Musculoskeletal disorders in upper limbs in dental students: exposure level to risk factors

Aim: This study assessed the risk factors of undergraduate students to develop musculoskeletal disorders (MSD) in the upper limbs, regarding gender, type of dental clinical procedure, mouth region treated, and the four-handed dentistry practice. Methods: Dental students enrolled in the 8th semester in the Araraquara School of Dentistry, UNESP, Brazil, were photographed while practicing 283 dental procedures. The Rapid Upper Limb Assessment (RULA) method was used to evaluate the working postures of each student. The photographs were evaluated and a final risk score was attributed to each analyzed procedure. The prevalence of risk factors of developing MSD was estimated by point and by 95% confidence interval. The association between the risk factor of developing disorders and variables of interest were assessed by the chi-square test with a significance level of 5%. Results: The risk factors of developing MSD were high, regarding most dental procedures performed by the undergraduate students (score 5: 7.07%, CI95%: 4.08- 10.06%; score 6: 62.54%, CI95%: 56.90-68.18%). There was no significant association between the RULA final score and gender (p=0.559), and type of dental procedure (p=0.205), and mouth regions by arch (p=0.110) or hemi-arch (p=0.560), and the use of four-handed dentistry (p=0.366). Conclusions: It can be concluded that gender, type of dental clinical procedure, mouth region treated, and practice of four-handed dentistry did not influence the risk of developing MSD in the upper limbs among the dental students evaluated; however, they are at a high risk of developing such disorders.

Retardo na procura do tratamento odontológico e percepção da saúde bucal em mulheres grávidas

The objective was to assess in women with children under 5 years old what happened to your pregnancy in relation to dental care, coupled with a probable correlation between the level of their knowledge on dental health and possible reasons which lead or have led to a late seeking such treatment. The interviews were conducted in an environment of health center in the city center and the Odontoly Faculty in Araraquara. Among the interviews mothers, 57% refused the dental treatment during pregnancy. It appears on mothers that are afraid to perform a dental treatment during pregnancy. The misinformation on this issue often associated with this belief in the medical field that dental care during the first three months of pregnancy is harmful to the baby. Such information passed on to mothers leads to a hesitancy with dental treatment during this period. The educational level of mothers did not interfere in this pursuit, and 24.5% of them avoid treatment during pregnancy. The difference, however, is between those mothers of high educational level, performing oral prevention before pregnancy.

Acogimiento en el proceso de formación de los odontologos en Brasil: un analisis en el contexto del Sistema Unico de Salud (SUS)

To define the profile of Dentistry’s academics, on the welcoming reception of patients/users attended in the Public Institution, under the guidelines of the SUS. Methods: A structured questionnaire was applied to 163 students, which contained questions that covered five variables (reception, dialogue and listening, action and care first contact, professional identity) and conducted an interview to associate to responses obtained during the first phase. Quantitative data were tabulated and analyzed by descriptive statistics in SPSS 16.0 and qualitative data analyzed through discourse of the collective subject. Results: It was observed that, intellectually, the most of student (70.7%) understand the concept and the repercussion of the welcoming reception process in health and many have caring characteristics. However, the pedagogic system formation makes it difficult or systemizes an integral and spontaneous welcoming action. Conclusions: The academics have the embracement profile but it is need more motivation in the humanization of the university teaching.

Amélia Beviláqua que era mulher de verdade: a memória construída da esposa de Clóvis Beviláqua

Based on Clovis Bevilaqua’s four biographies which present three stigmas of the character - being the son of a priest, engaged in a large grammatical legal controversy with Rui Barbosa in making the Civil Code of 1917 and married to a wife of exotic modes - we discuss the built memory of Amelia Carolina Freitas Bevilaqua, who is marked as a pioneer of the feminist movement in Brazil and also upstart writer who aspired to join the Brazilian Academy of Letters. Among other negative adjectives, she was sloppy, not vain and misaligned in dress, futile or adulterous.

A mentora literária de Guy de Maupassant

Laure Le Poittevin, Guy de Maupassant’s mother (1850-1893), had from his early childhood, a key role in the literary education of her son. This intelligent and sensitive woman, who was always passionate about arts, especially literature, to whom Maupasssant entrusted his projects and literary adventures, was his fi rst and eternal critic. In the letters he writes her, most of the time he takes the opportunity to plan and discuss his future projects; he presents a text in progress, he draws its guiding lines, he foreshadows its structures and points out some procedures based on a series of principles and recommendations of personal and universal values. Therefore, by reading again these letters, the readers nowadays can follow the writer’s daily life, the progression of his ideas and his literary development, the editing process of his book and his moments of sorrow and joy, anger and affection.

Avaliação do potencial citotóxico, moluscicida e alelopático dos extratos hidroetanólicos das folhas de Stryphnodendron obovatum Benth

Stryphnodendron obovatum Benth. known as barbatimão de folha miúda, is a typical tree of the Midwest and Southeast “Cerrado” regions of Brazil. Several secondary metabolites have been identified in its barks, including tannins, described on the literature as allelochemicals. Beholding to identify a possible allelopathic activity in S. obovatum leaves, we tested hydroethanolic EtOH:H2 O (70% and 50% v/v) extracts, in different concentrations, on the initial development of cucumber (Cucumis sativus L.). Among the results, we highlight the effect of the 50% hydroethanolic extract in inhibiting the formation of the main and the secondary roots and the stimulation of the hypocotyl growth in C. sativus by the 70% hydroethanolic extract, both in all concentrations tested. The cytotoxic activity, evaluated by bioassay toxicity on Artemia salina Leach., was negative for the tested extracts (LC50> 1000 mg.mL-1). Concomitantly, the molluscicidal activity, evaluated against snails of Biomphalaria glabrata Say, presented low acute toxicity of solutions of 70% hydroethanolic extract at concentrations of 128.9 mg.mL-1 and 172.8 mg.mL-1 and values above 250 mg.mL-1 to solutions of 50% hydroalcoholic extract, being therefore considered inactive for these. The results suggest the existence of allelochemicals in the extracts tested and they have low toxicity.

O mito de don juan e a subjetividade moderna

The legendary Don Juan character inhabits the popular imaginary with such a vibrancy of a myth, despite its slight recognition as such by the scientific literature. The purpose of this article is to verify if Don Juan’s play can be understood, scientifically, as a modern myth, as well as understand its mythical nature and its relation to the modern man. A structural and historical analysis of the two first plays on Don Juan has guided us: the one written by Tirso de Molina in 1630, and the one by Molière, written in 1665. The studies allow us to say that Don Juan is a typical modern myth, once it is constituted by narratives that expose a world looming under the signs of individualism, hedonism, arrogance and audacity forged under the appeals of sexual desire.

A criminologia crítica e o direito penal mínimo: avanços e retrocessos

This paper presents the emergence of knowledge-criminals criminal character of oppositional discourses to biologists and to the ideals of social defense, denouncing the criminal policies of discriminatory bias that still permeate the administrative practices of conflict. To this end, we examine the precepts of Critical Criminology revolutionary scenario that emerged in the 60s. His propositions denounced emphatically that social control was exercised by class interests and that the criminal policies were a reflection of capitalist domination extended to the criminal area. Accordingly, the present knowledge of such criminology, whose critical analysis culminated in the drafting of an alternative program for the management of the crisis of contemporary legalcriminal: the minimum criminal law and its proposed alternative sentences.

Sobre Villiers de l'Isle-Adam e seus contos cruéis

Villiers de l’Isle-Adam (1838-1889) is always remembered and admired for his books: Contes cruels, L’Ève future and Claire Lenoir- which summarize the main worries of the writer, his satire of the triumphant Positivism, his metaphysical theory and his aspiration for the Ideal. He is one of the greatest artisans of the French literature style of the XIX century and, in spite of some individual and particular characteristics, he shares with other writers from his time – Joris-Karl Huysmans, Barbey d’Aurevilly, Leon Bloy, among others – the same sorrow and fury towards Positivism and Mercantilism. Having as a starting point the collection Contes cruels, the purpose of this article is to reveal the author’s writings who, by searching for the Ideal and by taking refuge in art, is able to unite the poet, the ironic and the idealist philosopher. Through his writings, the writer moves away from the world’s mediocrity and can express a mix of revolt, reaction, rebellion and also, his hopes expressed in his beliefs in the “Au-delà” and in the salvation by the Ideal.

A explosão do consumo de Ritalina

A sociedade atual vive desde a década de 50 uma “revolução psicofarmacológica”, em que os avanços tecnológicos da psiquiatria e da neurologia possibilitam a criação de dispositivos que conseguem ter uma melhor visualização do funcionamento físico-químico do cérebro, onde o paradigma de tratamento de sofrimento psíquico passou a ser baseado na utilização de psicotrópicos. Dessa forma, a medicina buscou tratar neurocientificamente comportamentos desviantes da norma social. Nesse cenário, o diagnóstico do Transtorno de Déficit de Atenção e Hiperatividade (TDAH) desponta com certa freqüência e com uma constância ainda maior o uso de Ritalina, nome comercial do metilfenidato, no tratamento do suposto transtorno, principalmente em crianças. Esse presente trabalho faz uma reflexão, a partir de uma revisão bibliográfica, a cerca do aumento do consumo de Ritalina nos últimos anos, procurando problematizar a forma indiscriminada de diagnosticar e tratar o TDAH.

Structure, Morphology, and Optical Properties of (Cal(1-3x)Eu(2x)) WO4 Microcrystals

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

Avaliação do conhecimento sobre a infecção HIV de estudantes de odontologia antes e após palestra informativa

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A comparison of microhardness of indirect composite restorative materials

The purpose of this study was to compare the microhardness of four indirect composite resins. Forty cylindrical samples were prepared according to the manufacturer s recommendations using a Teflon mold. Ten specimens were produced from each tested material, constituting four groups (n=10) as follows: G1 - Artglass; G2 - Sinfony; G3 - Solidex; G4 - Targis. Microhardness was determined by the Vickers indentation technique with a load of 300g for 10 seconds. Four indentations were made on each sample, determining the mean microhardness values for each specimen. Descriptive statistics data for the experimental conditions were: G1 - Artglass (mean ±standard deviation: 55.26 ± 1.15HVN; median: 52.6); G2 - Sinfony (31.22 ± 0.65HVN; 31.30); G3 - Solidex (52.25 ± 1.55HVN; 52.60); G4 - Targis (72.14 ± 2.82HVN; 73.30). An exploratory data analysis was performed to determine the most appropriate statistical test through: (I) Levene's for homogeneity of variances; (II) ANOVA on ranks (Kruskal-Wallis); (III) Dunn's multiple comparison test (0.05). Targis presented the highest microhardness values while Sinfony presented the lowest. Artglass and Solidex were found as intermediate materials. These results indicate that distinct mechanical properties may be observed at specific materials. The composition of each material as well as variations on polymerization methods are possibly responsibles for the difference found in microhardness. Therefore, indirect composite resin materials that guarantee both good esthetics and adequate mechanical properties may be considered as substitutes of natural teeth.

Expression of the classical and nonclassical HLA molecules in breast cancer

Considering that downregulation of HLA expression could represent a potential mechanism for breast carcinogenesis and metastasis, the aim of the present study was to use immunohistochemical methods to analyze the expression of HLA-Ia, HLA-DR, HLA-DQ, HLA-E, and HLA-G in invasive ductal carcinoma (IDC) of the breast and to relate this HLA profile to anatomopathological parameters. Fifty-two IDC from breast biopsies were stratified according to histological differentiation (well, moderately, and poorly differentiated) and to the presence of metastases in axillary lymph nodes. The expression of HLA molecules was assessed by immunohistochemistry, using a computer-assisted system. Overall, 31 (59.6%) out of the 52 IDC breast biopsies exhibited high expression of HLA-G, but only 14 (26.9%) showed high expression of HLA-E. A large number (41, 78.8%) of the biopsies showed low expression of HLA-Ia, while 45 (86.5%) showed high expression of HLA-DQ and 36 (69.2%) underexpressed HLA-DR. Moreover, 24 (41.2%) of 52 biopsies had both low HLA-Ia expression and high HLA-G expression, while 11 (21.2%) had low HLA-Ia expression and high HLA-E expression. These results suggest that, by different mechanisms, the downregulation of HLA-Ia, HLA-E, and HLA-DR and the upregulation of HLA-G and HLA-DQ are associated with immune response evasion and breast cancer aggressiveness.

Accumulation of domain-specific physical inactivity and presence of hypertension in brazilian public healthcare system

Hypertension is one of the most common noncommunicable diseases worldwide, and physical inactivity is a risk factor predisposing to its occurrence and complications. However, it is still unclear the association between physical inactivity domains and hypertension, especially in public healthcare systems. Thus, this study aimed to investigate the association between physical inactivity aggregation in different domains and prevalence of hypertension among users of Brazilian public health system. 963 participants composed the sample. Subjects were divided into quartiles groups according to three different domains of physical activity (occupational; physical exercises; and leisure-time and transportation). Hypertension was based on physician diagnosis. Physical inactivity in occupational domain was significantly associated with higher prevalence of hypertension (OR = 1.52 [1.05 to 2.21]). The same pattern occurred for physical inactivity in leisure-time (OR = 1.63 [1.11 to 2.39]) and aggregation of physical inactivity in three domains (OR = 2.46 [1.14 to 5.32]). However, the multivariate-adjusted model showed significant association between hypertension and physical inactivity in three domains (OR = 2.57 [1.14-5.79]). The results suggest an unequal prevalence of hypertension according to physical inactivity across different domains and increasing the promotion of physical activity in the healthcare system is needed.