Função dos jogos e brinquedos na vida da criança

The author first describes the role of playing games and toys on physical, intellectual, emotional and social development of children. He further discusses how they should be selected in relation to the various stages of child growth.

ANALISE MORFOLOGICA DE 'SPINA MENTALIS' DE MANDIBULAS HUMANAS ADULTAS DE BRASILEIROS BRANCOS E NEGROS

This study was carried out to verify the morphology of the spina mentalis. We observed 275 human adult mandibles of both sexes and ethnic groups. An analysis of the results allows the following conclusions. The spina mentalis exists in 90.04% ±1.8 of the mandibles of Whites and Negroes. The typical form with four tubercles, as described by some authors, is rarely found. In most cases it is characterized by the presence of: two upper tubercles (27.27%±7.2), two superior tubercles and one inferior (24.72%±6.7), and one elongated median tubercle (24.0%±6.6); The forms and volumes of the tubercles are very irregular and seem not to depend on age, sex or ethnic group. The spina was absent in 9.8%±3.2 of the cases, especially in mandibles of White teethless individuals. An hypertrophic spina mentalis, generally formed at the expense of the upper tubercle, was observed in only 1.45%±0.5 of the cases.

Clinical significance of supplementary innervation of the lower incisor teeth: a dissection study of the myelohyoid nerve

In view of the relevance of the mylohyoid nerve to clinical difficulties in achieving deep analgesia of the lower incisors, a dissection study was undertaken. Dissections from 29 adult cadavers of both sexes were studied with the aid of a dissecting microscope. The following observations were made: a supplementary branch of the mylohyoid nerve entered the mandible through accessory foramina in the lingual side of the mandibular symphysis in 50% of the cases; it generrally arose from the right side (76.9%) and entered the inferior retromental foramen (84.6%); the mylohyoid nerve branch either ended directly in the incisor teeth and the gingiva or joined the ipsilateral or contralateral incisive nerve. In view of this information concerning the high incidence of possible involvement of the mylohyoid nerve in mandibular sensory innervation, it is advisable to block it whenever intervention in the lower incisors is indicated. Routine mylohyoid injection is recommended after mental nerve block. If the inferior alveolar nerve is chosen for anesthetic purposes, additional mylohyoid injection should be given only if pain persists. The mylohyoid injection should be given at the inferior retromental foramen on the median aspect of the inferior border of the mandible through extraoral approach.

Aspectos imunogeneticos na pesquisa da etiologia da catarata senil

The immunogenetic study of senile cataract showed that the association with the HLA antigens and Ia antigens suggests an influence of the antigenicity for cataractogenesis, but not a peculiar specificity. However, the investigation of the immunoglobulins in lens suggest that the lens pathology may be produced by antibodies reacting with the lens capsule and consequently interfering with the lens epithelial metabolism, and contributes to the complex mechanism of cataract formation.

Microscopic studies on the transition between the sigmoid sinus, the superior bulb of the jugular vein and the first portion of the internal jugular vein

The author studied the structure of the tissue components of the tunicae of the terminal segment of the sigmoid sinus, particularly at the level of the transition between the sigmoid sinus, the superior bulb of the jugular vein and the first portion of the human internal jugular vein; it was established that the transition between the sigmoid sinus and the first portion of the internal jugular vein occupies the whole extension of the superior bulb of the jugular vein up to the inferior third of the first portion of this vessel. These vascular walls exhibit a structure similar to that of the dura, i.e. the tunica adventitia is formed by fascicles of collagenic fibers which describe discontinuous spirals, more open proximal to the beginning of the first portion of the internal jugular vein. Approximately in the inferior third of the first portion of the internal jugular vein, there appear fascicles of smooth muscle fibers which are arranged similarly to those of the venous walls. The tunica intima of these vascular segments exhibits an endothelium resting on a network of elastic fibers which may play the role of an internal elastic lamina. From the bony border of the jugular foramen there originates a connective system whose fascicles of collagenic and elastic fibers incorporate to the wall of the internal jugular vein after describing a stretch in spiral around the vascular lumen.

Parasitoses em lactentes de 0-12 meses atendidos na Faculdade de Medicina de Botucatu - São Paulo

Infestation by protozoa and/or helminths is considered to be extremely rare in infants. We therefore reviewed the records of all infants up to 12 mth of age attending the Paediatric Department from January 1973 to June 1977, in order to assess the frequency of stool examinations for parasites within this age group, the percentage of positive results in these examinations, and some personal characteristics which propitiated parasitic infestation. Some characteristics of the investigated infants were compared to those of a representative sample of the total number of infants attending during the same period. Stool examinations were realized in 11.8% of the 1,162 attending patients and of those, 15.3% were positive. The proportion of positive cases became 24.0% when the infants in whom there was a history of parasites being passed were included. Ascaris lumbricoides and Giardia lamblia were the parasites most frequently found, respectively in 42.8% and 37.1% of the positive cases. The only detected difference between the control group and the group of infants who had parasitologic examinations was the presence of diarrhea, significantly more frequent in the investigated group. The proportion of positive cases was significantly greater in girls, in infants older than 6 mth and when diarrhea was present for up to 15 days, than in boys, in infants up to 6 mth of age and in chronic diarrhea, respectively. Our results show that parasites were investigated in only a small percentage of infants under 1 yr of age, but that in this age group already, parasitic infestation does occur with a certain frequency. As investigated cases were selected, mainly due to the presence of diarrhea, the real prevalence of parasitism in infants under 1 yr of age was impossible to evaluate.

Electromyographic study of levator scapulae and rhomboideus major muscles in movements of the shoulder and arm

In 21 normal adult male subjects, the muscular activity of the levator scapulae and rhomboideus major muscles was studied electromyographically during the movements of the shoulder and arm. Two single coaxial needle electrodes were used for registering the action potentials. Concerning shoulder movement, it was shown that the levator scapulae was active in elevation and rhomboideus major was active in retraction. Both muscles were inactive during protrusion, in most events. Concerning free movements of the arm, both muscles were active in abduction, elevation, adduction, flexion and circumduction, but inactive in extension. During the same movements, performed with a load, we observed greater intensity in the activity of these muscles in comparison to their activity during free movements.

Electromyographic study of the trapezius (middle portion) and rhomboideus major muscles in movements of the trunk

The authors studied the trapezius (middle portion) and rhomboideus major muscles in movements of flexion, extension, inclination and rotation of the trunk. The electromyographic records demonstrate that such muscles show activity only at the ending of flexion, being inactive in the other movements.

Analyse electromyographique des muscles levator scapulae et rhomboideus major dans les mouvements du membre superieur

The participation of the levator scapulae and rhomboideus major muscles in some movements of the upper limb was analysed in 21 young adult male volunteers. A 2 channel TECA TE4 electromyograph connected with single coaxial needle electrodes was used. In abduction, elevation, adduction, flexion and circumduction participation of both muscles in free movements of the upper limb was found. In extension, however, these muscles were inactive. In the same movements analysed with load, a major intensity of action of these muscles was registered as compared with those obtained in free movements.

Electromyographic study of the trapezius (pars media) and rhomboideus major muscles during respiration

The authors studied the trapezius (pars media) and rhomboideus major muscles during deep inspiration and expiration. The electromyographic records demonstrated that these muscles showed no activity in either phase of breathing.

Electromyographic study of the trapezius (pars media) and rhomboideus major muscles in free movements of the head

The authors studied the trapezius (pars media) and rhomboideus major muscles in movements of flexion, extension, inclination and rotation of the head. The electromyographic records demonstrated that referred muscles are inactive in these different movements.

Etude electromyographique des muscles trapezius (partie moyenne) et rhomboideus major sousmis a tension isometrique

The participation of the trapezius (middle portion) and rhomboideus major muscles submitted to an isometric tension (holding downward dumbells of 11, 15 and 19 kg) was analysed in 40 young adult male vounteers. A 2 channel TECA TE4 electromyograph connected with single coaxial needle electrodes was used. In the initial phase of the test, holding downward, generally the trapezius and rhomboideus major muscles showed activity and no activity, respectively. In the cases where activity was present during the downward positions it was reduced gradually until complete rest.

Electromyographic study of the trapezius (pars media) and rhomboideus major muscles in movements of the arm (part 1)

The participation of the trapezius (pars media) and rhomboideus major muscles in free movements of abduction, adduction, flexion, extension and hyperextension of the arm was studied electromyographically. These muscles were active and synergic in all analysed movements, both acting with intensity that ranged from moderate to very marked.

Electromyographic study of the trapezius (pars media) and rhomboideus major muscles in movements of the arm (part 2)

The participation of the trapezius (pars media) and rhomboideus major muscles were studied electromyographically in movements of lateral and medial rotation (free and against resistance) of the arm. In the majority of cases both muscles were inactive during the performance of the analysed movements. Cases in which only one or both muscles acted in free rotation occurred only at the second half or ending of the movement. Records of electrical potentials during against resistance rotation were due to tensional efforts at the shoulder level.