42 resultados para Paradoxical kinesia
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Sinusitis can affect adjacent tissues, including those of the nervous system. In this report we describe a case of maxillary sinusopathy causing a rare pupillary abnormality with paradoxical reaction to light. As far as we know, this is the first time that this association has been described.
Prosthetic rehabilitation of a bone defect with a teeth-implant supported, removable partial denture
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The use of teeth-implant, mucosa-supported removable dentures for rehabilitation of partially edentulous patients involves highly complex biomechanical aspects. This type of prosthesis associates 3 kinds of support that react differently to the functional and parafunctional forces developed in the oral cavity. Although the construction of removable partial dentures may seem paradoxical when osseointegrated implants are placed, in some cases, this option is an excellent alternative to solve difficulties related to the anatomic, biologic, psychomotor, and financial conditions of the patient. This article reports on a case in which a teeth-implant, mucosa-supported removable partial denture was the option of choice for a patient with financial and anatomic limitations, having a large structural loss of the residual alveolar ridge caused by trauma by a gunshot injury at the mandible. The 5-year follow-up did not reveal any type of biomechanical or functional problem. Copyright © 2006 by Lippincott Williams and Wilkins.
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Context - Several paradoxical cases of infliximab-induced or-exacerbated psoriatic lesions have been described in the recent years. There is disagreement regarding the need to discontinue infliximab in order to achieve the resolution of these adverse cutaneous reactions specifically in inflammatory bowel disease (IBD) patients. Objective - To systematically review the literature to collect information on IBD patients that showed this adverse cutaneous reaction, focusing mainly on the therapeutic approach. Methods - A systematic literature review was performed utilizing Medline, Embase, SciELO and Lilacs databases. Published studies were identified, reviewed and the data were extracted. Results - Thirty-four studies (69 IBD patients) met inclusion criteria for review. There was inconsistency in reporting of some clinical and therapeutic aspects. Most patients included had Crohn's disease (89.86%), was female (47.83%), had an average age of 27.11 years, and no reported history of psoriasis (84.05%). The patients developed primarily plaque-type psoriasis (40.58%). There was complete remission of psoriatic lesions in 86.96% of IBD patients, existing differences in the therapeutic approaches; cessation of infliximab therapy led to resolution in 47.83% of cases and 43.48% of patients were able to continue infliximab therapy. Conclusion - As increasing numbers of IBD patients with psoriasis induced or exacerbated by infliximab, physicians should be aware of its clinical manifestations so that appropriate diagnosis and treatment are properly established. The decision whether to continue or discontinue infliximab should be individualized.
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Background: Paradoxical cases of psoriatic lesions induced or exacerbated by anti-tumor necrosis factor (TNF)-α therapy have been reported more frequently in recent years, but data related to inflammatory bowel disease (IBD) are rare. A systematic literature review was performed to provide information about this adverse effect in patients with IBD who receive anti-TNF therapy. Methods: Published studies were identified by a search of Medline, Embase, Cochrane, SciELO, and LILACS databases. Results: A total of 47 studies (222 patients) fulfilled the inclusion criteria and were selected for analysis. Clinical and therapeutic aspects varied considerably among these reports. Of the 222 patients, 78.38% were diagnosed with Crohn's disease, and 48.20% were female. The mean patient age was 26.50. years, and 70.72% of patients had no history of psoriasis. Patients developed psoriasiform lesions (55.86%) more often than other types of psoriatic lesions, and infliximab was the anti-TNF-α therapy that caused the cutaneous reaction in most patients (69.37%). Complete remission of cutaneous lesions was observed in 63.96% of the cases. Conclusions: We found that psoriatic lesions occurred predominantly in adult patients with Crohn's disease who received infliximab and had no previous history of psoriasis. Most patients can be managed conservatively without discontinuing anti-TNF-α therapy. © 2012 European Crohn's and Colitis Organisation.
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Pós-graduação em Artes - IA
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Pós-graduação em Ciências Sociais - FFC
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Pós-graduação em Comunicação - FAAC
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Letras - IBILCE
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Letras - FCLAS
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As reflexões elaboradas nesta pesquisa se preocuparam em abordar o consumo como categoria de análise geográfica e, por meio de seu entendimento, compreender os principais impactos na produção do espaço urbano, na atualidade. Observadas as metrópoles de São Paulo, Lisboa, Seoul e Dubai, construiu-se um pensamento que considera a metrópole como espaço-sedutor. Nesta investigação, elaborou-se uma leitura das paisagens do consumo nas referidas metrópoles e várias foram as contradições encontradas nas relações de consumo e na produção do espaço urbano, e para debatê-las foi essencial o uso do método dialético. O reconhecimento das articulações entre a produção, a circulação, o comércio e o consumo, dentro do processo de generalização da mercadoria, também ganhou importância neste estudo. Ao final da pesquisa procurou-se abordar o consumo como dimensão social da questão ambiental, e assim outros conflitos foram apontados, entre eles a existência de uma geografia da felicidade paradoxal e a emergente necessidade de se minimizarem os impactos ambientais do consumo
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Este trabalho pretende discorrer sobre os vários signifi cados que o termo individualismo pode assumir na sociedade hipermoderna. Isso será feito a partir da elaboração de uma tipologia dos indivíduos: indivíduo pouco indivíduo; indivíduo muito indivíduo e indivíduo narcísico altruísta, mostrando que o último tipo é o que melhor expressa a sociedade de hoje: uma sociedade paradoxal na qual coabitam sentidos contrários. E é exatamente em função das contradições e paradoxos que se pode acenar com otimismo para as possibilidades do indivíduo: ele pode ser, a um só tempo, obcecado por si mesmo e sensível ao outro.