ABSTRACT: This paper aims to analyze the theoretical references and analytical concepts (called descriptors) mobilized by studies on implementing public policies in the field of education. Considering that academic production on the theme of implementation in the Education field is scarce, we conducted a meta-research based on the definition of some descriptors and theoretical references from the Political Science field. We tried to verify, surveying the academic production in the Education field — theses, dissertations, and articles — which was the presence and how these references were mobilized. The time frame was limited to the years 2018 and 2019, and, in total, we identified 10 articles and 25 theses and dissertations. The analysis and categorization of this material, identifying the theoretical-conceptual referential used, indicated that among the selected theses and dissertations, there is a higher concentration of studies on implementing agents and, among the articles, a higher concentration of studies on governance structures. From the results, we consider that there is, among researchers in the educational area, an approach “under construction” to the specific literature of the Political Science field on implementation.

RESUMEN: Este trabajo tiene como objetivo hacer un análisis de las referencias teóricas y los conceptos analíticos (llamados descriptores) movilizados por los estudios sobre la implementación de políticas públicas en el ámbito de la Educación. Considerando que la producción académica sobre el tema de la implementación en el campo de la Educación es escasa, realizamos una meta-investigación a partir de la definición de algunos descriptores y teóricos de referencia del campo de la Ciencia Política. Intentamos verificar, en el relevamiento de la producción académica en el campo de la Educación - tesis, disertaciones y artículos - cuál era la presencia y cómo se movilizaban esas referencias. El corte temporal se limitó a los años 2018 y 2019 y, en total, identificamos 10 artículos y 25 tesis y disertaciones. El análisis y categorización de este material, identificando el referencial teórico-conceptual utilizado, indicó que entre las tesis y disertaciones seleccionadas hay una mayor concentración de estudios sobre agentes ejecutores y, entre los artículos, una mayor concentración de estudios sobre estructuras de gobernanza. A partir de los resultados, consideramos que existe, entre los investigadores del área educativa, un acercamiento "en construcción" a la literatura específica del campo de la Ciencia Política sobre la implementación.

RESUMO: Este trabalho tem como objetivo fazer uma análise dos referenciais teóricos e conceitos analíticos (denominados de descritores) mobilizados pelos estudos sobre implementação de políticas públicas no campo da Educação. Considerando que a produção acadêmica sobre o tema da implementação, no campo da Educação, é escassa, realizamos uma metapesquisa a partir da definição de alguns descritores e teóricos de referência do campo da Ciência Política. Procuramos verificar, no levantamento da produção acadêmica no campo da Educação - teses, dissertações e artigos -, qual era a presença e como eram mobilizados esses referenciais. O recorte temporal se limitou aos anos de 2018 e 2019 e, no total, identificamos 10 artigos e 25 teses e dissertações. A análise e categorização deste material, identificando o referencial teórico-conceitual utilizado, indicou que entre as teses e dissertações selecionadas há uma maior concentração de estudos sobre os agentes implementadores e, entre os artigos, uma maior concentração de estudos sobre estruturas de governança. A partir dos resultados, consideramos que há, entre os pesquisadores da área educacional, uma aproximação “em construção” à literatura específica do campo da Ciência Política sobre implementação.

Abstract Background Osteogenesis imperfecta (OI) is a rare genetic disorder primarily caused by mutations in the genes involved in the production of type 1 collagen. OI is also known as brittle bone disease. Objective This study aims to describe the prevalence of dental anomalies (except dentinogenesis imperfecta) in individuals with OI, and compare the prevalence of dental anomalies between individuals with and without OI and between individuals with different types of OI. Search methods Searches in PubMed, Web of Science, Scopus, Ovid, and gray literature were performed in October 2022. Selection criteria Observational studies (with or without a comparison group) that evaluated the prevalence of dental anomalies in individuals with OI. Data collection and analysis: Data items were extracted by two authors. Quality assessment employing the Joanna Briggs Institute checklists and meta-analyses was conducted. Results were provided in prevalence values and odds ratio (OR) / 95% confidence interval (CI). Strength of evidence was determined. Results Eighteen studies were included. Most prevalent dental anomalies in individuals with OI included pulp obliteration (46.4%), dental impaction (33.5%), dental impaction of second molars (27%), and tooth agenesis (23.9%). Individuals with OI type III/IV had 20.16-fold greater chance of exhibiting tooth discoloration in comparison with individuals with OI type I (CI: 1.10–370.98). In comparison with the group without OI, the individuals with OI had 6.90-fold greater chance of exhibiting dental impaction (CI: 1.54–31.00). High methodological quality was found in 47% of the studies. Strength of evidence was low or very low. Conclusions Pulp obliteration, dental impaction, and tooth agenesis were the most prevalent dental anomalies in the OI group. Individuals with OI were more likely to have dental impaction than individuals without OI. Individuals with OI type III/IV (severe-moderate) are more likely to have tooth discoloration than individuals with OI type I (mild).

This paper aims to analyze the theoretical references and analytical concepts (called descriptors) mobilized by studies on the implementation of public policies in the field of Education. The study is based on the hypothesis that the academic production on the topic of implementation in the field of Education is scarce. To test this hypothesis, we conducted a meta-research from the definition of some descriptors and reference theorists from the field of Political Science, for the survey of the academic production - theses, dissertations and articles - in the field of Education in the years 2018 and 2019. In total, we identified 10 articles and 25 theses and dissertations that mobilize concepts and references on the theme of implementation being that among the theses and dissertations there is a higher concentration of studies on implementing agents and, among the articles, a higher concentration of studies on governance structures. From the results, we consider that there is an approach under construction to the specific literature of the field of Political Science, on implementation, by researchers in the educational area. Moreover, as in other studies involving bibliographic surveys, we recognize that the results found are limited to the selection criteria and referential categorization defined by the authors and that, although they may not express a generalization of the trends of academic production on implementation of educational policies, their results shed light to a field still little explored.

Este trabajo tiene como objetivo analizar las referencias teóricas y los conceptos analíticos (llamados descriptores) movilizados por los estudios sobre la implementación de políticas públicas en el ámbito de la Educación. El estudio parte de la hipótesis de que la producción académica sobre el tema de la implementación en el ámbito de la Educación es escasa. Para comprobar esta hipótesis, realizamos una meta-investigación a partir de la definición de algunos descriptores y teóricos de referencia del ámbito de la Ciencia Política, para el relevamiento de la producción académica -tesis, tesinas y artículos- en el ámbito de la Educación en los años 2018 y 2019. En total, identificamos 10 artículos y 25 tesis y disertaciones que movilizan conceptos y referencias sobre el tema de la implementación siendo que entre las tesis y disertaciones hay una mayor concentración de estudios sobre agentes de implementación y, entre los artículos, una mayor concentración de estudios sobre estructuras de gobernanza. A partir de los resultados, consideramos que existe un acercamiento en construcción a la literatura específica del campo de la Ciencia Política, sobre la implementación, por parte de los investigadores del área educativa. Además, al igual que en otros estudios que involucran encuestas bibliográficas, reconocemos que los resultados encontrados se limitan a los criterios de selección y categorización referencial definidos por los autores y que, aunque no expresen una generalización de las tendencias de la producción académica sobre la implementación de políticas educativas, sus resultados arrojan luz a un campo aún poco explorado.

O trabalho tem como objetivo fazer uma análise dos referenciais teóricos e conceitos analíticos (denominados de descritores) mobilizados pelos estudos sobre implementação de políticas públicas no campo da Educação. O estudo parte da hipótese de que a produção acadêmica sobre o tema da implementação, no campo da Educação, é escassa. Para testar esta hipótese, realizamos uma metapesquisa a partir da definição de alguns descritores e teóricos de referências do campo da Ciência Política, para o levantamento da produção acadêmica – teses, dissertações e artigos – no campo da Educação nos anos de 2018 e 2019. No total, identificamos 10 artigos e 25 teses e dissertações que mobilizam conceitos e referenciais sobre o tema da implementação sendo que entre as teses e dissertações há uma maior concentração de estudos sobre os agentes implementadores e, dentre os artigos, uma maior concentração de estudos sobre estruturas de governança. A partir dos resultados, consideramos que há uma aproximação “em construção” à literatura específica do campo da Ciência Política, sobre implementação, pelos pesquisadores da área educacional. Ademais, como em outros estudos que envolvem levantamentos bibliográficos, reconhecemos que os resultados encontrados se limitam aos critérios de seleção e referencial de categorização definidos pelas autoras e que, ainda que possam não expressar uma generalização das tendências da produção acadêmica sobre implementação de políticas educacionais, seus resultados lançam luz para um campo ainda pouco explorado.

ABSTRACT Objective: To analyze the perception of mothers of children with Cerebral Palsy (CP) on the diagnosis moment and the child’s health. Material and Methods: Research with a qualitative approach, carried out with 19 mothers of children with CP, in a public higher education institution, in the state of Minas Gerais, Brazil. For data collection, the interview was used and for data interpretation, content analysis. Results: Mothers reported that the diagnosis of a child with CP resulted in major changes in the family’s daily life, increasing their responsibility and demands. After the diagnosis, mothers revealed oscillating feelings, with progressively replaced by her motherly ability to take care, reestablishing the psychic balance. The health associated with the absence of disease and curative practices was frequently observed. Mothers reported a great concern with oral hygiene habits and frequent visits to the dentist. Conclusion: The diagnosis of a child with CP led to changes in the family's priorities and routine. After the moment of anguish, uncertainty and fear, the mothers accepted the reality. The biomedical principle significantly influenced the mother´s perception of health, being health perceived as the absence of disease and curative practices. In relation to oral health, practices widely spread and recommended by the media and health services, such as correct tooth brushing, showed an orientation of patients to maintain oral health.

Abstract Mucopolysaccharidosis (MPS) is a group of rare and inherited metabolic disorders caused by the accumulation of macromolecule glycosaminoglycans inside lysosomes. Affected individuals may have dental and craniofacial tissue alterations, facilitating the development of several oral diseases. Objectives To assess, with panoramic radiographic images, the frequency of dental and maxillomandibular incidental findings among MPS individuals and compare them with non-MPS individuals. Methodology A cross-sectional study evaluating a sample of 14 MPS individuals and 28 non-MPS individuals aged from 5 to 26 years was carried out. They were matched for sex and age on a 2:1 proportion. Panoramic radiographs were assessed for the presence/absence of the following dental and maxillomandibular alterations: dental anomalies of number (hypodontia/dental agenesis, supernumerary teeth); anomalies of form (microdontia, macrodontia, conoid teeth, taurodontism, and root dilaceration); anomalies of position (impacted tooth, inverted tooth, tooth migration, partially bony teeth, complete bony teeth); periapical alterations (furcation lesion, circumscribed bone rarefaction); other alterations (radiolucent bone lesions, radiopaque bone lesions, radiopacity in the maxillary sinus, condylar hypoplasia). Differences between groups were tested by the Fisher’s exact test and chi-square test (p<0.05). Results For intrarater agreement, Kappa values were 0.76 to 0.85. The presence of supernumerary teeth (p=0.003); conoid teeth (p=0.009); taurodontism (p<0.001); impacted teeth (p<0.001); partial bony teeth (p=0.040); complete bony teeth (p=0.013); and root dilaceration (p=0.047) were statistically more frequent in MPS individuals compared to non-MPS individuals. Bone rarefaction/furcation lesions (p=0.032), condylar hypoplasia (p<0.001), radiolucent bone lesions (p=0.001), and dentigerous cysts (p=0.002) were also more frequent in MPS individuals. Conclusion The presence of specific oral manifestations is more common in MPS individuals than non-MPS individuals.

RESUMO Analisamos a presença de Leptospira spp. em tecido hepático e renal de marsupiais e roedores silvestres capturados em uma floresta periurbana no leste da Amazônia brasileira. Foram examinados 25 indivíduos de quatro espécies de marsupial e sete de roedor quanto à presença do gene 16S rRNA de Leptospira no DNA extraído de 47 amostras de tecido hepático e renal usando PCR. Detectamos amostras positivas em 12% (3/25) dos indivíduos, em fragmentos renais de duas espécies de marsupial (Didelphis marsupialis e Marmosops pinheiroi) e em um fragmento hepático de uma espécie de roedor (Echimys chrysurus). Estes são os primeiros registros de Leptospira spp. em M. pinheiroi e E. chrysurus, e é o primeiro levantamento molecular de marsupiais e roedores na Amazônia brasileira.

ABSTRACT We analyzed the presence of Leptospira spp. in liver and kidney tissue of wild marsupials and rodents trapped in a periurban forest in the eastern Brazilian Amazon. We examined 25 individuals of four marsupial and seven rodent species for the presence of the 16S rRNA gene of Leptospira in the DNA extracted from 47 liver and kidney tissue samples using PCR. We detected positive samples in 12% (3/25) of the individuals, in kidney fragments of two marsupial species (Didelphis marsupialis and Marmosops pinheiroi) and in a liver fragment of one rodent species (Echimys chrysurus). These are the first records of Leptospira spp. in M. pinheiroi and E. chrysurus and it is the first molecular survey of marsupials and rodents in the Brazilian Amazon.

Resumo Este estudo objetivou analisar os fatores associados ao uso de serviços odontológicos por pacientes em hemodiálise. Foi realizado um estudo transversal com 467 pacientes em hemodiálise, na faixa etária de 19 a 90 anos, de Contagem e Belo Horizonte, região Sudeste do Brasil. Os dados foram coletados por meio de exame clínico bucal dos participantes e da aplicação de um questionário estruturado. A variável dependente foi o acesso odontológico, mensurado pela pergunta "Você foi ao dentista nos últimos seis meses?". A média de idade dos participantes foi de 49,9 anos. A média de dentes presentes na boca foi de 19,3. Uma média de 1,5 dentes com lesão de cárie cavitada foi diagnosticada entre os pacientes em hemodiálise. Um terço da amostra afirmou ter ido ao dentista nos últimos seis meses (27,8%). O acesso odontológico dos pacientes em hemodiálise foi associado à escolaridade (OR = 1,5 [1,1-2,4]), orientação profissional para ir ao dentista (OR = 2,1 [1,2-3,8]) e prevalência de cárie dentária (OR = 2,1 [1,3-3,2]). Os pacientes em hemodiálise com oito anos ou mais de escolaridade, que receberam orientação profissional para ir ao dentista e sem cárie dentária apresentaram maior chance de terem acesso odontológico.

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.

Resumo Este estudo objetivou analisar os fatores associados ao uso de serviços odontológicos por pacientes em hemodiálise. Foi realizado um estudo transversal com 467 pacientes em hemodiálise, na faixa etária de 19 a 90 anos, de Contagem e Belo Horizonte, região Sudeste do Brasil. Os dados foram coletados por meio de exame clínico bucal dos participantes e da aplicação de um questionário estruturado. A variável dependente foi o acesso odontológico, mensurado pela pergunta "Você foi ao dentista nos últimos seis meses?". A média de idade dos participantes foi de 49,9 anos. A média de dentes presentes na boca foi de 19,3. Uma média de 1,5 dentes com lesão de cárie cavitada foi diagnosticada entre os pacientes em hemodiálise. Um terço da amostra afirmou ter ido ao dentista nos últimos seis meses (27,8%). O acesso odontológico dos pacientes em hemodiálise foi associado à escolaridade (OR = 1,5 [1,1-2,4]), orientação profissional para ir ao dentista (OR = 2,1 [1,2-3,8]) e prevalência de cárie dentária (OR = 2,1 [1,3-3,2]). Os pacientes em hemodiálise com oito anos ou mais de escolaridade, que receberam orientação profissional para ir ao dentista e sem cárie dentária apresentaram maior chance de terem acesso odontológico.

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.

RESUMO A Osteogênese imperfeita é uma doença genética rara que ocorre devido à produção anormal de colágeno tipo I, comprometendo os tecidos ósseos e aqueles ricos em colágeno. Os indivíduos com Osteogênese imperfeita apresentam diversas anormalidades na cavidade bucal, incluindo a presença de dentinogênese imperfeita. O objetivo do relato de caso foi discutir o manejo odontológico de um menino de nove anos, diagnosticado com Osteogênese Imperfeita tipo III, com enfoque nos aspectos dentários e oclusais. O caso foi desenvolvido em uma das clínicas da Faculdade de Odontologia da Universidade Federal de Minas Gerais, na região sudeste do Brasil. O exame clínico bucal revelou presença de má oclusão de Classe III de Angle, e mordida cruzada anterior. Observou-se também, a presença de dentinogênese imperfeita na dentição decídua e permanente. A análise radiográfica revelou câmaras pulpares completamente obliteradas em ambas as dentições. O tratamento odontológico incluiu orientação de higiene bucal, fluorterapia, exodontias e restaurações. A criança foi acompanhada por um período de seis anos e, em seguida, encaminhada para a clínica de Ortodontia da mesma universidade para o tratamento da má oclusão. O atendimento odontológico precoce é importante para a prevenção ou interceptação de doenças bucais, como a dentinogênese imperfeita e má oclusão, bem como para a melhora da estética dentária nos indivíduos com Osteogênese Imperfeita.

ABSTRACT Osteogenesis imperfecta is a rare genetic disorder involving abnormal type I collagen composition that compromises bone and collagen-rich tissues. Individuals with Osteogenesis imperfecta exhibit oral and systemic abnormalities, including dentinogenesis imperfect. The purpose of the review is to report a clinical case of a nine-year-old boy diagnosed with Osteogenesis Imperfecta type III, focusing on dental and occlusal aspects. The case report was developed at the outpatient clinic at the School of Dentistry of the Federal University of Minas Gerais, in Southeastern of Brazil. The clinical oral examination revealed Angle Class III malocclusion and anterior crossbite. It was also observed the presence of dentinogenesis imperfect in both primary and permanent teeth. Radiographic analysis showed the presence of completed obliterated pulp chambers in both dentitions. Dental treatment included oral hygiene counseling, dental extraction, fluoride therapy and restorations. The child was followed up for a period of six years and then referred to the orthodontic outpatient clinic at the same university for the treatment of malocclusion. Early dental care is important to the prevention or interception of oral diseases, such as dentinogenesis imperfect and malocclusion, as well as the improvement of dental esthetics in cases of Osteogenesis Imperfecta.

RESUMO Este artigo teve como ponto de partida a indagação sobre em que medida o trabalho docente coletivo produz diferentes resultados educacionais. O objetivo deste estudo quantitativo foi verificar se a colaboração docente tem impacto sobre a proficiência dos alunos e investigar fatores escolares associados ao aumento da colaboração docente. Foram utilizados dados da Prova Brasil de 2017, referentes ao 5º ano das escolas municipais e estaduais de todo país. A partir das respostas dos questionários contextuais, foram criados indicadores utilizados em regressões lineares que estimaram a relação entre proficiência do aluno e a colaboração docente, e a relação desta última com a percepção dos professores sobre outros fatores escolares. Os resultados indicam que uma maior colaboração entre o corpo docente tem impacto positivo na proficiência e que fatores como liderança do diretor, quantidade de escolas onde o professor trabalha e percepção de agressividade dos alunos estão associados a uma maior ou menor colaboração entre os professores.

ABSTRACT This article started with an inquiry about the extent to which collective teaching work produces different educational results. Thus, its objective was to verify whether teacher collaboration has an impact on students' outcomes and to investigate the various school factors associated with increased teacher collaboration. In this exploratory quantitative study, data from the Prova Brasil of 2017 was used for the fifth grade of municipal and state schools from all over the country. From the answers of the contextual questionnaires, indicators were created and used in linear regressions that estimated the relationship between student proficiency and teacher collaboration, as well as the relationship between the latter and teachers` perceptions of other school factors. The results indicate that greater collaboration among teachers has positive impacts on students’ proficiency and that school factors such as a principal’s leadership, the number of schools where a teacher works, and the perception of students' aggressiveness are associated with greater or lesser collaboration among teachers.

ABSTRACT OBJECTIVE To perform a cross-cultural adaptation of the Clear Communication Index instrument from the Centers for Disease Control and Prevention (CDC-CCI) from English to Brazilian Portuguese. METHODS This study comprised initial discussion about the conceptual equivalence of the instrument by a committee formed by experts on health education. We performed translations, synthesis of translations, back-translations, revision by the committee, and linguistic revision. Semantic equivalence was obtained by analyzing the referential and general meaning of each item by the committee, resulting in a pre-final version of the instrument. Subsequently, thirty professionals with health sciences degrees performed a pre-test. These professionals used the pre-final version of the instrument to assess a health education material. A questionnaire was applied to evaluate the acceptability of the instrument, the understanding of each of the 20 items, as well as the individual and professional variables. We analyzed the scores attributed to the health education material, the variables related to healthcare professionals, the proportions of the acceptability of the instrument, and the comprehension of each item. RESULTS After we obtained the conceptual equivalence of the instrument, the committee of experts, the instrument’s main author, and the linguist produced the pre-final version using two translations, a synthesis of the translations, and two back-translations. A general equivalence was maintained in 15 of the 20 items (75%), four of the items were slightly altered (20%), and one item was very altered (5%). Nineteen items presented referential equivalence or near equivalence (95%). We then carried out with the pre-test, in which the professionals used the pre-final version. Two items in the domains of “risks” and “main message” were unclear and needed to be revised. CONCLUSION The process of cross-cultural adaptation of the Clear Communication Index provided an adapted version to the Brazilian Portuguese language.

ABSTRACT OBJECTIVE To perform a cross-cultural adaptation of the Clear Communication Index instrument from the Centers for Disease Control and Prevention (CDC-CCI) from English to Brazilian Portuguese. METHODS This study comprised initial discussion about the conceptual equivalence of the instrument by a committee formed by experts on health education. We performed translations, synthesis of translations, back-translations, revision by the committee, and linguistic revision. Semantic equivalence was obtained by analyzing the referential and general meaning of each item by the committee, resulting in a pre-final version of the instrument. Subsequently, thirty professionals with health sciences degrees performed a pre-test. These professionals used the pre-final version of the instrument to assess a health education material. A questionnaire was applied to evaluate the acceptability of the instrument, the understanding of each of the 20 items, as well as the individual and professional variables. We analyzed the scores attributed to the health education material, the variables related to healthcare professionals, the proportions of the acceptability of the instrument, and the comprehension of each item. RESULTS After we obtained the conceptual equivalence of the instrument, the committee of experts, the instrument’s main author, and the linguist produced the pre-final version using two translations, a synthesis of the translations, and two back-translations. A general equivalence was maintained in 15 of the 20 items (75%), four of the items were slightly altered (20%), and one item was very altered (5%). Nineteen items presented referential equivalence or near equivalence (95%). We then carried out with the pre-test, in which the professionals used the pre-final version. Two items in the domains of “risks” and “main message” were unclear and needed to be revised. CONCLUSION The process of cross-cultural adaptation of the Clear Communication Index provided an adapted version to the Brazilian Portuguese language.

Abstract The purpose of the present study was to compare the perceptions of the parents/ caregivers of young people with and without Mucopolysaccharidosis (MPS) with regards to their oral health-related quality of life (OHRQoL). A cross-sectional study was conducted with 29 individuals with MPS and 29 normotypic individuals aged three to 21 years and their parents/caregivers. All parents/caregivers of young people with MPS in follow-up at two reference hospitals in the city of Belo Horizonte, southeastern Brazil, were invited to participate in the study. Individuals without MPS were recruited from the pediatric clinics of both hospitals. Parents/caregivers answered a structured questionnaire addressing the sociodemographic characteristics, behavioral habits and medical and dental history of the children as well as the Brazilian short-form version of the Parental-Caregiver (P-CPQ). The individuals with and without MPS were examined for malocclusion, dental caries and oral hygiene by an examiner who had undergone training and calibration exercises. Mean age of the subjects was 12.1 years (± 4.2). Comparing total P-CPQ scores and scores on the oral symptoms, functional limitations and wellbeing domains, the parents/caregivers individuos with MPS reported a statistically significant greater negative impact on OS domain than their counterparts. Regarding the clinical variables, malocclusion was also associated a greater negative impact on OHRQoL of young people with MPS when compared to those of young people without MPS. Our findings show the great negative impact caused by the malocclusion of young people with MPS.

Resumo: Neste estudo nós descrevemos a dieta de Hylaeamys megacephalus (G. Fisher, 1814) e investigamos o grau de variação individual na dieta desta espécie entre os hábitats de Floresta Amazônica e Plantação de Palmeira de Dendê. Analisamos o conteúdo estomacal de 36 indivíduos, dos quais 11 foram coletados na floresta e 25 capturados na plantação de palmeira de dendê. A dieta de H. megacephalus consistiu em 18 itens alimentares, dos quais 12 de composição animal e oito de composição vegetal. A amplitude de nicho da espécie foi mais estreita na área de floresta (Baforest = 0,013) comparada com a área de plantação de palmeira de dendê (Bapalm = 0,478). Isto sugere que os indivíduos têm maior sobreposição de nicho nas áreas de floresta, enquanto que nas áreas de plantação os animais expandem seu nicho alimentar. Além disto, os valores da média de similaridade da dieta individual em relação à dieta de toda a população foi menor no ambiente de plantação de palmeira de dendê (ISpalm = 0,164) do que no ambiente de Floresta (ISforest = 0,357), indicando uma alta especialização individual na plantação de dendê. Estes resultados indicam um mecanismo populacional para reduzir a competição intraespecífica em resposta à escassez de recursos.

Abstract: In this study we described the diet of Hylaeamys megacephalus (G. Fisher, 1814) and investigated the degree of individual variation in the diet of this species among the Amazon Forest and the oil palm plantation. We analyzed the stomach contents of 36 individuals, of whom 11 were collected in the forest and 25 captured in the palm oil palm plantation. The H. megacephalus diet consisted of 18 food items, of which 12 were animal composition and eight were vegetable composition. The niche amplitude of the species was narrower in the forest area (Baforest = 0.013) compared to the palm tree plantation area (Bapalm = 0.478). This shows that individuals have greater niche overlap in forest areas, while in the plantation areas the animals expand their food niche. In addition, the values of the mean of the individual diet in relation to the diet of the entire population were lower in the palm oil palm plantation environment (ISpalm = 0.164) than in the Forest environment (ISforest = 0.357), indicating a high specialization in the palm oil plantation. These results indicate a population mechanism to reduce intraspecific competition in response to scarce resources.

RESUMO O objetivo deste estudo foi comparar a capacidade funcional (CF) e o nível de atividade física (NAF) de indivíduos com doença renal crônica (DRC) em tratamento hemodialítico (HD) em longo prazo (G1); em curto prazo (G2); em tratamento conservador (G3) e indivíduos sem DRC (G4). Trata-se de um estudo transversal, descritivo, composto por uma amostra de conveniência. Foram avaliados 44 indivíduos, sendo 13 do G1 (50,6±11,5 anos), 9 do G2 (50,8±19,01), 9 do G3 (42,8±15,6) e 13 do G4 (49,2±11,2). A CF foi avaliada pelo teste de caminhada de seis minutos (TC6´), e o nível de atividade física pelo questionário IPAQ. Para a análise estatística na comparação entre grupos utilizou-se o Anova One-way com post hoc de Bonferroni. Para variáveis categóricas foi utilizado o teste de qui-quadrado. Foi encontrada diferença significativa na comparação da distância percorrida no TC6’ entre G1 e G4 (409,4±108,1 x 571,9±31,5m; p=0,001) e entre G2 e G4 (422,6±133,2 x 571,9±31,5m; p=0,006). O mesmo ocorreu para valores da distância percorrida no TC6’ em percentual do previsto. Quanto ao NAF, não foram encontradas diferenças significativas entre os grupos, e a maioria dos indivíduos apresentou baixo NAF. Dessa forma, conclui-se que indivíduos com DRC que realizam HD apresentam redução da CF quando comparados a pessoas sem DRC.

ABSTRACT The aim of this study was to compare the functional capacity (FC) and level of physical activity (LPA) of individuals with chronic kidney disease (CKD) in long-term hemodialysis (HD) treatment (G1); in short-term HD treatment (G2); in conservative treatment (G3), and individuals without CKD (G4). This was a descriptive cross-sectional study with a convenience sample. A total of 44 individuals were evaluated, 13 of G1 (50.6 ± 11.5 years), 9 of G2 (50.8 ± 19.01), 9 of G3 (42.8 ± 15.6), and 13 of G4 (49 , 2 ± 11.2). FC was assessed by the six-minute walking test (6MW) and the L PA by the IPAQ questionnaire. For statistical analysis in the comparison between groups, we used ANOVA One-way with Bonferroni post hoc. For categorical variables, the Chi-square test was used. A significant difference was found in the comparison of the 6MW walking distance between G1 and G4 (409.4 ± 108.1 x 571, 9 ± 31.5m; p = 0.001) and between G2 and G4 (422.6 ± 133.2 x 571.9 ± 31.5 m, p = 0.006). Similar results were observed for 6MW distance in prediction percentage. Regarding LPA, no significant differences were found between the groups and most individuals presented low levels. Therefore, it was concluded that individuals with CKD in HD treatment present reduction of CF when compared to people without CKD.

RESUMEN El objetivo de este estudio fue comparar la capacidad funcional (CF) y el nivel de actividad física (NAF) de los individuos con enfermedad renal crónica (ERC) en tratamiento de hemodiálisis (HD) a largo plazo (G1); a corto plazo (G2); en tratamiento conservador (G3) e individuos sin ERC (G4). Se trata de un estudio transversal, descriptivo, compuesto por una muestra de conveniencia. Se evaluaron 44 individuos, siendo 13 del G1 (50,6 ± 11,5 años), 9 del G2 (50,8 ± 19,01), 9 del G3 (42,8 ± 15,6), y 13 del G4 (49,2 ± 11,2). La CF fue evaluada por la prueba de caminata de seis minutos (PC6’), y el nivel de actividad física por el cuestionario IPAQ. Para el análisis estadístico en la comparación entre grupos, se utilizó el Anova One-way con prueba post-hoc de Bonferroni. Para las variables categóricas se utilizó la prueba de chi-cuadrado. Se encontró una diferencia significativa en la comparación de la distancia recorrida en el TC6’ entre G1 y G4 (409,4 ± 108,1 × 571,9 ± 31,5m; p = 0,001), y entre G2 y G4 (422,6 ± 133,2 × 571,9 ± 31,5m; p = 0,006). Lo mismo ocurrió para valores de la distancia recorrida en el TC6’ en porcentaje de lo previsto. En cuanto al NAF, no se encontraron diferencias significativas entre los grupos, y la mayoría de los individuos presentó bajo NAF. Por lo tanto, se concluye que individuos con ERC que realizan HD presentan reducción de la CF en comparación con personas sin ERC.