Condutas terapêuticas para tratamento da Síndrome da Apnéia e Hipopnéia Obstrutiva do Sono (SAHOS) e da Síndrome da Resistência das Vias Aéreas Superiores (SRVAS) com enfoque no Aparelho Anti-Ronco (AAR-ITO)

Os autores apresentam uma revisão da literatura referente às alternativas de tratamento cirúrgicas e não-cirúrgicas para a Síndrome da Apnéia e Hipopnéia Obstrutiva do Sono (SAHOS) e para a Síndrome da Resistência das Vias Aéreas superiores (SRVAS) com enfoque no princípio de ação e evolução dos aparelhos de avanço mandibular e, em particular, no mecanismo dinâmico de ação do Aparelho Anti-Ronco® (AAR-ITO).

Miniplacas de ancoragem no tratamento da mordida aberta anterior

INTRODUÇÃO: o relato de caso apresentado descreve um tratamento ortodôntico auxiliado por miniplacas, de uma paciente adulta que apresentava mordida aberta anterior acentuada, rotação horária da mandíbula, biprotrusão e ausência de selamento labial. Após a extração dos primeiros molares e retração dentária superior e inferior, associada ao controle vertical propiciado pelas placas, ocorreu uma pequena rotação anti-horária da mandíbula e a correção da mordida aberta anterior, com significativa melhora facial. OBJETIVO: o presente relato corrobora as evidências atuais quanto à eficiência do uso de miniplacas de titânio como ancoragem temporária, especialmente em situações de correções de grande amplitude, envolvendo um problema vertical.

Avaliação da influência dos tipos de tratamento superficial da porcelana glazeada na colagem de braquetes ortodônticos

OBJETIVO: o objetivo deste trabalho foi avaliar a influência do tipo de tratamento superficial da porcelana na resistência adesiva da colagem de braquetes ortodônticos e o modo de fratura após a descolagem. METODOLOGIA:foram confeccionados 80 corpos-de-prova de porcelana, divididos em quatro grupos (n = 18) de acordo com os diferentes tratamentos de superfície: (G1) ponta diamantada; (G2) ponta diamantada e silano; (G3) ácido hidrofluorídrico e (G4) ácido hidrofluorídrico e silano. Após o preparo das superfícies, braquetes Edgewise (Morelli) foram colados com resina (Transbond XT, 3M) e submetidos ao teste de cisalhamento. Os resultados foram avaliados estatisticamente pelo teste de Kruskal-Wallis. RESULTADO: o grupo G1 apresentou uma média de resistência de 3,35, o G2 3,97, o G3 2,56 e o G4 3,10. CONCLUSÃO: constatou-se que não houve diferença estatisticamente significativa na resistência adesiva do braquete entre os tipos de tratamentos estudados (p > 0,05) e os modos de fratura ocorreram, em sua grande maioria, na interface braquete/resina. Este estudo indica que todos os tipos de tratamentos apresentados são eficientes para a colagem.

Sobremordida exagerada: diagnóstico e estratégias de tratamento

A sobremordida exagerada é um tipo de má oclusão que apresenta etiologia multifatorial e necessita de um diagnóstico diferencial elaborado e específico. O objetivo desse artigo é descrever os principais elementos de diagnóstico facial, cefalométrico e dentário e as principais estratégias de tratamento, como a extrusão de dentes posteriores, a intrusão de dentes anteriores ou a combinação dessas. Serão apresentados seis casos clínicos, auxiliando o ortodontista no diagnóstico e na seleção da estratégia de tratamento individualizada para cada situação clínica.

Avaliação de fontes de amônia para o tratamento de fenos de gramíneas tropicais. 1. Constituintes da parede celular, poder tampão e atividade ureática

Avaliaram-se as alterações da fração fibrosa e as características químicas dos fenos de braquiária decumbens (Brachiaria decumbnes Stapf) e jaraguá (Hyparrhenia rufa Ness Stapf) não-tratados, tratados com uréia (U-5,4% da MS), uréia (UL-5,4% da MS) mais labe-labe (Lablab purpureus L. Sweet, cv. Highworth-3,0% da MS) ou amônia anidra (NH3 -3,0% da MS). O tratamento químico com uréia ou NH3 aumentou o pH e a digestibilidade in vitro verdadeira dos fenos. A amonização não alterou os teores de fibra em detergente ácido e celulose, mas diminuiu os de fibra em detergente neutro, hemicelulose e lignina. O uso do labe-labe como fonte adicional de urease não aumentou a eficiência da uréia no tratamento dos volumosos. As avaliações do conteúdo de umidade, do poder tampão e da atividade ureática são técnicas que podem auxiliar na previsão das respostas dos volumosos à amonização com o uso de uréia.

Avaliação de fontes de amônia para o tratamento de fenos de gramíneas tropicais. 2. Compostos nitrogenados

Este estudo foi desenvolvido para se avaliarem as alterações nos conteúdos de compostos nitrogenados dos fenos de braquiária decumbens (Brachiaria decumbnes Stapf) e jaraguá (Hyparrhenia rufa Ness Stapf) não-tratados, tratados com uréia (U - 5,4% da MS), uréia (UL - 5,4% da MS) mais labe-labe (Lablab purpureus L. Sweet, cv. Highworth-3,0% da MS) ou amônia anidra (NH3 -3,0% da MS). A aplicação de amônia anidra ou de uréia aumentou os teores de N total, N insolúvel em detergente neutro, N insolúvel em detergente ácido, N não-protéico e N amoniacal. A amonização diminuiu as relações N insolúvel em detergente neutro/N total e N insolúvel em detergente ácido/N total e aumentou as relações N não-protéico/N total, N amoniacal/N total e os teores de PB. O N aplicado foi retido, principalmente, nas formas de NNP e N amoniacal.

Estudo do valor nutritivo do farelo de guandu [Cajanus cajan (L.) Miilps] var. fava larga na alimentação de frangos de corte. 1. Avaliação do tratamento térmico

The experiment was conducted to evaluate pigeon pea (Cajanus cajan) protein in broiler chicks (up to 28 days of age) feeding, as compared to soybean (Glycine mar) protein, In the experiment the effects of temperature and autoclaving on antinutritional factors on pigeon pea meal were studied. Temperatures of 100, 110 e 120 degrees C and times of autoclaving of 10, 20 and 30 minutes were applied using a two-way factorial design, replicated in four times. Underheating and overheating during the process of inactivation of proteases inhibiting were evaluated by ureatic activity and protein solubility analysis, after the grains were dried and ground. After 28 days, the best time of autoclaving was 20 minutes (p<,05) irrespectively of temperature, which lead to a lower feed consuption. There were no histopathological alterations in kidney, liver, pancreas, heart and intestines of the broilers.

Valor nutritivo do feno de Brachiaria decumbens Stapf cv. Basilisk submetido a tratamento com amônia anidra ou uréia

The effects of the ammoniation of Brachiaria decumbens hay was evaluated. The hay bales were distributed into a complete randomized block design, with four replications and they were submitted to the treatments: untreated or treated with anhydrous ammonia (NH3)(2,0 and 3,0% of the DM) or with urea (3,6 and 5,4% of the DM). All the hays bales remained under plastic cover for 45 days. After three days of aeration, samples were collected for the determination of the chemical composition, nitrogenous compounds fraction and the in vitro dry matter (IVDDM) and organic matter (IVDOM) digestibility. In the metabolic study, Saanen goats breed was used in a 5x5 Latin squares design, where the apparent digestibility, the voluntary intake and the nutritive value index were evaluated. The ammoniation increased the contents of the total N, N ammonia (N-NH3) and non-protein N, with high effect on the levels of 3,0% of NH3 and 5,4% of urea. There were no differences between the level of 3,0% of NH3 and 5,4% of urea for the total N, N-NH3 and NPN. However, the treatment with 3,0% of NH3 allowed a larger fixation of N in ADIN and NDIN forms. The ammoniation increased the IVDMD and IVDMO and reduced the contents of neutral detergent fiber (NDF), hemicellulose, acid detergent fiber (ADF) and lignin, but it did not alter the cellulose and gross energy contents. The ammoniation increased the DM, OM, CP, NDF, ADF, hemicellulose, cellulose and gross energy apparent digestibility and as well as the voluntary intake of DM, digestible DM, digestible OM, digestible protein, digestible energy and the nutritive value index. The ammoniation increased the hay nutritive value index, but there were no differences between the levels of NH3 and urea.

Preservação do Feno de Brachiaria decumbens Stapf cv. Basilisk Submetido a Tratamento com Amônia Anidra ou Uréia

This study was conducted to evaluate the effects of anhydrous ammonia (NH3) or urea treatment on the occurrence of fungi in hays of Brachiaria decumbens Stapf cv. Basilisk, baled and stored with different moisture contents. The following treatments were evaluated: T-1 = green forage, soon after the harvest; T-2 = hay with 25% of moisture, with evaluation before baling; T-3 = hay with 13% of moisture and untreated; T-4 = hay with 25% of moisture + .5% of NH3 in the DM T-5 = hay with 25% of moisture +1% of NH3 in the DM; T-6 = hay with 25% of moisture +.9% of urea in the DM and T-7 = hay With 25% of moisture +1.8% of urea in the DM. The treated hays stayed under plastic cover during 75 days, and samples were collected soon after the opening of the bales piles,and they were immediately analyzed in the laboratory. Eleven fungi were identified in different treatments, with high incidence of Aspergillus in the untreated hay, in the hay stored with 25% of moisture and treated with .5% NH3. The ammoniation totally reduced the occurrence of Helminthosporium and Nigrospora, but it did not control the occurrence of Cladosposrium and caused the occurrence of Penicillium in large intensity. The occurrence of Epicoccum, Curvularia, Phitomyces and Aspergillus genus were totally controlled by the treatment of hay with 1% of NH3; .9 and 1.8% of urea.

Viabilidade do tratamento de água residuária sintética têxtil em reator aeróbio de leito fixo

A continuous flow reactor, inoculated with Aspergillus niger AN400, with total volume of 5 L was operated at 29 degrees C, with eight hours of retention hydraulic time and 150 L.h(-1) of air flow rate in order to remove 25 mg.L(-1) of Congo Red dye from a synthetic wastewater. The feeding of the reactor, inoculated with Aspergillus niger AN400, was done in two phases: Phase I, with 0,5 g/L of saccharose and Phase II, with no saccharose. In Phase I, it was possible to verify efficiencies of organic matter and color (mg Pt.L(-1)) removal of 80 +/- 16% and 82 +/- 10%, respectively. In Phase II, the efficiency of organic matter removal was 75 +/- 13% and color removal was 89 +/- 7%. The higher removals of nutrients were achieved by the reactor in Phase I with 25% to ammonia, 90% to nitrite, 93% to nitrate and 21% to phosphorus. Apparently, the presence of saccharose improved the removal of the nutrients.

Tratamento de esgoto e produção de água de reúso com o emprego de filtros de areia

In this research it was studied a system composed by the anaerobic filter combined with a sand filter for the wastewater treatment. For this, three anaerobic filters were operated with hydraulic detention time of nine hours which had the effluent disposed over four sand filters in different frequencies of application. on the first sand filter, 50 L.m(-2) were applied once a day. on the second, the third and the fourth filters, the same load was disposed in twice, three and four times a day, distributed between 9 a. m. and 4 p. m. The system presented a final effluent suitable for the COD and BOD legislation maximum limit to be discharged into water body (Decreto Paulista no 8,468/1976), showing the viability of dispose a higher quantity of effluent then the one suggested by NBR 13969/1997, which guides the constructive aspects for this kind of treatment.

Acupuntura e implante de fragmentos de ouro em pontos de acupuntura e pontos Acupuntura e implante de fragmentos de ouro em pontos de acupuntura e pontos gatilho para o tratamento de displasia coxo-femoral em Pastor Alemão

Background: Canine hip dysplasia (HD) is characterized by hip joint laxity and subluxation. It is the most common cause of osteoarthritis in dogs, especially in larger breeds. Its management includes nutritional supplements, nonsteroidal anti-inflammatory drugs, physical therapy, acupuncture or surgical procedures. Implantation of gold beads in acupuncture points and trigger points around a joint has been used in the treatment of osteoarthritis in dogs for at least 30 years. Gold bead implants(GBI) acts as continuous acupuncture stimulation and trigger point treatment in canine HD with long lasting results. Electrophysiological investigations of trigger points reveal dysfunctional muscle spindles which indicate that the electrical activity of active loci arises from extrafusal motor endplates.Case: This is a report on the use of acupuncture and GBI for bilateral HD in a nine year old female German Shepherd. The patient has a HD non-responsive to anti-inflammatory drugs and was unable to stand up or walk by its own. Radiographs showed marked dysplasia, significant subluxation with the femoral head partly out of a shallow acetabulum and massive secondary arthritic bone changes, mainly on the right side. The animal was submitted to eight acupuncture sessions with seven days interval. After the first acupuncture session the use of NSAID was interrupted. After eight weeks the dog was considered rehabilitated and underwent GBI in acupoints and trigger points as maintenance treatment. During the one-year follow-up period the improvement remained unchanged with no need of analgesics.Discussion: It has been suggested that acupuncture or GBI can treat the chronic pain resulting from osteoarthritis induced by HD. According to AP theory, GBI is permanent and long-lasting acupoint stimulation. Moreover, the method is inexpensive, quick and easy to perform, with no postoperative pain or need of exercise restriction. Although gold is extremely corrosion-resistant, the surface of the gold implants stimulates a reaction from the immune system causing an oxidative liberation of gold ions with anti-inflammatory actions. It is well known that gold ions are effective inhibitors of the respiratory burst of neutrophils and monocytes and the proliferation of lymphocytes. These findings suggest that gold implantation, on a local scale, mimics the anti-inflammatory and pain-relieving effect of drugs with chemically bound gold ions. The relatively slow speed of the process results in a limited liberation of gold ions securing that they are taken up almost exclusively by cells close to the implant. The nine year old female German shepherd had a positive response to acupuncture with pain relieve and locomotor rehabilitation. For the nine year old female German shepherd previous acupuncture sessions to GBI resulted in no post-implant worsening period. Indeed, the association acupuncture/GBI does not have the anti-inflammatory drugs undesirable effects and brings long lasting results. In conclusion, GBI therefore should be considered for canine HD when conservative or medical treatments fail to give the desired effect.