Epidemiology of fluorosis and dental caries according to different types of water supplies

O objetivo do presente artigo é investigar a relação fluorose/cáries em escolas, de acordo com o nível de fluoreto no abastecimento público de água. A amostra consistiu em 360 alunos de doze anos de idade, de ambos os sexos, que frequentam as escolas próximas da região em que nasceram. As escolas foram classificadas em três grupos de acordo com a presença de fluoreto no abastecimento de água: 1) fluoretação na Estação de Tratamento de Água (ETA); 2) fluoretação direta em poços; e 3) áreas não fluoretadas (ANF). Os testes deχe de Goodman (significância = 5%) foram utilizados para avaliar a associação entre a origem da água e o grau de fluorose. Os resultados mais predominantes foram presença de cáries em toda a amostra (P<0,05); ausência de fluorose em ambos gêneros, para indivíduos brancos e aqueles vivendo em áreas abastecidas com água fluoretada diretamente de poços e não fluoretadas (P<0,05). Não houve diferença no grau de severidade da fluorose entre as fontes de abastecimento de água (P>0,05). As cáries ainda são uma importante questão nessa população, apesar do estabelecimento de medida preventiva. A observação da fluorose em alunos vivendo em áreas não fluoretadas confirma a presença de outras fontes de fluorose.

Perfil químico da parede celular e suas implicações na digestibilidade de Brachiaria brizantha e Brachiaria humidicola

No presente trabalho foram determinadas a composição química e a digestibilidade de diversas frações de Brachiaria brizantha e Brachiaria humidicola, após 70 dias de crescimento. O delineamento experimental foi inteiramente casualizado com cinco repetições para cada espécie. As plantas coletadas foram subdivididas nas frações apical, mediana e basal para as folhas e mediana e basilar para caules, de acordo com sua localização. Foram determinadas as concentrações de fibra em detergente neutro (FDN), proteína bruta (PB), lignina, ácido p_cumárico, ácido ferúlico e açúcares neutros (glicose, xilose e arabinose) e a digestibilidade in situ após 48 horas de período de incubação ruminal. As diferentes frações das espécies estudadas apresentam distinta composição química, cujos efeitos são observados na digestibilidade. A B. brizantha apresentou maiores concentrações de FDN no caule e PB nas folhas. Isto resultou em coeficientes de digestibilidade maiores em relação à B. humidicola. A diferença de digestibilidade entre caule e folhas e nas frações mais velhas pode estar relacionada ao tipo de condensação da lignina presente nos tecidos. Evidências na concentração e na proporção dos ácidos p_cumárico e ferúlico sugerem esta relação. A concentração de ácidos fenólicos esteve relacionada com a digestibilidade da matéria seca e a lignina com a digestibilidade da FDN. A análise dos ácidos fenólicos pode se constituir em importante ferramenta para avaliar o grau de condensação da lignina na parede celular dos diferentes tecidos das plantas forrageiras. A concentração de açúcares neutros não apresentou um padrão definido na composição dos diferentes tecidos. A arabinose foi o único açúcar que apresentou relações com a digestibilidade da matéria seca e com a concentração de ácidos fenólicos.

Condições associadas ao grau de satisfação com a vida entre a população de idosos

OBJECTIVE: As a result of overall growing population's life expectancy, it has become increasingly important to ensure not only that the elderly have greater longevity but also happiness and life satisfaction. The objective of the study was to describe factors associated with life satisfaction among elderly people.METHODS: Three hundred and sixty-five older persons, selected by means of random stratified proportional sampling, were interviewed in 2003. The instrument used was a combination of Flanagan and Nahas questionnaires and WHOQOL-100. There were added questions concerning physical activity extracted from International Physical Activity Questionnaire, questions regarding reported morbidity and emotional assessment, sociodemographic condition and an open question. The level of life satisfaction was measured using a scale from one to seven by means of visual recognition. Hierarchical logistic regression analysis was performed including life satisfaction as a dependent variable and those included the final questionnaire, in blocks, as independent variables.RESULTS: Most elderly were generally rather satisfied with life as well as with specific aspects. The level of life satisfaction was associated with: comfort at home (OR=11.82; 95% Cl: 3.27; 42.63); appraising leisure as quality of life (OR=3.82; 95% Cl: 2.28; 6.39); waking up feeling well in the morning (OR=2.80; 95% Cl: 1.47; 5.36); not reporting loneliness (OR=2.68; 95% Cl: 1.54; 4.65); having three or more daily meals (OR=2.63; 95% Cl: 1.75; 5.90) and not reporting Diabetes Mellitus (OR-2.63; 95% Cl: 1.3 1; 5.27).CONCLUSIONS: Most elderly in the study were satisfied with life and their satisfaction was associated with situations related to being well and not being diabetic.

Influência dos períodos, seco e chuvoso, sobre os parâmetros clínicos em caprinos das raças Canindé e Moxotó

Os caprinos têm um sistema de termorregulação que visa manter a temperatura corporal constante dentro de certos limites, independente da temperatura ambiente. Quando esses limites são estabelecidos, eles são usados em diversos mecanismos fisiológicos para manter a temperatura corporal (TC) dentro dos limites normais. Assim, a produção animal pode diminuir devido ao estresse térmico causado por temperaturas elevadas, especialmente em áreas semi-áridas como o Nordeste do Brasil. Este trabalho teve como objetivo avaliar o comportamento fisiológico de diferentes grupos genéticos de caprinos nativos de acordo com a resposta fisiológica das varáveis temperatura retal (TR), frequência respiratória (FR), batimentos cardíacos (BC) e movimentos ruminais (MR), e estabelecer os parâmetros fisiológicos para estas raças sob as condições do semiárido do Nordeste do Brasil. Foram selecionados aleatoriamente 30 animais, sendo cinco machos e dez fêmeas da raça Canindé e cinco machos e dez fêmeas da raça Moxotó, dos quais foram aferidos as variáveis BC, FR e TR nos meses de abril e setembro/2007 e 2008. Observou-se influência significativa (P<0,05) do período do ano no BC, na FR e na TR na raça Canindé, sendo observados valores mais elevados de BC e TR no período chuvoso. Na raça Moxotó observou-se uma diferença significativa (P<0,05) quanto ao BC e TR entre os períodos estudados, sendo observadas na estação seca maiores valores para estas variáveis. Também se observou nesta raça, uma correlação negativa (47%) entre a temperatura ambiente (TA) e TR no período seco, enquanto que no período chuvoso, essa correlação foi positiva (28%). A correlação entre TA e BC foi negativa (21%) no período chuvoso e, positiva (25%) no período seco. Na raça Canindé observou-se correlação negativa (39%) entre TA e movimento ruminal (MR) na época chuvosa, enquanto que no período seco, essa correlação foi positiva (33%). Os parâmetros clínicos avaliados neste estudo encontram-se dentro da normalidade para a espécie caprina no semi-árido nordestino e a raça Moxotó apresentou comportamento condizente com uma maior tolerância ao clima da região e um maior grau de adaptabilidade.

Adenocarcinoma polimorfo de baixo grau de malignidade do tipo papilífero. Estudo morfológico e imuno-histoquímico.

Two cases of polymorphous low-grade adenocarcinoma of the papillary type, from minor salivary glands were studied by light microscopy and immunohistochemistry. One case exhibited a predominance of the papillary pattern, whereas the other presented the following patterns of histological appearance: papillary, solid, pseudocystic and tubular. Utilizing the peroxidase-antiperoxidase (PAP) method, the intermediate filament vimentin, keratin and S100 protein were observed in tumor cells. The immunohistochemical analysis revealed two types of neoplastic cells: myoepithelial and luminal.

Prevalência de anodontia entre estudantes do 2O grau da cidade de São José dos Campos-Correlação dessa anomalia entre terceiros molares e outros órgão dentários.

The authors studied 201 school children form both sexes, aging 12 to 14 years, in order to identify anodontia, including in third molars. The results indicated a congenital absence of teeth in 24.37% of the examined children, distributed into 10.44% of boys and 13.93% of girls. Anodontia was observed concerning third molar teeth and other teeth, and the correlation was calculated by the total, sex, and hemiarch. The data were presented and discussed, and the results included several conclusions.

INFLUENCIA DO ACRESCIMO DE MANITOL A SOLUCAO NUTRIENTE NO DESEMPENHO MECANICO E NO GRAU DE EDEMA MIOCARDICO DE CORACOES ISOLADOS DE RATOS

Purpose - To analyse the influence of mannitol added to Krebs-Henseleit (KH) solution on the myocardium edema and myocardial function. Methods - Isolated rat heart under isovolumetric contractions studied according to Langendorff's technique were perfused with KH solution at constant flow during 90 min. The coronary perfusion pressure, diastolic and systolic pressures were recorded at every 15 min. At the end of the experiment, myocardium water content was measured in hearts perfused with KH solution (group I, n = 9) and in hearts perfused with KH solution plus 8 mM mannitol (group II, n = 8). These results were compared to non-perfused control heart (n = 9). Results - Myocardial water content was statistically higher in group I (80.8 ± 1.3%) compared to group II (78.1 ± 0.7%) and control group (75.5 ± 0.5%). Systolic arterial pressure was statistically higher in group I (86.2 ± 11.5 mmHg) compared to group II (72.7 ± 21.1 mmHg). There was no difference in the diastolic pressure between the two groups. Coronary perfusion pressure (Pp) increased progressively during the experiment in both groups. However, Pp was lower in group II than in group I. Conclusion - Mannitol added to KH solution significantly attenuates the myocardium edema in the isolated perfused rat heart.

Aplicação de um instrumento de avaliação do grau de depressão em universitários do interior paulista durante a graduação em enfermagem

The undergraduates in Nursing have been subject of studies on psychic problems, as alterations in behavior interfere in their learning. The aim of this research was to identify and measure the most frequent depression symptoms among the students using Beck's Depression Inventory. Socio-demographic information about the interviewees was also collected. Ninety-nine (99) students (81.82%) participated. The socio-demographic data show women's predominance (96.97%) in average with 20 years of age; 95.96% not originally from Botucatu and family monthly income of 5 to 10 minimum wages. In the total of the sampling, 41.41% presented a certain degree of depression varying from mild to severe. The most frequent symptoms were self-accusation, irritability and fatigue. The investigation shows the need of programs that follow the students during their academic formation.

Proteína da matriz do esmalte associada a R.T.G. e vidro bioativo no tratamento de furca grau III em cães

This study investigated, both histologically and histometrically, the efficacy of enamel matrix derived proteins (EMD) associated with bioactive glass (BG) and an absorbable membrane in the treatment of class III furcation defects in mongrel dogs. After surgical defect creation and chronification, the lesions were randomly divided into three groups according to the treatment employed: Test Group 1 - EMD + BG + membrane, Test Group 2 - EMD + membrane and Control Group - BG + membrane. After a 90-day healing period, the dogs were sacrificed. The descriptive analysis and the histometric data showed similar results for the experimental groups in all studied parameters (MANOVA, p > 0.05). The association of Emdogain® with bioglass and GTR, or with GTR only, showed similar results when compared with the ones obtained with bioglass associated with membrane in the treatment of class III furcation defects in dogs. The three modalities of treatment showed partial filling of the furcations, with bone and cementum regeneration limited to the apical portion of the defects.

Uso do grau de preferência alimentar para a caracterizaç ão da alimentação de peixes na APA de São Pedro e Analândia

We studied feeding habits of four fish species in two watershed at APA - Área de Proteção Ambiental (Area of Environmental Protection) in São Pedro and Analândia, State of São Paulo, southeastern Brazil. Feeding Preference Degree (FPD) was used to demonstrate the importance of each food item for the species of both basins. Feeding habits of both species of lambari was variable. The allochtonous items such as insects, autochtonous items, and vegetal material were very important, characterizing omnivory. The bagre (Rhamdia quelen) fed mainly on insects at the Jacaré-pepira Basin and also on fishes at the Corumbataí basin. The cascudo Hypostomus strigaticeps ingested autochtonous vegetal material and sediments at both basins.

Insulinoterapia, controle glicêmico materno e prognóstico perinatal - Diferença entre o diabetes gestacional e o clínico

PURPOSE: to evaluate the insulin therapy protocol and its maternal and perinatal outcome in patients with clinical or gestational diabetes in a high risk reference service. METHODS: descriptive and prospective study including 103 pregnant women with gestational or clinical diabetes treated with insulin and attended by the reference service from October 2003 to December 2005. Gemellarity, miscarriages, unfinished prenatal care and deliveries not attended by the service were excluded. The gestational age at the beginning of the treatment, dosage, doses/day, increment of insulin (UI/kg), glycemic index (GI) and perinatal outcomes were compared. ANOVA, Fisher's exact test and Goodman's test considering p<0.05 were used. RESULTS: multiparity (92 versus 67.9%), pre-gestational body mass index (BMI) >25 kg/m 2 (88 versus 58.5%), weight gain (WG) <8 kg (36 versus 17%) and a high increment of insulin characterized the gestational diabetes. For the patients with clinical diabetes, despite the highest GI (120 mg/dL (39.2 versus 24%)) at the end of the gestational period, insulin therapy started earlier (47.2 versus 4%), lasted longer (56.6 versus 6%) and higher doses of insulin (92 versus 43 UI/day) were administered up to three times a day (54.7 versus 16%). Macrosomia was higher among newborns from the cohort of patients with gestational diabetes (16 versus 3.8%), being the only significant neonatal outcome. There were no neonatal deaths, except for one fetal death in the cohort of patients with clinical diabetes. There were no differences in the other neonatal complications in both cohorts, and most of the newborns were discharged from hospital up to seven days after delivery (46% versus 55.8%). CONCLUSIONS: the analysis of these two cohorts has shown differences in the insulin therapy protocol in quantity (UI/day), dosage (UI/kg weight) and number of doses/day, higher for the clinical diabetes cohort, and in the increment of insulin, higher for the gestational diabetes cohort. Indirectly, the quality of maternal glycemic control and the satisfactory perinatal outcome have proven that the treatment protocol was adequate and did not depend on the type of diabetes.

Interação entre grau de perda auditiva e o incômodo com zumbidos em trabalhadores com história de exposição ao ruído

Hearing loss and tinnitus impact the lives of workers in every instance of their lives. Aim: this paper aims to investigate the existence of a dose-response relationship between hearing loss and tinnitus by determining whether higher levels of hearing loss can be associated with increased tinnitus-related discomfort. Materials and method: this cross-sectional case study assessed 284 workers exposed to occupational noise through pure tone audiometry. Test results were categorized as defined by Merluzzi. Individuals complaining of tinnitus answered the adapted and validated Brazilian Portuguese version of the Tinnitus Handicap Inventory. A generalized linear model was adjusted for binomial data to test the interaction between these factors. Results: over 60% of the ears analyzed had hearing loss, while more than 46% of them had tinnitus. Tinnitus prevalence and risk rates increased as pure tone audiometry results got worse. The association between both, considering all hearing loss degrees, was statistically significant. Conclusion: the results point to a statistical association between hearing loss and tinnitus; the greater the hearing loss, the greater the discomfort introduced by tinnitus. 2009 © Revista Brasileira de Otorrinolaringologia.

Grau de dependência de idosos hospitalizados para realização das atividades básicas da vida diária1

This study aimed to identify the level of dependence in elderly inpatients when performing Basic Activities of Daily Living. This quantitative, cross-sectional, descriptive study was conducted in the Adult Ward of the Botucatu University Hospital Emergency Unit - UNESP, Brazil. Data was collected by means of interviews, observation, and individual medical chart consultation, to be analyzed via logistic regression using the statistical software package SAS for Windows, version 9.2. The sample consisted of 71 subjects with a mean age of 74.30 years. It was observed that 30.99% of the older individuals showed to be independent in performing the proposed activities; 22.53% were partly dependent; and 46.48% were fully dependent. Gerontology care must aim at maintaining functional conditions, thus promoting independence and preserving these individuals' dignity.

Potenciais evocados auditivos de tronco encefálico e emissões otoacústicas evocadas transientes: achados em pacientes com doença renal crônica

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

Construções de reticulados via extensões cíclicas de grau ímpar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)