Antrum Approach Planning for Removal of Impacted Tooth Using Cone-Beam Computed Tomography

Due to the great number of structures in the maxillofacial region, cone-beam computed tomography (CBCT) is an important procedure in presurgical planning for removal of impacted teeth. Most of the information provided by this imaging technique cannot be visualized in conventional radiographs. In addition, CBCT reduces patient exposure to radiation in comparison with helical computed tomography and provides dental practitioners with easy access. We report the clinical case of a patient who underwent a surgical procedure for removal of an impacted maxillary premolar. CBCT-assisted presurgical treatment was used, enabling a more conservative surgical access, a less traumatic and less time consuming procedure than conventional surgical intervention

Effectiveness of a multifactorial falls prevention program in community-dwelling older people when compared to usual care: study protocol for a randomised controlled trial (Prevquedas Brazil)

Background\ud Falling in older age is a major public health concern due to its costly and disabling consequences. However very few randomised controlled trials (RCTs) have been conducted in developing countries, in which population ageing is expected to be particularly substantial in coming years. This article describes the design of an RCT to evaluate the effectiveness of a multifactorial falls prevention program in reducing the rate of falls in community-dwelling older people.\ud \ud Methods/design\ud Multicentre parallel-group RCT involving 612 community-dwelling men and women aged 60 years and over, who have fallen at least once in the previous year. Participants will be recruited in multiple settings in Sao Paulo, Brazil and will be randomly allocated to a control group or an intervention group. The usual care control group will undergo a fall risk factor assessment and be referred to their clinicians with the risk assessment report so that individual modifiable risk factors can be managed without any specific guidance. The intervention group will receive a 12-week Multifactorial Falls Prevention Program consisting of: an individualised medical management of modifiable risk factors, a group-based, supervised balance training exercise program plus an unsupervised home-based exercise program, an educational/behavioral intervention. Both groups will receive a leaflet containing general information about fall prevention strategies. Primary outcome measures will be the rate of falls and the proportion of fallers recorded by monthly falls diaries and telephone calls over a 12 month period. Secondary outcomes measures will include risk of falling, fall-related self-efficacy score, measures of balance, mobility and strength, fall-related health services use and independence with daily tasks. Data will be analysed using the intention-to-treat principle.The incidence of falls in the intervention and control groups will be calculated and compared using negative binomial regression analysis.\ud \ud Discussion\ud This study is the first trial to be conducted in Brazil to evaluate the effectiveness of an intervention to prevent falls. If proven to reduce falls this study has the potential to benefit older adults and assist health care practitioners and policy makers to implement and promote effective falls prevention interventions.\ud \ud Trial registration ClinicalTrials.gov (NCT01698580)The PREVQUEDAS BRAZIL trial is supported by a grant from FAPESP (Sao Paulo Research Foundation, protocol number 12/51216-0).We are grateful to the multidisciplinary team of the Falls Prevention Program (Programa de Prevenção de Quedas do Hospital das Clínicas da FMUSP – PPQ) for providing their clinical and research support (Valmari Cristina Aranha, Maria Aquimara Zambone) and Luiz Eugenio Garcez Leme and Julia Maria D’Andrea Greve for providing institutional support.Salaries for CS and AT are funded by Australian National Health and Medical Research Council Fellowships

O novo velho enfoque da informação contábil

O eixo temático deste trabalho é mostrar a necessidade de se resgatar a relevância das informações contábeis no processo de gerenciamento das organizações. Ao distinguir os diferentes enfoques da Contabilidade Gerencial e Financeira e relatar as constatações de uma pesquisa de campo, aponta, também, desafios que, se bem trabalhados, poderão representar um precioso estímulo para o profissional da área contábil. Desse modo, pretende provocar uma reflexão nesse setor profissional em geral e, em particular, nos meios acadêmicos, responsáveis pela formação desses profissionais. A premissa fundamental deste trabalho é que a Contabilidade representa um instrumento gerencial por excelência e não apenas um procedimento para apuração de impostos.This paper demonstrates the need to rescue the relevance of accounting information for the organizational management process. In distinguishing the various foci of managerial and financial accounting and discussing the results of a field research, the study also points out challenges that, if seriously considered, may represent a valuable stimulus for accounting professionals. Thus, it aims at fostering a reflection in this professional sector in general and particularly in the academic sphere, which is in charge of qualifying these professionals. The fundamental premise of the study is that accounting is not just a tax assessment procedure, but a management tool par excellence

Um plano de marketing para a contabilidade

O público em geral tem acompanhado a recente evolução da Contabilidade? Qual a imagem que esta tem perante o público? De acordo com pesquisa realizada na FEA/USP, há uma certa distância entre o que o público em geral conhece das funções e atributos de um contador e sua atual realidade. Existe ainda uma forte imagem do Contador envolvido com as funções tradicionais de um escritório contábil. Entretanto, a Contabilidade tem demonstrado grandes avanços em diversos campos de especialização, tais como a Gerencial, a Internacional e a Estratégica, entre outros. Este artigo procurou explorar a hipótese de que está ocorrendo um problema de posicionamento "marca" Contabilidade na mente das pessoas, tratando o assunto através de ferramentas de Marketing

Doença vestibular e disautonomia Vestibular disorder and autonomic dysfunction

Santa Casa de São PauloUNIFESP departamento de Otorrinolaringologia e Cabeça e PescoçoUNIFESPUIFESP-EPM Departamento de Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUIFESP-EPM Departamento de Otorrinolaringologia e Cirurgia disciplina de OtoneurologiaUNIFESP, Depto. de Otorrinolaringologia e Cabeça e PescoçoUNIFESPUIFESP-EPM Depto. de Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUIFESP-EPM Depto. de Otorrinolaringologia e Cirurgia disciplina de OtoneurologiaSciEL

Densidade de plantas e produção de amendoim Plant density and peanut yield

Para estudar o efeito da densidade de plantas sobre a produção de vagens e seus componentes na cultura do amendoim cv. Tatu, em solos com diferentes fertilidades, foram realizados três experimentos, em condições de campo, no município de Pontal, SP, em um Latossolo Roxo, em anos agrícolas distintos, no cultivo das águas. As densidades estudadas foram 5, 8, 11, 14, 17, 20, 23 e 26 plantas por metro, em espaçamento de 0,60 m entre linhas. O componente de produção responsável pela variação da produção de vagens por planta foi o número de vagens, tendo diminuído com o aumento da densidade de plantas. Nas maiores densidades de plantas, as produções por planta foram menores, todavia devido à maior população de plantas, foram obtidas nestas as maiores produtividades de vagens. Produtividades de vagens, sem perdas significativas em relação às maiores densidades, foram obtidas nas densidades de 14 plantas por metro em solo de alta fertilidade e de 11 plantas por metro em solos de média/baixa fertilidades, que originaram, respectivamente, 12,92, 10,67 e 10,93 plantas por metro à colheita.<br>The effect of plant density on peanut (Arachis hypogaea L.) yield, cv. ‘Tatu’, was studied in soils of various fertility levels. Three experiments were carried out under field conditions, on a soil classified as Oxisol, at Pontal, SP, Brazil, during the wet seasons of 1987-88, 1988-89 and 1989-90. The densities studied were 5, 8, 11, 14, 17, 20, 23 and 26 plants per meter of row, with a row spacing of 0.60 m. The yield component responsible for the variation of pod production per plant was number of pods per plant, which decreased with increasing plant density. However, the low pod production per plant under high plant densities was compensated by the high population of plants, with high yield. Thus, good pod yield, without significant losses in relation to the highest densities, were obtained at the density of 14 plants per meter for the high fertility soil, and 11 plants per meter for the middle and low fertility soils, resulting, respectively, in 12.92, 10.67 and 10.93 plants per meter at harvest time