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RESUMO Buscou-se investigar e conhecer a frequência e a distribuição de frenotomias e fenectomias realizadas no Sistema Único de Saúde (SUS) após os dispositivos legais que instituíram o teste da linguinha, bem como entender quais profissionais estão realizando o procedimento cirúrgico. Estudo descritivo analítico, retrospectivo, com dados secundários, disponíveis no Sistema de Informações Ambulatoriais do DataSUS, extraídos por meio do TabWin. Observou-se um aumento considerável no número de procedimentos, porém, com flutuações nos anos seguintes. Das frenectomias registradas no SUS, no período, 33% foram realizadas por dentistas na atenção primária. Os resultados apontaram que houve um aumento substancial no número de procedimentos cirúrgicos em dois momentos, em 2014 e em 2017, possivelmente em decorrência da publicação da Lei nº 13.002/2014 e da Nota Técnica (NT) nº 09/2016. A NT nº 35/2018 deslocou o diagnóstico e o tratamento para a média complexidade, possivelmente resultando em filas, principalmente em se tratando de cirurgias que poderiam ser realizadas na atenção primária. Apesar de não haver unanimidade quanto à correlação anquiloglossia e desmame, não parece haver um monitoramento para evitar cirurgias desnecessárias, uma vez que a ordenha pode não ser afetada e o acompanhamento ser realizado para confirmar ou não essa necessidade.

ABSTRACT This study sought to investigate and to know the frequency and the distribution of frenotomies and frenectomies performed in the Unified Health System (SUS) after the legal provisions that instituted the tong test, and to understand which professionals are performing the surgical procedure. This is an analytical, descriptive, retrospective study, with secondary data, available in the DATASUS Information System. It was observed that a considerable increase in the number of procedures, but with fluctuations in the following years. Out of the frenectomies registered in the SUS in the period, 33% were performed by dentists in primary care. The results showed that there was a substantial increase in the number of surgical procedures in two moments, in 2014 and in 2017, possibly as a result of the publication of Ordinance nº 13.002/2014 and Technical Note (NT) No. 09/2016. NT No. 35/2018 shifted diagnosis and treatment to medium complexity, possibly resulting in queues, especially in the case of surgeries that could be performed in primary care. Although there is no unanimity regarding the correlation between ankyloglossia and weaning, there seems to be no monitoring to avoid unnecessary surgeries, since milking may not be affected and follow-up is carried out to confirm or not this need.

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ABSTRACT Purpose: to investigate the effectiveness of a pharyngeal bulb prosthesis to eliminate hypernasality in patients with operated cleft palate presenting with diagnosis of hypodynamic velopharynx. Methods: twenty patients with cleft palate, ages 11-40 years, presenting hypodynamic velopharynx participated in the study. Patients had their speech audio recorded twice, with and without prosthesis, simultaneously with nasometry. Three speech-pathologists rated the presence and absence of hypernasality. Perceptual and nasometric data without and with prosthesis were compared, using the McNemar Test (p<0.05). Results: three (15%) patients presented hypernasality without prosthesis and normal resonance with prosthesis, 3 (15%), normal resonance without prosthesis and hypernasality with prosthesis, 9 (45%), hypernasality without and with prosthesis, and 5 (25%), normal resonance in both conditions. Nasometry (≤27% cut off): 1 (5%), presented scores >27% without prosthesis and <27% with prosthesis, 2 (10%), scores <27% without prosthesis and >27% with prosthesis, 17 (85%), scores >27% in both conditions, and 1(5%), scores <27% in both conditions. The comparisons between the results were not significant (p=1.000). Conclusion: the pharyngeal bulb prosthesis alone is insufficient to eliminate hypernasality of patients presented with hypodynamic velopharynx. To this purpose, the combination between the prosthesis and speech therapy is required.

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The objective of this study was to prepare, for the first time, active films and coatings from fruit starch (SPFS) and phenolic stem bark extract (SBPE) from Spondias purpurea L. Starch film formulations were prepared with different SBPE contents (5-20 wt% on starch), then cast and dried into films. SBPE showed higher antioxidant activity and antimicrobial activity against both Gram-negative and Gram-positive bacteria. Chemical, morphological, thermal, optical, mechanical, and barrier properties were studied for SPFS-SBPE films. In general, the phenolic extract caused significant changes in starch films (especially when in excess), such as gradual reduction of elastic modulus and tensile strength, increased elongation, opacity, and thermal properties (e.g. glass transition and melting enthalpy). On the other hand, SBPE provided the films with active properties (antioxidant and UV-absorbing). Coatings were applied to minimally processed mangoes (MPM), which were stored for 10 days at 12 °C. SBPE-containing coatings provided better protective action, reducing the total color difference (∆E⁎) and delaying the browning index (BI) during storage as well as reducing fungus attack. The active SPFS-SBPE films showed great potential as environmentally friendly active films and coatings.

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OBJECTIVES: This study aimed to investigate the influence of Nd:YAG laser and aluminum oxide sandblasting on the shear bond strength (SBS) of lingual brackets and to optically analyze the behavior of the enamel morphology. MATERIALS AND METHODS: Thirty-five bovines' incisors teeth were divided into 5 groups (n = 7), according to the surface preconditioning: G1, control group; G2, Nd:YAG laser; G3, laser + aluminum oxide sandblasting (Al2O3); G4, Al2O3; and G5, Al2O3 + laser. All groups had lingual brackets bonded and shear debonded after 72 h. SBS values were analyzed, and the enamel morphology was evaluated by optical coherence tomography (OCT) and scanning electron microscope (SEM), before and after preconditioning surface. The optical attenuation coefficient (α) analysis was obtained from OCT images. Data analysis used the ANOVA test, followed by post hoc Tukey, Kruskal Wallis, and post hoc Dunn tests (significance of 5%). RESULTS: The SBS values presented similarly among groups, but the value of α showed statistical difference (p-value = 0.0124) between G3 and G5 with the others. Optical analyses indicated a melting on the enamel that suffered laser irradiation for G2 and G5 and crystal surface disorganization for G4. Sandblasting partially removes the melting of the laser effect (G3). CONCLUSION: The sandblasting is a dispensable step for bonding lingual brackets, and the melting of the enamel after laser irradiation does not compromise the bracket adhesive resistance. CLINICAL RELEVANCE: The Nd:YAG laser became an interesting tool to prevent caries and decrease prevalence of white spot lesions in orthodontic treatments, without systemic effects in patients with genetic high risks of caries.

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Pulsed light, as a postharvest technology, is an alternative to traditional fungicides, and can be used on a wide variety of fruit and vegetables for sanitization or pathogen control. In addition to these applications, other effects also are detected in vegetal cells, including changes in metabolism and secondary metabolite production, which directly affect disease control response mechanisms. This study aimed to evaluate pulsed ultraviolet light in controlling postharvest rot, caused by Fusarium pallidoroseum in 'Spanish' melon, in natura, and its implications in disease control as a function of metabolomic variation to fungicidal or fungistatic effects. The dose of pulsed light (PL) that inhibited F. pallidoroseum growth in melons (Cucumis melo var. Spanish) was 9 KJ m-2. Ultra-performance liquid chromatography (UPLC) coupled to a quadrupole-time-of-flight (QTOF) mass analyzer identified 12 compounds based on tandem mass spectrometry (MS/MS) fragmentation patterns. Chemometric analysis by Principal Components Analysis (PCA) and Orthogonal Partial Least Squared Discriminant Analysis (OPLS-DA) and corresponding S-Plot were used to evaluate the changes in fruit metabolism. PL technology provided protection against postharvest disease in melons, directly inhibiting the growth of F. pallidoroseum through the upregulation of specific fruit biomarkers such as pipecolic acid (11), saponarin (7), and orientin (3), which acted as major markers for the defense system against pathogens. PL can thus be proposed as a postharvest technology to prevent chemical fungicides and may be applied to reduce the decay of melon quality during its export and storage.

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ABSTRACT Purpose: to analyze the association of self-reported vocal symptoms with personal, occupational and clinical aspects and relate them to the quality of life of teachers/professors of the federal network of vocational and technological education. Methods: study carried out with 157 teachers from a federal public institution of vocational and technological education, who answered the World Health Organization Quality of Life questionnaire (WHOQOL-bref), Quality of Life in the Voice (V-RQOL) questionnaire and a data form (on social information, health conditions, vocal symptoms, habits, organization and working environment). Statistical analysis was performed using the Chi-square test. Results: 29% of the teachers presented vocal symptoms. The prevalent complaints were dry throat (38.2%), cough (37.6%) and hoarseness (30.6%). There was a higher prevalence of symptoms in females. For the WHOQOL-bref, the average was 71.3 points, which is considered regular. The domain with the highest score was the psychological one with 75.3. Regarding V-RQOL, the average score in the global domain was 92.5 points, and the physical score was the most compromised one. 90.5% of teachers showed low voice impact on quality of life. Conclusion: although these teachers present vocal complaints, they do not reflect in the limitation of the quality of life.

RESUMO Objetivo: analisar a associação de sintomas vocais autorreferidos com aspectos pessoais, ocupacionais, clínicos e relacionar com a qualidade de vida de professores da rede federal de ensino profissional e tecnológico. Métodos: estudo com 157 docentes de uma instituição pública federal de educação profissional e tecnológica, que responderam aos questionários World Health Organization Quality Of Life/bref (WHOQOL-bref), Qualidade de Vida em Voz (QVV) e o formulário de dados (sociais, condições de saúde, sintomas vocais, hábitos, organização e ambiente de trabalho). A análise estatística foi realizada por meio do teste Qui-quadrado. Resultados: 29% dos professores apresentaram sintomas vocais. As queixas prevalentes foram garganta seca (38,2%), tosse (37,6%) e rouquidão (30,6%). Houve maior prevalência dos sintomas no sexo feminino. Para o WHOQOL-bref, a média foi 71,3 pontos, considerada regular. O domínio com maior pontuação foi o psicológico com 75,3. Quanto ao QVV, o escore médio no domínio global foi de 92,5 pontos, sendo o físico o mais comprometido. 90,5% dos docentes apresentaram baixo impacto da voz na qualidade de vida. Conclusão: embora os docentes apresentem queixas vocais, elas não se refletem na limitação da qualidade de vida.

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The quality of zein (Z)- and zein-tannic acid (ZTA)-coated guavas was monitored throughout 12 days of storage. Coated fruit showed lower changes in terms of visual appearance, chlorophyll contents and color. Weight loss, softening, and changes in soluble solids were also decreased by the coatings. The respiration peak as well as H2O2 and superoxide dismutase activity peaks were delayed by the coatings, and the ethylene production was reduced. So, the results were consistent with a slowed down ripening of guavas by the coatings, which was probably related to lowered oxygen permeability of guava skin. ZTA coating was more effective than Z to reduce weight loss, softening, color changes, ethylene production, and oxidative stress. The higher efficiency of ZTA coating was ascribed to zein crosslinking, which probably resulted in decreased gas permeability, promoting lower respiration rates and lower ROS production, slowing down the ripening process, and extending guava stability.

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The main effluent of oil and gas production is the discharge of produced water (PW). Despite the potential environmental impact, the structure of oil and gas platforms can act as artificial reefs. Two species of fish, Caranx crysos and Tylosurus acus, were captured under two discharging platforms at Campos Basin, P19 and P40. A nondischarging platform, P25, was taken as reference. The highest median concentration of PAH in muscle tissue was observed for C. Crysos at P40 (219.38 ng g-1) followed by P19 (68.26 ng g-1). For T. acus, the highest median concentrations were 40.07 and 42.21 ng g-1 from P19 and P40 respectively. P25 presented the smallest recorded concentrations. The results of PAH in the muscle tissue of C. crysos enabled to distinguish the platforms with PW discharge from the platform without discharge. Trace elements concentrations reflected the background levels and were not influenced by the PW release.

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Um sorriso atraente ajuda as pessoas a se sentirem mais confiantes e a parecerem mais jovens, podendo influenciar inclusive no desempenho das relações profissionais e pessoais, além de impactar no desenvolvimento da personalidade. Dentre as características estudadas e consideradas importantes para um sorriso estético, está o corredor bucal. Atributo que pode ser definido como a diferença entre a largura da dentição maxilar visível e a largura da comissura interna. A influência negativa da presença do corredor bucal excessivo sobre a estética do sorriso é um tema controverso e que abrange uma gama de trabalhos na literatura, podendo ser incluído na lista de problemas ortodônticos durante o diagnóstico e planejamento do tratamento. Considerando esse contexto, o presente trabalho tem o objetivo de relatar um caso clínico tratado com Ortodontia lingual, em que foram alcançados resultados estéticos favoráveis com a diminuição do corredor bucal.(AU)

An attractive smile helps people to feel more confident and look younger and could have influence on professional performance and personal relationships, as well as it may have impact on personality development. Among the characteristics studied and considered important for smile aesthetic is the buccal corridor. It can be defined as the difference between the width of the visible maxillary dentition and the width of the inner commissure. The negative influence of excessive buccal corridor presence in the smiling aesthetics is a controversial subject that is covered in a range of literature works; it can be included in the list of orthodontic problems during the diagnosis and treatment planning. Considering this context, the present work aims to report a clinical case treated with lingual orthodontics, in which favorable aesthetic results were obtained with reduction of the buccal corridor. (AU)

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OBJECTIVE: To analyze the process of implementation of emergency care units in Brazil. METHODS: We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS: Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS: The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.

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The Mobile Emergency Medical Service (SAMU) was the first component of the National Policy for Emergency Care implemented in Brazil in the early 2000. The article analyzed the implementation of mobile pre-hospital emergency care in Brazil. The methods included document analysis, interviews with state emergency care coordinators, and an expert panel. The theoretical reference was the strategic conduct analysis from Giddens' Structuration Theory. The results showed uneven implementation of the SAMU between states and regions of Brazil, identifying six patterns of implementation, considering the states' capacity to expand the population coverage and regionalize the service. Structural difficulties included physician retention, poorly equipped dispatch centers, and shortage of ambulances. The North and Northeast were the country's most heavily affected regions. SAMU is formatted as a structuring strategy in the emergency care network, but its performance suffered the impact of limited participation by primary care in the emergency network and especially the lack of hospital beds.

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Human skin is the outer covering of the body, and its composition changes with overexposure to environmental pollution and solar radiation. Infrared (IR) radiation is capable of penetrating more deeply into the skin producing free radicals causing irreversible damage. Confocal Raman spectroscopy was considered as a potential tool for the in vivo analysis of the different metabolic conditions with respect to different depths of the skin. In this regard, this work verifies the influence of infrared radiation on the skin dermis after having been exposed to 432 J cm-2 which corresponds to the dose received in a day in the summer time in a tropical region. This study was performed with 17 female volunteers who were divided into two groups. The marked skin area was exposed twice to IR radiation for a duration of 30 min each with an interval of 30 min. The spectral signatures were collected in the fingerprint region before (T0) and after 60 min (T60) of IR irradiation. The analysis shows that, on average, no significant variations occurred in group I and decreased collagen was observed in group II. However, when considering the effect seen in each individual, collagen degradation was detected in 60% of volunteers.

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ABSTRACT OBJECTIVE To analyze the process of implementation of emergency care units in Brazil. METHODS We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.

RESUMO OBJETIVO Analisar o processo de implantação das unidades de pronto atendimento no Brasil. MÉTODOS Realizou-se análise documental, entrevistas com 24 coordenadores estaduais de urgência e um painel de especialistas. Analisaram-se questões relativas a: antecedentes e trajetória da política; atores envolvidos na implantação; processo de expansão; avanços, limites e dificuldades de implantação; e capacidade de coordenação estadual. Utilizou-se o referencial teórico da análise da conduta estratégica da teoria da estruturação de Giddens. RESULTADOS As unidades de pronto atendimento foram implantadas a partir de 2007, inicialmente na região Sudeste, e em 2016 existiam 446 unidades de pronto atendimento considerando todas as regiões. Atualmente, há 620 unidades de pronto atendimento em construção, indicando expectativa de expansão. O financiamento federal foi um forte indutor da implantação. Os estados planejaram suas unidades de pronto atendimento, mas a existência de negociação direta entre os municípios e a União contribuiu com o significativo número de unidades de pronto atendimento construídas que não funcionam. Em relação à rede de urgência, há tensão com o hospital pela insuficiência de leitos no país, gerando internação na unidade de pronto atendimento. A gestão das unidades de pronto atendimento é predominantemente municipal, com a maioria das unidades de pronto atendimento localizadas fora das capitais e classificadas como Porte III. Os principais desafios identificados foram: o sub-financiamento e a dificuldade de contratar médicos. CONCLUSÕES A unidade de pronto atendimento tem o mérito de ter recursos tecnológicos e ser arquitetonicamente diferenciada, mas só será bem-sucedida dentro de uma rede de urgência. A indução federal gerou respostas contraditórias, pois nem todos os estados consideram a unidade de pronto atendimento como prioritária. O fortalecimento da gestão estadual foi identificado como desafio para a implantação da rede de urgências.

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O Serviço de Atendimento Móvel de Urgência (SAMU) foi o primeiro componente da Política Nacional de Atenção às Urgências implantado no país no começo dos anos 2000. O artigo analisou o processo de implantação da urgência pré-hospitalar móvel no Brasil. Os métodos incluíram análise documental, entrevistas com coordenadores estaduais de urgência e um painel de especialistas. Utilizou-se o referencial teórico da análise da conduta estratégica da Teoria da Estruturação de Giddens. Os resultados evidenciaram uma implantação do SAMU desigual entre estados e regiões, identificando seis padrões de implantação considerando-se a capacidade dos estados de expandir a cobertura populacional e de regionalizar. As dificuldades estruturais incluíram a fixação de médicos, centrais de regulação mal equipadas e escassez de ambulâncias. Norte e Nordeste foram as regiões mais atingidas. O SAMU está configurado como estratégia estruturante da rede de urgências, mas seu desempenho sofreu o impacto da pouca participação da atenção primária na rede de urgências e principalmente da falta de leitos hospitalares.

The Mobile Emergency Medical Service (SAMU) was the first component of the National Policy for Emergency Care implemented in Brazil in the early 2000. The article analyzed the implementation of mobile pre-hospital emergency care in Brazil. The methods included document analysis, interviews with state emergency care coordinators, and an expert panel. The theoretical reference was the strategic conduct analysis from Giddens' Structuration Theory. The results showed uneven implementation of the SAMU between states and regions of Brazil, identifying six patterns of implementation, considering the states' capacity to expand the population coverage and regionalize the service. Structural difficulties included physician retention, poorly equipped dispatch centers, and shortage of ambulances. The North and Northeast were the country's most heavily affected regions. SAMU is formatted as a structuring strategy in the emergency care network, but its performance suffered the impact of limited participation by primary care in the emergency network and especially the lack of hospital beds.

El Servicio de Atención Móvil de Urgencia (SAMU) fue el primer componente de la Política Nacional de Atención a las Urgencias, implantado en Brasil a inicio del año 2000. El artículo analizó el proceso de implantación de la urgencia pre-hospitalaria móvil en Brasil. Los métodos incluyeron un análisis documental, entrevistas con coordinadores estatales de urgencia y un panel de especialistas. Se utilizó el marco referencial teórico del análisis de la conducta estratégica de la Teoría de la Estructuración de Giddens. Los resultados evidenciaron una implantación del SAMU desigual entre estados y regiones, identificando seis patrones de implantación, considerándose la capacidad de los estados de expandir la cobertura poblacional y de regionalizar. Las dificultades estructurales incluyeron la fijación de médicos, centrales de mal equipadas y escasez de ambulancias. Norte y Nordeste fueron las regiones más afectadas. El SAMU está configurado como estrategia estructurante de la red de urgencias, pero su desempeño sufrió el impacto de la poca participación de la atención primaria en la red de urgencias y, principalmente, de la falta de camas en hospitales.

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El proceso de envejecimiento se acompaña de cambios sutiles en determinados aspectos del funcionamiento cognitivo. Uno de los temas que más preocupación genera en las personas mayores de 60 años es el funcionamiento de su memoria. En los talleres de entrenamiento cognitivo nos proponemos mejorar el funcionamiento cognitivo, a partir de un programa organizado de ejercicios cuyo objetivo es aprender estrategias para la eficiencia cognitivaa con la finalidad de mejorar el funcionamiento en su vida cotidiana. Desde la perspectiva de la Psicología Positiva, nos enfocaremos en los efectos positivos destacando las fortalezas y recursos cognitivos que los adultos mayores poseen y van a potenciar en el curso del programa de entrenamiento. En base a los resultados de la investigación que estamos desarrollando en el marco de los talleres de UPAMI, que se dictan en la facultad de psicología UBA, la mayoría de los participantes refieren mejoras en áreas tales como: atención, memoria a largo plazo, función ejecutiva y aprendizajes de estrategias; reducción de sus miedos frente a los olvidos, y ampliación de redes sociales. Se observa que el entrenamiento cognitivo tiene un impacto positivo en tres dimensiones del capital psíquico: en las capacidades cognitivas para adquirir y usar formas de conocimiento (creatividad, curiosidad y motivación para aprender), en las capacidades para establecer vínculos interpersonales (inteligencia emocional) y en las capacidades emocionales para desarrollar proyectos, superando obstáculos (autoestima).

The aging process is accompanied by subtle changes in certain cognitive functions. One of the topics that most concerns people over 60 is losing their memory. In Cognitive behavior training workshops we focus on improving cognitive functioning. Through an organized exercise program aimed at learning strategies for cognitive efficiency we work to improve performance in the elderly's everyday life. From the Positive Psychology perspective, we focus on the positive effects highlighting the elderly's strengths and cognitive resources, which can be strengthened in the course of the training program. Based on the results of the research that we are developing within the framework of University for Integrated Older Adults (UPAMI) workshops, at the University of Buenos Aires Psychology School, most workshop participants report improving areas such as: attention, long-term memory, executive function and learning strategies; reduction of their fears against forgetfulness and expansion of social networks. Cognitive behavior training has shown to have a positive impact on three dimensions of psychic capital: in cognitive abilities to acquire and use forms of knowledge (creativity, curiosity and motivation to learn), in the capacity to establish personal relationships (emotional intelligence) and in the emotional capacity to develop projects overcoming obstacles (self-esteem).

O processo de envelhecimento é acompanhado por mudanças sutis em certas funções cognitivas. Um dos temas que mais preocupa as pessoas com mais de 60 anos está em perder a memória. Do ponto de vista da Psicologia Positiva, vamos nos concentrar sobre os efeitos positivos, destacando pontos fortes, e recursos cognitivos que podem ser reforçados no decurso do programa de treinamento do idoso. Com base nos resultados da investigação que estamos desenvolvendo no marco das oficinas da UPAMI, na Faculdade de Psicologia, da Universidade de Buenos Aires (UBA), de formação comportamental cognitiva que se concentram em melhorar o funcionamento cognitivo dos mais velhos, através de um programa de exercícios organizados, visa-se a estratégias de aprendizagem para a eficiência cognitiva, trabalhando para melhorar o desempenho na vida cotidiana do idoso. A maioria dos participantes das oficinas relatam ter-lhes melhorado áreas como: atenção, memória de longo prazo, de função e de aprendizagem estratégias executivas; redução de seus medos contra o esquecimento e expansão das redes sociais. A formação comportamental cognitiva demonstra ter um impacto positivo nas três dimensões do capital psíquico: em habilidades cognitivas para adquirir e usar formas de conhecimento (criatividade, curiosidade e motivação para aprender), na capacidade de estabelecer relações pessoais (inteligência emocional) e na capacidade emocional para desenvolver projetos de superar obstáculos (auto-estima).

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El objetivo del presente trabajo es dar cuenta de los efectos positivos que produce, en los adultos mayores participantes de UPAMI, asistir al taller "Inteligencia reflexiva: el arte de argumentar". Este dispositivo es un facilitador para que los participantes reflexionen sobre sus propios pensamientos, generando procesos de argumentación y debates grupales. Sustentamos nuestra práctica en las teorías de la argumentación, las leyes de la retórica, las bases del pensamiento crítico, la asertividad en la comunicación y el arte de la oratoria. A fin de indagar en el impacto que ha tenido el taller en la subjetividad de sus participantes y en sus relaciones cotidianas hemos realizado una encuesta final; es en base a los resultados de la misma que profundizamos sobre dimensiones del bienestar psicológico. Entre las virtudes más recurrentes en sus respuestas encontramos el Coraje, la Sabiduría, el Conocimiento y la Templanza; a partir de ellas se han practicado la perseverancia, la apertura mental y la autorregulación. Asimismo, han elevado sus niveles de empoderamiento, su capacidad de reflexión y autoeficacia en cuanto a técnicas argumentativas, generando todo ello un aumento en su bienestar psicológico.

The purpose of this paper is to account for the positive effects that, in participants older adults UPAMI, attend the workshop "reflective intelligence: the art of arguing." This device is a facilitator for participants to reflect on their own thoughts, generating processes of argumentation and group discussions. We base our practice on the theories of argumentation, rhetoric laws, the foundations of critical thinking, assertiveness in communication and public speaking. To investigate the impact it has had the workshop in the subjectivity of its participants and in their daily relationships we conducted a final survey; It is based on the results of the same as we deepen on dimensions of psychological well-being. Among the most frequent answers are virtues in Courage, Wisdom, Knowledge and Temperance; from them they have been practiced perseverance, open-mindedness and selfregulation. They have raised their levels of empowerment, their capacity for reflection and self-efficacy regarding argumentative techniques, generating all increased their psychological well-being.

O objetivo deste artigo é explicar os efeitos positivos que ocorrem, emparticipantes adultos mais velhos UPAMI, ao participarem do workshop "Inteligência reflexiva: A arte de argumentar". Este dispositivo é um facilitador para os participantes refletirem sobre seus próprios pensamentos, gerando processos de argumentação e discussões em grupo. Baseamos nossa prática nas teorias da argumentação, nas leis retóricas, nos fundamentos do pensamento crítico, na assertividade na comunicação e no falar em público. Para investigar o impacto que teve a oficina na subjetividade de seus participantes, e em suas relações diárias, foi realizada uma pesquisa final. Ela baseia-se nos resultados da mesma à medida que aprofundou dimensões de bem-estar psicológico. Entre as respostas mais frequentes são: virtudes na coragem, sabedoria, conhecimento e temperança; a partir daí, ter sido praticada a perseverança, a abertura de espírito e a auto-regulação. Os participantes levantaram seus níveis de capacitação, sua capacidade de reflexão e autoeficácia sobre técnicas argumentativas, acarrentando-lhes o aumento de seu bem-estar psicológico.

Assuntos

RESUMO

A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.

Assuntos

RESUMO

Rehabilitation of cleft patients is a process that occurs from birth to adult life and involves a team of many professionals. Reconstructive plastic surgery, despite its functional and aesthetic benefits to the patient, can restrict the normal anterior displacement that occurs in the growth of the maxilla, which, in turn, can lead to a concave profile that requires correction. This study aimed to demonstrate an alternative rehabilitation treatment for cleft patients who have severe maxillomandibular discrepancy and choose not to undergo orthognathic surgery. A retrospective review and case reports of rehabilitation treatment of cleft patients were performed, with an emphasis on prosthetic rehabilitation without orthognathic surgical procedures. Prosthetic rehabilitation is a fast and reversible option for cleft patients that provides facial harmony and facilitates the reintegration of these patients into society.

Assuntos

RESUMO

A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.

Assuntos

RESUMO

El objetivo del presente trabajo es dar cuenta de los efectos positivos que produce, en los adultos mayores participantes de UPAMI, asistir al taller “Inteligencia reflexiva: el arte de argumentar”. Este dispositivo es un facilitador para que los participantes reflexionen sobre sus propios pensamientos, generando procesos de argumentación y debates grupales. Sustentamos nuestra práctica en las teorías de la argumentación, las leyes de la retórica, las bases del pensamiento crítico, la asertividad en la comunicación y el arte de la oratoria. A fin de indagar en el impacto que ha tenido el taller en la subjetividad de sus participantes y en sus relaciones cotidianas hemos realizado una encuesta final; es en base a los resultados de la misma que profundizamos sobre dimensiones del bienestar psicológico. Entre las virtudes más recurrentes en sus respuestas encontramos el Coraje, la Sabiduría, el Conocimiento y la Templanza; a partir de ellas se han practicado la perseverancia, la apertura mental y la autorregulación. Asimismo, han elevado sus niveles de empoderamiento, su capacidad de reflexión y autoeficacia en cuanto a técnicas argumentativas, generando todo ello un aumento en su bienestar psicológico.(AU)

The purpose of this paper is to account for the positive effects that, in participants older adults UPAMI, attend the workshop "reflective intelligence: the art of arguing." This device is a facilitator for participants to reflect on their own thoughts, generating processes of argumentation and group discussions. We base our practice on the theories of argumentation, rhetoric laws, the foundations of critical thinking, assertiveness in communication and public speaking. To investigate the impact it has had the workshop in the subjectivity of its participants and in their daily relationships we conducted a final survey; It is based on the results of the same as we deepen on dimensions of psychological well-being. Among the most frequent answers are virtues in Courage, Wisdom, Knowledge and Temperance; from them they have been practiced perseverance, open-mindedness and self-regulation.They have raised their levels of empowerment, their capacity for reflection and self-efficacy regarding argumentative techniques, generating all increased their psychological well-being.(AU)

O objetivo deste artigo é explicar os efeitos positivos que ocorrem, em participantes adultos mais velhos UPAMI, ao participarem do workshop "Inteligência reflexiva: A arte de argumentar". Este dispositivo é um facilitador para os participantes refletirem sobre seus próprios pensamentos, gerando processos de argumentação e discussões em grupo. Baseamos nossa prática nas teorias da argumentação, nas leis retóricas, nos fundamentos do pensamento crítico, na assertividade na comunicação e no falar em público. Para investigar o impacto que teve a oficina na subjetividade de seus participantes, e em suas relações diárias, foi realizada uma pesquisa final. Ela baseia-se nos resultados da mesma à medida que aprofundou dimensões de bem-estar psicológico. Entre as respostas mais frequentes são: virtudes na coragem, sabedoria, conhecimento e temperança; a partir daí, ter sido praticada a perseverança, a abertura de espírito e a auto-regulação. Os participantes levantaram seus níveis de capacitação, sua capacidade de reflexão e autoeficácia sobre técnicas argumentativas, acarretando-lhes o aumento de seu bem-estarpsicológico.(AU)

Assuntos