Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD

INTRODUCTION: Among the sleep disorders reported by the American Academy of Sleep, the most common is obstructive sleep apnea-hypopnea syndrome (OSAHS), which is caused by difficulties in air passage and complete interruption of air flow in the airway. This syndrome is associated with increased morbidity and mortality in apneic individuals. OBJECTIVE: It was the objective of this paper to evaluate a removable mandibular advancement device as it provides a noninvasive, straightforward treatment readily accepted by patients. METHODS: In this study, 15 patients without temporomandibular disorders (TMD) and with excessive daytime sleepiness or snoring were evaluated. Data were collected by means of: Polysomnography before and after placement of an intraoral appliance, analysis of TMD signs and symptoms using a patient history questionnaire, muscle and TMJ palpation. RESULTS: After treatment, the statistical analysis (t-test, and the "before and after" test) showed a mean reduction of 77.6% (p=0.001) in the apnea-hypopnea index, an increase in lowest oxyhemoglobin saturation (p=0.05), decrease in desaturation (p=0.05), decrease in micro-awakenings or EEG arousals (p=0.05) and highly significant improvement in daytime sleepiness (p=0.005), measured by the Epworth Sleepiness Scale. No TMD appeared during the monitoring period. CONCLUSION: The oral device developed in this study was considered effective for mild to moderate OSAHS.

Abrasividade pendular e a resistência mecânica das rochas

Esse trabalho emprega o método para avaliar a abrasividade proposto por Golovanevskiy e Bearman (2008). Esse método, ensaio de abrasão por impacto deslizante (Gouging Abrasion Test), é realizado em condições de alta tensão/alto impacto de desgaste. O método consiste de uma ponteira cilíndrica com uma ponta cônica de 90º, que, em trajetória pendular, atinge uma amostra de rocha com energia de impacto de 300 J e velocidade da ordem de 5,2 m/s. O Gouging Abrasion Index (Gi) é calculado como sendo a média do diâmetro da ponta cônica, após desgaste, em milímetros e o resultado é multiplicado por 10. Esse trabalho verificou a adequabilidade do Gouging Abrasion Test, para um pequeno número de amostras de rocha, que representam, qualitativamente, os principais tipos de rocha encontrados em trabalhos de corte, perfuração e britagem no Brasil, e a sua correlação com outros ensaios consagrados como a resistência à compressão, o desgaste Amsler e a dureza Knoop. Essa análise mostrou alta correlação entre Gi e a dureza Knoop (R² = 0,94), baixa correlação com o desgaste

Two-degree-of-freedom vortex-induced vibration of circular cylinders with very low aspect ratio and small mass ratio

The investigation of vortex-induced vibration on very short cylinders with two degrees of freedom has drawn the attention of a large number of researchers. Some investigations on such a problem are carried out in order to have a better understanding of the physics involved in vortex-induced motions of floating bodies such as offshore platforms. In this paper, experiments were carried out in a recirculating water channel over the range of Reynolds number 6000

César Manrique : un canario para la historia

Documento coeditado y homenaje promovido por la Delegación de Alumnos de la E.U.I.T.T.