3 resultados para Doença periodontal Tratamento

em Repositório Institucional da Universidade Federal do Rio Grande do Norte


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GURGEL, Bruno Cesar de vasconcelos.Influencia do meloxicam sobre a perda ossea alveolar em periodontite experimental: avaliaao histometrica em ratos. 2003.97f. Dissertaao (Mestrado) - Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Piracicaba, 2003. Disponivel em: <http://cutter.unicamp.br/document/?code=vtls000293698>. Acesso em: 04 out. 2010.

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O adenocarcinoma pancretico um dos tumores slidos de pior prognstico, sendo o tratamento cirrgico o nico potencialmente curativo. Na grande maioria dos pacientes o tumor diagnosticado em fase avanada, comumente na presena de doença metasttica. A introduo de modernos mtodos diagnsticos associados ao aperfeioamento dos j existentes tem gerado controvrsia quanto melhor maneira de se estabelecer o diagnstico e estadiamento do tumor. Da mesma forma, o papel da cirurgia na paliao e aspectos tcnicos da resseco de leses localizadas esto longe de alcanarem consenso na prtica. Mtodo - Reviso da literatura sobre os aspectos controversos relacionados ao tema e um algoritmo para a abordagem dos pacientes com suspeita de tumor de pncreas so apresentados. Foram utilizados os descritores: adenocarcinoma e pncreas para pesquisa no PubMed (www.pubmed.com) e na Bireme (www.bireme.br) e a seguir selecionadas as publicaes pertinentes a cada tpico escolhido com ateno especial para metanlises, estudos clnicos controlados, revises sitemticas e ainda publicaes de grandes centros especializados em doenças pancreticas. Concluses - Na suspeita de adenocarcinoma de pncreas possvel realizar estadiamento muito prximo do real sem a necessidade da explorao cirrgica sistemtica em virtude da disponibilidade na prtica de exames modernos e eficientes. Isso permite que paliao menos invasiva seja praticada na maioria dos pacientes com leses avanadas e incurveis. Nos em que a cura possvel, a operao deve ser realizada objetivando-se, essencialmente, a remoo da leso com margens livres e com aceitveis ndices de morbi-mortalidade

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This paper discusses the experiences related to the treatment of childrens cancer which had children, their mothers and families as their main characters. They were mainly originated from areas in the countryside and urban poor areas in the State of Rio Grande do Norte. The non-governmental organization Grupo de Apoio Criana com Cncer (GACC) was the privileged ethnographic location. In this setting, the mother, which was called acompanhante (companion), and the children, defined as pacientes (patients), were often sheltered in reason of therapeutic practices and the treatment undertaken by children in a nearby hospital. This study aims to focus on the therapeutic itinerary, beyond the childrens suffering, dealing with the family as a whole, since the moral values from these popular families imply the complete involvement of the family in relation to the illness and its treatment. Therefore, it is experienced as a family problem. We also intend to understand the construction of meanings to the illness, dealing with the ideological continuity in the relationships between the families and the GACC. These meanings were built in the intersection of these two spheres, which refer particularly to medical, religious and emotional explanations. Ethnographic methods were applied in this research at the entity and another social contexts, such as the family households. I also tried to retrieve the process of treatment outside the GACC, visiting the family context, when doing dense interviews or just having conversations with informants. It was found that the GACC, as a non-governmental organization, generates a negotiation of identities, which develops, then, through the family as a whole, but also through the child and especially the mother, affecting, in some way, their internal organization. Furthermore, the meanings of the experience of illness appeared to be shaped by the family sphere as well as by the logic of public health structures