A vulnerabilidade do idoso na área rural

Com o aumento da expectativa de vida se torna cada vez mais comum os indivíduos com idade avançada, sendo estes altamente vulneráveis na maioria dos casos. Na área rural ainda temos um agravamento desta situação pois ainda contamos com a limitações de transporte, distância dos recursos sociais e de saúde. Neste estudo abordaremos como o ESF (Estratégia de Saúde da Família) pode atuar para amenizar a vulnerabilidade do idoso na área rural através de estudo de uma planilha de intervenção

Tratamento cirúrgico de deformidade dento-alveolar

Não raramente o Dentista encontra dificuldades para realização de seu trabalho clínico em função das diferentes formas de desarmonia Oclusal, sendo as de maior expressão a mordida aberta e a protrusão, principalmente no adulto, quando as soluções protéticas e ortodônticas são bastante dificultadas. Face a isto a Cirurgia Buco-Maxilo-Facial vem há muito tempo estudando e apresentando soluções, até certo ponto simples e rápidas, através da movimentação de um ou vários dentes em conjunto com o processo alveolar. Neste trabalho procuramos demonstrar a viabilidade do tratamento cirúrgico, permitindo a correção dos desarranjos dentários e articulares em um curto espaço de tempo, sem trazer prejuízos à estrutura dentária em si e permitindo uma grande melhora na função e estétic

Expression of the cell cycle regulation proteins p53 and p21WAF1 in different types of non-dysplastic leukoplakias

OBJECTIVES: The aim of this study was to analyze the immunolabeling of two cell cycle protein regulators, p53 and p21WAF1, in non-dysplastic leukoplakias with different epithelial alterations: acanthosis, hyperkeratosis and acanthosis combined with hyperkeratosis, and compare them with dysplastic leukoplakias. MATERIAL AND METHODS: This was a prospective cohort study involving 36 patients with oral homogeneous leukoplakias. excisional biopsies were performed and the patients remain under clinical follow-up. The leukoplakias were divided into four groups: 6 acanthosis, 9 hyperkeratosis, 10 acanthosis combined with hyperkeratosis, and 11 epithelial dysplasias. Paraffin-embebeded sections were immunostained for p53 and p21WAF1. Five hundred cells from the basal layer and 500 from the parabasal layer were counted to determine the percentage of positive cells. A qualitative analysis was also carried out to determine the presence or absence of immunohistochemical staining in the intermediate and superficial layers. Groups were compared with ANOVA (

Tratamento do hemangioma capilar : relato de caso

Este ensaio apresenta uma revisão bibliográfica sobre o hemangioma capilar bucal evidenciando a ênfase em nosso caso de tratamento para esse tumor benigno, ilustrando nosso caso em que foi utilizado um tratamento excisional cirúrgico.This essay presents a bibliograph rêview about capillary hemangioma bucal showing enphasis in our case of treatment Íor this benign tumor, illustrating our case in which a surgical excisional treatment was used

Tratamento cirúrgico de deformidade dento-alveolar

Não raramente o Dentista encontra dificuldades para realização de seu trabalho clínico em função das diferentes formas de desarmonia Oclusal, sendo as de maior expressão a mordida aberta e a protrusão, principalmente no adulto, quando as soluções protéticas e ortodônticas são bastante dificultadas. Face a isto a Cirurgia Buco-Maxilo-Facial vem há muito tempo estudando e apresentando soluções, até certo ponto simples e rápidas, através da movimentação de um ou vários dentes em conjunto com o processo alveolar. Neste trabalho procuramos demonstrar a viabilidade do tratamento cirúrgico, permitindo a correção dos desarranjos dentários e articulares em um curto espaço de tempo, sem trazer prejuízos à estrutura dentária em si e permitindo uma grande melhora na função e estética

Tratamento do hemangioma capilar: relato de caso

This essay presents a bibliograph review about capillary hemangioma bucal showing enphasis in our case of treatment for this benign tumor, illustrating our case in which a surgical excisional treatment was used.Este trabalho apresenta uma revisão bibliográfica sobre Hemangioma capilar bucal, dando ênfase aos tipos de tratamento deste tumor benigno, ilustrando com um caso em que foi utilizado tratamento cirúrgico excisional

Immunoprofiling of oral squamous cell carcinomas reveals high p63 and survivin expression

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106715/1/odi12136.pd

Environmental Inducers Of Schistosomiasis Mansoni In Campinas, Brazil.

Human occupation/activity in the suburbs of the large cities in Brazil, together with high social vulnerability associated with poor living conditions, influence the dynamics of schistosomiasis mansoni as well as several other emerging and re-emerging diseases. Previous notification data surveys for Campinas, São Paulo state, Brazil, carried out by the Information System for Notification Disease, show that there are distinct prevalence differences across healthcare districts of the city. This paper supports the hypothesis that the distribution of schistosomiasis is not random and that the centralized location of cases are linked to human behaviour, in particular to human activities that interfere with basic landscape structure. This paper analyzes the spatial patterns of the parasitic worm Schistosoma mansoni and its intermediate host Biomphalaria comparing disease prevalence with natural conditions and the current pattern of territory occupation by the population. The spatial and hierarchical distribution of factors related to the environmental conditions and land use that indicate the risk for schistosomiasis has been surveyed. It was found that landscape characteristics define the areas at risk for this endemic disease and, as a result, a risk map comprising different risk classes was established. This risk map highlights the regions prone to become new foci for infection or that serves to maintain an existing focus. The research approach used attempts to introduce geotechnology, i.e. a social application in which better knowledge about these foci, designated endemic hot spots can assist preventive public intervention measures in a way that is inexpensive and easy to handle.579-9

Cisto odontogênico ceratinizado: diagnóstico e tratamento

An analyses of the literature about the diagnosis and treatment of Odontogenic Keratocyst and the obtained results in the available causuistry is presented. A sample group of sixteen (16) pacients were studied and evaluated at the Service of Oral and Maxillofacial Surge and Traumatology of The Pontifícia Universidad Catolica do Rio Grande do Sul and Independencia Hospital, collected during the period of time between january 1982 to june 1983. After the discussion of the obtained results and evaluation of the opinions from many authors, we recomend the histopatological study to get the correct diagnosis. The treatment must be conservatory surgical with a followup of five (5) years, at least.Apresenta-se uma análise da literatura sobre o diagnóstico e tratamento do Cisto Odontogênico Ceratinizado e os resultados obtidos na casuística disponível. Uma amostra de dezesseis (16) pacientes, obtida no período entre janeiro de 1982 e junho de 1983, foi estudada e avaliada no Serviço de Cirurgia e Traumatologia Bucomaxilofacial dos Hospitais Universitário da PUCRS e Independência. Após a discussão dos resultados obtidos e avaliação das opiniões de vários autores, recomenda-se o estabelecimento do diagnóstico através do estudo histopatológico. O tratamento deve ser cirúrgico conservador com controle pós-operatório de pelo menos cinco (5) anos

Agreement between clinical and histopathologic diagnoses and completeness of oral biopsy forms

The present study aimed to assess the rate of agreement between clinical and histopathological diagnoses and to report the frequency of completed forms for specimens that were subjected to histopathological examination and retrospectively examined. Data from 8,168 specimens submitted to histopathological examination were retrieved from the records. A total of 5,368 cases were included. Agreement was defined based on the definition of lesion nature according to its diagnostic category. Sensitivity, specificity, and positive and negative predictive values were calculated for each diagnostic category. The highest rate of agreement was observed for periapical lesions (92.6%), followed by potentially malignant disorders (90.1%) and non-neoplastic proliferative disorders (89.3%). Low rates of histopathological confirmation of the clinical impression were observed for mesenchymal tumors (25.0%) and cysts (44.2%). Sensitivity values were > 0.70 for all lesions, except for cysts (0.51). Specificity was relatively high, ranging from 0.97 to 1.00. The frequency of incomplete biopsy forms ranged from 16.8% (malignant tumors of oral mucosal epithelium) to 51.0% (nonspecific inflammatory reaction). The most frequently completed biopsy forms corresponded to epithelial malignant tumors (83.2%) and glandular inflammation (72.3%). In conclusion, there was an acceptable level of agreement. The low level of completeness of biopsy forms indicates little awareness about the relevance of gathering detailed information during clinical examination