877 resultados para First psychotherapy case
Resumo:
Relata-se a ocorrência de Learedius learedi Price 1934 (Digenea, Spirorchiidae) em Chelonia mydas Linnaeus 1758 (Testudines, Chelonidae) no Brasil. Onze animais foram examinados e destes, 54,6% estavam parasitados. Duzentos e cinqüenta e cinco exemplares de L. learedi foram recuperados de órgãos (coração, fígado, baço, pulmões, rins, mesentério) e do lavado corporal dos animais. Os resultados contribuem para o conhecimento da helmintofauna de quelônios marinhos e sua distribuição geográfica. Este é o primeiro registro da ocorrência de L. learedi na região do Atlântico Sul Ocidental.
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O tapir ou anta, descrito como o maior mamífero terrestre brasileiro, pertence à ordem Perissodactila, subordem Hippomorfa, superfamília Tapiroidea e família Tapiridae. Na floresta úmida está envolvido com a dispersão de sementes em função das características do tubo digestivo. O acompanhamento do ciclo estral permite avaliar e compreender a atividade reprodutiva nas espécies animais. Nos animais silvestres, o estresse da contenção pode interferir na própria ciclicidade gonadal, uma das alternativas é o acompanhamento dos hormônios gonadais nas excretas. Buscamos neste trabalho o acompanhamento periódico da atividade gonadal através da quantificação de progesterona no leite. Utilizamos uma fêmea recém-parida no Zoológico de Araçatuba, da qual colhemos leite, esfregaço vaginal e temperatura retal. A progesterona foi quantificada por radioimunoensaio de fase sólida (Coat-a-Count, DPC®) com curva padrão fornecida pela F.A.O. O ensaio mostrou sensibilidade de 1,25 nmol/l com coeficiente de variação intra-ensaio de 15,36%. Durante a fase de lactação, a fêmea não apresentou níveis detectáveis de progesterona por 158 dias (de novembro a abril). O primeiro pico de produção foi de 2,3 nmol/l e apresentou duração de 5 dias. O segundo pico de 3,54 nmol/l teve uma duração de 23 dias. Setenta e quatro dias após o aparecimento da progesterona no leite a lactação cessou. Podemos concluir que a fêmea de tapir apresentou um período de anestro lactacional de aproximadamente 5 meses e voltou a ciclar no outono (abril) sugerindo pouca influência do fotoperíodo. A quantificação da progesterona no leite mostrou-se útil para o acompanhamento do ciclo estral na espécie, porém a variação da citologia vaginal e temperatura retal não apresentaram correlação com os níveis hormonais.
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We describe, for the first time, the predatory behaviour of Thaumatomyrmex ants on millipedes of the family Polyxenidae, based on field observations of T. atrox and a field and laboratory study of T. contumax. The capture of the prey and the removal process of its body-covering setae by the ants before they eat the millipede are described. This specialized behaviour in at least two species of the genus, belonging to two distinct groups of species, indicates a general trend in Thaumatomyrmex. We coupled this study with a comparative morphological analysis of the mouthparts and digestive tube of these and other Thaumatomyrmex species. Also, we report the first case of sympatry in the genus, which suggests that Thaumatomyrmex includes several species. and not only one highly variable taxon, as hypothesized earlier.
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Tooth transpositions present at a relatively low incidence in the world population and primarily affect maxillary canines and premolars. Treatment of this disturbance should take into account aspects such as facial pattern, age, malocclusion, tooth-size discrepancy, stage of eruption, and magnitude of the transposition. Mechanics for correction should be entirely individualized, reducing the risks and adverse effects. Practitioners often select simpler options, indicating extraction of permanent teeth, which is an irreversible procedure that may bring about damages to the patient. This study presents a case report and treatment of unilateral transposition of maxillary canine and premolar with repositioning of affected teeth to their respective normal positions.
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The chromosomes of Hyla fuscovaria, H. hayii and II. prasina, with 2n=24, and of Hyla sp. (aff. circumdata), a new species, with 2n=24 and 2n=25, were studied.The karyotypes with 2n=24 in the four species were very similar, with almost no differences in the size and morphology of the chromosomes. The numerical variability found in Hyla sp. (aff. circumdata) is due to the occurrence of a supernumerary chromosome in some specimens. NOR data obtained for the first time in the four species and C banding analysis of H. prasina indicate that such types of banding may be useful to differentiate species with very similar karyotypes, contributing to the understanding of chromosome evolution and the establishment of phylogenetic relationships among Brazilian Hyla species.
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Analytical models for studying the dynamical behaviour of objects near interior, mean motion resonances are reviewed in the context of the planar, circular, restricted three-body problem. The predicted widths of the resonances are compared with the results of numerical integrations using Poincare surfaces of section with a mass ratio of 10(-3) (similar to the Jupiter-Sun case). It is shown that for very low eccentricities the phase space between the 2:1 and 3:2 resonances is predominantly regular, contrary to simple theoretical predictions based on overlapping resonance. A numerical study of the 'evolution' of the stable equilibrium point of the 3:2 resonance as a function of the Jacobi constant shows how apocentric libration at the 2:1 resonance arises; there is evidence of a similar mechanism being responsible for the centre of the 4:3 resonance evolving towards 3:2 apocentric libration. This effect is due to perturbations from other resonances and demonstrates that resonances cannot be considered in isolation. on theoretical grounds the maximum libration width of first-order resonances should increase as the orbit of the perturbing secondary is approached. However, in reality the width decreases due to the chaotic effect of nearby resonances.
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The possibility of reducing morbidity associated with surgical dissection while maintaining accurate tumor staging is one of the greatest advantages of the sentinel node approach in surgical oncology. The sentinel node mapping has already proven to be useful in melanoma, breast cancer, and vulvar cancer. We report the first case of sentinel node detection by technetium-labeled radiocolloid in a pregnant woman with cervical cancer. The histologic analysis of the operative specimen showed a poorly differentiated squamous carcinoma with metastasis in the sentinel node and a neoplasic embolus in a blood vessel of the placental bed. The lymphatic mapping and sentinel lymph node detection are feasible during pregnancy.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Background: The aim of this report was to describe the clinical signs, diagnostic approach, treatment and outcome in the case of a tiger with a deformity of the paw.Case presentation: A 1.5-year-old tiger (Panthera tigris) was presented with lameness of the left thoracic limb. A deformity involving the first and second metacarpal bones, and a soft tissue separation between the second and third metacarpal bones of the left front paw were observed. The second digit constantly struck the ground during locomotion. Based on the physical and radiographic evaluations, a diagnosis of ectrodactyly was made. A soft tissue reconstruction of the cleft with excision of both the second digit and distal portion of the second metacarpal bone was performed. Marked improvement of the locomotion was observed after surgical treatment, although the tiger showed a low degree of lameness probably associated with the discrepancy in length between the thoracic limbs.Conclusion: This report shows a rare deformity in an exotic feline that it is compatible to ectrodactyly. Reconstructive surgery of the cleft resulted in significant improvement of limb function.
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In this paper we present technical and economic studies of cogeneration systems utilizing combustion engines and gas turbines, applied in two establishments of the tertiary sector, regarding Brazilian conditions (according to Silveria, 1994). In the first step cogeneration systems utilizing combustion engines associated to absorption refrigeration systems are studied, in which electricity and cold air for a university building rate produced. In the second step some possibilities of the use of the gas turbine in cogeneration systems for a hospital are shown. In this case, the exhaust gases are utilized for the production of steam in a heat recovery steam generator (HRSG) or cold water in an absorption refrigeration system (for air conditioning) for the hospital building. The dynamic increment of the energy demand of Brazilian tertiary sector in last years can increase the installation of these cogeneration system (in compact version) as well as strengthen the development of the decentralized energy generation in Brazil.
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During 9-11 August 1988, a cyclone developed over Uruguay in the lee of the Andes Mountains and moved over the South Atlantic Ocean, where it redeveloped into an intense storm. This storm was responsible for unusual wave activity along the Brazilian shoreline from 22° to 32°S. The Brazilian news media reported the loss of at least one life, waves of 3 m and higher, and the disappearance of a drainage pipe, which weighed 8000 kg, off the shores of Rio de Janeiro. In this paper, the evolution of this intense storm and the associated ocean wave response is studied through European Centre for Medium-Range Weather Forecasts analyses, a hydrostatic limited-area meteorological model, and a second-generation prognostic wave model. The atmospheric model results indicated the presence of a long-lived and large fetch with surface wind velocities higher than 12 m s -1 directed toward the coast. Some areas with velocities of 20 m s -1 were embedded in the fetch. The wave model forced by this wind field was able to simulate waves with a significant height of 8 m far from the coast and about 4 m in regions very close to the Brazilian coast in agreement with the occurrence reported at Rio de Janeiro. The swell propagation toward the coast of Rio de Janeiro was obstructed by a northeastward 10-m wind during the first 24-h period of the model's integration. During the second 24-h period, the fetch was still large and strong, but the obstacle was removed by a counterclockwise rotation of wind direction favoring the swell and windsea propagation toward the Rio de Janeiro coast.
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Report of a patient with the hydrocephalic and meningoencephalitic form of neurocysticercosis who simultaneously developed polyradiculoneuropathy and intracranial hypertension syndrome during the first week of treatment with albendazole. Etiologic agents associated with polyradiculoneuropathy related in the literature are cited. Some comments about the possible physiopathogeny of this entity in the presence of cysticercosis are also done. It is mentioned another case who presented polyradiculoneuropathy as the only manifestation of a probable cysticercosis of the nervous system. In this presented case, including the neurocysticercosis and even a mere coincidence of facts, some factors can have a relationship with the appearance of polyradiculoneuropathy as the surgical stress, the stress due to the severity of the clinical picture and the possible side effect of albendazole.
Resumo:
Analytical models for studying the dynamical behaviour of objects near interior, mean motion resonances are reviewed in the context of the planar, circular, restricted threebody problem. The predicted widths of the resonances are compared with the results of numerical integrations using Poincaré surfaces of section with a mass ratio of 10-3 (similar to the Jupiter-Sun case). It is shown that for very low eccentricities the phase space between the 2:1 and 3:2 resonances is predominantly regular, contrary to simple theoretical predictions based on overlapping resonance. A numerical study of the 'evolution' of the stable equilibrium point of the 3:2 resonance as a function of the Jacobi constant shows how apocentric libration at the 2:1 resonance arises; there is evidence of a similar mechanism being responsible for the centre of the 4:3 resonance evolving towards 3:2 apocentric libration. This effect is due to perturbations from other resonances and demonstrates that resonances cannot be considered in isolation. On theoretical grounds the maximum libration width of first-order resonances should increase as the orbit of the perturbing secondary is approached. However, in reality the width decreases due to the chaotic effect of nearby resonances.
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BACKGROUND: Metastasis of renal cell carcinoma to the vagina is rare, although it may be the first evidence of the existence of the primary tumor. CASE: A metastatic deposit of renal cell carcinoma in the vagina was diagnosed by cytology as clear cell adenocarcinoma, which was confirmed by biopsy. Radiographic and ultrasound examinations confirmed the renal site of origin, which was corroborated by immunohistochemistry of the biopsy specimen. CONCLUSION: When a cytologic diagnosis of vaginal clear cell adenocarcinoma is made, metastasis of renal cell carcinoma should be considered in the differential diagnosis.
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We report a case of a pleomorphic xantoastrocytoma which manifested itself as a cystic isodense lesion in the right fronto-temporal lobe in a 26 year-old woman. It appeared as a soft yellow tumor with cystic cavities on surgery. Five months after this surgery, the patient was submitted to a new operation, which revealed a friable tumor, easily differentiated from the normal parenchyma, with cystic components. The histopathological examination demonstrated pleomorphic xanthoastrocytoma with malignant transformation. Histologically, the tumor at first procedure was composed of pleomorphic astrocytes with multinucleated and foamy cells. A rare case of malignant transformation in pleomorphic xanthoastrocytoma is presented, discussed and illustrated in this paper.