Industrial Internet of Things over 5G: A Practical Implementation.

The next generation of mobile broadband communication, 5G, is seen as a driver for the industrial Internet of things (IIoT). The expected 5G-increased performance spanning across different indicators, flexibility to tailor the network to the needs of specific use cases, and the inherent security that offers guarantees both in terms of performance and data isolation have triggered the emergence of the concept of public network integrated non-public network (PNI-NPN) 5G networks. These networks might be a flexible alternative for the well-known (albeit mostly proprietary) Ethernet wired connections and protocols commonly used in the industry setting. With that in mind, this paper presents a practical implementation of IIoT over 5G composed of different infrastructure and application components. From the infrastructure perspective, the implementation includes a 5G Internet of things (IoT) end device that collects sensing data from shop floor assets and the surrounding environment and makes these data available over an industrial 5G Network. Application-wise, the implementation includes an intelligent assistant that consumes such data to generate valuable insights that allow for the sustainable operation of assets. These components have been tested and validated in a real shop floor environment at Bosch Termotecnologia (Bosch TT). Results show the potential of 5G as an enhancer of IIoT towards smarter, more sustainable, green, and environmentally friendly factories.

Planning and Optimization of Software-Defined and Virtualized IoT Gateway Deployment for Smart Campuses.

The Internet of Things (IoT) is based on objects or "things" that have the ability to communicate and transfer data. Due to the large number of connected objects and devices, there has been a rapid growth in the amount of data that are transferred over the Internet. To support this increase, the heterogeneity of devices and their geographical distributions, there is a need for IoT gateways that can cope with this demand. The SOFTWAY4IoT project, which was funded by the National Education and Research Network (RNP), has developed a software-defined and virtualized IoT gateway that supports multiple wireless communication technologies and fog/cloud environment integration. In this work, we propose a planning method that uses optimization models for the deployment of IoT gateways in smart campuses. The presented models aimed to quantify the minimum number of IoT gateways that is necessary to cover the desired area and their positions and to distribute IoT devices to the respective gateways. For this purpose, the communication technology range and the data link consumption were defined as the parameters for the optimization models. Three models are presented, which use LoRa, Wi-Fi, and BLE communication technologies. The gateway deployment problem was solved in two steps: first, the gateways were quantified using a linear programming model; second, the gateway positions and the distribution of IoT devices were calculated using the classical K-means clustering algorithm and the metaheuristic particle swarm optimization. Case studies and experiments were conducted at the Samambaia Campus of the Federal University of Goiás as an example. Finally, an analysis of the three models was performed, using metrics such as the silhouette coefficient. Non-parametric hypothesis tests were also applied to the performed experiments to verify that the proposed models did not produce results using the same population.

Desempenho Diagnóstico da Angiotomografia Computadorizada e da Avaliação Seriada de Troponina Cardíaca Sensível em Pacientes com Dor Torácica e Risco Intermediário para Eventos Cardiovasculares / Diagnostic Performance of Coronary Tomography Angiography and Serial Measurements of Sensitive Cardiac Troponin in Patients With Chest Pain and Intermediate Risk for Cardiovascular Events

Resumo Fundamento A angiotomografia coronária (ATC) tem sido usada para avaliação de dor torácica principalmente em pacientes de baixo risco, e poucos dados existem com pacientes em risco intermediário. Objetivo Avaliar o desempenho de medidas seriadas de troponinas sensíveis e de ATC em pacientes de risco intermediário. Métodos Um total de 100 pacientes com dor torácica, TIMI score 3 ou 4 e troponina negativa foram prospectivamente incluídos. Todos os pacientes foram submetidos à ATC, e aqueles com obstruções ≥ 50% foram encaminhados à cineangiocoronariografia. Pacientes com lesões < 50% recebiam alta hospitalar, receberam alta e foram contatados 30 dias depois por telefonema para avaliação dos desfechos clínicos. Os desfechos foram hospitalização, morte, e infarto agudo do miocárdio em 30 dias. A comparação entre os métodos foi realizada pelo teste de concordância kappa. O desempenho das medidas de troponina e da ATC na detecção de lesões coronárias significativas e desfechos clínicos foi calculado. Os resultados foram considerados estatisticamente significativos quando p <0,05. Resultados Estenose coronária ≥ 50% na ATC foi encontrada em 38% dos pacientes e lesões coronárias significativas na angiografia coronária foram encontradas em 31 pacientes. Dois eventos clínicos foram observados. A análise de concordância Kappa mostrou baixa concordância entre as medidas de troponina e ATC na detecção de lesões coronárias significativas (kappa = 0,022, p = 0,78). O desempenho da ATC para detectar lesões coronárias significativas na angiografia coronária ou para prever eventos clínicos em 30 dias foi melhor que as medidas de troponina sensível (acurácia de 91% versus 60%). Conclusão ATC teve melhor desempenho que as medidas seriadas de troponina na detecção de doença coronariana significativa em pacientes com dor torácica e risco intermediário para eventos cardiovasculares.

Abstract Background Coronary tomography angiography (CTA) has been mainly used for chest pain evaluation in low-risk patients, and few data exist regarding patients at intermediate risk. Objective To evaluate the performance of serial measures of sensitive troponin and CTA in intermediate-risk patients. Methods A total of 100 patients with chest pain, TIMI risk scores of 3 or 4, and negative troponin were prospectively included. All patients underwent CTA and those with coronary stenosis ≥ 50% were referred to invasive coronary angiography. Patients with coronary lesions <50% were discharged and contacted 30 days later by a telephone call to assess clinical outcomes. Outcomes were hospitalization, death, and myocardial infarction at 30 days. The comparison between methods was performed by Kappa agreement test. The performance of troponin measures and CTA for detecting significant coronary lesions and clinical outcomes was calculated. Results were considered statistically significant when p < 0.05. Results Coronary stenosis ≥ 50% on CTA was found in 38% of patients and significant coronary lesions on coronary angiography were found in 31 patients. Two clinical events were observed. Kappa agreement analysis showed low agreement between troponin measures and CTA in the detection of significant coronary lesions (kappa = 0.022, p = 0.78). The performance of CTA for detecting significant coronary lesions on coronary angiography or for predicting clinical events at 30 days was better than sensitive troponin measures (accuracy of 91% versus 60%). Conclusion CTA performed better than sensitive troponin measures in the detection of significant coronary disease in patients with chest pain and intermediate risk for cardiovascular events.

Development and Characterization of a Hydrogel Containing Silver Sulfadiazine for Antimicrobial Topical Applications. Part II: Stability, Cytotoxicity and Silver Release Patterns

Abstract Hydrogels are interesting for use in the treatment of topical wounds due to their virtually zero toxicity, and capacity for extended release of pharmaceuticals. Silver sulfadiazine (SSDZ) is the drug of choice in the treatment of skin burns. The aim of the study was to determine cytotoxicity, antimicrobial activity and stability of a PVA hydrogel with integrated silver sulfadiazine. SSDZ-hydrogels were prepared using 10% (w/w) PVA (either 89% or 99% hydrolyzed) and 1% (w/w) silver sulfadiazine. Cellular viability was assessed via MTS assays, antimicrobial activity via disk-diffusion and accelerated stability tests were carried out with analysis at 0, 30, 60, 90 and 180 days of storage at 40 ± 2 °C and a relative humidity of 75 ± 5%. The parameters evaluated included organoleptic characteristics, moisture, swelling ability, mechanical strength, FTIR, XRD, TGA and DSC, and silver release patterns via XRD and potentiometry. Cell viability tests indicated some cytotoxicity, although within acceptable levels. After 90 days of storage, SSDZ hydrogel samples exhibited a brown coloration, probably due to the formation of Ag or Ag2O nanoparticles. The SSDZ-loaded hydrogels suffered visual and physical changes; however, these changes did not compromise its use as occlusive wound dressings or its antimicrobial properties.

Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil

ABSTRACT Chagas disease is among the 21 neglected diseases according to the World Health Organization. This study aimed to investigate the morbidity and mortality distribution of Chagas disease for identifying areas with greater prevalences and deaths of the disease in Northeast Brazil. A population-based ecological study was performed from 2016 to 2018 using data on acute Chagas disease patients from the Disease Notification Information System, chronic cases from the Chagas Disease and the referral Heart Failure Outpatient Clinic in Pernambuco, and Chagas disease-related mortality from the Mortality Information System. The unit of analysis were Pernambuco State mesoregions. The indicators were spatialized into thematic maps on the occurrence and mortality of the disease per 100,000 inhabitants. No cases of acute disease were reported in the period analyzed. Data on 801 chronic Chagas disease patients were analyzed. The population showed an average age of 62 years, with female predominance. The most prevalent comorbidity was systemic arterial hypertension and cardiologic involvement without ventricular dysfunction. The average chronic disease occurrence rate was 3.2/ 100,000 people/ year. As for deaths in the mortality system; in total, 350 deaths were recorded, showing male predominance, age ≥ 60 years, and chronic disease with cardiac involvement as the main mortality cause. The annual average mortality proportion was 1.6/100,000 people. The chronic case distribution showed spatial heterogeneity, with the highest rates of chronic disease and deaths observed in two mesoregions, with the main cause of death being heart-related. This highlights the need for more specialized services in areas with higher burden of the disease to avoid delay in the patients' care.

Flight Planning Optimization of Multiple UAVs for Internet of Things.

This article presents an approach to autonomous flight planning of Unmanned Aerial Vehicles (UAVs)-Drones as data collectors to the Internet of Things (IoT). We have proposed a model for only one aircraft, as well as for multiple ones. A clustering technique that extends the scope of the number of IoT devices (e.g., sensors) visited by UAVs is also addressed. The flight plan generated from the model focuses on preventing breakdowns due to a lack of battery charge to maximize the number of nodes visited. In addition to the drone autonomous flight planning, a data storage limitation aspect is also considered. We have presented the energy consumption of drones based on the aerodynamic characteristics of the type of aircraft. Simulations show the algorithm's behavior in generating routes, and the model is evaluated using a reliability metric.

TIP4.0: Industrial Internet of Things Platform for Predictive Maintenance.

Industry 4.0, allied with the growth and democratization of Artificial Intelligence (AI) and the advent of IoT, is paving the way for the complete digitization and automation of industrial processes. Maintenance is one of these processes, where the introduction of a predictive approach, as opposed to the traditional techniques, is expected to considerably improve the industry maintenance strategies with gains such as reduced downtime, improved equipment effectiveness, lower maintenance costs, increased return on assets, risk mitigation, and, ultimately, profitable growth. With predictive maintenance, dedicated sensors monitor the critical points of assets. The sensor data then feed into machine learning algorithms that can infer the asset health status and inform operators and decision-makers. With this in mind, in this paper, we present TIP4.0, a platform for predictive maintenance based on a modular software solution for edge computing gateways. TIP4.0 is built around Yocto, which makes it readily available and compliant with Commercial Off-the-Shelf (COTS) or proprietary hardware. TIP4.0 was conceived with an industry mindset with communication interfaces that allow it to serve sensor networks in the shop floor and modular software architecture that allows it to be easily adjusted to new deployment scenarios. To showcase its potential, the TIP4.0 platform was validated over COTS hardware, and we considered a public data-set for the simulation of predictive maintenance scenarios. We used a Convolution Neural Network (CNN) architecture, which provided competitive performance over the state-of-the-art approaches, while being approximately four-times and two-times faster than the uncompressed model inference on the Central Processing Unit (CPU) and Graphical Processing Unit, respectively. These results highlight the capabilities of distributed large-scale edge computing over industrial scenarios.

A Standard-Based Internet of Things Platform and Data Flow Modeling for Smart Environmental Monitoring.

The environment consists of the interaction between the physical, biotic, and anthropic means. As this interaction is dynamic, environmental characteristics tend to change naturally over time, requiring continuous monitoring. In this scenario, the internet of things (IoT), together with traditional sensor networks, allows for the monitoring of various environmental aspects such as air, water, atmospheric, and soil conditions, and sending data to different users and remote applications. This paper proposes a Standard-based Internet of Things Platform and Data Flow Modeling for Smart Environmental Monitoring. The platform consists of an IoT network based on the IEEE 1451 standard which has the network capable application processor (NCAP) node (coordinator) and multiple wireless transducers interface module (WTIM) nodes. A WTIM node consists of one or more transducers, a data transfer interface and a processing unit. Thus, with the developed network, it is possible to collect environmental data at different points within a city landscape, to perform analysis of the communication distance between the WTIM nodes, and monitor the number of bytes transferred according to each network node. In addition, a dynamic model of data flow is proposed where the performance of the NCAP and WTIM nodes are described through state variables, relating directly to the information exchange dynamics between the communicating nodes in the mesh network. The modeling results showed stability in the network. Such stability means that the network has capacity of preserve its flow of information, for a long period of time, without loss frames or packets due to congestion.

Electrophoretic mobility shift as a molecular beacon-based readout for miRNA detection.

MicroRNAs are short, non-coding RNA sequences involved in gene expression regulation. Quantification of miRNAs in biological fluids involves time consuming and laborious methods such as Northern blotting or PCR-based techniques. Molecular beacons (MB) are an attractive means for rapid detection of miRNAs, although the need for sophisticated readout methods limits their use in research and clinical settings. Here, we introduce a novel method based on delayed electrophoretic mobility, as a quantitative means for detection of miRNAs-MB hybridization. Upon hybridization with the target miRNAs, MB form a fluorescent duplex with reduced electrophoretic mobility, thus bypassing the need for additional staining. In addition to emission of light, the location of the fluorescent band on the gel acts as an orthogonal validation of the target identity, further confirming the specificity of binding. The limit of detection of this approach is approximately 100 pM, depending on the MB sequence. The method is sensitive enough to detect specific red blood cell miRNAs molecules in total RNA, with single nucleotide specificity. Altogether, we describe a rapid and affordable method that offers sensitive detection of single-stranded small DNA and RNA sequences.

Light, temperature and sowing depth on germination of garden spurge / Efeito da luz, temperatura e profundidade de semeadura na germinação de erva-de-santa-luzia

ABSTRACT: Knowledge on weed biology and ecology is fundamental to provide suitable control practices in weed management systems. The objective of this research was to understand the effect of light and temperature on germination of Chamaesyce hirta, as well as to evaluate the effect of depth of seed placement in the soil in the emergence of the plant. Two experiments were conducted. In the first one, in the laboratory, the seeds were placed to germinate in plastic boxes and kept in a B.O.D. germination chamber, under constant temperatures of 20, 25, 30 and 35 ºC, either in the dark or under continuous light. Daily germination assessments were performed. The percentage of germinated seeds in the 10-day period and the germination speed index (GSI) were calculated. In the second trial, carried out in greenhouse conditions, 100 seeds were planted, under six levels of seeding depth (0, 1, 2, 3, 4 and 5 cm) and three soil cover conditions: no straw, under black oats (Avena strigosa) straw and under corn (Zea mays) straw. Daily plant emergence was counted along 30 days and total emergence and GSI were calculated. Germination of C. hirta seeds occurs both in the presence and absence of light. For the highest temperature, both increased germination and GSI were reported in the presence of light. The highest levels of emergence were obtained with the absence of plant cover and under corn straw at 0 cm depth. The presence of black oat straw on the soil reduced the emergence of C. hirta.

RESUMO: O conhecimento a respeito da biologia e ecologia das plantas daninhas é fundamental para a adoção de práticas de controle adequadas dentro dos sistemas de manejo. O objetivo do trabalho foi avaliar o efeito da luz e da temperatura na germinação de Chamaesyce hirta, e o efeito de profundidade de semeadura na emergência das plantas, com a presença e ausência de cobertura vegetal no solo. Foram instalados dois experimentos. No primeiro, conduzido em laboratório, as sementes foram colocadas para germinar em caixas plásticas, do tipo "gerbox", e mantidas em câmara de germinação do tipo B.O.D., sob temperaturas constantes de 20, 25, 30 e 35 ºC no escuro ou sob luz contínua. Foram realizadas avaliações diárias de germinação. Calculou-se a porcentagem total de sementes germinadas no período de 10 dias e o índice de velocidade de germinação (IVG). No segundo, conduzido em casa-de-vegetação, 100 sementes foram colocadas em vasos com solo, sob seis níveis de profundidade de semeadura (0, 1, 2, 3, 4 e 5 cm) e três condições de cobertura do solo: sem palhada, com palha de aveia-preta (Avena strigosa) e com palha de milho (Zea mays). A emergência das plântulas foi registrada diariamente por um período de 30 dias, calculando-se a porcentagem total de emergência para cada tratamento e o índice de velocidade de emergência (IVE). A germinação das sementes de C. hirta ocorreu tanto na presença quanto na ausência de luz. Para a temperatura mais elevada houve maior porcentagem de germinação, bem como maior IVG, na presença de luz. Os maiores níveis de emergência ocorreram na ausência de cobertura vegetal e sob palhada de milho na profundidade de 0 cm. A presença de palha de aveia-preta sobre o solo reduziu a emergência de C. hirta, mostrando-se como uma boa medida de controle cultural.

Atitudes Sociais de Agentes Educacionais em Relação à Inclusão e à Formação em Análise do Comportamento Aplicada / Social Attitudes of Educational Agents Towards Inclusion and Training in Applied Behavior Analysis

RESUMO: As atitudes sociais dos agentes educacionais podem influenciar o desenvolvimento de práticas inclusivas no contexto escolar. Considerando os principais desafios da inclusão escolar de estudantes com Transtorno do Espectro Autista (TEA) na rede regular de ensino, esta pesquisa teve como objetivo avaliar atitudes sociais de agentes educacionais formais e informais em relação à inclusão antes e após um programa de formação em Educação Especial e Inclusiva fundamentado na Análise do Comportamento Aplicada. Participaram 52 agentes educacionais. O programa foi composto por encontros de discussões teóricas, atividades práticas e leitura dirigida sobre Educação Especial e Inclusiva e sobre estratégias analítico-comportamentais para intervenção. As atitudes sociais em relação à inclusão foram mensuradas por meio da Escala Likert de Atitudes Sociais em relação à inclusão antes e após a formação. O teste de Wilcoxon apontou diferença estatisticamente significante entre os escores do pré-teste e pós-teste (p = 0,003). Foram discutidas as implicações do programa formativo proposto sobre as possibilidades de desenvolvimento de um ambiente escolar inclusivo, uma vez que essa capacitação resultou em atitudes sociais mais favoráveis dos cursistas em relação à inclusão.

ABSTRACT: The social attitudes of educational agents can influence the development of inclusive practices in the school context. Considering the main challenges of school inclusion of students with Autism Spectrum Disorder (ASD) in the regular school system, this research aimed to evaluate the social attitudes of formal and informal educational agents concerning inclusion, before and after a program of training in Special and Inclusive Education, based on the Applied Behavior Analysis. Fifty-two educational agents participated. The program was composed of meetings for theoretical discussions, practical activities, and guided reading on Special and Inclusive Education and analytical-behavioral strategies for intervention. Social attitudes toward inclusion were measured through the Likert Scale of Social Attitudes toward Inclusion before and after the training. Wilcoxon's test revealed a statistically significant difference between the pre-test scores and post-test scores (p = 0.003). The implications of the proposed training program on the possibilities for the development of an inclusive school environment were discussed, since this training resulted in more favorable social attitudes of the educators toward inclusion.

Role of FAK signaling in chagasic cardiac hypertrophy

Abstract Cardiac hypertrophy and dysfunction are a significant complication of chronic Chagas disease, with heart failure, stroke, and sudden death related to disease progression. Thus, understanding the signaling pathways involved in the chagasic cardiac hypertrophy may provide potential targets for pharmacological therapy. Herein, we investigated the implication of focal adhesion kinase (FAK) signaling pathway in triggering hypertrophic phenotype during acute and chronic T. cruzi infection. C57BL/6 mice infected with T. cruzi (Brazil strain) were evaluated for electrocardiographic (ECG) changes, plasma levels of endothelin-1 (ET-1) and activation of signaling pathways involved in cardiac hypertrophy, including FAK and ERK1/2, as well as expression of hypertrophy marker and components of the extracellular matrix in the different stages of T. cruzi infection (60-210 dpi). Heart dysfunction, evidenced by prolonged PR interval and decrease in heart rates in ECG tracing, was associated with high plasma ET-1 level, extracellular matrix remodeling and FAK signaling activation. Upregulation of both FAK tyrosine 397 (FAK-Y397) and serine 910 (FAK-S910) residues phosphorylation as well as ERK1/2 activation, lead to an enhancement of atrial natriuretic peptide gene expression in chronic infection. Our findings highlight FAK-ERK1/2 signaling as a regulator of cardiac hypertrophy in Trypanosoma cruzi infection. Both mechanical stress, induced by cardiac extracellular matrix (ECM) augment and cardiac overload, and ET-1 stimuli orchestrated FAK signaling activation with subsequent activation of the fetal cardiac gene program in the chronic phase of infection, highlighting FAK as an attractive target for Chagas disease therapy.

DYNASTI-Dynamic Multiple RPL Instances for Multiple IoT Applications in Smart City.

Internet of Things (IoT) is evolving to multi-application scenarios in smart cities, which demand specific traffic patterns and requirements. Multi-applications share resources from a single multi-hop wireless networks, where smart devices collaborate to send collected data over a Low-Power and Lossy Networks (LLNs). Routing Protocol for LLNs (RPL) emerged as a routing protocol to be used in IoT scenarios where the devices have limited resources. Instances are RPL mechanisms that play a key role in order to support the IoT scenarios with multiple applications, but it is not standardized yet. Although there are related works proposing multiple instances in RPL on the same IoT network, those works still have limitations to support multiple applications. For instance, there is a lack of flexibility and dynamism in management of multiple instances and service differentiation for applications. In this context, the goal of this work is to develop a solution called DYNAmic multiple RPL instanceS for multiple ioT applicatIons (DYNASTI), which provides more dynamism and flexibility by managing multiple instances of RPL. As a result of this, the traffic performance of multiple applications is enhanced through the routing, taking into consideration the distinct requirements of the applications. In addition, DYNASTI enables the support of sporadic applications as well as the coexistence between regular and sporadic applications. DYNASTI achieved results that demonstrate a significant improvement in reducing the number of control messages, which resulted in increased packet received, decreased end-to-end delay, reduced energy consumption, and an improvement in service differentiation to multiple applications.

IoT Sensing Platform as a Driver for Digital Farming in Rural Africa.

Small-scale farming can benefit from the usage of information and communication technology (ICT) to improve crop and soil management and increase yield. However, in order to introduce digital farming in rural areas, related ICT solutions must be viable, seamless and easy to use, since most farmers are not acquainted with technology. With that in mind, this paper proposes an Internet of Things (IoT) sensing platform that provides information on the state of the soil and surrounding environment in terms of pH, moisture, texture, colour, air temperature, and light. This platform is coupled with computer vision to further analyze and understand soil characteristics. Moreover, the platform hardware is housed in a specifically designed robust casing to allow easy assembly, transport, and protection from the deployment environment. To achieve requirements of usability and reproducibility, the architecture of the IoT sensing platform is based on low-cost, off-the-shelf hardware and software modularity, following a do-it-yourself approach and supporting further extension. In-lab validations of the platform were carried out to finetune its components, showing the platform's potential for application in rural areas by introducing digital farming to small-scale farmers, and help them delivering better produce and increasing income.

Influence of pre-curing different adhesives on the color stability of cemented thin ceramic veneers

Abstract The objective was to evaluate the color stability of thin ceramic veneers as a function of the curing mode (with and without pre-cure) of different adhesive systems applied to the internal surface of ceramics. Five adhesive systems (Scotchbond Multi-Purpose, Single Bond Universal, Gluma 2 Bond, Ambar, and Ambar APS) and photo-cured resin cement (Allcem Veneer) were used for cementing 0.6 mm-thick feldspathic veneers (Mark II) on composite resin substrates (Charisma Diamond). The groups, according to adhesive system, were divided into two subgroups (n=10): i) adhesive and resin cement were polymerized separately (pre-cure of the adhesive), ii) adhesive and resin cement were polymerized simultaneously. The CIELab color parameters were determined with a spectrophotometer at 24h (baseline), 7 days, 30 days and 12 months. Data were analyzed by two-way ANOVA and Tukey's test (α=0.05). The results indicated statistically significant differences for adhesive systems and time. The mode of curing of the adhesive system was not statistically significant: pre-cured adhesives (2.6±1.3) and not pre-cured adhesives (2.8±1.4). For the adhesives, ΔE values varied in the following order: Ambar-APS (1.6±0.5) < Scotchbond Multi-Purpose (2.6±1.2) = Gluma 2 Bond (2.7±1.2) = Ambar (2.9±1.2) < Single Bond Universal (3.5±1.5). For time, ΔE values were: 7 days (1.7±0.7), 30 days (3.5±1.2) and 12 months (2.9±1.3). It can be concluded that the different adhesive systems used for cementing thin ceramic veneers influenced the final color of the indirect restorations. The adhesives curing mode did not present a significant effect in the color stability of thin ceramic veneers.

Resumo O objetivo deste estudo foi avaliar a estabilidade de cor de laminados cerâmicos de espessura fina em função do momento de ativação de diferentes sistemas adesivos na superfície interna das cerâmicas. Foram utilizados 5 sistemas adesivos (Scotchbond Multiuso, Single Bond Universal, Gluma 2 Bond, Ambar and Ambar APS) e o cimento resinoso fotoativado (Allcem Veneer) para cimentação de lâminas de cerâmica feldspática (Mark II) com 0,6 mm de espessura, sobre substratos de resina composta (Charisma Diamond). Os grupos, de acordo com o sistema adesivo utilizado, foram divididos em dois subgrupos (n=10): i) adesivo e cimento resinoso foram polimerizados separadamente (polimerização isolada do adesivo), ii) adesivo e cimento resinoso foram polimerizados ao mesmo tempo (polimerização simultânea). Os parâmetros de cor do sistema CIELab foram determinados com um espectrofotômetro nos tempos de 24 h (baseline), 7 dias, 30 dias e 12 meses. Os dados foram analisados por ANOVA a dois fatores e teste de Tukey (α=0,05). Os resultados indicaram diferenças estatísticas significantes para os sistemas adesivos e tempo. O momento da fotoativação do sistema adesivo não foi estatisticamente significante: polimerização prévia (2,6±1,3) e polimerização simultânea (2,8±1,4). Para o sistema adesivo, os valores médios de ΔE variaram na seguinte ordem: Ambar APS (1,6±0,5)<Scotchbond Multi-Purpose (2,6±1,2)=Gluma 2 Bond (2,7±1,2)=Ambar (2,9±1,2)<Single Bond Universal (3,5±1,5). Para o fator tempo o ΔE foi: 7 dias (1,7±0,7), 30 dias (3,5±1,2) e 12 meses (2,9±1,3). Pode-se concluir que os diferentes sistemas adesivos utilizados na cimentação de laminados cerâmicos de espessura fina influenciaram na cor final das restaurações. O momento da fotoativação, isolada ou simultânea ao cimento resinoso, não apresentou efeito significativo na estabilidade de cor dos laminados cerâmicos de espessura fina.

Analysis of phonological processes in the acquisition of complex onset in children with typical phonological development / Análise dos processos fonológicos na aquisição do onset complexo em crianças com desenvolvimento fonológico típico

ABSTRACT Objective: description and analysis of the phonological processes in the acquisition of complex onset by children with typical phonological development in the age ranges of 3;0 and 5;11. Methods: thirty-one students of a public day-care center in Maceió-AL, having no auditory, cognitive, or motor impairment, participated in this study. The data were collected using the ABFW Child Language Test (WERTZNER, 2004); spontaneous speech was also collected. Inferential statistical analysis of the data was performed, and the phonological processes were analyzed in the production of complex onset. Results: we found evidence for late acquisition of this syllabic component in the age range of 5;0-5;11 for both types of complex onsets. In relation to the prevalence of phonological processes, a statistically significant difference was observed between the different processes, with a prevalence of the simplified phonological process for C1V, when taking the two types of complex onset into consideration; however, the 5-year age group, in which there was a prevalence of liquid substitution, was an exception. Conclusion: the most observed phonological processes in children's speech were: simplification of C1V and liquid substitution. These results will contribute to the selection of the lexicon for evaluation and treatment of cases of atypical development.

RESUMO Objetivo: descrever e analisar os processos fonológicos produzidos na aquisição do onset complexo por crianças com desenvolvimento fonológico típico entre 3;0 e 5;11 de idade, estudantes de uma creche-escola municipal pública de Maceió-AL. Métodos: foram incluídas 31 crianças sem comprometimentos auditivos, motores e(ou cognitivos. Os dados foram coletados por meio da avaliação com o Teste de Linguagem Infantil - ABFW (WERTZNER, 2004) e de fala espontânea. Realizada análise estatística inferencial dos dados com o teste qui-quadrado, considerado alfa significante <0,05, sendo analisados os processos fonológicos na produção do onset complexo. Resultados: constatou-se aquisição tardia desse componente silábico, na faixa etária de 5;0-5;11, para os dois tipos de onsets complexos. Em relação à prevalência dos processos fonológicos, foi observada uma diferença estatisticamente significante entre os diferentes processos, com prevalência do processo fonológico de simplificação para C1V, quando considerados os dois tipos de onset complexo, exceto para a faixa de 5 anos, na qual houve uma prevalência do processo de substituição da líquida. Conclusão: os processos fonológicos mais observados na fala das crianças foram: simplificação para C1V e substituição de líquida. Essas informações contribuem para a seleção do léxico para a avaliação e tratamento em casos de desenvolvimento atípico.

Prognostic Differences between Men and Women with Acute Coronary Syndrome. Data from a Brazilian Registry / Diferenças Prognósticas entre Homens e Mulheres com Síndrome Coronariana Aguda. Dados de um Registro Brasileiro

Abstract Background: Gender-related differences have been reported in patients with acute coronary syndrome. The description of this comparative finding in a Brazilian registry has not yet been documented. Objective: To compare male vs. female patients regarding the baseline characteristics, coronary findings, treatment and in-hospital and long-term prognosis. Methods: This is a retrospective, multicenter and observational study that included 3,745 patients (2,437 males and 1,308 females) between May 2010 and May 2015. The primary in-hospital outcome was all-cause mortality. The secondary outcome consisted of combined events (cardiogenic shock, reinfarction, death, stroke and bleeding). The comparison between groups was performed using the chi-square and the t test, considering p < 0.05 as significant. In the long term, mortality and combined events were assessed using the Kaplan-Meier method, with a mean follow-up of 8.79 months. Results: The mean age was 60.3 years for males and 64.6 for females (p < 0.0001). The most prevalent risk factor was systemic arterial hypertension in 72.9% of the women and 67.8% of the men (p = 0.001). Percutaneous coronary intervention was carried out in 44.9% of the males and 35.4% of the females (p < 0.0001), and coronary artery bypass grafting (CABG) was performed in 17% of the males and 11.8% of females (p < 0.0001), with a higher prevalence of three-vessel coronary artery disease in males (27.3% vs. 16.2%, p < 0.0001). Approximately 79.9% of the female patients received a diagnosis of acute coronary syndrome without ST-segment elevation, while in the male patients, this diagnosis was attained in 71.5% (p < 0.0001). No significant differences were observed between the groups in the short and long term, regarding both mortality and the combined events. Conclusion: Several gender-related differences were observed in patients with acute coronary syndrome regarding the demographic characteristics, coronary artery disease pattern and implemented treatment. However, the prognostic evolution was similar between the groups.

Resumo Fundamento: Existem diferenças relatadas entre pacientes com síndrome coronariana aguda, de acordo com o sexo. A descrição deste achado comparativo em registro brasileiro ainda não foi documentada. Objetivo: Comparar pacientes do sexo masculino vs. feminino quanto a características basais, achados coronarianos, tratamento e prognóstico intra-hospitalar e em longo prazo. Métodos: Trata-se de estudo retrospectivo, multicêntrico e observacional, no qual foram incluídos 3.745 pacientes (2.437 do sexo masculino e 1.308 do sexo feminino) entre maio de 2010 e maio de 2015. O desfecho primário intra-hospitalar foi mortalidade por todas as causas. O desfecho secundário foi eventos combinados (choque cardiogênico, reinfarto, morte, acidente vascular cerebral e sangramento). A comparação entre grupos foi realizada por meio de qui-quadrado e teste t, sendo considerado significativo p < 0,05. Em longo prazo, foram avaliados a mortalidade e os eventos combinados pelo método Kaplan-Meier, com seguimento médio de 8,79 meses. Resultados: A média de idade foi de 60,3 anos no sexo masculino e 64,6 no feminino (p < 0,0001). O fator de risco mais prevalente foi hipertensão arterial sistêmica em 72,9% das mulheres e 67,8% nos homens (p = 0,001). Intervenção coronária percutânea foi realizada em 44,9% no sexo masculino e 35,4% no feminino (p < 0,0001), e revascularização miocárdica cirúrgica em 17% no sexo masculino e 11,8% no feminino (p < 0,0001), com maior prevalência de padrão coronariano triarterial no sexo masculino (27,3% vs. 16,2%; p < 0,0001). Cerca de 79,9% dos pacientes do sexo feminino enquadraram-se no diagnóstico de síndrome coronariana aguda sem supradesnivelamento do segmento ST, enquanto no sexo masculino este número foi de 71,5% (p < 0,0001). Em curto e longo prazos não se observaram diferenças significativas entre os grupos, tanto em mortalidade quanto em eventos combinados. Conclusão: Observaram-se múltiplas diferenças relacionadas ao sexo em pacientes com síndrome coronariana aguda no que se refere a características demográficas, padrão coronariano e tratamento adotado. No entanto, a evolução prognóstica foi semelhante entre os grupos.