A case for optimising fracture healing through inverse dynamization

The mechanical conditions in the repair tissues are known to influence the outcome of fracture healing. These mechanical conditions are determined by the stiffness of fixation and limb loading. Experimental studies have shown that there is a range of beneficial fixation stiffness for timely healing and that fixation stiffness that is either too flexible or too stiff impairs callus healing. However, much less is known about how mechanical conditions influence the biological processes that make up the sequence of bone repair and if indeed mechanical stimulation is required at all stages of repair. Secondary bone healing occurs through a sequence of events broadly characterised by inflammation, proliferation, consolidation and remodelling. It is our hypothesis that a change in fixation stiffness from very flexible to stiff can shorten the time to healing relative to constant fixation stiffness. Flexible fixation has the benefit of promoting greater callus formation and needs to be applied during the proliferative stage of repair. The greater callus size helps to stabilize the fragments earlier allowing mineralization to occur faster. Together with stable/rigid fixation applied during the latter stage of repair to ensure mineralization of the callus. The predicted benefits of inverse dynamization are shortened healing in comparison to very flexible fixation and healing time comparable or faster than stable fixation with greater callus stiffness.

Improved healing of large segmental defects in the rat femur by reverse dynamization in the presence of bone morphogenetic protein-2

Background Large segmental defects in bone do not heal well and present clinical challenges. This study investigated modulation of the mechanical environment as a means of improving bone healing in the presence of bone morphogenetic protein (BMP)-2. Although the influence of mechanical forces on the healing of fractures is well established, no previous studies, to our knowledge, have described their influence on the healing of large segmental defects. We hypothesized that bone-healing would be improved by initial, low-stiffness fixation of the defect, followed by high-stiffness fixation during the healing process. We call this reverse dynamization. Methods A rat model of a critical-sized femoral defect was used. External fixators were constructed to provide different degrees of stiffness and, importantly, the ability to change stiffness during the healing process in vivo. Healing of the critical-sized defects was initiated by the implantation of 11 mg of recombinant human BMP (rhBMP)-2 on a collagen sponge. Groups of rats receiving BMP-2 were allowed to heal with low, medium, and high-stiffness fixators, as well as under conditions of reverse dynamization, in which the stiffness was changed from low to high at two weeks. Healing was assessed at eight weeks with use of radiographs, histological analysis, microcomputed tomography, dual x-ray absorptiometry, and mechanical testing. Results Under constant stiffness, the low-stiffness fixator produced the best healing after eight weeks. However, reverse dynamization provided considerable improvement, resulting in a marked acceleration of the healing process by all of the criteria of this study. The histological data suggest that this was the result of intramembranous, rather than endochondral, ossification. Conclusions Reverse dynamization accelerated healing in the presence of BMP-2 in the rat femur and is worthy of further investigation as a means of improving the healing of large segmental bone defects. Clinical Relevance These data provide the basis of a novel, simple, and inexpensive way to improve the healing of critical-sized defects in long bones. Reverse dynamization may also be applicable to other circumstances in which bonehealing is problematic.

Influence of viscoelastic nature on the intermittent peel-front dynamics of adhesive tape

We investigate the influence of viscoelastic nature of the adhesive on the intermittent peel front dynamics by extending a recently introduced model for peeling of an adhesive tape. As time and rate-dependent deformation of the adhesives are measured in stationary conditions, a crucial step in incorporating the viscoelastic effects applicable to unstable intermittent peel dynamics is the introduction of a dynamization scheme that eliminates the explicit time dependence in terms of dynamical variables. We find contrasting influences of viscoelastic contribution in different regions of tape mass, roller inertia, and pull velocity. As the model acoustic energy dissipated depends on the nature of the peel front and its dynamical evolution, the combined effect of the roller inertia and pull velocity makes the acoustic energy noisier for small tape mass and low-pull velocity while it is burstlike for low-tape mass, intermediate values of the roller inertia and high-pull velocity. The changes are quantified by calculating the largest Lyapunov exponent and analyzing the statistical distributions of the amplitudes and durations of the model acoustic energy signals. Both single and two stage power-law distributions are observed. Scaling relations between the exponents are derived which show that the exponents corresponding to large values of event sizes and durations are completely determined by those for small values. Th scaling relations are found to be satisfied in all cases studied. Interestingly, we find only five types of model acoustic emission signals among multitude of possibilities of the peel front configurations.

Participação ativa no desenvolvimento de comunidades online

Esta tese tem como objetivos identificar e caraterizar os modos de Comunicação Mediada por Computador (CMC) utilizados nas Comunidades Online (CO), relevantes para a prática de criação visual, contextualizando-os na produção de Type Design (TD). E concetualizar um modelo de CO de prática, desenvolvida segundo uma metodologia participativa, avaliando as estratégias de dinamização e viabilização no contexto nacional. Atualmente, com a disseminação das tecnologias de informação e comunicação a prática de TD, uma atividade isolada e individual, está sujeita a um paradigma de mudança—tornar-se uma atividade de partilha cada vez maior. A investigação dividiu-se em três fases. Na primeira fase procura perceber os modos relevantes de CMC para a prática de TD. Para isso, observa-se as motivações e comportamentos dos utilizadores nestas plataformas, apoiado pela recolha de dados sobre o uso destas plataformas no contexto académico. Juntamente com o desenvolvimento e avaliação de uma experiência preliminar numa plataforma online existente. Na segunda fase, apresenta-se o modelo concetual de uma CO para a produção de TD apoiado na identificação e caraterização das Virtual Community of Practice de TD existentes. E o respetivo desenvolvimento e implementação de um protótipo funcional. Na terceira fase o protótipo foi avaliado recorrendo à participação dos utilizadores—uma amostra de Type Designers profissionais portugueses—no desenvolvimento das estratégias comunitárias segundo uma abordagem participativa de Community-Centered Development. A utilização de um Focus Group de dimensões reduzidas, e as limitações temporais da investigação prática não permitem generalizar os resultados encontrados. No entanto, os resultados revelam que quanto mais específica for a atividade da prática partilhada na CO, mais especializados e restritos devem ser os modos de CMC implementados para a comunicação e interação dos membros online. A integração dos modos de CMC sobre a comunicação assíncrona através de artefactos visuais tem um potencial de comunicação mais eficaz e satisfatório para estes utilizadores. E as barreiras à participação, apesar de poderem ser minimizadas através da inovação nos modos implementados, são um desafio de sociabilização que devem ser geridos, equilibrando a comunicação explícita, os usos, perceções e expectativas dos diferentes papéis dos membros da comunidade.

Espaços dinâmicos em plataformas LMS

Tese de mestrado, Educação (Tecnologias da Informação e Comunicação e Educação), Universidade de Lisboa, Instituto de Educação, 2010

Do mundo para a sala de aula, da sala de aula para o mundo : estratégias de integração curricular na disciplina de Desenho A do 12º ano

Relatório da Prática de Ensino Supervisionada, Ensino de Artes Visuais, Universidade de Lisboa, 2013

Desenvolvimento de comportamentos emergentes de escrita na educação pré-escolar

Relatório da Prática Profissional Supervisionada Mestrado em Educação Pré-Escolar

Dimensionamento de redes hidráulicas prediais

Relatório de Estágio para obtenção do grau de Mestre em Engenharia na Área de Especializção em Edificações

Políticas públicas no setor de turismo: utopia ou realidade?

Este trabalho pretende mostrar que a implementação de políticas públicas no setor de turismo não é utopia, e sim um instrumento essencial à dinamização deste segmento tão promissor e rentável, que no mundo todo vem apresentando resultados surpreendentes, e que pode contribuir de forma significativa para o desenvolvimento de uma região. Para auferir os dividendos da indústria do turismo é primordial que sejam realizados investimentos no setor, de modo a oferecer as condições básicas para que o mesmo possa se expandir. Estas condições vão desde a infra-estrutura básica até a capacitação da mão-de-obra local. Cabe aqui destacar que é fundamental também que se dê incentivos fiscais e monetários para atrair investidores. E, estas, são ações que cabem, fundamentalmente, à iniciativa governamental. Uma análise comparativa entre o desempenho da indústria do turismo no mundo, no Brasil e na cidade do Rio de Janeiro, pretendeu-se provar que nas circunstâncias atuais, a elaboração e a implementação de políticas públicas são essenciais para a expansão do setor de turismo, e que este é certamente um próspero caminho a ser trilhado pelo nosso país e pela nossa cidade, considerando o enorme potencial turístico de ambos, rumo ao desenvolvimento econômico-social.

Avaliação do programa escola ativa como política pública para escolas do campo com turmas multisseriadas: a experiência em jardim do seridó/rn (1998-2009)

This work aims at developing an evaluation of the implementation of the Program Escola Ativa as a public policy for rural schools with combined grade classrooms in Jardim do Seridó RN (1998 2009) focusing on the following dimensions: school s physical environment, training, follow up, and didactic usage of the methodology. In order to develop this research we refer to the literature that analyzes the cycle of policies (FREY, 2000). In this approach, evaluation represents an important step in the process of analyzing the implementation of public policies, as a way of measuring up their performance, as well as a guide for realignments and redefinitions (PRESSMAN; WILDAVSKY, 1998). In order to accomplish this function, the evaluator of policies must be acquainted with scientific concepts and methods that consist of describing, interpreting and analyzing the policies in the governmental sphere (MENY; THOENIG, 1992; LIMA JÚNIOR, 1978). In this perspective, we intend to investigate whether in its proposition of minimizing the blanks in the Brazilian educational system, the implementation of the Program would be contributing to the improvement of the political-pedagogical practices in the rural schools with combined grade classrooms in Jardim do Seridó RN. In order to do this research, we have developed a theoretical-methodological matrix made of analysis dimensions, variables, indicators and instruments, such as literary revision, documental analysis, semi-structured interviews with four teachers and three supervisors that work and/or have worked in Escola Ativa in that town in the period comprised among 1998 2009, besides notes taken from field observation and photographs from four rural schools with combined grade classrooms. With this research we have identified that the Program, at a national level, has gone through different phases in its implementation process, for the town was not ready to fully take the responsibilities of the autonomous expansion, in 2002. From that period on, the execution of Escola Ativa has suffered several discontinuities, such as the lack of professional training and supervising. It is also noted that the methodology contributes to the dynamization of the didactic-pedagogical activities and promotes the cooperation and autonomy of the students in the organization and the applicability of the components of the curriculum, especially of Governo Estudantil and Cantinhos de Aprendizagem. Although the directions of the Program (BRASIL, 2005) point out that Escola Ativa has among its principles social transformation, we identified that, isolated, the initiative is not capable of promoting the changes that the rural schools need, namely investments in the physical, material, pedagogical and technological infra-structure, besides the estimation and a career plan for the teachers. In a general draft of the results of this research, we realized that some aspects presented about the peculiarities of Escola Ativa in Jardim do Seridó as a governmental Program, reinforce the need for the public policies to be evaluated, in order to confront critic and operationally the planning with the practice, revising action, whenever necessary

Synthesis Pengo System plates for the treatment of long-bone diaphyseal fractures in dogs

A Brazilian orthopaedic company designed a stainless steel plate called Synthesis Pengo System (S.P.S.), which has one fixed and one changeable extremity. According to the assembly of the changeable extremity, it is possible to obtain dynamization or neutralization of the fracture site. Since the S.P.S. plate was developed for use in human patients, the aim of this study was to evaluate this system in long-bone diaphyseal fractures in dogs. Eight dogs with closed diaphyseal fractures of the femur (n = 1), radius and ulna (n = 5), and tibia (n = 2) were used. Patients were aged seven months to three years and weighed 18 to 31.2 kg. The S.P.S. plate was assembled with one fixed extremity and one changeable extremity in dynamization mode. The trail bar was positioned for synthesis modules with holes for cortical screws. The modules were positioned close to one another in two fractures and for away from the fracture site in the others. The bone healing occurred by external callus. Since motion at the fracture site determines the amount of callus required, the secondary bone healing that was observed in all of the cases indicated less rigid fixation of this system. A potential benefit of this system was a lesser interface contact with the bone since it was only done by trail bar. The major disadvantage was the prominence of the implant. It was possible to conclude that the S.P.S. plate appears to be a suitable method for the treatment of diaphyseal fractures in dogs.

Osteossíntese de tíbia com uso de fixador esquelético externo conectado ao pino intramedular tie-in em cães

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Biblioteca escolar e políticas públicas de incentivo à leitura: de museu de livro a espaço de saber e leitura

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desenvolvimento local-territorial e o programa Territórios da Cidadania: Território Integração Norte Pioneiro (PR)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)