RESUMO
This paper presents the Ergonomic Work Analysis method in a Brazilian Dentist's office. Through the study, the constraints and the strategies in avoiding them were identified. It was found that dentists hardly use the position most indicated by the International Organization for Standardization (ISO) and the Federation Dentaire Internacionale (FDI) for both the patient and the dentist, which is respectively supine and 9 o'clock, due to the limited space and layout. Five types of treatments performed by the professional have been studied. The frequency and duration of actions in these treatments were accounted for and the standard positions adopted were identified. The AET was found to be a very suitable method to grasp the dentist's activity and build a point of view of the profession, which is characterized as: stressful, perfectionist and restrictive. Time management is presented as an important strategy to control the tension arising from performing the treatments.
Assuntos
Odontologia , Ergonomia , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Posicionamento do Paciente , Brasil , Feminino , Humanos , Pessoa de Meia-Idade , Movimento , Postura , Análise e Desempenho de Tarefas , Gerenciamento do TempoRESUMO
This study evaluated the influence an abdominal support attached to a traditional stool, of those used by dentists, has on the body's distribution of the electrical activity of the superior trapezius and the longissimus thoracic muscles of dental students during the execution of a clinical procedure. The results showed no significant difference in the body's distribution in the seat and backrest, but did reveal there was a weight discharge of 3.1 ± 1.9% of dentist's body weight in the abdominal support. The 9 o'clock position proved to be the best position to perform clinical procedures. It was also observed that the position was closer to the body's axis.
Assuntos
Equipamentos Odontológicos , Odontologia , Músculos Superficiais do Dorso/fisiologia , Abdome , Adulto , Eletromiografia , Feminino , Humanos , Postura/fisiologia , Adulto JovemRESUMO
BACKGROUND/OBJECTIVES: Vitamin A deficiency (VAD) is a world public health problem contributing to the increase in childhood morbidity and mortality in developing countries and severe deficiency of vitamin A may lead to xerophthalmia and blindness. The objective of this study was to determine the prevalence of VAD among Brazilian school-aged children attended at a primary health unit and to verify if some considered risk factor was associated with VAD in this group. SUBJECTS/METHODS: A descriptive prospective transverse study was conducted on 103 randomly selected children. A total of 54 boys and 49 girls aged 5.5-11 years had the relative dose-response (RDR) test performed on. Possible ocular alterations related to vitamin A and the status of anemia, serum zinc, some acute-phase proteins, and anthropometric situation were determinate by an analytic design. RESULTS: No child presented xerophthalmia. Serum retinol values lower than 1.05 and 0.7 micromol l(-1), respectively were found in 26.2 and 5.8% of the children. The prevalence of hypovitaminosis detected by RDR test was 20.4%. The following variables and their relationship with VAD were evaluated: sex (P=0.33; 95% confidence interval 0.61-4.34), weight and height (P> or =0.5), hemoglobin (P=0.15), C-reactive protein (P=0.56; 95% confidence interval 0.75-18.26), alpha-1-acid-glycoprotein (P=0.56; 95% confidence interval 0.15-15.42) and serum zinc (P=0.31). None of these variables was related to VAD. CONCLUSIONS: In this population, the prevalence of VAD detected could be considered a public health problem. School-aged children can be considered at risk for VAD mainly of a subclinical level, even without some associated risk factors.
Assuntos
Deficiência de Vitamina A/epidemiologia , Vitamina A/sangue , Vitaminas/sangue , Brasil/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Prevalência , Deficiência de Vitamina A/sangue , Xeroftalmia/epidemiologiaAssuntos
Antirretrovirais/uso terapêutico , Infecções por HIV/tratamento farmacológico , HIV-1/genética , Adulto , Brasil , DNA Viral/genética , Farmacorresistência Viral/genética , Feminino , Genótipo , Infecções por HIV/virologia , Humanos , Masculino , Dados de Sequência Molecular , Mutação/genética , Provírus/genética , RNA Viral/genéticaRESUMO
The goal of antiretroviral therapy is clinical benefit through the suppression of viral replication and the immunologic reconstitution of HIV-1-infected patients. In spite of the availability of different highly active antiretroviral therapy only some patients sustain undetectable plasma viremia. We performed an observational study from October 1987 to February 2001 on immunologic and clinical outcome of 148 HIV-1-infected patients from an open clinical cohort at São Paulo University, Brazil. The median T CD4+ at starting first monitored regimen was 227 cells per microliter, with 65% of patients previously exposed to antiretroviral regimens, mostly dual therapy. Virologic response to antiretroviral therapy, after a median period of 179 weeks of monitored treatment, allowed classifying patients as aviremic (RNA plasma viremia below 500 copies per milliliter); viremic (current viral load at historic levels), and viremic-attenuated groups (detectable viremia, but > 1 log viral suppression). HIV RNA viral load, T CD4+ cells count, HIV-1 pol sequencing, inflammatory parameters, and clinical events were documented during a median follow-up of 251 weeks. This study observed better clinical and immunologic responses in the aviremic group, but the viremic-attenuated group showed a significant gain in CD4+ cells (p < 0.013) and a decreased number of cases progressing to an AIDS-defining clinical condition (p < 0.001) compared to the viremic group.
Assuntos
Terapia Antirretroviral de Alta Atividade , Contagem de Linfócito CD4 , Monitoramento de Medicamentos , Infecções por HIV/tratamento farmacológico , HIV-1 , Adulto , Biomarcadores , Brasil/epidemiologia , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/imunologia , Humanos , Modelos Lineares , Estudos Longitudinais , Masculino , Análise Multivariada , Resultado do Tratamento , Carga ViralRESUMO
We have carried out a combined experimental and theoretical study of the molecular structure of the MoO(O(2))(2)(OPy)(H(2)O) coordination compound using X-ray crystallography and DFT-B3LYP computational method, respectively. The MoO(O(2))(2)(OPy)(H(2)O) complex crystallizes in the orthorhombic space group Pmna with Z = 4, a = 6.9001(9) A, b = 8.0471(1) A, c = 16.227(2) A, V = 901.0(2) A(3), and the X-ray data analysis yields a bipyramidal-pentagonal coordination polyhedron for the Mo atom. The pyridine N-oxide (OPy) ligand occupies the equatorial position, with the oxygen atom of this ligand being located in the same plane as the four peroxo oxygen atoms. The H(2)O ligand is situated trans to the oxo group, forming intermolecular hydrogen bonds with peroxo groups belonging to two adjacent complexes. In our theoretical approach these intermolecular interactions were taken into account by including two methanol molecules which form hydrogen bonds with the water ligand leading to a good agreement between the calculated and the experimental geometry. Our results suggest that it is necessary to take into account the presence of these interactions in order to reconcile the theoretical results to the experimental data, in particular the distance between Mo and the oxygen of water ligand. These results seem to be a general feature for analogous bis-peroxo complexes that have been reported in the literature.
RESUMO
Between 1975 and 1983, 53 patients with parasitologically proven visceral leishmaniasis (VL) and 16 patients with suspected VL were diagnosed in Honduras. The patients' ages ranged from 3 months to 10 years, but 95% were younger than 3 years old. Since 1978, when 16 patients were reported, the yearly incidence has declined, and in 1982 only 4 patients were reported. We located and interviewed the families of 57 of the 69 patients. At the onset of illness, all 57 patients lived in rural areas, and 55 lived in southern Honduras. All the patients who were discharged from the hospital alive were still living at the time of the interview. A case-control study, using age-matched neighbors as controls, showed that patients were significantly more likely to have lived in poorly constructed, wood-stick houses. We used an indirect immunofluorescence test to analyze blood samples for Leishmania antibodies from 218 family members of patients, 170 family members of controls, and 156 children living on the island of El Tigre, where 4 of the 5 most recently diagnosed patients lived. Although 15 specimens gave a positive reaction to L. donovani antigen, each gave a stronger reaction when tested against Trypanosoma cruzi antigen, suggesting that the reactions to L. donovani were false positives. A serosurvey of 279 dogs of cases and controls and from El Tigre showed that 24 had positive reactions to L. donovani antigen, but only 4 (1.4%) had higher titers to L. donovani than to T. cruzi.(ABSTRACT TRUNCATED AT 250 WORDS)