69 resultados para Feridas grandes


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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em Cirurgia Veterinária - FCAV

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The oral and oropharyngeal cancer is aggressive and, in Brazil, the incidence is considered one of the world’s tallest, the most common of head and neck. It affects males more intensively and 70% of cases are in adults over 50 years of age. It is located usually on the floor of the mouth and tongue. Therefore, the purpose of this study is to report a case of male patient, 78 years of age, leukoderma who sought hospital care. Reported frequent smoking and alcoholism. On physical examination headgear, there was the presence of lymph node fixed, painless 1.5 to 2 cm in diameter in the submandibular region. Physical examination intraoral ulcer was found at about 5 cm at its greatest extent, localized to the left oral floor region of the oropharynx, reddish, hardened edges, surface and bottom corrugated carton. The differential diagnosis suggested was traumatic ulcer, paracoccidioidomycosis and squamous cell carcinoma. The approach employed was obtained by incisional biopsy and the piece sent to histopathological analysis, confirming the case of squamous cell carcinoma. The treatment consisted in clarifying the patient about the disease and the need to search for an oncology center. It is concluded that the oral clinical examination is accurate in all major injuries to mouth, even if the chief complaint does not focus on this. In individuals at high risk examination should be systematic and individuals with suspicious lesions should be referred to specialist consultation.

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Este artigo tem o propósito de examinar os desafios e oportunidades relacionados à implementação de sistemas de gestão ambiental baseados na Norma ISO 14001:2004 nas Instituições de Ensino Superior e como elas podem se adequar aos requisitos para possuir um sistema de gestão ambiental (SGA). O estudo envolve análises sobre as implicações da adoção de sistemas de gestão ambiental por universidades e sobre os aspectos relevantes na adoção de SGAs com base na Norma ISO 14001, como barreiras, benefícios, motivações, práticas e fatores críticos de sucesso. Luzes são lançadas, assim, a um tema de crescente importância (sistemas de gestão ambiental), com foco em objeto analítico ainda pouco analisado do ponto de vista ambiental (Instituições de Ensino Superior).

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)