RESUMO Objetivo: Os objetivos do presente estudo foram desenvolver um método para medir longitudinalmente a rotação, inclinação e angulação dentárias em modelos digitais, e testar sua validade e reprodutibilidade. Material e Métodos: Os modelos inicial e final planejado de 14 pacientes tratados com Invisalign® (386 dentes) foram exportados do ClinCheck®. Os valores de rotação, inclinação e angulação foram calculados para incisivos, caninos, pré-molares e molares, em ambos os modelos, por meio de trigonometria. Um aplicativo desenvolvido em Python 2.7 foi utilizado para automatização das medidas. O ∆planejado (variação na posição entre os modelos inicial e final planejado) foi obtido para os movimentos descritos, nos diferentes grupos de dentes. A validade do método foi verificada pelo grau de concordância entre o ∆planejado e os valores disponíveis na Tabela de Movimentos do Invisalign®, utilizando-se o Coeficiente de Correlação Intraclasse (ICC) e a análise de Bland-Altman. O ∆planejado foi novamente calculado para análise da reprodutibilidade intra e interexaminadores. Resultados: Excelentes ICCs (> 0,9) e limites de concordância com discrepâncias reduzidas e clinicamente aceitáveis foram obtidos para a rotação de todos os dentes (exceto os caninos superiores, que expressaram limites mais amplos: -3,47 - 5,43) e para a inclinação de pré-molares e molares. A inclinação dos dentes anteriores e a angulação de todos os dentes apresentaram ICCs e limites não representativos de boa concordância. A reprodutibilidade foi alta para os três movimentos (discrepância < 2°). Conclusões: O método desenvolvido é reprodutível e se mostrou adequado para mensuração longitudinal da inclinação de dentes posteriores e rotação de todos os dentes, exceto caninos superiores. Apresenta valor limitado para as demais mensurações.

ABSTRACT Objective: The objectives of the present study were to develop a method for longitudinally measuring tooth rotation, inclination and angulation on digital models, and to test the method validity and reliability. Methods: The initial and final planned models of 14 patients treated with Invisalign® (386 teeth) were exported from ClinCheck®. The rotation, inclination and angulation values were assessed for the incisors, canines, premolars and molars, in both models, using trigonometry. An application was developed in Python 2.7 to automate the measurements. The ∆planned (variation in the position between the initial and final planned models) was obtained for each tooth and each type of movement. To test the validity, the degree of agreement between the ∆planned and the values available in the Invisalign® Table of Movements was assessed using the Intraclass Correlation Coefficient (ICC) and Bland-Altman analysis. For intra and inter-rater reliabilities, the ∆planned was obtained again. Results: Excellent ICCs (> 0.9) and limits of agreement with narrow and clinically acceptable discrepancies were obtained for the rotation of all teeth (except maxillary canines, which had broader limits: -3.47 - 5.43) and for the inclination of premolars and molars. The inclination of anterior teeth and angulation of all teeth had ICCs and limits that were not indicative of great agreement. The reliability was high for the three movements (discrepancy <2°). Conclusions: The method developed is reliable and suitable for longitudinally measuring inclination (posterior teeth) and rotation (except maxillary canines). It has limited value for the other movements measurements.

RESUMO Introdução: a Síndrome da Apnéia e Hipopnéia Obstrutiva do Sono (SAHOS) é uma grave patologia que compromete a qualidade de vida e sobrevida dos portadores. Seu principal fator de risco em adultos é a obesidade e o exame padrão ouro para diagnóstico é a polissonografia (PSG), sobretudo através do índice de apneiahipopneia (IAH). Objetivo: analisar o padrão de sono dos pacientes obesos com indicação à cirurgia bariátrica, determinando os principais parâmetros polissonográficos comprometidos pela obesidade. Métodos: Este trabalho se trata de um estudo transversal com análise das polissonografias feitas em pacientes com obesidade no préoperatório de cirurgia bariátrica em uma clínica em Vitória da Conquista/BA durante o ano de 2017. Foi utilizada a plataforma Epi Info 7 para análise dos dados. Resultados: analisados 58 laudos polissonográficos, sendo 56,9% obesos mórbidos e 43,1% não mórbidos. A prevalência de SAHOS foi 70,68% e o IAH variou de zero a 84,6 com média de 19,47±22,89 e/h. Os obesos mórbidos, comparados aos “não mórbidos”, tiveram maior tempo de saturação abaixo de 80% e 90% (0,4±0,93 vs. 0,12±0,45 e 4,87±7,38 vs. 1,36±2,87 respectivamente; p=0,02 em ambos), pior índice de distúrbios respiratórios (29,24±25,36 vs. 16,88±16,21; p=0,02), maior IAH (24,71±25,68 vs. 12,56±16,67; p=0,02), valores de índices de hipopneia superiores (16,41±17,10 vs. 6,99±8,52; p=0,006) e menor saturação mínima (78,24±9,80 vs. 85,24±6,33; p=0,004). Conclusões: a alta prevalência de SAHOS encontrada ratifica sua indicação no pré-operatório de cirurgia bariátrica. O principal evento respiratório envolvido na maioria dos indivíduos com SAHOS foi o índice de hipopneia.

ABSTRACT Introduction: obstructive Sleep Apnea Syndrome (OSAS) is a serious confition that compromises the quality of life and survival of patients. Its main risk fator in adults is obesity and the gold standard test for diagnosis is polysomnography (PSG), mainly through the apneia-hypopnea index (AHI). Objective: to analyze the sleep pattern of obese patients with indication for bariatric surgery, determining the main polisomnographic parameters compromised by obesity. Methods: This work is a cross-sectional study with analysis of polysomnography perfomed in patients with obesity in the peroperative period of bariatric surgery at a clinic in Vitória da Conquista/BA during 2017. The Epi Info 7 platform was used for analysis of the data. Results: 58 polysomnographic reports were analyzed, with 56,9% morbdly obese and 43,1% non-morbid. The prevalence of OSAS was 70,68% and de AHI ranged from zero to 84,6 with a mean of 19,47±22,89 e/h. morbidly obese, compared to “non-morbid”, had a longer saturation time below 80% and 90% (0,4±0,93 vs. 0,12±0,45 e 4,87±7,38 vs. 1,36±2,87 respectively; p-value=0,02 in both), worse index respiratory disorders ((29,24±25,36 vs. 16,88±16,21; p-value=0,02), higher AHI (24,71±25,68 vs. 12,56±16,67; p-value=0,02), higher hypopnea index values (16,41±17,10 vs. 6,99±8,52; p-value=0,006) and lower minimum saturation (78,24±9,80 vs. 85,24±6,33; p-value=0,004). Conclusions: the high prevalence of OSAS found confirms its indication in the preoperative period of bariatric surgery. The main respiratory event involved in most individuals with OSAS was the hypopnea index.

Resumo: Neste artigo, analisamos a controvérsia do criacionismo em discursos públicos de políticos, cientistas e jornalistas, focando a argumentação na gramática dos direitos e na apropriação de racionalidade tecnocientífica. Observamos que o criacionismo é defendido ora como um assunto de interesse público com base no direito à liberdade de crença, ora como uma crença particular que não interfere na vida pública de políticos, e ainda como teoria científica à qual se nega a liberdade acadêmica e de expressão. A adoção estratégica de diferentes discursos demonstra uma tentativa do movimento não apenas de resistir à lógica que lhe é imposta por seus adversários, mas uma insistência em existir dentro dessa própria lógica que busca expulsá-los da vida pública e da ciência.

Abstract: This article analyzes the creationism controversy in public speeches of politicians, scientists and journalists, focusing on arguments based on civil rights rhetoric and appropriation of technoscientific rationality. We observed that creationism is advocated as a matter of public interest based on the right of freedom to belief, or as a particular belief that does not interfere with the public life of politicians or even as a scientific theory to which academic and speech freedom is denied. The strategic adoption of different discourses demonstrates an attempt by the movement not only to resist the logic imposed on it by its opponents, but an insistence on existing within that very logic which seeks to expel them from public life and science.

ABSTRACT In the Southeastern Quadrilátero Ferrífero, a package of metapelitic rocks previously attributed to the Archean Rio das Velhas Supergroup crops out in Piranga locality. This study presents the mineral chemistry and U-Pb-Hf zircon geochronology on foliated staurolite-garnet mica schists. Garnet and staurolite index minerals are syn- to post-kinematic towards the main schistosity. Garnet porphyroblasts display well-developed compositional zoning of Mg-Fe-Mn-Ca, with increase of almandine and pyrope and decrease of spessartine towards the rim, implying in prograde metamorphic pattern. Estimates of P-T values for the metamorphic peak resulted in temperatures between 630 to 650ºC and pressure around 7 kbar. Pseudosections show well-defined stability fields in amphibolite facies, with a metamorphic path displaying progressive increase in P-T conditions. Maximum depositional age of 1,875 ± 51 Ma is established for the Piranga mica schists pointing to a depositional history that is younger than those previously described. Metamorphic Cambrian ages characterize the strong influence of deformational processes related to the final stages of Brasiliano Orogeny in the Southeastern Quadrilátero Ferrífero.

Abstract The Córrego dos Boiadeiros Body (CBB) comprises a metaultramafic-metamafic sequence located in the vicinities of Nova Lima town, central area of the Quadrilátero Ferrífero province. The main rock type is a serpentinite that grades upwards to weathering mantles with well-preserved pedogenetic horizons composed, from bottom to top, of four facies: the R Horizon (Fresh rock facies), the C Horizon (Alterite facies), the B Horizon (Transition facies) and the A Horizon (Solum facies). This article presents the results of geochemical and mass balance studies along a representative pedogenetic profile in order to evaluate the chemical transformations concerning major, trace and Rare Earth Elements. From bottom to top of the selected profile, there is enrichment in Fe2O3, Al2O3 and depletion in MgO and SiO2. There are also relative gains of metallic elements as Ni, Co, V and loss of Au. Cr is enriched at the uppermost horizon. Pt is enriched at the basis of the profile, but decreases towards the upper layers. The weathering mantle is REE-enriched and shows major fractionating of LREE over HREE. In order to evaluate the economic potential of the lateritic deposits, especially concerning Cr content, additional chemical analyses should be distributed over the entire body and its surroundings.

RESUMO O lipoma é um tumor frequente dos tecidos moles, mas a sua localização na mão é rara. Os lipomas da mão geralmente são assintomáticos; contudo, quando apresentam um grande crescimento ou em determinadas localizações, podem causar sintomas devido à compressão do nervo mediano. Esses tumores devem ser devidamente caracterizados pré-operatoriamente com um exame de imagem e seu correto tratamento baseia-se na sua excisão completa e liberação do nervo mediano. Apresentamos o caso clínico de uma paciente com o diagnóstico de síndrome do túnel carpal resultante de compressão do nervo mediano por um lipoma palmar gigante, tratada com sucesso com lipectomia e descompressão nervosa.

ABSTRACT Lipoma is a quite common type of soft-tissue tumor, but it is rarely found in the hand. Hand lipomas are generally asymptomatic; however, when they become too large or when they are present in some specific location, they can cause symptoms due to compression of the median nerve. These tumors must be correctly characterized preoperatively with imaging exams and the proper management is the complete removal of the tumor and release of the median nerve. The authors present the case of a female patient with , carpal tunnel syndrome due to compression of the median nerve by a giant palmar lipoma, successfully treated with tumor excision and nerve release.,

Abstract Cutaneous leiomyosarcoma is a rare neoplasia, and its periorbital presentation is rather uncommon. We present a case of a male patient who was surgically treated, with the reconstruction performed with a frontal myocutaneous flap. The patient has been followed up for one year with adequate oncologic control and good aesthetic outcome.

Abstract: Mohs micrographic surgery is a technique used to excise skin tumors based on comprehensive surgical mapping, in which the surgeon removes the tumor, followed by a complete histological evaluation of the tumor's margins. The correlation of the presence of a tumor in histological examinations and its precise location on the surgical map result in a complete removal of the tumor with maximum normal tissue preservation. The present article seeks to provide general practitioners and healthcare specialists with guidelines regarding recommendations for Mohs micrographic surgery to treat skin tumors, based on the most reliable evidence available in medical literature on the subject. This bibliographic review of scientific articles in this line of research was conducted based on data collected from MEDLINE/PubMed. The search strategy used in this study was based on structured questions in the Patient, Intervention, Control, and Outcome (PICO) format. MeSH terms were used as descriptors. The indications of this technique are related to recurrence, histology, size, definition of tumor margins, and location of tumors. These guidelines attempt to establish the indications of Mohs surgery for different types of skin tumors.

RESUMO A sub-rotina simulação de habitat físico da metodologia incremental - IFIM usa variáveis hidráulicas e os índices de aptidão das espécies alvo para predizer como diferentes vazões afetam a ocupação de microhabitat por espécies de peixes. Esta abordagem de simulação de hábitat foi adotada para avaliar os efeitos ecológicos sobre três espécies de peixes tropicais de diferentes ordens (Bryconamericus ornaticeps , Ancistrus multispinis e Geophagus brasiliensis ) em dois trechos de um riacho de Mata Atlântica do sudeste do Brasil, durante a estação chuvosa de 2013 e a estação seca de 2014. Características topográficas e hidráulicas (profundidade, velocidade e tipo de substrato) foram mensuradas para implementação da simulação de habitat em uma dimensão; observações subaquáticas dos peixes foram realizadas para avaliação do uso do microhabitat. As curvas de aptidão de habitat de cada variável hidráulica foram utilizadas na simulação de habitat para obtenção das curvas de aptidão composta (HSI) e a área útil ponderada (WUA) versus fluxo, e propor vazões ambientais mínimas e ideais para as espécies de peixes-alvo. A amplitude de vazão de 0,65-0,85 m3/s foi registrada como o ótimo para satisfazer as necessidades das três espécies de peixes. Esta é uma informação objetiva para os gestores de recursos hídricos e que pode ser aplicada no planejamento de programas de gestão visando a conservação dos ecossistemas. Desse modo, pode ser considerado um estudo piloto bem sucedido na avaliação do fluxo ambiental em um riacho da Mata Atlântica do Brasil.

ABSTRACT The physical habitat simulation sub-routine of the Instream Flow Incremental Methodology (IFIM) uses hydraulic modeling and suitability indices of target fish species to predict how differences in-stream flows affect the microhabitat occupation by fish species. This habitat modelling approach was adopted to assess the ecological effects of running flows on three neotropical fish species of different orders (Bryconamericus ornaticeps , Ancistrus multispinis and Geophagus brasiliensis ).The study encompassed two reaches of an Atlantic Forest stream in Southeastern Brazil where topographic and hydraulic (depth, velocity and type of substrate) characteristics were measured to implement one-dimensional hydraulic simulation. Sub aquatic observation of fish was performed to collect data on microhabitat use and these data were used to develop habitat suitability curves that were used in the habitat simulation to obtain the habitat suitability index (HSI) and weighted usable area (WUA) versus flow curves. Upon these curves minimum and optimum environmental flows for the target fish species were proposed. Bryconamericus ornaticeps and A. multispinis selected microhabitats around 0.6 m depth, whereas G. brasiliensis showed a wider suitable range (0.35-0.9 m). All the three species were mainly observed in microhabitat with low flow velocity (0.1 m/s). Bryconamericus ornaticeps selected more frequently coarse substrate (e.g. boulders) but it appeared also over sandy substrate, whereas A. multispinis and G. brasiliensis selected preferably boulders. The range of 0.65-0.85 m3/s was found as the optimum to meet the needs of the three fish species. Our results agree with the necessary objective information to perform grounded management actions in the frame of a management program aiming at ecosystem conservation. Thereby it can be considered a successful pilot study in environmental flow assessment in an Atlantic Forest stream of Brazil.