué Estado para qué igualdad? se analiza el progreso de la igualdad de género en la región tras 15 años de la aprobación de la Plataforma de Acción de Beijing, 10 años de la formulación de los Objetivos de Desarrollo del Mileno y 3 años de la adopción del Consenso de Quito en la décima Conferencia Regional sobre la Mujer de América Latina y el Caribe realizada en 2007. Se examinan además los logros y desafíos que enfrentan los gobiernos a la luz de la interacción entre el Estado, el mercado y las familias como instituciones sociales construidas a partir de políticas, leyes, usos y costumbres que, en conjunto, establecen las condiciones para renovar o perpetuar las jerarquías sociales y de género.

Que tipo de estado? que tipo de igualdade? XI Conferencia Regional sobre a Mulher da América Latina e do Caribe: Brasília, 13 a 16 de julho de 2010. Síntese

No documento Que tipo de Estado? Que tipo de igualdade? analisa-se o progresso da igualdade de gênero na Região depois de 15 anos da aprovação da Plataforma de Ação de Beijing, 10 anos da formulação dos Objetivos de Desenvolvimento do Milênio e 3 anos da adoção do Consenso de Quito, na décima Conferência Regional sobre a Mulher da América Latina e do Caribe realizada em 2007. Examinam-se, além disso, as conquistas e desafios que enfrentam os governos à luz da interação entre o Estado, o mercado e as famílias como instituições sociais construídas a partir de políticas, leis, usos e costumes que, em conjunto, estabelecem as condições para renovar ou perpetuar as hierarquias sociais e de gênero.