BANDA ORTODÔNTICA COMO POSSIBILIDADE RESTAURADORA PARA GRANDES DESTRUIÇÕES CORONÁRIAS EM ODONTOPEDIATRIA: RELATO DE CASO

The aim of this report was to describe a clinical case involving the cementation of an orthodontic band as a restorative option for significant coronal destruction in primary molars. Data were collected from the patient'smedical records and photographic records taken during thethree sessions: consultation, treatment, and follow-up. A 4-year-old female patient presented with extensive coronal destruction caused by a deep carious lesion. It wasdetermined that the best course of action for this case would be to cement an orthodontic band to preserve theremaining teeth. Thus, this study confirms that thecementation of an orthodontic band on crowns ofdeciduous teeth that are highly demineralized is analternative for rehabilitative treatment in early childhoodEl objetivo de este estudio es reportar un caso clínico de cementación con banda ortodóncica como opción restauradora para la destrucción coronaria mayor en molares primarios. Los datos se obtuvieron de las historias clínicas de los pacientes y de los registros fotográficos tomados durante las tres sesiones, incluyendo: consulta, tratamiento y seguimiento.  La paciente de 4 años de edad tenía una extensa destrucción coronaria causada por una lesión de caries profunda. Se consideró que la mejor opción para el caso sería la cementación de la banda de ortodoncia con el fin de preservar el resto dental. Así, se pudo confirmar en la descripción de este estudio que la cementación de la banda ortodóncica en coronas de dientes deciduos que se encuentran bastante desmineralizados es una alternativa para el tratamiento rehabilitador en la primera infancia. O objetivo deste trabalho é relatar um caso clínico de cimentação de banda ortodôntica como opção restauradora para grandes destruições coronárias em molares decíduos. Os dados foram obtidos por meio do prontuário da paciente e dos registros fotográficos realizados durante as  três sessões, incluindo: consulta, tratamento e acompanhamento.  A paciente do sexo feminino de 04 anos, apresentava extensa destruição coronária causada por lesão cariosa profunda. Foi ponderado que a melhor opção para o caso seria a cimentação da banda ortodôntica de modo a preservar o remanescente dentário. Dessa forma, pôde ser confirmado na descrição desse estudo que a  cimentação da banda ortodôntica em coroas de dentes decíduos bastante desmineralizadas é uma alternativa de tratamento reabilitador na primeira infância.O objetivo deste trabalho é relatar um caso clínico de cimentação de banda ortodôntica como opção restauradora para grandes destruições coronárias em molares decíduos. Os dados foram obtidos por meio do prontuário da paciente e dos registros fotográficos realizados durante as  três sessões, incluindo: consulta, tratamento e acompanhamento.  A paciente do sexo feminino de 04 anos, apresentava extensa destruição coronária causada por lesão cariosa profunda. Foi ponderado que a melhor opção para o caso seria a cimentação da banda ortodôntica de modo a preservar o remanescente dentário. Dessa forma, pôde ser confirmado na descrição desse estudo que a  cimentação da banda ortodôntica em coroas de dentes decíduos bastante desmineralizadas é uma alternativa de tratamento reabilitador na primeira infância

Soybean response (Glycine max L.) under the use of biostimulants: A literature review

Soybean (Glycine max L.) is a crop with prominence in Brazil and worldwide. The increase in soybean production and production capacity is associated with scientific and technological advances in the productive sector. One of these advances is the use of biostimulants. In this sense, this work aimed to review current knowledge about the effects of biostimulants on soybeans, highlighting the direct or indirect response of the plant when using such substances. This review was carried out through a research with a qualitative approach, being considered a literature review of the narrative type, using other studies and research at the same theme, in high impact magazines from the last five years or more that were relevant to the study, with subsequent critical reading about the subject. Based on found results, it is clear the use of biostimulants in soybeans is a potential alternative input for increasing the growth and development of the crop, as they are able to provide increments in its productive variables. However, further research is needed in order to provide better information on agronomic interests

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)