361 resultados para Traumatismos da medula espinal
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Dental avulsion is the most severe type of traumatic tooth injuries because it causes damageto several structures and results in the complete displacement of the tooth from its socketin the alveolar bone. The ideal situation is to replant an exarticulated tooth immediatelyafter avulsion because the extraoral time is a determinant factor for treatment successand for a good prognosis. However, it is not always possible. The success of replantationdepends on a number of factors that may contribute to accelerate or minimize theoccurrence of root resorption or ankylosis, among which is the type and characteristicsof the medium used for temporary storage during the time elapsed between avulsionand replantation. Maintaining the tooth in an adequate wet medium that can preserve,as longer as possible, the vitality of the periodontal ligament cells that remain on rootsurface is the key to success of replantation. Recent research has led to the developmentof storage media that produce conditions that closely resemble the original socketenvironment, with adequate osmolality (cell pressure), pH, nutritional metabolites andglucose, and thus create the best possible conditions for storage. Although these storagemedia can now be purchased in the form of retail products, the most common scenariois that such a product will not be readily available at the moment of the accident Thispaper reviews the literature on the different storage media that have been investigatedfor avulsed teeth based on full-length papers retrieved from PubMed/Medline, Lilacs, BBOand SciELO electronic databases using the key words storage medium , transportationmedium , avulsion , tooth avulsion , replantation , tooth replantation , milk and propolis .After application of inclusion and exclusion criteria, 39 papers were selected and criticallyreviewed with respect to the characteristics, efficacy and ease of access of the storagemedium. The review of the lite
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The maxillofacial prosthetic rehabilitation aims of individuals with craniofacial deformities resulting from trauma, congenital malformations or tumors. Many researches have been done to improve the stability and retention of dentures in patients. With the advent of osseointegration, the maxillofacial prosthesis suffered a major advance making possible the realization of prosthetic works with stability, aesthetic quality and predictable results. This paper reviews the literature regarding the use of zygomatic implants in the fixation of maxillofacial prostheses.
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Introdução: o trauma dentário na infância ocorre com grande frequência, em especial em ambientes escolares. Portanto, é importante que educadores e funcionários das escolas saibam o que fazer frente a essa fatalidade, pois, após sua ocorrência, a rapidez na intervenção do cirurgião-dentista é um dos fatores que determinará o prognóstico de sucesso no tratamento. Objetivo: o objetivo do presente trabalho foi avaliar o nível de conhecimento de professores de escolas públicas quanto ao tratamento emergencial em casos de traumatismo dentário. Métodos: quarenta professores de uma escola municipal e de uma creche foram entrevistados. O questionário abordava questões para identificação do perfil dos sujeitos, seu conhecimento acerca de primeiros socorros — incluindo traumas dentários —, qual tipo de traumatismo é mais frequente e quais são as condutas frente a esses traumatismos. Resultados: de um total de 40 entrevistados, 65% receberam treinamento de primeiros socorros, porém, apenas 52% receberam o treinamento do atendimento emergencial dos traumatismos dentários. Quarenta por cento já haviam presenciado casos de acidentes escolares envolvendo dentes, e a maioria dos entrevistados (55%) desconhecia a frequência com que isso ocorre. Um número significativo de pessoas tem dúvidas acerca da conduta correta a ser seguida quando da ocorrência de uma fratura coronária e da avulsão. Conclusão: conclui-se que o conhecimento dos professores sobre a conduta frente ao traumatismo dentário é inadequada. Programas educacionais, palestras explicativas e treinamentos devem ser realizados com esses profissionais, que são os primeiros a ter contato com casos de traumatismos dentários nas escolas.
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The use of antimicrobial agents has facilitated the dissemination of multi-resistant microorganisms, compromising dental and medical treatment. The aim of this study was to evaluate the distribution of different opportunistic microbial species in patients who suffered head and neck trauma, under temporary maintenance in nosocomial environment, particularly intensive care units, on the occurrence of such microorganisms in the oral cavity of the patients. It was selected 38 patients subjected to head and neck traumas. After emergency surgical procedures, clinical samples of saliva, sub and supragingival biofilms and mucosal surfaces were collected at two different moments: just after stabilization of the patient and soon after patients’ release from medical units. The presence of opportunistic and superinfecting microorganisms was evaluated by culture on selective and non-selective media, and the presence of the family Enterobacteriaceae, as well as genera Enterococcus, Pseudomonas, and Staphylococcus was assessed by PCR. It was found that the use of antimicrobials, even for short periods of time was sufficient to facilitate colonization by microorganisms of the families Enterobacteriaceae and Pseudomonadaceae, as well as yeasts and enterococci. These results support the concept that medical and dental teams should make a periodically change of antimicrobials used in treatment protocols in hospital for head and neck trauma patients, in order to minimize dissemination of opportunistic or superinfecting microorganisms.
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Aiming to assess the efficacy of the treatment, to verify the occurrence of possible disease relapses and to search for the presence of parasites after the treatment, seven dogs naturally infected by Leishmania sp., were submitted to a treatment with meglumine antimoniate and allopurinol. For this, lymph node and bone marrow aspiration biopsies were carried out at seven moments. After the end of the six-month observation period all dogs were submitted to euthanasia. Then, spleen and liver “imprints” and in vitro cultures were carried out to search for amastigote forms of the parasite. All animals presented remission of the symptoms and during all the observation period no dog presented relapse of the disease, although amastigote forms of the parasite were observed in two of the animals at the end of the experiment. Thus, it was possible to conclude that the treatment promotes clinical healing but it does not eliminate the parasites completely.
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Pós-graduação em Odontologia - FOA
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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In this paper it was evaluated the influence of the relative position of logs on the trees, the type of wood (juvenile and mature wood and pith) and the dimension of sawed wood elements on the velocity of propagation of stress waves into the material on condition. P. taeda L wood (43 years old trees) from Horto Florestal of Manduri (latitude 230 00’ south, longitude 400 19’ west and altitude de 700 m) São Paulo State, Brazil were used, considering its easy growth rings visualization and the better ju regions definition. Six trees were randomly chosen in the plantation. Trees were sawed into 4 logs (2,5 m long each. In each log it was delimited the central board (80mm tick) region and the lateral boards (25mm tick) regions, cons right hand. It were evaluated relation between velocity of stress waves on logs and the correspondent lumber (central and lateral boards), on green condition, on the three main region of the elements (mature wood results obtained revealed the concordance between velocities of stress waves in the material before and after the its mechanical processing. It was also revealed statistical differences between the velocity of stress waves at juvenile wood, mature wood and pith regions. Keywords: stress wave method, velocity 17 destrutivos de propagação da propagação de ondas de tensão em toras e madeira serrada de taeda L. Hernando Alfonso Lara Palma - Universidade Estadual Paulista Faculdade de Ciências Agronômicas – FCA/UNESP – Botucatu - SP, e-mail: awballarin@fca.unesp.br Luiz Antonio Vasques Hellmeister - Universidade Estadual Paulista - Faculdade de Arquitetura, FAAC/UNESP – Bauru - SP, e-mail: hellmeister@faac.unesp.br Este trabalho teve como objetivo analisar a influência do tipo de lenho, da posição da tora ao longo do fuste e das dimensões das peças desdobradas, na velocidade de as de tensão (Stress wave method), na condição de madeira verde. P. taeda L., originária de árvores de plantio do Horto Florestal de SP., com idade aproximada de 43 anos, pela facilidade de identificação dos anéis imento e demarcação das regiões de madeira adulta e madeira juvenil. Foram amostradas 6 árvores distintas, escolhidas ao acaso do talhão selecionado. De cada árvore foram retiradas 4 toras com comprimento de 2,5 m cada. Foram demarcadas nas toras a ha central (8 cm de espessura) e 4 tábuas laterais (espessura comercial de 2,5 cm), sendo duas à esquerda e duas à direita da prancha central. Foram avaliadas as relações existentes entre as velocidades de propagação das ondas de tensão na madeira íntegra (toras) e desdobrada (pranchas e tábuas), na condição de madeira verde, nas três regiões distintas do lenho: medula, madeira adulta e madeira juvenil. A análise comparativa dos resultados revelou a concordância entre as velocidades antes e após o desdobr madeira. Houve diferenciação estatisticamente significativa entre as velocidades de propagação das ondas de tensão nos lenhos adulto, juvenil e na medula. -destrutivos, método das ondas de tensão, Pinus taeda stress wave tests on green logs and lumber of Pinus taeda In this paper it was evaluated the influence of the relative position of logs on the trees, the type of wood (juvenile and mature wood and pith) and the dimension of sawed wood elements on the velocity of propagation of stress waves into the material on L wood (43 years old trees) from Horto Florestal of Manduri (latitude 19’ west and altitude de 700 m) São Paulo State, Brazil were used, considering its easy growth rings visualization and the better juvenile and mature wood regions definition. Six trees were randomly chosen in the plantation. Trees were sawed into 4 logs (2,5 m long each. In each log it was delimited the central board (80mm tick) region and the lateral boards (25mm tick) regions, considering 2 boards on the left and 2 at the right hand. It were evaluated relation between velocity of stress waves on logs and the correspondent lumber (central and lateral boards), on green condition, on the three main region of the elements (mature wood, juvenile wood and pith). Comparative analyses of results obtained revealed the concordance between velocities of stress waves in the material before and after the its mechanical processing. It was also revealed statistical differences ty of stress waves at juvenile wood, mature wood and pith regions
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Paciente feminino 36 anos, com queixa de febre noturna, astenia, parestesia de membros inferiores, artralgia, hepatoesplenomegalia, lesões cutâneas, anemia hipocrômica, microcítica e linfopenia. Sorologia negativa para Hepatite B,C e HIV; FAN e anti-DNA também negativos. Histopatologia da medula óssea mostrou-se discretamente hipercelular, com presença de focos de histiócitos com citoplasma vacuolado (células pseudo-gaucher-like),aspecto megaloblástico, linfoplasmocitico e lipogranulomatoso. A coloração Ziehl- -Nielsen positivo; diagnóstico morfológico: micobacteriose de medula óssea. A cultura do sangue e do aspirado de medula óssea foi negativo para M.tuberculosis. Biópsia das lesões cutâneas máculas e pápulas hipercrômicas dos membros inferiores e superiores revelou hanseníase de padrão Vichowiana. A pesquisa BAAR pela Faraco demonstrou numerosos bacilos, sendo a maioria de padrão granuloso. Pacientes com hanseníase virchowiana tem acometimento cutâneo em 100% dos casos, o baço é o órgão mais frequentemente acometido com disseminação através do sangue periférico. O quadro anêmico e a linfopenia provavelmente se deve à cronicidade da infecção, levando a infiltração medular. A ocorrência do comprometimento medular em paciente com hanseníase Virchowiana é excepcional, mesmo em países endêmicos, e pode indicar necessidade de tratamento mais prolongado.
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This paper had the objective of determining the transition regions between the juvenile and mature wood of Corymbia citriodora (Eucalyptus citriodora) of 29 years of age from the Experimental Station of Forest Science (EECFA-LCF/ESALQ-USP), located in Anhembi, in the State of São Paulo. The regions of juvenile and mature wood were characterized through anatomical studies - axial fiber length - following the recommendations of the International Association of Wood Anatomists (1989) using disks at the DBH of the trees. The measurements of fiber length were made in equipment for acquisition, diagnosis and image analysis. Five slices were made for every centimeter, in the radial direction and six fiber lengths per slice were measured, producing 30 measurements per sample region. In the total, 1740 lengths of fiber were measured in three disks that were studied. Results indicate a trend of accentuated and linear increase for the length of fibers, from the pith to 11 cm of radial of about 79%. Between 12 cm and 19 cm of the radius, fibers length remained almost constant, and from that point on, the fiber length tended to slightly increase to the bark. It can be concluded that for these trees, at this height of sampling, when the tree has 29 years of age, the extension of the juvenile wood goes up to 52% of its radius.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB
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Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)