601 resultados para decompression sickness


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The present paper is a further step to elucidate the effect of γ-irradiated molecules and their action as immunogens. Rabbits were bled, the total serum was γ-irradiated and reinjected to the autologous donor. Bleeding and reinjection of non-irradiated serum do not produce any alteration hence the animal is able to recognize the autologous unmodified serum proteins as 'self'. Electrophoretic results demonstrate that as an effect of γ-irradiation, alteration of the normal migration properties are occurring. The obtained data are suggesting that due to the possible alteration of the molecular structure, resulting as the effect of γ-rays, the antibody forming system of the animal injected with irradiated autologous serum might recognize the substances as 'not self' what may be the possible reason of antibody formation. The presence of antibodies and probably their complexes with antigens are demonstrated by cutaneous sensibilization technics. The low level of the complement starting from the 7-9 days, the histological alteration of the kidney and the cardiac lesions are tempting to try an interpretation comparing these symptoms to those observed in serum sickness.

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The present report describes the management of a radicular cyst in a 5-year-old child. The treatment comprised extraction of the primary teeth involved followed by marsupialization. A removable appliance with a resin extension penetrating into the cystic cavity was used to help decompress the lesion. This treatment allowed rapid healing of the lesion and eruption of the permanent incisors without the need for orthodontic treatment.

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Rabies is considered a fatal disease once clinical symptoms have developed. The aim of this study was to evaluate epidemiological aspects and immune response in patients attacked by domestic and wild animals and subjected to post-exposure rabies treatment with equine serum and associated vaccine. Thirty-three patients were evaluated; they were between 13 and 65 years old, 75.8% were male and 24.2% female, and from the Botucatu neighborhood. Twenty healthy control individuals with the same age range were also studied. Specific antibodies to equine immunoglobulins and IFN-γ, IL-2, IL-4, and IL-10 production were evaluated by ELISA. IgM, IgE, IgG and subclasses, and rabies virus antibodies serum levels were determined by nephelometry and seroneutralization methods, respectively. No anaphylactic or serum sickness allergic reactions were observed in patients after treatment. Anti-equine IgG levels were significantly higher than those of IgM after 14 and 28 days of treatment. Protective antibodies to rabies virus > 0.5 UI/ml were detected in 84.6% and 75% of patients at days 14 and 28, respectively. IFN-γ, IL-2 and IL-10 levels in patients before and 48h after treatment were significantly higher than in controls suggesting that both Th1 and Th2 cells were activated in the patients. Serum IgM levels were higher at day 14, and IgG 2 and IgE levels were higher at day 28 of treatment. These results suggest that post-exposure rabies treatment in humans induces significant alterations in patient immune response characterized by increased levels of cytokines, serum levels of specific rabies virus antibodies, and the equine serum components employed in the treatment.

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Objective: To evaluate the health-related quality of life in children with functional defecation disorders. Methods: One hundred children seen consecutively were enrolled and subdivided into three subsets according to the Roma II classification criteria: functional constipation (n = 57), functional fecal retention (n = 29) and nonretentive functional soiling (n = 14). The generic instrument Child Health Questionnaire - Parent Form 50 (CHQ-PF50®), was used to measure quality of life and to assess the impact of these disorders from the point of view of parents. The instrument measures physical and psychosocial wellbeing in 15 health domains, each of which is graded on a scale from 0 to 100, with higher values indicating better health and greater wellbeing. Ten of these are then used to obtain two aggregated and summary scores: the physical and psychosocial scores. Results: No statistically significant differences were detected between subsets in terms of demographic or anthropometric characteristics. In 14 domains, children with defecation disorders scored lower than healthy children. When subsets were compared, statistically significant differences were detected between children with nonretentive functional soiling (lower scores) and those with functional constipation. Physical and psychosocial scores for the entire sample were lower than those for the group of healthy children used as controls. Conclusions: The CHQ-PF50® was considered adequate for demonstrating compromised quality of life in children with functional defecation disorders, as has been reported for other diseases, being a useful tool for making treatment decisions and for patient follow-up. Copyright © 2006 by Sociedade Brasileira de Pediatria.

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The Brazilian Granitic Province from southeastern Mato Grosso do Sul and Mato Grosso region, central western Brazil, can be divided into two major groups and/or magmatic events related to the evolution of the Paraguay Fold Belt. The southern portion crops out in Mato Grosso do Sul State and is constituted by the Taboco, Rio Negro, Coxim and Sonora massifs forming NE-SW oriented, elongated small intrusions. The north portion crops out in Mato Grosso State and is constituted by the São Vicente, Araguaiana and Lajinha batholiths. Lithogeochemical aspects of the northern granites point to Type-I granites ranging from K calc-alkaline to high-K, peraluminous to metaluminous in composition, generated in an environment of continental collision and/or post- collision decompression. The southern granites are Type-I, from K calc-alkaline to high-K, peraluminous to subordinate metalummous, in a syn-collision continental arc environment with the exception of some pre-collisional facies from the Rio Negro Massif. The southern granites have less SiO 2 and K 2O, and are less differentiated and evolved than granites from the northern region. The four southern granites can be grouped into two subordinate sets with the degree of differentiation increasing from South (Taboco and Rio Negro) to North (Coxim and Sonora). The granitic rocks are characterized by a magmatism generated by melting of material from the lower crust which suggests that in this province the formation from non-cogenetic magmas with diversified compositions and distinct degrees of fractioning reaching more steady consolidated environments at the end of the collisional event in the southeastern Amazonian Craton.

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Multiple sclerosis (MS) is a chronic disease which may exert significant effects on the life of patients. Traditional outcome measures in MS lack in consider the effects of the disease on health-related quality of life (HRQoL). The goal of this study is to measure HRQoL in MS patients in the city of Uberlân-dia, State of Minas Gerais, Brazil. The Brazilian version of the SF-36 was applied in 23 MS patients and in 69 subjects of general population (blood donors) in Uberlândia. MS patients scored lower in all SF-36 scales than do the general population, principally in physical function domains. Patients with EDSS scores ≤3.5 had higher mean scores in four domains than do the patients with EDSS scores ≥4.0, and lower in all domains than control group. Depressive symptoms and heat intolerance showed correlation with SF-36 domains and components. In conclusion, MS patients have a significant negative impact on all HRQoL domains measured by SF-36, compared with general population, even in the stages with lower disability.

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Introduction. Complex relations between brain and psychopathology have attracted the interest of researchers, aiming to clarify the neurobiological mechanisms of depression in Parkinson's disease, obviously in addiction to mental features. Aims. The association of motor impairment and decline of personal autonomy with severity of depressive symptoms was the hypothesis of the present study. Aiming to check this hypothesis, the objective of this study consisted in investigating relationships between the severity of depressive symptoms and motor characteristics of Parkinson's disease. Patients and methods. Thirty patients (53 to 80 year-old) with medical diagnosis of idiopathic Parkinson's disease in initial clinic stages were studied. The Unified Parkinson's Disease Rating Scale, Hoehn-Yahr Scale, and Schwab & England Scale were used to assess the clinic signs and symptoms. The depressive symptoms were identified by complete anamnesis, examination of mental condition, and the Hamilton Rating Scale for Depression and the Anxiety and Depression Scale. Statistical analysis was performed by Pearson's correlation and multiple regression analysis. Results. A significant correlation of severity of depression symptoms with disease stage (p < 0.02), with motor signs (p < 0.008), and with functional performance (p < 0.007) was found. Conclusion. There was significant association between motor impairment and severity of depressive symptoms, and between depression and early disease onset or prolonged duration of Parkinson's disease. © 2007, Revista de Neurología.

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Sararé Massif occurs in the southwest Mato Grosso state intruded into Mesoproterozoic units of the Jauru Block inside the Amazonian Craton. It presents an extension of approximately 80 km2 and NW-SE tectonic structures control the elongated shape. It is constituted by three major monzogranitic petrographic facies, represented by leucocratic, reddish, isotropic, equi-inequigranular to locally porphyritic rocks. The composition indicates S-type, peraluminous, with indicatives of late- to post-kinematic magmatism. Geochronological studies with 40Ar/39Ar in biotites and muscovites resulted in ages of 903 to 906 Ma was interpreted as massif rocks cooling period and U-PB 917 ± 18 Ma. ages points to the crystallization of the intrusive body. The massif is formed by melting of material of the upper crust, in an environment of continental collision and/or of post-collisional decompression at the ending of the Aguapeí-Sunsás event, in more stable environments of consolidation and tectonic stabilization of the Amazonian Craton.

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The study on several components of intervertebral joints is essential to understand the spine's degenerative mechanisms and to assess the best method for their treatment. For such study it is necessary to know the mechanical properties of the isolated intervertebral disc (ID) mechanical properties and, it is necessary to evaluate its stresses and strains. In order to assess the ID displacements, a fine, U-shaped blade was developed, over which two extensometers connected in a Wheatstone bridge were placed. The device was then tested on porcine spine ID, where compression loads were applied and the extremities displacements of the blade coupled to the intervertebral disc were measured. Stress/strain diagram, both on the compression and on the decompression phases, evidencing the non-linear nature of such relationship. With the experiment, it was possible to obtain approximate values of the longitudinal elasticity module (E) of the disc material and of the Poisson coefficient (n ). After several tests, E results are compatible with those obtained by others studies, with very simple and low-cost device. This experiments can be used for obtained others mechanical properties of isolated ID with precision and accuracy.

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The odontogenic keratocyst, also known as the keratocystic odontogenic tumor, is an aggressive, intraosseous lesion of odontogenic origin that presents a high rate of recurrence. Treatment modalities include aggressive surgical procedures and more conservative approaches that significantly influence the lesion's recurrence potential. The purpose of this case report was to demonstrate a conservative approach in the treatment of an extensive keratocystic odontogenic tumor, located in the mandible's posterior region, using decompression and enucleation.

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Objective: The aim of this study was to analyse associations between self-perception of oral health and relevant clinical, personal and socio-demographic factors in a Brazilian community. Material And Methods: Urban adults living in a city in southern Brazil were interviewerd and examined. Individuals with acute pain and who needed multiple extractions of teeth were excluded. Self-perception and the Oral Health Impact Profile (OHIP-14) were applied to measure the impact of oral conditions on the quality of life. Socio-demographic and clinical indicators were also analysed. Results: The clinical examination revealed a high dental caries experience (DMFT = 18.9) and a high prevalence of periodontal disease. Oral condition was considered normal by 42% of respondents. The variables associated with the OHIP-14 were: education, age, self-assessment, dental caries and the DMFT index. Conclusions: Self-perception of oral health was associated with OHIP-14 and the clinical indicators had low influence in the self-perception. Therefore, the development of educational initiatives and preventive strategies for the adult population is recommended. © BASCD 2011.

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Metamafic orthoderivate rocks, characterized by MORB signatures and paleoproterozoic ages occur in Cajamar region central east part of São Paulo State, Brazil. They are associated to philites, metasandstones and metalimestones of São Roque Group volcanosedimentary sequence, Southeastern portion of the Ribeira Belt. For the metamafic rocks the assemblage of metamorphic peak is represented by actinolitealbite- epidote-chlorite typical of regional metamorphism, greenschist facies. For a good characterization of P and T parameters of metamorphism microprobe analyses of main minerals were performed. Metamorphism did not destroy completely the primary mineralogy of original basalt and microgabbro, and augite crystals are registered in many samples, preserved together with metamorphic assemblage, and possibly indicate that the igneous temperatures of crystallization are between 900 and 1.100°C. Textures of mineral equilibrium for the peak paragenesis are not always present in the studied samples. It may be partially caused by the superposition of retrometamorphic events that is a consequence of regional shearing process. Where the equilibrium is reached, chiefly in the occurrences in the south of the area temperature and pressure determinations indicate values close to 487 ± 42°C and 8,2 ± 2.0 kbar, respectively. Other values for P and T lower than that of the peak were also obtained in central and north portion of the area and they are: 450 ± 68°C for T e 4.7 kbar for P and 315 ± 26°C for T and 3.0 kbar for P and may indicate that the mineral equilibrium was not reached in these samples or that they represent the retrometamorphic event. As a concluding remark considering the metamorphic P-T path now obtained one can say that the exhumation process in this area occurred by isothermal decompression.

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This paper is a contribution for the understanding of the geological evolution of Guaxupé Complex. New data on petrography and mineral chemistry as well as estimates of metamorphic (P-T) conditions in the region of Arceburgo - Santa Cruz do Prata (MG) Brazil, at the southern portion of the Brasília Belt, more specifically at the Guaxupé Complex (Domain) are now presented. The lithotypes are high-grade metamorphic rocks subdivided into two groups: metasediments and granulites (orthoderivates). Chemical analysis of minerals was performed in three steps including core and rim of amphibole, pyroxene, feldspar, biotite, and garnet from samples of the following rock types: enderbites, mafic granulites, charnockites, and alkali feldspar charnockites. Results obtained with geothermobarometric calculations show metamorphic peak around 900°C of T and 10 kbar of P. Enderbites and tonalite granulites (mafic) show the highest values of temperature and pressure, while alkali feldspar charnockites show the lowest probably due to their late generation in relation to mafic rock types (enderbites and mafic tonalite granulite). Chemical mineral analysis in metamorphic parageneses and geothermobarometric calculations indicate that the possible metamorphic peak may be higher than 900°C of temperature and around 10 kbar of pressure, within a isothermal decompression (ITD) regime.

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Neoplasms originating in the spinal canal are uncommon in small animal veterinary clinic, but when present can cause significant neurological signs. Anatomically, these neoplasms can be classified as extradural, intradural-extramedullary and medullary. Extradural neoplasms are located outside the dura mater, but they can cause compression of the spinal cord. The chondromas are benign neoplasms characterized by the formation of cartilage and is rarely located in the spinal canal in both human and veterinary medicine. We describe a case of lumbar extradural chondroma in a dog that surgical decompression and removal of the mass allowed the resolution of clinical signs of paralysis with return of function of the hind limbs of the patient.