544 resultados para Uretra - Enxerto


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Objective: To present a model for research and training in multivisceral transplantation in pigs. Methods: Eight Large White pigs (four donors and four recipients) were operated. The multivisceral transplant with stomach, duodenum, pancreas, liver and intestine was performed similarly to transplantation in humans with a few differences, described below. Anastomoses were performed as follows: end-to-end from the supra-hepatic vena cava of the graft to the recipient juxta diaphragmatic vena cava; end-to-end from the infra-hepatic vena cava of the graft to the inferior (suprarenal) vena cava of the recipient; and endto-side patch of the aorta of the graft to the infrarenal aorta of the recipient plus digestive reconstruction. Results: The performance of the multivisceral transplantion was possible in all four animals. Reperfusions of the multivisceral graft led to a severe ischemia-reperfusion syndrome, despite flushing of the graft. The animals presented with hypotension and the need for high doses of vasoactive drugs, and all of them were sacrificed after discontinuing these drugs. Conclusion: Some alternatives to minimize the ischemia-reperfusion syndrome, such as the use of another vasoactive drug, use of a third pig merely for blood transfusion, presence of an anesthesia team in the operating room, and reduction of the graft, will be the next steps to enable experimental studies.

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Crohn’s disease is a chronic infl ammatory bowel disease with segmental transmural infl ammation, which complicate with formation of fi stulas and abscesses. The hidradenitis suppurativa (HS) is characterized by recurrent abscesses, with a predilection for areas rich in apocrine glands such as the axillary, inguinal and perineal. The differential diagnosis between these diseases is diffi cult and may compromise treatment. Report case: C.R.M.A., 40 year-old, female, white, ileal and colonic Crohn’s disease complicated with perianal and rectovaginal fi stula for 12 years, treated with biological therapy since May 2010. In Sep/2010 presented with an abscess in the buttock D with purulent discharge refractory to the use of ciprofl oxacin and metronidazole. USG: collection of 30 cm3 in buttock D. The diagnosis was HS and the patient underwent extensive surgical removal of the affected areas (10 x 2 cm) with healing by secondary intention. Skin graft performed unsuccessfully in Dec/2010. The patient returned in jan/2011 with a new fi stula at the site of resection, consistent with Crohn’s disease. In fev/2011 underwent drainage of abscesses and placement of setons in perianal fi stulas. Currently in therapy with good biological evolution of fi stulas. The prevalence of HS varies from 0.3 to 4% of the population in general. The axilla is the region most affected and perianal lesions are associated with greater weakness. There are published reports of association between HS and Crohn’s disease sporadically and further studies are needed to assess a common pathogenesis. The differential diagnosis should be performed in all cases planning immediate treatment, avoiding complications and worsening of the patient’s quality of life.

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Contexto: O tumor triquilemal proliferativo é enfermidade pouco comum que se desenvolve a partir de lesões císticas foliculares, com alguns relatos de metástases, porém raras. Relato de caso: Descrevemos o caso de uma paciente de 93 anos, que apresentava tumoração de três centímetros há seis anos em couro cabeludo, que procurou o serviço por complicação associada (infecção). Foi realizada excisão cirúrgica completa, com realização de enxerto cutâneo para fechamento. Conclusões: Essa neoplasia de células escamosas aparentemente tem comportamento intermediário, em relação à malignidade, e necessita acompanhamento a longo prazo. Ainda há necessidade de mais estudos para identificar o porquê de alguns tumores terem comportamento indolente e outros, mais agressivo.

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The production of seedlings of passion fruit is done mainly with the use of seeds by most producers. It can also be propagated by cuttings, layering and in vitro tissue culture. However, even when grafting is used, it is necessary to use seeds to produce the rootstock. Nevertheless, most Passifloracea species have germination problems, making it difficult to obtain seedlings. Although several studies have been developed in an attempt to increase seed germination of passion fruit there are still difficulties in understanding the germination process and also disagreement about seed dormancy. Thus, the present study aimed to review papers related to seed germination of passion fruit emphasizing aspects such as mechanical resistance to water ingress, the need for adequate light and temperature and the use of plant growth regulators in overcoming seed dormancy. It was noticed that, in general, the passion fruit seeds are photoblastic negative and exhibit physiological dormancy, being no need of seed scarification to stimulate its germination.

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Apesar da grande importância da adubação na qualidade das uvas, ainda existem poucos estudos sobre a fertirrigação em videira de vinho no Vale do Submédio São Francisco. Com o objetivo de avaliar a produção de uvas sob a influência de doses de potássio e de adubo orgânico, um experimento foi realizado na Embrapa Semiárido, em Petrolina-PE, com videiras (Vitis vinifera L.), ‘Syrah’, enxertadas sobre o porta-enxerto ‘Paulsen’ 1103 e cultivadas no espaçamento 3 x 1 m. As plantas foram irrigadas por um sistema de gotejamento, com um emissor por planta, com vazão de 2 L h¹. Os tratamentos foram constituídos de cinco doses de potássio (0, 20, 40, 80 e 160 kg ha¹) e duas doses de adubo orgânico (0 e 7,5 m³ qual o adubo orgânico constituiu as parcelas e as doses de potássio as subparcelas. Foram avaliados na colheita o número de cachos por planta, a produção total por planta, o peso médio dos cachos e o rendimento total das plantas. As diferentes doses de potássio aplicadas pelo sistema de irrigação e de adubo orgânico aplicados via solo não influenciaram significativamente as características avaliadas.

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This study aimed at determining the levels of macronutrients (N, P, K, Ca, Mg and S) in grafted plants by contact methods such as bevel, cleft grafting by full rift and approach, as compared to non grafted plants. Analyses were performed in different parts of the plants under fertigation in a greenhouse. The hybrid and rootstock were AF 7125 and AF 8253, respectively. The nutrients were supplied via fertigation during the 150-day cycle. The experiment was carried out at the Teaching, Research and Production Farm in São Manuel city, SP which belongs to FCA-UNESP Campus in Botucatu city/SP. A total of 4 treatments and 5 replications were used. Each plot consisted of 12 plants. Chemical analyses were performed in one plant per plot at 35, 85, 112 and 143 days after transplantation to determine nutrient concentrations. The results showed that the macronutrient concentrations in a decreasing sequence in the vegetative parts (leaf + stem) were as follows: K > N > Ca > Mg > S > P; and in the fruits: K > N > P > S > Mg > Ca. Macronutrient concentrations were similar among grafted plants as compared to ungrafted plants, and the rootstock may have influenced absorption and translocation of minerals in grafted plants.

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Controlled pollination is an important tool in a forest genetic improvement program, which permits to choose parents and make specific crosses maximizing gains and providing superior genotypes in less time than conventional pollination. To verify the needs of the forest companies regarding the conduction of controlled pollination orchards in the breeding program, a specific questionnaire was sent in September 2011 to companies associated to IPEF. The objective of the questionnaire was to collect basic information about the current situation of controlled pollination orchards and check the main difficulties and demands related. It was found that use of the controlled pollination orchard has begun to be used by companies in the Brazilian forest sector just a few years ago and is considered to be very important in breeding programs in order to shorten the time to obtain new genotypes; but there is still need of crucial information regarding the management of these orchards. The main demands are: Basic concepts of flowering induction; homogeneity of flowering; hormonal induction and alternative techniques for flowering; relationship between management and genotypes used; variations in the flowering of different genotypes; management of the orchard in the different phenological phases; process of grafting typesand interaction between graft and rootstock, irrigation systems; species identification and flowering map.

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The graft-versus-host disease is the major cause of morbidity and mortality in patients who have undergone hematopoietic stem cell transplantation. Aiming at contributing to the understanding of the role of myeloid and plasmacytoid dendritic cells, and natural killer cells in chronic graft-versus-host disease, we examined biopsies of jugal mucosa of 26 patients with acute myeloid leukemia who had undergone allogenic hematopoietic stem cell transplantation. Half of these patients developed oral chronic graft-versus-host disease. Microscopic sections were immunohistochemically stained for anti-CD1a, anti-CD123 and anti-CD56. We calculated the number of immunostained cells in the corium per square millimeter and applied the Mann-Whitney test. Results showed a statistically significant increase of myeloid dendritic cells (CD1a+; p=0,02) and natural killer cells (CD56; p=0,04) in patients with oral chronic graft-versus-host disease. CD123 immunostaining showed no statistical difference between groups. It was concluded that myeloid dendritic cells and natural killer cells participate in the development of oral chronic graft-versus-host disease.

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Desde a antiguidade, enxertos e membranas são estudados para promoverem um reparo ósseo otimizado. O reparo ósseo consiste na reabsorção do tecido necrosado e de seu coágulo, juntamente com um processo inflamatório que libera fatores de crescimento que irão reparar o osso danificado. Em algumas situações, o osso lesionado não tem a capacidade de se auto reparar, portanto, são necessárias intervenções cirúrgicas para inserir um enxerto ósseo. Entretanto, há uma grande dificuldade em se encontrar um material que forneça os fatores necessários para o crescimento ósseo. Para isso, foram confeccionadas membranas à base de ácido polilático e poli-ε-caprolactona (PLC) (Purasorb: PLC 7015 - Purac, Holanda), com a incorporação de fosfato de lantânio (PLC/LaPO4) e oxiapatita dopada com 20% de lantânio (PLC/La20OAP) pelo Instituto de Química de Araraquara, UNESP. Assim, o objetivo do presente estudo foi avaliar a citotoxicidade desses materiais por meio dos testes XTT e sobrevivência clonogênica. Os eluatos foram preparados com as membranas citadas de acordo com a ISO 10993-12. O cloridrato de doxorrubicina foi utilizado como controle positivo para ambos os testes. Como Controle Negativo (CN) foram utilizadas somente as células CHO-K1 (sem a ação de qualquer tratamento) por 24 horas. Os eluatos foram mantidos em contato com células CHO-K1 por 24 horas. Como os dados apresentaram aderência à curva normal, foi aplicada a análise de variância (ANOVA) one-way, seguido dos testes de Tukey e Dunnett (p<0,05). Verificou-se que os materiais testados não demonstraram absorbância estatisticamente diferente em relação ao CN (p>0,05; Dunnett - XTT) e também não causaram comprometimento na capacidade proliferativa das células (p>0,05; Dunnett - Sobrevivência clonogênica). Assim, pode-se concluir que as amostras de PLC, PLC/LaPO4 e PLC/La20OAP não apresentaram citotoxicidade em células CHO-K1.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)