Impacto Psicossocial da Rinoplastia em pacientes com anomalias craniofaciais congênitas

Congenital craniofacial anomalies pose significant challenges not only physically, but also psychosocially for patients. Rhinoplasty, as an integral part of reconstructive surgery, aims to improve not only aesthetic function, but also the psychosocial well-being of affected individuals. The literature shows a variety of studies exploring the psychosocial impact of these interventions, focusing on everything from quality of life to individual and family perceptions. This integrative review covered studies published in specialized journals in English and Portuguese from 2005 to 2024, such as comprehensive reviews, prospective and retrospective studies, as well as qualitative research. A search was made in electronic databases such as PubMed and Scopus and Scielo, using the terms "psychosocial impact", "Rhinoplasty", "Craniofacial abnormalities". The results indicate that rhinoplasty significantly improves patients' self-image and self-esteem, reducing symptoms of anxiety and depression. The multidisciplinary approach, combining cosmetic surgery and oral rehabilitation, proved crucial in maximizing therapeutic benefits and facilitating social and educational integration. Patient and family satisfaction with the results of the surgeries was high, reinforcing the importance of the positive psychosocial impact. In addition, improvements in social adaptation and stigma reduction were evident in the patients' adult lives. Rhinoplasty emerges not only as an aesthetic intervention, but crucially as a tool to improve psychosocial well-being in patients with congenital craniofacial anomalies. The results of this integrative review highlight the importance of multidisciplinary approaches that consider not only the physical aspects, but also the psychological and social impacts of these interventions. Future research should continue to explore these aspects in order to optimize the results and the psychosocial support offered to these patients.  Anomalias craniofaciais congênitas representam desafios significativos não apenas fisicamente, mas também psicossocialmente para os pacientes. A rinoplastia, como parte integrante da cirurgia reconstrutiva, visa melhorar não apenas a função estética, mas também o bem-estar psicossocial dos indivíduos afetados. A literatura mostra uma variedade de estudos que exploram o impacto psicossocial dessas intervenções, focando desde a qualidade de vida até a percepção individual e familiar. Esta revisão integrativa abrangeu estudos publicados em periódicos especializados nos idiomas inglês e português abrangendo os anos de 2005 a 2024, como revisões abrangentes, estudos prospectivos e retrospectivos, além de pesquisas qualitativas. Utilizou-se a busca em bases de dados eletrônicas, como PubMed e Scopus e Scielo, utilizando os termos "impacto psicossocial", "Rinoplastia", "Anormalidades Craniofaciais". Os resultados indicam que a rinoplastia melhora significativamente a autoimagem e a autoestima dos pacientes, reduzindo sintomas de ansiedade e depressão. A abordagem multidisciplinar, combinando cirurgias estéticas e reabilitação oral, mostrou-se crucial para maximizar os benefícios terapêuticos e facilitar a integração social e educacional. A satisfação dos pacientes e familiares com os resultados das cirurgias foi elevada, reforçando a importância do impacto psicossocial positivo. Além disso, as melhorias na adaptação social e na redução do estigma foram evidentes na vida adulta dos pacientes. A rinoplastia emerge não apenas como uma intervenção estética, mas crucialmente como uma ferramenta para melhorar o bem-estar psicossocial em pacientes com anomalias craniofaciais congênitas. Os resultados desta revisão integrativa destacam a importância de abordagens multidisciplinares que considerem não apenas os aspectos físicos, mas também os impactos psicológicos e sociais dessas intervenções. Futuras pesquisas devem continuar explorando esses aspectos para otimizar os resultados e o suporte psicossocial oferecido a esses pacientes. &nbsp

All-cause mortality in the cohorts of the Spanish AIDS Research Network (RIS) compared with the general population: 1997Ł2010

Abstract Background: Combination antiretroviral therapy (cART) has produced significant changes in mortality of HIVinfected persons. Our objective was to estimate mortality rates, standardized mortality ratios and excess mortality rates of cohorts of the AIDS Research Network (RIS) (CoRIS-MD and CoRIS) compared to the general population. Methods: We analysed data of CoRIS-MD and CoRIS cohorts from 1997 to 2010. We calculated: (i) all-cause mortality rates, (ii) standardized mortality ratio (SMR) and (iii) excess mortality rates for both cohort for 100 personyears (py) of follow-up, comparing all-cause mortality with that of the general population of similar age and gender. Results: Between 1997 and 2010, 8,214 HIV positive subjects were included, 2,453 (29.9%) in CoRIS-MD and 5,761 (70.1%) in CoRIS and 294 deaths were registered. All-cause mortality rate was 1.02 (95% CI 0.91-1.15) per 100 py, SMR was 6.8 (95% CI 5.9-7.9) and excess mortality rate was 0.8 (95% CI 0.7-0.9) per 100 py. Mortality was higher in patients with AIDS, hepatitis C virus (HCV) co-infection, and those from CoRIS-MD cohort (1997. Conclusion: Mortality among HIV-positive persons remains higher than that of the general population of similar age and sex, with significant differences depending on the history of AIDS or HCV coinfection

VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad

Acta de congresoLa conmemoración de los cien años de la Reforma Universitaria de 1918 se presentó como una ocasión propicia para debatir el rol de la historia, la teoría y la crítica en la formación y en la práctica profesional de diseñadores, arquitectos y urbanistas. En ese marco el VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad constituyó un espacio de intercambio y reflexión cuya realización ha sido posible gracias a la colaboración entre Facultades de Arquitectura, Urbanismo y Diseño de la Universidad Nacional y la Facultad de Arquitectura de la Universidad Católica de Córdoba, contando además con la activa participación de mayoría de las Facultades, Centros e Institutos de Historia de la Arquitectura del país y la región. Orientado en su convocatoria tanto a docentes como a estudiantes de Arquitectura y Diseño Industrial de todos los niveles de la FAUD-UNC promovió el debate de ideas a partir de experiencias concretas en instancias tales como mesas temáticas de carácter interdisciplinario, que adoptaron la modalidad de presentación de ponencias, entre otras actividades. En el ámbito de VIII Encuentro, desarrollado en la sede Ciudad Universitaria de Córdoba, se desplegaron numerosas posiciones sobre la enseñanza, la investigación y la formación en historia, teoría y crítica del diseño, la arquitectura y la ciudad; sumándose el aporte realizado a través de sus respectivas conferencias de Ana Clarisa Agüero, Bibiana Cicutti, Fernando Aliata y Alberto Petrina. El conjunto de ponencias que se publican en este Repositorio de la UNC son el resultado de dos intensas jornadas de exposiciones, cuyos contenidos han posibilitado actualizar viejos dilemas y promover nuevos debates. El evento recibió el apoyo de las autoridades de la FAUD-UNC, en especial de la Secretaría de Investigación y de la Biblioteca de nuestra casa, como así también de la Facultad de Arquitectura de la UCC; va para todos ellos un especial agradecimiento

Search for eccentric black hole coalescences during the third observing run of LIGO and Virgo

Despite the growing number of confident binary black hole coalescences observed through gravitational waves so far, the astrophysical origin of these binaries remains uncertain. Orbital eccentricity is one of the clearest tracers of binary formation channels. Identifying binary eccentricity, however, remains challenging due to the limited availability of gravitational waveforms that include effects of eccentricity. Here, we present observational results for a waveform-independent search sensitive to eccentric black hole coalescences, covering the third observing run (O3) of the LIGO and Virgo detectors. We identified no new high-significance candidates beyond those that were already identified with searches focusing on quasi-circular binaries. We determine the sensitivity of our search to high-mass (total mass M>70 M⊙) binaries covering eccentricities up to 0.3 at 15 Hz orbital frequency, and use this to compare model predictions to search results. Assuming all detections are indeed quasi-circular, for our fiducial population model, we place an upper limit for the merger rate density of high-mass binaries with eccentricities 0<e≤0.3 at 0.33 Gpc−3 yr−1 at 90\% confidence level

Ultralight vector dark matter search using data from the KAGRA O3GK run

Among the various candidates for dark matter (DM), ultralight vector DM can be probed by laser interferometric gravitational wave detectors through the measurement of oscillating length changes in the arm cavities. In this context, KAGRA has a unique feature due to differing compositions of its mirrors, enhancing the signal of vector DM in the length change in the auxiliary channels. Here we present the result of a search for U(1)B−L gauge boson DM using the KAGRA data from auxiliary length channels during the first joint observation run together with GEO600. By applying our search pipeline, which takes into account the stochastic nature of ultralight DM, upper bounds on the coupling strength between the U(1)B−L gauge boson and ordinary matter are obtained for a range of DM masses. While our constraints are less stringent than those derived from previous experiments, this study demonstrates the applicability of our method to the lower-mass vector DM search, which is made difficult in this measurement by the short observation time compared to the auto-correlation time scale of DM