A comparison of patient satisfaction between treatment with conventional complete dentures and overdentures in the elderly: a literature review

Background:It has been stated that mandibular overdentures are more satisfactory than conventional dentures, but problems relating to the use of retrospective ratings, lack of control group and sequential provision of treatment may compromise the findings.Objective:To establish a comparison between treatment with conventional complete dentures and implant-retained overdentures in elderly patients by conducting a literature review.Materials and methods:A search of English language peer-review literature was completed using Medline up to 2008 focusing on evidence-based research. Randomised clinical trials (RCTs) and longitudinal prospective studies were favoured in the review, using a general hierarchical classification. Articles that did not focus exclusively on the comparison of patient satisfaction between complete dentures and overdentures were excluded from further evaluation. The last search was conducted in February 2008. Key terms included quality of life, patient satisfaction, edentulism, complete denture and overdenture.Results:Among the 90 articles found in the initial search, 27 met the inclusion criteria. This included 18 RCTs and eight prospective and one cohort study. Most of the articles stated superiority of the mandibular implant-retained overdenture therapy over the conventional complete denture regarding patient satisfaction and quality of life.Conclusion:Even with implant treatment presenting higher patient satisfaction and improvement of quality of life, it was not possible to establish a direct comparison between the studies due to differences in adopted methodologies.

Oil-soluble dyes for marking Spodoptera frugiperda (Lepidoptera : Noctuidae)

Although various biological aspects of Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae) have been examined, adult movement and dispersal of this insect pest is not well understood. Release-recapture techniques by using marked insects is a useful approach for dispersal studies; however, the marking technique should not significantly affect insect biology or behavior. Therefore, the effect of different concentrations of oil-soluble dyes (Solvent Blue 35 [C.I. 61554], Sudan Red 7B [C.I. 26050], Sudan Black B [26150], Sudan Orange G [C.I. 11920], and Sudan I 103624 [C.I. 12055]) on development, mortality, and fecundity of S. frugiperda was evaluated. Dyes were added to artificial diet used to feed larvae. Larval and pupal development and mortality, adult longevity, and female fecundity were evaluated. High concentrations (400 and 600 ppm) of all dyes led to longer larval and pupal stages. Adult life span and number of eggs were not affected by the dyes. Sudan Red 7B marked both adults and eggs very well. Solvent Blue 35 marked both adults and eggs, but the blue-marked eggs could not be distinguished from some bluish eggs laid by nonlabeled females. Adults and eggs were not adequately marked by the Sudan Black B, Sudan Orange G, and Sudan I 103624 (a yellow dye).

Políticas públicas de educação para assentados da Reforma Agrária: o caso do PRONERA Saúde na Transamazônica

As ações dos Agentes Comunitários de Saúde são reconhecidas em sua relevância nas legislações brasileira que se concretiza em 2002 com a Lei nº 10.507 de 10 de Julho de 2002 que cria a Profissão do Agente Comunitário de Saúde e dá outras providências, posteriormente substituída pela Lei 11.350, de 05 de outubro de 2006. Contudo a história dos ACS‟s remonta períodos bem anteriores como à criação do Programa dos Agentes Comunitários de Saúde (PACS) em 1991, considerado começo da profissionalização do ACS‟s. Diante disso, o Programa Nacional de Educação na Reforma Agrária (PRONERA) vem para dar sua contribuição na formação de Técnicos Agentes Comunitários de Saúde (TACS‟s). De maneira concisa o PRONERA emerge como Política Pública Educacional em 2009, quando o mesmo se consolida no artigo 33 da Lei nº 11.947/09 e no final de 2010 onde é assinado o Decreto nº 7.352/10, que trata da educação do campo e institui formalmente o PRONERA no Ministério do Desenvolvimento Agrário (MDA). Assim, o PRONERA compõe a Política de Educação do Campo, ao mesmo tempo se caracteriza como Política Pública de Educação vinculada à Reforma Agrária. O PRONERA é um Programa do Governo Federal, através do Ministério de Desenvolvimento Agrário, coordenado pelo Instituto Nacional de Colonização e Reforma Agrária (INCRA) em convênio com as Universidades Públicas, em parceria com Movimentos Sociais e agentes governamentais estaduais e municipais. Oferece cursos de educação básica, técnica e tecnológica, ensino superior e pós graduação. Nosso objeto aqui está na análise do projeto “Saúde em movimento na Transamazônica: Curso de Formação Integrada em Técnico Agente Comunitário de Saúde (TACS) e Ensino Médio”, portanto no PRONERA Saúde que é apenas um dos projetos do PRONERA no Pará. Este abrange os municípios de Altamira, Senador José Porfírio, Medicilândia, Anapú e Pacajá, o curso foi projetado e aprovado em 2005 e começou em 2006 e finalizado em julho de 2011. Iniciou com 90 discentes todos ACS‟s das prefeituras parceiras (Altamira, Anapú, Medicilândia, Pacajá, Sen. José Porfírio). Esses discentes foram selecionados por uma equipe técnica do PRONERA, a partir das indicações dos Movimentos Sociais locais, principalmente dos Sindicatos dos Trabalhadores Rurais. Para o desenvolvimento dessa pesquisa utilizamos os Relatórios de Atividades do PRONERA Saúde e as entrevistas com os discentes (ACS‟s). A perspectiva teórico metodológica de análise das fontes para construção dissertativa se deu com base na teoria crítica marxista e nas leituras e contribuições da Educação Ambiental crítica, a relação saúde, meio ambiente e políticas públicas permeia a pesquisa e possibilita uma interação fundamental para busca de melhoria de vida desses agentes sociais.

Distribuição e conservação de aves migratórias neárticas da ordem Charadriiformes (famílias Charadriidae e Scolopacidae) no Brasil

Apesar dos esforços de pesquisa nos últimos anos, muitos dos aspectos das migrações dos charadrídeos e escolopacídeos no Brasil permanecem desconhecidos. A maioria dos estudos em escala local ou regional revela a necessidade de uma síntese das informações em escala espacial adequada para facilitar a detecção dos grandes padrões de movimento destas espécies no país. Desta forma, esta tese teve como objetivo geral identificar os padrões de distribuição e migrações das espécies de aves das famílias Charadriidae e Scolopacidae que se reproduzem no hemisfério norte e usam o território brasileiro durante as suas migrações, visando desenvolver estratégias para a conservação do grupo. Como objetivos específicos, caracterizar as principais rotas migratórias para estas espécies; identificar as áreas críticas para a conservação utilizando os critérios propostos pela metodologia das AIAs e ACBs; avaliar o estado de conservação atual das áreas críticas para a conservação destas espécies de acordo ao Sistema Nacional de Unidades de Conservação; avaliar se as áreas críticas são parte das áreas prioritárias para a conservação da biodiversidade brasileira; aplicar os critérios da Convenção de Ramsar e da WHSRN para identificar áreas críticas para conservação destas espécies. A base de dados foi estabelecida a partir de levantamento bibliográfico; consultas às coleções científicas de museus brasileiros e estrangeiros; utilização de bases de dados de recuperações de anilhas brasileiras e norte-americanas; dados cedidos por pesquisadores do Brasil, Argentina e Estados Unidos; dados de campo coletados pessoalmente no Pantanal (MS), litoral dos estados do Maranhão e Rio Grande do Sul. Entre os principais resultados, 19 das 24 espécies possuem um conjunto importante de dados, com as demais sendo ocasionais ou com poucas informações. Há uma maior concentração de dados na região costeira do país, com menor cobertura de áreas do interior. A Amazônia Ocidental mostrou-se a menos conhecida nos aspectos abordados, embora seja a via de passagem para algumas das espécies analisadas. O litoral entre a foz do Amazonas e São Luiz, no Maranhão foi a principal área de concentração em termos numéricos. A costa do Rio Grande do Sul foi o segundo local com maior destaque nas análises. Quinze espécies foram registradas em todos os meses do ano, demonstrando que nem todos os indivíduos migram anualmente para o hemisfério norte. Considerando as rotas globais, 8 espécies utilizam a rota do Atlântico e 10 a rota do Mississipi ou do centro da América do Norte. As outras 6 possivelmente utilizam-se das duas rotas. O conhecimento na utilização das 5 rotas propostas por Antas (1983) durante a migração sul-norte indicou que algumas espécies têm registros no interior da Amazônia, período em que possivelmente seus habitats estariam inundados. O padrão de chegada na migração norte-sul no Brasil é entre agosto e outubro, com incremento a partir de setembro. A migração sul-norte ocorre entre meados de março e abril na maioria das espécies. Durante o período não reprodutivo existe um padrão de distribuição ao longo da costa utilizado por 9 espécies, outro continental para 7 espécies no interior e ainda um terceiro, difuso, encontrado em 5 espécies que se distribuem tanto na costa quanto no interior do país. Foram identificadas 260 áreas críticas importantes para as espécies avaliadas. Observou-se que 72% das ACBs identificadas estão fora do SNUC. A sobreposição das ACBs com as Áreas Prioritárias para a Conservação revelou que 46% das primeiras estão sem indicação de importância neste programa. São elegíveis para os critérios da Convenção Ramsar 69 ACBs, enquanto 65 podem ser inseridas no programa da WHSRN. Entre as principais conclusões, o conhecimento de processos biológicos fundamentais à manutenção do ciclo de vida e o curso de suas migrações anuais, de parâmetros relacionados à mudas de penas, ganho de massa corporal, razão sexual e etária das populações migrantes são aspectos ainda insuficientemente detalhados para estas espécies no Brasil, e mesmo na América do Sul, assim como a necessidade de pesquisas que possam gerar estimativas e tendências populacionais, uma vez que em escala global várias destas espécies apresentam declínio populacional.

Light and electron microscopy of Myxobolus sciades n. sp. (Myxozoa), a parasite of the gills of the Brazilian fish Sciades herzbergii (Block, 1794) (Teleostei: Ariidae)

A myxosporean parasite in the gill lamellae of the freshwater teleost fish, Sciades herzbergii (Ariidae) (Block, 1794), from the Poti River (Northeast of Brazil) was described by light and electron microscopy studies. Polysporic histozoic cyst-like plasmodia containing several life-cycle stages, including mature spores, were observed. The spores were pyriform and uninucleate, measuring 9.15 ± 0.39 μm (n = 50) long, 4.36 ± 0.23 μm (n = 25) wide and 2.61 ± 0.31 μm (n = 25) thick. Elongated pyriform polar capsules (PC) were of equal size (4.44 ± 0.41 μm long and 1.41 ± 0.42 μm in diameter) and each contained a polar filament with 9-10 coils obliquely arranged in relation to the axis of PC. The PC wall was composed of two layers of different electron densities. Histological analysis revealed the close contact of the cyst-like plasmodia with the basal portion of the epithelial gill layer, which exhibited some alterations in the capillary vessels. Based on the morphological and ultrastructural differences, the similarity of the spore features to those of the genus Myxobolus and the specificity of this host to previously described species, we describe a new species named Myxobolus sciades n. sp. in this study.

Construindo laços entre o serviço social e a educação: acesso e permanência na educação de jovens e adultos

Pós-graduação em Serviço Social - FCHS

Holocarboxylase Synthetase-dependent Biotinylation of Histone H4

Holocarboxylase synthetase (HCS) catalyzes the binding of biotin to lysine (K) residues in histones H3 and H4. Histone biotinylation marks play important roles in the repression of genes and retrotransposons. Preliminary studies suggested that K16 in histone H4 is a target for biotinylation by HCS. Here we demonstrated that H4K16bio is overrepresented in repeat regions {pericentromeric alpha satellite repeats; long terminal repeats (LTR)} compared with euchromatin promoters. H4K16bio was also enriched in the repressed interleukin-2 gene promoter. The enrichment at LTR22 and promoter 1 of the sodium-dependent multivitamin transporter (SMVT) depended on biotin supply; and was significantly lower in fibroblasts from an HCS-deficient patient compared with an HCS wild-type control. We conclude that H4K16bio is a real phenomenon and plays a role in the transcriptional repression of repeats and genes. HCS catalyzes the covalent binding of biotin to carboxylases, in addition to its role as a histone biotinyl ligase. HCS null individuals are not viable whereas HCS deficiency is linked to developmental delays and phenotypes such as short life span and low stress resistance. Here, we developed a 96-well plate assay for high-throughput analysis of HCS based on the detection of biotinylated p67 using IRDye-streptavidin and infrared spectroscopy. We demonstrated that the catalytic activity of rHCS depends on temperature and time, and proposed optimal substrate and enzyme concentrations to ensure ideal measurement of rHCS activity and its kinetics. Additionally, we demonstrated that this assay is sensitive enough to detect biotinylation of p67 by endogenous HCS from Jurkat lymphoid cells.

Children’s Play in Cross-Cultural Perspective: A New Look at the Six Cultures Study

A qualitative and quantitative reanalysis of the Six Cultures data on children’s play, collected in the 1950s, was performed to revisit worlds of childhood during a time when sample communities were more isolated from mass markets and media than they are today. A count was performed of children aged 3 to 10 in each community sample scored as engaging in creative-constructive play, fantasy play, role play, and games with rules. Children from Nyansongo and Khalapur scored lowest overall, those from Tarong and Juxtlahuaca scored intermediate, and those from Taira and Orchard Town scored highest. Cultural norms and opportunities determined how the kinds of play were stimulated by the physical and social environments (e.g., whether adults encouraged work versus play, whether children had freedom for exploration and motivation to practice adult roles through play, and whether the environment provided easy access to models and materials for creative and constructive play).

Review of Vivian Gussin Paley, You Can't Say You Can't Play

You Can't Say You Can't Play recounts a teacher's attempts to undo the habit of exclusion in her kindergarten classroom. In this case, the exclusion that has come to concern her is that which arises when certain children are consistently rejected from entering the other children's play.

Collaboration as a Foundation for the Project Approach in Family Child Care

Supporting children's curiosity was considered important at my family child care home. How could we best achieve this? As my assistant caregiver Deb and 1 attended professional development workshops, we began to wonder if the project approach (Helm & Katz 2001) would be an effective means of supporting inquiry and collaborative learning. Before we would commit ourselves, we wanted to learn more. We had many questions. Just what is the project approach? What does it look like? How will it support children's learning? What do we need to be successful with it? The literature suggested many examples of successful projects at child care centers and preschools (Breig-Allen et al. 1998; Harkem: 1999; Beneke 2000; Glassman & Whaley 2000). Our challenge was how to adapt the project approach to our home child care situations.

African American and Teaching in Higher Education IS a Course on Race and Culture

Using theoretical applications, the authors present an overview of theories that highlight approaches for teaching culturally sensitive content, personal experiences as educator and colleague in a predominantly white college campus and strategies for addressing culturally insensitive experiences in and outside the classroom. Presenters focus on the recruitment and retention of people of color and stress the need for today's predominantly white institutions to become more knowledgeable, tolerant and sensitive about their environments in an effort to make them more accepting.

Recruitment and growth variation of Ophionereis reticulata (Echinodermata: Ophiuroidea)

Two growth patterns are recognized in shallow-water ophiuroids: (I) slow growth and early reproductive maturity over a long life span and (2) rapid growth with a short life span. For species with the first pattern, both growth and recruitment would reflect a reproductive pattern with long periods of resting and spawning concentrated in certain months of the year. To evaluate this hypothesis, the recruitment, population dynamics, and growth of the intertidal brittle star Ophionereis reticulata were analyzed from January 2001 to December 2002 at the Baleciro Isthmus on the southeast coast of Brazil. The species shows an annual gametogenic cycle with spawning taking place in summer. Densities varied from 0.46 to 9.46 individuals m(-2). Density variations and seawater temperature were not significantly correlated. The population structure of O. reticulata was polymodal, with at least four co-occurring cohorts. Recruitment events were recorded in March 2001, October 2001, January 2002, and September 2002. As indicated by the asymptote size (D(infinity)=11.47 mm +/- 1.46), growth constant (K=0.42 year(-1)+/- 0.12), and oscillation index (C=0.97 +/- 0.51), the growth pattern of O. reticulata seems to be based on high survivorship of juveniles and adults, where sexual maturity is reached at a small size with rapid growth in the first 2 years of life. A low level of settlement is to be expected based on these data; however, there must be a minimum successful survivorship and development for juveniles and adults. Another explanation for the lack of small individuals (disc diameter <1.0 mm) could be that recruitment is located in a different area and a post-settlement migration might be involved in the maintenance of the population.

Physicochemical analysis of blood and urine in the course of acute kidney injury in critically ill patients: a prospective, observational study

Abstract Background Sequential physicochemical alterations in blood and urine in the course of acute kidney injury (AKI) development have not been previously described. We aimed to describe these alterations in parallel to traditional renal and acid–base parameters. Methods One hundred and sixty eight consecutive critically ill patients with no previous kidney disease, who had an indwelling urinary catheter at ICU admission and who remained with the catheter for at least two days without dialysis were included. A sample of blood and spot urine were collected simultaneously, once daily, until catheter removal or dialysis requirement. Traditional acid–base and renal parameters were sequentially evaluated in parallel to blood and urinary physicochemical parameters. Patients were classified during this period as having or not AKI and, for patients with AKI, duration (transient or persistent) and severity (creatinine-based AKIN stage) were evaluated. Results One hundred and thirteen patients (67.3%) had AKI: 92 at ICU admission and 21 during the observation period. AKI development was characterized in blood by increased values of phosphate and unmeasured anions (SIG), decreased albumin, and in urine by decreased values of sodium (NaU), chloride (ClU) as well as high urinary strong ion difference (SIDu). These alterations began to occur before AKI diagnosis, and they reverted in transient AKI but remained in persistent AKI. NaU, ClU and albumin decreased, and phosphate, SIG and SIDu increased with AKI severity progression. NaU and ClU values increased again when AKIN stage 3 was reached. Conclusions Simultaneous physicochemical analysis of blood and urine revealed standardized alterations that characterize AKI development in critically ill patients. These alterations paralleled AKI duration and severity. Future studies should consider including sequential evaluation of urine biochemistry as part of the armamentarium for AKI diagnosis and management.

Post-decision Processes : Consolidation and value conflicts in decision making

The studies in the present thesis focus on post-decision processes using the theoretical framework of Differentiation and Consolidation Theory. This thesis consists of three studies. In all these studies, pre-decision evaluations are compared with post-decision evaluations in order to explore differences in evaluations of decision alternatives before and after a decision. The main aim of the studies was to describe and gain a clearer and better understanding of how people re-evaluate information, following a decision for which they have experienced the decision and outcome. The studies examine how the attractiveness evaluations of important attributes are restructured from the pre-decision to the post-decision phase; particularly restructuring processes of value conflicts. Value conflict attributes are those in which information speaks against the chosen alternative in a decision. The first study investigates an important real-life decision and illustrates different post-decision (consolidation) processes following the decision. The second study tests whether decisions with value conflicts follow the same consolidation (post-decision restructuring) processes when the conflict is controlled experimentally, as in earlier studies of less controlled real-life decisions. The third study investigates consolidation and value conflicts in decisions in which the consequences are controlled and of different magnitudes. The studies in the present thesis have shown how attractiveness restructuring of attributes in conflict occurs in the post-decision phase. Results from the three studies indicated that attractiveness restructuring of attributes in conflict was stronger for important real-life decisions (Study 1) and in situations in which real consequences followed a decision (Study 3) than in more controlled, hypothetical decision situations (Study 2). Finally, some proposals for future research are suggested, including studies of the effects of outcomes and consequences on consolidation of prior decisions and how a decision maker’s involvement affects his or her pre- and post-decision processes.

Epidemiological and functional characterization of Streptococcus pneumoniae pili

Streptococcus pneumoniae is an important life threatening human pathogen causing agent of invasive diseases such as otitis media, pneumonia, sepsis and meningitis, but is also a common inhabitant of the respiratory tract of children and healthy adults. Likewise most streptococci, S. pneumoniae decorates its surface with adhesive pili, composed of covalently linked subunits and involved in the attachment to epithelial cells and virulence. The pneumococcal pili are encoded by two genomic regions, pilus islet 1 (PI-1), and pilus islet-2 (PI-2), which are present in about 30% and 16% of the pneumococcal strains, respectively. PI-1 exists in three clonally related variants, whereas PI-2 is highly conserved. The presence of the islets does not correlate with the serotype of the strains, but with the genotype (as determined by Multi Locus Sequence Typing). The prevalence of PI-1 and PI-2 positive strains is similar in isolates from invasive disease and carriage. To better dissect a possible association between PIs presence and disease we evaluated the distribution of the two PIs in a panel of 113 acute otitis media (AOM) clinical isolates from Israel. PI-1 was present in 30.1% (N=34) of the isolates tested, and PI-2 in 7% (N=8). We found that 50% of the PI-1 positive isolates belonged to the international clones Spain9V-3 (ST156) and Taiwan19F-14 (ST236), and that PI-2 was not present in the absence of Pl-1. In conclusion, there was no correlation between PIs presence and AOM, and, in general, the observed differences in PIs prevalence are strictly dependent upon regional differences in the distribution of the clones. Finally, in the AOM collection the prevalence of PI-1 was higher among antibiotic resistant isolates, confirming previous indications obtained by the in silico analysis of the MLST database collection. Since the pilus-1 subunits were shown to confer protection in mouse models of infection both in active and passive immunization studies, and were regarded as potential candidates for a new generation of protein-based vaccines, the functional characterization was mainly focused on S. pneumoniae pilus -1 components. The pneumococcal pilus-1 is composed of three subunits, RrgA, RrgB and RrgC, each stabilized by intra-molecular isopeptide bonds and covalently polymerized by means of inter-molecular isopeptide bonds to form an extended fibre. The pilus shaft is a multimeric structure mainly composed by the RrgB backbone subunit. The minor ancillary proteins are located at the tip and at the base of the pilus, where they have been proposed to act as the major adhesin (RrgA) and as the pilus anchor (RrgC), respectively. RrgA is protective in in vivo mouse models, and exists in two variants (clades I and II). Mapping of the sequence variability onto the RrgA structure predicted from X-ray data showed that the diversity was restricted to the “head” of the protein, which contains the putative binding domains, whereas the elongated “stalk” was mostly conserved. To investigate whether this variability could influence the adhesive capacity of RrgA and to map the regions important for binding, two full-length protein variants and three recombinant RrgA portions were tested for adhesion to lung epithelial cells and to purified extracellular matrix (ECM) components. The two RrgA variants displayed similar binding abilities, whereas none of the recombinant fragments adhered at levels comparable to those of the full-length protein, suggesting that proper folding and structural arrangement are crucial to retain protein functionality. Furthermore, the two RrgA variants were shown to be cross-reactive in vitro and cross-protective in vivo in a murine model of passive immunization. Taken together, these data indicate that the region implicated in adhesion and the functional epitopes responsible for the protective ability of RrgA may be conserved and that the considerable level of variation found within the “head” domain of RrgA may have been generated by immunologic pressure without impairing the functional integrity of the pilus.