Métodos de pontos interiores e o planejamento de tratamento de câncer por radioterapia

O câncer é uma doença que tem início quando ocorre uma mutação genética no DNA da célula, onde o mecanismo de controle do crescimento normal do tecido celular é alterado. O tratamento do câncer por radioterapia tem como objetivo a eliminação das células cancerígenas ou alívio dos sintomas. Este trabalho visa estudar conceitos envolvidos no planejamento do tratamento de câncer por radioterapia, o modelo de programação linear, os métodos Primal-Dual-Afim-Escala e Primal-Dual-Clássico e apresentar uma aplicação dos métodos para problemas gerais de otimização

Rehabilitacion oral sobre implantes instalados por medio de la tecnica sin colgajo (flapless) y carga inmediata

The oral rehabilitation with osseointegrated implants is a well-documented treatment with high rate of success. Nevertheless, demands related to treatment time and surgical technique began to appear. In this context, the procedure of immediate loading in which the dental prosthesis is placed right after implant surgery has become a constant practice. Although immediate loading has been an important advance, minimally invasive procedures, such as implant placement without raising a mucoperiosteal flap (flapless) are increasingly being performed. Association of immediate loading with the flapless technique improves acceptance by patients and professionals, because no suturing is required. Moreover, it reduces swelling, bleeding during and after surgery, postoperative pain, surgery time, discomfort and hematoma, as well as the need for postoperative medication. These characteristics ease the stages of rehabilitation soon after implant placement, cooperating with prosthodontist's work. Thus, the proposal of this study is to present a clinical case of oral rehabilitation with osseointegrated implants and fixed prosthesis in both arches, in which the flapless technique was applied, followed by immediate loading. It will discuss the diagnosis, prosthetic planning, surgical/prosthodontic procedures and follow-up for 20 months.

Uso da radioterapia no tumor venéreo transmissível em cães

Since the discovery of x rays, the use of radiation in oncology has advanced remarkably. In Brazil, radiation therapy in animals is limited to some isolated studies in public universities and the procedures performed is still precarious because radiation equipments are expensive and there is still a lack of skilled professionals. The transmissible venereal tumor (TVT) is a contagious neoplasm of spontaneous occurrence, commonly treated with vincristine. This paper describes the positive experience of radiotherapy as an isolated option or as an combined treatment with vincristine in three cases of TVT. It was observed that radiotherapy may be used in routine clinical chemotherapy alone or combined with chemotherapy since suitable sources of radiation are provided.

Radioterapia em medicina veterinária: princípios e perspectivas

This work presents a brief historical about the use of ionizing radiations in Veterinary Medicine, instructing the physical beginnings and techniques wrapped in the realization of the proceedings of radiotherapy in animals, illustrating some treated cases, highlighting the difficulties and pointing to the perspectives and importance of the acting of the medical physics in this kind of therapeutic still little used in the national scenery.

Protocolos de saúde geral e bucal de enfermagem em radioterapia de câncer de cabeça e pescoço: uma revisão comentada

O câncer é um problema de saúde pública mundial, com destaque para a incidência do câncer de cabeça e pescoço, em função da biologia das lesões, custo do tratamento, acompanhamento e ônus social. Seus tratamentos mais utilizados como a cirurgia e radioterapia, apresentam sérios efeitos colaterais de curto e longo prazo, cujo é são complexo. As principais orientações e cuidados no tratamento do câncer de cabeça e pescoço foram obtidos através de revisão de literatura sistemática em bases de dados públicas. O objetivo desta revisão de literatura foi mostrar os principais cuidados na prevenção e tratamento das sequelas da radioterapia desse tipo de câncer. Nesse particular, observa-se a necessidade de um protocolo de enfermagem-odontologia, visto a complexidade e a falta de direcionamento das normas do Sistema Único de Saúde, além da responsabilidade dos cuidados desses pacientes, que ficam a cargo da equipe de saúde, atendendo as suas reais necessidades, tanto pessoais, psicológicas e fisiológicas.

Efeitos da radioterapia sobre as condições bucais de pacientes oncológicos

This study evaluated the oral conditions of 50 cancer patients undergoing head and neck radiotherapy (RT). Clinical examinations were performed before treatment, immediately after 30 days after RT and 6 months after conclusion of RT. Periodontal conditions were evaluated using the criteria of the Periodontal Screening and Recording (SRP) and the need for dental treatment were determined. The presence of xerostomia, mucositis and other side effects of RT were also evaluated. Soon after the beginning of RT, the irradiated patients of radiotherapy developed severe mucositis, dermatitis, dysgeusia, xerostomia and, to a lesser extent, candidosis. After completion of radiotherapy, 68% of patients had level III or IV mucositis. It was found that the development of mucositis hinders oral hygiene and these factors contribute to exacerbate inflammation of periodontal tissues. The data from this study evidenced that the main cause of desertion of RT and of severity of sequelae of RT depends on the oral conditions of patients before starting treatment and the absence of previous dental treatment prior RT.

Qualidade de vida de pacientes submetidos à radioterapia para tratamento de lesões malignas de cabeça e pescoço

In order to evaluate the quality of life of patients with head and neck cancer, this study analyzed data of 24 patients with squamous cell carcinoma, which indicated therapy was radiotherapy or not be combined with chemotherapy and surgery. The study was conducted in the Unit of Radiotherapy of Megavoltage located in the São José de Rio Preto-SP, in the period August 2007 to January 2008. Then, it was used the questionnaire of quality of life from University of Washington which enabled the identification of different quality of life patterns associated with the different stages of radiotherapy, indicating to be viable the prospect of recognition of prognostic factors of reduction in multiple domains of quality of life. From the data collected and analyzed, it was identified that the areas with the worst score in the begin of radiotherapy were appearance, speech and anxiety; during the treatment were taste, saliva and anxiety; and in the end were taste, saliva and swallowing. Throughout the treatment, it was observed the deterioration of patients' mood. In this regard, emphasizes the importance of dental and psychological follow-up, within the framework of a multidisciplinary care for patients with head and neck cancer during radiotherapy treatment.

Efeito da radiação ionizante, simulando radioterapia, nas propriedades de cerâmicas Y-TZP e cimentos resinosos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Radioterapia hiperfraccionada en cáncer de mama: resultados clínicos en relación con estudios moleculares y la calidad de vida

Programa de doctorado: Salud pública (Epidemiología, planificación y nutrición)

Complementi ed esercizi di Fisica Tecnica L

Dispensa relativa alle esercitazioni di Fisica Tecnica L tenute il 18-01, 25-01, 01-02 2008