Justaposições: o primeiro dicionário brasileiro de língua de sinais e a obra francesa que serviu de matriz

Este estudo documental buscou investigar a constituição em 1875 do primeiro dicionário de língua de sinais do Brasil, a "Iconografia dos Signaes dos Surdos-Mudos", cujo autor, Flausino José da Costa Gama, fora aluno do Imperial Instituto dos Surdos-Mudos no Rio de Janeiro. Essa publicação foi analisada à luz da obra de Pierre Pélissier, surdo francês, que produziu uma obra anterior, a qual Flausino reproduziu na íntegra. A compreensão de como se constituiu a publicação deste dicionário exigiu a contextualização histórica da educação do surdo, e a pesquisa sobre a expansão dos processos de produção litográfica na segunda metade do século XIX. As duas obras foram analisadas quanto a aspectos gerais, forma de indexação lexical, verificação dos sinais que perduraram (38 entre 382), erros de tradução do francês para o português e o que estes verbetes nos dizem sobre os preceitos morais e religiosos subjacentes à educação do surdo à época. A conclusão destaca a importância da iniciativa de propagar da língua brasileira de sinais, com a primeira tentativa de registro há cento e trinta e sete anos atrás.

Analysis of surface hardness of artificially aged resin composites

This study evaluated the effect of artificially accelerated aging (AAA) on the surface hardness of eight composite resins: Filtek Z250, Filtek Supreme, 4 Seasons, Herculite, P60, Tetric Ceram, Charisma, and Filtek Z100. Sixteen specimens were made from the test piece of each material, using an 8.0 × 2.0 mm teflon matrix. After 24 hours, eight specimens from each material were submitted to three surface hardness readings using a Shimadzu Microhardness Tester for 5 seconds at a load of 50 gf. The other eight specimens remained in the artificially accelerated aging machine for 382 hours and were submitted to the same surface hardness analysis. The means of each test specimen were submitted to the Kolmogorov-Smirnov test (p > 0.05), ANOVA and Tukey test (p < 0.05). With regard to hardness (F = 86.74, p < 0.0001) the analysis showed significant differences among the resin composite brands. But aging did not influence the hardness of any of the resin composites (F = 0.39, p = 0.53). In this study, there was interaction between the resin composite brand and the aging factors (F = 4.51, p < 0.0002). It was concluded that notwithstanding the type of resin, AAA did not influence surface hardness. However, with regard to hardness there was a significant difference among the resin brands.

Assessment of cardiovascular risk of patients with arterial hypertension of a public health unit

OBJECTIVE: To assess the cardiovascular risk, using the Framingham risk score, in a sample of hypertensive individuals coming from a public primary care unit. METHODS: The caseload comprised hypertensive individuals according to criteria established by the JNC VII, 2003, of 2003, among 1601 patients followed up in 1999, at the Cardiology and Arterial Hypertension Outpatients Clinic of the Teaching Primary Care Unit, at the Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. The patients were selected by draw, aged over 20 years, both genders, excluding pregnant women. It was a descriptive, cross-sectional, observational study. The Framingham risk score was used to stratify cardiovascular risk of developing coronary artery disease (death or non-fatal acute myocardial infarction). RESULTS: Age range of 27-79 years ( = 63.2 ± 9.58). Out of 382 individuals studied, 270 (70.7%) were female and 139 (36.4%) were characterized as high cardiovascular risk for presenting diabetes mellitus, atherosclerosis documented by event or procedure. Out of 243 stratified patients, 127 (52.3%) had HDL-C < 50 mg/dL; 210 (86.4%) had systolic blood pressure > 120 mmHg; 46 (18.9%) were smokers; 33 (13.6%) had a high cardiovascular risk. Those added to 139 enrolled directly as high cardiovascular risk, totaled up 172 (45%); 77 (20.2%) of medium cardiovascular risk and 133 (34.8%) of low risk. The highest percentage of high cardiovascular risk individuals was aged over 70 years; those of medium risk were aged over 60 years; and the low risk patients were aged 50 to 69 years. CONCLUSION: The significant number of high and medium cardiovascular risk individuals indicates the need to closely follow them up.

Species of Drosophila (Diptera: Drosophilidae) attracted to dung and carrion baited pitfall traps in the Uruguayan Eastern Serranías

This study investigates the species richness and abundance of Drosophila Fallén, 1823 attracted to dung and carrion baited pitfall traps in natural areas with heterogeneous habitats at the Sierra de Minas, Eastern Serranías, southeastern Uruguay. Collecting was carried out on a monthly basis (May 2002 through April 2003). Drosophilids accounted for 0.84% (n = 131) and 3.61% (n = 158) of the Diptera collected from dung (n = 15,630) and carrion (n = 4,382) pitfall traps, respectively. A total of 12 species were identified, 11 of which belong to the subgenus Drosophila (the richest) and one to the subgenus Sophophora Sturtevant, 1939. Over 90% of the Drosophila specimens collected belong to five species of the subgenus Drosophila, namely D. gaucha Jaeger & Salzano, 1953, D. immigrans Sturtevant, 1921, D. mediovittata Frota-Pessoa, 1954, D. aff. nappae Vilela, Valente & Basso-da-Silva, 2004, and D. ornatifrons Duda, 1927. Drosophila cardini Sturtevant, 1916 is recorded for the first time from Uruguay. Drosophila abundance and species richness in the four habitats sampled in the Uruguayan Eastern Serranías, namely woodlands sierra, riparian forest, pine plantation and grazing grassland, were considered to be a function of habitat conservation. Diversity indices were low in all habitats. Different habitats supported particular coprophilous and necrophilous Drosophila species. The woodland sierra represents the most preserved habitat, and contributed with the highest species richness observed. Drosophila ornatifrons was the dominant species, with a restricted habitat distribution. On the other hand, grazed grassland, an environment modified by livestock management, had the lowest species richness: only a few specimens of D. repleta Wollaston, 1858. Regarding species composition, significant differences were found in some pairwise comparisons of groups of Drosophila species that included D. ornatifrons. Fly attraction to dung can be exploited as an alternative and/or complementary collecting method in ecological studies of Drosophila assemblages in natural areas.

Low-level laser therapy in pediatric Bell's palsy: case report in a three-year-old child

Objectives: The objective of this study was to apply low-level laser therapy (LLLT) to accelerate the recovery process of a child patient with Bell's palsy (BP). Design: This was a prospective study. Subject: The subject was a three-year-old boy with a sudden onset of facial asymmetry due to an unknown cause. Materials and methods: The low-level laser source used was a gallium aluminum arsenide semiconductor diode laser device (660nm and 780 nm). No steroids or other medications were given to the child. The laser beam with a 0.04-cm2 spot area, and an aperture with approximately 1-mm diameter, was applied in a continuous emission mode in direct contact with the facial area. The duration of a laser session was between 15 and 30 minutes, depending on the chosen points and the area being treated. Light was applied 10 seconds per point on a maximum number of 80 points, when the entire affected (right) side of the face was irradiated, based on the small laser beam spot size. According to the acupuncture literature, this treatment could also be carried out using 10-20 Chinese acupuncture points, located unilaterally on the face. In this case study, more points were used because the entire affected side of the face (a large area) was irradiated instead of using acupuncture points. Outcome measures: The House-Brackmann grading system was used to monitor the evolution of facial nerve motor function. Photographs were taken after every session, always using the same camera and the same magnitude. The three-year-old boy recovered completely from BP after 11 sessions of LLLT. There were 4 sessions a week for the first 2 weeks, and the total treatment time was 3 weeks. Results: The result of this study was the improvement of facial movement and facial symmetry, with complete reestablishment to normality. Conclusions: LLLT may be an alternative to speed up facial normality in pediatric BP.

Lezione 10 gennaio 2008

Il file contiene il materiale proiettato e discusso a lezione. Va inteso semplicemente come complemento degli appunti presi in quella sede.

Le neoplasie del gatto. Ricerche istologiche e immunoistochimiche

Il contributo di ricerca di questo lavoro è consistito nel rivalutare da un punto di vista diagnostico, classificativo e statistico, una casistica di neoplasie del gatto archiviate in 23 anni (1984-2006). Nei primi 20 anni sono state diagnosticate 1696 neoplasie su un totale di 3682 campioni prevenuti nello stesso periodo, con una prevalenza delle patologie di tipo neoplastico del 46,06%. Nei tre anni successivi sono state individuate 382 neoplasie su un totale di 601 campioni archiviati, con una prevalenza del 61,02%. Le neoplasie avevano per l'81,8% un comportamento maligno, e questo dato risulta coerente con il dato più recente sulla malignità (85,6%) e con quello fornito da altri autori. L'età dei soggetti affetti era simile nei due studi, compresa fra pochi mesi e 22 anni, con il maggior numero di casi fra 9 e 13 anni. Le due casistiche presentano inoltre dati simili riguardo gli organi coinvolti anche se i tumori della mammella sono notevolmente diminuiti negli ultimi anni, con un aumento corrispondente di neoplasie cutanee. I fibrosarcomi, che hanno subito un drastico aumento tra il 1993 e il 1994 si sono mantenuti costanti in tutti gli anni successivi, dato ancora oggi quasi certamente correlabile alle pratiche vaccinali. I linfomi sono risultati piuttosto infrequenti in entrambe le casistiche, comparate con i dati della letteratura in cui vengono riportate percentuali nettamente maggiori. I tumori del cavo orale e dell'intestino hanno mantenuto circa le stesse percentuali di insorgenza nel corso degli anni. Tra i tumori presenti in questo studio, sono stati approfonditi i tumori a carico delle sierose (mesoteliomi) e del polmone attraverso metodiche immunoistochimiche e ultrastrutturali. Nei 23 anni sono stati diagnosticati 10 casi di mesotelioma, di cui 8 coinvolgenti la pleura e due il peritoneo. Su questi casi è stata applicata una metodica immunoistochimica con un pannello anticorpale utilizzato di routine in patologia umana per la diagnosi di mesotelioma e per la diagnosi differenziale con i carcinomi polmonari. Tutti i casi presentavano una doppia positività per vimentina e citocheratine ad ampio spettro; anticorpi specifici come CK5/6 e HBME-1 hanno presentato una buona specificità. Anche la microscopia elettronica si è rivelata di ausilio, mettendo in evidenza la presenza di tonofilamenti citoplasmatici e di microvilli, tipici delle cellule mesoteliali. Le neoplasie polmonari, analogamente a quelle umane hanno, sono notevolmente aumentate negli ultimi anni. Dei 24 casi raccolti tra il materiale di archivio, 14 sono stati diagnosticati negli ultimi 5 anni. Si è rilevata una significativa predisposizione nei gatti di razza Persiana, e le metastasi più frequenti sono state a carico dei linfonodi, del miocardio e dei cuscinetti plantari, analogamente a quanto segnalato in letteratura. L’istotipo più rappresentato è stato il carcinoma squamoso, seguito da adenocarcinomi papillari e bronchioloalveolari. Il pannello immunoistochimico applicato, finalizzato a individuare l’origine broncogena o ghiandolare della neoplasia, è risultato utile per la diagnosi delle forme squamose poco differenziate (CK 5/6 e CK 14). Infine è stato testato l’anticorpo di elezione nella diagnosi differenziale fra le neoplasie primitive e secondarie del polmone, il TTF-1, che però non ha cross-reagito con tessuti di gatto; la diagnosi di neoplasia primitiva polmonare si è dunque basata sull’assenza, anche nei dati anamnestici, di masse in altri distretti corporei.