RESUMEN
The aim of this study was to compare the frequency of dysplasia and human papillomavirus (HPV) infection in the anal canal of patients with Crohn's disease (CD) with a control group and assess whether there is a correlation between use of immunosuppressants and anal manifestation of CD. Patients with CD and control individuals were submitted to anal cytology and material collection for polymerase chain reaction (PCR). The cytology was classified as normal, atypical squamous cells of undetermined significance (ASCUS), low-grade squamous intraepithelial lesion (LSIL), or high-grade (HSIL). PCR was considered positive or negative according to virus presence or absence. A total of 117 patients were included (54 in the control group and 63 in the CD group, being 32 without and 31 with immunosuppressants). ASCUS and LSIL were found in 25.9 and 22.2% of control patients and 28.6 and 39.7% of CD patients. HPV was identified in 14.8% of the control group and 27% of the CD group. In CD patients, HPV was found in 37.5 and 16.1% of those without and with immunosuppressants, respectively. Patients with perianal involvement had 15.6% of PCR positivity. There was no statistical difference in dysplasia and infection by HPV between the groups. Use of immunosuppressants did not influence the result, but anal manifestation was inversely proportional to viral detection.
Asunto(s)
Alphapapillomavirus , Neoplasias del Ano , Células Escamosas Atípicas del Cuello del Útero , Enfermedad de Crohn , Infecciones por Papillomavirus , Neoplasias del Cuello Uterino , Femenino , Humanos , Papillomaviridae/genética , Infecciones por Papillomavirus/diagnóstico , Enfermedad de Crohn/complicaciones , Neoplasias del Ano/patología , Inmunosupresores/uso terapéuticoRESUMEN
The aim of this study was to compare the frequency of dysplasia and human papillomavirus (HPV) infection in the anal canal of patients with Crohn's disease (CD) with a control group and assess whether there is a correlation between use of immunosuppressants and anal manifestation of CD. Patients with CD and control individuals were submitted to anal cytology and material collection for polymerase chain reaction (PCR). The cytology was classified as normal, atypical squamous cells of undetermined significance (ASCUS), low-grade squamous intraepithelial lesion (LSIL), or high-grade (HSIL). PCR was considered positive or negative according to virus presence or absence. A total of 117 patients were included (54 in the control group and 63 in the CD group, being 32 without and 31 with immunosuppressants). ASCUS and LSIL were found in 25.9 and 22.2% of control patients and 28.6 and 39.7% of CD patients. HPV was identified in 14.8% of the control group and 27% of the CD group. In CD patients, HPV was found in 37.5 and 16.1% of those without and with immunosuppressants, respectively. Patients with perianal involvement had 15.6% of PCR positivity. There was no statistical difference in dysplasia and infection by HPV between the groups. Use of immunosuppressants did not influence the result, but anal manifestation was inversely proportional to viral detection.
RESUMEN
This study was designed to develop and characterize a silica-coating method for crystalline nonsilicate ceramic nanoparticles (Al2O3, TiO2, and ZrO2). The hypothesis was that the coated nonsilicate nanoparticles would stably reinforce a polymeric matrix due to effective silanation. Silica coating was applied via a sol-gel method, with tetraethyl orthosilicate as a silica precursor, followed by heat treatment. The chemical and microstructural characteristics of the nanopowders were evaluated before and after silica coating through x-ray diffraction, BET (Brunauer-Emmett-Teller), energy-dispersive x-ray spectroscopy, field emission scanning electron microscopy, and transmission electron microscopy analyses. Coated and noncoated nanoparticles were silanated before preparation of hybrid composites, which contained glass microparticles in addition to the nanoparticles. The composites were mechanically tested in 4-point bending mode after aging (10,000 thermal cycles). Results of all chemical and microstructural analyses confirmed the successful obtaining of silica-coated nanoparticles. Two distinct aspects were observed depending on the type of nanoparticle tested: 1) formation of a silica shell on the surface of the particles and 2) nanoparticle clusters embedded into a silica matrix. The aged hybrid composites formulated with the coated nanoparticles showed improved flexural strength (10% to 30% higher) and work of fracture (35% to 40% higher) as compared with composites formulated with noncoated nanoparticles. The tested hypothesis was confirmed: silanated silica-coated nonsilicate nanoparticles yielded stable reinforcement of dimethacrylate polymeric matrix due to effective silanation. The silica-coating method presented here is a versatile and promising novel strategy for the use of crystalline nonsilicate ceramics as a reinforcing phase of polymeric composite biomaterials.
Asunto(s)
Resinas Compuestas/química , Materiales Dentales/química , Nanopartículas/química , Dióxido de Silicio/química , Óxido de Aluminio/química , Diseño Asistido por Computadora , Análisis del Estrés Dental , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Microscopía Electrónica de Transmisión , Polímeros/química , Silanos/química , Espectrometría por Rayos X , Propiedades de Superficie , Resistencia a la Tracción , Titanio/química , Difracción de Rayos X , Circonio/químicaRESUMEN
A brucelose é causada por microrganismos da família Brucellaceae, gênero Brucella. É uma doença importante, do ponto de vista da saúde e também do econômico e está incluída no contexto das doenças transmitidas por alimentos. Em virtude do potencial da pecuária de corte e de leite regional e do impacto econômico que a brucelose bovina pode causar na economia, impunha-se uma investigação criteriosa sobre a possível ocorrência de Brucelose nos cães criados na zona rural de Andradina/SP e circunvizinhanças. O experimento foi conduzido na zona rural do município de Andradina-SP, onde foram colhidas cem amostras de sangue de cães adultos, de ambos os sexos e sem raça definida, através de flebocentese da veia cefálica. As amostras depois de coletadas foram acondicionadas em tubos de ensaio e em seguida enviadas ao Lab. Clínico do HV da Fundação Educacional de Andradina, sendo então centrifugadas, posteriormente dessoradas e só então submetidas à Prova do Antígeno Acidificado Tamponado (AAT). Os resultados obtidos com a pesquisa demonstram que,
RESUMEN
A brucelose é causada por microrganismos da família Brucellaceae, gênero Brucella. É uma doença importante, do ponto de vista da saúde e também do econômico e está incluída no contexto das doenças transmitidas por alimentos. Em virtude do potencial da pecuária de corte e de leite regional e do impacto econômico que a brucelose bovina pode causar na economia, impunha-se uma investigação criteriosa sobre a possível ocorrência de Brucelose nos cães criados na zona rural de Andradina/SP e circunvizinhanças. O experimento foi conduzido na zona rural do município de Andradina-SP, onde foram colhidas cem amostras de sangue de cães adultos, de ambos os sexos e sem raça definida, através de flebocentese da veia cefálica. As amostras depois de coletadas foram acondicionadas em tubos de ensaio e em seguida enviadas ao Lab. Clínico do HV da Fundação Educacional de Andradina, sendo então centrifugadas, posteriormente dessoradas e só então submetidas à Prova do Antígeno Acidificado Tamponado (AAT). Os resultados obtidos com a pesquisa demonstram que,
RESUMEN
CONTEXT: Paranasal sinus cancer is considered rare, with an incidence of less than 1 per 100,000 per year, with the frontal sinus being the primary site in only 0.3%. We report a case of adenocarcinoma arising in the frontal sinus. DESIGN: Case report. CASE REPORT: A 59-year-old woman, secretary, came in February 1998 with a 4-month history of low intensity frontal headache. She denied contact with wood dust. On examination a non-tender swelling was noted over her right forehead next to the medial aspect of the right orbit. CT scan showed a soft-tissue mass involving frontal sinus with intracranial invasion through the posterior wall. The anterior ethmoid sinus and the medial aspect of the right orbit were also involved. MRI demonstrated dural thickening in communication with the frontal mass. She underwent an en-bloc tumor resection by craniotomy including orbital clearance. Histology revealed an adenocarcinoma. After surgery she had tumor recurrence, and chemotherapy and radiotherapy were started resulting in partial improvement.
Asunto(s)
Adenocarcinoma/diagnóstico , Seno Frontal , Neoplasias de los Senos Paranasales/diagnóstico , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Tomografía Computarizada por Rayos XRESUMEN
The Ministry of Health coordinates and orients in Brazil all the activities concerning the acquired immunodeficiency syndrome which is officially designated as AIDS. The first AIDS' case registered in Brazil was, by retrospective diagnosis, in 1981 but it was in 1982 that the first two diagnosis in live patients were made. The incidence is very high in this country that is among the ones where the higher number of cases are being registered. The great majority of the Brazilian cases occurs in the cities and in direct proportion to the population index. The groups of risk are the same universally known and a comparative increase of heterosexual transmission is noted, chiefly due to the use of injectable drugs and bisexuality of the male partners. Another problem that is being increased is pediatric AIDS, with raising importance of perinatal transmission as well as the use of injectable drugs and precocious prostitution in adolescence. The transfusional and haemophilic AIDS have proportionally decreased due to the control of blood products. The control and the orientation activity of the Ministry of Health is directed to varied points such as: compulsory cases notification, cooperation between public and private sectors, preventive and sexual orientation, freely delivered medication and laboratory tests including sigilous tests, lay and technical personnel preparation, diversified informative and educational campaigns. Trial tests with anti-HIV vaccines have begun to be performed. Multiple Reference Centers were officially established by the administration. Among them is to be quoted the Hospital Universitário Gaffrée Guinle of Rio de Janeiro where the authors work. It is credited for its intensive activity and pioneerism. In this Institution special attention was due against discrimination of HIV-infected patients, to diagnosis, to anonymous and sigilous tests, to medical and psychological assistance, to myocardium involvement, to the virologic study of the Brazilian HIV samples, to research on HIV immunogenicity and pathogenicity, to post-mortem diagnosis control through necropsies.