118 resultados para Traumatismos neurológicos


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The etiology of TMD in children and adolescents is considered multifactorial and has been related to parafunctional habits.The objective of this research was to determine the prevalence of parafunctional habits in elementary school students of “Colégio Ipê de Assis” (Assis, SP - Brazil). In the present research was administered questionnaire (15 questions) proposed by the Center for Diagnosis and Treatment of TMD, School of Dentistry of Araçatuba, UNESP. The sample was composed of 80 elementary school students of the “Colégio Ipê de Assis” (Assis, SP - Brazil). The project was approved by the Ethics Committee in Research of the School of Dentistry of Araçatuba/ UNESP. All parents and responsible of the students received instruction about the research and preservation of identity and provide clarification if in doubt. Beyond that, they were requested to sign the informed consent in order to facilitate the participation of students. Females comprised 47,5% and males 52,5%, with age ranging from 10 to 14. The students were classified into two groups as follows: Group I-female, Group II- male. In addition, brazilian students from Groups I and II were classified according to type of oral habits presented. All students presented a parafunctional habit. Among the parafunctional habits chewing gum was the most common in both groups (72.2%, Group I and 78.5%, Group II) followed by resting chin on hand for both genders (69,5% for Group I and 67% for Group II). Tongue biting (5%) was less founded in Group II and stomach sleeping in Group I. The results obtained show the necessity of carring out preventive programs. Beside, resources of Health should increase preventive treatments.

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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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Introduction: the term paraneoplastic is a clinical, biochemical, hormonal, neurological and/or associated disorder with hematologic malignancies, but not directly related to primary tumor invasion and metastasis. Paraneoplatic syndromes may be the first sign of a malignancy. Review of literature: the syndromes that are most commonly related to dentistry are of lambertt-Eaton, Gardner, Cowden disease, Peutz-Jeghers, Sjögren, multiple endocrine neoplasic, multiple neurofibromatosis of Von Recklinghausen, nevoid basal cell carcinoma, acanthosis nigrans and pemphigus paraneoplastic. Conclusion: early diagnosis of malignant neoplasms favors prognosis and paraneoplastic syndromes assist in diagnosis. It is important that surgeons-dentists know these events in order to diagnose them as soon as possible and refer these patients to specialized treatment.

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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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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Postural sway variability was evaluated in Parkinson’s disease (PD) patients at different stages of disease. Twenty PD patients were grouped into two groups (unilateral, 14; bilateral, 6) according to disease severity. The results showed no significant differences in postural sway variability between the groups (p ≥ 0.05). Postural sway variability was higher in the antero-posterior direction and with the eyes closed. Significant differences between the unilateral and bilateral groups were observed in clinical tests (UPDRS, Berg Balance Scale, and retropulsion test; p ≤ 0.05, all). Postural sway variability was unaffected by disease severity, indicating that neurological mechanisms for postural control still function at advanced stages of disease. Postural sway instability appears to occur in the antero-posterior direction to compensate for the stooped posture. The eyes-closed condition during upright stance appears to be challenging for PD patients because of the associated sensory integration deficit. Finally, objective measures such as postural sway variability may be more reliable than clinical tests to evaluate changes in balance control in PD patients.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pesticids are chemical products used to control plagues (animal and vegetable) and plant diseases. Due to the process of automation occurred in the agriculture in 1960-1970, the agrotoxics began to be largely used in Brazil. Their physical-chemical proprieties, as well as the frequency of use, form of application, environmental biotic and abiotic characteristics and climatic conditions will determine their environmental destination. These variables will define the spectrum of environmental impacts and human health problems caused by the agrotoxics. The human health impacts might be acute or chronic, mainly upon neurological, reproductive and respiratory process. In the environment, the agrotoxics cause transformations and modifications in biota, water, soil and other ecosystems. To make farmworkers aware of alternatives to massive use of agrotoxics is the guarantee for an agriculture development more sustainable, without disorders in human health and in environment

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Diseases of the cerebellar system are common in small animals, and result in a clinical syndrome characterized by hypermetria, base-wide stance and intentional tremors of the head and body. All movements of the limbs are spastic and awkward. The neurological examination assists in the localization of lesions restricted to the cerebellum or in the detection of disorders relating to other parts of the nervous system, which characterizes a multifocal disease process. Neurological disorders in dogs and cats may suggest a very extensive list of differential diagnoses, since they may be caused by infectious, degenerative and traumatic processes, among others. The possible etiologies for cerebellar syndrome include: aplasia and hypoplasia, abiotrophy, cancer, vascular stroke and inflammatory disorders. The aim of this paper is to review the clinical signs that aid in the location of the cerebellar lesion and discuss the possible causes of this syndrome in dogs and cats.

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Intracranial neoplasms are common causes of neurological disorders in middle-aged and elderly dogs. With the feasibility of computed tomography, it is now possible to determine the extent and exact location of brain tumors, identifying them ante mortem in dogs and cats. This paper aims to report the occurrence of a mixed glioma in a Boxer dog examined at the Veterinary Hospital of Unesp, Botucatu Campus. The animal presented with a brain syndrome of acute onset and progressive course. CT scan showed the presence of a mass in the right cerebral hemisphere extending from the frontal to the parietal region and involving the basal ganglia. Given the gravity of the neurological disorder, the owner chose to perform euthanasia. Microscopic analysis of the mass allowed the diagnosis of mixed glioma.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)