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O cisto dentígero é o tipo mais comum de cisto odontogênico de desenvolvimento. Envolve a coroa de um dente impactado e se conecta ao mesmo pela junção amelocementária, sendo mais frequente entre a segunda e terceira década de vida. A presença dessa patologia pode interferir na erupção dentária impactando os dentes permanentes em desenvolvimento. O objetivo deste trabalho é relatar procedimentos cirúrgicos e ortodônticos associados ao tracionamento de unidades dentárias em uma criança de 7 anos com cisto dentígero envolvendo as unidades 21, 22 e 23. O tratamento incluiu a exodontia dos dentes decíduos sobrejacentes, descompressão e enucleação do cisto, tracionamento inicial com aparelho removível e finalização com aparelho ortodôntico fixo. Ao final do tratamento, obteve-se uma boa oclusão, com ganhos estéticos e funcionais(AU)

Dentigerous cyst is the most frequent type of developmental odontogenic cyst. It involves the crown of an impacted tooth and connects to it by the cementoenamel junction. It is more frequent between the second and third decade of life. The treatment involves enucleation, marsupialization/decompression or a combination of these techniques. The aim of this study is to report the surgical and orthodontic procedures of a tooth traction in a 7-year-old child with dentigerous cyst involving units 21, 22, and 23. The treatment included the extraction of the related deciduous teeth, decompression and enucleation of the cyst, initial traction with removable appliance, and finishing with fixed orthodontic appliance. At the end of the treatment, a good occlusion was obtained with significantly improving the smile aesthetics. Therewas no recurrence of the cyst.(AU)

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OBJECTIVES: to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit. METHODS: cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1). RESULTS: outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5). CONCLUSIONS: predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.

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ABSTRACT Objectives: to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit. Methods: cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1). Results: outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5). Conclusions: predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.

RESUMEN Objetivso: identificar los factores predisponentes y facilitadores, y las necesidades de salud asociadas a la interrupción del seguimiento ambulatorio de recién nacidos tras el alta de unidades de cuidados intensivos neonatais. Métodos: estudio transversal, que utilizó el modelo conductual de utilización de servicios de salud. Participaron 358 madres y recién nacidos, que fueron orientados al seguimiento ambulatorio para el alta hospitalaria. Se recogieron los datos de caracterización, de percepción de apoyo social, de depresión posparto y de asiduidad a las consultas, siendo analizados en el software R (3.3.1). Resultados: el siguimiento ambulatorio fue interrumpido por el 31,28% de los niños durante el primer año tras el alta. En el análisis de regresión múltiple, la probabilidad de interrumpir el seguimiento fue mayor entre los recién nacidos que utilizaron ventilación mecánica (OR = 1,68; IC 95% 1,04-2,72) y dependían de la tecnología (OR = 3,54; IC 95% 1,32-9,5). Conclusión: los factores predisponentes fueron asociados con la interrupción del seguimiento; sin embargo, los factores facilitadores y las necesidades de salud no presentaron una asociación significativa. Los niños que presentaban condiciones de salud más complejas requirieron apoyo adicional para participar en los programas de seguimiento y garantizar la continuidad del cuidado.

RESUMO Objetivos: identificar fatores predisponentes e capacitantes e necessidades de saúde associados à descontinuidade do seguimento ambulatorial de recém-nascidos egressos de terapia intensiva neonatal. Métodos: estudo transversal, utilizando o modelo comportamental de utilização de serviços de saúde. Participaram 358 mães e recém-nascidos encaminhados ao seguimento ambulatorial à alta hospitalar. Foram coletados dados de caracterização, percepção de apoio social, depressão pós-parto e assiduidade às consultas, sendo analisados no software R (3.3.1). Resultados: o seguimento ambulatorial foi descontinuado por 31,28% das crianças no primeiro ano após a alta. Em análise de regressão múltipla, a chance da descontinuidade foi maior nos recém-nascidos que utilizaram ventilação mecânica (OR = 1,68; IC 95% 1,04-2,72) e dependiam de tecnologia (OR = 3,54; IC 95% 1,32-9,5). Conclusões: fatores predisponentes estiveram associados à descontinuidade do seguimento; fatores capacitantes e necessidades de saúde não apresentaram associação significativa. Crianças com condições de saúde mais complexas requerem suporte adicional para participação nos programas de seguimento e garantia da continuidade do cuidado.

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Computational Intelligence Re-meets Medical Image Processing A Comparison of Some Nature-Inspired Optimization Metaheuristics Applied in Biomedical Image Registration BACKGROUND: Diffuse lung diseases (DLDs) are a diverse group of pulmonary disorders, characterized by inflammation of lung tissue, which may lead to permanent loss of the ability to breathe and death. Distinguishing among these diseases is challenging to physicians due their wide variety and unknown causes. Computer-aided diagnosis (CAD) is a useful approach to improve diagnostic accuracy, by combining information provided by experts with Machine Learning (ML) methods. OBJECTIVES: Exploring the potential of dimensionality reduction combined with ML methods for diagnosis of DLDs; improving the classification accuracy over state-of-the-art methods. METHODS: A data set composed of 3252 regions of interest (ROIs) was used, from which 28 features were extracted per ROI. We used Principal Component Analysis, Linear Discriminant Analysis, and Stepwise Selection - Forward, Backward, and Forward-Backward to reduce feature dimensionality. The feature subsets obtained were used as input to the following ML methods: Support Vector Machine, Gaussian Mixture Model, k-Nearest Neighbor, and Deep Feedforward Neural Network. We also applied a Deep Convolutional Neural Network directly to the ROIs. RESULTS: We achieved the maximum reduction from 28 to 5 dimensions using LDA. The best classification results were obtained by DFNN, with 99.60% of overall accuracy. CONCLUSIONS: This work contributes to the analysis and selection of features that can efficiently characterize the DLDs studied.

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Diretrizes preconizam, dentre os tratamentos não farmacológicos, a adoção do modelo dietético DASH. Estudos mostram que um padrão alimentar estilo DASH demonstrou ser fator protetor para essas doenças. O estudo objetivou caracterizar o consumo alimentar de pacientes diabéticos e/ou hipertensos atendidos em uma clínica escola de nutrição, segundo esse modelo dietético. A avaliação do consumo alimentar foi realizada por meio de dois recordatórios 24 horas de cada indivíduo. Para comparação com a DASH, alimentos foram transformados em porções. Foram avaliados 11 componentes da dieta e comparada à ingestão pelo escore DASH, onde "Baixo Consumo" varia 0 a 5,5 pontos, "Alto Consumo" acima ou igual 6 pontos. A amostra foi composta por 20 indivíduos, de 43,3 ± 8,02 anos. Na avaliação dietética, nenhum paciente atingiu escore máximo. O baixo consumo prevaleceu em 85% e o alto consumo em 15% da amostra. Houve significância entre idade e consumo da dieta (p < 0,05). Dos indivíduos que apresentaram baixo consumo, 76,5% encontram-se na faixa etária de 18 a 59 anos e 23,5% com 60 anos ou mais. Dos componentes da dieta, houve ingestão média baixa nos grupos dos grãos totais e integrais, laticínios desnatados, frutas, vegetais e nozes, sementes e leguminosas. Observou-se 100% da amostra com ingestão inadequada em micronutrientes. O consumo de sódio não apresentou diferença significativa (p > 0,05), sendo o valor médio superior ao recomendado; os demais itens apresentaram diferenças significativas (p < 0,001), com consumo abaixo do recomendado, indicando que a diferença entre os valores ingeridos e os recomendados é muito grande. Foi visto que a DASH não é usual na população estudada.

Brazilian Guidelines recommend, among non-pharmacological treatments, the adoption of the DASH dietary. Studies show that DASH dietary proved to be a protective factor for these diseases. The study aimed to characterize the food intake of diabetic and/or hypertensive patients in a clinical school of nutrition, according to this dietetic model. The food intake assessment was performed using two 24-hour dietary recalls for each individual. For comparison with the DASH, the food was processed in portions. Eleven components were evaluated and the dietary intake by the DASH score was assessed, where "Low Intake" varies from 0 to 5.5 points, and "High Intake" occurs above or equal to 6points. The sample was composed of 20 individuals, 43.3 ± 8.02 years old. According to dietary evaluation, no one reached the maximum score. The low intake prevailed in 85% and high intake in 15% of the sample. There was significance between age and diet consumption (p < 0.05). Amongthe individuals who had low consumption of the components of the DASH diet, 76.5% are aged between 18-59 years, 23.5% of individuals aged 60 years or more. Among the components of the diet, there was low average intake in groups of total and whole grains, nonfat dairy products, fruits, vegetables and nuts, seeds and legumes. Weobserved that 100% of the sample presented inappropriate micronutrient intake. Sodium intake was not significantly different (p > 0.05), and the mean value was higher than the recommended level; the remaining items showed significant differences (p < 0.001), with consumption below the recommended levels, indicating that the difference between the intake and the recommended levels is very large. We observed that DASH diet is not usual in this population.

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