Matriz Bertholdo/Ricci/Barrotte (BRB): uma simplificação de técnica para obtenção de guia de estratificação com compósitos

Advanced Layering composite resins can be facilitated by a technique called "Lingual Matrix", where a guide is made of elastomer by molding a previously waxed tooth or sculped in an intraoral test drive restoration. This technique has many advantages to sophisticated layering, facilitation stratification, anatomic construcrion and the stages of finishing and polishing. However, in some clinical situations, the unfolding of the steps to obtains this matrix can be time consuming or even infeasible. To facilitate the achievement of this apparatus, a technique was idealized allowing significant reducrion in clinical time. This matrix, called the "BRB Matrix" is widly discussed in a didactic and clinical manner in this article, presenting its advantages in clinical cases where it is imperative to use a guide for conduction a controlled layering. The simplicity of this approach, as well as reduced clinical time and finacial costs turn it feasible in an everyday clinical practice.

(En)quadros estéticos (artísticos e clínicos) e seus efeitos sensíveis

Based on the aesthetic investigations of Freud, the work intends to bring joints between possible sensitive effects caused by contact / reception with works of art (having them here as “framed art”) and psychoanalytic clinical setting. The text is also concerned to show that the production of these striking effects, happens by the condition of these items (artistic and clinical) are under a frame and therefore conceptualized as aesthetic in this article arguments.

Articulações territoriais: uma cartografia da atenção à população em situação de rua

Pós-graduação em Psicologia - FCLAS

Maturidade pulmonar e fetal de bezerros da raça holandesa preta e branca tecém-nascidos, a termo e hígidos: análise do líquido amniótico

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

Recobrimento de múltiplas recessões com enxerto subepitelial: tratamento de descontaminação da superfície radicular com laser de Erbium YAG

Multiple gingival recessions may cause mainly dentinary sensibility and aesthetic alterations. The subepithelial graft is a mucogingival technique which can be used to treat multiple gingival recessions. In this case report the Erbium YAG laser was applied to promote radicular surface decontamination, an important step to reach reinsertion of the gingival tissues on exposed radicular surface.

Odontoma composto: relato de caso clínico

Os odontomas são os tipos mais comuns de tumores odontogênicos, sendo sua constituição principalmente de esmalte e dentina, com quantidade variável de cemento e polpa. Apresenta relação com dentes inclusos e sua etiopatogenia é desconhecida. Radiograficamente pode ser classificado como composto ou complexo. Acomete com mais frequência pacientes entre a primeira e segunda década de vida, e não há predileção por sexo. Localiza-se principalmente em região anterior de maxila, assintomático e tem associação com dentes inclusos e supranumerários. Neste trabalho relatamos um caso clínico, cuja paciente foi encaminhada para avaliação devido a ausência do dente 33. O diagnóstico clinico-radiográfico inicial foi de odontoma composto. Realizou-se a remoção cirúrgica da lesão e do dente incluso tendo o exame histopatológico confirmado o diagnóstico de odontoma composto.

Infecções odontogenicas: relato de caso clínico e implicações terapêuticas

Acute infections maxillo-facial are of great importance, both for its high population, as the risk of complications. The aim of this study was to present a clinical case of extensive odontogenic abscess in a patient of 31 years of age attended the Service of Surgery and Maxillo-Facial, Faculty of Dentistry of Araçatuba - UNESP in Araçatuba, SP. Complications of infections odontogências although infrequent can lead the patient to death.

Intervenção em habilidades sociais com uma criança com síndrome de Down

Studies show that children with Down’s syndrome have deficits in social skills, which can interfere in their social interactions and also in their academic performance. The aim of this study was to analyze the clinical significance and reliable change in repertory of social skills of a child with Down’s syndrome, from interventions in the clinic, at home and at school. A seven year old girl with Down’s Syndrome who had frequented the first year of regular school, her parents and her teacher participated in this study. They were attending in a Center of Applied Psychology, of a public university in São Paulo State. Before and after the intervention parents and teacher answered the Rating System Social Skills (SSRS). The intervention with the child had been conducted for six months, through playful activities in weekly meetings. It was discussed various topics related to social skills with parents and teacher in biweekly and monthly meetings. The results were analyzed using JT method. With parents, comparing the two assessments conducted, the data pointed to positive change reliable for four of the six skills assessed. Of the five skills assessed by the teacher, one of them was not in the clinical level since the first application. The other two went from clinical to non-clinical level, featuring reliable positive change. The study showed the importance of pre and post measures in case study, enabling the assessment of the effects of the intervention performed on the various factors of social skills. Further studies with larger populations may ratify the data obtained.

Uma proposta de psicoterapia breve para paciente com escoriação psicogênica

Psychogenic Excoriation is a psychodermatosis characterized by skin alterations connected to mental processes, which are more common in women. It generates a considerable physical and psychosocial discomfort to the patient, because of the skin lesions. These patients assume to injure their own skin, and it differentiates this diagnosis from the factual dermatitis. This acknowledgement facilitates the insertion of these patients in psychotherapeutic processes, including fast psychotherapy, which can benefit them, especially in hospital contexts such as hospital ambulatories specialized in dermatology. Fast dynamic psychotherapies are described, analyzed and recommended to a psychogenic excoriation patient while introducing the process plan indicated to her. It relates to the clinical study of cases with medical records, psycho interviews and results of the FPI (Factor Personality Inventory). Based on these data, a fast psychotherapy is suggested with defined focus, aim and time, with a therapeutic plan according to what’s recommended in this type of treatment. The main objective is the symptom alleviation besides self-knowledge and insights, clarifying the most important identified psychodynamic conflicts. It’s also suggested that the suggested fast psychotherapy process could well result in important therapeutic gains to the analyzed patient.

Epidemiologia molecular e estudo dos fatores de virulência de Staphylococcus aureus resistentes à oxacilina isolados de feridas em pacientes atendidos em unidades básicas de saúde da cidade de Botucatu

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

O seguimento da sífilis congênita em crianças tratadas ao nascer

Purpose: Describe the initial clinical management and therapeutic monitoring dispensed for newborns diagnosed with congenital syphilis at birth and as of the high public hospitals in the Federal District, Brazil. Methods: Collected informations from the initial clinical management and continuity of care accorded to 81 newborns diagnosed with congenital syphilis reported to the National System of Diseases of Notification in 2008. Results: The hemogram occurred in 46.9%, and radiological long bone in 81.4%. Four children (4.9%) followed up according to the protocol of the Ministry of Health in relation to bi-monthly follow- -up until 12 months of age was 93.8% of cases ignored and found no record of complete follow-up at 18 months old of age. Conclusions: The initial clinical management and therapeutic follow-up of newborns with congenital syphilis in the Federal District is not carried out adequately and does not accordance with the guidelines set by the Ministry of Health.

Histerocele inguinal em cadela com piometra: relato de caso

A histerocele inguinal e uma hérnia pouco frequente, caracterizada pela protrusão do útero pelo canal inguinal, ocasionando sinais clínicos em decorrência de gestação ou alterações uterinas, dentre elas a piometra, tendo como causa primaria o desequilíbrio hormonal levando ao enfraquecimento de tecido conjuntivo, que distende os anéis inguinais. Pode ser causada por um conjunto de fatores tais como obesidade e aumento da pressão intra-abdominal, acompanhada pelo enfraquecimento das estruturas de contorno adjacentes. Foi relatada a ocorrência de histerocele inguinal com piometra em uma cadela da raça Poodle, com nove anos de idade, atendida no Ambulatório de Reprodução de Pequenos Animais do Hospital Veterinário da Universidade Paulista “Júlio de Mesquita Filho” Unesp – Botucatu – SP. As alterações clínicas observadas foram presença de secreção vulvar mucopurulenta, hipertermia (40,2°C), vasos episclerais ingurgitados, apatia e anorexia, além da presença de hérnia inguinal esquerda. Ao exame ultrassonográfico da cavidade abdominal e da hérnia, constataram-se áreas lobuladas com regiões anecoicas bem evidentes, características dos achados ultrassonográficos de piometra, tanto no interior da cavidade como no conteúdo herniário. Os achados hematológicos revelaram anemia normocítica e normocrômica, leucocitose grave, neutrofilia e desvio a esquerda; o exame bioquímico do soro revelou alteração das enzimas hepáticas, hiperglobulinemia e hiperproteinemia, condizentes com o quadro de piometra. Diante do quadro clinico, procedeu-se laparotomia de caráter emergencial e verificou-se que ambos os cornos estavam repletos de secreção e que o conteúdo herniario tratava-se do corno uterino esquerdo. O corno distendido foi removido do anel inguinal lentamente e, apos a ovariosalpingohisterectomia (OSH), foi realizado a redução do anel inguinal esquerdo. Apos a recuperação pós-operatória, restabeleceu-se a saúde do paciente.

Correlação entre a força muscular do assoalho pélvico e status hormonal da vagina em mulheres continentes

Pós-graduação em Bases Gerais da Cirurgia - FMB

Estudo comparativo da expressão da survivina na citologia esfoliativa da mucosa bucal de pacientes com carcinoma de células escamosas intra-bucal e fumantes crônicos

Survivin protein is an inhibitor of apoptosis that plays a role in cell cycle control and the mechanism of carcinogenesis. The aim of this study was to verify the clinic pathological correlation of survivin expression in exfoliative cytology of chronic smokers, mucosa of patients with intra-oral squamous cell carcinoma (OSCC) and also from mucosa after surgical removal of OSCC. Patients were divided in 03 groups: Group 1: 26 patients who smoked more than 20 cigarettes/day/10years with no history of oral malignant neoplasm, or any clinical sign visible at examination. Group 2: 26 patients who had OSCC and Group 3: 22 patients surgically treated of OSCC for at least 01 month. Immunohistochemistry of the smears from each group was analyzed by light microscopy to extent and intensity of survivin positive cells. Survivin expression was observed in 100% of cases in group 1, 88.5% in group 2 and 100% in group 3. Groups 1 and 3 showed cytoplasmic expression in 100% of the cases, while group 2 showed it in 87.5%. Cytoplasmic and nuclear expression was 7.69% observed only in group 2. The results were association with clinicopathological data by Fisher's exact test and it was significant to smoke cessation in group 2 on intensity (p=0.015) of survivin expression. The intensity of survivin expression was related to smoking cessation in group 2. Smoking history (pack/years) showed no influence survivin expression