A influência da luz laser de baixa energia na prevenção de mucosite oral em crianças e adolescentes com câncer

Objetivo: Este estudo teve como objetivo avaliar a influência do laser de baixa energia na prevenção ou redução de mucosite oral em crianças e adolescentes. Pacientes e Métodos: Este trabalho foi um ensaio clínico randomizado cego. Pacientes de três a 18 anos tratados com quimioterapia ou transplante de células progenitoras hematopoéticas entre maio de 2003 e fevereiro de 2005 foram incluídos no estudo. Nos pacientes do grupo intervenção foi aplicado laser na mucosa oral por cinco dias, a partir do primeiro dia da quimioterapia. As avaliações orais foram realizadas no primeiro dia, no oitavo e no 15º dia após o início do tratamento, utilizando-se a escala para avaliação do grau de mucosite oral recomendada pela Organização Mundial de Saúde de 1998. As avaliações foram realizadas pelo mesmo examinador, sem envolvimento na randomização. Resultados: Sessenta pacientes foram incluídos no estudo, 39 (65%) foram meninos, 35 (58%) tinham diagnóstico de leucemias e linfomas e 25 (42%) tinham diagnóstico de tumores sólidos. A média de idade foi 8,7 ± 4,3 anos. Vinte e nove pacientes foram randomizados para receber a intervenção e 31 para o grupo controle. Nenhum paciente teve evidência de mucosite oral na primeira avaliação. Na segunda avaliação, no dia oito, 20 pacientes (36%) desenvolveram mucosite, 13 deles eram do grupo que recebeu laser e sete do grupo controle. Na terceira avaliação, no dia 15, 24 (41%) pacientes desenvolveram mucosite oral, 13 deles foram do grupo laser e 11 do grupo controle. Não houve diferença estatisticamente significativa entre os grupos para o grau de mucosite oral no dia oito (P=0,234), nem no dia 15 (P=0,208). Conclusão: O uso do laser de baixa intensidade não mostrou evidências suficientes que possam justificar a sua recomendação como medida preventiva para mucosite oral em crianças e adolescentes submetidas à quimioterapia.

Influence of Bioactive Glass and/or Acellular Dermal Matrix on Bone Healing of Surgically Created Defects in Rat Tibiae: A Histological and Histometric Study

The purpose of this study was to histologically analyze the influence of bioactive glass and/or acellular dermal matrix on bone healing in surgically created defects in the tibiae of 64 rats (Rattus norvegicus, albinus, Wistar). Materials and Methods: A 4-mm X 3-mm unicortical defect was created on the anterolateral surface of the tibia. Animals were divided into 4 groups: C, control; BG, the defect was filled with bioactive glass; ADM, the defect was covered with acellular dermal matrix; and BG/ADM, the defect was filled with bioactive glass and covered with acellular dermal matrix. Animals were sacrificed at 10 or 30 days postoperatively, and the specimens were removed for histologic processing. The formation of new bone in the cortical area of the defect was evaluated histomorphometrically. Results: At 10 and 30 days postoperatively, groups C (39.65% +/- 5.63% / 63.34% +/- 5.22%) and ADM (38.12% +/- 5.53 / 58.96% +/- 7.05%) presented a larger amount of bone formation compared to the other groups (P<.05). In the same periods, groups BG (13.10% +/- 6.29% / 29.5% +/- 5.56%) and BG/ADM (20.72% +/- 8.31% / 24.19% +/- 6.69%) exhibited statistically similar new bone formation. However, unlike the other groups, group BG/ADM did not present a significant increase in bone formation between the 2 time points. Conclusion: Based on these results, it can be concluded that all of the materials used in this study delayed bone healing in non-critical-size defects. INT J ORAL MAXILLOFAC IMPLANTS 2008;23:811-817

Avances en la implementación de indicadores de desempeño en los organismos públicos del Perú

Incluye Bibliografía

Estudo sobre a trajetória de coorte masculina ao nascer e seu grau de escolaridade aos 18 anos

Pós-graduação em Educação para a Ciência - FC

Co-infecção por Ehrlichia canis, Leishmania chagasi e Babesia canis em cães naturalmente infectados em Campo Grande, Mato Grosso do Sul

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Molecular and serological detection of tick-borne pathogens in dogs from an area endemic for Leishmania infantum in Mato Grosso do Sul, Brazil

Patógenos transmitidos por carrapatos atingem uma variedade de hospedeiros vertebrados. Para identificar os agentes patogênicos transmitidos por carrapatos entre cães soropositivos para Leishmania infantum no município Campo Grande-MS, foi realizado um estudo sorológico e molecular para a detecção de Ehrlichia canis, Anaplasma platys e Babesia vogeli em 60 amostras de soro e baço, respectivamente. Adicionalmente, foi realizado o diagnóstico confirmatório de L. infantum por meio de técnicas sorológicas e moleculares. Também foi realizado o alinhamento e análise filogenética das sequências para indicar a identidade das espécies de parasitas que infectam esses animais. Anticorpos IgG anti-Ehrlichia spp., anti-B. vogeli e anti-L. infantum foram detectados em 39 (65%), 49 (81,6%) e 60 (100%) dos cães amostrados, respectivamente. Vinte e sete (45%), cinquenta e quatro (90%), cinquenta e três (88,3%), dois (3,3%) e um (1,6%) cães mostraram-se positivos na PCR para E. canis, Leishmania spp., Leishmania donovani complex, Babesia sp. e Anaplasma sp., respectivamente. Após o seqüenciamento, os amplicons mostraram 99% de similaridade com isolados de E. canis, B. vogeli e A. platys e Leishmania chagasi. Os resultados deste estudo indicaram que os cães soropositivos para L. infantum de Campo Grande, MS, são expostos a vários agentes transmitidos por carrapatos, e, portanto, devem ser incluídos no diagnóstico diferencial em cães com suspeita clínica de leishmaniose.

Camões y Lucano

Camoens, the great Portuguese epic, was a Lucan’s reader, although it seems forgotten by some critics. Among the ancient writers who have influenced Camoens’ text, the Latin poet Lucan (AD 65) receives a smaller, but not irrelevant attention. This paper presents some allusions to Lucan in Os Lusíadas of Camoens, specially exploiting a long imitation of Pharsalia, II, 585-595.

Dimensionamento de pessoal de enfermagem na atenção básica em uma região de saúde

Pós-graduação em Enfermagem - FMB

Morphological and Biometric Study of the Infraorbital Foramen (E2-Sibai Point) in Adult Skulls

The objective of this work was to study the morphology and biometry of the infraorbital foramen (FIO), variations in its shape, size and number as well as to obtain measurements of its location. 60 dry skulls were analyzed. The test of Qui-quadrant and the T Test were used in measurements with a 5% significance. On the right side, the FIO was measured at a distance of 6.49(+/- 1.68) mm from the lower, 39.65(+/- 3) mm from the upper, 17.7(+/- 2.97) mm from the medial and 20.46(+/- 2.9) mm from the lateral margin of the orbit; its pear-shaped opening distance was 13.67(+/- 2.17) mm. On the left side, the distance of the FIO to the lower margin of the orbit was 6.52(+/- 1.82) mm; to the upper margin was 39.9(+/- 2.62) mm and to the lateral and medial margin were 17.93(+/- 2.58) mm and 21.12(+/- 3) mm, respectively; its distance to the pear-shaped opening was 14.26(+/- 1.83) mm. It was found predominately in an oval shape, in 39 (65%) of the skulls, on both sides. Accessory foramens were present in 11 samples on the right and in 15 samples on the left side. The FIO was most frequently found on the side of, or laterally to the sagittal plane that passes through the middle of the supraorbital foramen/incisures, in 38 skulls (63.3%) on the right side and in 45 skulls (75%) on the left and middle to the zigomatic-maxillary suture, in 41 skulls (68.3%) on right and in 42 skulls (70%) on the left side, besides being most frequently found in a region between the first and second premolars, in 22 skulls (36.7%) on the right side and in 17 skulls (28.3%) on the left.

Die Brachiopoen des Callovien im zentralen Nordwestschweizer Jura

Im Rahmen einer lithologischen, biostratigraphischen und faziellen Neubearbeitung des Callovien im zentralen Nordwestschweizer Jura werden auch verschiedene Faunenelemente berücksichtigt und untersucht. In dieser Arbeit wird im ersten Teil die Fazies von vier lithologischen Einheiten (Châtillon-, Bollement-, Herznach- und Graitery-Member) vorgestellt, die Brachiopoden führen. Diese sind im zweiten Teil näher beschrieben. Dabei konnten im Untersuchungsgebiet 21 Arten festgestellt werden: 6 Rhynchonelliden, 15 Terebratuliden (davon 7 Terebratulidinen und 8 Terebratellidinen). 8 Spezies sind nicht nur im Untersuchungsgebiet erstmals nachgewiesen worden, sie sind für das ganze Gebiet der Schweiz neu: Fortunella? acutiloba, Septaliphoria orbignyana, Dictyothyris smithi, orsoplicathyris flexuosa, Antiptychina bivallata, Aulacothyris hypocirta, Digonella cf. pseudoantiplecta, „Zeilleria“ cf. biappendiculata.

Part of the global DOC versus AOU (dissolved organic carbon/apparent oxygen utilization) data compilation, Azores-I

Temperate, transitional and subtropical waters of the remote Azores Front region east of Azores (24-40°N, 22-32°W) were sampled during three cruises conducted under increasing stratification conditions (April 1999, May 1997 and August 1998). Despite the temporal increase of surface temperature (by 5 °C) and stratification (by 2.1 1/min**2), as well as the thermocline shoaling (by ~15 m), dissolved organic carbon (DOC) and nitrogen (DON) in the surface layer were not significantly different for the early spring, late spring and summer periods, with average concentrations of 69±2 µM-C and 5.2±0.4 µM-N, respectively. The surface excess of semi-labile DOC, compared with the baseline DOC concentration in the deep ocean (47±2 µM-C), represents 33% of the bulk DOC concentration and as much as 85% of the TOC (=POC+DOC) excess. When compared with the winter baseline (56±2 µM-C), the seasonal surface DOC excess is 20% of the bulk DOC concentration and 87% of the seasonal TOC excess. These results confirm the major role played by DOC in the carbon cycle of surface waters of the Azores Front region. The total amount of bioreactive DOC transported from the temperate to the subtropical North Atlantic by the Ekman flux between March and December represents only ~15% of the average annual primary production, and ~15% and ~30% of the measured sinking POC flux+vertical DOC eddy diffusion during early spring and summer, respectively. Vertical eddy diffusion is 35% and 2% of the spring and summer sinking POC flux, respectively. On the other hand, DOC only contributes 13% to the local oxidation of organic matter in subsurface waters (between the pycnocline and 500 m) of the study region.