Modelos de tratamento para adenocarcinomas de próstata tratados por radioterapia conformacional 3D

Radiotherapy is a branch of medical physics related to the treatment of malignant neoplasm, being an important instrument in the fight against cancer, when combined with the effort of a multidisciplinary team, composed of, physicians, physicists, nurses and technicians. Every year more than 3.5 million new cases of cancer are recorded in the world, being the prostate cancer responsible for approximately 25% of this amount (INCA and IARC, 2008). In this type of cancer, radiotherapy is a method indicated for treatement. The technological advance in this area over years has allowed a greater accuracy in the tumor location, more conformation of the radiation beam around the tumor, reducing the dose in healthy tissues and a consequent dose increase on treatment (Bedford et al., 1999). A radiotherapy planning, in which the physicist develops an important role, is composed of several steps, including choosing the best configuration of treatment beams. This choice has a close relationship with success of therapy and is critical to achieve the best distribution of dose inside the tumor and expose the least as possible the healthy tissue to radiation. In this work, two options for setting up camps in the first phase in a treatment of prostate cancer were simulated in computer planning: 4 fields orthogonal or “Box” with gantry angles in 00, 1800, 2700 e 90° and 4 fields angled or “X” (1350, 450, 3150 e 2250). The percentage of the rectal volume exposed to 40, 50, 60, 72 and 76 Gy should be limited to 60, 50, 25, 15 and 5% respectively (Greco et al., 2003). The femoral toxicity have limited dose by 70% of the total dose prescribed in a prostate treatment (Bedford et al., 1999). The planning of 27 patients with prostate adenocarcinoma submitted to 3D conformal radiotherapy were accompanied. As a result, it was assessed that the best TCP (tumor control probability)... (Complete abstract click electronic access below)

Sistema de automação residencial controlado via rede doméstica

The present work develops a residential automation system controlled by PIC microcontroller connected to a domestic network using the TCP/IP protocol. This was motivated by the viability of building an automation system to control basic elements of a house with low cost, which cannot be found nowadays. Initially is presented a brief history of the automation systems and an introduction about PIC microcontrollers. Afterwards is presented an overview of the system to be implemented. Then it is shown a suggested circuit and the sensor and actuator elements as well as the software to manage the system, this was all build and test in the laboratory. In the end are the results obtained from the prototype, like the energy consumption, the cost, efficiency and reliability

Uso do beta fosfato tricálcio em levantamento da membrana de seio maxilar: estudo histológico, histomorfométrico e imunoistoquímico em coelhos

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

Avaliação física e radiográfica de biomateriais usados para regeneração óssea

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

O uso do beta-tricálcio fosfato como substituto ósseo em odontologia

The correction of bone defects is the restoration of lost structures which can be replaced by alloplastic implants or bone grafts. Due to the known disadvantages of removal of autogenous grafts, most researches in dentistry aim to develop alloplastic or non-alloplastic materials able to replace bone without these limitations. Beta-Tricalcium Phosphate (β-TCP) is a synthetic granular bone substitute, biocompatible, osteoconductive, which can be used in the alveolar reconstruction. In this work, we perform a literature review on the β-TCP characteristics and discuss its application in dentistry.

Estudo da padronização visando à interoperabilidade: o caso das organizações de saúde na cidade de Marília- São Paulo

Pós-graduação em Ciência da Informação - FFC

Double-setting alpha-tricalcium phosphate cement provided with interconection channels in rabbits after enucleation: a potential implant for the anophthalmic socket

The purpose of this study was to evaluate the macroscopy and microstructure of a double setting alpha-tricalcium phosphate bone cement sphere provided with interconnection channels (alpha-TCP-i), as well as the integration of the implant with the rabbits' orbital tissue, through macroscopic analysis and histopathology. The external and internal surfaces of the alpha-TCP-i were evaluated macroscopically and by electron microscopy. Twelve New Zealand rabbits received 12mm implants of alpha-TCP-i following enucleation of the left eye. The clinical assessment was undertaken daily during the first 15 days, followed by fortnightly assessment until the end of the study period. For the morphological analysis, exenteration was performed in 3 animals per experimental period (15, 45, 90 and 180 days). The external and internal surfaces of the implant appeared solid, smooth and compact, with six channels which interconnected centrally. The micro-architecture was characterized by the formation of columns of hexagonal crystals. No signs of infection, exposure, dehiscence of sutures or extrusion of the implant were noted in any of the animals during the entire period of the study. The morphological evaluation demonstrated the presence of a thin capsule around the implant, from whence appeared fibro-vascular projections, which penetrated it through the interconnecting channels. In the first days after the insertion of the implant, an intense inflammatory reaction was noted. At 180 days, however, there were no signs of inflammation. The alpha-tricalcium phosphate cement implant was well tolerated in this rabbit model and appeared to be relatively inert with some fibrovascular ingrowth through the large channels.

Avaliação do efeito osteoindutivo do PDGF-BB associado a diferentes carreadores na regeneração óssea em cavidades cirurgicamente criadas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Enamel matrix protein derivative plus synthetic bone substitute for the treatment of mandibular Class II furcation defects: a case series

Objectives: The aim of this study is to report on the treatment of mandibular Class II furcation defects with enamel matrix protein derivative (EMD) combined with a beta TCP/HA (beta-tricalcium phosphate/hydroxyapatite) alloplastic material. Method and Materials: Thirteen patients were selected. All patients were nonsmokers, systemically healthy, and diagnosed with chronic periodontitis; had not taken medications known to interfere with periodontal tissue health and healing; presented one Class II mandibular furcation defect with horizontal probing equal to or greater than 4 mm at buccal site. The clinical parameters evaluated were probing depth (PD), relative gingival margin position (RGMP), relative vertical clinical attachment level (RVCAL), and relative horizontal clinical attachment level (RHCAL). A paired Student t test was used to detect differences between the baseline and 6-month measurements, with the level of significance of .05. Results: After 6 months, the treatment produced a statistically significant reduction in PD and a significant gain in RVCAL and RHCAL, but no observable change in RGMP. RVCAL ranged from 13.77 (+/- 1.31) at baseline to 12.15 (+/- 1.29) after 6 months, with a mean change of -1.62 +/- 1.00 mm (P<.05). RHCAL ranged from 5.54 (+/- 0.75) to 2.92 (+/- 0.92), with a mean change of -2.62 +/- 0.63 mm (P<.05). After 6 months, 76.92% of the patients improved their diagnosis to Class I furcation defects while 23.08% remained as Class II. Conclusion: The present study has shown that positive clinical results may be expected from the combined treatment of Class II furcation defects with EMD and beta TCP/HA, especially considering the gain of horizontal attachment level. Despite this result, controlled clinical studies are needed to confirm our outcomes.

VapB type 8 plasmids in Rhodococcus equi isolated from the small intestine of pigs and comparison of selective culture media

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Use of autogenous bone and beta-tricalcium phosphate in maxillary sinus lifting: a prospective, randomized, volumetric computed tomography study

The correction of bone defects can be performed using autogenous or alloplastic materials, such as beta-tricalcium phosphate (β-TCP). This study compared the changes in bone volume (CBV) after maxillary sinus lifting using autogenous bone (n=12), autogenous bone associated with β-TCP 1:1 (ChronOS; DePuy Synthes, Paoli, CA, USA) (n=9), and β-TCP alone (n=11) as grafting material, by means of cone beam computed tomography (CBCT). CBV was evaluated by comparing CBCT scans obtained in the immediate postoperative period (5-7 days) and at 6 months postoperative in each group using OsiriX software (OsiriX Foundation, Geneva, Switzerland). The results showed an average resorption of 45.7±18.6% for the autogenous bone group, 43.8±18.4% for the autogenous bone+β-TCP group, and 38.3±16.6% for the β-TCP group. All bone substitute materials tested in this study presented satisfactory results for maxillary sinus lifting procedures regarding the maintenance of graft volume during the healing phase before the insertion of implants, as assessed by means of CBCT.

Bone Ceramic® at implants installed immediately into extraction sockets in the molar region: an experimental study in dogs

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

Avaliação comparativa do processo de incorporação de bloco sintético bifásico, e do osso autógeno: estudo histológico, histométrico e imunoistoquímico em coelhos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Equilíbrio eletrolítico e condicionamento térmico: redução do estresse térmico agudo em frangos de corte

Em países de clima tropical, o calor é um dos principais limitantes à produção de frangos de corte, sendo ainda responsável por induzir uma elevada mortalidade, especialmente na fase de terminação. Visando aliviar o efeito do estresse pelo calor, foram avaliadas duas técnicas para melhorar a tolerância térmica: o condicionamento térmico precoce (TCP) e a formulação dieta utilizando o princípio de Mongin (equilíbrio eletrolítico). Para tanto, o balanço eletrolítico do K+Na-Cl foi ajustado em 350 mEq/kg e a relação eletrolítica (K+Cl)/Na em 3:1, pelo programa PPFR (http://www.fmva.unesp.br/ppfr). Foram utilizados 300 pintos machos Cobb 500, em arranjo fatorial 2x2 (com e sem TCP e com e sem o princípio de Mongin), num delineamento inteiramente casualizado, em 24 boxes (6 repetições por tratamento). As aves foram inicialmente alojadas em baterias metálicas (1-7 dias de idade), e posteriormente em piso (8-48 dias de idade), sendo arraçoadas com: (T1) dieta tradicional sem TCP; (T2) dieta tradicional com TCP; (T3) dieta com a aplicação do equilíbrio eletrolítico sem TCP e (T4) dieta com aplicação do equilíbrio eletrolítico com TCP. O condicionamento térmico foi realizado no quinto dia de idade, por 24 horas a 36 °C, somente na metade do lote (150 aves). Após esse período, todas as aves foram transferidas para boxes de 1,5x3m (12 aves/boxe), tendo como cama a maravalha de madeira reutilizada. Aos 36 dias de idade foi aplicado um estresse agudo (36°C) por 8 horas em todos os tratamentos, sendo monitorado eletronicamente a temperatura e a umidade do galpão e do microclima na altura das aves. A alimentação e a água foram ad libitum, mesmo durante o período de estresse. Foram aferidos os dados de desempenho aos 7, 35 e 48 dias de idade para ganho de peso, consumo de ração e conversão alimentar, e também a taxa de mortalidade de cada boxe. Verificou-se que tanto o equilíbrio eletrolítico como o condicionamento térmico precoce foram eficazes significativamente (P<0,05) para minimizar a mortalidade dos frangos submetidos ao estresse agudo de calor, sem prejuízo no desempenho das aves. Além disso, foi observado um efeito mais favorável quando aplicados simultaneamente (T4). Assim, para o tratamento em que nenhuma destas estratégias foram utilizadas (T1), a taxa de mortalidade foi 83% superior ao tratamento em que ambas foram aplicadas (T4). Assim, tanto o condicionamento térmico precoce como o princípio de Mongin foram válidos para minimizar os efeitos danosos causados pelo calor em frangos de corte.

Router and Firewall Redundancy with OpenBSD and CARP

As more reliance is placed on computing and networking systems, the need for redundancy increases. The Common Address Redundancy Protocol (CARP) protocol and OpenBSD’s pfsync utility provide a means by which to implement redundant routers and firewalls. This paper details how CARP and pfsync work together to provide this redundancy and explores the performance one can expect from the open source solutions. Two experiments were run: one showing the relationship between firewall state creation and state synchronization traffic and the other showing how TCP sessions are transparently maintained in the event of a router failure. Discussion of these simulations along with background information gives an overview of how OpenBSD, CARP, and pfsync can provide redundant routers and firewalls for today’s Internet.