O papel da acupunctura na medicina dentária: uma revisão de literatura

Dissertação para obtenção do grau de Mestre no Instituto Superior de Ciências da Saúde Egas MonizA dor e a ansiedade na medicina dentária continuam, ainda nos dias de hoje, a fazer com que a ida ao médico dentista se torne num desafio tão perturbador que, na maior parte das vezes, as pessoas não procurem os cuidados de saúde médico-dentários. O médico dentista deve tentar proporcionar o melhor tratamento para cada paciente, atendendo às características e exigências de cada um. Nos procedimentos médico-dentários convencionais são utilizados para o controlo da dor e ansiedade, geralmente, os anestésicos locais e analgésicos e os sedativos, respetivamente. A utilização da acupuntura na medicina dentária, através das suas diversas formas de aplicação, poderá proporcionar uma alternativa aos pacientes que, por várias razões, não lhes é aplicado o tratamento convencional da medicina ocidental. A medicina chinesa, da qual faz parte a acupuntura, olha para o corpo como se fosse um todo, englobando no tratamento não só os sinais e sintomas aparentes, como também todos os diferentes componentes que constituem uma pessoa, como os sentimentos, alimentação e o meio ambiente em que está inserida. Tem por base tentar ajudar o organismo a curar-se a si próprio através de terapias específicas, que se baseiam em conceitos filosóficos como a energia vital (Qi) e o equilíbrio entre as duas forças que se complementam e se opõem (Yin e Yang), mostrando-se eficaz no tratamento da dor e da ansiedade A ideia de restabelecer o equilíbrio corporal também está presente nos pressupostos da medicina ocidental, o que faz com que as duas medicinas trabalhem com um mesmo objetivo, mas segundo técnicas diferentes. A combinação de ambas vai permitir alcançar um aumento e melhor usufruto das vantagens e uma redução das desvantagens. Este trabalho tem como objetivo realizar uma atualização dos conhecimentos sobre o uso da acupuntura para o controlo da dor e da ansiedade na medicina dentária

Devices to fight catheter-related infections

Healthcare-Associated Infections (HAI) affect ~1.7 M people in the USA and 4.1 M in Europe, contributing to 99,000 and 37,000 deaths/year, respectively. Catheter-related infections are the most frequent cause of HAI, leading to life-threatening complications and colossal medical costs. Current prevention/treatment options – sterilization protocols, lock solutions, systemic antibiotic administration – are inefficient and lead to bacterial resistance, a huge threat to public health. This review addresses the existing solutions in the market – mostly catheter caps –, and emerging alternatives, to fight catheter-related infections. Graphene-based biomaterials arise as interesting weapons against these infections, particularly in combination with light: their photothermal and photodynamic properties boost their own antimicrobial action, allowing them to kill bacteria without contributing to bacterial resistance.Healthcare-Associated Infections (HAI) affect ~1.7 M people in the USA and 4.1 M in Europe, contributing to 99,000 and 37,000 deaths/year, respectively. Catheter-related infections are the most frequent cause of HAI, leading to life-threatening complications and colossal medical costs. Current prevention/treatment options – sterilization protocols, lock solutions, systemic antibiotic administration – are inefficient and lead to bacterial resistance, a huge threat to public health. This review addresses the existing solutions in the market – mostly catheter caps –, and emerging alternatives, to fight catheter-related infections. Graphene-based biomaterials arise as interesting weapons against these infections, particularly in combination with light: their photothermal and photodynamic properties boost their own antimicrobial action, allowing them to kill bacteria without contributing to bacterial resistance.Peer Reviewe

A systematic review and bibliometric analysis of wildland fire behavior modeling

Wildland fires have become a major research subject among the national and international research community. Different simulation models have been developed to prevent this phenomenon. Nevertheless, fire propagation models are, until now, challenging due to the complexity of physics and chemistry, high computational requirements to solve physical models, and the difficulty defining the input parameters. Nevertheless, researchers have made immense progress in understanding wildland fire spread. This work reviews the state-of-the-art and lessons learned from the relevant literature to drive further advancement and provide the scientific community with a comprehensive summary of the main developments. The major findings or general research-based trends were related to the advancement of technology and computational resources, as well as advances in the physical interpretation of the acceleration of wildfires. Although wildfires result from the interaction between fundamental processes that govern the combustion at the solid- and gas-phase, the subsequent heat transfer and ignition of adjacent fuels are still not fully resolved at a large scale. However, there are some research gaps and emerging trends within this issue that should be given more attention in future investigations. Hence, in view of further improvements in wildfire modeling, increases in computational resources will allow upscaling of physical models, and technological advancements are being developed to provide near real-time predictive fire behavior modeling. Thus, the development of two-way coupled models with weather prediction and fire propagation models is the main direction of future work.This work was supported by the Portuguese Foundation for Science and Technology (FCT) within the R&D Units Project Scope UIDB/00319/2020 (ALGORITMI) and R&D Units Project Scope UIDP/04077/2020 (METRICS) and through project: PCIF/GRF/0141/2019: “O3F—An Optimization Framework to reduce Forest Fire

Early development and larval behaviour of two clingfishes, Lepadogaster purpurea and Lepadogaster lepadogaster (Pisces: Gobiesocidae)

The recent revision on the taxonomic status of Lepadogaster lepadogaster resulted in the division of this species into L. lepadogaster and L. purpurea, the clarification of each species’ distribution ranges and the elimination of L. zebrina (now in synonymy with L. lepadogaster). This new taxonomic status led to the need of clarifying the early development of the two species. Embryonic development lasted 21 days in L. purpurea at a mean temperature of 14.2°C, and 16 days in L. lepadogaster at a mean temperature of 16.5°C. Newly hatched larvae of both species measured 5.2 mm, had the mouth and anus opened, pigmented eyes and almost no yolk. At hatching and throughout development the two species can be distinguished by the ventral pigmentation which is absent in L. purpurea. The change to a benthic mode of life was gradual in both species, with larvae increasingly spending more time close to the bottom until definitely settling. Larval development lasted 33 days in L. purpurea at a mean temperature of 14.6°C and 18 days in L. lepadogaster at a mean temperature of 16.5°C. Locomotion and foraging behaviours are described for both species. L. lepadogaster showed a higher frequency of swimming and foraging behaviour when compared with L. purpurea

Prosodic, syntactic, semantic guidelines for topic structures across domains and corpora

This paper presents the annotation guidelines applied to naturally occurring speech, aiming at an integrated account of contrast and parallel structures in European Portuguese. These guidelines were defined to allow for the empirical study of interactions among intonation and syntax-discourse patterns in selected sets of different corpora (monologues and dialogues, by adults and teenagers). In this paper we focus on the multilayer annotation process of left periphery structures by using a small sample of highly spontaneous speech in which the distinct types of topic structures are displayed. The analysis of this sample provides fundamental training andtesting material for further application in a wider range of domains and corpora. The annotation process comprises the following time-linked levels (manual and automatic): phone, syllable and word level transcriptions (including co-articulation effects); tonal events and break levels; part-of-speech tagging; syntactic-discourse patterns (construction type; construction position; syntactic function; discourse function), and disfluency events as well. Speech corpora with such a multi-level annotation are a valuable resource to look into grammar module relations in language use from an integrated viewpoint. Such viewpoint is innovative in our language, and has not been often assumed by studies for other languages

Light verbs features in European Portuguese

We present a study of constructions of the type in European Portuguese. We analyse these constructions as complex predicates where both the light verb and the noun share an important role in the predication and we focus on the aspectual combinatory properties of the two elements of the complex predicate. We propose that light verbs inherit the feature specification of the corresponding main verbs, but that the light verbs are underspecified regarding (some of) the event structure features

Porous zirconia blocks for bone repair: an integrative review on biological and mechanical outcomes

The aim of this study was to conduct an integrative review of the biological and mechanical outcomes of porous zirconia structures for extensive bone repair. An electronic search was performed on the PubMed database using a combination of the following scientific terms: porous, scaffold, foam, zirconia, bone regeneration, bone repair, bone healing. Articles published in the English language up to December 2021 and related to porosity, pore interconnectivity, biocompatibility and strength of the material, and the manufacturing methods of zirconia porous structures were included. Randomized controlled trials and prospective cohort studies were also evaluated. The research identified 145 studies, of which 23 were considered relevant. A high percentage of pores and the size and interconnectivity of pores are key factors for cell migration, attachment, proliferation, and differentiation. In addition, pore interconnectivity allows for the exchange of nutrients between cells and formation of blood vessels. However, a decrease in strength of the porous structures was noted with an increase in the number and size of pores. Therefore, yttria-stabilized zirconia tetragonal polycrystal (Y-TZP) has mechanical properties that make it suitable for the manufacture of highly porous structures or implants for extensive bone repair. Additionally, the porous structures can be coated with bioactive ceramics to enhance the cell response and bone ingrowth without compromising pore networking. Porous structures and mesh implants composed of zirconia have become a strategy for extensive bone repair since the material and the pore network provide the desired biological response and bone volume maintenance.This study was supported by the following FCT projects (Portugal): UID/EEA/04436/2013, POCI-01-0145-FEDER-031035_LaserMULTICER, SFRH/BPD/123769/2016, and LIBPhys-FCT UID/ FIS/04559/2013. Also, it was supported by the following CNPq project (Brazil): CNPq/UNIVERSAL/ 421229/2018-7

Setting performance indicators for coastal marine protected areas: An expert-based methodology

Marine Protected Areas (MPAs) require effective indicators to assess their performance, in compliance with the goals of relevant national and international commitments. Achieving and prioritizing shortlists of multidisciplinary indicators demands a significant effort from specialists to depict the multiple conservation and socioeconomic interests, and the large complexity of natural systems. The present paper describes a structured expert-based methodology (process and outputs) to co-define a list of multidisciplinary MPA performance indicators. This work was promoted by the management authority of coastal MPAs in mainland Portugal to gather a consensual and feasible list of indicators that would guide the design of a future national monitoring program. Hence, Portuguese coastal MPAs served as a case study to develop such a process between 2019 and 2020. In the end, participants (1) agreed on a shortlist of prioritized indicators (i.e., environmental, governance, and socioeconomic indicators) and (2) defined minimum monitoring frequencies for the indicators in this list, compatible with the potential replicability of the associated survey methods. The present approach recommends that management plans incorporate monitoring procedures and survey methods, with a validated list of indicators and associated monitoring periodicity, agreed among researchers, MPA managers and governance experts. The proposed methodology, and the lessons learned from it, can support future processes aiming to define and prioritize MPA performance indicatorsFundação para a Ciência e Tecnologia - FCT, European Maritime and Fisheries Fund (EMFF)info:eu-repo/semantics/publishedVersio

Co-design of a marine protected area zoning and the lessons learned from it

Marine Protected Areas (MPAs) are a tool to safeguard marine natural systems, yet their effectiveness depends on how well they are integrated into the existing socioeconomic context. Stakeholder engagement in MPA design can contribute to increasing integration. This study focuses on the co-design of an MPA between researchers, public administration, the private sector, and non-governmental organizations. The proposed MPA is in Portugal and includes an area that is a hotspot for biodiversity and economic activities. This is the first MPA proposal in mainland Portugal co-designed using a participatory approach. This study highlights the steps of the zoning process and synthesizes the eight main lessons learned, useful for other cases, particularly for relatively small coastal MPAs with multiple socioeconomic activities. Three zoning proposals were developed and discussed within the participatory process. The proposals considered the best scientific and local knowledge available and were defined using ecological, socioeconomic, and shape-area guiding principles. In an iterative manner and following a participatory approach, compromises with stakeholders were achieved, and a final proposal, scientifically sound and socially accepted by most stakeholders, was delivered to the government. The final zoning plan will achieve ambitious conservation goals, including the largest fully protected area to be declared in mainland Portugal, while minimizing the impacts on the existing economic activities and promoting its sustainability. This process resulted in valuable lessons that may be applied elsewhere and guide future MPA implementation or rezoning of existing ones. These transdisciplinary and participatory processes can be time and resource-consuming but are vital for ensuring MPA effectiveness.Fundação para a Ciência e Tecnologia - FCTinfo:eu-repo/semantics/publishedVersio

Protocolos em Medicina Interna - Serviço de Medicina lnterna do Hospital Central do Funchal

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