Little is known about the factors that may be used in clinical practice to predict the therapeutic response of aggressive periodontitis patients. The aim of this study was to determine predictors of clinical outcomes after non-surgical treatment of aggressive periodontitis. A total of 24 patients (aged 13-26 years) received oral hygiene instructions, as well as subgingival scaling and root planing. Twelve subjects received systemic azithromycin at random. Clinical variables were assessed at baseline, 3, 6, 9, and 12 months. Baseline microbiological assessment was performed by checkerboard DNA-DNA hybridization. Multivariable models used generalized estimating equations. There were significant improvements in the entire sample in regard to pocket depth, clinical attachment level and bleeding on probing. Significant predictors of a reduction in mean pocket depth were: use of azithromycin, non-molar teeth, generalized disease and baseline pocket depth. Absence of plaque predicted a 0.22 mm higher attachment gain, whereas a baseline pocket depth >/=7 mm predicted a 1.36 mm higher attachment loss. Azithromycin, plaque, and baseline pocket depth were significant predictors of bleeding on probing. The concomitant presence of all three red complex species predicted a 0.78 mm higher attachment loss. It may be concluded that dental plaque, tooth type, disease extent, baseline pocket depth, and use of azithromycin were significant predictors of the clinical response to treatment for aggressive periodontitis in young individuals. Moreover, the presence of multiple periodontal pathogens may predict challenges in achieving a favorable outcome for aggressive periodontitis.

MATERIAL AND METHODS: This cross-sectional study included 91 patients with stable CAD who had been under optimized cardiovascular care. Blood levels of IL-1beta, IL-6, IL-8, IL-10, IFN-gamma, and TNF-alpha were measured by Luminex technology. A full-mouth periodontal examination was conducted to record probing depth (PD) and clinical attachment (CA) loss. Multiple linear regression models, adjusting for gender, body mass index, oral hypoglycemic drugs, smoking, and occurre:nce of acute myocardial infarction were applied. RESULTS: CAD patients that experienced major events had higher concentrations of IFN-gamma (median: 5.05 pg/mL vs. 3.01 pg/mL; p=0.01), IL-10 (median: 2.33 pg/mL vs. 1.01 pg/mL; p=0.03), and TNF-alpha (median: 9.17 pg/mL vs. 7.47 pg/mL; p=0.02). Higher numbers of teeth with at least 6 mm of CA loss (R2=0.07) and PD (R2=0.06) were significantly associated with higher IFN-gamma log concentrations. Mean CA loss (R2=0.05) and PD (R2=0.06) were significantly related to IL-10 concentrations. Elevated concentrations of TNF-alpha were associated with higher mean CA loss (R2=0.07). CONCLUSION: Periodontal disease is associated with increased systemic inflammation in stable cardiovascular patients. These findings provide additional evidence supporting the idea that periodontal disease can be a prognostic factor in cardiovascular patients.

OBJECTIVE AND BACKGROUND: To evaluate the association between periodontal disease, tooth loss and coronary heart disease (CHD). There is still controversy about the relationship between periodontal disease and tooth loss with vessel obstruction assessed using coronary angiography. MATERIAL AND METHODS: This cross-sectional study included 195 patients that underwent coronary angiography and presented with at least six teeth. Patients were classified into three categories of coronary obstruction severity: absence; one or more vessels with /= 50% obstruction. The extent of coronary obstruction was dichotomized into 0 and >/= 1 affected vessels. A periodontist blinded to patient CHD status conducted a full mouth examination to determine mean clinical attachment loss, mean periodontal probing depth and tooth loss. Multiple logistic regression models were applied adjusting for age, gender, hypertension, smoking, body mass index, low-density lipoprotein cholesterol and C-reactive protein. RESULTS: Most patients were males (62.1%) older than 60 years (50.8%), and 61% of them had CHD. Mean periodontal probing depth, clinical attachment loss and tooth loss were 2.64 +/- 0.72 mm, 4.40 +/- 1.31 mm and 12.50 +/- 6.98 teeth respectively. In the multivariable models, tooth loss was significantly associated with a higher chance of having at least one obstructed vessel (odds ratio = 1.04; 95% confidence interval 1.01-1.09) and with vessel obstruction >/= 50% (odds ratio = 1.06; 95% confidence interval 1.01-1.11). No significant associations were found between periodontal variables and vessel obstruction. CONCLUSION: Tooth loss was found to be a risk indicator for CHD.

This work present axonometric and orthographic views to learning of Descriptive Geometry concepts. Axonometric views are a good way to show the utility of successive auxiliary views because they present the process and promote the 3D comprehension of objects. The paper proposes ways to build axonometric projections from any point of view by Descriptive Geometry tools. Besides, the use of the principal views enhances the understanding of successive auxiliary views, but in a more complex context where the student must choose directions to find the correct projections. Through these directions, you can choose the sequence of auxiliary planes that result in orthographic views. This work shows how two unusual concepts in the Descriptive Geometry education context can promote a better understanding of many of its contents.

The radiation emission mechanism responsible for both type-II and type-III solar radio bursts is commonly
accepted as plasma emission. Recently Ganse et al. suggested that type-II radio bursts may be enhanced when the electron foreshock geometry of a coronal mass ejection contains a double hump structure. They reasoned that the counter-streaming electron beams that exist between the double shocks may enhance the nonlinear coalescence interaction, thereby giving rise to more efficient generation of radiation. Ganse et al. employed a particle-in-cell simulation to study such a scenario. The present paper revisits the same problem with EM weak turbulence theory, and show that the fundamental (F) emission is not greatly affected by the presence of counter-streaming beams, but the harmonic (H) emission becomes somewhat more effective when the two beams are present. The present finding is thus complementary to the work by Ganse et al.
Key words: plasmas – radiation mechanisms: non-thermal – solar wind – Sun: radio radiation – turbulence – waves

No artigo, são analisados e comparados os sistemas nacionais de países da Pan-Amazônia (Brasil, Bolívia, Colômbia, Equador, Guiana, Guiana Francesa, Peru, Suriname e Venezuela) com foco em: a) tratamento dado a presença de populações tradicionais, indígenas ou não, em unidades de conservação (OIT, 1989); b) estimativas da população em tais áreas; e c) avaliação das fontes e tipos de dados disponíveis para estudos de população.