996 resultados para Esfíncter inferior do esôfago
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The authors report a case of a patient with complaint of progressive disphagia. Stenoses of lower third of esophagus was revealed by radiological and endoscopic examinations. Fungi were showed in biopsy of lesion, with demonstration of Histoplasm capsulate by tissue culture. Endoscopic dilatation was performed because especific medical treatment failed but esophageal rupture was observed. Partial esophagectomy was performed with symptoms remission.
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Gastroesophageal reflux disease (GERD) is an uncommon condition in chagasic esophagopathy not previously treated. In this report, a case of chagasic esophagopathy associated to GERD and complicated with Barrett's esophagus is described. Potential pathophysiologic mechanisms underlying the condition are presented and commented.
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The Permo-Carboniferous Harare Group crops out in the Matra area, represented by Campo do Tenente, Mafra and Rio do Sul formations; they correspond in subsurface to Lagoa Azul, Campo Mourão and Tacïba formations. A composite sampling of the Group was performed through drilling of six wells, which average 60 m in depth; three of them cored the depositional sequence here designated as Upper Mafra\Lower Rio do Sul. The Upper Mafra Formation were sampled by TC-4 and BR-5 wells, and it consists of three units: the lower two are sandy, glacial-deltaic and fluvial-deltaic in origin, corresponding to a lowstand tract. The last unit is composed of two dirtying-upward successions of sandstone, diamictite and rhythmite, interpreted as deglaciation/transgressive events, and well represented in BR-5 drilling. The Lower-Rio do Sul Formation (Lontras Shale) is formed by two marine units: the lower one is represented by shale and bioturbated siltstone which culminate the previous deglaciation, transgressive succession, while the upper one, sampled by SL-2 well, is formed by shale and thin, turbidite sandstone, attributed to a highstand tract.
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Purpose: The objective of this study was to evaluate the position of the mandibular lingula (ML) to provide data for inferior alveolar nerve block techniques in children. Methods: One hundred fifty-four panoramic radiographs of 7- to 10-year-old boys and girls were analyzed. Measurements were taken from the ML to the occlusal plane, and the percentile distances of the ML to ramal borders were determined. Results: The distance between the ML and the occlusal plane showed a gradual increase, but only in the male group was it statistically significant. MLs ratio position on the ramus remained constant in all analyzed groups. In the 7-year-old group, the ML was observed above the occlusal plane in 70% of girls and 55% of boys. That percentage reached 85% of all children by age 10. Conclusions: The mandibular lingula's ratio position remained constant. Inferior alveolar anesthesia should be administered at least 6 mm above the occlusal plane in 7- to 8-year-old children, while 10 mm could be indicated for 9- to 10-year-old children. The mandibular lingula should be considered a reliable reference for further studies of inferior alveolar nerve block techniques.
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Introduction: Orthodontics has always used lateral cephalometric radiographs (LC) as the main examination in the orthodontic diagnosis and treatment plan. The determination of incisor position is part of most cephalometric analysis, including Tweed analysis. However, all radiographic images have limitations, since it is a bidimensional image of a tridimensional structure and overlapping of bone and dental structures often occurs. Computed tomography (CT) allows a trustworthy diagnostic, mainly for its tridimensional images possibility. In this situation it seems reasonable to question the classic cephalometric analysis, creating factors of comparison with computed tomography data. Aim: For this, it was considered the evaluation of the angle between the long axis of the inferior incisor and the mandibular plane (IMPA) in the lateral cephalograph and in the computed tomography. Methods: Nineteen patients, selected for orthodontic treatment, had constituted the sample of this study, 12 female and 7 male, with ages between 16 years and 4 months and 28 years and 2 months. After the collection of data made by two examiners, statistical analyses for the attainment of the errors intra and inter-examiners had been made, using level of significance of 5%. Results and Conclusion: It was concluded that IMPA can be measured in the lateral cephalometric radiographs with trustworthiness, even that its values were smaller when compared with the computed tomography.
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The aim of this study was to discuss aspects of the diet of Serrasalmus maculatus. Fish were collected using gill nets, whose lengths measured 100 m and mesh diameters varied from 3 to 8 cm. A total of 107 individuals were collected. Their length varied from 62 to 210 mm. They were mainly represented by female and immature individuals. No individual was caught in temperatures below 21°C. Four feeding item categories were observed: fish muscle pieces, parts of fish fins, plant fragments, and insects. Comparisons made among individual length classes revealed some significant differences within stomach consumed contents. Individuals whose length exceeded 165 mm consumed only parts of fish muscles and plants. The food availability in the environment and the class lengths amplitude may, however, have influenced the results, in which ontogenetic differences should not be precisely observed.
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The permanence of impacted third molar in the jaws can cause many pathological alterations, amongst them the appearance of odontogenic cysts. The paradental cyst appearance and evolution next to a mandibular included third molar was diagnosised in radiograph routine follow-up, and its evolution and treatment are described. Are discussed the aspects related with the preventive removal to the impacted third molars and the necessity to institution a plan of treatment based in clinical history and radiograph in order to establish a preventive protocol the alterations caused by these impactions. The indication of extraction of impacted third enclosed can be a way to preventing the appearance of these and otherspathologies associates to these lesions.
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In the present study were observed changes in morphology of the bed of the lower course of the river Ivaí, made by bathymetric surveys, granulometric analysis and measures the flow velocity. Changes made considerable changes in relation to flow and bad load. The study was conducted in the last 110 km of the river Ivaí, between the municipalities Tapira and Icaraíma - PR. In this section the channel flows with meandering pattern, embedded in sandstone Caiuá and sediment modern of its flood plain. This is the only major river in the state that so far has no modifications, making it an important site for studies of fluvial geomorphology.
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PURPOSE: The present case describes an inferior alveolar nerve lateralization for implant placement that caused mandible fracture a few days after surgery. CLINICAL REPORT: In this case, a 56-year-old female patient who had a severely atrophied jaw and showing bone height less than 7 mm from the bone crest and the mandibular canal was submitted to surgery lateralization of the inferior alveolar conducted with piezzo. Even with all postoperative care, the patient suffered an incomplete fracture of the mandible a few days after lateralization of the inferior alveolar nerve for implant placement. The patient was treated with soft diet and medications for pain and antibiotics, besides removing the implant associated with the fracture. CONCLUSION: It is suggested that this procedure may be conducted in 2 operative periods: firstly, the lateralization of the inferior alveolar; and secondly, after a period of 3 months, the implant placement in a situation of more bone stability. Copyright © 2013 by Mutaz B. Habal, MD.
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Biologia Geral e Aplicada - IBB