Assuntos
Acidentes de Trabalho , Braço/anatomia & histologia , Braço/fisiopatologia , Doenças Profissionais/complicações , Doenças Profissionais/fisiopatologia , Doenças Profissionais/terapia , Doenças Profissionais/tratamento farmacológico , Traumatismos do Braço/cirurgia , Deformidades da Mão/complicações , Deformidades da Mão/psicologia , Deformidades da Mão/reabilitação , Deformidades da Mão/terapia , Deformidades da Mão/tratamento farmacológico , Ferimentos e Lesões , Monoaminoxidase/anatomia & histologia , Monoaminoxidase/cirurgia , Monoaminoxidase/fisiopatologiaRESUMO
Constructional materials, such as concrete, stone, wood, plastic, painted surfaces and metal, are colonized by bacteria, algae and fungi, which form biofilms on the surfaces acceleranting deteriotion of the structure. The mechanisms of such deterioration, the major microbial genera involved some and of factors which can affect the degree of colonization and attack are discussed. The major factor determining microbial growth on constructional materials is moisture and the importance of correct design of structures to avoid the ingress of water is pointed out.
Assuntos
Bactérias , Biodegradação Ambiental , Biofilmes , Eucariotos , Fungos , Materiais de Construção/microbiologia , UmidadeRESUMO
OBJECTIVE: To evaluate the clinical features and outcome of antiphospholipid syndrome (APS) in children. STUDY DESIGN: Retrospective chart review of patients seen at the Children's Hospital of Philadelphia and Children's Seashore House Pediatric Rheumatology Center between 1988 and 1993. RESULTS: Nine patients with ages ranging from 8 months to 17 years are presented. Clinical features of five patients with primary APS, described in detail, were digital ischemia, stroke, chorea, Addison disease, and pulmonary vaso-occlusive disease. The four children with secondary APS had systemic lupus erythematosus. Clinical features of these patients include livedo reticularis, deep venous thrombosis, and pulmonary hypertension. Antiphospholipid titers, results of coagulation studies, and serologic findings did not predict outcome. CONCLUSION: APS in children has diverse clinical features similar to those in adults and should be considered in cases of unexplained vaso-occlusive disease.