Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

To evaluate the change in masticatory efficiency and quality of life of patients treated with mandibular Kennedy class I removable partial dentures (RPDs) and maxillary complete dentures at the Department of Dentistry of the Federal University of Rio Grande do Norte. A total of 33 Kennedy class I patients were rehabilitated with maxillary complete dentures, and mandibular RPDs were selected for this non-randomized prospective intervention study. The patients had a mean age of 59.1 years. Masticatory efficiency was evaluated by colorimetric assay using fuchsin capsules. The measurements were conducted at baseline and 2 and 6 months after prosthesis insertion. Quality of life was evaluated using the Oral Health Impact Profile (OHIP-14) at baseline and 6 months after denture insertion. The Kolmogorov-Smirnov normality test was applied. Masticatory efficiency was evaluated by repeated measures ANOVA. Oral health-related quality of life was compared using the paired t test. There was no statistically significant difference in masticatory efficiency after denture insertion (p = 0.101). Significant differences were found (p = 0.010) for oral health-related quality of life. A significant improvement in psychological discomfort (p < 0.01) and psychological disability (p < 0.01) was observed. Mean difference value (95 % confidence interval) was 6.8 (3.8 to 9.7) points, reflecting a low impact of oral health on quality of life, considering the 0-56 range of variation of the OHIP-14 and a Cohen's d of 1.13. According to the results of the present study, rehabilitation with Kennedy class I RPDs and complete dentures did not influence masticatory efficiency but improved oral health-related quality of life. The association between the patient's quality of life and the masticatory efficiency is important for treatment predictability.

A influência da prática de atividade regular na composição corporal de pacientes com osteoartrite

Introduction: Osteoarthritis, osteoarthrosis or degenerative joint disease characterized by progressive loss of articular cartilage, pain, changes in subchondral bone, osteophyte formation and proliferation. Age, bone mineral density, joint instability, excess weight among others, are risk factors. Methods: To check the influence os physical exercise in patients with the disease were evaluated 39 patients over 50 years, both genders, with clinical and / or radiographic osteoarthritis were divided into experimental group (EG) and control group (CG). EG performed regular physical activity (aerobics) three times a week for four months, while CG was submitted to physical therapy painkiller in the same period. We analyzed demographics, BMI, basal metabolic rate and percentage of fat mass. Results: The results showed that regular physical activity reduced the body fat, but because of their characteristics and low-impact aerobics was not observed consistent benefits in muscle component. However, compared with the CG demonstrated a positive impact on other parameters of body composition.

Efeitos de produtos alternativos no controle de doenças na videira

Pós-graduação em Agronomia - FEIS

Indicadores morfométricos: uma ferramenta no diagnóstico da vulnerabilidade ambiental

Pós-graduação em Agronomia (Produção Vegetal) - FCAV

An Affordable, Pratical Eco-House

An eco-house or zero-energy house is not a new concept- houses with extremely low impact on their surroundings and good use of local resources have been around for centuries. This particular eco-house is designed to offer full modern services and comforts while consuming very low energy and few expensive building materials. Ideally, someone would be able to use this thesis as a blueprint for actual construction.

Antiresorptive drugs (bisphosphonates), atypical fractures and rebound effect: new evidence of similitude

Background: Homeopathy is based on treatment by similitude ('like cures like') administering to sick individuals substances that cause similar symptoms in healthy individuals, employing the secondary and paradoxical action of the organism as therapeutic response. This vital or homeostatic reaction of the organism can be scientifically explained by the rebound effect of drugs, resulting in worsening of symptoms after suspension of treatment. Bisphosphonates (BPs) reduce 'typical' fractures in patients with osteoporosis, but recent studies report 'atypical' fractures of the femur after stopping the BPs, a rebound effect may be the causal mechanism. Method: Review of the literature concerning the relationship between atypical femoral fractures and antiresorptive drugs (bisphosphonates), identifying the pathogenesis of this adverse event. Results: Several studies have described multiple cases of 'atypical' low-impact subtrochanteric stress fractures or complete fractures of the femur. These fractures are often bilateral, preceded by pain in the affected thigh, may have a typical X-ray appearance, and may delayed healing. Rebound of osteoclastic activity after suspension of antiresorptive drugs is a plausible mechanism to explain this phenomenon. Conclusion: As for other classes of drugs, the rebound effect of antiresorptive drugs supports Hahnemann's similitude principle (primary action of the drugs followed by secondary and opposite action of the organism), and clarifies this 'unresolved' issue. Unfortunately, the rebound effect is little discussed among health professionals, depriving them of important knowledge ensure safe management of drugs. Homeopathy (2012) 101, 231-242.

Does anti-hepatitis B virus vaccine make any difference in long-term number of liver transplantation?

Background: Hepatitis B virus (HBV) infection is a major cause of morbidity and mortality worldwide. Chronic hepatitis B infection is associated with an increased risk of cirrhosis, hepatic decompensation, and hepatocellular carcinoma. Our aim is to analyze, through a mathematical model, the potential impact of anti-HBV vaccine in the long-term (that is, decades after vaccination) number of LT. Methods: The model simulated that the prevalence of HBV infection was 0.5% and that approximately 20% of all the liver transplantation carried out in the state of Sao Paulo are due to HBV infection. Results: The theoretical model suggests that a vaccination program that would cover 80% of the target population would reach a maximum of about 14% reduction in the LT program. Conclusion: Increasing the vaccination coverage against HBV in the state of Sao Paulo would have a relatively low impact on the number of liver transplantation. In addition, this impact would take several decades to materialize due to the long incubation period of liver failure due to HBV.

Tetti verdi: Analisi sperimentale e Modellazione numerica

I tetti verdi rappresentano, sempre più frequentemente, una tecnologia idonea alla mitigazione alle problematiche connesse all’ urbanizzazione, tuttavia la conoscenza delle prestazioni dei GR estensivi in clima sub-Mediterraneo è ancora limitata. La presente ricerca è supportata da 15 mesi di analisi sperimentali su due GR situati presso la Scuola di Ingegneria di Bologna. Inizialmente vengono comparate, tra loro e rispetto a una superficie di riferimento (RR), le prestazioni idrologiche ed energetiche dei due GR, caratterizzati da vegetazione a Sedum (SR) e a erbe native perenni (NR). Entrambi riducono i volumi defluiti e le temperature superficiali. Il NR si dimostra migliore del SR sia in campo idrologico che termico, la fisiologia della vegetazione del NR determina l'apertura diurna degli stomi e conseguentemente una maggiore evapotraspirazione (ET). Successivamente si sono studiate la variazioni giornaliere di umidità nel substrato del SR riscontrando che la loro ampiezza è influenzata dalla temperatura, dall’umidità iniziale e dalla fase vegetativa. Queste sono state simulate mediante un modello idrologico basato sull'equazione di bilancio idrico e su due modelli convenzionali per la stima della ET potenziale combinati con una funzione di estrazione dell’ umidità dal suolo. Sono stati proposti dei coefficienti di correzione, ottenuti per calibrazione, per considerare le differenze tra la coltura di riferimento e le colture nei GR durante le fasi di crescita. Infine, con l’ausilio di un modello implementato in SWMM 5.1. 007 utilizzando il modulo Low Impact Development (LID) durante simulazioni in continuo (12 mesi) si sono valutate le prestazioni in termini di ritenzione dei plot SR e RR. Il modello, calibrato e validato, mostra di essere in grado di riprodurre in modo soddisfacente i volumi defluiti dai due plot. Il modello, a seguito di una dettagliata calibrazione, potrebbe supportare Ingegneri e Amministrazioni nella valutazioni dei vantaggi derivanti dall'utilizzo dei GR.

A model-data comparison of Holocene timberline changes in the Swiss Alps reveals past and future drivers of mountain forest dynamics

Mountain vegetation is strongly affected by temperature and is expected to shift upwards with climate change. Dynamic vegetation models are often used to assess the impact of climate on vegetation and model output can be compared with paleobotanical data as a reality check. Recent paleoecological studies have revealed regional variation in the upward shift of timberlines in the Northern and Central European Alps in response to rapid warming at the Younger Dryas/Preboreal transition ca. 11700years ago, probably caused by a climatic gradient across the Alps. This contrasts with previous studies that successfully simulated the early Holocene afforestation in the (warmer) Central Alps with a chironomid-inferred temperature reconstruction from the (colder) Northern Alps. We use LandClim, a dynamic landscape vegetation model to simulate mountain forests under different temperature, soil and precipitation scenarios around Iffigsee (2065m a.s.l.) a lake in the Northwestern Swiss Alps, and compare the model output with the paleobotanical records. The model clearly overestimates the upward shift of timberline in a climate scenario that applies chironomid-inferred July-temperature anomalies to all months. However, forest establishment at 9800 cal. BP at Iffigsee is successfully simulated with lower moisture availability and monthly temperatures corrected for stronger seasonality during the early Holocene. The model-data comparison reveals a contraction in the realized niche of Abies alba due to the prominent role of anthropogenic disturbance after ca. 5000 cal. BP, which has important implications for species distribution models (SDMs) that rely on equilibrium with climate and niche stability. Under future climate projections, LandClim indicates a rapid upward shift of mountain vegetation belts by ca. 500m and treeline positions of ca. 2500m a.s.l. by the end of this century. Resulting biodiversity losses in the alpine vegetation belt might be mitigated with low-impact pastoralism to preserve species-rich alpine meadows.

Taiji practice in Switzerland: a short report

Over the past two decades the demand for traditional Chinese medicine (TCM) in the general population has continuously increased in Switzerland and is frequently implemented in medical teaching. Together with Qigong, Taiji is commonly regarded as a mind-body practice integrating TCM principles of health and longevity. This form of slow intentional body movements is rooted in ancient Chinese martial arts and aims to strengthen and relax the physical body and mind, enhance the natural flow of qi, and improve health, personal development, and self-defense. In the West, as the preventive and therapeutic benefits of Taiji practice are gaining empirical support, the popularity of this form of low impact mind-body practice is increasing. The present article aims to provide a brief overview of the development and current status of Taiji practice in Switzerland with an outlook on future perspectives.

Volunteering: Demographic characteristics, motives and potential benefits from service

Volunteering is intricately woven into the fabric of our society. In 2009 alone, approximately 63.4 million Americans participated in volunteer activities, collectively donating over 8.1 billion service-hours (Corporation for National and Community Service [CNCS], 2010). Each service-hour is determined by the U.S. Bureau of Labor Statistics (2010) to be valued at $20.85/hr which translates to a national savings of $169 billion. Thus, we can clearly observe the significance of volunteer contribution to the overall benefit of society. In addition, there is now evidence that voluntary service may also benefit the actual volunteer, especially individuals who are 65+ years. As we reach 2020 this elderly class, composed of nearly 13 million (CNCS, 2010) Americans, will be of much consequence. Their potential to contribute in community-related efforts may save the U.S. billions in labor costs, and may also help reduce healthcare-related expenditures if volunteering proves to be a protective factor. In this literature review, we set out to explore the potential relationship between volunteer participation and increased mental and physical wellness. We also examined volunteer demographic characteristics and common motives for engaging in service-related activities. Analysis showed that volunteer work often combined low-impact physical activity and mental satisfaction from serving others, resulting in overall health benefit. Demographic characteristics displayed were consistent with previous studies and found that a majority of volunteers were female, White, married status, having received college degree or higher, employed, middle-high SES. In addition, age was seen to be a key characteristic in forecasting volunteer motivation and self-reported perceived health benefits.^

Ocio, inclusión social y participación en la población adulta con discapacidad

En este artículo presentamos algunos de los resultados encontrados en el proyecto de investigación “ Ocio e inclusión social. Una mirada desde la población adulta en situación de discapacidad" , que buscó, en un primer momento, analizar las causas del bajo impacto de los espacios de ocio y tiempo libre ofrecidos para personas con discapacidad adultas en el municipio de Rionegro (Antioquia-Colombia), para luego conformar un grupo de trabajo, con el objetivo de que se convirtieran en líderes y gestores de procesos, no sólo recreativos, sino también sociales, políticos, entre otros, y además, que se proyectaran como formadores de otras personas. Este propósito requirió abordar paradigmas y enfoques metodológicos que permitieron, no sólo identificar necesidades, sino la generación de procesos de transformación y empoderamiento de las comunidades. Con el proyecto, se logró conformar este colectivo de personas, quien está actualmente coordinado por una persona con discapacidad, logrando su visibilización e inicio de gestiones que les permitirá mejorar su calidad de vida y la de sus familias y empoderarse de procesos que les permita un rol más activo en la demanda de bienes y servicios.

Caracterización y aprovechamiento de los varillales amazónicos : contribución a la economía de las comunidades locales

La Gestión Forestal Sustentable es la principal herramienta para garantizar la compatibilidad entre producción y conservación en todos los bosques, y mas especialmente en los que exhiben niveles máximos de diversidad, como los tropicales humedos. En ellos existe un gran desconocimiento sobre la gestión de los recursos maderables de pequeña dimensión y los no maderables (PFNM) con mercado local. La madera redonda de pequeño diámetro es un recurso forestal de bajo valor económico extraído tradicionalmente por los pobladores locales de las zonas tropicales húmedas para construir sus viviendas. Los fustes de mejor calidad se obtienen del bosque de varillal, o bosques sobre arena blanca, altamente oligotroficos, sin potencial agrícola, escasos, dispersos, de pequeña superficie, gran fragilidad y alto porcentaje de endemismos. En el entorno de los centros urbanos de la Amazonia peruana, esta madera supone uno de los principales ingresos económicos para la población local, al ser extraida para su comercialización en dichos centros urbanos. Esto supone un riesgo de sobre-explotacion cuyos efectos se desconocen hasta el momento. Para acercarnos la situacion ambiental, social y económica asociada al varillal, se han realizado inventarios botanicos y de estructura forestal, se ha descrito el sistema de aprovechamiento tradicional y cuantificado sus efectos y, finalmente, se han realizado encuestas orientadas a analizar la situación social y economica de las comunidades locales que extraen y comercializan sus productos. El aprovechamiento tradicional del varillal es una actividad de bajo impacto que no emplea maquinaria y se centra en la extracción de fustes con diámetro normal entre 5 y 15 cm y características especificas de longitud, forma de fuste y calidad de la especie. Los resultados ponen de manifiesto la relevancia de la distancia existente entre el punto de extracción y el punto de venta, asi como la gran influencia que tiene la situación social y económica en la gestión sustentable del varillal. Todo ello pone en evidencia que si existe un cierto efecto negativo de la extracción intensa y continuada que han sufrido los varíllales mas próximos al centro urbano. Para favorecer una Gestión Forestal Sustentable que reduzca este efecto negativo es esencial llevar a cabo una adecuada planificación comunal que permita establecer una secuencia ordenada de zonas de corta y un cronograma para su gestión y aprovechamiento que evite la extracción repetida en un mismo varillal. ABSTRACT Sustainable forest management is the main tool to ensure compatibility between production and conservation in all forests, and especially in those exhibiting the maximum levels of diversity, such as tropical rain. Within them there is a great ignorance about the management of small sized timber and non-timber resources (PFMN) in the local market. The small-diameter round timber is a forest resource of low economic value extracted traditionally by local people of the humid tropics to build their homes. The better quality shafts are obtained from varillal forest or forests on white sand, highly oligotrophic, no agricultural potential, few, scattered, small size, fragility and high percentage of endemic species. In the environment of the urban centres of the Peruvian Amazon, this wood is one of the main incomes for the local population, since it is extracted for marketing in these urban centres. This poses a risk of overexploitation whose effects are unknown so far. To approach the environmental, social and economic situation associated to the varillal, botanical and forest structure inventories have been conducted, traditional harvesting systems described and their effects quantified and targeted surveys have eventually been conducted to analyse the social and local economic situation of the communities that extract and sell the products. The traditional use of varillal is a low-impact activity that does not use machinery and focuses on the extraction of shafts with a normal diameter of between 5 and 15 cm and specific characteristics in length, stem form and quality of the species. The results highlight the importance of the distance from the extraction point and the sale point, and the great influence of the social and economic situation in the sustainable management of varillal. This demonstrates that there is indeed a negative effect caused by the intense and continuous extraction that varillales closest to the city centre have suffered. To encourage a Sustainable Forest Management to reduce this negative effect is essential to conduct proper community planning in order to establish an ordered sequence of areas and a chronogram for their management and use, to avoid a repeat extraction in the same varillal.

Coleópteros Saproxílicos de los Bosques de Montaña en el Norte de la Comunidad de Madrid

La fauna saproxílica ha cobrado mucha relevancia en los últimos años. Por una parte, debido a los múltiples papeles que juega en la ecología de los bosques y por otra, por encontrarse muchas especies de ese grupo amenazadas como consecuencia de la intensificación de las actividades forestales. Se supone que los bosques de Europa meridional albergan una fauna saproxílica rica y variada. Sin embargo apenas se han realizado estudios que permitan conocer la composición de las biocenosis saproxílicas, así como el estatus y grado de amenaza a que está sometida cada especie. En esta tesis se han muestreado de forma sistemática las comunidades de coleópteros saproxílicos de cuatro montes del norte de la Comunidad de Madrid, muy diferentes a pesar de su cercanía: Dehesa Bonita de Somosierra, Hayedo de Montejo, Dehesa de Madarcos y Pinar de La Maleza. Para llevar a cabo la recogida de muestras se definió una estación de muestreo tipo, compuesta por cuatro trampas aéreas con cebo oloroso, dos trampas de ventana y una trampa de embudos. En los dos primeros montes mencionados se desplegaron seis estaciones de muestreo, por sólo tres en los otros dos. El primer objetivo de esta tesis fue conocer las especies de coleópteros que constituyen la fauna de los cuatro montes estudiados. Los muestreos sistemáticos reportaron la presencia de un total de 357 especies de coleópteros saproxílicos, siendo el Hayedo de Montejo el bosque con la diversidad más alta, 220 especies; le siguen la Dehesa de Madarcos con 116; el pinar de La Maleza con 115; y la Dehesa de Somosierra con 109, si bien la fauna de este ultimo bosque podría ser mucho más variada dado que la interferencia del ganado con algunos dispositivos de captura hizo que se perdiera parte del material allí recolectado. Se han encontrado nueve especies nuevas para la fauna de la Península Ibérica, y otras muchas desconocidas previamente en el centro peninsular. Un total de 50 especies se encuentran incluidas en la Lista Roja Europea de coleópteros saproxílicos. El segundo objetivo fue estimar la riqueza de fauna de coleópteros saproxílicos en cada bosque. Partiendo de los datos de los respectivo muestreos se calcularon diferentes estimadores, paramétricos y no paramétricos, y se elaboraron las curvas de rarefacción para cada bosque y para el conjunto. El bosque con más biodiversidad ha resultado ser el Hayedo de Montejo, que albergaría entre 254 y 332 especies. En el Pinar de la Maleza se encontrarían de 132 a 223; de 128 a 205 en la Dehesa de Somosierra; y entre 134 y 188 en la Dehesa de Madarcos. Para el conjunto del área se estimó la presencia de entre 411 y 512 especies. El tercer objetivo fue evaluar la influencia de algunos factores como la especie arbórea dominante y la cantidad de madera muerta en la riqueza y diversidad de coleópteros saproxílicos. El estudio se realizó en el Hayedo de Montejo, encontrando una alta correlación positiva entre cantidad y calidad de madera muerta, y diversidad y riqueza de especies de coleópteros saproxílicos. El cuarto objetivo fue evaluar la eficacia y complementariedad de los diferentes tipos de dispositivos de captura empleados en los muestreos. El más eficaz resultó ser la trampa de ventana, seguido por la trampa aérea con cebo oloroso, y finalmente la trampa de embudos. La mayor complementariedad se encontró entre trampas de ventana y aéreas con cebo oloroso. No obstante, si se quiere optimizar la exhaustividad del inventario no se debe prescindir de ninguno de los sistemas. En cualquier caso, puede afirmarse que la efectividad de los tres tipos de dispositivos de captura utilizados en los muestreos fue baja, pues para la gran mayoría de especies presentes se capturó un número de ejemplares realmente bajo. El bajo rendimiento de captura implica un bajo impacto sobre las poblaciones de las especies muestreadas, y esto supone una importante ventaja desde el punto de vista de la conservación. Finalmente, se dejan algunas recomendaciones de manejo a aplicar en cada uno de los montes con el fin de preservar o mejorar los hábitats utilizables por la fauna saproxílica que garanticen el mantenimiento y mejora de dichas comunidades. ABSTRACT The saproxylic fauna has become increasingly important in recent years. It has been due, on the one hand, to the multiple roles they play in the forest ecosystems and, on the other, because of the large proportion of endangered saproxylic species as a result of the intensification of forestry. It is generally assumed that southern Europe forests are home to a rich and diverse saproxylic fauna. However, there are hardly any studies leading to reveal the composition of saproxylic biocenosis, or the stage and extent of the threat each species is suffering. For the purpose of this thesis the communities of saproxylic beetles of four mountain forests in northern Comunidad de Madrid have been systematically sampled: Dehesa Bonita de Somosierra, Hayedo de Montejo, Dehesa de Madarcos and Pinar de La Maleza. They are very different from each other in spite of not being too far apart. In order to carry out sample collection, a standard sampling station was defined as follows: four smelly bait aerial traps, two window traps and one funnel trap. Six sampling stations were deployed in each of the first two forests mentioned above; put only three in each of the other two. The first aim of this thesis was to determine the composition of saproxylic beetles fauna inhabiting each of the four forests studied. Systematic sampling reported the presence of a total of 357 species of saproxylic beetles. Hayedo de Montejo, with 220 species, is the forest with the highest diversity, followed by Dehesa de Madarcos, 116; Pinar de La Maleza, 115, and Dehesa de Somosierra, 109. The fauna of the latter forest, however, could be much more varied, since cattle interference with some capture devices caused the loss of part of the material collected there. Nine new species in the fauna of the Iberian Peninsula were found, and many others previously unknown in the center of the Peninsula. A total of 41 of those species are included in the European Red List of saproxylic beetles. The second aim was to estimate the richness of saproxylic (beetle) fauna in each forest. From the data of the respective sampling, different parametric and nonparametric estimators were calculated, and rarefaction curves for each forest, as well as for the four of them together, were drawn. The most biodiverse forest turned out to be Hayedo de Montejo, which houses between 254 and 332 species. In Pinar de La Maleza, between 132 and 223 species were found; between 128 and 205 in Dehesa de Somosierra, and between 134 and 188 in Dehesa de Madarcos. The estimated diversity of species for the whole area ranges from 411 to 512. The third aim was to evaluate the influence of such factors as the dominant tree species and the amount of dead wood in the richness and diversity of saproxylic beetles. The study was conducted at Hayedo de Montejo, finding a high positive correlation between quantity and quality of coarse woody debris and diversity and richness of saproxylic beetle species. The fourth aim was to evaluate the effectiveness and complementarity of the different sampling methods used in this research work. The most effective proved to be the window trap, followed by the smelly bait aerial trap and the funnel trap, in that order. The greater complementarity was found between window and aerial traps. However, in order to optimize the completeness of the inventory, neither of the systems should be discarded. Nevertheless, the effectiveness of the three types of capture devices used in this piece of research was on the whole rather low, since for the vast majority of species, a significant low number of specimens were captured. Poor trapping performance implies a low impact on the populations of the sampled species, and this is an important advantage in terms of conservation. Finally, this thesis gives some recommendations with regard to the management of each of those four forests, leading to preserve and improve the habitats of the saproxylic wildlife and so ensure the maintenance and growth of their communities.

Three distinct structural environments of a transmembrane domain in the inwardly rectifying potassium channel ROMK1 defined by perturbation.

To probe the protein environment of an ion channel, we have perturbed the structure of a transmembrane domain by substituting side chains with those of two different sizes by using site-specific mutagenesis. We have used Trp and Ala as a high- and a low-impact perturbation probe, respectively, to replace each of 18 consecutive residues within the putative second transmembrane segment, M2, of an inwardly rectifying potassium channel, ROMK1. Our rationale is that a change in the channel function as a consequence of these mutations at a particular position will reflect the structural environment of the altered side chain. Each position can then be assigned to one of three classes of environments, as grated by different levels of perturbation: very tolerant (channel functions with both Trp and Ala substitutions), tolerant (function preserved with Ala but not with Trp substitution), and intolerant (either Ala or Trp substitution destroys function). We identify the very tolerant environment as being lipid-facing, tolerant as protein-interior-facing, and intolerant as pore-facing. We observe a strikingly ordered pattern of perturbation of all three environmental classes. This result indicates that M2 is a straight alpha-helix.