Carcinoma de lábio com prognóstico sombrio devido conduta médica inadequada

The Squamous Cell Carcinoma is what more happens among the oral cancers, being considered sweats incidence in more than 90%. As important prognostic factor competes the early diagnosis and the immediate institution of the treatment, that it can involve radiotherapy and chemotherapy besides the surgery. The initial lesions don’t offer great diagnostic difficulties and now complemental laboratory exams define the diagnosis quickly, In the present report, the initial medical conduct was inadequate, with incomplete interpretation of the laboratorial result and adoption of inadequate therapeutic conduct, what resulted in constant evolution of the lesion. The patient came to the consultation with that medical history, after six months of the first attendance accomplished in another center. To the physical exam, infiltrative ulcerated lesion was observed in the lower lip, with having accentuated tissue loss superficially. The patient accused spontaneous pain and she did use an ointment, recommended six months ago for occasion of the first attendance. As diagnostic conduct was indicated the accomplishment of cytology and biopsy, being defined the diagnosis of Squamous Cell Carcinoma. The patient was immediately guided to the medical service of its municipal district for manegement of the specialized oncologic treatment. The patient was submitted the surgery followed by radiotherapy, being verified involvement of another structures by contiguity. Now, the patient meets abed, without viable perspectives of cure. The present report emphasizes the importance of the clinical knowledge and professional responsibility in attendance of cases of that nature.

Manifestación bucal de paracoccidiodomicosis asociada a aspergilosis: presentación de caso

Paracoccidioidomycosis and aspergillosis are, respectively, mycosis caused by Paracoccidioides brasiliensis and Aspergillus fumigatus fungi, which, most frequently, attack the lungs and later spread to other body regions. The association between both mycosis is rare in patients that do not present immunosuppression. A 49-year-old man presented with oral lesion, besides lesions on palatum, retromolar and oropharyngeal regions. Histopathological and microbiological exams confirmed the diagnosis of paracoccidioidomycosis associated to aspergillosis. Historically, fungi have been considered as the cause of relatively important infections, but, in the last years, a significant increase of diseases caused by fungi is evidenced. The recognition of the etiological agent in culture is important for the suitable treatment, once these fungi can cause irreversible damages or even death. The purpose of this study was to demonstrate, through the case of a patient who presented both mycosis associated, the need of complementary exams for the diagnosis of oral diseases, when routine laboratorial exams indicate the presence of another disease associated.

Comparação entre dois métodos de detecção de DNA de papilomavírus humano em carcinoma epidermoide de lábio

Introdução: Recentemente o papilomavírus humano (HPV) tem sido associado à carcinogênese oral. A metodologia empregada na detecção do vírus é uma das maiores causas observadas da grande variabilidade nas taxas de detecção do HPV. Objetivo: Este estudo comparou a sensibilidade de detecção do DNA do HPV em casos de carcinoma epidermoide de lábio utilizando a amplificação do DNA viral por reação em cadeia da polimerase (PCR) ou nPCR. Material e método: Foram utilizadas 33 amostras provenientes de casos de carcinoma epidermoide de lábio. Para as extrações do DNA utilizou-se o sistema QIAamp DNA Mini Kit. Como controle interno utilizou-se o gene da b-globina. Das 33 amostras iniciais, 30 foram positivas para o gene b-globina, sendo utilizadas para detectar o DNA viral. Comparou-se a amplificação do DNA viral pelos métodos da PCR com os oligonucleotídeos MY09/MY11 e nPCR, empregando-se os pares de oligonucleotídeos iniciadores MY09/MY11 e, na segunda etapa, o par GP5+/GP6+. O controle positivo para a presença do DNA do HPV utilizado foi a linhagem de células HeLa e, como controle negativo, a mistura de amplificação sem DNA. A análise dos produtos de PCR e nPCR para HPV foi realizada por eletroforese em gel de poliacrilamida a 8%. Resultados: Utilizando-se o método da PCR, a amplificação do DNA do HPV foi constatada em dois casos. Com a nPCR foi verificada presença de DNA viral em 13 das 30 amostras. Conclusão: Com a utilização da nPCR, a detecção do HPV nos casos estudados aumentou mais de seis vezes.

Análise do pré-mix de breu esterificado e policloreto de alumínio como agente de colagem interna em sistemas alcalinos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Deteccão de complexos QRS em eletrocardiogramas baseada na decomposição em valores singulares em multirresolução

Pós-graduação em Engenharia Elétrica - FEIS

Fatores microbiológicos e imunológicos envolvidos no desenvolvimento da cárie precoce da infância

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

A pesquisa em psicologia: ensaio sobre a Psicologia enquanto ciência, a pesquisa qualitativa e o uso da entrevista como principal instrumento de coleta de dados

For constituting itself a science, Psychology has coursed along way. From the time he was considered a Philosophy’s discipline until to be recognized as a legitimate science, Psychology had to devoteto the definition of its object of study, the development and refinement of theoretical-methodological frameworks and, in particular, to consolidation process of their research strategies and knowledge construction. Therefore, in order to regard the demands of the classical scientific paradigm, which is very influenced by Positivism, Psychology made use, initially, of quantitative methodology and laboratory research. This article presents some of the process of identity construction of Psychology as a science, focusing on its transition path between the quantitativist paradigm of scientific knowledge production to the qualitativist paradigm, until that is more commonly practiced nowadays: the collaborative use of these methodological strategies. For presenting the qualitative researching Psychology, we discussed, beyond its proposal and differentiation elements in relation to quantitative research, the different methods used for this mode and, in particular, the interview - which is considered the main way of data collection in surveys conducted by psychologists and, therefore, it is an important element the process of knowledge building that science, in addition to being the most qualified space for dialogue between there searcher and the research subject.

Evaluation of a plastic composite produced with residues of sugarcane bagasse and polypropylene without additives

In this research the aim was produce and evaluate a plastic composite using recycled polypropylene (PP) and fibers from sugarcane bagasse residues (SC), without the use of additives. This analysis was based on laboratorial tests for physical and mechanical characterization, according to the standards ASTM D256-00, D638-101 and D570-98 were analyzed: water absorption, thickness swelling, impact resistance, tensile strength and its correspondent deformation. For comparison it was elaborated three different compositions: 100% PP; 80% PP+20%SC; 70%PP+30%SC. The results indicate a positive correlation with the content of fiber and water absorption and thickness swelling. In the tension tests, the composites with fibers increase the value of resistance for physical efforts, bringing advantages as durability and integrity of the material, showing a viability of the composites.

Evaluation of a plastic composite produced with residues of sugarcane bagasse and polypropylene wihtout additives

In this research the aim was produce and evaluate a plastic composite using recycled polypropylene (PP) and fibers from sugarcane bagasse residues (SC), without the use of additives. This analysis was based on laboratorial tests for physical and mechanical characterization, according to the standards ASTM D256-00, D638-101 and D570-98 were analyzed: water absorption, thickness swelling, impact resistance, tensile strength and its correspondent deformation. For comparison it was elaborated three different compositions: 100% PP; 80% PP+20%SC; 70%PP+30%SC. The results indicate a positive correlation with the content of fiber and water absorption and thickness swelling. In the tension tests, the composites with fibers increase the value of resistance for physical efforts, bringing advantages as durability and integrity of the material, showing a viability of the composites.

Avaliação da prevalência e das repercussões clínicas da associação entre doença pulmonar obstrutiva crônica e doença coronariana crônica

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

O Laboratório didático de química e a educação a distância: investigação preliminar de uma atividade prática

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Redução do MELD em paciente em lista de transplante hepático após o uso de aminoácidos de cadeia ramificada: relato de caso

Liver cirrhosis (LC) is a disease with high mortality rates and its only definitive treatment is the orthotopic liver transplantation (OLT). Unfortunately, not all patients have access to OLT and many of them end up dying on the transplant waiting list. The use of branched chain amino acids (BCAA) is widely known as an effective treatment for improving the quality of life of these patients. For the first time, in this paper we documented a great improvement of clinical and laboratorial tests of a patient treated with BCAA, which allowed him to be out of the transplant waiting list. In addition to the increase of the MELD score, the patient achieved restabilization of body weight and recovery of the quality of life registered by the SF-36 questionnaire.

Hipotireoidismo em cães: revisão

Hypothyroidism is one of the most frequent endocrinopathies in dogs, affecting preferentially middle-aged, pure breed animals. Associated clinical signs are variable and often non-specific, including metabolic, dermatological or cardiovascular alterations. The main laboratorial findings are non-regenerative anemia and hypercholesterolemia. Hyponatremia and an increase in alanine transferase and alkaline phosphatase activities can also be observed with lower frequency. There are specific diagnostic tests that can be used to help diagnose hypothyroidism, and those should be interpreted in the light of the animal´s clinical symptoms. The levels of thyroxine stimulating hormone (TSH) and both free and total thyroxine (T4) are the most used hormonal tests. It is important to differentiate between hypothyroidism and the euthyroid sick syndrome, a condition that may be caused by severe diseases such as hyperadrenocorticism and lead to decreased TSH and T4 levels as well. Levothyroxine sodium is the standard treatment. The main objective of this paper is to review hypothyroidism in dogs, since this is a very common disease in small animal clinics, but with difficult diagnosis.

Hiperadrenocorticismo em cães: revisão

Hyperadrenocorticism is a relatively common endocrinopathy in dogs, which is associated to an excessive production or administration of cortisol. The most affected breeds are Poodles, Teckels, Boxers, Boston Terriers and Beagles. The clinical signs most commonly observed are polyuria, polydipsia, polyfagia, panting, distended abdomen, endocrine alopecia, muscular weakness and lethargy. Laboratorial abnormalities include stress leukogram, increase in alkaline phosphatase and alanine aminotransferase activities, hypercholesterolemia, lipemia, hyperglycemia and hyposthenuria. The preferred essay to evaluate adrenal gland function is the low-dose dexamethasone suppression test, whereas the most used treatments include mitotane and trilostane. The objective of this paper is to review hyperadrenocorticism in dogs, because this disease is relatively common in small animal clinics and has many long-term complications.

Monitoramento do tempo de prensagem e do comportamento da temperatura através da espessura de painéis LVL (Laminated veneer lumber)

The aim of this study was to analyze the behavior of the flow of heat (temperature) through the thickness of panels LVL (Laminated veneer lumber) produced with phenol formaldehyde adhesive, in laboratorial and industrial scales. Experimental program was conducted with five LVL panels (three produced in laboratorial scale and two in industrial scale) with different arrangements of a mix of commercial veneers from tropical pinus from the south region of Sao Paulo State, Brazil, bonded using phenol formaldehyde adhesive. The temperature inside the panels during the pressing process was evaluated using thermocouples type T (cooper-constantan), installed mostly in the center of the glue lines and connected to a data acquisition system. The graphics of temperature as a function of the time showed a gradual increase of temperature up to pre-set values, remaining constant from them. The temperature reached at the center of the panels was adequate to promote the curing of the adhesive. These pre-set values were similar to the minimum values presented by other authors and manufacturers of these adhesives that affirm that temperatures above 100ºC at the center of laminated panels bonded with phenolic adhesives are sufficient to ensure proper cure of the resin. The time necessary for curing of the adhesives confirmed the validity of practical expressions provided by adhesive manufacturers.