Atuação interdisciplinar odontologia/fonoaudiologia no tratamento de paciente com cárie precoce da infância

A integração interdisciplinar entre odontologia e fonoaudiologia pode proporcionar tratamento adequado das alterações dentárias e miofuncionais. Este relato de caso clínico apresenta o tratamento odontológico em criança com três anos de idade com cárie precoce da infância leve, com consequente perda dos incisivos centrais superiores devido a trauma, a reabilitação estética e funcional e tratamento fonoaudiológico. Os procedimentos clínicos odontológicos foram instrução de higiene bucal, aconselhamento dietético e realização das restaurações com resina composta devido ao acometimento por lesão cariosa dos dentes 64, 84, 85, 74, 75 (oclusal); e dentes 51, 61, 52 e 62 (face vestibular). Após um ano de preservação foi realizada a exodontia dos dentes 51 e 61 (com história de trauma anterior à primeira consulta), devido a reabsorção externa avançada. Em seguida, mantenedor de espaço estético-funcional removível foi colocado na região anterior superior. Avaliação fonoaudiológica foi realizada utilizando o protocolo Miofuncional Orofacial (MBGR), sendo verificadas as funções orofaciais, mobilidade e tônus muscular. Foram atribuídos escores para cada item avaliado no protocolo. Confirmou-se dificuldade de mobilidade dos lábios e língua com diminuição do tônus da bochecha e alterações na fala. A terapia fonoaudiológica foi estabelecida durante três meses com periodicidade semanal, havendo melhora em todos os aspectos alterados, confirmados pela adequação dos escores do Protocolo MBGR. No tratamento odontológico foram observados resultados clinicamente satisfatórios para a criança e responsáveis. Concluiu-se que o trabalho interdisciplinar entre a Odontologia e Fonoaudiologia proporcionou tratamento adequado para as condições bucais apresentadas pela criança, proporcionando saúde bucal e prognóstico favorável

Interaction between the supercontinent cycle and the evolution of intrinsically dense provinces in the deep mantle

This is an accepted manuscript of a published article.Shear wave travel times in the Earth's deep mantle reveal broad steep-sided seismologically distinct provinces lying on the core-mantle boundary. The longevity and permanence of the two large principal provinces, located below the sites of present-day Africa and the Pacific Ocean, have become a matter of great interest. Examination of the flood basalt record and kimberlite eruption dating suggests the presence of these provinces may disclose a deep mantle component with a compositionally distinct origin that plays a role in the generation of mantle plumes at preferred locations. By extension, the presence of these provinces may affect the supercontinent cycle. Implementing a mantle convection model featuring distinct continental lithosphere and a compositionally anomalous and intrinsically dense (CAID) component, we study the distribution and mobility of naturally forming, compositionally distinct provinces and their impact on model supercontinent assembly. We employ 2-D Cartesian geometry calculations of thermochemical convection with extremely low compositional diffusion to model Earth-like convective vigor on a global scale and find that an intrinsically dense mantle component generally aggregates into one or two broad provinces. The positions of the provinces are time dependent, but in many of our calculations the province locations are characterized by periods of fixity that reach several hundred million years. Eras of province and associated plume fixity are punctuated by periods of relatively rapid migration. A correlation between supercontinent position and the locations of CAID provinces is not supported by our findings. However, we find that the frequency of supercontinent assemblies increases when CAID provinces are present.Funding from the NSERC of Canada (fund: 327084-10)

The role of weekly high-activated positive mood, context, and personality in innovative work behavior: A multilevel and interactional model

This article proposed and tested a multilevel and interactional model of individual innovation in which weekly moods represent a core construct between context, personality, and innovative work behavior. Adopting the circumplex model of affect, innovative work behavior is proposed as resulting from weekly positive and high-activated mood. Furthermore, drawing on the Big Five model of personality and cognitive appraisal theory, openness to experience and support for innovation are proposed as individual and contextual variables, respectively, which interplay in this process. Openness to experience interacts with support for innovation leading to high-activated positive mood. Furthermore, openness interacts with these feelings leading to greater levels of innovative work behavior. Overall, the model entails a moderated mediation process where weekly high-activated positive mood represents a crucial variable for transforming contextual and individual resources into innovative outcomes. These propositions were tested and supported using a diary methodology and multilevel structural equation modeling, on the basis of 893 observations of innovative work behavior and moods nested in 10 weekly waves of data. This information was collected from 92 individuals of diverse occupations employed in 73 distinct companies. Theoretical and practical implications are discussed.Artículo de publicación SCOPU