There are several instruments of evaluation of the craniocervical equilibrium; the most reliable are the radiographies. This study used the cephalometric analysis of Rocabado to measure the sensibility and specificity of the Cervical Range of Motion (CROM), a goniometer designed to assess cervical movements in degrees, and measure the forward head position in centimeters. This instrument frequently used, has been tested as a reliable instrument to evaluate the cervical movements but not the forward head. The sample consisted of 30 volunteers, 18 females, 12 males, mean age of 24.63 years. All participants were evaluated with CROM and radiographies in the resting head position and in erect head position. The values considered by the cephalometry consisted in the angle made between the McGregor plane and the vertical line formed by the base of the odontoid process to its apex; the posterior space between C0-C1 and C1-C2 and the hyoid triangle. Results: 30% of the subjects had forward head posture, according to de cephalometry of Rocabado (decreased space between C0-C1, C1-C2) and 43,3% according to CROM. 16,6% had decreased posterior-inferior angle, and 13% had the hyoid triangle facing up. ROC curve of identifying forward head posture yielded area under the curve of 0,778 (95% confidence interval 0,596-0,960). The sensibility of CROM was: 77%. The specificity 71%. Conclusion: This study suggests that CROM has a moderate sensibility and specificity, useful for clinic use, but not for research.
Coalho cheese is a typical national product, which originates in Northeast Brazil, generating a source of income for small families and large industries. In order to comply with the legislation and increase the quality of the products produced, producers seek to implement quality management programs. The objective of this research was to evaluate the hygienic-sanitary conditions in the production of Coalho cheese in municipalities in the Center-south region of Ceará, according to the Good Manufacturing Practices legislation of the Ministry of Agriculture, Livestock and Supply. Socioeconomic and technical questionnaires were applied to assess the profile of producers, in which information was collected such as level of education, time of practice, knowledge of legal documents and courses on cheese production by producers and whether they had assistance technical. In addition, the questionnaires aimed to ascertain the main difficulties in meeting the Management of Good Manufacturing Practices in the production of Coalho cheese. The research was carried out in the municipalities of Quixelô, Lavras da Mangabeira, Orós, Icó, Cariús and Jucás, both located in the interior of the state of Ceará. The results of this study showed that the rural producers visited are mostly in disagreement with the standards required by the legislation, due to the lack of technical assistance, lack of prior knowledge and scarcity of financial incentives to help them adapt cheesemakers.
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