Introdução: A imagem de toda pessoa constitui um direito fundamental resguardado na Constituição Federal, um direito da personalidade, o que possibilita formas específicas de proteger o paciente com anomalia craniofacial, bem como resguardar os direitos dos profissionais responsáveis pela sua reabilitação. Objetivo: O objetivo deste trabalho consiste em verificar o direito constitucional à imagem dos indivíduos com anomalias craniofaciais e sua extensão prática no HRAC/USP. Metodologia: Este estudo prospectivo foi desenvolvido no HRAC/USP após aprovação do Comitê de Ética em Pesquisa em Seres Humanos. Para tanto, foi analisada a legislação que aborda o direito à imagem; as portarias internas da Instituição, com o desiderato de verificar a proteção aos pacientes, bem como os documentos que o HRAC/USP disponibiliza ao paciente na ocasião da inscrição. Resultados e Conclusão: A análise das portarias e demais documentos está apresentada sob a forma descritiva. É possível melhorar o nível de proteção da imagem do paciente com anomalia craniofacial, bem como dos profissionais que lidam com essas imagens, tudo de acordo com o ordenamento jurídico pátrio e os vários Códigos de Ética Profissional. / Introduction: The image of every person is a fundamental right safeguarded by the Federal Constitution, a personality right, which allows specific ways to protect the patient with craniofacial anomalies, as well as protect the rights of the professional who deals with that person daily. Objective: The aim of this study was to check the image constitutional right of individuals with craniofacial anomalies and its practical extension at HRAC/USP. Methods: This prospective study was developed at HRAC/USP after the Ethics Committee in Human Research approval. Therefore legislation that comprises the image right; internal ordinances of the institution, with the desideratum to check the protection of patients as well as the documents that the HRAC/USP provide to the patient at the time of registration were analyzed. Results and Conclusion: The analysis of the ordinances and documents is demonstrated in a descriptive form. The level of the patient with craniofacial anomalies image protection can be improved, as well as of the professionals who deal with these images, all according to the national legal framework and the various Codes of professional Ethics.

Introdução: A importância da Língua Inglesa para a ciência é indiscutível e a comunidade científica deve ter o aprendizado desta como base para sua internacionalização. Objetivos: O objetivo deste estudo foi elaborar e avaliar um curso a distância de suporte de escrita científica para a redação de abstracts na Língua Inglesa, na área de Anomalias Craniofaciais. Métodos: O curso foi desenvolvido em um Ambiente Virtual de Aprendizagem (AVA) disponibilizado pela Universidade de São Paulo, por meio do Sistema de gerenciamento de cursos Moodle versão 1.5.2+. O material didático do curso, assim como seus exercícios e textos de fundamentação foram elaborados pela pesquisadora, com base na linguagem técnica - cientifica na área em estudo, a partir de uma análise detalhada da linguagem científica utilizada em teses, dissertações e artigos internacionais, publicados nos principais periódicos internacionais e livros de redação científica na Língua Inglesa. Quarenta alunos e profissionais do Hospital de Reabilitação de Anomalias Craniofaciais participaram do estudo respondendo a um questionário intitulado Ficha de Pesquisa Motivacional (FPM), utilizado para avaliar a motivação dos alunos em realizar o curso antes de se matricularem. Resultados: O curso foi elaborado em quatro tópicos principais, divididos ao longo de quatro semanas. O conteúdo do curso englobava exercícios, textos e dicas sobre os princípios gerais de uma boa redação científica em Inglês, assim como, a aplicação destes princípios. Os resultados indicaram que os alunos ficaram satisfeitos com a forma de apresentação e elaboração do curso em EaD, classificando o mesmo como impressionante. Conclusão: O Curso a distância desenvolvido mostrou ser uma ferramenta motivadora para a realidade profissional da população avaliada. / Introduction: The importance of English for science is unquestionable. The scientific community should learn it as a basis for its internationalization. Aims: The aim of this study was to develop and evaluate a distance learning course in scientific writing support of abstracts on Craniofacial Anomalies. Methods: The course was developed in a Virtual Learning Environment (VLE) provided by the University of São Paulo through the course management system Moodle .5.2+. The teaching material of the course, as well as its exercises and theory were prepared by the researcher based on the technical-scientific area of the study, from a detailed analysis of the scientific language used in thesis, dissertations and international articles, published in major international journals and books on scientific writing in English. Fourty students and professionals of the Hospital for Rehabilitation of Craniofacial Anomalies participated in the study by answering a questionnaire named Ficha de Pesquisa Motivacional (FPM) used to assess students motivation in taking the course before enrolling. Results:The course was designed in four main topics divided into four weeks. The content consisted of exercises, texts and tips on the general principles of good scientific writing in English, as well as the application of these principles. Results indicated that students were satisfied with the presentation and development of the course classifying it as impressive. Conclusion: The distance learning course proved a motivational tool for the professional reality of the assessed population.

Introdução: A importância da Língua Inglesa para a ciência é indiscutível e a comunidade científica deve ter o aprendizado desta como base para sua internacionalização. Objetivos: O objetivo deste estudo foi elaborar e avaliar um curso a distância de suporte de escrita científica para a redação de abstracts na Língua Inglesa, na área de Anomalias Craniofaciais. Métodos: O curso foi desenvolvido em um Ambiente Virtual de Aprendizagem (AVA) disponibilizado pela Universidade de São Paulo, por meio do Sistema de gerenciamento de cursos Moodle versão 1.5.2+. O material didático do curso, assim como seus exercícios e textos de fundamentação foram elaborados pela pesquisadora, com base na linguagem técnica - cientifica na área em estudo, a partir de uma análise detalhada da linguagem científica utilizada em teses, dissertações e artigos internacionais, publicados nos principais periódicos internacionais e livros de redação científica na Língua Inglesa. Quarenta alunos e profissionais do Hospital de Reabilitação de Anomalias Craniofaciais participaram do estudo respondendo a um questionário intitulado Ficha de Pesquisa Motivacional (FPM), utilizado para avaliar a motivação dos alunos em realizar o curso antes de se matricularem. Resultados: O curso foi elaborado em quatro tópicos principais, divididos ao longo de quatro semanas. O conteúdo do curso englobava exercícios, textos e dicas sobre os princípios gerais de uma boa redação científica em Inglês, assim como, a aplicação destes princípios. Os resultados indicaram que os alunos ficaram satisfeitos com a forma de apresentação e elaboração do curso em EaD, classificando o mesmo como impressionante. Conclusão: O Curso a distância desenvolvido mostrou ser uma ferramenta motivadora para a realidade profissional da população avaliada. / Introduction: The importance of English for science is unquestionable. The scientific community should learn it as a basis for its internationalization. Aims: The aim of this study was to develop and evaluate a distance learning course in scientific writing support of abstracts on Craniofacial Anomalies. Methods: The course was developed in a Virtual Learning Environment (VLE) provided by the University of São Paulo through the course management system Moodle .5.2+. The teaching material of the course, as well as its exercises and theory were prepared by the researcher based on the technical-scientific area of the study, from a detailed analysis of the scientific language used in thesis, dissertations and international articles, published in major international journals and books on scientific writing in English. Fourty students and professionals of the Hospital for Rehabilitation of Craniofacial Anomalies participated in the study by answering a questionnaire named Ficha de Pesquisa Motivacional (FPM) used to assess students motivation in taking the course before enrolling. Results:The course was designed in four main topics divided into four weeks. The content consisted of exercises, texts and tips on the general principles of good scientific writing in English, as well as the application of these principles. Results indicated that students were satisfied with the presentation and development of the course classifying it as impressive. Conclusion: The distance learning course proved a motivational tool for the professional reality of the assessed population.

The Discouragement Scale for Adults (DSA) was developed to assess for the Adlerian construct of discouragement in adults age 18 years and over. Data were collected from three samples: norm (n=586), presumed discouraged (n=47), and parents of children with craniofacial anomaly (n=105). Five subscales corresponding to life tasks identified in Adlerian literature as work, love, society, self-significance, and spirituality underlie the 60 item DSA. Item selection was based on ratings by five notable Adlerians and item correlations with scale scores. Gender, age, and ethnicity norms were established for the norm, presumed discouraged, and craniofacial samples. Across three samples, no significant ethnic differences were found. Normative findings indicated females are less discouraged than males on the Total DSA, the society and spirituality subscales. Age findings indicated the 18-34 year old sample is more discouraged than other ages on the Total DSA, the work, society, and spirituality subscales. Presumed discouraged findings indicated females are less discouraged than males on the society subscale. Craniofacial findings indicated females are less discouraged on the society subscale, but more discouraged on the self-significance subscale than males. Age findings indicated the 18-34 year old sample is more discouraged than other ages on the self subscale. Research on CPA parents' relationship status, CPA child's birth order, parental role of adult to CFA child, length of time the parent has cared for CFA child, the CFA child's age, CFA parent's education level, and CFA child's craniofacial anomaly diagnosis was conducted. Findings indicated birthmothers are less discouraged than birthfathers on the society subscale, but more discouraged on the self-significance subscale. Internal consistency ratings of the DSA were .9392, .9496, and .9365 for three samples. Correlations to measures of social interest were negative and significant, reflecting an inverse relationship between discouragement and social interest. Factor analysis and interscale correlations are presented. Future research could include continued instrument validation and establishment of score ranges to indicate adult discouragement.

A thesis submitted to the College of Dental Medicine of Nova Southeastern University of the degree of Master of Science in Dentistry. Background: Therapeutic management of bone loss in the craniofacial region as a consequence of trauma, surgery or congenital malformations presents a clinical challenge. Mesenchymal stem cells (MSCs), due to their inherent plasticity, are potential candidates for cell based therapies for the repair and reconstruction of craniofacial bone tissue. Guided differentiation of stem cells to osteogenic precursors is marked by spatio-temporally regulation of gene expression profiles including that of transcription factors, cytokines, extracellular matrix proteins, enzymes and several signaling pathways. Cytokines, produced by both immune and non-immune cells can influence both immuno- modulatory responses in the host and also affect cell physiology. Understanding the cytokine expression profiles will be of great advantage in developing methods for effective bone regeneration with minimal immunological insults either on the graft or on the host. Objective: The objective of the present study is to investigate the gene expression profiles of the various cytokines of HGMSCs in normal and osteogenic conditions. Methodology: HGMSCs were isolated from gingival tissues by standard enzymatic methods. HGMSCs were guided to osteogenic precursor cells and the differentiation process was monitored by measuring stage specific expression of genes and proteins. Mineral nodule formation of osteogenic differentiation was analyzed by using Alizarin red and Von Kossa Staining methods. Gene expression profiles of various pro- and anti-inflammatory cytokine profiles of HGMSCs were investigated using quantitative real time PCR at 1, 2 and 3 weeks post-induction with osteogenic medium. Results: The osteogenic differentiation of HGMSCs was confirmed by alkaline phosphate enzyme activity assay, gene and protein expression studies of osteogenic markers. Mineral nodule formation was observed after 4 weeks ofosteogenic induction. The results of cytokine profile expressions revealed that there was a significant upregulation in the expression of TGF-β at all-time points. The gene expression of IL-10 was more or less consistent with an overall increase of 40% over that of controls at all time points studied. We observed a significant decrease in the mRNA expression of IL-6 and IL-1? with respect to their control group (P<0.05) and the expression of IL-8 was upregulated significantly. Conclusion: There is an overall enhancement in the expression of anti-inflammatory cytokines IL-10 and TGF-β during the osteogenic differentiation of HGMSCs that indicates a potential shift of cytokines to dampen immune responses. The reduction of IL-6 and IL-1β expression is an added advantage to reduce the acute phase and inflammatory responses, favoring HGMSCs to be cells of choice for repair and regeneration of craniofacial bones. A beneficial combination of the cytokines expressed by HGMSCs during osteogenic differentiation to reduce acute phase and long term immune responses will facilitate the achievement of our long term goal.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第20754号 / 医博第4284号 / 新制||医||1024(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 松田 秀一, 教授 開 祐司, 教授 妻木 範行 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 新制・課程博士 / 博士(医学) / 甲第24787号 / 医博第4979号 / 新制||医||1066(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 松田 秀一, 教授 森本 尚樹, 教授 安達 泰治 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Submitted by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-09-28T15:32:12Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Clarissa Fontoura dissertação final 2013.pdf: 4771397 bytes, checksum: c43a071b5dc04dfd4428016dfecf98f9 (MD5) / Approved for entry into archive by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-09-28T15:32:31Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Clarissa Fontoura dissertação final 2013.pdf: 4771397 bytes, checksum: c43a071b5dc04dfd4428016dfecf98f9 (MD5) / Made available in DSpace on 2017-09-28T15:32:31Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Clarissa Fontoura dissertação final 2013.pdf: 4771397 bytes, checksum: c43a071b5dc04dfd4428016dfecf98f9 (MD5) Previous issue date: 2013 / University of Iowa / A fissura labial com ou sem fissura palatina (FL/P) é uma anomalia craniofacial muito comum em humanos e pode ocorrer como característica de um quadro sindrômico ou isolada quando os indivíduos afetados não apresentam qualquer anomalia estrutural associada. A etiologia da FL/P é complexa, com a contribuição de componentes genéticos e ambientais. Diversos genes/loci candidatos a FL/P foram sugeridos nos últimos anos, contudo, discrepâncias entres os resultados são comumente encontradas. Recentemente, os genes WNT3, WNT9B, PBX1, TP63, e ARGHAP29 foram citados como possíveis genes candidatos à etiologia das FL/P devido à importante função que exercem durante o desenvolvimento craniofacial. O objetivo deste trabalho foi avaliar a associação entre polimorfismos nestes genes com o fenótipo de FL/P em uma população brasileira. Para tanto, setenta famílias, constituídas por um indivíduo afetado e seus pais não afetados, foram examinadas clinicamente e amostras de saliva foram coletadas para estudos moleculares. Um total de 20 polimorfismos distribuídos nos genes WNT3, WNT9B, PBX1, P63, e ARGHAP29 foram estudados com relação à associação com FL/P utilizando-se o método de TaqMan. O teste de desequilíbrio de transmissão (TDT) foi utilizado para detectar a associação de alelos em cada marcador nos indivíduos com FL/P, através do programa Family-Based Association Test (FBAT). O nível de significância foi determinado em P ≤ 0,05. Houve associação positiva entre FL/P para os genes ARGHAP29 (rs1048854), TP63 (rs4575879) e WNT9B (rs1530364) com FL/P. Não foi detectada associação entre alelos e genótipos de WNT3 e PBX1 com FL/P. Estes resultados sugerem que ARGHAP29, TP63 e WNT9B podem estar envolvidos na etiologia da FL/P na população estudada / Cleft lip with or without cleft palate (CL/P) is a common craniofacial anomaly in humans, and may occur as part of a syndrome or isolated, when the affected individuals do not present any associated structural anomalies. The etiology of CL/P is complex, with both genetic and environmental factors involved. Several genes /loci have been suggested in the past years although discrepancies among results are often found. Previous studies have demonstrated that WNT3, WNT9B, PBX1, TP63, and ARGHAP29 may be involved in the etiology of the CL/P due to the important function of these genes during craniofacial development. The aim of this study was to evaluate the association between polymorphisms in these genes and CL/P in a Brazilian population. Seventy families, composed by an affected individual and their unaffected parents, were examined clinically and saliva samples were collected for molecular analyses. A total of 20 polymorphisms distributed in WNT3, WNT9B, PBX1, TP63, and ARGHAP29 were investigated using the TaqMan method. The Family-Based Association Test (FBAT) and the transmission disequilibrium test (TDT) were used to verify the association between each marker allele and CL/P. The level of significance was established at P ≤ 0.05. Positive associations were detected between CL/P and three markers in ARGHAP29 (rs1048854), TP63 (rs4575879) and WNT9B (rs1530364) genes. No association was detected between CL/P and markers in WNT3 and PBX1. These results suggest that ARGHAP29, WNT9B and TP63 may be involved in the etiology of CL/P in the studied population