Estranhos a nossa porta

Resenha de uma das últimas obras do sociólogo Zigmund Bauman, sobre a crise migratória. É uma  interdisciplinar para estudantes e pesquisadores das ciências sociais, pois direta ou indiretamente há a necessidade em acolher esses “estranhos” que batem à porta, em razão da crise política migratória mundial, que reflete frontalmente com a diáspora forçada de povos que vivem em regiões de conflito e perseguição. O livro pode ser utilizado a nível de graduação e pós graduação, por ter uma linguagem simples, fluída e dinâmica

Comparative study of parasitological techniques for demonstration of amastigotes and primary isolation of promastigotes in American Cutaneous leishmaniasis

FUNDAMENTOS: O PCR tem alta sensibilidade no diagnóstico da LTA, mas é caro e distante da prática. A cultura e o esfregaço são práticos, mas pouco sensíveis. OBJETIVO: O objetivo deste trabalho foi comparar os dois últimos métodos, buscando maior sensibilidade e menor custo. MÉTODOS:Foram comparados três meios de cultura no isolamento de leishmânia: Difco agar sangue + Schneider + soro bovino fetal (20%); Difco agar sangue + Schneider + urina humana (2%); Schneider + urina humana (2%). Foram comparadas, também, duas técnicas de pesquisa de amastigotas: esfregaço realizado com biópsia, ou raspado através de palito (matchstick). RESULTADOS: Os índices de positividade e contaminação (29 a 33% e 8 a 11%, respectivamente, p>0.05) foram semelhantes na comparação dos cultivos. Os esfregaços com biópsia, ou palito também não tiveram diferenças significativas (14 e 19%, respectivamente, p> 0,05). A Leishmania (Viannia) braziliensis predominou. CONCLUSÃO: No Brasil, a urina pode substituir o soro fetal bovino. Há vantagem na relação custo/benefício. A urina não tem custo enquanto 500ml de soro bovino fetal custa 185 dólares.BACKGROUND: PCR is a highly sensitive procedure for the diagnosis of LTA, but it is expensive and not readily available. Culture and smearing are practical, but they lack sensitivity. OBJECTIVE: The objective of this work is to compare the latter two methods in order to achieve a higher sensitivity at a lower cost. METHOD: Three culture media were compared in the process of isolating leishmaniasis: blood Agar Difco + Schneider + 20% fetal calf serum; Difco + Schneider + human sterile urine (2%); Schneider with sterile human urine (2%). Moreover, two techniques were compared for the demonstration of amastigotes: biopsy performed with smears, or matchstick scrapping RESULTS: The positivity and contamination indices (29-to-33% and 8-to-11%, respectively, p>0.05) were similar when comparing the cultures. The smears carried out by biopsy or the matchstick scrapping procedure had no significant differences (14 and 19%, respectively, p>0.05). Leishmania (Viannia) braziliensis predominated. CONCLUSION: In Brazil, urine may substitute fetal calf serum. The cost-to-benefit ratio is advantageous. Urine has no cost, while the market value of 500 ml of fetal calf serum is $US 185

Micrographic surgery in the treatment of microcystic adnexal carcinoma

Microcystic adnexal carcinoma is an uncommon, locally aggressive eccrine sweat gland tumor that is easily confused with benign adnexal tumors and has a high rate of recurrence after incorrect treatment. The present study was aimed at increasing awareness on the importance of knowing and properly managing this disease among plastic surgeons by using Mohs micrographic surgery. A literature review from 1982 to January 2014 and a prospective case study of a microcystic adnexal carcinoma treated with Mohs micrographic surgery, at the plastic surgery clinic of Felício Rocho Hospital in March 2011, were performed. First described in 1982, microcystic adnexal carcinoma now has at least 700 cases reported in the international literature. The case reported herein was treated with Mohs micrographic surgery, including a 3-year follow-up without recurrence. In conclusion, Mohs micrographic surgery is an excellent therapeutic tool to preserve vital tissues and ensure a reduced recurrence rate

The effects of the watsu method on functional capacity, anxiety and depression in patients with parkinson disease

Parkinson's disease (PD) is a chronic and progressive pathology that results from the degeneration of the black substance responsible for the voluntary control of movements. The reduction of dopamine generates motor and non-motor symptoms that hinder the mobility of the patient and the execution of their activities of daily living. The Watsu method relieves pain, tension and releases the muscles, fascias and spine leading to the gain of flexibility and range of motion, and can be a facilitator in reducing the symptoms of PD. The aim was to evaluate the effects of the Watsu method on motor and non-motor symptoms and their relation with the functional capacity of these individuals. This is an experimental study applied to 4 male patients diagnosed with PD. The analyzed variables were: anxiety, depression, quality of life, basic and instrumental activities of daily living and balance. 9 Watsu sessions was applied. Student's t-test (paired sample) was carried out to compare the variables studied. There was no significant improvement in the variables analyzed, but there was a tendency for improvement in quality of life variables (before 38.75 and later 36.50), depression (before 23 and after 21.25) and instrumental activities of daily living (before 19.50 and later 20.75). For the variables anxiety, basic activities of daily living and balance there was no improvement of these variables. It was observed that the Watsu method trends to improve motor and no-motor symptoms that affect the PD patients. In addition, there is still a lack in the literature in studies that use the Watsu method as a treatment for both PD and other diseases

Using Exergames as Social Networks: Testing the Flow Theory in the Teaching of Physical Education

Abstract The challenges for physical education in the technological era come not only due to the lack of motivation for the physical activities and body practices, but mainly with the possibility of using cyberspace and the electronic games as a educational content. The aim of this pilot study was to investigate the use of exergames networking as an opportunity to teach Physical Education in cyberspace. A survey sample [n=25] played the game table tennis for XBOX Kinect in three modes: singleplayer; multiplayer and networked. Intrinsic motivation was verified using the Long Flow State Scale Questionnaire , and the energy expenditure was verified using a heart rate monitor. Although there have not been found significant differences statistically between groups, it is noticed a similarity between the mean and the flow value to the group multiplayer and to the networked group, while the single-player group showed the lowest values. The energy expenditure measured was similar to national health recommendations. Networked exergames can be used as a virtual learning environments in physical education, not only in presencial education but in a non presencial education, with teacher and students in different locations

Peripheral ossifying fibroma:a 20-year retrospective study with focus on clinical and morphological features

Peripheral Ossifying Fibroma (POF) is a reactive hyperplastic lesion that exclusively occurs in the gingiva and is characterized by the deposition of dystrophic calcification, cementum-like tissue, and immature and mature bone within the connective tissue. The objective of the present study was to perform a retrospective analysis of clinicopathologic features of POF. Clinical and histopathological data were obtained from biopsy records and histopathological reports from a Brazilian reference service in Oral Pathology (1999 - 2020). Morphological analysis was performed to evaluate features related to the mesenchymal component, inflammatory infiltrate, ulceration, and mineralized tissue. A total of 270 POFs were diagnosed during the study period. A higher frequency was observed in females (71.9%) between the third (22.9%) and fourth (23.3%) decades of life. The anterior upper gingiva (29.1%) was the most affected region. Mature (86.7%) and immature (52.6%) bone tissue were the most frequent. There was a significant association between immature bone deposition and lesions with size ? 1.7 cm (p = 0.041); immature bone and cement-like tissue deposition with an evolution time ? 16 months (p < 0.001); deposition of immature bone and mesenchymal hypercellularization (p < 0.001); deposition of dystrophic calcification and the presence of ulceration (p < 0.001). The clinical characteristics corroborate the findings in the literature. The heterogeneous distribution and quantity of mineralized tissues found in the analyzed cases support the theory that the different mineralized tissues constitute a spectrum of clinical maturation of POF

Caracterização de pacientes conforme score CHADSVASC2 em uma clínica de anticoaculação em Minas Gerais

Introdução: a varfarina é um anticoagulante oral (ACO) indicado para prevenção e tratamento de eventos tromboembólicos. Suas indicações incluem principalmente: fibrilação atrial, próteses cardíacas e tromboembolismo venoso. O score CHADSVASC2 que auxilia na estratificação de risco tromboembólico e indicação da anticoagulação oral podendo ser empregado na prática clínica. O presente trabalho se propôs a caracterizar pacientes com controle inadequado da anticoagulação oral em uma clínica de anticoagulação (CA), conforme o CHADSVASC2. Metodologia: trata-se de um estudo transversal. Foram incluídos pacientes com idade ≥18 anos, com indicação para anticoagulação crônica, uso de varfarina acima de 6 meses e qualidade da anticoagulação oral, mensurada pelo Therapeutic Time Range (TTR). Os pacientes foram captados em uma CA de um hospital de ensino de Minas Gerais, sendo analisados os prontuários de todos pacientes atendidos entre julho e dezembro de 2017. Pacientes com TTR &lt;60% foram considerados com controleinadequado. Para cada paciente, calculou-se o risco de ocorrência de evento tromboembólico por meio do escore CHADSVASC2 que considera as seguintes variáveis: idade (&lt;65 anos – 0 ponto (pt); 65-74 anos – 1pt; &gt;75 anos – 2pt), sexo feminino (1pt), insuficiência cardíaca (IC) (1pt), hipertensão arterial (1pt), acidente vascular encefálico (AVE) /tromboembolismo (2pt), doença vascular (1pt) e diabetes mellitus (DM) (1pt). Os pacientes foram classificados como tendo risco baixo (0pt), moderado (1pt) ou alto (&gt;2pt). Resultados: 393 pacientes foram incluídos no estudo, sendo a média de idade de 63,3 anos. identificou-se considerável percentual de pacientes com CHADSVASC2 ≥2 (351;89,3%), o que confirma a necessidade do paciente em usar anticoagulante adequadamente para prevenção de novos eventos tromboembólicos. Conclusão: ressalta-se a importância da realização de estudos descritivos envolvendo essapopulação para auxiliar na compreensão da farmacoterapia e definir estratégias que contribuam para o cuidado adequado do paciente

The use of a microporous tape for fixing skin grafts

INTRODUCTION: Fixing a skin graft is essential to its integration in the recipient bed. The literature presents several fixation techniques. However, only few reports on the use of microporous tape are available. This study aims to demonstrate and promote the use of microporous tape in fixing skin grafts. METHODS: A prospective study was performed from January 2014 to January 2016. In 40 patients, a sterilized microporous tape was used as an isolated method to fix skin grafts. RESULTS: The use of skin graft immobilization showed satisfactory results and consequently good integration. CONCLUSION: The use of a sterilized microporous tape is an excellent method for fixing skin grafts because it is easy, fast, and safe to use