O brinquedo terapêutico e o preparo da criança para cirurgia de correção de fissura labiopalatina

Objectives: to use the toy as a therapeutic resource in the preparation of children undergoing surgical repair of cleft lip and palate preoperatively; to describe quali-quantitativelly the behavioral reactions of the child during the two periods, pre-and postoperatively. Method: quali-quantitative study, developed in a specialized hospital, with 40 children aged between 7 and 12 years old who underwent surgery for correction of cleft lip and palate. Data collection was by means of an instrument with 21 behavioral variables preoperatively and postoperatively. Content analysis was used in the speech of mothers and children. This study was the research project approved by the Ethics Committee, CAAE No. 050/2011. Results: the variable is a presented questioner p> 0.0265 and four categories emerged after content analysis. Conclusion: therapeutic toy is a feature that makes children relieve stress, and facilitates the implementation of nursing care.

Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations

OBJECTIVES This article reviews the present literature on the issues encountered while coping with children with autistic spectrum disorder from the dental perspective. The autistic patient profile and external factors affecting the oral health status of this patient population are discussed upon the existing body of evidence. MATERIAL AND METHODS The MEDLINE database was searched using the terms 'Autistic Disorder', 'Behaviour Control/methods', 'Child', 'Dental care for disabled', 'Education', 'Oral Health', and 'Pediatric Dentistry' to locate related articles published up to January 2013. RESULTS Most of the relevant studies indicate poor oral hygiene whereas they are inconclusive regarding the caries incidence in autistic individuals. Undergraduate dental education appears to determine the competence of dental professionals to treat developmentally disabled children and account partly for compromised access to dental care. Dental management of an autistic child requires in-depth understanding of the background of the autism and available behavioural guidance theories. The dental professional should be flexible to modify the treatment approach according to the individual patient needs.

Influence of hemostatic agents upon the outcome of periapical surgery: dressings with anesthetic and vasoconstrictor or aluminum chloride

OBJECTIVE To evaluate the effects of different hemostatic agents upon the outcome of periapical surgery. DESIGN A retrospective study was made of patients subjected to periapical surgery between 2006-2009 with the ultrasound technique and using MTA as retrograde filler material. We included patients with a minimum follow-up of 12 months, divided into two groups according to the hemostatic agent used: A) dressings impregnated in anesthetic solution with adrenalin; or B) aluminum chloride paste (Expasyl). Radiological controls were made after 6 and 12 months, and on the last visit. The global evolution scale proposed by von Arx and Kurt (1999) was used to establish the outcome of periapical surgery. RESULTS A total of 96 patients (42 males and 54 females) with a mean age of 40.7 years were included. There were 50 patients in the aluminum chloride group and 46 patients in the anesthetic solution with vasoconstrictor group. No significant differences were observed between the two groups in terms of outcome after 12 months - the success rate being 58.6% and 61.7% in the anesthetic solution with vasoconstrictor and aluminum chloride groups, respectively (p > 0.05). CONCLUSION The outcome after 12 months of follow-up was better in the aluminum chloride group than in the anesthetic solution with vasoconstrictor group, though the difference was not significant.

Utilidad de un sistema de seguimiento óptico de instrumental en cirugía laparoscópica para evaluación de destrezas motoras

En este trabajo se estudia la utilidad de un sistema de evaluación de destrezas quirúrgicas basado en el análisis de los movimientos del instrumental laparoscópico. Método: El sistema consta de un simulador físico laparoscópico y un sistema de seguimiento y evaluación de habilidades técnicas quirúrgicas. En el estudio han participado 6 cirujanos con experiencia intermedia (entre 1 y 50 intervenciones laparoscópicas) y 5 cirujanos expertos (más de 50 intervenciones laparoscópicas), todos ellos con la mano derecha como dominante. Cada sujeto realizó 3 repeticiones de una tarea de corte con la mano derecha en tejido sintético, una disección de la serosa gástrica y una sutura en la disección realizada. Para cada ejercicio se analizaron los parámetros de tiempo, distancia recorrida, velocidad, aceleración y suavidad de movimientos para los instrumentos de ambas manos. Resultados: En la tarea de corte, los cirujanos expertos muestran menor aceleración (p = 0,014) y mayor suavidad en los movimientos (p = 0,023) en el uso de la tijera. Respecto a la actividad de disección, los cirujanos expertos requieren menos tiempo (p = 0,006) y recorren menos distancia con ambos instrumentos (p = 0,006 para disector y p = 0,01 para tijera). En la tarea de sutura, los cirujanos expertos presentan menor tiempo de ejecución que los cirujanos de nivel intermedio (p = 0,037) y recorren menos distancia con el disector (p = 0,041). Conclusiones: El sistema de evaluación se mostró útil en las tareas de corte, disección y sutura, y constituye un progreso en el desarrollo de sistemas avanzados de entrenamiento y evaluación de destrezas quirúrgicas laparoscópicas.

Traité des operations de la chirurgie : dans lequel on explique mécaniquement les causes des maladies qui les précedent, fondées sur la structure de la partie, leurs signes & leurs simptomes, & dans lequel on a introduit plusieurs nouvelles remarques aprés chaque opération, & un traité des playes avec la méthode de les bien panser /

Mode of access: Internet.

Traite des operations de chirurgie : contenant leurs causes fondees sur la structure de la partie, leurs signes, leurs simptomes & leur explication; avec plusieurs observations. Et une idee generale des playes /

Mode of access: Internet.

Traité des opérations de la chirurgie : dans lequel on explique les causes des maladies qui les précèdent... & dans lequel on a introduit plusieurs nouvelles remarques après chaque opérations, & un Traité des Playes [sic] avec la méthode de les bien panser /

Mode of access: Internet.

Traite des operations de la chirurgie : dans lequel on explique mechaniquement les causes des maladies qui les precedent, fondees sur la structure de la partie; leurs signes & leurs simptomes, & dans lequel on a introduit plusieurs nouvelles remarques apres chaque operation, & un Traite des playes avec la methode de les bien panser /

Mode of access: Internet.

Etat des médecins et chirurgiens de France.

Mode of access: Internet.

Operationes et experimenta chirurgica /

Mode of access: Internet.

Del criterio en medicina : discurso que para inaugurar las sesiones de la Academia de Medicina y Cirujia de Castilla la Nueva, pronunció el dia 10 de febrero de 1849 /

Mode of access: Internet.

La unión : periódico oficial de la Academia Quirúrgica Matritense y de la Cesaraugustana y Mallorquina.

Mode of access: Internet.

Bibliotheque salutaire, ou Recueil choisi d'observations sur la physique, la chymie, la medecine, la chirurgie, l'histoire naturelle ... ouvrage compose d'observations faites ... [Tome I]

Mode of access: Internet.

Bibliotheque salutaire, ou Recueil choisi d'observations sur la physique, la chymie, la medecine, la chirurgie, l'histoire naturelle ... ouvrage compose d'observations faites ... [Tome II]

Mode of access: Internet.

Bibliotheque salutaire, ou Recueil choisi d'observations sur la physique, la chymie, la medecine, la chirurgie, l'histoire naturelle ... ouvrage compose d'observations faites ... [Tome III]

Mode of access: Internet.