Three-dimensional analysis of jaw kinematic alterations in patients with chronic TMD - disc displacement with reduction

The study investigated whether chronic TMD patients with disc displacement with reduction (DDR), performing non-assisted maximum jaw movements, presented any changes in their mandibular kinematics with respect to an age-matched control group. Moreover, it was examined whether jaw kinematics and a valid clinic measure of oro-facial functional status have significant associations. Maximum mouth opening, mandible protrusion and bilateral laterotrusions were performed by 20 patients (18 women, 2 men; age, 18-34 years) and 20 healthy controls (17 women, 3 men; age, 20-31 years). The three-dimensional coordinates of their mandibular interincisor and condylar reference points were recorded by means of an optoelectronic motion analyser and were used to quantitatively assess their range of motion, velocity, symmetry and synchrony. Three functional indices (opening-closing, mandibular rototranslation, laterotrusion - right and left - and protrusion) were devised to summarise subject's overall performance, and their correlation with the outcome of a clinical protocol, the oro-facial myofunctional evaluation with scores (OMES), was investigated. TMD patients were able to reach maximum excursions of jaw movements comparable to healthy subjects' performances. However, their opening and closing mandibular movements were characterised by remarkable asynchrony of condylar translation. They had also reduced jaw closing velocity and asymmetric laterotrusions. The functional indices proved to well summarise the global condition of jaw kinematics, highlighting the presence of alterations in TMD-DDR patients, and were linearly correlated with the oro-facial functional status. The jaw kinematic alterations seem to reflect both oro-facial motor behaviour adaptation and a DDR-related articular impairment

Hydrogen-Helium Mixtures at High Pressure

The properties of hydrogen-helium mixtures at high pressure are crucial to address important questions about the interior of Giant planets e.g. whether Jupiter has a rocky core and did it emerge via core accretion? Using path integral Monte Carlo simulations, we study the properties of these mixtures as a function of temperature, density and composition. The equation of state is calculated and compared to chemical models. We probe the accuracy of the ideal mixing approximation commonly used in such models. Finally, we discuss the structure of the liquid in terms of pair correlation functions.Comment: Proceedings article of the 5th Conference on Cryocrystals and Quantum Crystals in Wroclaw, Poland, submitted to J. Low. Temp. Phys. (2004

Dificuldades Enfrentadas Pelos Indígenas Durante A Permanência Em Uma Casa De Saúde Indígena Na Região Amazônica/brasil

The National Policy of Health Care to the Indigenous Peoples (PNASI) was established by the Ministry of Health restructuring the Primary Care to Indigenous Health, following the principles and guidelines from the Unified Health System (SUS). This study aims to identify the difficulties faced by the indigenous peoples during the stay in the Indigenous Health Center (Casai) in Santarém (PA), in the Amazon region. It is an exploratory qualitative study, whose approach was through semi-structured interviews, recorded and transcribed, with 15 indigenous people from five ethnic groups, assisted by the Casai (Mawayana, Tunayana, Wai-wai, Tiriyó and Katwena), with help from a translator acquainted with the dialects. We used the content analysis arising from thematic categories: the difficulties faced during the adaptation period in the Casai/Santarém, the feeling about leaving the indigenous land and the perspectives regarding the improvements during the stay. We consider that, despite the increasing changes and advances in indigenous health in Brazil, improvements that can truly meet the health peculiarities of each ethnic group are necessary. © 2016, UNIV SAOPAULO. All rights reserved.25492092

Validity And Reliability Of A Self-efficacy Expectancy Scale For Adherence To Antiretroviral Therapy For Parents And Carers Of Children And Adolescents With Hiv/aids [validação E Reprodutibilidade De Uma Escala De Auto-eficácia Para Adesão Ao Tratamento Anti-retroviral Em Pais Ou Cuidadores De Crianças E Adolescentes Vivendo Com Hiv/aids]

Objective: To validate and evaluate the reproducibility of a self-efficacy (SE) scale for adherence to antiretroviral therapy in children and adolescents with HIV/AIDS, taking into account the perspective of parents/guardians. Methods: The study was carried out at the Hospital-Dia, Centro de Referência e Treinamento em DST/AIDS (CRT/SP), in São Paulo, Brazil. The parents/guardians of 54 children and adolescents aged 6 months to 20 years were interviewed during routine consultations at our service. Data on SE were collected using the Self-Efficacy for Following Anti-Retroviral Prescription Scale, and SE scores were calculated in two different ways: factor analysis and a predefined formula. The scale's internal consistency was verified using Cronbach's α coefficient. Validity was tested by comparing the mean scores of a group of patients who did adhere to antiretroviral treatment with those of a group that did not (Mann-Whitney test) and by calculating the Spearman correlation coefficient for agreement between scores and clinical parameters. Reproducibility was verified using the Wilcoxon test, intraclass correlation coefficients (ricc) and Bland-Altman plots. Results: The SE scale demonstrated good internal consistency (α = 0.87) and good reproducibility (r icc = 0.69 and r icc = 0.75). In terms of validity, the SE scale was capable of differentiating adherent patients from those who did not adhere to their antiretroviral treatment (p = 0.002) and exhibited a significant correlation with CD4 counts (r = 0.28; p = 0.04). Conclusions: The SE scale can be used to assess adherence to antiretroviral therapy in children and adolescents with HIV/AIDS, taking into account the perspective of parents/carers. Copyright © 2008 by Sociedade Brasileira de Pediatria.8414146Matida, L.H., da Silva, M.H., Tayra, A., Succi, R.C., Gianna, M.C., Gonçalves, A., Prevention of mother-to-child transmission of HIV in São Paulo State, Brazil: An update (2005) AIDS, 19 (SUPPL. 4), pp. S37-S41Gibb, D.M., Goodall, R.L., Giacomet, V., McGee, L., Compagnucci, A., Lyall, H., Paediatric European Network for Treatment of Aids Steering Committee. Adherence to prescribed antiretroviral therapy in human immunodeficiency virus-infected children in the PENTA 5 trial (2003) Pediatr Infect Dis J, 22, pp. 56-62Pluciennik, A.M., (2003) Transmissão materno infantil do vírus da imunodeficiência humana adquirida: Quanto custa não prevenir [tese], , São Paulo: Faculdade de Saúde Pública da USP;Dyke, R.B.V., Lee, S., Johnson, G.M., Wiznia, A., Mohan, K., Stanley, K., Reported adherence as a determinant of response to highly active antiretroviral therapy in children who have human immunodeficiency virus infection (2002) Pediatrics, 109 (4), pp. 1-7Starace, F., Massa, A., Amico, K.R., Fisher, J.D., Adherence to antiretroviral therapy: An empirical test of the information-motivation-behavioral skills model (2006) Health Psychol, 25, pp. 153-162Shah, C.A., Adherence to high activity antiretroviral therapy (HAART) in pediatric patients infected with HIV: Issues and interventions (2007) Indian J Pediatr, 74, pp. 55-60Leite, J.C., Drachler, M.L., Centeno, M.O., Pinheiro, C.A., Silveira, V.L., Desenvolvimento de uma escala de auto-eficácia para adesão ao tratamento anti-retroviral. (2002) Psicol Reflex Crit, 15, pp. 121-133Bandura, A., Self-efficacy: Toward a unifying theory of behavioral change (1977) Psychol Rev, 84, pp. 191-215Gortmaker SL, Lenderking WR, Clark C, Lee S, Fowler MG, Oleske JMThe ACTG 219 Team. Development and use of a pediatric quality of life questionnaire in AIDS clinical trials: reliability and validity of the general health assessment for children. In: Drotar D. Measuring health-related quality of life in children and adolescents: implications for research and practice. Mahwah, NJ: Lawrence Erlbaum Associates1998. p. 219-35Eiser, C., Morse, R., Quality-of-life measures in chronic diseases of childhood (2001) Health Technol Assess, 5, pp. 1-95Streiner, D.L., Norman, G.R., (2003) Health measurement scales: A practical guide to their development and use, , 3rd ed. Oxford: Oxford University Press;Drotar D, Levi R. Critical issues and needs in health-related quality of life assessment of children and adolescents with chronic health condition. In: Drotar D. Measuring health-related quality of life in children and adolescents: implications for research and practice. Mahwah, NJ: Lawrence Erlbaum Associates1998. p. 3-2

An update on global mining land use

The growing demand for minerals has pushed mining activities into new areas increasingly affecting biodiversity-rich natural biomes. Mapping the land use of the global mining sector is, therefore, a prerequisite for quantifying, understanding and mitigating adverse impacts caused by mineral extraction. This paper updates our previous work mapping mining sites worldwide. Using visual interpretation of Sentinel-2 images for 2019, we inspected more than 34,000 mining locations across the globe. The result is a global-scale dataset containing 44,929 polygon features covering 101,583 km2 of large-scale as well as artisanal and small-scale mining. The increase in coverage is substantial compared to the first version of the dataset, which included 21,060 polygons extending over 57,277 km2. The polygons cover open cuts, tailings dams, waste rock dumps, water ponds, processing plants, and other ground features related to the mining activities. The dataset is available for download from https://doi.org/10.1594/PANGAEA.942325 and visualisation at www.fineprint.global/viewer

Ferromagnetism in Oriented Graphite Samples

We have studied the magnetization of various, well characterized samples of highly oriented pyrolitic graphite (HOPG), Kish graphite and natural graphite to investigate the recently reported ferromagnetic-like signal and its possible relation to ferromagnetic impurities. The magnetization results obtained for HOPG samples for applied fields parallel to the graphene layers - to minimize the diamagnetic background - show no correlation with the magnetic impurity concentration. Our overall results suggest an intrinsic origin for the ferromagnetism found in graphite. We discuss possible origins of the ferromagnetic signal.Comment: 11 figure

Genome-wide association study of metabolic traits reveals novel gene-metabolite-disease links.

Metabolic traits are molecular phenotypes that can drive clinical phenotypes and may predict disease progression. Here, we report results from a metabolome- and genome-wide association study on (1)H-NMR urine metabolic profiles. The study was conducted within an untargeted approach, employing a novel method for compound identification. From our discovery cohort of 835 Caucasian individuals who participated in the CoLaus study, we identified 139 suggestively significant (P<5×10(-8)) and independent associations between single nucleotide polymorphisms (SNP) and metabolome features. Fifty-six of these associations replicated in the TasteSensomics cohort, comprising 601 individuals from São Paulo of vastly diverse ethnic background. They correspond to eleven gene-metabolite associations, six of which had been previously identified in the urine metabolome and three in the serum metabolome. Our key novel findings are the associations of two SNPs with NMR spectral signatures pointing to fucose (rs492602, P = 6.9×10(-44)) and lysine (rs8101881, P = 1.2×10(-33)), respectively. Fine-mapping of the first locus pinpointed the FUT2 gene, which encodes a fucosyltransferase enzyme and has previously been associated with Crohn's disease. This implicates fucose as a potential prognostic disease marker, for which there is already published evidence from a mouse model. The second SNP lies within the SLC7A9 gene, rare mutations of which have been linked to severe kidney damage. The replication of previous associations and our new discoveries demonstrate the potential of untargeted metabolomics GWAS to robustly identify molecular disease markers