Oral Health: Work Process and Interdisciplinarity

Objective: To contribute to the debate about tools that favor the organization of the health work process and its interface with interdisciplinary practices. Material and Methods: We opted for a textual construction based on more specific publications on the field of oral health care. Results: The matrix support is configured as a method of inter-professional activity in co-management that aims to favor the qualification of the health care network. From this perspective, it is an interdisciplinary practice capable of integrating two or more areas of knowledge for a better performance of the actors involved in a given organizational and decision-making process, whether in the clinical or health management scope. Conclusion: Matrix support is an essential tool for the practice of managing health services and amplifying interdisciplinary actions

Complementarity between parents for earliness and grain yield in soybean

O objetivo deste trabalho foi determinar a capacidade geral e a específica de combinação (CGC e CEC, respectivamente) de seis genitores de soja (Glycine max), para identificar aqueles que são promissores e suas melhores combinações para o desenvolvimento de linhagens superiores quanto à precocidade e à produção de grãos, bem como à melhor época de avaliação. Seis genitores e seus 15 híbridos foram avaliados em blocos ao acaso, durante o inverno de 2014 e o verão de 2015/2016, em casa de vegetação. Os dados obtidos para número de dias para florescimento, ciclo e produção foram analisados pelo método 2 de Griffing, modelo 1. Resultados contrastantes foram obtidos para as duas épocas, com ciclo mais curto e maior produtividade no verão. A maior CGC quanto ao ciclo é observada nos progenitores 'MSOY6101' e 'MSOY9144RR', com sinal negativo e positivo, respectivamente. 'TMG123RR' apresenta a maior CGC quanto à produção de grãos. A maior CEC quanto ao número de dias para o florescimento e ao ciclo está associada aos cruzamentos 'SYN9078RR' x 'MSOY9144RR' e 'TMG123RR' x 'MSOY9144RR', respectivamente. No entanto, a maior CEC quanto à produção de grãos é observada em 'MSOY6101' x 'MSOY9144RR', com valor positivo, e 'TMG801' x 'MSOY9144RR', com valor negativo, durante o verão.The objective of this work was to determine the general and specific combining ability (GCA and SCA, respectively) of six soybean (Glycine max) parents, in order to identify the promising ones and their best combinations for the development of superior lines for earliness and grain yield, as well as the best evaluation season. Six parents and their 15 hybrids were evaluated in a randomized complete block design, during the 2014 winter and 2015/2016 summer, in a greenhouse. The data obtained for number of days to flowering, cycle, and grain yield were analyzed by Griffing’s method 2, model 1. Contrasting results were obtained for the two seasons, with a shorter cycle and a higher yield in the summer. The highest GCA for cycle is observed for the 'MSOY6101' and 'MSOY9144RR' parents, with negative and positive signs, respectively. 'TMG123RR' shows the highest GCA for grain yield. The highest SCA for days to flowering and cycle is associated with the 'SYN9078RR' × 'MSOY9144RR' and 'TMG123RR' × 'MSOY9144RR' crosses, respectively. However, the highest SCA for grain yield is observed for 'MSOY6101' × 'MSOY9144RR', with a positive value, and for 'TMG801' × 'MSOY9144RR', with a negative value, during the summer

Análise de marcadores inflamatórios como preditores de falha na extubação de pacientes em ventilação mecânica invasiva em unidades de terapia intensiva / Analysis of inflammatory markers as predictors of extubation failure in patients on invasive mechanical ventilation in intensive care units

Introdução: Um recurso imprescindível da UTI é a ventilação mecânica invasiva (VMI), utilizada em pacientes com insuficiência respiratória grave. O processo de transição da VMI para a respiração espontânea sofre influências de diferentes sistemas biológicos que podem levar a indução da inflamação sistêmica. Objetivo: explorar se marcadores inflamatórios clinicamente acessíveis são capazes de predizer o sucesso/insucesso de extubação em pacientes adultos. Métodos: pesquisa quantitativa, retrospectiva, longitudinal e analítica realizado em duas UTI adulto em um hospital universitário. A amostra foi dividida em grupo sucesso (GS) e grupo insucesso (GI). Coletou-se os resultados de exames laboratoriais, PCR, neutrófilos, linfócitos, leucócitos, promielócitos, mielócitos, metamielócitos e bastonetes, no período de 48 e 24 horas antes, no dia, 24 e 48 horas após a extubação. Resultados: Dos 147 pacientes, 39 (27%) falharam no processo de extubação. O GI apresentou maior tempo de internação em UTI com p<0,0001 e desfecho óbito durante internamento com p=0,03 (44%). A razão neutrófilos por linfócitos no GI apresentou valores elevados no dia, 24 e 48 horas após a extubação comparados ao GS com p=0,0035, p=0,0005 e p<0,0001, respectivamente. O ponto de corte da RNL no dia da extubação para prever o insucesso foi >6,9, com sensibilidade de 74,4% (IC 95% 57,9 a 86,9), especificidade de 58,5% (IC 95% 48,5 -68,0). Conclusão: A RNL emergiu como um marcador inflamatório eficaz, simples e de fácil obtenção, sugere-se que seja considerada por profissionais da saúde no dia da extubação como potencial preditor de insucesso e avaliada nas 48 horas subsequentes ao processo

Search for two Higgs bosons in final states containing two photons and two bottom quarks in proton-proton collisions at 8 TeV

A search is presented for the production of two Higgs bosons in final states containing two photons and two bottom quarks. Both resonant and nonresonant hypotheses are investigated. The analyzed data correspond to an integrated luminosity of 19.7  fb-1 of proton-proton collisions at s=8  TeV collected with the CMS detector. Good agreement is observed between data and predictions of the standard model (SM). Upper limits are set at 95% confidence level on the production cross section of new particles and compared to the prediction for the existence of a warped extra dimension. When the decay to two Higgs bosons is kinematically allowed, assuming a mass scale ΛR=1  TeV for the model, the data exclude a radion scalar at masses below 980 GeV. The first Kaluza-Klein excitation mode of the graviton in the RS1 Randall-Sundrum model is excluded for masses between 325 and 450 GeV. An upper limit of 0.71 pb is set on the nonresonant two-Higgs-boson cross section in the SM-like hypothesis. Limits are also derived on nonresonant production assuming anomalous Higgs-boson couplings.Peer Reviewe

Search for neutral MSSM Higgs bosons decaying into a pair of bottom quarks

A search for neutral Higgs bosons decaying into a $\mathrm{b}\overline{\mathrm{b}}$ quark pair and produced in association with at least one additional b quark is presented. This signature is sensitive to the Higgs sector of the minimal supersymmetric standard model (MSSM) with large values of the parameter tan β. The analysis is based on data from proton-proton collisions at a center-of-mass energy of 8 TeV collected with the CMS detector at the LHC, corresponding to an integrated luminosity of 19.7 fb$^{−1}$. The results are combined with a previous analysis based on 7 TeV data. No signal is observed. Stringent upper limits on the cross section times branching fraction are derived for Higgs bosons with masses up to 900 GeV, and the results are interpreted within different MSSM benchmark scenarios, m$_{h}^{max}$ , m$_{h}^{mod +}$ , m$_{h}^{mod −}$ , light-stau and light-stop. Observed 95% confidence level upper limits on tan β, ranging from 14 to 50, are obtained in the m$_{h}^{mod +}$ benchmark scenario.Peer Reviewe

Measurements of jet charge with dijet events in pp collisions at s=8\sqrt{s}=8 TeV

Jet charge is an estimator of the electric charge of a quark, antiquark, or gluon initiating a jet. It is based on the momentum-weighted sum of the electric charges of the jet constituents. Measurements of three charge observables of the leading jet in transverse momentum pT are performed with dijet events. The analysis is carried out with data collected by the CMS experiment at the CERN LHC in proton-proton collisions at sqrt(s) = 8 TeV corresponding to an integrated luminosity of 19.7 inverse femtobarns. The results are presented as a function of the pT of the leading jet and compared to predictions from leading- and next-to-leading-order event generators combined with parton showers. Measured jet charge distributions, unfolded for detector effects, are reported, which expand on previous measurements of the jet charge average and standard deviation in pp collisions.Peer Reviewe

Measurements of the charm jet cross section and nuclear modification factor in pPb collisions at sNN\sqrt{{s}_{NN}} = 5.02 TeV

The CMS Collaboration presents the first measurement of the differential cross section of jets from charm quarks produced in proton–lead (pPb) collisions at a nucleon–nucleon center-of-mass energy of sNN=5.02TeV , as well as results from charm quark jets in proton–proton (pp) collisions at s=2.76 and 5.02 TeV . By comparing the yields of the pPb and pp collision systems at the same energy, a nuclear modification factor for charm jets from 55 to 400  GeV/c in pPb collisions at sNN=5.02TeV of RpA=0.92±0.07(stat)±0.11(syst) is obtained. This is consistent with an absence of final-state energy loss for charm quarks in pPb collisions. In addition, the fraction of jets coming from charm quarks is found to be consistent with that predicted by pythia 6 for pp collisions at s=2.76 and 5.02 TeV , and is independent of the jet transverse momentum from 55 to 400  GeV/c .Peer Reviewe

Measurement of charged pion, kaon, and proton production in proton-proton collisions at s=13\sqrt{s}=13 TeV

Transverse momentum spectra of charged pions, kaons, and protons are measured in proton-proton collisions at s=13  TeV with the CMS detector at the LHC. The particles, identified via their energy loss in the silicon tracker, are measured in the transverse momentum range of pT≈0.1–1.7  GeV/c and rapidities |y|<1. The pT spectra and integrated yields are compared to previous results at smaller s and to predictions of Monte Carlo event generators. The average pT increases with particle mass and charged particle multiplicity of the event. Comparisons with previous CMS results at s=0.9, 2.76, and 7 TeV show that the average pT and the ratios of hadron yields feature very similar dependences on the particle multiplicity in the event, independently of the center-of-mass energy of the pp collision.Peer Reviewe

Measurement and QCD analysis of double-differential inclusive jet cross sections in pp collisions at s=8 \sqrt{s}=8 TeV and cross section ratios to 2.76 and 7 TeV

A measurement of the double-differential inclusive jet cross section as a function of the jet transverse momentum pT and the absolute jet rapidity abs(y) is presented. Data from LHC proton-proton collisions at sqrt(s) = 8 TeV, corresponding to an integrated luminosity of 19.7 inverse femtobarns, have been collected with the CMS detector. Jets are reconstructed using the anti-kT clustering algorithm with a size parameter of 0.7 in a phase space region covering jet pT from 74 GeV up to 2.5 TeV and jet absolute rapidity up to abs(y) = 3.0. The low-pT jet range between 21 and 74 GeV is also studied up to abs(y) = 4.7, using a dedicated data sample corresponding to an integrated luminosity of 5.6 inverse picobarns. The measured jet cross section is corrected for detector effects and compared with the predictions from perturbative QCD at next-to-leading order (NLO) using various sets of parton distribution functions (PDF). Cross section ratios to the corresponding measurements performed at 2.76 and 7 TeV are presented. From the measured double-differential jet cross section, the value of the strong coupling constant evaluated at the Z mass is alpha[S(M[Z]) = 0.1164 +0.0060 -0.0043, where the errors include the PDF, scale, nonperturbative effects and experimental uncertainties, using the CT10 NLO PDFs. Improved constraints on PDFs based on the inclusive jet cross section measurement are presented.Peer Reviewe