RESUMO
Chronic eosinophilic pneumonia. The chronic eosinophilic pneumonia is part of Pulmonary Eosinophilic Syndroms. It is presented a 33-years old man, Asmathic, with dry cough, fever, night sweats and fatigue of several weeks. The chest X-ray showed opacity in the right hemithorax. He was treated with antibiotics without response. A chest TC showed multifocal involvement. The patient refused bronchoalveolar lavage (BAL) so treatment antituberculostatic was started. Despite treatment the symptoms worsened. The Chest X-ray showed migration of the infiltrates and the blood smear marked eosinophilia. Finally, bronchoalveolar lavage was carried out and it showed a high percentage of eosinophils (over 50%). The patient was treated with inmmunosuppresive doses of corticosteroids with excellent response. The blood smear in Nonresolving pneumonia is key to consider eosinophilic pneumonia, an uncommon pathology but amenable to treatment.
Assuntos
Eosinofilia Pulmonar/diagnóstico , Adulto , Humanos , Masculino , Eosinofilia Pulmonar/classificação , Eosinofilia Pulmonar/diagnóstico por imagem , RadiografiaRESUMO
Maxillary basal bone, dentoalveolar, and dental changes in Class II Division 1 patients treated to normal occlusion by using cervical headgear and edgewise appliances were retrospectively evaluated. A sample of 45 treated patients was compared with a group of 30 untreated patients. Subjects were drawn from the Department of Orthodontics, Araraquara School of Dentistry, Brazil, and ranged in age from 7.5 to 13.5 years. The groups were matched based on age, gender, and malocclusion. Roughly 87% of the treated group had a mesocephalic or brachicephalic pattern, and 13% had a dolicocephalic pattern. Cervical headgear was used until a Class I dental relationship was achieved. Our results demonstrated that the malocclusions were probably corrected by maintaining the maxillary first molars in position during maxillary growth. Maxillary basal bone changes (excluding dentoalveolar changes) did not differ significantly between the treated and the untreated groups. Molar extrusion after the use of cervical headgear was not supported by our data, and this must be considered in the treatment plan of patients who present similar facial types.
Assuntos
Aparelhos de Tração Extrabucal , Má Oclusão Classe II de Angle/terapia , Maxila/crescimento & desenvolvimento , Adolescente , Estudos de Casos e Controles , Cefalometria , Criança , Feminino , Humanos , Masculino , Dente Molar/fisiologia , Estudos Retrospectivos , Base do Crânio/crescimento & desenvolvimento , Estatísticas não Paramétricas , Resultado do TratamentoRESUMO
This investigation was conducted with the object of comparing the retention capacity of two visible-light-activated sealants (Concise-3M and Sealite-Kerr) with the more commonly used autopolymerizing sealant (Delton-Johnson & Johnson). The study included sixty-two children, thirty-five boys and twenty-seven girls, between six and eleven years of age. Two hundred twenty-nine first permanent molar occlusal surfaces were treated with sealants (118 maxillary molars and 111 mandibular molars). Sealants were applied according to the manufactures' instructions and cotton rolls were used for partial isolation. After six, twelve, eighteen and twenty-four months, the surfaces treated with the sealants were examined and evaluated. Three categories were used to evaluate each sealant. During each evaluation period the sealants were graded according to complete, partial, or failed retention. No significant difference was noted between Concise and Delton sealants for C when comparing maxillary and mandibular teeth. Significant differences were observed between Concise and Sealite in relation to C on the maxillary and mandibular arches and also between Sealite and Delton on the maxillary arch. There were no significant differences in retention between the maxillary and mandibular teeth, when the same type of sealant was used.