Relação entre as disfunções temporomandibulares e as cefaleias - revisão bibliográfica

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Esta revisão bibliográfica pretendeu analisar a relação entre as disfunções temporomandibulares (DTM’s) e as cefaleias. Metodologia: Foi efetuada uma pesquisa nas bases de dados PubMed e Web of Science e no motor de busca Scielo de modo a encontrar estudos que evidenciassem relação entre as DTM’s e as cefaleias, desde a última revisão publicada sobre este assunto em 2015. Resultados: Foram incluídos 4 estudos observacionais envolvendo 427 participantes. Foi possível constatar que existe uma relação entre as DTM’s e as cefaleias primárias em todos os estudos analisados. Conclusão: As DTM’s estão relacionadas com as cefaleias primárias nomeadamente com as enxaquecas e cefaleia tipo tensional. Foi possível concluir também que há fatores genéticos, comportamentais e psicológicos que podem desencadear DTM’s e, consequentemente cefaleias.Objective: This review analyzed the relationship between temporomandibular disorders (TMD’s) and headache. Methodology: A research was conducted in PubMed and Web of Science databases, and in the Scielo search engine in order to find studies that analyzed the relationship between TMD’s and headache, since last review published about this subject in 2015. Results: Four observational studies were included involving 427 participants. It was possible to verify that there is a relationship between TMD’s and primary headaches in all the studies analyzed. Conclusion: TMD’s are related to primary headaches namely migraines and tension-type headache. It was also possible to conclude that there are genetic, behavioral and psychological factors that can trigger TMD’s and consequently headache.N/

Economic Inefficiency Levels of Urban Solid Waste Management Services in Portugal

Key performance indicators (KPI) are widely used tools to evaluate the economic (in)efficiency of services, including the ones devoted to urban solid waste management. Regulatory exercises are, then, mostly based on the outputs from KPIs, raising some questions about their validity. In theory, other more appropriate tools could be used to estimate those efficiency levels. This study evaluates the economic inefficiency level of urban solid waste management services in Portugal (2010–2017) through the adoption of partial frontier benchmarking models (order-m) coupled with weight restrictions. That way, the constructed model can evaluate the performance of those services under some regulatory and sustainability requirements. Then, estimated efficiency levels and some common KPIs are compared in order to understand if the latter are sufficient to explain the economic efficiency. The novelty of this research lies in two main aspects: (a) the utilization of a robust order-α model coupled with weight restrictions linked to regulatory and sustainability impositions to estimate efficiency, and (b) the comparison of economic efficiency and some commonly used KPIs, including waste fractions and recycling rate. Results point towards efficiency distributions that follow Weibull functions, with the average close to 50%; thus, nearly half of the resources have been well spent in municipal solid waste management services since 2010 onwards. Nonetheless, in an efficient system, that average would be close to 100%. Additionally, the considered management related KPIs do not exhibit any relationship with economic efficiency, which means that their interpretation and usefulness for regulatory issues are both limited and should be used carefully. In other words, those KPIs are not good performance drivers and carry no capacity to explain economic (in)efficiency in urban solid waste management services.info:eu-repo/semantics/publishedVersio

EPIDEMIOLOGICAL ASPECTS OF HUMAN VISCERAL LEISHMANIASIS IN THE STATE OF PIAUÍ, BRAZIL (2007-2017)

Abstract: Background: Visceral leishmaniasis presents considerable expansion in urban centers in state of Piauí, its occurrence is marked by successive records of outbreaks. Objective: to analyze the reported cases of human visceral leishmaniasis in Piauí, between the years 2007 to 2017. Methods: The data were obtained from Notifiable Diseases Information System (Sinan-Datasus), variables were analyzed according to the Sinan registry. Results: 2,447 cases were reported, of which 2,265 autochthonous cases (92.56%). The conclusive diagnosis was made in 86.6% of the cases. The year with the highest record (283 cases) was 2014, also the annual lethality rate was 14.1%. Positive cases were registered in residents of 183 municipalities (81.7%). The capital Teresina presents the highest number of cases in residents (734, 30%) and notification (1,859, 75,97%). Male (66.30%) were the most affected and individuals under 10 years old (43.44%). Regarding education, the classification “does not apply” (39.84%) was the most prevalent, as well as race / brown color (88.27%) and the urban residential area (67.63%). Conclusion: Epidemiological assay, provides knowledge about the real epidemiological situation in state of Piauí, such as profile characterization, frequency of cases occurrence, assisting in actions for control and eradication of the disease in the state

Surdez súbita em paciente em uso de tadalafil: um relato de caso clínico

Introdução: a Surdez Súbita (SS) é uma emergência médica de baixa prevalência, porém com potencial de perda auditiva irreversível para o paciente. Possui diversos e ainda incertos mecanismos etiopatológicos. Recentemente a literatura vem trazendo a associação da SS com a classe dos inibidores da fosdodiesterase-5 (IPDE-5), a qual inclui medicamentos para tratamento de impotência sexual. Objetivo: relatar caso clínico de paciente idoso que apresentou SS após fazer uso de medicamento da classe dos IPDE-5, pesquisando na literatura qual a provável fisiopatologia. Metodologia: trata-se de estudo qualitativo, descritivo do tipo relato de caso clínico, realizado através da coleta de dados do prontuário médico, que foram comparados com literatura especializada. Resultado: paciente masculino, 72 anos, engenheiro, procurou atendimento referindo hipoacusia e plenitude aural à direita notados subitamente há três dias. Relata ter feito uso de Tadalafil 5mg, anteriormente aos sintomas. Anamnese e exame físico direcionaram para hipótese diagnóstica de SS, de modo que exames complementares foram solicitados. À audiometria evidenciou-se perda auditiva sensorioneural moderada a severa em orelha direita. Após tratamento com prednisolona oral e mesilato de codergocrina, paciente apresentou melhora, com audiometria evidenciando perda sensorioneural leve em orelha direita. Conclusão: a relação entre SS e o uso de IPDE-5 está cada vez mais evidente de acordo com a literatura. É provável que possa haver ativação de vias de estresse celular, contribuindo para patologia

From piggery wastewater to wheat using microalgae towards zero waste

ABSTRACT: Microalgae production is still expensive, driving the need to lower costs while strengthening the industry's environmental sustainability. Microalgae are recognized tools for efficient wastewater treatment, offering the recycling of nutrients and water for agriculture, and producing biomass rich in growth-promoting compounds to improve plant productivity and resistance to adverse conditions. The use of wastewater can reduce cultivation costs as it is a source of nutrients and water. Alternative low-cost methods can significantly decrease harvesting costs, which represents one of the most expensive steps of the whole process.The goal of this work was to evaluate the potential of wastewater-grown microalga biomass for agriculture purposes. To reduce production costs, the microalga Tetradesmus obliquus was produced in pre-treated photo-Fenton (PF) piggery wastewater in combination with the use of different harvesting techniques - electro-coagulation, flocculation, and centrifugation, and different combinations. From the wastewater treatment pro-cess, two fractions (biomass and supernatant) were evaluated for germination and growth of wheat (Triticum aestivum L.) plants and compared to non-harvested microalga culture (MC), distilled water, and Hoagland (synthetic) solution. The concentrated resulting from PF was also tested as a biofertilizer.The results confirm that both biomass and supernatants are useful for agricultural applications. The obtained biomass elicited a 20-105 % increase in germination index compared to the control, while supernatants were inhibiting. The opposite trend was observed at later stages of wheat growth, where the nutrient-enriched su-pernatants and the PF concentrate (PF-CC) increased the number of tillers (3-5) and leaves (30-42) after 83 days. Wheat plants treated with MC and PF-CC produced similar number of ears (3.4 & PLUSMN; 0.5 and 6.0 & PLUSMN; 4.1 ears per plant, respectively) than the synthetic control (5.7 & PLUSMN; 1.4) after 182 days. All fractions obtained from the process can be used in a zero-waste process.info:eu-repo/semantics/publishedVersio

RESIDUAL DO HERBICIDA IMAZETAPIR NA CULTURA DO MILHO

É uma prática comum dos sistemas produtivos de grãos o cultivo da cultura do milho em sucessão a cultura da soja visando maximizar os rendimentos das propriedades, algumas práticas adotadas no manejo da cultura de verão podem afetar diretamente a cultura subsequente. O objetivo de estudo no experimento foi avaliar o residual que herbicida imazetapir, usado no manejo de plantas daninhas no cultivo de soja em pré-emergência ou dessecação, sobre a cultura do milho cultivada em sucessão em seus estádios iniciais. Tratou-se de uma experimentação com 5 tratamentos e 4 repetições em delineamento inteiramente casualisado, envolvendo diferentes épocas de semeadura do milho), após a aplicação do herbicida imazetapir, sendo elas: 90, 105, 120 e 135 DAA e um tratamento controle sem a aplicação do herbicida. Foram analisados fitointoxicação com 7, 14,21 e 28 dias após a semeadura - DAS, velocidade de emergência de plântulas, peso de matéria seca da parte aérea e raízes ao final do de 28 DAS. Os tratamentos semeados com 90 e 105 dias apresentaram efeito de fitotoxidade em todas as avaliações até os 28 DAS, estes tratamentos também apresentaram menor peso de matéria seca de raízes e de parte aérea ao serem analisados demonstrando, portanto efeito residual e influência do herbicida na cultura em até 105 dias de sua aplicação. Com relação à emergência de plântulas os tratamentos não diferiram entre si