Espoo Music Institute

Introdução: O uso da tirzepatida tem se mostrado altamente eficaz para o controle do peso corporal. Contudo, a perda ponderal significativa pode acarretar flacidez e ptose glútea, afetando o contorno corporal e a autoestima. Objetivo: Relatar o caso de uma paciente com ptose glútea secundária à perda de peso induzida por tirzepatida, tratada com polimetilmetacrilato (PMMA). Relato do caso: Paciente feminina, 68 anos, apresentou perda ponderal de 12 kg após uso de tirzepatida. Evoluiu com ptose glútea bilateral e foi submetida à correção estética utilizando PMMA (300 mL na primeira sessão e 180 mL após 90 dias). O procedimento foi realizado em ambiente ambulatorial, sob anestesia local e sedação consciente, sem intercorrências. Resultados: Observou-se melhora expressiva do contorno e projeção glútea, sem eventos adversos no seguimento de três meses. Conclusão: O uso de PMMA mostrou-se seguro e eficaz na restauração do volume glúteo em paciente com ptose secundária à perda de peso induzida por tirzepatida, reforçando seu potencial como alternativa terapêutica minimamente invasiva.

BACKGROUND: One of the key tasks of contemporary dentistry is the analysis of radiographic images of the temporomandibular joint. Errors arising during analysis of cone-beam computed tomography data of the temporomandibular joint may lead to incorrect radiologic interpretation and inadequate treatment planning. AIM: This work aimed to determine the extent to which observer variation influences the radiologic interpretation of temporomandibular joint status based on cone-beam computed tomography data. METHODS: Сone-beam computed tomography scans of the facial bones were obtained from 20 patients (14 women, 6 men; age range, 25–64 years) with temporomandibular joint disorders. To assess the impact of observer variation on the analysis of cone-beam computed tomography images of the temporomandibular joint, unified software and a standardized protocol for identifying craniometric landmarks were used to calculate the anatomic and topographic position of the mandibular condyle. Cone-beam computed tomography analysis was performed using our method of automated craniometry of cranial anatomical structures (Certificate of State Registration of Computer Programs No. 2017662860). The obtained data were used to analyze deviations in calculations. RESULTS: The study revealed substantial systematic and random errors in the assessment of the analyzed craniometric parameters, which are unacceptable in clinical practice. CONCLUSION: To reduce the impact of observer variation on radiologic interpretation in cone-beam computed tomography analysis of the facial bones, training programs should include not only theoretical instructions but also substantial time for workplace internship under the supervision of an experienced mentor.

Currently, there is an urgent need for accurate and quick determination of jaw parameters for subsequent orthodontic and orthopedic treatment. Classical methods of anthropometric diagnostics of jaw models are labor-intensive, as they imply separate measurement in the transversal, sagittal and vertical directions. Various methods of anthropometric diagnostics of the size of the dentition are considered. A new method for simultaneous measurement of jaw models in two mutually pendicular planes of patients with orthodontic anomalies is proposed and substantiated. The aim of the study was to optimize the measurement of jaw models using the new anthropometric device "TRIADA". A pilot study of the feasibility of using the anthropometric device "TRIADA" was carried out on 47 patients. It is revealed that the device allows simultaneous measurements of parameters in two mutually perpendicular planes. This method allows the necessary measurements to be carried out simultaneously in the sagittal and transversal directions, which reduces the time spent on diagnostics due to the color graduated scale and the absence of the need to transfer the obtained data to the measuring ruler. The study proved and substantiated the possibility of a one-stage two-dimensional measurement of the parameters of jaw models using the anthropometric apparatus "TRIADA".

Työmarkkinoiden muutos ja korkeakoulutuksen yleistyminen ovat lisänneet epävarmuutta ja kilpailua korkeakoulutettujen työmarkkinoilla. Tästä syystä yksilön urataitojen ja urasuunnittelun merkitys nähdään aiempaa tärkeämpänä. Erityisesti generalisteilla on havaittu haasteita valmistumisen jälkeisessä työllistymisessä. Tässä artikkelissa tarkastellaan relationistis-konstruktionistisen sosiaalipsykologian näkökulmasta sosiaalitieteiden opiskelijoiden urasuunnittelua koskevaa puhetta. Laadullisen asennetutkimuksen periaatteisiin nojaavan analyysin kautta tarkastellaan sitä, miten opiskelijat pyrkivät puheessaan vastaamaan yksilön vastuuta työllistyvyydestä korostavaan urataito-odotukseen ja millaista kuvausta toimijuudestaan he rakentavat kuvatessaan opintojen aikaisia valintojaan. Tulosten perusteella opiskelijat näyttävät melko ongelmattomasti hyväksyvän yksilön vastuun työllistyvyydestä. Kuvausta toimijuudesta rakennetaan utilitaristisen individualismin ja ilmaisullisen individualismin tulkintarepertuaarien avulla. Utilitaristisen individualismin versiossa korostuu hyödyllisten valintojen tekeminen sekä välineellisen hyödyn ja kilpailuedun tavoitteluna työmarkkinoilla. Ilmaisullisen individualismin versiossa puolestaan korostuu itsen toteuttaminen ja henkilökohtainen kiinnostus, jolloin valintojen suhde tulevaisuuteen rakentuu epävarmempana.

The communication protocols are the foundation for Internet of Things (IoT) for the seamless integration of hundreds of thousands of devices enabling a lightweight IoT communication network. Further, interoperability is a major concern in regard with connecting the multitude of heterogeneous devices, sensors, actuators, agents etc. Open messaging standards are designed to overcome the problem of horizontal interoperability for providing peer-to-peer communication network and real-time interaction possible in heterogeneous systems. The current research focus on the performance analysis to review the applicability of the open messaging standards available for IoT communication. In this paper, we design and implement the experiments to analyze the protocols’ behaviour with respect to two performance metrics; throughput and latency. Message Queue Telemetry Transport (MQTT) and Constrained Application Protocol (CoAP) protocols are used for comparative analysis for the Open messaging standards. The evaluation is done by using various experimental scenarios to analyze performance results. It is observed that Open messaging standards performance outperforms when compared with MQTT and CoAP in IoT applications by considering various evaluation parameters. It has been analyzed that open messaging standards lead in the IoT domain which can be well explained by the obtained results.

BackgroundFamily structure is suggested to be associated with adolescent pain, but evidence on its association with multisite MS pain is sparse. The purpose of this cross-sectional study was to investigate the potential associations between family structure (‘single-parent family’, ‘reconstructed family’, and ‘two-parent family’) and multisite musculoskeletal (MS) pain in adolescence.MethodsThe dataset was based on the 16-year-old Northern Finland Birth Cohort 1986 adolescents with available data on family structure, multisite MS pain, and a potential confounder (n = 5,878). The associations between family structure and multisite MS pain were analyzed with binomial logistic regression and modelled as unadjusted, as the evaluated potential confounder, mother’s educational level, did not meet the criteria for a confounder.ResultsOverall, 13% of the adolescents had a ‘single-parent family’ and 8% a ‘reconstructed family’. Adolescents living in a single-parent family had 36% higher odds of multisite MS pain compared to adolescents from two-parent families (the reference) (Odds Ratio [OR]: 1.36, 95% Confidence Interval [CI]: 1.17 to 1.59). Belonging to a ‘reconstructed family’ was associated with 39% higher odds of multisite MS pain (OR 1.39, 1.14 to 1.69).ConclusionFamily structure may have a role in adolescent multisite MS pain. Future research is needed on causality between family structure and multisite MS pain, to establish if there is a need for targeted support.

Thus far, you have learned about all the basic concepts of cloud computing, its components, AWS and its services. Now, it's time to look at the pricing principles of AWS and its cost management structure.

Spinocerebellar ataxias (SCA) have an average worldwide prevalence of 2.7 cases per 100,000 individuals and great geographic variability. The present study aimed to identify and characterize SCA in the state of Alagoas in order to contribute to the epidemiological and clinical profile of SCA and to stimulate the development of strategies to detect people with SCA in regions without epidemiological data. From June 2018 to August 2021, we carried out active search strategies for people with a diagnosis or clinical suspicion of SCA and applied a clinical and molecular evaluation protocol. We identified 73 people with SCA, configuring a minimum estimated prevalence of 2.17 cases per 100,000 inhabitants, distributed as 75.3% with SCA3, 15.1% with AEC 7, 6.8% with AEC1 and 2.7% with AEC 2. SCA3 and SCA7 analysis showed age at onset and clinical features congruent with other studies; predominance of SCA3 subphenotype 2; gait alterations as the main initial manifestation and, in people with SCA7, accompanied by reduced visual capacity; inverse correlation between age at onset and number of expanded CAG; positive correlation between severity and disability scales and duration of illness; and that most affected people are not engaged in a rehabilitation program and there are large numbers of asymptomatic people at risk of developing AEC. In this study, we show how simple collaborative strategies can enhance the detection capacity of affected people and demonstrate that Alagoas has a minimum estimated prevalence of AEC similar to the world average prevalence.

AimsThe purpose was to examine the prevalence and determinants of self‐reported eating problems in old home care clients, screened separately by a clinical nutritionist and a dental hygienist.Methods and ResultsThe data came from the Nutrition, Oral Health and Medication (NutOrMed) study, the participants of which were ≥75‐year‐old home care clients living in Finland. The structured interviews were conducted at the participants' (n = 250) homes. Of the participants, 29% reported poor appetite, 20% had problems with chewing, and 14% had problems with swallowing when asked by a clinical nutritionist. Additionally, 18% reported oral health‐related eating problems when asked by a dental hygienist. Participants with continuous xerostomia (odds ratio [OR]: 3.0, 95% confidence interval [CI]: 1.0–9.0) or poor self‐reported oral health (OR: 4.3, 95% CI: 1.4–13.0) had a higher risk for problems with chewing when asked by a clinical nutritionist. Edentulous participants (OR: 3.5, 95% CI: 1.2–10.9) and participants with toothache or problems with dentures (OR: 10.3, 95% CI: 4.0–26.0) had a higher risk for oral health‐related eating problems when asked by a dental hygienist.ConclusionEating problems are common in older adults, and interprofessional collaboration is required for their identification and alleviation.

Objectives To assess the quality and stability of orthodontic treatment outcome relative to the initial malocclusion. Material and methods The study was performed in one public health care clinic in Finland. Study subjects comprised 51 orthodontic patients (age range 12.7–18.7 years). Pre-treatment medical records and lateral skull radiographs were analysed for malocclusion type. The main reasons for orthodontic treatment were mandibular retrognathia, Class II distal bite, deep bite and crowding. At the end of a retention phase (Examination 1), the quality of treatment outcome was assessed using the occlusal morphology and function index (OMFI) and patients were asked about treatment satisfaction. Stability of occlusal traits and patient satisfaction were re-evaluated after a two-year follow-up (Examination 2). Occlusal characteristics descriptive statistics were performed. Results At Examination 1, all six morphological criteria for acceptability were fulfilled by 76% and all functional criteria by 82% of the patients. All OMFI criteria were met by 67% of the patients. At Examination 2, 68% of the patients fulfilled all morphological and 82% all functional criteria of acceptability. At Examination 2, all the OMFI criteria were still met by 64% of the patients and 92% expressed satisfaction with own occlusion. The main reasons for unacceptability were deficiencies in canine relationship and overbite, in addition to functional protrusion interferences. Conclusions In the evaluated health care clinic, patient satisfaction and the quality of treatment outcome were high. However, deep bite showed a tendency for relapse.