Biostimulant Response of Foliar Application of Rare Earth Elements on Physiology, Growth, and Yield of Rice.

Rare earth elements (REEs) have been intentionally used in Chinese agriculture since the 1980s to improve crop yields. Around the world, REEs are also involuntarily applied to soils through phosphate fertilizers. These elements are known to alleviate damage in plants under abiotic stresses, yet there is no information on how these elements act in the physiology of plants. The REE mode of action falls within the scope of the hormesis effect, with low-dose stimulation and high-dose adverse reactions. This study aimed to verify how REEs affect rice plants' physiology to test the threshold dose at which REEs could act as biostimulants in these plants. In experiment 1, 0.411 kg ha-1 (foliar application) of a mixture of REE (containing 41.38% Ce, 23.95% La, 13.58% Pr, and 4.32% Nd) was applied, as well as two products containing 41.38% Ce and 23.95% La separately. The characteristics of chlorophyll a fluorescence, gas exchanges, SPAD index, and biomass (pot conditions) were evaluated. For experiment 2, increasing rates of the REE mix (0, 0.1, 0.225, 0.5, and 1 kg ha-1) (field conditions) were used to study their effect on rice grain yield and nutrient concentration of rice leaves. Adding REEs to plants increased biomass production (23% with Ce, 31% with La, and 63% with REE Mix application) due to improved photosynthetic rate (8% with Ce, 15% with La, and 27% with REE mix), favored by the higher electronic flow (photosynthetic electron transport chain) (increase of 17%) and by the higher Fv/Fm (increase of 14%) and quantum yield of photosystem II (increase of 20% with Ce and La, and 29% with REE Mix), as well as by increased stomatal conductance (increase of 36%) and SPAD index (increase of 10% with Ce, 12% with La, and 15% with REE mix). Moreover, adding REEs potentiated the photosynthetic process by increasing rice leaves' N, Mg, K, and Mn concentrations (24-46%). The dose for the higher rice grain yield (an increase of 113%) was estimated for the REE mix at 0.72 kg ha-1.

Analysis of hospital dental care for patients with special needs in Brazil.

This analytical cross-sectional study aimed to analyze the access of patients with special needs (PSN) in Brazilian municipalities to hospital dental care of the Unified Health System (Sistema Único de Saúde - SUS), based on data from the Hospital Information System of the Unified Health System (Sistema de Informações Hospitalares do SUS- SIH/SUS - SIH), from 2010 to 2018. The Kolmogorov-Smirnov normality test was performed; the Poisson regression was used to verify factors associated with the variable total number of hospitalization authorizations with the main procedure of dental treatment for PSN ("Total de Autorizações de Internação Hospitalar" - AIH), the Spearman correlation test with a significance level of 5% was used to characterize the relationships between the Municipal Human Development Index per municipality - (Índice de Desenvolvimento Humano Municipal - HDI) and the Oral Health Coverage in the Family Health Strategy by municipality (Cobertura de saúde bucal na estratégia saúde da família por município - SBSF Coverage), and the relationship of the AIH with SBSF Coverage. A total of 127,691 procedures were performed, of which 71,517 (56%) were clinical procedures, such as restorations, endodontic treatments, supra and subgingival scaling, among others. Municipalities in the Midwest (PR=5.117) and Southeast (RP = 4.443) regions had more precedures than the others. A weak correlation was found between AIH and SBSF Coverage (r = -0.2, p < 0.001) and HDI and SBSF Coverage (r = -0.074, p < 0.001). Population size, region, health coverage, oral hygiene, and number of dentists in hospitals affected the availability of dental procedures in PSN.

How different attributes are weighted in professionals' decision-making in Pediatric Dentistry-a protocol for guiding discrete choice experiment focused on shortening the evidence-based practice implementation for dental care.

BACKGROUND: Important evidence has been constantly produced and needs to be converted into practice. Professional consumption of such evidence may be a barrier to its implementation. Then, effective implementation of evidence-based interventions in clinical practice leans on the understanding of how professionals value attributes when choosing between options for dental care, permitting to guide this implementation process by maximizing strengthens and minimizing barriers related to that. METHODS: This is part of a broader project investigating the potential of incorporating scientific evidence into clinical practice and public policy recommendations and guidelines, identifying strengths and barriers in such an implementation process. The present research protocol comprises a Discrete Choice Experiment (DCE) from the Brazilian oral health professionals' perspective, aiming to assess how different factors are associated with professional decision-making in dental care, including the role of scientific evidence. Different choice sets will be developed, either focusing on understanding the role of scientific evidence in the professional decision-making process or on understanding specific attributes associated with different interventions recently tested in randomized clinical trials and available as newly produced scientific evidence to be used in clinical practice. DISCUSSION: Translating research into practice usually requires time and effort. Shortening this process may be useful for faster incorporation into clinical practice and beneficial to the population. Understanding the context and professionals' decision-making preferences is crucial to designing more effective implementation and/or educational initiatives. Ultimately, we expect to design an efficient implementation strategy that overcomes threats and potential opportunities identified during the DCEs, creating a customized structure for dental professionals. TRIAL REGISTRATION: https://osf.io/bhncv .

Orthodontics in the oral health care network of the Unified Health System (SUS).

This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.

Orthodontics in the oral health care network of the Unified Health System (SUS)

Abstract This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.

Analysis of hospital dental care for patients with special needs in Brazil

Abstract This analytical cross-sectional study aimed to analyze the access of patients with special needs (PSN) in Brazilian municipalities to hospital dental care of the Unified Health System (Sistema Único de Saúde - SUS), based on data from the Hospital Information System of the Unified Health System (Sistema de Informações Hospitalares do SUS- SIH/SUS - SIH), from 2010 to 2018. The Kolmogorov-Smirnov normality test was performed; the Poisson regression was used to verify factors associated with the variable total number of hospitalization authorizations with the main procedure of dental treatment for PSN ("Total de Autorizações de Internação Hospitalar" - AIH), the Spearman correlation test with a significance level of 5% was used to characterize the relationships between the Municipal Human Development Index per municipality - (Índice de Desenvolvimento Humano Municipal - HDI) and the Oral Health Coverage in the Family Health Strategy by municipality (Cobertura de saúde bucal na estratégia saúde da família por município - SBSF Coverage), and the relationship of the AIH with SBSF Coverage. A total of 127,691 procedures were performed, of which 71,517 (56%) were clinical procedures, such as restorations, endodontic treatments, supra and subgingival scaling, among others. Municipalities in the Midwest (PR=5.117) and Southeast (RP = 4.443) regions had more precedures than the others. A weak correlation was found between AIH and SBSF Coverage (r = -0.2, p < 0.001) and HDI and SBSF Coverage (r = -0.074, p < 0.001). Population size, region, health coverage, oral hygiene, and number of dentists in hospitals affected the availability of dental procedures in PSN.

Atraumatic Restorative Treatment (ART) as Public Policy: a Scoping Review / O Tratamento Restaurador Atraumático (ART) como Política Pública: uma Revisão de Escopo

This scoping review aimed to identify, describe, and analyze the use of Atraumatic Restorative Treatment (ART) as public policy. Inclusion criteria: studies on public oral health policies; dental caries; ART. Exclusion criteria: clinical studies; specific interventions; studies that report public policies that do not use ART as a strategy for caries treatment. The search was conducted in PubMed, BVS, Epistemonikos, Health Systems Evidence, and Rxforchange. The selection process and data extraction were performed by two authors independently according to the stages and categories of a conceptual framework. Of the 2253 eligible articles, 139 were duplicates, and 1680 were not included after reading the title and abstract. After assessing the full text, 414 articles were excluded. Twenty articles were included. Nineteen were conducted in nine countries (South Africa, Bolivia, Cambodia, Egypt, Mexico, Tanzania, East Timor, Tunisia, and Zimbabwe), and one in the Americas. The studies reported high prevalence of dental caries and lack of access to restorative procedures in health services as common problems. Policy developments followed a similar process, with the presence of governments, conceptual use of scientific evidence, and induction by the World Health Organization. Regarding implementation barriers, the included studies mentioned the lack of supplies and lack of induction by managers,while in relation to the facilitators, permanent education and professional practice were mentioned. Cohort studies have shown a survival rate greater than 80% after one year of follow up of the restorations performed. The findings of this review indicate that the use of ART in public policies is promising, however, its use is still in an early stage. (AU)

Esta revisão de escopo teve como objetivo identificar, descrever e analisar o uso do Tratamento Restaurador Atraumático (ART) como política pública. Critérios de inclusão: estudos sobre políticas públicas de saúde bucal; cáries dentárias; ART. Critérios de exclusão: estudos clínicos; intervenções específicas; estudos que relatam políticas públicas que não utilizam o ART como estratégia para o tratamento de cárie. A pesquisa foi realizada no PubMed, BVS, Epistemonikos, Health Systems Evidence e Rxforchange. O processo de seleção e extração de dados foram realizados por dois autores, de forma independente, de acordo com as etapas e categorias de um quadro conceitual. Dos 2.253 artigos elegíveis, 139 eram duplicados e 1.680 não foram incluídos após a leitura do título e do resumo. Após avaliação do texto completo, foram excluídos 414 artigos. Vinte artigos foram incluídos. Dezenove foram realizados em nove países (África do Sul, Bolívia, Camboja, Egito, México, Tanzânia, Timor Leste, Tunísia e Zimbábue) e um nas Américas. Os estudos relataram alta prevalência de cárie dentária e falta de acesso a procedimentos restauradores nos serviços de saúde como problemas comuns. Os desenvolvimentos de políticas seguiram um processo semelhante, com a presença de governos, uso conceitual de evidências científicas e indução da Organização Mundial da Saúde. Quanto às barreiras de implementação, foram mencionadas a falta de insumos e a falta de indução por parte dos gestores. Quanto aos facilitadores, foram citados a educação permanente e a prática profissional. Estudos de coorte mostraram sobrevida superior a 80% após um ano de acompanhamento. Os achados desta revisão indicam que a utilização da ART nas políticas públicas é promissora, porém, sua utilização ainda é incipiente. (AU)

Sodium Selenate, Potassium Hydroxy-Selenide, Acetylselenide and Their Effect on Antioxidant Metabolism and Plant Nutrition and Yield in Sorghum Genotypes.

Agronomic biofortification with selenium (Se) effectively reduces hidden hunger and increases the nutritional intake of Se in people and animals. Because sorghum is a staple diet for millions of people and is used in animal feed, it becomes a crop with biofortification potential. Consequently, this study aimed to compare organoselenium compounds with selenate, which is effective in numerous crops, and to assess grain yield, the effect in the antioxidant system, and macronutrient/micronutrient contents of different sorghum genotypes treated with Se, via foliar spray. The trials used a 4 × 8 factorial design, with four Se sources (control-without Se supply, sodium selenate, potassium hydroxy-selenide, acetylselenide) and eight genotypes (BM737, BRS310, Enforcer, K200, Nugrain320, Nugrain420, Nugrain430, and SHS410). The Se rate used was 0.125 mg plant-1. All genotypes reacted effectively to foliar fertilization with Se through sodium selenate. In this experiment, potassium hydroxy-selenide and acetylselenide showed low Se levels and lower Se uptake and absorption efficiency than selenate. Selenium fertilization increased grain yield and altered lipid peroxidation by malondialdehyde content, hydrogen peroxide content, catalase activity, ascorbate peroxidase, superoxide dismutase, and macronutrients and micronutrients content of the studied genotypes. In sum, biofortification with selenium led to an overall yield increase of sorghum plants and supplementation with selenium through sodium selenate was more efficient than organoselenium compounds, yet acetylselenide had a positive effect on the antioxidant system. Sorghum can be effectively biofortified through the foliar application of sodium selenate; however, studying the interaction between organic and inorganic Se compounds in plants is necessary.

O processo de trabalho em saúde bucal coletiva em tempos de pandemia: a contribuição da teleducação com a teleodontologia / The work process in collective oral health in times of a pandemic: the contribution of tele-education with teledentistry

A pandemia da COVID-19 impôs ações assertivas em todos os níveis da sociedade. Aqui se relata o apoio emergencial na Resposta Rápida do Núcleo de Evidências e Análises Econômicas da Faculdade de Odontologia da Universidade de São Paulo (EvipOralHealth) para a coordenadoria estadual de saúde bucal de São Paulo, em prol da tomada de decisão e ressignificação do processo de trabalho. Foram implementadas duas estratégias de teleodontologia para a educação permanente (EP) dos trabalhadores de saúde bucal: 1. Lives com pesquisadores, estudantes, gestores e trabalhadores das diversas áreas da saúde pública e da Odontologia para estabelecer marcos teóricos; 2. Ambulatórios virtuais - via webconferência. Reuniu-se gestores e trabalhadores para a condução de diálogos de políticas sobre o dia a dia do enfrentamento e de adaptações e condições de trabalho de cada região. A experiência revela a importância da relação ensino-serviço-comunidade efetiva, pautada na tradução do conhecimento e na construção de espaços de troca possibilitando a implementação de práticas, programas e políticas. Precisamos repensar as estratégias de EP, sermos mais ágeis, mais flexíveis, menos acadêmicos e capazes de adaptar conteúdos e formatos às necessidades. A teleodontologia e a teleducação podem conferir escala e fazer chegar mais facilmente o conhecimento aos que necessitam.

Acute Whole-Body Vibration Exercise Promotes Favorable Handgrip Neuromuscular Modifications in Rheumatoid Arthritis: A Cross-Over Randomized Clinical.

OBJECTIVE: Rheumatoid arthritis (RA) causes progressive changes in the musculoskeletal system compromising neuromuscular control especially in the hands. Whole-body vibration (WBV) could be an alternative for the rehabilitation in this population. This study investigated the immediate effect of WBV while in the modified push-up position on neural ratio (NR) in a single session during handgrip strength (HS) in women with stable RA. METHODS: Twenty-one women with RA (diagnosis of disease: ±8 years, erythrocyte sedimentation rate: ±24.8, age: 54± 11 years, BMI: 28 ± 4 kg·m-2) received three experimental interventions for five minutes in a randomized and balanced cross-over order: (1) control-seated with hands at rest, (2) sham-push-up position with hands on the vibration platform that remained disconnected, and (3) vibration-push-up position with hands on the vibration platform turned on (45 Hz, 2 mm, 159.73 m·s-2). At the baseline and immediately after the three experimental interventions, the HS, the electromyographic records (EMGrms), and range of motion (ROM) of the dominant hand were measured. The NR, i.e., the ratio between EMGrms of the flexor digitorum superficialis (FDS) muscle and HS, was also determined. The lower NR represented the greater neuromuscular efficiency (NE). RESULTS: The NR was similar at baseline in the three experimental interventions. Despite the nonsignificance of within-interventions (p = 0.0611) and interaction effect (p = 0.1907), WBV exercise reduced the NR compared with the sham and control (p = 0.0003, F = 8.86, η 2 = 0.85, power = 1.00). CONCLUSION: Acute WBV exercise under the hands promotes neuromuscular modifications during the handgrip of women with stable RA. Thus, acute WBV exercise may be used as a preparatory exercise for the rehabilitation of the hands in this population. This trial is registered with trial registration 2.544.850 (ReBEC-RBR-2n932c).

Can a Single Trial of a Thoracolumbar Myofascial Release Technique Reduce Pain and Disability in Chronic Low Back Pain? A Randomized Balanced Crossover Study.

Although manual therapy for pain relief has been used as an adjunct in treatments for chronic low back pain (CLBP), there is still the belief that a single session of myofascial release would be effective. This study was a crossover clinical trial aimed to investigate whether a single session of a specific myofascial release technique reduces pain and disability in subjects with CLBP. 41 participants over 18 years old were randomly enrolled into 3 situations in a balanced and crossover manner: experimental, placebo, and control. The subjects underwent a single session of myofascial release on thoracolumbar fascia and the results were compared with the control and placebo groups. The outcomes, pain and functionality, were evaluated using the numerical pain rating scale (NPRS), pressure pain threshold (PPT), and Oswestry Disability Index (ODI). There were no effects between-tests, within-tests, nor for interaction of all the outcomes, i.e., NPRS (η 2 = 0.32, F = 0.48, p = 0.61), PPT (η2 = 0.73, F = 2.80, p = 0.06), ODI (η2 = 0.02, F = 0.02, p = 0.97). A single trial of a thoracolumbar myofascial release technique was not enough to reduce pain intensity and disability in subjects with CLBP.

Avaliação da espessura de película de cimentos odontológicos para fixação de próteses fixas / Film thickness evaluation of dental cement for fixing prostheses fixed

A escolha errada do sistema cimentante pode levar ao fracasso clínico na cimentação de coroas e próteses parciais fixas. Este trabalho teve como objetivo estudar "in vitro" a espessura de película de seis cimentos odontológicos para fixação de peças protéticas, de três grupos distintos, sendo eles: dois cimentos de fosfato de zinco, dois cimentos de ionômero de vidro convencional e dois cimentos resinosos. Foi realizado a manipulação dos cimentos de acordo com as instruções dos fabricantes e após, interposto 1g de material entre duas placas de vidro polidas e sobre as mesmas um peso de 3 Kg, durante 10 minutos. Estas placas foram medidas com um paquímetro digital antes e após a presa dos materiais. Foi realizada a análise estatística com o teste T Student e com o Teste de Variância ANOVA e foi observado uma menor espessura de película de um cimento de ionômero de vidro perante os outros cimentos testados, com diferenças estatísticas ao nível de 5%. Os autores concluíram que o cimento de ionômero de vidro obteve a menor espessura de película, sendo apropriado para cimentação de coroas e pontes fixas... (AU)

The incorrect choice of the cementing system may lead to clinical failure in the cementation of fixed partial crowns and prostheses. The aim of this study was to study the film thickness of six dental cements for the fixation of prosthetic pieces from three different groups of cement: two zinc phosphate cements, two conventional glass ionomer cement and two resin cements. Handling of the cements was carried out according to the manufacturers' instructions and after 1g of material was placed between two polished glass plates and a weight of 3 kg was placed thereon for 10 minutes. These plates were measured with a digital caliper before and after the prey of the materials. Statistical analysis was performed with the Student T test and the ANOVA Variance Test, and a lower film thickness of a glass ionomer cement was observed compared to the other cements tested, with statistical differences at the level of 5%. The authors concluded that glass ionomer cement had the lowest film thickness and was suitable for cementation of fixed crowns and bridges... (AU)

Atuação do Fisioterapeuta na saúde primária no enfrentamento da COVID 19: relato de experiência / Primary care physiotherapists' performance in the fight against COVID 19: an experience report / Actuación del fisioterapeuta en la atención primaria de salud para el afrontamiento de la COVID 19: relato de experiencia

Objetivo: Relatar a experiência de residentes de fisioterapia em saúde coletiva no enfrentamento multidisciplinar e desenvolvimento de ações frente à coronavirus disease 2019 (COVID-19). Síntese dos dados: Trata-se de um relato de experiência a partir da vivência prática dos residentes, em decorrência da pandemia da COVID 19, em duas cidades, Datas e Presidente Kubitschek, no interior de Minas Gerais, Brasil. As atividades ocorreram de março a junho de 2020. As ações foram realizadas por meio de orientações, roda de conversa, atendimento por videochamadas e fôlderes. As propostas sintetizaram: Ações de prevenção à saúde; Atenção à saúde mental e física dos trabalhadores da saúde; Educação em saúde aos trabalhadores de outros setores das prefeituras; Monitoramento de pacientes crônicos; e Educação permanente dos agentes comunitários de saúde. As atividades colaboraram com a prática clínica dos residentes, permitindo a construção com a equipe de saúde de propostas para um enfrentamento seguro no manejo da COVID 19. Conclusão: As propostas elaboradas no início da pandemia permitiram realizar ações que auxiliaram a atuação da equipe de Saúde da Família no enfrentamento à COVID 19. A experiência dos residentes contribuiu para a construção dos saberes e da experiência de gestão no enfrentamento da pandemia, colaborando para a formação dos residentes.

Objective: To report on the experience of public health physiotherapy residents in the multidisciplinary fight and development of actions against the coronavirus disease 2019 (COVID-19). Data synthesis: This is an experience report on the practical work develop by the residents during the COVID-19 pandemic in two cities, Datas and Presidente Kubitschek, located in countryside of Minas Gerais, Brazil. The activities took place from March to June 2020. The activities consisted of guidelines, conversation circles, video calls, and flyers. The proposals summarized: Disease prevention actions; Health workers' mental and physical health care; Health Education for workers in other sectors of city halls; Monitoring of chronic patients; and Permanent education of community health workers. The activities contributed to the residents' clinical practice and allowed them to partner up with the health care team for the development of proposals for safely tackling and managing COVID-19. Conclusion: The proposals developed at the beginning of the pandemic allowed taking action to help the Family Health Team to tackle COVID-19. The residents' experience contributed to the development of knowledge and management experience in tackling the pandemic, thus contributing to the residents' training.

Objetivo: Relatar la experiencia de residentes de fisioterapia en salud colectiva para el afrontamiento multidisciplinar y el desarrollo de acciones contra el coronavirus disease 2019 (COVID-19). Síntesis de los datos: Se trata de un relato de experiencia a partir de la práctica de los residentes decurrente de la pandemia de la COVID 19, en dos ciudades, Datas y Presidente Kubitschek del interior de Minas Gerais, Brasil. Las actividades se dieron entre marzo y junio de 2020. Se realizaron las acciones a través de orientaciones, rueda de conversación, atención por video-llamadas y folletos. Las propuestas sintetizaron: Acciones de prevención a la salud; Atención a la salud mental y física de los trabajadores sanitarios; Educación en salud para los trabajadores de otros sectores de los ayuntamientos; Monitoreo de pacientes crónicos; y Educación permanente de los agentes comunitarios de salud. Las actividades colaboraron con la práctica clínica de los residentes permitiendo la construcción de propuestas para el afrontamiento seguro del manejo de la COVID-19 con el equipo de salud. Conclusión: Las propuestas elaboradas en el principio de la pandemia permitieron la realización de acciones que ayudaron la actuación del equipo de Salud de la Familia para el afrontamiento de la COVID 19. La experiencia de los residentes ha contribuido para la construcción de los saberes y de la experiencia de gestión para el afrontamiento de la pandemia contribuyendo para la formación de los residentes.

Eight-week equipment-based Pilates exercises positively affects quality of life, and functional capacity in non-active adult women: a randomized controlled trial.

BACKGROUND: The Pilates exercises are popular for muscle conditioning among women. However, the effects on conditioning of healthy non-active adult women due to Pilates practicing are not fully explained. The aim of this randomized controlled trial was to assess the effects of equipment-based Pilates exercises on the percentage of body fat, weight, body mass index (BMI), functional capacity, and quality of life of adult healthy women. METHODS: Seventy-eight non-active women were randomly assigned to 2 groups (Pilates or Control). The Pilates group performed a total of 16 exercise sessions (60 minutes each, performed twice a week for 8 consecutive weeks). The control group was instructed to perform no exercise. Percentage of body fat (DXA scans), weight, BMI, distance covered in the incremental shuttle walk test, maximal oxygen uptake (VO2max), and quality of life (SF-36 scores) were analyzed. RESULTS: There were no significant between-group differences at baseline, but significant group-by-time interaction was observed for Pilates group postintervention. Higher distance covered (P=0.01), VO2max (P=0.04), and quality of life (P=0.04) were observed after the intervention compared to the control group. No differences were observed for body composition. CONCLUSIONS: Two months of equipment-based Pilates training improved functional capacity and quality of life in healthy adult women.

Whole-Body Vibration Exercise in Different Postures on Handgrip Strength in Healthy Women: A Cross-Over Study.

OBJECTIVE: To compare the effect of Whole-Body Vibration Exercise (WBVE) applied in push-up modified and half-squat positions, on handgrip strength (HS) and on the electromyography registry (EMGrms) of the flexor digitorum superficialis muscle (FDSM) of the dominant hand. METHODS: Nineteen healthy women (age 23.40 ± 4.03 years, bodyweight: 58.89 ± 9.87 kg), performed in a randomized order five different tests: (S1) Control; (S2) Push-up modified; (S3) Push-up placebo; (S4); Half-squatting; (S5) Half-squatting placebo. The HS and the EMGrms were assessed at baseline and immediately after the tests. ANOVA two-way design mixed test, with Tukey post hoc, was used to evaluate the HS, EMGrms and the ratio between EMGrms and HS, i.e., neural ratio (NR). Thus, the lower NR represents the greater neuromuscular modifications. The statistical significance level was set up at p < 0.05. RESULTS: WBVE on S2 increased HS compared to the stimulus applied to the S4 (p = 0.0001). The increase in HS was associated with a reduction in the EMGrms of the FDSM (p < 0.001) and a lower NR (p < 0.0001), i.e., greater neuromuscular modifications, in the S2 compared to the S4 after the tests. CONCLUSION: The distance of the stimulus and the positioning on the vibratory platform influence the maximum muscular strength due to neuromuscular modifications of hands in healthy women.

Teledentistry and the Unified Health System: An Important Tool for the Resumption of Primary Health Care in the Context of the COVID-19 Pandemic

Abstract This paper describes the possibilities of using Teledentistry to expand and qualify health care in oral health care networks. WHO already recommended to its member countries, even before the pandemic, Telehealth as a strategy to improve the quality of services, especially in universal systems, as the Unified Health System (SUS). Teledentistry opens opportunities for oral health to resume the provision of various services, remotely, such as: 1) Tracking, active search, monitoring of priority users, those at risk and with systemic problems, suspicions of COVID-19 and contacts, through Telemonitation; 2) Initial listening, individual or collective educational activities, through Teleorientation; 3) Discussion of clinical cases for the definition of the opportunity / need for operative procedures, matrix support, sharing, solution of doubts among professionals and between these and teaching and research institutions, by Teleconsulting, among others. In addition to a review of Teledentistry in the context of the pandemic, we conceptualized the terms used and possibilities offered to SUS professionals, in addition to specifying the possible protocols for recording these activities to provide safe data for their monitoring and evaluation. Besides, we bring a brief discussion with promising experiences, carried out in the pre- and trans-pandemic contexts, which can be important strategies for the resumption of oral health in the post-pandemic scenario.

Quem perde e quem ganha com a PEC 287/2016? Uma análise pela variação da riqueza atuarial do segurado urbano brasileiro do Regime Geral de Previdência Social / ¿Quién pierde y quién gana con la PEC 287/2016? Un análisis por la variación de la riqueza actuarial del beneficiario urbano del Sistema Brasileño de Seguridad Social / Who loses and who wins with the PEC 287/2016? An analysis of the pension wealth variation for the urban beneficiary of Brazilian Social Security System

Resumo Este estudo mensura a alteração de riqueza do segurado pela reforma da Proposta de Emenda à Constituição n. 287/2016 (PEC 287, 2016), com a criação do pedágio e alterações na idade mínima, fatores de reposição, média dos salários de contribuição e percentual de reversão das pensões. Propõe-se o uso do indicador valor presente líquido atuarial aplicado ao fluxo de caixa esperado das contribuições e benefícios de aposentadoria programada, por invalidez e pensão por morte, além da reversão a cônjuge com continuidade a filhos menores. Os mais atingidos negativamente são aqueles com idade próxima à aposentadoria por idade e pouco tempo de contribuição. Porém, para grupos com grande tempo de contribuição (mais de 29 anos para homens e 21 para mulheres) e idades entre 45 e 55 anos, para homens, e entre 40 e 54 anos, para mulheres, há um surpreendente ganho de riqueza atuarial.

Resumen Este estudio mensura la alteración de riqueza del asegurado por la reforma de la Propuesta de Enmienda a la Constitución (PEC) 287/2016, con la creación del peaje fiscal y alteraciones en el tiempo mínimo de contribución, factores de reposición, media de las contribuciones y porcentual de reversión de las pensiones. Se propone uso del indicador valor presente neto actuarial aplicado al flujo de caja esperado de las contribuciones y beneficios de jubilación programada, por invalidez y pensión por muerte, además de la reversión al cónyuge con continuidad a hijos menores. Los más afectados negativamente son aquellos con edad próxima a la jubilación por edad y poco tiempo de contribución. Sin embargo, para grupos con gran tiempo de contribución (más de 29 años para hombres y de 21 para mujeres) y edades entre 45 y 55 años para hombres y entre 40 y 54 para mujeres hay un sorprendente beneficio de riqueza actuarial.

Abstract This study calculates the impact of the changes in the individual pension wealth due to the proposed constitutional amendment 287/2016 that provides on the retirement eligibility age, benefit replacement rate, benefit accrual formula, and reduced percentage of family benefits. It uses the expected cash flow in actuarial net present value for the contributions and benefits of voluntary retirement, disability retirement, and death pension, in addition to family benefits. The results show that the most affected, are those of almost full retirement age with little contribution time. However, surprisingly, for groups with a high contribution period (more than 29 years for men and 21 for women) and aged between 45 and 55 years for men and between 40 and 54 for women there is an actuarial wealth gain.

Política nacional de saúde bucal brasileira (Brasil Sorridente): Um resgate da história, aprendizados e futuro / Brazilian national oral health policy (Smiling Brazil): A rescue of history, learning and future / Política nacional de salud bucal brasileña (Brasil Sonriente): Un rescate de la historia, el aprendizaje y el futuro para ser compartidos

Antecedentes: no Sistema Único de Saúde do Brasil (SUS) a atenção básica é ordenadora do cuidado em saúde e representa o eixo estruturante do sistema. Em 2004, quando o Brasil Sorridente (BS) foi criado, o governo federal assumiu um importante papel de indução do crescimento da oferta de serviços de saúde bucal nos municípios e estados, criando linhas de financiamento específicos para criação de novas equipes de saúde bucal, para construção e implantação de centros de atenção secundária (Centros de Especialidades Odontológicas ­ CEO) e terciária dentre outras ações, que fizeram do BS uma rede de atenção à saúde e uma das maiores políticas públicas de saúde bucal do mundo. Objetivo: este artigo tem como objetivo compartilhar parte dessa experiência, a fim de promover reflexão em torno da inserção da saúde bucal nos sistemas de saúde ao redor do mundo, com especial interesse nos países da América Latina. Métodos: este é um estudo de caso do Brasil e as informações apresentadas nesse estudo foram coletas por meio de relatórios governamentais, base de dados secundários, artigos publicados e informantes chave. Resultados e conclusão: a experiência do Brasil vem sendo motivadora e mostrou que, além de necessário é possível inserir a saúde bucal nos sistemas de saúde universais. Porém, após 14 anos e com a instabilidade política atual do país, o futuro do Brasil Sorridente dependerá do compromisso dos formuladores de políticas, a continuidade do engajamento dos diferentes atores envolvidos, objetivos claros e estratégias transparentes e fundamentadas em evidências científicas para alcançá-los.

Background: in the Brazilian Unified Health System (SUS), primary health care coordinates and structures the public health care. In 2004, when the Smiling Brazil (SB) was created, the federal government assumed an important role of inducing the growth of the supply of oral health services in the municipalities and states, creating specific funding lines for the creation of new oral health teams, for the construction and implantation of secondary care centers (Dental Specialties Centers - CEO) and tertiary care (in hospitals), among other actions, that made SB a health care network and one of the largest public health policies in the world. Purpose: this study aims to share part of this experience, in order to promote reflection on the insertion of oral health in public health systems around the world, with special interest in the countries of Latin America. Methods: this is a Brazil case study, the information presented in this study was collected through government reports and databases, published articles and key informants. Results and Conclusion: The experience of Brazil has been motivating and showed that, it is possible to insert oral health in universal public health systems. However, after 14 years and with the current political instability of the country, the future of SB will depend on the commitment of the policymakers, the engagement of the different actors involved, clear objectives and transparent strategies based on scientific evidence.

Antecedentes: en el Sistema Único de Salud del Brasil, la atención básica es ordenadora del cuidado en salud y representa el eje estructurante del sistema. En 2004, cuando se creó Brasil Sonriente, el gobierno federal asumió el papel de inducción del crecimiento de la oferta de servicios de salud bucal en municipios y estados, creando líneas de financiamiento específicas para crear nuevos equipos de salud bucal, construir e implantar centros de atención secundaria (centros de especialidades odontológicas) y terciaria entre otras acciones, que hicieron del programa una red de atención a la salud y una de las mayores políticas públicas de salud bucal del mundo. Objetivo: compartir parte de esa experiencia, a fin de promover reflexión en torno a la inserción de la salud bucodental en los sistemas de salud alrededor del mundo, con especial interés en los países de América Latina. Métodos: este es un estudio de caso de Brasil y las informaciones presentadas en ese estudio fueron recolectadas a través de informes gubernamentales, base de datos secundarios, artículos publicados e informantes clave. Resultados y conclusión: la experiencia de Brasil viene siendo motivadora y mostró que, además de necesario es posible insertar la salud bucal en los sistemas de salud universales. Sin embargo, después de 14 años y con la inestabilidad política actual del país, el futuro de Brasil Sonriente dependerá del compromiso de los formuladores de políticas, la continuidad del compromiso de los diferentes actores involucrados, objetivos claros y estrategias transparentes y fundamentadas en evidencias científicas para alcanzarlos.

Doenças peri-implantares, etiologia, diagnóstico e classificação. Revisão de literatura / Peri-implant diseases, etiology, diagnosis and classification. Literature review

Atualmente, a busca por saúde permeia desde o bem estar físico até conceitos estéticos, para se alcançar os parâmetros pessoais de cada indivíduo. Para um correto planejamento reabilitador, devemos considerar várias possibilidades para evitar falhas funcionais e estéticas. Dentre as falhas tardias observamos as doenças peri-implantares, como por exemplo a Mucosite Peri-implatar e a Peri-implantite. Considerando a complexidade e importância da compreensão das doenças Peri implantares, este trabalho tem como objetivo, através de uma revisão da literatura, discutir os aspectos inerentes à etiologia, diagnóstico e classificação das doenças peri-implantares. O tecido peri-implantar e o tecido periodontal possuem estruturas anatômicas similares, mas possuem diferenças estruturais também. Estes fatos também determinam semelhanças e diferenças nas doenças periodontais e peri-implantares. Sabe-se que o principal fator etiológico das doenças periodontais é o biofilme bacteriano, e nas doenças peri-implantares este também é o principal fator etiológico. O mesmo padrão prevalece para alguns fatores etiológicos secundários ou modificadores. Várias são as propostas de classificação das doenças e condições peri-implantares baseadas na gravidade dos comprometimentos clínicos, nos fatores etiológicos, na associação com outras enfermidades e até com fatores iatrogênicos determinantes. Mas nenhuma contempla estes fatores etiológicos juntos e sabe-se que um correto diagnóstico é determinante para um bom plano de tratamento e determinação de sucesso e longevidade das reabilitações peri-implantares (AU)

Currently, the pursuit for health permeates from the physical well-being to aesthetic concepts, in order to achievethe personal parameters of each individual. For a correct rehabilitation planning we must consider several possibilities to avoid functional and aesthetic failures. Among late failures, there are peri-implant diseases, such as Periimplantar Mucositis and Peri-implantitis. Considering the complexity and importance of the understanding of periimplant diseases, this paper aims, through a literature review, to discuss the inherent aspects of the etiology, diagnosis and classification of these peri-implant diseases. Although they have similar anatomical structure, periodontal and peri-impant tissues have some structural diferences. These facts determine similarities and diferences between periodontal and periimplant diseases. It is known that the main etiological factor of periodontal diseases is bacterial biofilm, and in peri-implant diseases this is also the main etiological factor. The same pattern prevails for some secondary or modifiers etiological factors. There are several suggestions for the classification of peri-implant conditions and diseases based on theseverity of clinical complications, etiological factors, association with other diseases and even iatrogenic factors. But none considers these factors together and it is knownthat a correct diagnosis is determinant for a good treatment plan and determination of success and longevity of the peri-implant rehabilitations (AU)