RESUMO Objetivo: Avaliar clinicamente o efeito do debridamento ultrassônico de boca toda no tratamento da periodontite crônica severa em pacientes diabéticos. Métodos: Dezesseis pacientes diabéticos descompensados (Hemoglobina Glicada ≥ 7%) com periodontite crônica severa (mínimo de 8 dentes com profundidade de sondagem ≥ 5 mm e sangramento à sondagem) separados aleatoriamente em 2 grupos: Controle (7): raspagem e alisamento radicular por quadrante e Teste (9): debridamento ultrassônico sessão única de 45 minutos. Os parâmetros clínicos avaliados foram: Índice de placa, Índice gengival, Sangramento à Sondagem, Profundidade de Sondagem, Nível de inserção clínico e Posição da Margem Gengival. As variáveis foram avaliadas no início, 1 e 3 meses após o tratamento. Para análise das variáveis quantitativas (Profundidade de sondagem, Nível de inserção e Posição da margem gengival de bolsas moderadas) foram realizados ANOVA e teste de Tukey e para as demais foram utilizados os testes de Friedman e Mann-Whitney. Resultados: Observou-se melhora na profundidade de sondagem e nível de inserção clínica após o tratamento em ambos os grupos, sem diferenças estatisticamente significativas entre eles. Após 3 meses, nas bolsas inicialmente profundas, a profundidade de sondagem reduziu 1,6 e 1,7 mm nos grupos teste e controle, respectivamente. Houve um ganho estatisticamente significante no nível de inserção ≥ 2 mm nos grupos controle (10,1%) e teste (13,4%), aos 3 meses. Conclusão: O debridamento ultrassônico de boca toda promoveu resultados clínicos semelhantes aos obtidos com a raspagem e alisamento radicular no tratamento da periodontite crônica severa em indivíduos diabéticos.

ABSTRACT Objective: The purpose of this study was to clinically evaluate the effect of one-stage full-mouth ultrasonic debridement in the treatment of diabetic subjects with severe chronic periodontitis. Methods: Sixteen patients with uncontrolled diabetes (glycated hemoglobin ≥ 7%) and severe chronic periodontitis (at least 8 teeth with a probing depth and bleeding on probing were selected and randomly assigned to 2 treatment groups: control group (n=7) - quadrant-wise scaling and root planning; test group (n=9) - full-mouth ultrasonic debridement in one session of 45 minutes. The following outcomes were assessed: plaque index, gingival index, bleeding on probing, probing depth, clinical attachment level and gingival margin position. All parameters were assessed at baseline, 1 and 3 months after treatment. Probing depth, clinical attachment level and gingival margin position were analyzed using ANOVA and Tukey test, and the other clinical parameters analysed with the Friedman and Mann-Whitney tests. Results: An improvement in probing depth, clinical attachment level was observed after treatment in both groups, but without statistically significant differences between them. After 3 months, in initially deep pockets, the PD decreased 1.6 mm and 1.7 mm in test and control group, respectively. Clinical attachment level gain ≥ 2 mm was statistically significant at sites in control (10.1%) and test (13,4%) groups in 3 months. Conclusions: One-stage full-mouth ultrasonic debridement promoted similar clinical outcomes to those obtained with the scaling and root planning in the treatment of diabetic subjects with severe chronic periodontitis.

This paper analyses how buyer companies perceive the value added to products and services offered by their suppliers and identifies the predominant elements that affect purchasing decisions and establishment of relationships between companies in a B2B context. A multiple case study was developed in 12 buyer companies from three industrial segments in southern Brazil: metal-mechanics, furniture and foods. The findings show that for supplier companies in the metal-mechanics industry to add value, they must identify buyers' needs, develop technology/innovation, be focused on competitive aspects, keep control of the supply chain, provide different purchasing channels, develop partnerships, and adapt to cultural aspects. Companies in the food industry consider the model for creating value to adapt to meet customer needs, the effective use of purchasing channels, functionality of products, and technical knowledge. The companies in the furniture industry value the methods that suppliers use to capture and implement required changes, effective control of the supply chain, and the representativeness of the suppliers' brand in the market. This study captures the perception of buyer companies in relation to predominant value-adding elements and could guide decisions for the adoption of managerial actions by supplier companies focused on adding value.

Background: Photodynamic therapy (PDT) is a method of microbial reduction which can benefit periodontal treatment in areas of difficult access, such as deep pockets and furcations. The aim of this randomized controlled clinical trial was to evaluate the effects of PDT as an adjunct to full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis. Material and Methods: Twenty-two patients with at least one pocket with a probing depth (PD) of ≥7 mm and one pocket with a PD of ≥5 mm and bleeding on probing (BOP) on each side of the mouth were included, characterizing a split mouth design. The control group underwent full-mouth ultrasonic debridement and the test group received the same treatment associated with PDT. The PDT was performed on only one side of the mouth and the initial step consisted of subgingival irrigation with 0.005% methylene blue dye. Two minutes after applying the photosensitizer, the low power laser – AsGaAl (Photon Lase III – PL7336, DMC, São Carlos -São Paulo, Brazil) was applied (660 nm, 100 mW, 9 J, 90 seconds per site, 320 J/cm 2 , diameter tip 600 µm). The following clinical parameters were evaluated: plaque index, gingival index, BOP, gingival recession (GR), PD, and clinical attachment level (CAL). All parameters were collected before, 1, 3 and 6 months after treatment. Results: An improvement in BOP, PD and CAL was observed after treatment, in both groups, but without any difference between them. After 6 months, the PD decreased from 5.11±0.56 mm to 2.83±0.47 mm in the test group (p<0.05) and from 5.15±0.46 mm to 2.83±0.40 mm in the control group (p<0.05). The CAL changed, after 6 months, from 5.49±0.76 mm to 3.41±0.84 mm in the test group (p<0.05) and from 5.53±0.54 to 3.39±0.51 mm in the control group (p<0.05). Conclusion: Both approaches resulted in significant clinical improvements in the treatment of severe chronic periodontits, however, the PDT did not provide any additional benefit to those obtained with full-mouth ultrasonic debridement used alone.

OBJECTIVE: The aim of this controlled clinical trial was to evaluate the effect of topically applied povidone-iodine (PVP-I) used as an adjunct to non-surgical treatment of interproximal class II furcation involvements. MATERIAL AND METHODS: Thirty-two patients presenting at least one interproximal class II furcation involvement that bled on probing with probing pocket depth (PPD) >5 mm were recruited. Patients were randomly chosen to receive either subgingival instrumentation with an ultrasonic device using PVP-I (10%) as the cooling liquid (test group) or identical treatment using distilled water as the cooling liquid (control group). The following clinical outcomes were evaluated: visible plaque index, bleeding on probing (BOP), position of the gingival margin, relative attachment level (RAL), PPD and relative horizontal attachment level (RHAL). BAPNA (N-benzoyl-L-arginine-p-nitroanilide) testing was used to analyze trypsin-like activity in dental biofilm. All parameters were evaluated at baseline and 1, 3 and 6 months after non-surgical subgingival instrumentation. RESULTS: Six months after treatment, both groups had similar means of PPD reduction, RAL and RHAL gain (p>0.05). These variables were, respectively, 2.20±1.10 mm, 1.27±1.02 mm and 1.33±0.85 mm in the control group and 2.67±1.21 mm, 1.50±1.09 mm and 1.56±0.93 mm in the test group. No difference was observed between groups at none of the posttreatment periods, regarding the number of sites showing clinical attachment gain >2 mm. However, at 6 months posttreatment, the test group presented fewer sites with PPD >5 mm than the control group. Also at 6 months the test group had lower BAPNA values than control group. CONCLUSION: The use of PVP-I as an adjunct in the non-surgical treatment of interproximal class II furcation involvements provided limited additional clinical benefits.

OBJECTIVES: The aim of this study was to evaluate the influence of the crown shape on the outcomes of root coverage procedures. MATERIAL AND METHODS: Eighty patients with Miller class I gingival recessions in maxillary canines or premolars were selected. The recession areas were treated using the subepithelial connective tissue grafting. The following clinical parameters were analyzed: crown length (CL) and width (CW), recession height and width, probing depth, clinical attachment level, width and thickness of the keratinized tissue and percentage of root coverage achieved. These measurements were recorded at baseline and 6 months after the surgical procedure. The CW/CL ratio was calculated for each tooth and the median obtained (0.83). Patients were then ranked into two groups, according to the shape of the tooth with gingival recession: Group A - square crown shape (CW/CL values above 0.83) and Group B - long and narrow crown shape (CW/CL values below 0.83). RESULTS: No statistically significant differences (p>0.05) were found between groups in any of the clinical parameters at baseline. After 6 months, both groups presented improved clinical outcomes for all parameters analyzed compared to baseline (p>0.05). The mean percentages and standard deviations of root coverage achieved in Group A and Group B was 91.37 (16.75) and 85.49 (23.55), respectively (p>0.05). CONCLUSIONS: Crown shape did not influence the root coverage obtained with the subepithelial connective tissue graft technique.

O objetivo deste trabalho foi avaliar procariotas quanto ao potencial de antagonismo direto para o biocontrole da podridão-mole-do-tomateiro (Pectobacterium carotovorum subsp. carotovorum). Avaliaram-se 45 isolados bacterianos pelo teste de antibiose contra o patógeno. Foram feitos dois ensaios em que sementes de tomate (Lycopersicon esculentum Mill.) cv. Santa Clara foram infectadas com isolados antagônicos. As mudas foram transplantadas para solos infestados com suspensões de propágulos P. carotovorum com OD540 de 0,45 e 0,65. Os antagonistas UFV-0005, UFV-043, UFV-BF112 e UFV-0006 foram eficientes em proteger plantas de tomateiro contra a podridão-mole.

This work aimed to evaluate prokaryotes to provide direct antagonism and biocontrol of tomato soft rot (Pectobacterium carotovorum subsp. carotovorum). Forty-five bacterial isolates previously selected for biological control of several tomato (Lycopersicon esculentum Mill.) diseases were evaluated using an antibiosis test. 'Santa Clara' tomato seeds were inoculated with potential antagonist isolates and transplanted to a soil infested with the pathogen, in two asseys, at a propagule concentration of OD540 0.45 and 0.65. Antagonists UFV-0005, UFV-043, UFV-BF112, and UFV-0006 protected tomato plants against soft rot disease.

Estudaram-se a ocorrência e os danos de Grapholita molesta (Lepidoptera: Tortricidae) em pomar comercial de pessegueiros com seis cultivares de ciclos de maturação de frutos precoce ('São Pedro'), médio ('Chimarrita', 'Ouro', 'Coral' e 'Marli') e tardio ('BR II'), no município de Araucária-PR. Foram sorteadas cinco plantas por cultivar para serem avaliados os danos em brotações e frutos. Os danos foram acumulados e avaliados em três fases: pré-raleio, endurecimento do caroço e colheita. Os resultados mostraram que houve um nível diferenciado no ataque de G. molesta em brotações e frutos, entre as cultivares. As avaliações de danos em brotações mostraram que, até a fase de colheita, a cultivar Ouro foi a mais atacada, sendo superada pela 'Chimarrita' quando se inclui os danos ocorridos na fase pós-colheita. Em frutos, a 'Marli' apresentou o maior número de pêssegos danificados entre as seis cultivares avaliadas.

This paper deals with the occurrence and damage of Grapholita molesta (Lepidoptera: Tortricidae) in a commercial peach orchard with six cultivars of different fruit ripening cycles: precocious ('São Pedro '), medium ('Chimarrita ', 'Ouro ', 'Coral ' and 'Marli ') and late ('BR II '), in Araucaria, State of Paraná, Brazil. Five plants of each cultivar were selected for evaluating the damages in shoots and fruits. The damages were accumulated and evaluated in three phases: previous thinning, stone hardening and harvesting. The results were as follows: the cultivar "Ouro" was the most damaged one up to the harvesting phase, although 'Chimarrita' surpassed 'Ouro' when the damages observed in the post-harvesting phase were included. Among the six cultivars, 'Marli' was the one presenting the highest number of damaged fruits.

Com o objetivo de conhecer a flutuação populacional de Grapholita molesta e verificar a fase fenológica do pessegueiro mais sensível ao ataque do inseto, em dois sistemas de produção, selecionaram-se quatro pomares de pessegueiro, sendo dois conduzidos no sistema de produção convencional (PC) e dois no sistema de boas práticas agrícolas (BPA), durante as safras de 2005/06 e 2006/07, em Araucária-PR. Para verificar a flutuação, foram instaladas duas armadilhas modelo Delta por pomar, iscadas com feromônio sexual sintético, onde se registravam semanalmente as capturas dos adultos de G. molesta. Para determinar a fase mais sensível do pessegueiro ao ataque de G. molesta, foram avaliados as brotações e os frutos do ramo primário voltado para o poente, em vinte plantas por pomar, nas fases de raleio, endurecimento do caroço e maturação. A população de G. molesta, na safra de 2005/06, foi superior à de 2006/07, com os pomares BPA apresentando ocorrências superiores aos PCs. As maiores populações do inseto ocorreram após a colheita. A fase de maturação foi a mais suscetível em ambos os sistemas de produção, com os pomares BPA apresentando menor percentual de danos.

With the objective to know the population fluctuation of Grapholita molesta and to verify the phenological stage that the peach tree is more sensitive to the attack of the insect in two production systems, four peach orchards were selected, two under the conventional production system (CP) and two under the good agricultural practice system (GAP), in 2005/06 and 2006/07 growing seasons, in Araucária, PR, Brazil. To verify the fluctuation, two Delta model traps were installed per orchard, baited with synthetic sexual pheromone, where the capture of G. molesta adults was recorded weekly. To determine the most sensitive phase of the peach tree to G. molesta attack, the bud and fruits were evaluated on the primary branch turned to the West on twenty plants per orchard, in the thinning, stone hardening and maturing phases. The G. molesta population in the 2005/2006 growing season was greater than in 2006/07, and the GAP orchards presented greater occurrences than the CP. The biggest populations of the insect occurred postharvest. The maturation phase was the most susceptible in both production systems, but there was a lower percentage of damage to the GAP orchards.

Ao longo de vários anos, no Laboratório de Bacteriologia de Plantas e Controle Biológico (LBPCB) do Departamento de Fitopatologia da Universidade Federal de Viçosa têm-se, sistematicamente, isolado, de rizosfera, rizoplano e filoplano de plantas cultivadas de importância econômica, milhares de procariotas os quais são testados, um a um, como agentes de biocontrole de enfermidades. A grande maioria deles, como esperado, não exibe qualquer potencialidade como agente de biocontrole e é descartada. Alguns poucos são selecionados, através de demorados ensaios de biocontrole experimental tanto em casa de vegetação como em campo. Neste trabalho, mostra-se que muitos dos organismos em estudo, mesmo havendo sido selecionados, principalmente, por induzirem resistência sistêmica na planta alvo, expressam constitutivamente mecanismos de antagonismo microbiano que parecem fazer parte de seu perfil enquanto agentes de biocontrole.

Along several years, at the Laboratory of Plant Bacteriology and Biological Control of the Department of Plant Pathology of the Federal University of Viçosa, thousands of prokaryote isolates have been obtained from the rhizosphere, rhizoplane and phylloplane of economically important plants. Every obtained isolate is tested as biocontrol agents. As expected, the majority does not show any biocontrol potentiality and is discarded. Few are selected through time-consuming experimental biocontrol trials in greenhouse and field. Even being selected mainly for their ability to induce resistance in target plants, many of them constitutively express mechanisms of antagonism against pathogens that seem to be part of their performance while biocontrol agents.

A pressão da sociedade tem forçado a adoção de sistemas de produção de frutas mais sustentáveis e de menor impacto ambiental. O objetivo deste trabalho foi verificar a influência dos sistemas de produção de Boas Práticas Agrícolas (BPA) e Convencional (PC) sobre a diversidade de inimigos naturais de afídeos presentes em seis pomares de pessegueiros no município de Araucária-PR, de julho de 2005 a setembro de 2006. O levantamento do número de inimigos naturais foi realizado por meio de cinco métodos de amostragens: visual em plantas de pessegueiros e em plantas invasoras; armadilhas Möericke; funil e adesivas. No sistema BPA, foram coletados mais espécimes de inimigos naturais (53%), em relação aos pomares PCs (46%), havendo a ocorrência, em ambos, de predadores das famílias Syrphidae, Coccinellidae e Chrysopidae e parasitóides da ordem Hymenoptera. Do total de inimigos naturais coletados, verificou-se a ocorrência de maior quantidade de predadores de afídeos.

The pressure of the society has forced the adoption of more sustainable fruit production systems and with less environmental impact. The objective of this work was to verify the influence of production systems of Good Agricultural Practices (GAP) and Conventional Production (CP), about the diversity of natural enemies of aphids present on six orchards of peach trees in the city of Araucaria, PR, from July 2005 to September 2006. The evaluation of the number of natural enemies of aphid's species was made by means of five sampling methods: visual in plants of peach trees; visual in invading plants; yellow water traps of Möericke type; funnel and adhesive traps. In the system GPA, more specimens of natural enemies had been collected (53%) in relation to orchards CP (46%), having the occurrence, in both orchards, of predators of the Syrphidae, Coccinellidae and Chrysopidae family and parasitoids of Hymenoptera order. Concerning the total of collected natural enemies, it was verified the greatest occurrence of aphid predators.

O objetivo deste estudo foi avaliar o efeito do controle de placa supragengival sobre os parâmetros clínicos e bioquímicos da periodontite crônica. Foram selecionados 25 pacientes apresentando pelo menos 4 sítios com profundidade de sondagem > 5 mm, não fumantes e sem alterações sistêmicas relevantes. A avaliação clínica e bioquímica foi feita antes e 21 dias após a remoção dos fatores retentivos de placa, exodontia dos dentes condenados e instrução de higiene bucal. A análise estatística foi feita através do teste t de Student pareado (p<0,05) e demonstrou redução da porcentagem de sítios com sangramento à sondagem de 42,72 ± 15,83 para 35,87 ± 13,30 (p=0,002). Redução na profundidade de sondagem foi observada nos dentes anteriores (média inicial/final: 2,88 mm/2,78 mm; p=0,01) e faces interproximais (média inicial/final: 3,80 mm/3,65 mm; p=0,001). Houve aumento de 66,81% para 68,65% (p=0,03) no número de sítios com profundidade de sondagem de 1 a 3 mm e redução de 26,21% para 24,17% (p=0,04) nos de 4 a 6 mm. O valor do BAPNA apresentou redução de 51,44 ± 20,78 para 38,64 ± 12,34 (p=0,04). Baseado nesses achados pôde-se concluir que o controle de placa supragengival tem efeitos benéficos, principalmente relacionados à redução da inflamação gengival e da atividade de enzima tipo tripsina no biofilme subgengival (BAPNA).

Supragingival plaque control is a requisite for the success of any periodontal procedure. However, little is know about the effect of this procedure alone on periodontitis. The aim of this study was to determine the effect of supragingival plaque control on clinical and biochemical parameters of chronic periodontitis. Twenty-five subjects exhibiting at least 4 pockets > 5mm, non-smokers and with no relevant systemic diseases, were selected for the study. The clinical and biochemical assessments were done before and 21 days after removal of plaque retentive factors, extraction of affected teeth and instruction in oral hygiene. The statistical analysis was done with the Student paired t-test (p<0,05) and demonstrated a reduction on the percentage of sites with bleeding on probing from 42.72 ± 15.83 to 35.87 ± 13.30 (p=0.002). Reduction in probing depth was detected on anterior teeth (initial/final mean: 2.88 mm/2.78 mm; p=0.01) and interproximal sites (initial/final mean: 3.80 mm/3.65 mm; p=0.001). There was an increase from 66.81% to 68.65% in the number of sites with probing depth of 1 to 3mm and a decrease from 26.21% to 24.17% in those with probing depth of 4 to 6mm. The BAPNA results showed a decrease from 51.44 ± 20.78 to 38.64 ± 12.34 (p=0.04). This study demonstrated that supragingival plaque control provides a reduction in gingival inflammation and alterations in the subgingival microflora detected by the BAPNA test.

Foi investigada a validade da Ficha de Saúde, inquérito de risco referido (INQ-RR) do Programa IPSEMG-Família, na identificação de pessoas em risco de desenvolver doença arterial coronariana (DAC) numa amostra aleatória, estratificada por sexo, de 297 segurados com idade igual e superior a 40 anos, de Juiz de Fora, Minas Gerais, Brasil. Os resultados obtidos em entrevistas realizadas pelas equipes de saúde da família foram comparados com dados de exames clínico-laboratoriais. Foram avaliados a sensibilidade, a especificidade e os valores preditivos positivos e negativos das questões sobre história atual ou prévia de diabetes mellitus, hipertensão arterial, colesterol elevado e tabagismo. Dentre os participantes que apresentavam pelo menos um exame clínico-laboratorial alterado, 81,0% (sensibilidade total) foram identificados pelo inquérito de risco referido ao declarar ter pelo menos um fator de risco. Os padrões de Sheffield e da Nova Zelândia foram utilizados para determinar os segurados com risco elevado de adquirir doença coronariana e avaliar se estes seriam também identificados pela Ficha de Saúde. A sensibilidade para identificar esse subgrupo de pacientes foi de 100,0%.

The validity of a health survey questionnaire used in a family health promotion program to identify individuals at risk of developing coronary artery disease (CAD) was studied in a random sample of 297 State public employees in Juiz de Fora, Minas Gerais State, Brazil. The sample was stratified by sex, and subjects were 40 years of age or older. Results obtained in interviews were compared to laboratory and clinical data. We assessed the questionnaire's sensitivity, specificity, and positive and negative predictive values in relation to questions about current or previous history of diabetes, hypertension, smoking, and high cholesterol. Among individuals with at least one altered clinical or laboratory test, 81% (total sensitivity) were identified by the referred risk inquiry when reporting at least one risk factor. Sheffield and New Zealand tables were used to determine the individuals with increased risk of developing CAD and to assess if they would also be identified by the health survey questionnaire. The sensitivity for identifying this subgroup was 100%.

Foi investigada a validade da Ficha de Saúde, inquérito de risco referido (INQ-RR) do Programa IPSEMG-Família, na identificação de pessoas em risco de desenvolver doença arterial coronariana (DAC) numa amostra aleatória, estratificada por sexo, de 297 segurados com idade igual e superior a 40 anos, de Juiz de Fora, Minas Gerais, Brasil. Os resultados obtidos em entrevistas realizadas pelas equipes de saúde da família foram comparados com dados de exames clínico-laboratoriais. Foram avaliados a sensibilidade, a especificidade e os valores preditivos positivos e negativos das questões sobre história atual ou prévia de diabetes mellitus, hipertensão arterial, colesterol elevado e tabagismo. Dentre os participantes que apresentavam pelo menos um exame clínico-laboratorial alterado, 81,0% (sensibilidade total) foram identificados pelo inquérito de risco referido ao declarar ter pelo menos um fator de risco. Os padrões de Sheffield e da Nova Zelândia foram utilizados para determinar os segurados com risco elevado de adquirir doença coronariana e avaliar se estes seriam também identificados pela Ficha de Saúde. A sensibilidade para identificar esse subgrupo de pacientes foi de 100,0%.

The validity of a health survey questionnaire used in a family health promotion program to identify individuals at risk of developing coronary artery disease (CAD) was studied in a random sample of 297 State public employees in Juiz de Fora, Minas Gerais State, Brazil. The sample was stratified by sex, and subjects were 40 years of age or older. Results obtained in interviews were compared to laboratory and clinical data. We assessed the questionnaire's sensitivity, specificity, and positive and negative predictive values in relation to questions about current or previous history of diabetes, hypertension, smoking, and high cholesterol. Among individuals with at least one altered clinical or laboratory test, 81% (total sensitivity) were identified by the referred risk inquiry when reporting at least one risk factor. Sheffield and New Zealand tables were used to determine the individuals with increased risk of developing CAD and to assess if they would also be identified by the health survey questionnaire. The sensitivity for identifying this subgroup was 100%.