Effect of the racial group and body condition score at calving on production performance and metabolic profile of buffaloes during the transition period.

This study evaluated the body condition score (BCS) at calving and breed (B) effects on milk composition, yield, performance, physiological parameters, hemogram, blood metabolites, and urinary metabolites in the transition and early lactation periods of Mediterranean (MED) and Murrah (MUR) buffaloes. Twenty MED and fifteen MUR buffaloes were distributed into four experimental treatments, in a completely randomized design, considering their racial groups and BCS (LBCS = low; HBCS = high): LBCS MED (N = 9); HBCS MED (N = 11); LBCS MUR (N = 8); HBCS MUR (N = 7). Animals were monitored during the last 21 days of gestation and first 56 days postpartum and kept under the same management and feeding conditions. During data collection, milk composition, yield, performance, physiological parameters, hemogram, blood metabolites, and urinary metabolites were evaluated. Higher milk production and fat-corrected milk were observed in MED than MUR buffaloes. Breed effects were observed on body weight, rectal temperature, glucose, urea, calcium (Ca) concentrations, and BCS effects on total protein, albumin, urea, and Ca. There were BCS effects on hematocrit, neutrophils, eosinophils, and interactions between B × BCS for lymphocytes and platelets. There were breed effects on urinary concentrations of chlorine, uric acid, and interactions between weight (W) × B on chlorine and urea. The MED buffaloes can be considered the most prepared to undergo physiological changes, including the BCS value at calving, indicating higher physiological health. Besides, this study demonstrates more considerable preparation for the calving, regardless of the body condition score at calving.

How likely is Brazil to achieve its NDC commitments in the energy sector? A review on Brazilian low-carbon energy perspectives.

This paper offers perspectives on the development of low-carbon energy technology in Brazil, pinpointing changes that have occurred since our former publication in 2011. It takes a fresh approach in terms of how likely Brazil will achieve its Nationally Determined Contributions Commitments in the energy sector. Many countries have implemented national climate policies to accomplish their pledged NDC and contribute to the temperature objectives of the Paris Agreement on climate change. Based on official reports and databases of energy development projections in Brazil and the socioeconomic context, we discuss what can be expected for the future of the Brazilian energy sector, the probability of implementing selected technologies, and the prospects of reaching the NDC targets for 2025 and 2030. In addition, this paper provides an overview of the current stage of development of these technologies, main directions, and bottlenecks in Brazil. Analyses have shown that the Brazilian renewable matrix tends to remain significant, driven by the development of solar and mostly small hydroelectric power sources, as well as different types of biomass. In addition, the system will include the replacement of thermoelectric plants powered by diesel and fuel oil by natural gas plants. The prospects for Brazil's official energy plan for 2027 are aligned with the reference technology scenario, which represents the business as usual scenario. Despite this, low-carbon technologies could be implemented far beyond the NDC's goals, given the abundance of renewable natural resources in the country.

Safety attributes in primary care: understanding the needs of patients, health professionals, and managers.

OBJECTIVES: The aims of this study were (1) to identify attributes for patient safety at a primary healthcare level and (2) to analyze conceptions of patients, professionals, and managers about how these attributes are being addressed. STUDY DESIGN: This was a qualitative study. METHODS: Participants were recruited from three primary care settings in Brazil. A total of 37 subjects (four physicians, three nurses, three dentists, three managers, five community assistants, and 19 patients) participated on interviews about their perceptions of safety attributes at the primary care settings involved in the study. Some of these participants attended a focus group meeting. A thematic categorical analysis was carried out to interpret the interviews. RESULTS: The main attributes for patient safety were valued by the participants. However, barriers such as discontinuity of care, interruptions during consultations, breakdowns in the communication, and ineffective teamwork were reported as frequent sources of patient safety issues. Reports of patients left unattended for excessive time because of the lack of accurate information and disruptions that took up to 35 min show that there is still a long way to go for primary care to be safe and effective in the study settings. CONCLUSIONS: It is necessary that the strategies meet the patient safety needs more effectively and efficiently. Further research is needed to understand the complex nature of the problems that affect patient safety in these settings so that appropriate decisions can be made.

Recording and erasure of photorefractive holograms in undoped BTO crystal at moderate to high intensities of 639.7 nm laser under action of 532 nm laser pre-illumination.

We investigate recording and erasure of photorefractive holographic gratings in an undoped Bi12TiO20 crystal in a moderate to high intensity regime of the recording beams at 639.7 nm without and with the action of laser pre-illumination at 532 nm. The detected hologram without pre-illumination indicates the participation of two photorefractive electronic gratings in its recording process, and the diffracted signal by itself exhibits a fivefold enhancement when the total intensity increases from 38.4 to 214.5 mW/cm2. The dependence of the measured total diffraction efficiency on intensity was investigated and showed linear behavior. At least three gratings are present in the regime of pre-illumination and participate in the writing and erasure of holographic mechanisms. Two of them are electronic, and one is hole-based, with a phase difference of Δϕ between them. The theoretical approach used to analyze the total diffraction efficiency based upon the photorefractivity standard model, and considering the presence of the three gratings, showed good agreement with the holographic erasure experimental data and permitted us to compute Δϕ, which exhibited strong and unusual dependence on the total intensity.

134Cs activity standardization by 4πß(LS)-γ(NaI-Tl) anticoincidence counting and submission to international reference system.

From a commercial supplier a solution containing 134Cs has been standardized at National Laboratory for Ionizing Radiation Metrology (LNMRI) for the first time using three Liquid scintillation based measurement. These measurement methods are 4πß-γ live-timed anticoincidence counting, 4πß-γ coincidence counting and 3H-standard efficiency tracing with the CNET methods. The results obtained by anticoincidence counting was adopted as reference value and its combined uncertainty was 0.38%. The agreement of this reference value with coincidence counting and CNET methods were 0.39% and 0.34% respectively and were in consistency with each uncertainty method. The weighted mean results coincidence counting and CNET methods are also in close agreement 0.03% with anticoincidence counting method and meets the requirement of primary and national standard. This standardization was made in order to reduce the uncertainty in 134Cs measurement in Brazil and also following a request made by Bureau International des Poids and Mesures for new submission to International Reference System. The LNMRI last submission was made in 1987. Therefore from a 134Cs master solution a NIST ampoules was prepared and LNMRI/IRD submitted it to the International Reference System, Bureau International of Poids and Measures (SIR/BIPM). In this paper will be analyzed the LNMRI measurement and performance each measurement methods and also take into account the reference value of KCDB, we determined also the 134Cs gamma emission probabilities of main energy.

Challenges in Application of Langmuir Monolayer Studies To Determine the Mechanisms of Bactericidal Activity of Ruthenium Complexes.

The effects induced by antibiotics on the bacterial membrane may be correlated with their bactericidal activity, and such molecular-level interactions can be probed with Langmuir monolayers representing the cell membrane. In this study, we investigated the interaction between [Ru(mcbtz)2(PPh3)2] (RuBTZ, mcbtz = 2-mercaptobenzothiazoline) and [Ru(mctz)2(PPh3)2] (RuCTZ, mctz = 2-mercaptothiazoline) with Langmuir monolayers of a lipid extract of Escherichia coli, an extract of lipopolysaccharides (LPSs), and a zwitterionic phospholipid, dioleoylphosphatidyl choline (DOPC). RuBTZ and RuCTZ had little effects on DOPC, which is consistent with their negligible toxicity toward mammalian cells that may be approximated by a zwitterionic monolayer. Also little were their effects on LPSs. In contrast, RuBTZ and RuCTZ induced expansion in the surface pressure isotherms and decreased the compressional modulus of the E. coli lipid extract. While the more hydrophobic RuBTZ seemed to affect the hydrophobic tails of the E. coli extract monolayer to a larger extent, according to polarization modulation infrared reflection absorption spectroscopy results, evidence of a stronger RuBTZ interaction could not be confirmed unequivocally. Therefore, the interaction with the E. coli cell membrane cannot be directly correlated with the observed higher bactericidal activity of RuBTZ, in comparison to that of RuCTZ. This appears to be a case in which Langmuir monolayer studies do not suffice to determine the mechanisms responsible for the bactericidal activity.

Mathematical modelling of scanner-specific bowtie filters for Monte Carlo CT dosimetry.

The purpose of bowtie filters in CT scanners is to homogenize the x-ray intensity measured by the detectors in order to improve the image quality and at the same time to reduce the dose to the patient because of the preferential filtering near the periphery of the fan beam. For CT dosimetry, especially for Monte Carlo calculations of organ and tissue absorbed doses to patients, it is important to take the effect of bowtie filters into account. However, material composition and dimensions of these filters are proprietary. Consequently, a method for bowtie filter simulation independent of access to proprietary data and/or to a specific scanner would be of interest to many researchers involved in CT dosimetry. This study presents such a method based on the weighted computer tomography dose index, CTDIw, defined in two cylindrical PMMA phantoms of 16 cm and 32 cm diameter. With an EGSnrc-based Monte Carlo (MC) code, ratios CTDIw/CTDI100,a were calculated for a specific CT scanner using PMMA bowtie filter models based on sigmoid Boltzmann functions combined with a scanner filter factor (SFF) which is modified during calculations until the calculated MC CTDIw/CTDI100,a matches ratios CTDIw/CTDI100,a, determined by measurements or found in publications for that specific scanner. Once the scanner-specific value for an SFF has been found, the bowtie filter algorithm can be used in any MC code to perform CT dosimetry for that specific scanner. The bowtie filter model proposed here was validated for CTDIw/CTDI100,a considering 11 different CT scanners and for CTDI100,c, CTDI100,p and their ratio considering 4 different CT scanners. Additionally, comparisons were made for lateral dose profiles free in air and using computational anthropomorphic phantoms. CTDIw/CTDI100,a determined with this new method agreed on average within 0.89% (max. 3.4%) and 1.64% (max. 4.5%) with corresponding data published by CTDosimetry (www.impactscan.org) for the CTDI HEAD and BODY phantoms, respectively. Comparison with results calculated using proprietary data for the PHILIPS Brilliance 64 scanner showed agreement on average within 2.5% (max. 5.8%) and with data measured for that scanner within 2.1% (max. 3.7%). Ratios of CTDI100,c/CTDI100, p for this study and corresponding data published by CTDosimetry (www.impactscan.org) agree on average within about 11% (max. 28.6%). Lateral dose profiles calculated with the proposed bowtie filter and with proprietary data agreed within 2% (max. 5.9%), and both calculated data agreed within 5.4% (max. 11.2%) with measured results. Application of the proposed bowtie filter and of the exactly modelled filter to human phantom Monte Carlo calculations show agreement on the average within less than 5% (max. 7.9%) for organ and tissue absorbed doses.

Determination of impurities in (124)I samples by high resolution gamma spectrometry.

(124)I is a radionuclide used in the diagnosis of tumors. The National Health Agency requires identification and activity measurement of impurities. Using gamma spectrometry with an efficiency calibrated high-purity germanium detector, impurities (125)I and (126)I in an (1)(24)I production sample were identified. Activity ratios of (125)I and (126)I to (124)I were approximately 0.5% and 98%, respectively.

Combined venomics, venom gland transcriptomics, bioactivities, and antivenomics of two Bothrops jararaca populations from geographic isolated regions within the Brazilian Atlantic rainforest

Bothrops jararaca is a slender and semi-arboreal medically relevant pit viper species endemic to tropical and subtropical forests in southern Brazil, Paraguay, and northern Argentina (Misiones). Within its geographic range, it is often abundant and is an important cause of snakebite. Although no subspecies are currently recognized, geographic analyses have revealed the existence of two well-supported B. jararaca clades that diverged during the Pliocene similar to 3.8 Mya and currently display a southeastern (SE) and a southern (S) Atlantic rainforest (Mata Atlantica) distribution. The spectrum, geographic variability, and ontogenetic changes of the venom proteomes of snakes from these two B. jararaca phylogroups were investigated applying a combined venom gland transcriptomic and venomic analysis. Comparisons of the venom proteomes and transcriptomes of B. jararaca from the SE and S geographic regions revealed notable interpopulational variability that may be due to the different levels of population-specific transcriptional regulation, including, in the case of the southern population, a marked ontogenetic venom compositional change involving the upregulation of the myotoxic PLA(2) homolog, bothropstoxin-l. This population-specific marker can be used to estimate the proportion of venom from the southern population present in the B. jararaca venom pool used for the Brazilian soro antibotropico (SAB) antivenom production. On the other hand, the southeastern population-specific D49-PLA(2) molecules, BinTX-I and BinTX-II, lend support to the notion that the mainland ancestor of Bothrops insularis was originated within the same population that gave rise to the current SE B. jararaca phylogroup, and that this insular species endemic to Queimada Grande Island (Brazil) expresses a pedomorphic venom phenotype. Mirroring their compositional divergence, the two geographic B. jararaca venom pools showed distinct bioactivity profiles. However, the SAB antivenom manufactured in Vital Brazil Institute neutralized the lethal effect of both venoms to a similar extent. In addition, immobilized SAB antivenom immunocaptured most of the venom components of the venoms of both B. jararaca populations, but did not show immunoreactivity against vasoactive peptides. The Costa Rican bothropic-crotalic-lachesic (BCL) antivenom showed the same lack of reactivity against vasoactive peptides but, in addition, was less efficient immunocapturing PI- and PIII-SVMPs from the SE venom, and bothropstoxin-I, a CRISP molecule, and a D49-PLA(2) from the venom of the southern B. jararaca phylogroup. The remarkable paraspecificity exhibited by the Brazilian and the Costa Rican antivenoms indicates large immunoreactive epitope conservation across the natural history of Bothrops, a genus that has its roots in the middle Miocene. This article is part of a Special Issue entitled: Omics Evolutionary Ecolog. (C) 2015 Elsevier B.V. All rights reserved.

Ten Years of a National Oral Health Policy in Brazil: Innovation, Boldness, and Numerous Challenges.

Brazil is the only country in the world to propose a universal health care system with the aim of guaranteeing delivery of all levels of health care, free of charge, to a population of over 200 million inhabitants by means of a unified health system ("Sistema Único de Saúde" [SUS]). The national policy of oral health, also known as Smiling Brazil ("Brasil Sorridente"), was implemented in 2004. Oral health was designated as 1 of the 4 priority areas of the SUS, transforming oral health care in Brazil, with the objective that the SUS achieve the integrality of care envisaged at its creation. The aim of this article is to share part of this experience in order to prompt reflection about the inclusion of oral health care in other health care systems around the world. The most significant results of Smiling Brazil can be seen in 3 areas: (1) oral health epidemiological indicators, (2) financial investment and professional development, and (3) the building of an oral health care network throughout the 10 y of the policy. The "Discovery!" article presented here portrays 10 y of evolution; however, it is important to point out that this is a process undergoing construction and that the oral health care network needs to be further expanded, refined, and solidified so that over time and through changes in the political parties in power, Smiling Brazil prevails as a perennial policy and not merely an action by a single government.

Quantitation of the Regional Lymph Node Metastatic Burden and Prognosis in Malignant Mammary Tumors of Dogs.

BACKGROUND: As in women, regional lymph node status impacts survival in dogs with malignant mammary tumors. However, few studies have evaluated regional lymph node metastases in dogs with malignant mammary gland tumors. OBJECTIVES: To estimate overall survival based on the assessments of the lymph node status and the morphologic and morphometric features in female dogs with malignant mammary gland tumors. MATERIALS AND METHODS: In total, 178 lymph nodes from 97 female dogs were assessed and reviewed, and after confirmation by immunohistochemistry (IHC), 161 lymph nodes were selected for analysis of metastases. Animals were considered metastasis-free (negative lymph nodes) only after IHC analysis for cytokeratin AE1/AE3. The number of positive lymph nodes, the number of metastatic foci, the maximum diameter and the area of metastasis were analyzed, and estimates of overall survival were made. RESULTS: Dogs with metastasis had lower mean survival than those with metastasis-free regional lymph nodes, showing a direct relationship between the number of affected lymph nodes and shorter survival. However, histologic analysis of the lymph nodes identified lower survival rates in animals with macrometastases and isolated tumor cells, areas of metastasis >20.11 mm², and metastatic diameters >7.32 mm. CONCLUSION: The identification of ≥1 lymph nodes positive for metastasis and morphometric characterization of lymphatic metastases indicate the prognostic relevance of lymph nodes status in dogs with mammary tumors.

Correlation of [RuCl3(dppb)(VPy)] cytotoxicity with its effects on the cell membranes: an investigation using Langmuir monolayers as membrane models.

One of the major challenges in drug design is to identify compounds with potential toxicity toward target cells, preferably with molecular-level understanding of their mode of action. In this study, the antitumor property of a ruthenium complex, mer-[RuCl3(dppb)(VPy)] (dppb = 1,4-bis(diphenylphosphine)butane and VPy = 4-vinylpyridine) (RuVPy), was analyzed. Results showed that this compound led to a mortality rate of 50% of HEp-2 cell with 120 ± 10 µmol L(-1), indicating its high toxicity. Then, to prove if its mode of action is associated with its interaction with cell membranes, Langmuir monolayers were used as a membrane model. RuVPy had a strong effect on the surface pressure isotherms, especially on the elastic properties of both the zwitterionic dipalmitoylphosphatidylcholine (DPPC) and the negatively charged dipalmitoylphosphatidylglycerol (DPPG) phospholipids. These data were confirmed by polarization-modulated infrared reflection-absorption spectroscopy (PM-IRRAS). In addition, interactions between the positive group from RuVPy and the phosphate group from the phospholipids were corroborated by density functional theory (DFT) calculations, allowing the determination of the Ru complex orientation at the air-water interface. Although possible contributions from receptors or other cell components cannot be discarded, the results reported here represent evidence for significant effects on the cell membranes which are probably associated with the high toxicity of RuVPy.

The influence of implant location and position characteristics on peri-implant pathology..

Peri-implant pathology is a multifactorial disease, incorporating biological and biomechanical components in its pathogenesis; however; few studies address the possible risk factors. This study investigated the effect of implant location and position characteristics on the occurrence of Peri-implant pathology. A total of 1350 patients with dental implants were included 270 patients with peri-implant pathology and 1080 healthy controls. Results demonstrated that in the absence of bacterial plaque and smoking, the variable proximity of the implant to other implants or teeth revealed a significant difference between groups with a protective effect, but not in the presence of bacterial plaque and smoking.

High prevalence of oral human papillomavirus infection in Fanconi's anemia patients.

BACKGROUND: Fanconi's anemia (FA) is a rare recessive genetic disorder characterized by bone marrow failure, developmental and congenital abnormalities, which frequently evolves to aplastic anemia and neoplasias, primarily acute leukemia and head-neck carcinomas. Risk of malignancies increases after hematopoietic stem cell transplantation (HSCT), and the role of human papillomavirus (HPV) in FA carcinogenesis have been proposed. OBJECTIVE: To investigate prevalence of oral HPV in FA patients without oral malignant lesions. MATERIALS AND METHODS: After oral examination, 76 subjects without detectable oral malignant lesions were included and classified in four groups: 20 FA submitted to HSCT (I), 22 FA not submitted to HSCT (II), 18 severe aplastic anemia (SAA) submitted to HSCT (III) and 16 healthy subjects (IV). Liquid-based cytology sampling, HPV screening by polymerase chain reaction and genotyping by reverse hybridization were performed. RESULTS: The HPV detection rates were: group I 35%, group II 27.3%, group III 38% and group IV 6.25%. Prevalence of high risk HPV types, mainly HPV16, was detected. Compared with control group, suggestions for increased likelihood of being HPV infected in SAA (OR = 9.55, 95% CI: 1.01-125.41) and FA patients submitted to HSCT (OR = 8.08, 0.83-72.29) emerged. CONCLUSION: Patients without oral malignant lesions submitted to HSCT, have high prevalence of oral HPV. HPV screening and close follow up should be considered in these patients.

Cutaneous Mycobacterium haemophilum infection in a kidney transplant recipient after acupuncture treatment.

Mycobacterium haemophilum is a slow-growing nontuberculous mycobacterium that can cause disease in both immunocompetent and immunocompromised patients. The most common clinical presentations of infection are the appearance of suppurative and ulcerated skin nodules. For the diagnosis, samples collected from suspected cases must be processed under the appropriate conditions, because M. haemophilum requires lower incubation temperatures and iron supplementation in order to grow in culture. In this case report, we describe the occurrence of skin lesions in a kidney transplant recipient, caused by M. haemophilum, associated with acupuncture treatment. The diagnosis was established by direct smear and culture of material aspirated from cutaneous lesions. Species identification was achieved by characterization of the growth requirements and by partial sequencing of the hsp65 gene. The patient was successfully treated with clarithromycin and ciprofloxacin for 12 months. Considering that the number of patients receiving acupuncture treatment is widely increasing, the implications of this potential complication should be recognized, particularly in immunosuppressed patients.

Migramed II - Educação e saúde: condicionantes estruturais e institucionais da atração e fixação de médicos em território nacional / Migramed II - Education and health: structural and institutional constraints of attraction and fixation of physicians in national territory

INTRODUÇÃO: A partir dos resultados do MigraMed I, evidenciou-se a necessidade de aprofundar as análises dos movimentos migratórios, com o intuito de contribuir positivamente nos processos de formulação de políticas capazes de minimizar as desigualdades regionais. Assim, a migração de médicos e outros profissionais de saúde; a oferta diferenciada de capacitação; a integração entre ensino e serviços; o evolver da regionalização no território nacional; as condições e a qualidade da atenção à saúde são dimensões que carecem de explicações estruturais relacionadas com os níveis de desenvolvimento humano, social e dos serviços de saúde das diferentes localidades. OBJETIVOS: Os objetivos específicos: 1- revisão dos bancos de dados da CNRM e CFM; 2- descrição do perfil da população médica, analisando as variáveis - gênero, local de formação; local de atividade 3- descrição e quantificação dos processos migratórios de médicos 4- caracterização dos principais fluxos e movimentos migratórios dos médicos, considerando os momentos de graduação e da residência Médica. MATERIAL E MÉTODOS: Trata-se de pesquisa descritiva, retrospectiva de base quantitativa, com dados de fontes secundárias. Para a execução deste projeto, o ObservaRHSP em conjunto com membros do Departamento de Informática Médica da FMUSP, estabeleceram uma parceria com o Conselho Federal de Medicina (CFM) e o Conselho Regional de Medicina do Estado de São Paulo (CREMESP), que disponibilizaram seus bancos de dados dos registros dos médicos, e com a Comissão Nacional de Residência Médica referentes aos títulos de especialistas. RESULTADOS: A opção metodológica de realizar os recortes dos fluxos migratórios por década de profissionais formados, e não exatamente por momento da migração, apresenta um viés a ser considerado, qual seja o de distribuir em momentos distintos e aparentemente regulares o que pode estar ocorrendo em momentos concomitantes e interconectados. Tal opção se deu em função da limitação para discriminar adequadamente nos registros dos bancos de dados os movimentos migratórios intermediários dos profissionais, o que deve vir a ser melhorado com a revisão dos bancos pelas respectivas entidades. CONCLUSÃO: Tal estudo ganha particular interesse considerando-se que foi possível identificar mudanças de fluxos entre as décadas analisadas. Este fato talvez permita uma melhor caracterização não apenas sobre o que determina, ou orienta este movimentos, mas principalmente quando e em que intensidade estes fatores passam a exercer influência a ponto de redirecionar tais movimentos.

Evaluation of an oral health program for children in early childhood / Avaliação de um programa de promoção de saúde bucal para crianças da primeira infância

Purpose: To evaluate an educative and oral health promotion program for children from three public daycare facilities in the city of João Pessoa (PB), in the Northeastern region of Brazil. Methods: Sample was composed of 219 children who were divided into four age groups: 0 to 12, 13 to 24, 25 to 36 and 37 to 48 months. All children were submitted to clinical exams and preventive procedures of hygiene and topical application of fluoride at 3-month intervals during 12 months. Mothers were given instructions of oral hygiene of their children. The dmft index and the presence of active white spots (AWS) were recorded. Results: Mean (SD) values of the initial and final dmft were 0.65 (1.3) and 0.72 (1.5), respectively (P<0.05). The initial and final numbers of AWS were 44 and 08, respectively. The absence of nocturnal hygiene was associated with AWS for children that received nocturnal breast-feeding. The most relevant variables for dental caries development were: age group, absence of nocturnal oral hygiene and nocturnal breast-feeding; for AWS only the absence of nocturnal oral hygiene was significant (P<0.05). Conclusion: This oral health program showed to be effective in the maintenance of oral health. The most relevant risk factors for dental caries were absence of nocturnal oral hygiene and nocturnal breast-feeding.

Objetivo: Avaliar um programa de educação e promoção de saúde bucal em crianças de três creches públicas da cidade de João Pessoa, PB, Brasil. Metodologia: A amostra foi constituída de 219 crianças de 0 a 48 meses divididas em quatro grupos etários: 0 a 12; 13 a 24; 25 a 36 e 37 a 48 meses. As crianças foram submetidas a exames clínicos e procedimentos preventivos de higiene bucal e aplicação tópica de flúor em intervalos trimestrais durante 12 meses. As mães das crianças receberam instrução de higiene. Registraram-se os índices de ceo-d e presença de manchas brancas ativas (MBA). Resultados: As médias (desvio-padrão) do ceo-d inicial e final foram de 0,65 (1,3) e 0,72 (1,5) respectivamente (P<0,05). O número de MBAs inicial e final foi 44 e 08, respectivamente. A ausência de higiene noturna foi associada a MBA para crianças que tomavam mamadeira noturna. As variáveis relevantes para o surgimento de cárie foram a faixa etária, ausência de higiene noturna e amamentação noturna; para MBA somente a falta de higiene noturna foi significativa. Conclusão: O programa mostrou-se eficaz na manutenção da saúde bucal. Os fatores de risco mais relevantes para a cárie dentária foram falta de higiene e amamentação noturna.

Color tunability with temperature and pump intensity in Yb3+/Tm3+ codoped aluminosilicate glass under anti-Stokes excitation.

Pump and thermally induced color tunabilities were demonstrated in Yb(3+)/Tm(3+) codoped low silica calcium aluminosilicate (LSCAS) glass under anti-Stokes excitation at 1.064 microm. The effects of pump intensity and sample's temperature on the upconversion emissions and mainly on the color tunabilities (from 800 to 480 nm) were investigated. The results revealed a 20- and a threefold reductions at 800/480 nm ratio as, respectively, the pump intensity and sample's temperature were increased from 27 to 700 kW/cm(2) and from 296 to 577 K. These behaviors with pump intensity and temperature (a strong increase of the 480 nm emission in comparison with the 800 nm one) were attributed to the several efficient processes occurring in the LSCAS system (Yb(3+)-->Tm(3+) energy-transfer processes, easy saturations of the Yb(3+) and Tm(3+) excited states, and radiative emissions). Besides these assigns, the temperature dependence is mainly assigned to the temperature-dependent effective absorption cross section of the ytterbium sensitizer through the so-called multiphonon-assisted anti-Stokes excitation process. Theoretical analyses and fits of the experimental data provided quantitative information.

e-Modulus of resin cements as a function of curing source and storage time.

AIM: The aim of this study was to evaluate the e-modulus of two resin cements, with different curing sources and storage times, by flexural strength. METHODS: Ninety-six rectangular specimens were prepared from 2 dual-cured resin cements (Bistite II DC and Panavia F 2.0). A QTH light-curing unit (XL 3000) and a light-emitting diode (Optilight CL) were used for curing. The specimens were stored for 24 hours or 30 days. Testing consisted of three-point flexural strength, with 50 kg of load and crosshead speed of 0.5 mm/min. Data were analyzed with analysis of variance and Tukey test (5%). RESULTS: When QTH light curing was used, Panavia had flexural strengths of 183.30 MPa at 24h and 112.30 at 30 days; whereas, Bistite had strengths of 160.20 MPA at 24h and 120.20 MPa at 30 days. However, when LED was used, the values were significantly lower for both cements. The main effects of cement type, storage time and curing unit type were statistically significant, as were the statistical interactions of cement/curing unit and time/curing unit. CONCLUSION: The experimental effects of cement type, storage time and curing unit type profoundly affected e-modulus.

Complement 4 phenotypes and genotypes in Brazilian patients with classical 21-hydroxylase deficiency.

The aim of this work was to analyse C4 genotypes, C4 protein levels, phenotypes and genotypes in patients with the classical form of 21-hydroxylase deficiency. Fifty-four patients from 46 families (36 female, 18 male; mean age 10.8 years) with different clinical manifestations (31 salt-wasting; 23 simple-virilizing) were studied. Taq I Southern blotting was used to perform molecular analysis of the C4/CYP21 gene cluster and the genotypes were defined according to gene organization within RCCX modules. Serum C4 isotypes were assayed by enzyme-linked immunosorbent assay. The results revealed 12 different haplotypes of the C4/CYP21 gene cluster. Total functional activity of the classical pathway (CH50) was reduced in individuals carrying different genotypes because of low C4 concentrations (43% of all patients) to complete or partial C4 allotype deficiency. Thirteen of 54 patients presented recurrent infections affecting the respiratory and/or the urinary tracts, none of them with severe infections. Low C4A or C4B correlated well with RCCX mono-modular gene organization, but no association between C4 haplotypes and recurrent infections or autoimmunity was observed. Considering this redundant gene cluster, C4 seems to be a well-protected gene segment along the evolutionary process.