Position statement of the Brazilian Academy of Rhinology on the use of antihistamines, antileukotrienes, and oral corticosteroids in the treatment of inflammatory sinonasal diseases

Introduction: Inflammatory conditions of the nose and paranasal sinuses are very prevalent in the general population, resulting in marked loss of quality of life in affected patients, as well as significant work, leisure, and social activity losses. These patients require specific and specialized treatment. A wide range of oral medications are available. Objective: The present document is aimed to clarify, for professionals treating patients with inflammatory sinonasal diseases, both specialists and general practitioners, specific oral therapies in noninfectious nasal inflammatory conditions. Methods: The methodology used to create this article included the search for the key words: oral corticosteroids, antihistamines, antileukotrienes, rhinitis, rhinosinusitis in the MEDLINE and EMBASE databases in the last 5 years. Since no relevant article was found for the text on the subject of interest in the last 5 years, the search was extended for another 5 years, and so on, according to the authors' needs. Results: Relevant literature was found regarding the use of antihistamines, antileukotrienes and oral corticosteroids in these conditions. The Brazilian Academy of Rhinology emphasizes, after extensive discussion by the collegiate, key points in the treatment with these drugs. Conclusion: There is support in the literature for the use of these drugshowever, final considerations about the role of each of them have been made. (C) 2017 Published by Elsevier Editora Ltda. on behalf of Associacao Brasileira de Otorrino-laringologia e Cirurgia Cervico-Facial.Univ Sao Paulo, Disciplina Otorrinolaringol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Dept Otorrinolaringol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Dept Otorrinolaringol, Ribeirao Preto, SP, BrazilUniv Fed Sao Paulo, Ciencias Saude, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Otorrinolaringol, Sao Paulo, SP, BrazilUniv Fed Minas Gerais, Fac Med, Belo Horizonte, MG, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Ribeirao Preto, SP, BrazilUniv Fed Bahia, Fac Med, Disciplina Otorrinolaringol, Salvador, BA, BrazilHosp Inst Paranaense Otorrinolaringol, Centro Rinite & Alergia, Curitiba, PR, BrazilUniv Estado Rio De Janeiro, Rio De Janeiro, RJ, BrazilUniv Brasilia, Fac Med, Brasilia, DF, BrazilUniv Fed Sao Paulo, Dept Otorrinolaringol & Cabeca & Pescoco, Sao Paulo, SP, BrazilUniv Luterana Brasil, Fac Med, Otorrinolaringol, Canoas, RS, BrazilMt Sinai Hosp, Dept Othorhinolaryngol, Toronto, ON, CanadaUniv Sao Paulo, Fac Med, Ciencias, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Dept Oftalmol Otorrinolaringol & Cirurgia Cabeca, Ribeirao Preto, SP, BrazilUniv Fed Sao Paulo, Ciencias Saude, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Otorrinolaringol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Otorrinolaringol & Cabeca & Pescoco, Sao Paulo, SP, BrazilWeb of Scienc

Alguns determinantes biológicos e sociais relacionados com a qualidade da água consumida pela população de Igarapé -MG

Exportado OPUSMade available in DSpace on 2019-08-12T09:40:00Z (GMT). No. of bitstreams: 1 disserta__o_de_mestrado_de_roberto_eust_quio_righi.pdf: 1399034 bytes, checksum: 828e3941a7903f3f09610ced15acbc71 (MD5) Previous issue date: 10Com o objetivo de avaliar a qualidade bacteriológica das águas consumidas pelas populações dos setores urbano-central, urbano-periférico e rural do município de Igarapé ­ Minas Gerais, foram analisadas 120 amostras, sendo 60 colhidas na entrada do domicílio e 60 após armazenamento/filtração. Os resultados evidenciaram que, 14,75% das 80 amostras de águas de abastecimento público (tratadas), colhidas nos setores urbano­central e urbano­periférico foram consideradas não potáveis, segundo a legislação, sendo 10% referentes a 40 amostras colhidas na entrada do domicílio e 19,5% das restantes após armazenamento/filtração. Com relação ao meio rural 25 das 40 (62,5%) amostras de água de poços/nascentes foram consideradas não potáveis segundo critérios da Organização Mundial de Saúde (OMS), sendo 80,0% relativas a amostras colhidas na fonte e 45,0% após filtração domiciliar. A análise do residual de cloro realizada em 10 domicílios da área urbano-central e 10 da área periférica, na primeira etapa do trabalho (agosto de 1986) apresentou resultados negativos, tanto na entrada do domicílio, quanto após armazenamento/filtração. Na segunda etapa (abril de 1987) 19 das 20 amostras examinadas na entrada do domicílio apresentaram níveis satisfatórios de cloro residual (0,1 a 0,4 mg/l). No entanto, nas amostras colhidas após armazenamento/ filtração não foi detectada a presença de cloro. Esses resultados indicam que houve falhas no processo de tratamento/distribuição das águas de abastecimento público, bem como falta de conhecimento/negligência dos moradores que utilizam águas tratadas, no que se refere aos cuidados higiênicos no armazenamento das mesmas. Foram entrevistados 60 moradores pertencentes aos três estratos para se verificar o grau de conhecimento quanto a qualidade da água, o nível de participação na discussão dos problemas de saúde da comunidade e a identificação de algumas variáveis sócio-econômicas. Os indicadores sócio-econômicos pesquisados podem ser considerados em níveis muito baixos chegando a alcançar em média na área rural 83,0% dos indivíduos, sem escolaridade ou com escolaridade primária incompleta. A renda familiar média foi de 2,1 salários mínimos regionais, sendo no entanto, de 1,0 salário mínimo regional, em média, na zona rural. Embora não analisados do ponto de vista estatístico estes indicadores provavelmente guardam relação com os problemas e atitudes dos moradores em relação ã qualidade da água consumida. Quanto ao conhecimento sobre a qualidade da água , verificou­se quase sempre, atitude passiva, mesmo quando a água apresentava modificações físico-químicas aparente

A armação do concreto no Brasil: história da difusão da tecnologia do concreto armado e da construção de sua hegemonia

Exportado OPUSMade available in DSpace on 2019-08-14T11:30:51Z (GMT). No. of bitstreams: 1 2000000140.pdf: 3941464 bytes, checksum: a458aa5c734724d292dd0f67417cab86 (MD5) Previous issue date: 7O sistema construtivo do concreto armado foi introduzido no Brasil na primeira década do século XX. De início, como um produto patenteado, aplicado somente em tarefas especiais, como pontes e viadutos. Graças às mudanças políticas, econômicas e sociais e ao conseqüente processo de industrialização e urbanização pós 1930, cresce o uso do concreto armado, especialmente, no setor de edificações da construção civil. Em meados do século XX, o concreto já hegemônico em todo o país, determinando não somente a maior parte da atividade construtiva, mas também a pesquisa no campo da construção e o ensino de arquitetura e engenharia. O concreto armado é considerado o material mais conveniente para as circunstâncias brasileiras, em vista da segurança, de ser relativamente barato e de ser pouco exigente quanto à mão-de-obra. Além disso, o concreto dá margem a experimentações formais e estruturais, que colaboram para o desenvolvimento das internacionalmente conhecidas escola brasileira do concreto armado e arquitetura do Movimento Moderno no Brasil. No entanto, o concreto apresenta aspectos negativos, como por exemplo a degradação ambiental e falta de flexibilidade espacial. Sobretudo, a hegemonia do concreto fez aumentar a defasagem entre prática construtiva e conhecimento técnico, desqualificando os trabalhadores da construção. Este trabalho investiga, numa perspectiva sócio-histórica, como a hegemonia do sistema construtivo do concreto armado foi engendrada no Brasil, a partir dos currículos dos curso de arquitetura e engenharia civil, da organização profissional, das normas técnicas e uma intensa campanha publicitária.Reinforced concrete as a construction method was introduced in Brazil in the beginning of the 20th century. At first it was a patented product, only applied to special tasks, such as bridges and viaducts. After 1930, due to political, economic and social changes and the related process of industrialisation and urbanisation, the use of reinforced concrete increased, in particular in the building construction branch. Since the mid-century it has been the hegemonic construction method in this country, determining not only most of the building practice, but also construction engineering research and architectural and engineering education. Reinforced concrete is usually considered the most convenient building material for the Brazilian circunstances: it is relatively safe and unexpensive, it does not require highly skilled labour, and it allows for innovative experimentation in architectural form and structural engineering. These features concurred to the development of the internationally recognised "Brazilian school of reinforced concrete" and "Brazilian modern architecture". But reinforced concrete also has negative sides, from environmental degradation to inflexiblity. Most of all, its hegemony has widen the gap between building practice and technical knowledge, disqualifying building workers. This dissertation investigates, in historical and social terms, how the hegemony of the construction method of reinforced concrete was engendered in Brazil, having as instruments the curricula of architectural and civil engeneering courses, the technical standards, the urban regulation and an intensive marketing strategy

Demanda de potencia y energía de un tractor agrícola en función de las marchas de trabajo y el manejo del suelo

Se objetivó con el presente, evaluar la demanda de potencia y consumo de energía en tres sistemas de labranza y dos marchas de trabajo del tractor. El experimento se desarrolló en el área experimental de Agronomía- Aeropuerto de la Universidad Federal de Viçosa, localizada en el municipio de Viçosa-MG. Se implantaron tres sistemas de labranza del suelo: convencional, mínimo y directa, en un diseño experimental de parcelas subdivididas, con dos marchas de trabajo del tractor y cuatro repeticiones, totalizando 24 parcelas experimentales. Se determinó el consumo de combustible horario y por hectárea, la fuerza y potencia de tracción y la energía consumida en MJ ha-1, en cada operación mecanizada; los resultados procesados en el paquete estadístico SPSS Statistics 21, mediante un análisis de varianza, mostraron que la marcha de trabajo repercutió signifi cativamente en los valores obtenidos para la potencia de tracción, el consumo de combustible y el consumo de energía, en los tres sistemas de labranza, siendo mayores los valores obtenidos en la marcha B2. El consumo de combustible horario, por hectárea y el consumo de energía (MJ ha-1) difi rieron signifi cativamente en los tres sistemas de labranza, siendo menor para el sistema de labranza directa, superado por la labranza mínima y por último con el mayor valor, el sistema de labranza convencional. El sistema de labranza convencional fue el mayor consumidor de energía.The objective of the study was to evaluate the power demand and energy consumption in three tillage systems and two tractor working gears. The experiment was conducted in the Agronomy-Airport experimental area of the Universidade Federal de Viçosa, located in Viçosa-MG, Brazil. Three land tillage systems were introduced: conventional, minimum and direct in a subdivided plots experimental design with two tractor working gears and four replications, totaling 24 experimental plots. The fuel consumption per hour and hectare, power and traction power and consumed energy in MJ ha -1 , in each mechanized operation were determined; processing of the results using an analysis of variance in the software Statistics SPSS 21 showed that the working gear had a signifi cant impact on the obtained values for the traction power, the fuel consumption and the energy consumption in the three tillage systems, where higher values were obtained when using the B2 gear. The fuel consumption per hour and per hectare, and the energy consumption (MJ ha-1) signifi cantly differed in the three tillage systems, being lowest for the direct tillage system, higher for minimum tillage and the highest value was acquired for the conventional tillage system. The conventional tillage system was the largest consumer of energy

Association between severity of body mass index and periodontal condition in women

Made available in DSpace on 2019-09-12T16:53:26Z (GMT). No. of bitstreams: 0 Previous issue date: 2012Fundação de Amparo à Pesquisa do Estado de Minas Gerais (Fapemig)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)This study evaluated the association between body mass index (BMI) and periodontal condition in a population of Brazilian women. A hospital convenience sample of 594 eligible women was recruited from a women's health reference center of Belo Horizonte, Brazil. Four groups were formed considering BMI levels: BMI normal group ( = 352), overweight ( = 54), obesity level I ( = 48), obesity level II ( = 56), and obesity level III ( = 74). Full-mouth periodontal examination was performed and biological, demographic, and behavioral risk variables were evaluated. Obese and overweight women showed statistically significant differences in bleeding on probing, probing depth and clinical attachment level a parts per thousand yen4 mm, and frequency of periodontitis ( < 0.05) compared to women showing normal BMI. The final multivariate model for the occurrence of periodontitis revealed that obesity groups were significantly associated with periodontitis. In addition, age (25-45), smoking, diabetes, and hypertension remained significantly associated with the occurrence of periodontitis ( < 0.05). Periodontitis was positively associated with obesity, and this association was more evident as obesity levels increases. These findings indicate the need for early diagnosis and the inclusion of periodontal care in health care programs for obese women.[Pataro, Andre Luiz; Costa, Fernando Oliveira; Costa, Jose Eustaquio] Univ Fed Minas Gerais, Sch Dent, Dept Periodontol, BR-31270901 Belo Horizonte, MG, Brazil[Cortelli, Sheila Cavalca; Cortelli, Jose Roberto] Universidade de Taubaté (Unitau), Dept Dent, Periodont Res Div, Sao Paulo, Brazil[Nogueira Guimaraes Abreu, Mauro Henrique] Univ Fed Minas Gerais, Dept Social & Prevent Dent, BR-31270901 Belo Horizonte, MG, Brazi

La educación a distancia en tiempos de cambios : nuevas generaciones, viejos conflictos

Antología de textos sobre el papel que juegan las nuevas tecnologías en los desarrollos metodológicos de la educación a distancia. Primero se analizan las características constitutivas y metodológicas de las universidades de educación a distancia, se aporta una valoración de las mismas y pautas para una mejora futura. Se critica la concepción tradicional justificándose la necesidad de desarrollar prácticas educativas de la enseñanza abierta y a distancia en consonancia con las nuevas tecnologías. En segundo lugar se abordan los medios y materiales didácticos empleados en esta modalidad educativa. Se describen las condiciones y requisitos que han de considerarse en la utilización de los medios audivisuales y las nuevas tecnologías de la información y la comunicación, no sólo como soportes sino también como vehículos de comunicación. Se revisan las interrelaciones de la educación a distancia y las nuevas tecnologías con factores de carácter social, económico, político, cultural y educativo y los problemas teórico-prácticos del desarrollo institucional de la educación a distancia. Desde un punto de vista conceptual, metodológico e institucional se consideran los aspectos de la pertinencia de la oferta de formación, la renovación de la metodología docente, las características de las culturas profesionales y las articulaciones de las labores de la docencia e investigación.MadridBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín, 5; 28014 Madrid; Tel. +34917748000; [email protected]

Effect of compliance during periodontal maintenance therapy on levels of bacteria associated with periodontitis: A 6-year prospective study

Made available in DSpace on 2019-09-12T16:53:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2018Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Background: It is well established that regular compliance during periodontal maintenance therapy (PMT) maintains the stability of periodontal clinical parameters obtained after active periodontal therapy (APT). However, compliance during PMT has not yet been related to subgingival bacterial levels. Thus, this study followed individuals in PMT over 6 years and longitudinally evaluated the effects of compliance on periodontitis-associated bacterial levels and its relation to periodontal status. Methods: From a 6-year prospective cohort study with 212 individuals in PMT, 91 were determined to be eligible. From this total, 28 regular compliers (RC) were randomly selected and matched for age and sex with 28 irregular compliers (IC). Complete periodontal examination and microbiological samples were obtained 5 times: T1 (prior to APT), T2 (after APT), T3 (2 years), T4 (4 years), and T5 (6 years). Total bacteria counts and levels of Actinomyces naeslundii, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola were evaluated through quantitative polymerase chain reaction. Results: RC had less tooth loss and better clinical and microbiological conditions over time when compared with IC. IC had higher total bacterial counts and higher levels of T denticola. Moreover, among IC, total bacterial counts were positively associated with plaque index and bleeding on probing, while levels of A. naeslundii, T. forsythia, and T denticola were negatively associated with clinical attachment loss (4 to 5 mm) among RC. Conclusions: Compliance positively influenced subgingival microbiota and contributed to stability of periodontal clinical status. Regular visits during PMT sustained microbiological benefits provided by APT over a 6-year period.[Costa, Fernando Oliveira; Vieira, Thais Riberal; Miranda Cota, Luis Otavio; Costa, Jose Eustaquio; Ferreira Aguiar, Maria Cassia] Univ Fed Minas Gerais, Sch Dent, Dept Dent Clin Oral Pathol & Oral Surg, Belo Horizonte, MG, Brazil[Cortelli, Sheila Cavalca; Cortelli, Jose Roberto] Universidade de Taubaté (Unitau), Periodont Res Div, Dept Den

Prospective Study in Periodontal Maintenance Therapy: Comparative Analysis Between Academic and Private Practices

Made available in DSpace on 2019-09-12T16:56:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2012Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Background: This prospective study aims to evaluate and compare the periodontal status, periodontitis progression, tooth loss, and influence of predictable risk variables of two periodontal maintenance therapy programs over a 12-month period. Methods: A total of 288 individuals diagnosed with chronic moderate-to-advanced periodontitis, who had finished active periodontal treatment, were evaluated in a public academic environment (AG) (n = 138), as well as in a private clinic (PG) (n = 150). A full-mouth periodontal examination was performed at baseline and at quadrimestral recalls, evaluating plaque index, probing depth, clinical attachment level, furcation involvement, bleeding on probing (BOP), and suppuration. Individuals' social, demographic, and biologic data, as well as compliance with recalls, were recorded. The effect of variables of interest and confounders were tested by univariate and multivariate analysis. Results: The PG demonstrated lower rates of periodontitis progression and tooth loss than did the AG. After adjusting for confounders, the risk variables of BOP (P=0.047), smoking (P = 0.003), and diabetes (P = 0.028) for the PG and smoking (P=0.047) for the AG showed a negative influence on periodontal status. Conclusions: In both groups, the periodontal maintenance therapy minimized the negative effect of the risk variables. However, PG showed significantly less progression of periodontitis and tooth loss compared to AG. J Periodontol 2012;83:301-311.[Costa, Fernando Oliveira; Santuchi, Camila Carvalho; Pereira Lages, Eugenio Jose; Miranda Cota, Luis Otavio; Medeiros Lorentz, Telma Campos; Costa, Jose Eustaquio] Univ Fed Minas Gerais, Dept Periodontol, Sch Dent, BR-31270901 Belo Horizonte, MG, Brazil[Cortelli, Sheila Cavalca; Cortelli, Jose Roberto] Universidade de Taubaté (Unitau), Dept Dent, Periodont Res Div, Sao Paulo, Brazi

Influence of Obesity and Bariatric Surgery on the Periodontal Condition

Made available in DSpace on 2019-09-12T16:56:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2012Fundação de Amparo à Pesquisa do Estado de Minas Gerais (Fapemig)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Background: Recent studies have shown that being overweight or obese is associated with a higher risk of periodontitis. However, the literature offers an insufficient number of published reports regarding the effect of bariatric surgery on oral health. As such, the present study aims to determine the association between periodontal status and being over-weight/obese in prebariatric and postbariatric surgery populations of Brazil. Methods: Three hundred forty-five participants between 18 and 60 years of age, from both sexes, were grouped according to prebariatric or postbariatric surgery and underwent a complete periodontal examination. Biologic, demographic, and behavioral variables were analyzed in a Poisson regression model. Results: Considering the timing of bariatric surgery, the sample was divided into three groups: PRE-OP (preoperative, n = 133), POS-OP1 (postoperative 6 months, n = 140). Regardless of the type of surgery (PRE-OP, POS-OP1, POS-OP2), the prevalence of periodontitis proved to be high (81.45%). There was a statistically significant difference in the prevalence of periodontitis among the PRE-OP, POS-OP1, and POS-OP2 groups (P=0.040). In the Poisson regression model, after adjusting for biologic, demographic, and behavioral risk variables, only bleeding on probing remained significantly associated with the prevalence of periodontitis (P<0.001). Conclusion: Differences in periodontal condition were observed in individuals at different times of the bariatric surgery, showing a high prevalence of periodontitis in both preoperative and postoperative follow-up. J Periodontol 2012;83:257-266.[Costa, Fernando Oliveira] Univ Fed Minas Gerais, Dept Dent Clin Oral Surg & Oral Pathol, BR-31270901 Belo Horizonte, MG, Brazil[Cortelli, Sheila Cavalca; Cortelli, Jose Roberto] Universidade de Taubaté (Unitau), Periodont Res Div, Dept Dent, Sao Paulo, Brazil[Nogueira Guimaraes Abreu, Mauro Henrique] Univ Fed Minas Gerais, Dept Community & Prevent Dent, BR-31270901 Belo Horizonte, MG, Brazil[Girundi, Marcelo Gomes] Trauma One Surg Ctr, Belo Horizonte, MG, Brazi

Oral Impact on Daily Performance, Personality Traits, and Compliance in Periodontal Maintenance Therapy

Made available in DSpace on 2019-09-12T16:56:57Z (GMT). No. of bitstreams: 0 Previous issue date: 2011Fundação de Amparo a Pesquisa do Estado de Minas Gerais (Fapemig) (FAPEMIG-Brazil) [10137]Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Background: To our knowledge, the association between personality traits and oral health impacts on daily activities among patients under periodontal maintenance was not previously evaluated. The present study aims to determine the oral health impacts among regular- and erratic-complier patients and their correlations with personality traits by means of the oral impacts on daily performance (OIDP) and the neuroticism extraversion openness five-factor inventory (NEO FFI-R) instruments. Methods: A total of 58 regular and 58 erratic compliers matched by sex, diabetes, and smoking were recruited from a cohort of 238 participants under periodontal maintenance. Periodontal examinations and questionnaire applications were performed in recalls during a 3-year interval. The influence of variables of interest on the OIDP was evaluated through univariate and multivariate linear regression analyses. Results: The periodontal status of regular compliers was significantly better than that of erratic compliers. Erratic compliers presented higher OIDP scores (36.34 +/- 6.64) compared to regular compliers (30.45 +/- 7.72). Higher scores of neuroticism and conscientiousness (R(2) = 68%; P <0.001) were associated with higher OIDP scores among regular compliers, whereas among erratic compliers, lower scores of neuroticism, higher openness, and extraversion (R(2) = 77%; P = 0.001) were associated with higher OIDP scores. Conclusion: Personality traits, mainly neuroticism, showed significant influences on OIDP among patients under periodontal maintenance. J Periodontol 2011;82:1146-1154.[Costa, Fernando Oliveira; Miranda Cota, Luis Otavio; Pereira Lages, Eugenio Jose; Costa, Jose Eustaquio; Medeiros Lorentz, Telma Campos] Univ Fed Minas Gerais, Dept Periodontol, Sch Dent, BR-31270901 Belo Horizonte, MG, Brazil[Vilela Camara, Gislene Clemente] Pontifical Univ Catholic Minas Gerais, Inst Psychol, Belo Horizonte, MG, Brazil[Cortelli, Sheila Cavalca; Cortelli, Jose Roberto] Universidade de Taubaté (Unitau), Periodont Res Div, Dept Den