Multidisciplinary approach to chronic pain from myofascial pain dysfunction syndrome: A four-year experience at a Brazilian center

Chronic pain is the major complaint of myofascial pain dysfunction syndrome (MPDS) and is a complex problem which involves physical, psychological and social aspects, the etiology of MPDS is multifactorial and the multidisciplinary approach is essential for differential diagnosis and for comprehensive treatment planning, In 1993, the Dental School of Piracicaba-UNICAMP, Brazil, opened a Center for Pain Studies (CPS), staffed by health care providers including, dentists, psychologists, physicians, physiotherapists and phonoaudiologists. The major aims of the CPS are to provide clinical care and to develop basic and applied research, Sixty-two MPDS patients had been admitted to the CPS by 1997, There were 60 females and 2 males, mean age -32.5 years, the mean duration of chronic pain was 48 months. Pain intensity and unpleasantness were measured employing the Visual Analogue Scale, the tendency to develop stress-related diseases was assessed by the Social Readjustment de Scale, There was a mean reduction of chronic pain of 69.89% and 71.78% relative to intensity and unpleasantness, respectively, the experience of clinical attendance at a multidisciplinary center showed the relevance of a team consisting of health care providers from different specialties with well-established aims, completely integrated and sensitive enough to understand the painful complaints of MPDS patients.

Morphology of the head and frontal gland in neotropical Nasutitermitinae (Isoptera, Termitidae)

The Nasutitermitinae species are the most diverse and derived of the Isoptera. The phylogeny of this subfamily has been a point of divergence. In an attempt to solve this problem, we propose the use of the morphological features of the head, frontal gland and its associated muscles as phylogenetic characters in some Nasutitermitinae genera. Results found about the head and frontal gland morphology are discussed and suggested to be used in future systematic studies of termites.

Endothelial dysfunction in DOCA-salt hypertension - Possible involvement of prostaglandin endoperoxides

The effects of the arachidonic acid metabolism inhibitors on the acetylcholine responses of aortae from control (CR) and deoxycorticosterone acetate (DOCA)-salt hypertensive (HR) rats were investigated. The acetylcholine decreased response observed in HR [relaxation (%): CR 95.5 +/- 2.7, n = 4; HR 52.0 +/- 6.3, n = 5, p < 0.05] was restored by the cyclooxygenase inhibitor piroxicam [relaxation (%): CR 99.8 +/- 0.2, n = 4; HR 86.0 +/- 4.0, n = 5] and by the thromboxane synthetase inhibitor and the thrombox ane A(2)/prostaglandin H-2 receptor antagonist ridogrel [relaxation (%): CR 92.1 +/- 4.4, n = 7; HR 93.1 +/- 2.0, n = 7] but not by the inhibitors of thromboxane synthetase, prostacyclin synthetase, cytochrome P-450 monooxygenase, and lipoxygenase. So, endoperoxide intermediates seem to be involved in the decreased endothelium-dependent relaxation to acetylcholine in DOCA-salt hypertension. (C) 1999 Elsevier B.V. All rights reserved.

FRONTAL GLAND DEHISCENCE IN THE BRAZILIAN TERMITE SERRITERMES-SERRIFER (ISOPTERA, SERRITERMITIDAE)

The primary function of the soldier caste in the Isoptera is the defense of the termite society. The simplest defense is mechanical with oversized mandibles. Besides the mandibles, some termite soldiers use exocrine glands as a means of chemical defense. These glands produce substances which are toxic and/or repellent to termites enemies. Here we report the only case in the Neotropical fauna of dehiscence of the frontal gland in the soldier caste of the Brazilian termite, Serritermes serrifer (Bates).

LOCATION OF RIBOSOMIC CISTRONS IN THE SALIVARY-GLAND CELLS OF D-MULLERI, D-ARIZONENSIS AND THEIR HYBRIDS

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

MORPHOLOGY OF THE SALIVARY-GLAND ACINI IN GRIGIOTERMES-BEQUAERTI (ISOPTERA, TERMITIDAE, APICOTERMITINAE)

The salivary glands of females in Grigiotermes bequaerti (Snyder & Emerson 1949) are composed of many acini. Within the acini, the secretion is collected by canals that join into excretory ducts that open at the acini are formed of 3 classes of cells: secretory, parietal and canalicular. The secretory cells present 2 distinct types which, however, seem to be only different functional stages. Their secretion appears to be highly fluid and accumulates in vacuoles of low electron density. The morphological features of parietal cells point to an ionic transportation function, since they contain an intracellular canaliculus lined with microvilli, and are rich in mitochondria. The final product of the gland may result from the interaction of these 2 cells. The canicular cells located within the acini, in addition to constituting the way of secretion elimination, may have a support function serving as a point of aggregation an interconnection of secretory and parietal cells.

Chemical Composition of Metapleural Gland Secretions of Fungus-Growing and Non-fungus-growing Ants

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Interleukin-8 as a prognostic serum marker in canine mammary gland neoplasias

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Gingival metastasis from salivary duct carcinoma of the parotid gland

Background: This article reports a rare case of metastasis of salivary duct carcinoma of the parotid gland to the gingiva and reviews the occurrence of metastatic processes to the oral mucosa.Methods: A 67-year-old white male presented with a chief complaint of a painless nodular tissue growth on the gingiva with reportedly 5 months of evolution. The intraoral examination revealed a reddish, superflcially ulcerated nodular lesion (similar to 2 cm in diameter) on the right mandibular buccal attached gingiva, and the clinical aspect was that of a benign reactive lesion. The patient had undergone a parotidectomy for removal of a salivary duct carcinoma of the parotid gland almost 1 year before. A biopsy of the gingival lesion was performed, and the biopsied tissue was forwarded for histopathologic examination.Results: The analysis of the histopathologic sections of the gingival lesion revealed histomorphologic characteristics very similar to those of the primary parotid gland tumor. The definitive diagnosis was gingival metastasis from a salivary duct carcinoma of the parotid gland. The patient died of complications of a pulmonary metastasis I month after the diagnosis of the oral metastatic lesion.Conclusions: Gingival lesions that mimic reactive and hyperplastic lesions may be metastases from malignant neoplasias of diverse origins. An accurate and timely diagnosis is crucial to establish proper and immediate treatment of the metastatic tumor and possibly identify an occult primary malignant neoplasia.