Raiz dentária impelida para o seio maxilar após exodontia: uma opção de tratamento

Introduction: Upper teeth, especially first premolars and molars, can have a close anatomical relationship with the floor of maxillary sinus. For this reason, accidental displacement of dental roots into the sinus could happen during exodontic procedures. Objective: Description the treatment performed to remove a tooth root within the maxillary sinus, displaced during an extraction procedure. Case Report: Female patient, 39 years of age, which reported being subjected to the extraction of the element 26 for about two months. The patient was reported by the practitioner who performed the extraction that a root was pushed into the maxillary sinus. The treatment plan included surgery to remove the root within the maxillary sinus. Final Comments: Clinicians should be careful during extractions, to prevent these accidents. However, if such complications occur, access to the maxillary sinus is the best treatment option.

Educação para o desenvolvimento sustentável: o papel da Universidade

The University is responsible for the stablishment of citizens with critical thinking, based on current concepts, capable of a dynamic and participative attitude in the community in which these professinals will be inserted. Education at environmental sustainability, permeated by the articulation among knowledge, social, and cultural phenomena, brings the challenge of incorporating skills, providing essential values not only for understanding the historical relations between human beings and the environment, but also to improving the quality of life. The “World Conference on Higher Education in the Twenty-first Century: Vision and Action" guides the educational process by its mission to train citizens professionals, highly informed, motivated, integrated and able to create a society based on love of humanity and wisdom. The balancing among the basic functions of teaching, research and extension within the University contributes to the student to take ownership of the construction of his own knowledge in a perspective of integral formation of the human being, aware of his social responsibility and policy for a society environmentally sound. This paper aims to, guided by literature review, present some considerations on the role of the University in education for environmental sustainability.

Temporomandibular disorders in females: acupuncture compared to occlusal splint

To compare the effect of acupuncture and occlusal splint in the treatment of temporomandibular disorders (TMD) in female patients.Method: Forty-eight female patients (mean age of 39.3±6.8 years) with diagnosed pain in muscles or joint according to RDC/TMD criteria were attended at UNESP - Aracatuba Dental School. Including criteria were reported pain in the chewing muscles and/or in the temporomandibular joint measured by a visual analogue scale (range from 0 to 10) and a reported reduction of the maximum mouth opening. Excluding factors were major occlusal problems, systemic diseases, pregnancy and age below 18 years. After randomization, the first group was treated with acupuncture performed by instructed dentist. The second group was treated with occlusal splint. The outcome variables were assessed at baseline (prior to the first treatment session) and after 1, 3 and 6 months. Primary criteria of success were improvement of mouth opening and pain reduction.Result: Acupuncture group exhibited chewing pain decrease from 5 (at baseline) to 1, 2 and 1 after 1, 3 and 6 months, respectively. In the splint group, chewing pain decreased from 4 to 2, 1 and 2 after 1, 3 and 6 months, respectively. The mouth opening (in mm) increased from 28 (at baseline) to 42, 44 and 46 after 1, 3 and 6 months, respectively in the acupuncture group. In the splint group, mouth opening improved from 29 to 40 after 1 month, and to 43 and 42 after 3 and 6 months. A significant pain reduction was noted for both groups when compared to the baseline (p<.001; Wilcoxon test). Acupuncture group had a significant clinical improvement of opening mouth (Mann-Whitney). Conclusion: The present outcomes suggest a positive association among acupuncture and occlusal splint on the reduction of chewing pain. Acupuncture was more effective in the mouth opening increase.

O conhecimento dos auxiliares odontológicos do sistema público de saúde dos municípios do noroeste paulista sobre os aspectos bioéticos na prática profissional

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Baixo desempenho e enriquecimento da interação: propostas de Feuerstein e mediação da aprendizagem

This text is the result of a larger study into the role of the mother tongue in the construction of school knowledge, with a view to promoting gains in the performance of teenagers. The three objectives in this particular paper are: (1) to address Feuerstein's ideas, how the mother tongue interrelates with specific content, and the management of pedagogical interaction; (2) to illustrate enriched interaction during interventions by the researcher; and (3) to point out that supervised internship actions may help underachieving students. This is done in light of an interpretive analysis of the specialized literature, course books, reports and notes concerning interventions with students, and video and audio recordings. The analysis of interactions and student output following the researcher's interventions reveals increased awareness and change regarding school knowledge and how speaking/writing about specific content may enhance their performance in the completion of pedagogical tasks.

Determinação do teor dos ingredientes ativos imidacloprida e clorpirifós em produtos técnicos formulados por CLUE-DAD

The use of pesticides to manage pest problems in agriculture has become a common practice around the world. Pesticides consist in chemical substances or biological agents that act preventing, destroying, repelling or mitigating the damage caused by pests in agriculture. In order to a successful treatment, the correct dosage of pesticide has to be applied for each kind of culture. In this context, this project aims to quantify the levels of the active ingredients Imidacloprid and Chlorpyrifos present in formulated technical products and compare with the reported in the ir commercial leaflets. The analyzes were performed by Ultra Performance Liquid Chromatography coupled to a photodiode array detector (CLUE-DAD). The identification of Imidacloprid and Chlorpyrifos in the samples was realized by comparison of the time of retention and UV spectre of those substances with the commercials patterns, resulting in a excellent method specificity of the method. In the scope of determination of active ingredients in formulated products, the method developed showed good sensitivity in the applied conditions, with suitables limits of detection (4,2.10-² mg L-¹ for Imidacloprid and 1,1.10-¹ mg L-¹ to Chlorpyrifos) and quantitation (1,4.10-¹ mg L-¹ and Imidacloprid 3,6.10-¹ mg L-¹ to Chlorpyrifos) for the concentrations found in matrices analyzed. Furthermore, good results were obtained to the method accuracy with coeficiente of variance values in the range of 0,6 to 0,7% for repeatability (intra-day) and 0,4 to 0,58% for intermediate precision (inter- day). The accuracy of the method was determined by recovery tests, the values were comprised in the range of 98 102%. According to the recommendations of the Associação Brasileira de Normas Técnicas, these values show good accuracy of the method. The concentrations obtained in the quantification of the active ingredients in formulated products showed values within permited by ABNT, 60.1% (w/v) ± 0.6%...

Motivos da recusa à doação de órgãos apontados familiares de pessoas com morte encefálica

Purpose: Study aiming to understand the reasons for the refusal to donate organs by relatives of potential donors living in the Mid-Western region of the São Paulo state. Method: Qualitative study performed after data collection by the Organ Procurement Organization (OPO) Division of a reference hospital in the region. Relatives were contacted to participate in a semi-structured interview, and after the subjects in the study were characterized, four guiding questions were presented; their respective answers were recorded to be transcribed later. The Analysis of Content method proposed by Bardin was used to organize the speeches. Results: From 2006 to 2008, 30 (35.3%) families contacted by OPO have refused to agree with the organ donation. From that universe, 16 family members were interviewed. Data was systematized in three major themes: The experience of being informed on a family member’s brain death, decision concerning to the organ donation and aspects that would facilitate the decision to agree with the organ donation. Conclusion: the identification of reasons for the refusal and the suggestions presented has provided subsidies to improve the organ donation for transplantation process.

Educação continuada e gerência participativa: indicadores de qualidade da gestão de recursos humanos em enfermagem

With the purpose to contribute to the construction of quality indicators in human resources management, this study aimed at identifying, from the perspective of nurse managers, essential elements in the composition of indicators for evaluating human resources management in nursing. To that end, phenomenology was adopted as the theoretical methodological framework for this qualitative investigation, in which ten nurses performing in teaching or care provision at a university hospital participated. Following approval by the Committee of Ethics in Research and the subjects’ consent, interviews were performed from September 2005 to July 2006. The analysis enabled the recovery of the following topics “Professional education”, “Training multiprofessional nursing teams” and “Institutional training conditions” in the Permanent Education category and topics “Actions that favor participant management” and “Team work” in the Participant Management category. In its conclusion, the study considers the findings to allow identify elements constituting quality indicators in human resources management.

Utilização de painéis solares fotovoltaicos no segmento residencial

In order to diversify the global and national energy matrix and reduce harmful impacts on the environment caused by the emission of polluting gases into the atmosphere, the use of clean and renewable energy sources is presented as a good alternative. This work discusses the use of photovoltaic solar energy, a source that presents such characteristics. The photovoltaic system under study is the type distributed connected to the grid, in the residential segment. It is informed of its use in the global and national levels. They are also present their characteristics, electrical and electronic circuits that make up the equipment required for its operation and the design of a system to be installed in a residence

Utilização de painéis solares fotovoltaicos no segmento residencial

In order to diversify the global and national energy matrix and reduce harmful impacts on the environment caused by the emission of polluting gases into the atmosphere, the use of clean and renewable energy sources is presented as a good alternative. This work discusses the use of photovoltaic solar energy, a source that presents such characteristics. The photovoltaic system under study is the type distributed connected to the grid, in the residential segment. It is informed of its use in the global and national levels. They are also present their characteristics, electrical and electronic circuits that make up the equipment required for its operation and the design of a system to be installed in a residence

Periocular basal cell carcinoma: cost of topical immunotherapy versus estimated cost of surgical treatment

Purpose: The objective of this study was to compare the estimated cost of clinical and surgical treatment for basl cell carcinoma of the eyelid. Methods: This was a pilot study of 12 patients with basal cell carcinoma receiving treatment with 5% imiquimod cream at the ocular plastic surgery center, medical school University of Sao Paulo (HC-FMUSP, Brazil). The cost of clinical treatment was estimated based on the time of treatment and amount of medication consumed by patients in the home setting. The cost of surgical treatment was estimated by ophthalmologists with experience in reconstructive plastic surgery based on analysis of images of the same patients. Surgeons responded to a questionnaire with four questions about surgical technique, surgical materials required, estimated duration of surgery and type of anesthesia. Results: Immunotherapy lasted from 8 to 12 weeks. All patients reported each cold-stored sachet with 5% imiquimod cream lasted 3 days. According to the institution, a box with 12 sachets costs BRL 480.00. Patients required 1.58-3.11 boxes for complete treatment, corresponding to a total cost of BRL 758.40-1,492.80. Based on image analysis, surgeons evaluated surgery would require 1-3 hours. The estimated cost of surgery room and staff was BRL 263.00, to which the cost of supplies was added. Thus, the total cost of surgical treatment was BRL 272.61-864.82. On the average, immunotherapy was 57,64% more costly than surgical treatment. Conclusions: Malignant eyelid tumors are a common finding in clinical ophthalmology. Surgery is still the treatment of choice at our institution, but immunotherapy with 5% imiquimod cream may be indicated for patients with multiple lesions or high surgical risk and for patients declining surgery for reasons of fear or esthetic concerns. The ability to estimate costs related to the treatment of malignant eyelid tumors is an important aid in the financial planning of health care institutions. Further studies should evaluate the possibility of institutions equating the cost of immunotherapy and surgical treatment by acquiring similar but less expensive medications.

Separação entre propriedade e decisão de gestão nas cooperativas agropecuárias brasileiras

A visão predominante na teoria econômica é que organizações de propriedade difusa e complexas apresentam melhor desempenho se forem separados os direitos ao lucro residual das decisões de gestão. Nos países de economia desenvolvida, os modelos de governança corporativa das cooperativas agropecuárias de propriedade difusa e complexas, tal como já informado pela literatura econômica, promovem a desvinculação dos cooperados da gestão da empresa. Em contraposição, no Brasil, embora não haja estudos sistemáticos sobre o tema, evidências pontuais indicam que essas organizações concentram a propriedade e decisões de gestão. A possível divergência entre os modelos de governança utilizados nos diferentes países revela a necessidade de mensuração do grau de separação entre propriedade e decisão de gestão em cooperativas agropecuárias brasileiras, tarefa a que se dedica este artigo. A partir de dados coletados junto a 77 cooperativas agropecuárias, identificou-se que diferentes modelos de governança coexistem no Brasil. Embora grande parcela de cooperativas tenha governança concentrada, há um grupo que já adota modelos de governança que promovem a separação parcial de jure ou de facto entre propriedade e decisão de gestão. Esses resultados revelam a necessidade de pesquisas futuras voltadas a identificar os determinantes da variabilidade de modelos de governança nas cooperativas brasileiras.