Andarilhos de estrada e os serviços sociais de assistência

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

Contribuições de Itaipu no processo de integração elétrica regional

Pós-graduação em Geografia - FCT

Treatment and complications of orbito-zygomatic fractures

The aim of the present study was to analyze the etiology, type and treatment employed in the orbito-zygomatic fractures (OZ). Also, postoperative complications are described and correlated with the type of treatment used. Fifty patients with OZ fractures were evaluated. Orbital fractures in which the zygomatic bone was not involved were excluded. Epidemiologic data and characteristics of treatment such as the type of material used for osteosynthesis, number of anatomical sites on which rigid internal fixation (RIF) was applied, surgical approaches and associated complications were recorded. The main causes of trauma were motorcycle and bicycle accidents, constituting 52% of the sample. The osteosynthesis system used was the 2.0 mm, except in four patients in whom the 1.5mm system was used for fixation at the infra-orbital rim. A total of 18% of the patients required reconstruction of the internal orbit and in all cases titanium mesh was used. 46% of the patients received RIF in three anatomical sites, most in the fronto-zygomatic suture, infra-orbital rim and zygomatic-maxillary buttress. The most frequent complication was paresthesia of the infra-orbital nerve (34 patients, 68%). Other findings were also discussed with the intent of better understanding the treatment of the OZ fractures.

Radiographic and clinical evaluation of zygomatico-maxillary complex fractures treated by 2.0 miniplates system

The zygomaticomaxillary complex (ZMC) is the second highly incidental of facial fractures. According to the anatomical complexity, there are many reports in the literature about this trauma, mainly related to treatment for these fractures. With the purpose of evaluating clinically and radiographically the stability of unilateral zygomatic fractures treated by surgical reduction and fixed in two points by stable internal fixation, this research was proposed. Twenty patients with zygomatic fractures were evaluated and compared with twenty nonfractured patients. The results showed that there were no statistically significant differences among the obtained data, perimeter and area, of the treated and contra-lateral sides of the experimental group. When compared to the control group the differences were not statistically significant. We also performed a comparison of the distance between the nasal bone and zygomatic prominence in all groups the results were also satisfactory.

O lugar da psicanálise e a universidade

As a usual practice in society, psychotherapy is considered a normal procedure, but how does it take place in an investigation method of subjectivity in the university? The theory of speech of Lacan helps us to locate a place to psychoanalysis in the university as a language practice in the role of teaching, research and extension (community work). In this sense, the university submits the ideas of conscience to science and material rationality, excluding the individual and the unconscious. The theory of speech helps us to see the difference between the speech the students use and the speech the annalist uses in his practice. The psychoanalysis has its own knowledge based on the unconscious, due to the clinic work precedes as well as the work in university extension (community work). The work of the annalist has his particular world to treat his mane object — the unconscious.