Paranasal sinus infection causing orbital subperiosteal abscess: Surgical management of this devastating entity

Background: Orbital infection is an uncommon devastating infection and is usually a complication of paranasal sinus infection. Without appropriate treatment, orbital infection may lead to serious complications, even death. Prompt treatment is mandatory to avoid visual loss or intracranial complications. The literature shows that initially, intravenous antibiotics should be administered, and after 48 h, if no improvement appears, the affected orbit and the sinuses must be surgically drained. The authors describe two cases of orbital cellulitis with a brief literature review. Case report: The authors describe two cases of orbital abscess caused by paranasal sinus infection. In case 1, the patient presented a decreased visual acuity associated with ophthalmoplegia of the right eye. In case 2, the patient presented a decreased visual acuity. Thus, administration of intravenous antibiotic combined with surgical drainage was performed. After surgical procedure, eye movements were normalized in case 1, and in both patients, the visual acuity returned to normal parameters. Discussion: The authors recommend early surgical drainage with parenteral antibiotic administration and careful postoperative observations by monitoring the signs and symptoms of the orbital complaint. © 2012 Springer-Verlag.

Anatomy of scapes, bracts, and leaves of Paepalanthus sect. Diphyomene (Eriocaulaceae, Poales) and its taxonomic implications

Paepalanthus sect. Diphyomene comprises 18 species with a convoluted taxonomic history. Aiming to correlate anatomical structures with the systematics of this group and its relatives, we studied the anatomy of scapes, reproductive axis bracts, and leaves of 20 Paepalanthus species. Bracts and leaves show differences in epidermal cell thickening; mesophyll width; vascular bundle arrangement; presence or absence of a hypodermis; types of cells in the vascular bundle sheath extensions; margin shape and composition; and presence or absence of aquiferous parenchyma. Scapes differ in contour, rib number, and pith size. Some diagnostic characters found are presence of aquiferous parenchyma and absence of vascular bundle sheath extensions in leaves of P. urbanianus; vascular bundles decreasing in size towards the margin of leaves and bracts, and scapes with a triangular contour in P. flaccidus; scapes with nine ribs in P. acanthophyllus and ten in P. macer. All anatomical features are summarized in tables. These results aid in the identification and characterization of the species of P. sect. Diphyomene. They also support the current section circumscription, reinforcing the relevance of the anatomical characters in order to define natural groups. © 2012 The New York Botanical Garden.

High condylectomy procedure: A valuable resource for surgical management of the mandibular condylar hyperplasia

Condylar hyperplasia is an overdevelopment of the condyle, which may manifest unilaterally or bilaterally. This pathological condition can lead to facial asymmetry, malocclusion, and dysfunction of the temporomandibular joint. The etiology and pathogenesis of condylar hyperplasia remain uncertain, but it has been suggested that its etiology may be associated with hormonal factors, trauma, and hereditary hypervascularity, affecting both genders. The diagnosis is made by clinical examination, and radiological imaging, and additionally, bone scintigraphy, is a fundamental resource for determining whether the affected condyle shows active growth. Patients with active condylar hyperplasia management have better results when they are subjected to the high condylectomy procedure. The authors report a case in a 20-year-old female subject with unilateral active condylar hyperplasia who was treated by high condylectomy. The patient has been followed up for 4 years without signs of recurrence and with good functional stability of the occlusion. © 2013 by Mutaz B. Habal, MD.

Zinc sulphate administered by transdermal iontophoresis improves breaking strength of surgical wounds in skin of alloxan-induced diabetic rats

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Effects on performance and carcass and meat quality attributes following immunocastration with the gonadotropin releasing factor vaccine bopriva or surgical castration of bos indicus bulls raised on pasture in brazil

Bos indicus bulls 20. months of age grazed on pasture in Minas Gerais, Brazil either received 2 doses of the GnRF vaccine Bopriva at d0 and d91 (group IC, n. =. 144) or were surgically castrated on d91 (group SC, n. =. 144). Slaughter on d280, was 27. weeks after castration. Adverse safety issues in 8% of group SC bulls following surgery contrasted with 0% in group IC bulls. At d105 testosterone levels were suppressed to similar levels in both groups. Importantly, group IC bulls had higher live weight, hot carcass weight, ADG (P<. 0.005) and dressing percentage (P<. 0.0001) compared to group SC animals. There were no negative effects on carcass or meat quality traits, thus immunocastration was concluded to offer a safe and effective method that provides production gains, and improves animal welfare in Bos indicus beef bulls without impacting meat and carcass quality. © 2013 Elsevier Ltd.

Stem anatomy and development of successive cambia in Hebanthe eriantha (Poir.) Pedersen: A neotropical climbing species of the Amaranthaceae

Hebanthe eriantha (Poir.) Pedersen, a climbing species of the Amaranthaceae increases in stem thickness by forming successive cambia. The family is dominated by herbaceous species and is constantly under discussion due to its disputed nature of the meristem. In the young stem small alternate segments of vascular cambium cease to divide and new arc of cambium initiates outside to it. The newly formed arcs connect with pre-existing alternate segments of cambium to complete the ring. On the contrary, in thick stems, instead of small segments, complete ring of cambium is replaced by new one. These new alternate segments/cambia originate from the parenchyma cells located outside to the phloem produced by previous cambium. Cambium is storied and exclusively composed of fusiform initials while ray cells remain absent at least in the early part of the secondary growth. However, large heterocellular rays are observed in 15-mm diameter stems but their frequency is much lower. In some of the rays, ray cells become meristematic and differentiate into radially arranged xylem and phloem elements. In fully grown plants, stems are composed of several successive rings of secondary xylem alternating with secondary phloem. Secondary xylem is diffuse-porous and composed of vessels, fibres, axial parenchyma while exceptionally large rays are observed only in the outermost regions of thick stems. Vessel diameter increases progressively from the centre towards the periphery of stems. Although the origin of successive cambia and composition of secondary xylem of H. eriantha remains similar to other herbaceous members of Amaranthaceae, the occurrence of relatively wider and thick-walled vessels and large rays in fully grown plants is characteristic to climbing habit. © 2013 Springer-Verlag Wien.

Ovariossalpingohisterectomia em cutias: técnicas anestésica e cirúrgica, análise morfológica uterina e microbiológica da vagina e do útero (Dasyprocta azarae, Lichtenstein, 1823)

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

Estudo radiográfico da ossificação dos ligamentos pterigoespinhoso e pterigoalar pela técnica axial de Hirtz invertida

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo anatômico e imaginológico do braço e da coxa em tamanduá-bandeira (Myrmecophaga tridactyla - linnaeus, 1758) para a determinação de acesso cirúrgico

Pós-graduação em Medicina Veterinária - FMVZ

Morfologia do joelho da paca (Cuniculus paca, Linnaeus 1766)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Anatomia macroscópica e ultraestrutural da orelha da paca (Cuniculus paca, Linnaeus, 1766)

Pós-graduação em Cirurgia Veterinária - FCAV

Morphology and anatomy of the diaspores and seedling of Paspalum (Poaceae, Poales)

RESUMO O conhecimento relativo ao diásporo e ao desenvolvimento pós-seminal de Paspalum L. é importante para a conservação da biodiversidade dos campos, devido sua importância na representatividade e no melhoramento genético de pastagens. A morfologia do diásporo e do desenvolvimento pós-seminal de Paspalum dilatatum Poir. (rizomatosa); P. mandiocanum Trin. var. subaequiglume Barreto (estolonífera), P. pumilum Nees. (cespitosa decumbente) e P. urvillei Steud. (cespitosa ereta) foi descrita procurando distinguir as espécies com diferentes formas de crescimento, e levantar características úteis para a taxonomia. P. dilatatum se diferencia por apresentar diásporo oval, de maior tamanho que as demais, com cinco nervuras salientes e tricomas; P. urvillei por apresentar diásporo com uma nervura central mais desenvolvida do que as duas nervuras laterais e tricomas; P. mandiocanum var. subaequiglume por apresentar diásporo com tricomas apenas na margem; e P. pumilum por apresentar diásporo glabro. A cariopse envolve a semente que apresenta embrião diferenciado, disposto lateralmente; apresenta hilo elíptico em todas as espécies estudadas e rostelo em P. dilatatum e P. mandiocanum var. subaequiglume. O desenvolvimento pós-seminal é semelhante nas quatro espécies e se inicia com a germinação, que é marcada pela emergência da coleorriza, seguida pelo coleóptilo. Essas características são comuns às demais Poaceae já estudadas, indicando um padrão para a família e não diferenciam as formas de crescimento.

Cephalometric evaluation of the predictability of bimaxillary surgical-orthodontic treatment outcomes in long face pattern patients: a retrospective study

OBJECTIVE: The aim of this study was to compare by means of McNamara as well as Legan and Burstone's cephalometric analyses, both manual and digitized (by Dentofacial Planner Plus and Dolphin Image software) prediction tracings to post-surgical results. METHODS: Pre and post-surgical teleradiographs (6 months) of 25 long face patients subjected to combined orthognathic surgery were selected. Manual and computerized prediction tracings of each patient were performed and cephalometrically compared to post-surgical outcomes. This protocol was repeated in order to evaluate the method error and statistical evaluation was conducted by means of analysis of variance and Tukey's test. RESULTS: A higher frequency of cephalometric variables, which were not statistically different from the actual post-surgical results for the manual method, was observed. It was followed by DFPlus and Dolphin software; in which similar cephalometric values for most variables were observed. CONCLUSION: It was concluded that the manual method seemed more reliable, although the predictability of the evaluated methods (computerized and manual) proved to be reasonably satisfactory and similar.

Predictive factors of post-discharge surgical site infections among patients from a teaching hospital

Introduction Surgical site infections (SSIs) often manifest after patients are discharged and are missed by hospital-based surveillance. Methods We conducted a case-reference study nested in a prospective cohort of patients from six surgical specialties in a teaching hospital. The factors related to SSI were compared for cases identified during the hospital stay and after discharge. Results Among 3,427 patients, 222 (6.4%) acquired an SSI. In 138 of these patients, the onset of the SSI occurred after discharge. Neurological surgery and the use of steroids were independently associated with a greater likelihood of SSI diagnosis during the hospital stay. Conclusions Our results support the idea of a specialty-based strategy for post-discharge SSI surveillance.