250 resultados para granulation exubérante


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Este trabalho visou investigar a associação da coexistência da presença de granulações tóxicas com resultados de hemocultura positivas, idade dos pacientes, condições de internamento e tipos de agentes bacterianos. Foi realizada análise retrospectiva e prospectiva, cega, para a presença de granulações tóxicas em amostras sangüíneas de trezentos pacientes, de ambos os sexos, internados em hospitais da Cidade de Belém – Pará, com solicitação de hemocultura, num período de dois anos. Com os hemogramas e as hemoculturas realizadas por métodos de automação, e todos os dados submetidos à metodologia de comparação estatística pelo Qui-quadrado (método de clump). Nossos resultados mostraram a existência de associação estatística entre: (1) a presença de granulações tóxicas e os resultados de hemoculturas positivas; (2) a menor idade dos pacientes (neonatos) associadas a hemocultura positiva; (3) a condição de internamento em UTI com hemocultura positiva; e (4) a presença de granulações tóxicas e a observação de leucocitose e desvio à esquerda, em pacientes internados em UTI, com hemoculturas positivas. E que os cinco principais agentes bacterianos identificados nas hemoculturas deste estudo foram Klebsiella oxytoca (22%), Acinetobacter calcoaceticus (20%), Escherichia coli (18%), Enterobacter cloacae (14%), e Pseudomonas aeruginosa (8%).

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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OBJECTIVE: This study aimed at evaluating the flora and bacterial load of chronic leg ulcers (CLUs) according to the clinical judgment of colonization or infection.DESIGN: This was an analytical and cross-sectional study.SETTING: This study was conducted in an outpatient wound care unit in the Dermatology Department of the Botucatu School of Medicine-UNESP, Brazil.PARTICIPANTS: The participants were patients with CLUs who did not use systemic antibiotics.METHODS: The ulcers were clinically divided into 3 groups: ulcers with good granulation tissue (GGT), critical colonization (CC), and infection. Secretion was collected from a 1-cm(2) area using a swab and seeded by the semiquantitative method.OUTCOME MEASURES: The main outcome measures were genus and species of the bacteria found in the cultures and result of the semiquantitative culture correlating with the clinical diagnosis of GGT, CC, and infection.MAIN RESULTS: Seventy-seven ulcers were evaluated: 27 with GGT, 29 with CC, and 21 with infection. Gram-negative bacteria were most often found in all groups (81%): Pseudomonas aeruginosa, in granulation and colonized ulcers, and Proteus mirabilis, in infected ulcers. Ulcers from the infected group showed higher bacterial load.CONCLUSIONS: The flora of CLUs was predominantly constituted by gram-negative bacteria, and P aeruginosa was the most prevalent. The bacterial load of infected ulcers was higher as compared with the others, although some ulcers with GGT also presented a high load. The interpretation of microbiologic tests based on the swab techniques and even on semiquantitative analysis requires close clinical correlation.

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The aim of this ex vivo study was to evaluate, by scanning electron microscopy (SEM), the presence of gaps at the interface between filling material and three root-end filling materials. Thirty human upper molars disto-buccal roots were instrumented and filled with gutta-percha and eugenol-based sealer. The apicoectomy was performed 2mm from the apex and retrograde cavities were prepared with ultrasonic points (3mm in deep). The samples were divided into three experimental groups (n=10): Group Iwhite mineral trioxide aggregate (MTA); Group IISuper EBA; and Group IIIPortland cement. The root-end filling materials were inserted into the retocavities using a MTA carrier. After 48h, the roots were transversally sectioned in order to obtain the apical 5mm. Next, each specimen was prepared longitudinally with crescent granulation of abrasives water-wet sandpapers in order to expose the filling and root-end filling materials. Then, the specimens were subjected to slow dehydration with silica gel, mounted onto specific stubs and coated with paladium coverage for SEM analysis of the interface between filling and root-end filling materials. The percentage of gaps at the interfacial area was calculated by using Image Tool 3.0 software. Super EBA presented the higher percentage of gaps (1.5 +/- 0.67%), whereas MTA presented the lowest values (0.33 +/- 0.20%; p=0.0004). Despite the statistical differences observed between Super EBA and MTA, all the root-end filling materials presented great adaptation to the filling material, presenting small amount of gaps. SCANNING 36:252-257, 2014. (c) 2013 Wiley Periodicals, Inc.

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

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The Aquidauana Formation is characterized by sandstones of variable granulation, mudstones and diamectites abundant in clay, typical colors like brick red (vermelho tijolo) of glacial, fluvial and lacustrine origin. It’s chronostratigraphic equivalent to the Itarará group from the Neo Carboniferous age, that under the exploratory view, such units represent important intervals in the basin, occurring together with them minerals as well as energy resources as petroleum, underground water and coal – what requires a great paleogeography and stratigraphy knowledge for its exploration. By gathering information from the columnar sections of the area, it was possible to characterize the sedimentary facies, the stacking pattern as well as the association. It was also made an attempt of stratigraphic correlation, which showed great difficulties since glacial environments present a great lateral discontinuity of the facies besides the complex relationship process of formation. As a result, it was obtained 8 sedimentary facies, the lateral and vertical relations and genesis process. It is proposed that the sedimentary environment in the study area is the fluvio glacial, characterized by alluvial systems formed by defrosted water which transport the sediments that are deposited in plains in front of the glacier (distal outwash). Petrographic thin section analysis showed that the transportation process was ineffective. The grains present punctual to lobular contacts, characterizing good porosity and permeability to the rock, varying these qualities according to more or less existence of matrix. The presence of Iron Oxide deposited between the recrystallization border and feldspathic mineral indicates that this rock has possibly presented a primary rubefaction, intensified by alkaline fluid percolation

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Root canal and furcal perforations are causes of endodontic therapy failure and different materials that stimulate tissue mineralization have been proposed for perforation treatment. In the first case, a patient presented tooth 46 with unsatisfactory endodontic treatment and a periapical radiographic lesion. A radiolucent area compatible with a perforating internal resorption cavity was found in the mesial root. The granulation tissue was removed, and root canals were prepared. The intracanal medication was composed of calcium hydroxide and the perforation cavity was filled with Portland cement. The 11-year followup showed radiographic repair of the tissue adjacent to the perforation and absence of clinical signs and symptoms or periapical lesion. In the second case, a patient presented with edema on the buccal surface of tooth 46. The examination showed a radiolucent area in the furcation region compatible with an iatrogenic perforation cavity. The mesial root canals were calcified, and only the distal root canal was prepared. The cavity was filled with a calcium hydroxide-based paste and the distal root canal was obturated. In sequence, the perforation cavity was filled with Portland cement. The 9-year followup showed the tooth in masticatory function with radiographic and clinical aspects compatible with normality.

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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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Dogs' teeth with apical periodontitis were treated endodontically, Dakin's solution being used in an experimental group as the irrigation solution, and camphorated paramonochlorophenol as an intracanal dressing. For a second group of teeth, the irrigation solution used was physiologic saline, dry cotton only being placed into the pulpal chamber to take the place of an intracanal dressing. In a second visit, overinstrumentation and a new application of the same kind of dressing were performed, the root canals being then filled with gutta-percha cones and zinc oxide-eugenol cement. Other specimens were treated, in one visit, where physiologic saline or Dakin's solution were the irrigation solutions. The animals were sacrificed 6 months after the obturation of the root canals. Histologic exams showed better results for the experimental group where Dakin's solution and camphorated paramonochlorophenol had been used, with signs of repair characterized by newly formed cementum and bone tissue, as well as a marked reduction in size of the periapical lesions. No differences were seen in the results with physiologic saline or Dakin's solution as irrigants.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The southwestern region of the São Luís-Grajaú Basin has a rare outcrop of the Codó Formation (upper Aptian) with seven outstanding microbialite bioherms along the left margin of the Tocantins river, near Imperatriz (MA). Resting on sandstones of the Grajaú Formation, the Codó Formation presents: 1) a 20 cm thick basal calcilutite with gypsite pseudomorphs and some fossil tree stems; 2) metric dark shales with carbonate nodules and thin intercalated carbonate layers, enclosing some microbial laminites; 3) a 2 cm thick upper breccia composed of microbialite fragments and other carbonate clasts, with halite hoppers on the top; 4) the carbonate bioherms, which partially overlie the extensive shales and interrupt them laterally, as well as the breccia. The bioherms in the northern part of the outcrop are thicker (<2 m) and have interbedded dark shales, whereas the southern are thinner and continuous in the vertical direction. In general, they are composed of irregular gently to strongly wavy microbial laminites, sometimes with pseudocolumnar to conical lamination. All microbialites with highest synoptic relief (<20 cm) look like columnar stromatolites on weathered lateral expositions. In plan view, the horizontal sections of these microbialites are circular to slightly elliptic, sometimes forming very small channels (N60W) filled with fine breccia. The highest bed of the northern bioherm has mixed microbial laminites and columnar stromatolites, where intercolumnar spaces were filled with microbialite clasts, fish bones, plant fragments and very small probable crustacean coprolites. Several fractures and deformation in this upper bed indicate an initial brecciation process probably caused by subaerial exposure. In microscopic scale, the lamination is smooth, diffuse, defined by subtle granulation differences of very fine granular calcite crystals within micrite, but oxide levels, dissolution surfaces or thin precipitated calcite veneers...