Manejo estomatológico de mínima intervención en paciente pediátrico con tetralogía de Fallot: Reporte de caso / Gestão estomatológica com intervenção mínima em paciente pediátrico com tetralogia de Fallot: relatório de caso / Minimal intervention dentistry in a pediatric patient with tetralogy of Fallot: case report

La tetralogía de Fallot es la cardiopatía congénita cianótica más frecuente, su prevalencia es del 0,08% afectando aproximadamente a 1 de cada 8.500 nacidos vivos. El manejo de pacientes con cardiopatía congénita representa un desafío para el odontopediatra, ya que requiere conocimientos y habilidades específicas. La odontología de mínima intervención permite ofrecer a los pacientes un tratamiento gentil, mejorando el abordaje conductual ayudando a la adaptación del paciente al tratamiento dental. El objetivo de este reporte consiste describir el manejo estomatológico con odontología de mínima intervención en una paciente femenina de 5 años de edad con diagnóstico de tetralogía de Fallot. Conclusión: la odontología de mínima intervención fue eficaz para el tratamiento de paciente con cardiopatía congénita aportando herramientas significativas destinadas a mejorar la conducta, brindando tratamientos sencillos, rápidos y conservadores. Dando la posibilidad de este tipo de tratamientos en cualquier otro paciente con compromiso médico

A tetralogia de Fallot é a cardiopatia congênita cianótica mais comum, com uma prevalência de 0,08%, afetando aproximadamente 1 em 8.500 nascidos vivos. O tratamento de pacientes com cardiopatias congênitas representa um desafio para os dentistas pediátricos, pois requer conhecimentos e habilidades específicas. A odontologia de intervenção mínima permite oferecer aos pacientes um tratamento gentio, melhorando a abordagem comportamental e ajudando na adaptação do paciente ao tratamento odontológico. O objetivo deste relatório é descrever o tratamento estomatológico com intervenção odontológica mínima em um paciente de 5 anos diagnosticado com tetralogia de Fallot. Conclusão: A odontologia com intervenção mínima foi eficaz no tratamento de pacientes com doenças cardíacas congênitas, fornecendo ferramentas significativas destinadas a melhorar o comportamento, oferecendo tratamentos simples, rápidos e conservadores. Ela oferece a possibilidade deste tipo de tratamento em qualquer outro paciente com comprometimento médico

Tetralogy of Fallot is the most common cyanotic congenital heart disease, with a prevalence of 0,08%, affecting approximately 1 in every 8,500 live births. Treatment patients with congenital heart disease represents a challenge for pediatric dentists, it requires specific knowledge and skills. Minimal intervention dentistry allows offering patients a gentle treatment, improving the behavioral approach and helping the patient's adaptation to dental treatment. The aim of this report is to describe the management with minimal intervention dentistry in a 5-year-old female patient with a diagnosis of tetralogy of Fallot. Conclusion: Minimal intervention dentistry was effective in the treatment of patients with congenital heart disease, providing significant tools aimed at improving behavior, offering simple, fast and conservative treatments. It gives the possibility of this type of treatment in any other patient with medical compromise.

Prevalence and Correlates of Accelerometer-Based Physical Activity and Sedentary Time Among Kidney Transplant Recipients.

BACKGROUND: Physical activity is recommended for kidney transplant recipents as it may improve outcomes including mortality, exercise capacity, muscle strength, and health-related quality of life. OBJECTIVE: The objective of this study was to examine accelerometer-based physical activity and sedentary time profiles among kidney transplant recipients and examine possible demographic and clinical correlates of physical activity and sedentary time. DESIGN: Cross-sectional. SETTING: Edmonton, Alberta, Canada. PATIENTS: Kidney transplant recipients were recruited (N = 1,284) from the Northern Alberta Renal Program's Nephrology Information System database (1993-2016). MEASUREMENTS: Participants wore an ActiGraph GT3X+ accelerometer on their hip during waking hours for seven consecutive days. METHODS: Kidney transplant recipients (1993-2016) recruited from the Northern Alberta Renal Program's Nephrology Information System database wore an accelerometer and completed a self-reported questionnaire. Multiple linear regression was used to determine associations between activity level, demographic, and clinical characteristics. RESULTS: Participants' (n = 133; 11% response rate) mean age (SD) was 58 (14) years and 56% were female. Mean total sedentary time was 9.4 (1.4) hours per day; total moderate-to-vigorous physical activity (MVPA) time was 20.7 (19.6) minutes per day. MVPA was significantly associated with age where each additional year was associated with 0.48 fewer min/day (ie, ~30 seconds) (unstandardized beta: B = -0.48 min/day, 95% confidence interval [95% CI]: -0.75, -0.22). Sedentary time was significantly associated with age (B = 1.0 min/day, 95% CI: 0.03, 1.9), body mass index (B = 2.7 min/day, 95% CI: 0.2, 5.13), education (B = 39.1 min/day, 95% CI: 12.3, -65.8), and inversely associated with income (B = -44.9 min/day, 95% CI: -73.1, -16.8). LIMITATIONS: Limitations include the cross-sectional design, poor response rate, and limited generalizability of the results. CONCLUSIONS: Kidney transplant recipients showed high volumes of sedentary time and low volumes of health-enhancing physical activity. Understanding correlates of these behaviors may aid in the development of interventions to favorably change these behaviors.

CONTEXTE: L'activité physique est recommandée aux receveurs d'une greffe rénale puisqu'elle peut améliorer leur santé ­ augmentation de la tolérance à l'effort, de la force musculaire et de la qualité de vie liée à l'état de santé ­ et limiter les issues indésirables, notamment la mortalité. OBJECTIF: L'objectif était double: caractériser l'activité physique et le profil de sédentarité des receveurs d'une greffe rénale avec un accéléromètre, et analyser les possibles corrélations démographiques et cliniques de l'activité physique et du comportement sédentaire. TYPE D'ÉTUDE: Étude transversale. CADRE: Edmonton, en Alberta (Canada). SUJETS: Des patients ayant reçu une greffe rénale entre 1993 et 2016 (n = 1284) et recrutés dans la base de données du système d'information en néphrologie du Northern Alberta Renal Program (NARP). MESURES: Les participants portaient un accéléromètre Actigraph GT3X+ à la hanche durant les heures d'éveil pour sept jours consécutifs. MÉTHODOLOGIE: Les receveurs d'une greffe rénale (1993 à 2016) recrutés dans la base de données du système d'information en néphrologie du NARP ont porté un accéléromètre et rempli un questionnaire d'auto-déclaration. Une régression linéaire multiple a été employée pour établir les associations entre le niveau d'activité physique et les données démographiques et cliniques des patients. RÉSULTATS: Les participants (n = 133; taux de réponse de 11 %), dont 56 % étaient des femmes, étaient âgés de 58 ans en moyenne (écart-type [É-T]: 14 ans). La période de sédentarité s'élevait en moyenne à 9,4 heures par jour (É-T: 1,4 heure), alors que la période moyenne d'activité physique modérée à vigoureuse (APMV) s'établissait à 20,7 minutes par jour (É-T: 19,6 minutes). L'APMV a été associée de façon significative à l'âge du patient, où chaque année additionnelle en âge a correspondu à une réduction de 0,48 minute par jour (environ 30 sec.) de l'APMV (bêta non normalisé [ß] = -0,48 min/jour; 95% IC: -0,75 à -0,22). Les comportements sédentaires ont été associés de façon significative à l'âge (ß = 1,0 min/jour, 95% IC: 0,03 à 1,9), à l'IMC (ß = 2,7 min/jour, 95% IC: 0,2 à 5,13), au niveau de scolarité (ß = 39,1 min/jour, 95% IC: 12,3 à -65,8), et inversement associés au revenu du patient (ß = -44,9 min/jour, 95% IC: -73,1 à -16,8). LIMITES: La généralisation des résultats est limitée par la nature transversale de l'étude et par le faible taux de réponse. CONCLUSION: Les receveurs d'une greffe rénale sont largement sédentaires et pratiquent peu d'activité physique ayant un effet bénéfique sur leur santé. La compréhension des corrélations de ces comportements pourrait faciliter le développement d'interventions visant à les modifier favorablement.

Carbon speciation and flocculation in Neochloris oleoabundans cultures using anaerobically digested stillage.

The effects of bicarbonate loading rate (BLR) and pH on growth kinetics, inorganic carbon speciation, carbon fixation and lipid content in Neochloris oleoabundans cultures using anaerobically digested stillage (ADS) (2% v/v) were investigated. Four different cultures were established: culture A with BLR = 1 g l-1 day-1 and no pH adjustment, culture B with BLR = 0.5 g l-1 day-1 and no pH adjustment, culture C with BLR = 1 g l-1 day-1 and pH adjustment at 7.0, and culture D with BLR = 0.5 g l-1 day-1 and pH adjustment at 7.0. The experiments were carried out in flat plate reactors (4 l) at controlled conditions (light intensity of 134 µmol photon m-1 s-1 and photoperiod 16 light/8 darkness; temperature of 32 ± 1 °C). The effects of pH (7, 10.41, 10.65, and 12), time (15, 30, 60, and 90 min), and concentration of a cationic polyelectrolyte (CP) (10 and 20 mg l-1) on the flocculation efficiency (FE) of N. oleoabundans were also investigated. The results showed that bicarbonate was the predominant carbon species in the media and the main carbon source for microalgae growth in all cultures. The highest productivity (87.70 ± 9.70 mg l-1 day-1) and CO2(aq) fixation rate (0.15 g CO2(aq) l-1 day-1) were found in culture B. The lipid content in N. oleoabundans was affected negatively by the pH adjustment at 7.0 during its growth; higher values were found in cultures with no pH adjustment (37.10% and 38.85% dw for culture A and B, respectively) as compared to those obtained in cultures with pH adjustment (27.35% and 22.20% dw for culture C and D, respectively) (p < 0.05). Regarding flocculation, the addition of 20 mg CP l-1 was required to obtain a FE > 95% in cultures A and B, although a significant FE (40-59%) occurred without CP addition at a high pH (≥ 10.41) in all cultures.