Caminando hacia una lectura comprensiva

Las experiencias que se comparten aquí tuvieron como escenario una escuela de básica primaria, ubicada en un municipio aledaño a la ciudad, dicha investigación pretendía determinar el nivel de comprensión lectora alcanzado por los estudiantes de 4°. Los instrumentos utilizados para la recolección de la información fueron entrevistas a docentes y directivos, observaciones directas eR el aula de clase y diarios de campo, fue posible a raíz de todo este estudio determinarse que tradicionalmente en nuestra cultura ha sido desvirtuado el concepto de lectura, pues erróneamente se le ha concebido como un proceso de decodificación, de parte de un sujeto lector, que se basa en el reconocimiento y manejo de un código. El objetivo hoy es el de replantear nuestro papel frente al concepto de lectu a y tomar conciencia de cómo verdaderamente debe concebírsele. La lectura puede entonces definirse como un proceso dinámico de construcción cognitiva en el que intervienen la afectividad y relaciones sociales. Es evidente que una lectura de calidad es la vía por excelencia para la construcción de valores en las nuevas generaciones, puesto que entabla una comunicación con todos los aspectos del ser: emocionales, afectivos e intelectuales

Clinical Approach for Treating Dilated Cardiomyopathy in a Hog-nosed Skunk (Conepatus chinga)

Background: Dilated cardiomyopathy (DCM) is a multifactorial disease characterized by systolic dysfunction of myocardium, affecting domestic animals like dogs, cats, and ferrets. It was sporadically described in non-domestic species, generally as a necropsy observation. The hog-nosed skunk (Conepatus chinga) is a small mammal, carnivore, belonging to the Mephitidae family, found in southern South America, and considered as concerned in a conservation status of the species. The goal of this issue is report the first clinical approach of dilated cardiomyopathy in a young hog-nosed skunk, elucidating the challenging aspects of the diagnostic, therapy, and clinical outcome.  Case: A newborn hog-nosed skunk (Conepatus chinga) was found in a farm of southern Brazil in poor nutritional and behavioral conditions. Thirty days of nutritional supplementation based on cow's milk, fruits and insects were necessary to recover its body weight score and activity level. However, 2 months after adoption, the skunk showed acute dyspnea and abnormal breath sound, decreased appetite, and loss of weight. Firstly, these signs were associated with a possible pulmonary infection or other respiratory disease. However, the general cardiomegaly and pulmonary edema pattern observed on the thoracic radiography, changed the clinical approach, conducting the presumptive diagnosis to congestive heart failure (pulmonary edema) caused by an unknown cardiac disease as a dilated cardiomyopathy (CDM). An adequate physical, echocardiographic, electrocardiographic, and hematological evaluation was possible only after chemical restraint by sevofluorane. Systolic heart murmur and pulmonary cracking sounds were detected on thoracic auscultation. These findings associated to the echocardiography features of four chamber dilatation, systolic (fractional shortening-FS = 9% and ejection fraction-EF= 22%) and diastolic (mitral E/A ratio = 4.93) dysfunctions, and bilateral ventriculoatrial regurgitation (mitral and tricuspid) were highly correlated with DCM. Considering the etiologies of CDM described in domestic species and the poor nutritional condition previously observed in the case, nutritional and idiopathic etiologies of DCM were considered for this case. Therapy was based on furosemide at hospital (4 mg/kg subcutaneous, single doses) and home (2 mg/kg orally, BID), enalapril maleate (0.5 mg/kg orally, every 48 h), taurine supplementation (100 mg orally, SID), and pimobendan (0.5 mg/kg orally, BID). Clinical improvement was already observed on the second day of treatment, and monitored for 5 months, when the skunk was completely revaluated. The second echocardiographic exam showed improvement in systolic (FS = 20% and EF = 43%) and diastolic functions (mitral E/A ratio = 2.05), tricuspid regurgitation was not observed, and decrease the left atrial and ventricular dimensions were seen. Due to good clinical outcome, furosemide was gradually reduced until complete withdrawal without any clinical complications or worsening. After 30 months of therapy of pimobendan, taurine, and enalapril maleate, the skunk has good quality captive life without congestive heart failure recurrence.    Discussion: The lack of information about DCM in hog-nosed skunk turns the clinical diagnosis and therapy challenging. However, the radiographic and echocardiographic features seamed to lead the same domestic animal patterns. The therapy based on decrease the cardiac overload, increase the myocardial inotropic function (pimobendan and taurine) resulted on excellent clinical and echocardiographic outcome. Although the etiologies of DCM in this species are not stablished, the diagnostic and therapeutic approaches applied resulted on excellent clinical results, and therefore may provide useful information about this cardiac condition in skunk species. Keywords: cardiovascular, disease, Mephitidae, therapy, wild animals.

Prevalence study of oral affections in equidaes of Araguaína, Tocantins

Desde a domesticação, os equinos são empregados no esporte, trabalho e lazer. Para tanto, diferentes dietas foram formuladas e a utilização de embocadura para controle dos animais se fez necessária. Isso, contudo, pode induzir alterações intraorais que, além de promoverem sinais clínicos diversos, prejudicam o consumo de alimentos e o rendimento atlético. Objetivou-se com esse estudo determinar a prevalência de alterações intraorais em equinos de Araguaína, Tocantins. Foram avaliados 72 equinos por meio de exame físico geral e avaliação intraoral com espéculo. Todos os animais avaliados (100%) apresentaram algum tipo de patologia oral. A principal alteração encontrada foi a ponta excessiva de esmalte dentário (100%), seguida do cálculo dentário (59,46%) e dos ganchos (35,13%). Lesões em língua (32,43%) e presença de “dentes de lobo” (33,78%) também foram identificados e estes podem interferir no bem-estar animal, na mastigação e no rendimento atlético. Concluiu-se que os equinos de Araguaína possuem alterações intraorais importantes e que a avaliação oral periódica deve ser inserida nas propriedades, favorecendo a saúde animal e o desempenho satisfatório.Since domestication, equines are employed in sports, work and recreation. For that, different diets were formulated and the use of bit to control the animals became necessary. This, however, may induce intraoral changes that, in addition to promoting various clinical signs, are detrimental to food consumption and athletic performance. The objective of this study was to determine the prevalence of intraoral alterations in horses of Araguaína, Tocantins. Seventy two horses were evaluated by means of a general physical examination and intraoral evaluation with speculum. All animals evaluated (100%) presented some type of oral pathology. The main alteration was excessive enamel point (100%), followed by dental calculus (59.46%) and hooks (35.13%). Lesions in tongue (32.43%) and presence of "wolf teeth" (33.78%) have also been identified and may interfere with animal welfare, chewing and athletic performance. It was concluded that the horses of Araguaína have important intraoral alterations and that the periodic oral evaluation must be inserted in the properties, favoring animal health and a satisfactory performance

Radiological Findings: a lamb skeleton deformities case report / Achados radiológicos: relato de caso de deformidades do esqueleto de Cordeiro

Skeletal deformities are relatively common in animals. These abnormalities could be genetic or conditioned by environment factors. The radiographic exam is simple and allow us to identify a great number of congenital defects. Lambs with deformities are important economic problems in the sheep culture and there are few studies related to this. The objective is to describe the radiographic findings in one case of skeletal deformities in a lamb from the state of Rio Grande do Sul, Brazil. Radiological findings are compatible with paraxial hemimelia of the left tibia and polydactylies. General skeletal deformities were also observed in this study. 

Use of Gamithromycin for the Treatment of Osteomyelitis Secondary to Foot Rot in a Sheep

Background: Lameness is one of the main causes of economic losses in sheep breeding, especially in the distal region of the limbs. Poor sanitation management, especially in terms of hygiene conditions and the introduction of animals without previous preventive care, is an important predisposing factor in sheep flocks. Interdigital phlegmon (foot rot) is a bacterial disease that causes pain, heat, edema, hyperemia in the region, and can lead to secondary processes such as osteomyelitis. This case report describes the use of gamithromycin for the treatment of osteomyelitis secondary to foot rot in a sheep.Case: An Ile-de-France ewe exhibiting signs of lameness, pain, heat, hyperemia and edema in the four digits was treated at the Veterinary Hospital of UNIPAMPA. The lesions were characterized by interdigital phlegmon, commonly known as foot rot, and the right thoracic limb was more affected, exuding a foul odor and purulent secretion. The affected limbs were treated topically with an antiseptic solution. The lesions healed completely except for the right thoracic limb, whose clinical condition worsened. Osteitis was suspected, and was confirmed by radiographic evaluation of the region. Treatment with ceftiofur was introduced, but proved to be ineffective. Nevertheless, the lesion was found to have worsened, and a new X-ray evaluation was made, which revealed dislocation of the distal phalanx as well as involvement of the middle and proximal phalanges. Thus, we decided to perform chemical arthrodesis of the distal interphalangeal joint. Before beginning this procedure, contrast X-rays were taken that revealed the development of a fistulous pathway connecting the distal interphalangeal joint to the proximal interphalangeal joint, which precluded this procedure. In view of the worsening of the condition, amputation of the distal and middle phalanges was performed, as well as scraping of the distal edge of the proximal phalanx. In the postoperative period, ceftiofur was used as antibiotic therapy and flunixin meglumine as analgesic, in addition to daily dressings with topical iodine. After this procedure, there was no improvement in lameness and the radiographic images showed worsening of the clinical condition. At this time, the antimicrobial therapy was replaced with tylosin. After beginning treatment with this antimicrobial, there was a slight decrease in lameness, but a fistulous pathway with purulent secretion was formed in the region corresponding to the distal portion of the first phalanx, as well as an increase in the bone lesion, which was observed radiographically. Due to the ineffectiveness of the drug therapy, it was replaced by gamithromycin, which was applied three times. After beginning this treatment, lameness receded and the wound stopped producing purulent secretion, and at the end of the applications of this active ingredient, there was complete resolution of lameness and improvement of the radiographic signs of the animal of this case report.Discussion: Antimicrobial therapy is an important factor in the treatment of interdigital phlegmon and of osteomyelitis, and should be performed properly using broad-spectrum antibiotics. In the case reported here, although antibiotics with those characteristics were used, the active ingredient had to be changed more than once. In this particular case, there was an improvement in the lameness and the wound, and in the radiographic signs of the proximal phalanx, only after the application of gamithromycin. Therefore, this drug can be considered as an alternative for the treatment of osteomyelitis in ruminants, especially in cases unresponsive to treatment with other antibiotics

LA CONCIENCIA DE LOS JÓVENES SOBRE LA POSE RESPONSABLE DE ANIMALES

A domesticação dos animais, ocorrida há muitos anos, intensificou a relação de dependência homem-animal. Esta proximidade resultou em um crescente número de animais de companhia e conseqüente aumento do número de animais errantes nos centros urbanos, minando os preceitos de bem estar animal e ocasionado problemas de saúde pública. O município de Uruguaiana enfrenta grave problema de saúde pública devido ao elevado número de animais abandonados nas ruas. O presente trabalho objetivou avaliar a conscientização de adolescentes entre 13 a 16 anos do ensino fundamental sobre a guarda responsável de animais antes e após as ações do Projeto “Melhor Amigo”. Para tal foram utilizados um vídeo educativo e palestra, ambos abordando conceitos básicos de bem estar animal, controle de natalidade, prevenção de zoonoses e adoção responsável. Antes e após as apresentações foram aplicados questionários objetivos aos alunos para se avaliar a eficácia das apresentações. Observou-se que 87,3% dos adolescentes possuem animais de estimação, justificando a necessidade do projeto. Foram obtidos resultados estatisticamente significativos na melhora da conscientização dos alunos com relação aos quesitos: manutenção do animal nos limites da moradia, dieta mais adequada ao animal e formas de prevenção da transmissão da toxoplasmose. Os adolescentes demonstraram ter boa noção dos compromissos básicos de um proprietário consciente para com seu animal: alimentação, vacinação, castração e dedicação, mesmo antes dos trabalhos do projeto. E não houve alteração estatística no entendimento da leishmaniose, sendo necessária adequação metodológica na abordagem do assunto em trabalhos futuros.The relationship between animals and humans started many years ago and it highlights the interdependence between humankind and some animal species. This proximity leaded to an enormous amount of pets and consequently stray animals in urban centers, mining the basic precepts of animal welfare and bringing problems to public health. Nowadays Uruguaiana faces a serious public health problem due to the large amount of stray animals. This study aimed to evaluate the awareness of adolescent students, aged from 13 to 16 years old, about animal responsible ownership before and after the activities of the project entitled “Best Friend”. The adolescents watched an educational video and attended to a lecture about animal welfare, reproduction control, zoonosis prophylaxis, and conscious adoption. Part of the students answered to multiple choice questions before and after the presentations so the project efficacy could be tested. It was seen that 87.3% of the adolescents hold a pet, justifying the project relevance. “Best Friend” project could improve the awareness related to the place where animal should be maintained, best diet and toxoplasmosis prophylaxis. Appropriate results concerning basic commitments by owners and their pet (feeding, vaccination, castration and dedication) were obtained even before the project activities. No improvement on leishmaniasis understanding was achieved after “Best Friend” visits, so methodological adaptations related to this subject should be performed for further studies.El elevado número de animales abandonados en los centros urbanos está perjudicando los principios de bienestar animal y ha causado graves problemas de salud pública, como el que enfrenta el pueblo de Uruguayana debido a la gran cantidad de animales abandonados en las calles. Este estudio tuvo como objetivo evaluar el conocimiento de los adolescentes entre 13 y 16 años de educación básica sobre la pose responsable de animales antes y después de las acciones del proyecto "Mejor Amigo". Para ello se utilizó un video educativo y una conferencia, abordando los conceptos básicos de bienestar animal, control de la natalidad, prevención de las zoonosis y adopción responsable. Antes y después de las presentaciones se les ofreció los cuestionarios a los estudiantes metas para evaluar la eficacia de las presentaciones. Se observó que el 87,3% de los adolescentes tienen mascotas, justificando la necesidad del proyecto. Se obtuvieron resultados estadísticamente significativos en la mejora de la concienciación de los estudiantes con respecto a las cuestiones: mantener al animal en los límites del hogar, dieta más apropiada al animal y las formas de prevenir la transmisión de la toxoplasmosis. Los adolescentes han demostrado buena comprensión de los compromisos básicos de un dueño concienzudo para con su mascota: alimentación, vacunación, castración y la dedicación, incluso antes de los trabajos de diseño. Además de eso, no hubo ningún cambio estadístico en la comprensión de la leishmaniasis, que requiere adecuación metodológica, lo que se abordará en investigaciones futuras

LA CONCIENCIA DE LOS JÓVENES SOBRE LA POSE RESPONSABLE DE ANIMALES

A domesticação dos animais, ocorrida há muitos anos, intensificou a relação de dependência homem-animal. Esta proximidade resultou em um crescente número de animais de companhia e conseqüente aumento do número de animais errantes nos centros urbanos, minando os preceitos de bem estar animal e ocasionado problemas de saúde pública. O município de Uruguaiana enfrenta grave problema de saúde pública devido ao elevado número de animais abandonados nas ruas. O presente trabalho objetivou avaliar a conscientização de adolescentes entre 13 a 16 anos do ensino fundamental sobre a guarda responsável de animais antes e após as ações do Projeto “Melhor Amigo”. Para tal foram utilizados um vídeo educativo e palestra, ambos abordando conceitos básicos de bem estar animal, controle de natalidade, prevenção de zoonoses e adoção responsável. Antes e após as apresentações foram aplicados questionários objetivos aos alunos para se avaliar a eficácia das apresentações. Observou-se que 87,3% dos adolescentes possuem animais de estimação, justificando a necessidade do projeto. Foram obtidos resultados estatisticamente significativos na melhora da conscientização dos alunos com relação aos quesitos: manutenção do animal nos limites da moradia, dieta mais adequada ao animal e formas de prevenção da transmissão da toxoplasmose. Os adolescentes demonstraram ter boa noção dos compromissos básicos de um proprietário consciente para com seu animal: alimentação, vacinação, castração e dedicação, mesmo antes dos trabalhos do projeto. E não houve alteração estatística no entendimento da leishmaniose, sendo necessária adequação metodológica na abordagem do assunto em trabalhos futuros.The relationship between animals and humans started many years ago and it highlights the interdependence between humankind and some animal species. This proximity leaded to an enormous amount of pets and consequently stray animals in urban centers, mining the basic precepts of animal welfare and bringing problems to public health. Nowadays Uruguaiana faces a serious public health problem due to the large amount of stray animals. This study aimed to evaluate the awareness of adolescent students, aged from 13 to 16 years old, about animal responsible ownership before and after the activities of the project entitled “Best Friend”. The adolescents watched an educational video and attended to a lecture about animal welfare, reproduction control, zoonosis prophylaxis, and conscious adoption. Part of the students answered to multiple choice questions before and after the presentations so the project efficacy could be tested. It was seen that 87.3% of the adolescents hold a pet, justifying the project relevance. “Best Friend” project could improve the awareness related to the place where animal should be maintained, best diet and toxoplasmosis prophylaxis. Appropriate results concerning basic commitments by owners and their pet (feeding, vaccination, castration and dedication) were obtained even before the project activities. No improvement on leishmaniasis understanding was achieved after “Best Friend” visits, so methodological adaptations related to this subject should be performed for further studies.El elevado número de animales abandonados en los centros urbanos está perjudicando los principios de bienestar animal y ha causado graves problemas de salud pública, como el que enfrenta el pueblo de Uruguayana debido a la gran cantidad de animales abandonados en las calles. Este estudio tuvo como objetivo evaluar el conocimiento de los adolescentes entre 13 y 16 años de educación básica sobre la pose responsable de animales antes y después de las acciones del proyecto "Mejor Amigo". Para ello se utilizó un video educativo y una conferencia, abordando los conceptos básicos de bienestar animal, control de la natalidad, prevención de las zoonosis y adopción responsable. Antes y después de las presentaciones se les ofreció los cuestionarios a los estudiantes metas para evaluar la eficacia de las presentaciones. Se observó que el 87,3% de los adolescentes tienen mascotas, justificando la necesidad del proyecto. Se obtuvieron resultados estadísticamente significativos en la mejora de la concienciación de los estudiantes con respecto a las cuestiones: mantener al animal en los límites del hogar, dieta más apropiada al animal y las formas de prevenir la transmisión de la toxoplasmosis. Los adolescentes han demostrado buena comprensión de los compromisos básicos de un dueño concienzudo para con su mascota: alimentación, vacunación, castración y la dedicación, incluso antes de los trabajos de diseño. Además de eso, no hubo ningún cambio estadístico en la comprensión de la leishmaniasis, que requiere adecuación metodológica, lo que se abordará en investigaciones futuras

Conscientização de adolescentes sobre a guarda responsável de animais

A domesticação dos animais, ocorrida há muitos anos, intensificou a relação de dependência homem-animal. Esta proximidade resultou em um crescente número de animais de companhia e conseqüente aumento do número de animais errantes nos centros urbanos, minando os preceitos de bem estar animal e ocasionado problemas de saúde pública. O município de Uruguaiana enfrenta grave problema de saúde pública devido ao elevado número de animais abandonados nas ruas. O presente trabalho objetivou avaliar a conscientização de adolescentes entre 13 a 16 anos do ensino fundamental sobre a guarda responsável de animais antes e após as ações do Projeto “Melhor Amigo”. Para tal foram utilizados um vídeo educativo e palestra, ambos abordando conceitos básicos de bem estar animal, controle de natalidade, prevenção de zoonoses e adoção responsável. Antes e após as apresentações foram aplicados questionários objetivos aos alunos para se avaliar a eficácia das apresentações. Observou-se que 87,3% dos adolescentes possuem animais de estimação, justificando a necessidade do projeto. Foram obtidos resultados estatisticamente significativos na melhora da conscientização dos alunos com relação aos quesitos: manutenção do animal nos limites da moradia, dieta mais adequada ao animal e formas de prevenção da transmissão da toxoplasmose. Os adolescentes demonstraram ter boa noção dos compromissos básicos de um proprietário consciente para com seu animal: alimentação, vacinação, castração e dedicação, mesmo antes dos trabalhos do projeto. E não houve alteração estatística no entendimento da leishmaniose, sendo necessária adequação metodológica na abordagem do assunto em trabalhos futuros. </span

Subsequent colic syndrome due to perirectal abscess in an equine model – Case report

Colic is the most frequent syndrome of equine digestive system, and impaction is the most common disease among its many etiologies. The small colon can suffer with intraluminal or extraluminal obstructions resulting from many causes. These obstructions present signs such as abdominal pain, poorly altered physiological parameters, dyskinesia and tenesmus. The aim of the present study is to describe a small colon impaction secondary to perirectal abscess in the pelvic musculature. The equine model was assisted at Veterinary University Hospital of Federal University of Pampa (Unipampa) and surgery was the therapy of choice; however, the animal ended up dying during anesthesia application. The ultimate diagnostic was provided by necropsy, which showed one abscess in the pelvic musculature, close to the terminal portion of the rectum. The relevance of the present study lies on the importance of using complementary diagnostic methods, as well as on the presentation of another cause of colic, which is little described in the literature. The present results allowed enhancing the prognostics and treatments applied to horses with this disease.

USO DO PLASMA RICO EM PLAQUETAS COMO ADJUVANTE NO TRATAMENTO DE LESÃO MENISCAL E TENDINOSE DE CALCÂNEO EM UM CÃO

The aim of this paper is to report the case of a dog with meniscal lesion associated with calcaneal tendinosis treated with single application of intra-articular and intratendinous platelet rich plasma (PRP). A dog of the Boxer racer with difficulty walking was treated three months ago. Grade II/IV lameness was observed in both pelvic limbs, bilateral muscle atrophy, pain and slight crepitation in the left knee, slight instability to the drawer and cranial tibial tests, with intense medial fibrosis to the joint and right calcaneal tendon thickening/stiffness. The radiographic study showed moderate arthrosis in the left knee, and ultrasound examination revealed areas of hypoechogenicity in the left medial meniscus and rupture of the right calcaneal tendon muscle fibers. Thus, the patient was diagnosed with chronic cranial cruciate ligament insufficiency, periarticular fibrotic stability, and left meniscal injury and right calcaneal tendinosis. Chondroprotectors, diacerein, physiotherapy and an application of intra-articular and intratendinous PRP were prescribed. For the PRP concentration, 50mL of autologous blood were collected and deposited in vials containing sodium citrate. A double centrifugation was performed, the first strength of 120g and the second 240g, both for ten minutes. At the end, 2mL of PRP was obtained with 246.000 platelets/μL (before concentration the blood had 141.000 platelets/μL). The application occurred aseptically, under general anesthesia and guided by ultrasound. We injected 1ml intra-articular in the left knee, 0.25mL in the perilesional region and 0.75mL intralesional in the right calcaneal tendon. After 14 days, I/IV lameness and slight muscle strengthening were noted. Clinical treatment with physiotherapy and chondroprotectors was maintained, with periodic returns to follow the evolution. It was concluded that the use of PRP was an important adjuvant in the clinical therapy employed.O objetivo deste trabalho é relatar o caso de um cão com lesão meniscal associado à tendinose de calcâneo tratado com aplicação única de plasma rico em plaquetas (PRP) intraarticular e intratendínea. Foi atendido um cão da raça Boxer com dificuldade de deambulação há três meses. Observou-se claudicação grau II/IV em ambos os membros pélvicos, atrofia muscular bilateral, dor e leve crepitação em joelho esquerdo, discreta instabilidade aos testes de gaveta e tibial cranial, com intensa fibrose medial à articulação e espessamento/rigidez do tendão calcâneo direito. O estudo radiográfico demonstrou artrose moderada no joelho esquerdo e, ao exame ultrassonográfico, constatou-se áreas de hipoecogenicidade em menisco medial esquerdo e ruptura de fibras musculares do tendão calcâneo direito. Sendo assim, o paciente foi diagnosticado com insuficiência do ligamento cruzado cranial crônica, com estabilidade fibrótica periarticular, e lesão meniscal em joelho esquerdo e tendinose de calcâneo direito. Foram prescritos condroprotetores, diacereína, fisioterapia e uma aplicação de PRP intra-articular e intratendínea. Para a concentração do PRP, foram coletados 50mL de sangue autólogo, os quais foram depositados em frascos contendo citrato de sódio. Foi realizada dupla centrifugação, sendo a primeira com força de 120g e a segunda 240g, ambas por dez minutos. Ao final, obteve-se 2mL de PRP com 246.000 plaquetas/μL (antes da concentração o sangue tinha 141.000 plaquetas/μL). A aplicação ocorreu de forma asséptica, sob anestesia geral e guiada por ultrassom. Foram injetados 1ml intra-articular em joelho esquerdo, 0,25mL em região perilesional e 0,75mL intralesional em tendão calcâneo direito. Após 14 dias, notou-se grau de claudicação I/IV e discreto fortalecimento muscular. Foi mantido o tratamento clínico com fisioterapia e condroprotetores com retornos periódicos para acompanhamento da evolução. Conclui-se que o uso do PRP foi importante adjuvante na terapia clínica empregada