Indicación de las distintas técnicas de expansión rápida del paladar quirúrgicamente asistida y comparativa de la estabilidad

La edad del paciente ha sido considerada por la mayoría de autores un parámetro esencial en la elección entre expansión ortopédica y expansión rápida del paladar quirúrgicamente asistida (SARPE) para tratar las discrepancias transversales maxilomandibulares. La mayoría de los autores coinciden en que la edad límite para realizar disyunción ortopédica sin necesidad de intervención quirúrgica son los 15 años de edad. Por lo que la opción terapéutica de elección para la corrección de discrepancias transversales depende principalmente de la madurez esqueletal del paciente y de la magnitud de la discrepancia transversal. Según Silverstein et al. las discrepancias transversales maxilomandibulares menores de 5 mm requieren expansión ortodóncica u ortopédica para su correción, sin embargo discrepancias transversales mayores a 5 mm en pacientes con madurez esqueletal requieren de SARPE

Predictibilidad de la expansión con el sistema Invisalign®

Falta el resumen por incorpora

Radiographic differences observed following apexification vs revascularization in necrotic immature molars and incisors: a follow-up study of 18 teeth

Purpose To evaluate the efectiveness of apexifcation versus revascularization in the treatment of necrotic immature teeth and determine which strategy afords the greatest radiological success rate. Methods An analysis was made of 18 teeth subjected to mineral trioxide aggregate (MTA) apical plugging and regenerative endodontic treatment, assessing healing of the apical lesions and the changes in root dimensions. Results Signifcantly greater root growth was observed with revascularization in terms of the percentage change in length (12.75% at 6 months) and dentin thickness (34.57% at 6 months) (p<0.05). There were no signifcant diferences between the two treatments in terms of the apical healing scores after 6 months of follow-up (p>0.05). Conclusion Apexifcation with an MTA apical plug and pulp regeneration are reliable treatments for non-vital immature teeth. The radiographic outcomes are comparable between the immature teeth subjected to MTA apexifcation versus those subjected to revascularization. The results of the present study indicate a greater increase in root length and width with regenerative endodontic treatment

Efficacy and predictability of maxillary and mandibular expansion with the Invisalign® system

The purpose of this study is to evaluate the efficacy and predictability of upper and lower orthodontic expansion with the Invisalign® system. From a sample of 167 patients; 64 upper and 51 lower arches were randomly selected from patients who had been

Dispositivo de avance máxilo-mandibular en base a anclaje óseo

Dispositivo de avance máxilo-mandibular en base a anclaje óseo que consta de dos bielas (una por cada lado) ancladas directamente sobre dos miniplacas quirúrgicas (una en el maxilar superior y otra en el maxilar inferior). Este tipo de aparatología en base a un dispositivo intermaxilar fijada y no removible permite principalmente tres ventajas respecto a la ortopedia convencional y la actual en base a anclaje esquelético: 1) su acción directa sobre los huesos maxilares; 2) acción terapéutica durante 24 horas, para conseguir un máximo efecto ortopédico en el menor tiempo posible; 3) no dependencia de la colaboración del paciente (factor de fracaso de mayor frecuencia en la literatura).Españ

Apexification with mineral trioxide aggregate plug in the upper anterior teeth: Presentation of three clinical cases

AbstrAct Introduction: the aim is to describe the treatment of three immature permanent incisors associated to apical periodontitis, based on the placement of an apical mineral trioxide aggregate (MtA) plug for apexification. case series: Apexification was carried out by opening the pulp chamber, with debridement of the canal following anesthesia and isolation of the tooth. the canal was filled with pure calcium hydroxide in powder form, dissolved in saline solution for one week, and the aperture was sealed with IrM (Dentsply, Germany). One week later, the calcium hydroxide was removed and an MtA apical plug was positioned, sealing with a humid cotton pellet and IrM (Dentsply, Germany). After setting of the MtA, conventional endodontic treatment was carried out using gutta-percha, with definitive restoration of the tooth. conclusion: All three cases, treated with MtA showed complete apical repair with rounding of the apex at radiographi

Caracterización y uso de las redes sociales en las empresas del sector hotelero en la ciudad de Barranquilla - Colombia

Social networks have generated various changes in promotion and communication strategies in the hotel sector. with the new scenario that caused the covid-19 pandemic. the hotel sector was forced to adapt to the new reality and incorporate new technological strategies for the promotion and communication of its services, offering the client a quick and efficient response to what they demand. the data show that, in general, the efficient use of social networks and travel tech platforms has been of great importance for the promotion and communication of small and medium-sized hotels in the city of Barranquilla, but without a defined strategy of action.Las redes sociales han generado diversos cambios en las estrategias de promoción y comunicación en el sector hotelero. con el nuevo escenario que provoco la pandemia por el covid-19. el sector hotelero se vio obligado adaptarse a la nueva realidad e incorporar nuevas estrategias tecnológicas para la promoción y comunicación de sus servicios ofreciendo al cliente una respuesta rápida y eficiente de lo que demanda. los datos demuestran que, en general, el uso eficiente de redes sociales y plataformas travel tech ha sido de gran importancia para la promoción y comunicación de los hoteles de pequeño y mediano porte en la ciudad de Barranquilla, pero sin una estrategia definida de actuación

Análisis socioambiental de las playas puerto velero y caño dulce en Tubará, atlántico, Colombia

Este trabajo presenta resultados de un proyecto de investigación que tiene por objetivo determinar indicadores sociales y ambientales que afectan la calidad del agua de las playas de Puerto Velero y Caño Dulce en el municipio de Tubará, Atlántico, Colombia. Los monitoreos se realizan una vez al mes en tres puntos a lo largo de las dos playas. Entre octubre de 2012 y abril de 2013, se han realizado siete monitoreos en el aspecto social, de parámetros como: servicios domiciliarios, tenencia de propiedad, impuestos al municipio, número de trabajos en las casetas y ocupación de visitantes; y en lo ambiental los parámetros pH, oxígeno disuelto, conductividad, sólidos disueltos totales, grasas y aceites, coliformes totales y fecales. Los resultados de las mediciones y análisis fisicoquímicos muestran que la calidad del agua en estas playas presenta niveles aceptables, sólo en casos aislados se sobrepasan los límites establecidos por la normativa nacional.This paper presents results of an ongoing research project that aims to determine social and environmental indicators that affect water quality of Puerto Velero beach and Caño Dulce beach in Tubará, Atlántico, Colombia. The monitoring is carried out once a month at three points along the two beaches. So far, 7 monitoring campaigns from October 2012 to April 2013 have been carried out, measuring social aspects as: Residential Services, Possession of Property, the Municipality Tax, and Number of Jobs in the sheds and Occupation of visitors; and environmental parameters like pH, dissolved oxygen, conductivity, total dissolved solids, oils and grease, total and fecal coliforms. The measurements results and physicochemical analyzes show that the water quality at these beaches has acceptable levels, only in specific cases exceed the permissible limits established by national law

Innovación turística y desarrollo regional

Libro que se compila 14 capítulos asociados a las temáticas de innovación y desarrollo tecnológico en el sector turístico, emprendimiento y tecnologías emergentes, políticas estratégicas y tácticas para mejorar la competitividad en las empresas, políticas públicas y educación para el desarrollo regional y responsabilidad social ambientalBook that compiles 14 chapters associated to the themes of innovation and technological development in the tourism sector, entrepreneurship and emerging technologies, strategic and tactical policies to improve competitiveness in companies, public policies and education for regional development and environmental social responsibilityInnovación social como estrategia para el desarrollo de las poblaciones palafíticas de la ciénaga grande de santa marta mediante la oferta de productos turísticos / Gregoria Polo de Lobatón; José Luis Rosenstiehl Martínez; Daulis Lobatón Polo -- Uso de las tic para mejorar la competitividad turística en San Basilio de Palenque / Jesús Llerena Cabrera; Raúl José Martelo Gómez; David Franco Borré -- Plataforma web niu (nuevo, ideas y usados) / Néstor José Ocampo Ardila -- Posicionamiento estratégico del turismo urbano de eventos como atributo de la personalidad del espacio territorial de la ciudad de santa marta / Zuleidy María Ruíz Torres -- Identificación competitiva de la oferta exportadora de la región ariari para fortalecer el desarrollo social y económico en zonas de posconflicto basado en el comercio exterior y logística / Keyla Karina González Martínez -- Tecnologías integradas en gestión sostenible de operadores turísticos en zonas de posconflicto del departamento del meta / Carlos Hernán Cruz Castro; óscar Eduardo Sarmiento Saavedra -- Herramienta online de control de ingresos y facturación: una solución dinámica para las pequeñas y medianas empresas / Esmerlis Camargo Torres; Antonio José González Liñán; Marieth Orcasitas Peñaloza; Yerson Monroy Contreras -- Modelo de cadena productiva dinamizado a través de la educación y las estrategias TIC para el desarrollo regional sostenible en Risaralda / Beatriz Elena Franco Cárdenas; Patricia Henao Montoya; Marco Aurelio Aristizabal Valencia -- Evaluación físico - química de adhesivo de yuca (manihot esculenta) como alternativa comercial para la Orinoquia / Yarithza Molina Caro; Wilfran Hernán Cortes Conde -- Formulaciones nutracéuticas alimenticias para estilos de vida saludables / Daldo Araujo Vidal; Daniel Mendoza Cujia; Maresa Anaya de oro -- Competencias tecnológicas como estrategia formativa en los aprendices de gestión de redes de datos del SENA regional guajira / Carlos Antonio Salas Solano; Alejandro Jesús Osorio Amaya; Alda Pérez Campuzano; Duvan Andrés rondón bravo -- Uso y apropiación del computador como herramienta para las prácticas educativas de los docentes / Alda Pérez Campuzano; Carlos Antonio Salas Solano; Elkin Fuentes Jiménez; Kira Rodríguez Moscote -- El aviturismo como eje transformador de cultura ambiental y desarrollo sustentable / Lina María Gamarra Pineda; Néstor Alejandro Tascón Arias -- Huella ecológica (he), indicador de condición ambiental para evaluar la sostenibilidad en instituciones de educación (ie) / Cristian David Trujillo CardonaPrimera ediciónna169 página

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI &lt;18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For school&#x2;aged children and adolescents, we report thinness (BMI &lt;2 SD below the median of the WHO growth reference) and obesity (BMI &gt;2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit