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Fábio Andrey da Costa Araújo Thiago de Santana Santos Hécio Henrique Araújo de Morais José Rodrigues Laureano Filho Emanuel Dias de Oliveira e Silva Ricardo José Holanda Vasconcellos 《Journal of cranio-maxillo-facial surgery》2012,40(8):e346-e349
The aim of this prospective, randomized, controlled, paired trial was to perform a comparative analysis of the preemptive analgesic effect of nimesulide and tramadol chlorhydrate during third molar surgery. The study was carried out between March and November 2009, involving 94 operations in 47 male and female patients with bilateral impacted lower third molars in comparable positions. The sample was divided into two groups. Group A received an oral dose of 100 mg of nimesulide 1 h prior to surgery. Group B received an oral dose of 100 mg of tramadol chlorhydrate 1 h prior to surgery. The following aspects were evaluated in the postoperative period: adverse effects of the drugs; amount of rescue medication used (acetaminophen 750 mg); and pain 5, 6, 24, 36, 48, 60, 72 and 84 h after surgery using a visual analog pain scale. Peak pain occurred 5 h after surgery in both groups, with a mean pain score of 2.3 in Group A and 3.0 in Group B; this difference did not achieve statistical significance (p > 0.141). Based on the sample studied, nimesulide and tramadol chlorhydrate demonstrate similar preemptive analgesic effects when used in lower third molar surgeries. 相似文献
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Juliana Bastos Costa Virna Lygia Lobo Rocha de Sousa Pedro Bezerra da Trindade Neto Thomás de Aquino Paulo Filho Virgínia Célia Dias Florêncio Cabral Patrícia Moura Rossiter Pinheiro 《Anais brasileiros de dermatologia》2012,87(6):910-913
Norwegian scabies is a highly contagious skin infestation caused by an ectoparasite,
Scarcoptes scabiei var. Hominis, which mainly affects immunosuppressed individuals.
Clinically, it may simulate various dermatoses such as psoriasis, Darier''s disease,
seborrheic dermatitis, among others. This is a case report of a 33-year-old woman,
immunocompetent, diagnosed with generalized anxiety disorder (cancer phobia), who had
erythematous, well-defined plaques, covered with rupioid crusts, on her neck,
axillary folds, breast, periumbilical region, groin area, besides upper back and
elbows, mimicking an extremely rare variant of psoriasis, denominated rupioid
psoriasis. 相似文献
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NG da Silva AS Carreira EN Pedreira FM Tuji KL Ortega JD Pinheiro 《Head & face medicine》2012,8(1):23
ABSTRACT: Central giant cell lesions are benign intraosseous proliferative lesions that have considerable local aggressiveness. Nonsurgical treatment methods, such as intralesional corticosteroid injections, systemic calcitonin and interferon have been reported. Recently, bisphosphonates have been used to treat central giant cell lesions. A case of a 36-year-old male with a central giant cell lesion crossing the mandibular midline was treated with intralesional corticosteroids combined with alendronate sodium for the control of systemic bone resorption. The steroid injections and the use of bisphosphonates were stopped after seven months when further needle penetration into the lesion was not possible due to new bone formation. After two years, the bony architecture was near normal, and only minimal radiolucency was present around the root apices of the involved teeth. The patient was followed up for four years, and panoramic radiography showed areas of new bone formation. Thus far, neither recurrence nor side effects of the medication have been detected. 相似文献
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Rodrigo Dias Nunes Flávia Duarte Schutz Jefferson Luiz Traebert 《The journal of maternal-fetal & neonatal medicine》2018,31(14):1900-1905
Purpose: Cerebral palsy is often associated with prematurity and magnesium sulfate (MgSO4) has been used as a neuroprotector, with favorable results. However, its mechanism of action has not been fully elucidated. This study aimed to evaluate the association between MgSO4 at the imminent premature delivery and neonatal hemodynamic effects.Materials and methods: A cross-sectional study involving 94 newborns (NB) between 24 and 32?weeks at a Brazilian hospital was performed. Bivariate analysis between the use or the non-use of MgSO4 and hemodynamic characteristics was performed, using the Chi-square test.Results: NB were evaluated between those who received MgSO4 (27.7) and those who did not (72.3%). Normal heart rate was verified in 62.8% of NB, normal respiratory rate in 70.2%, and normal temperature in 22.3%. Oxygen saturation higher or equal than 95% was evidenced in 85.1% of NB, normal hemoglucotest in 74.5%, and hemoglobin greater or equal than 16.4?g/dL in 30.9%. Non-invasive ventilation was performed in 48.9% of NB, while 51.1% were submitted to endotracheal ventilation. There was no significance relation detected between the use of MgSO4 and the hemodynamic characteristics.Conclusions: MgSO4 does not appear to influence hemodynamic factors as a cause of the neuroprotection in premature NB. 相似文献
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Fernanda Monego Rafael Silva Duarte Sueli Massumi Nakatani Wildo Navegantes Araújo Irina Nastassja Riediger Sonia Brockelt Verena Souza Jamyra Iglesias Cataldo Rubens Clayton da Silva Dias Alexander Welker Biondo 《The Brazilian journal of infectious diseases》2011,15(5):436-441
ObjectiveOne hundred thirty-one cases of postsurgical infections were reported in Southern Region of Brazil between August 2007 and January 2008. Thirty-nine (29.8%) cases were studied; this report describes epidemiological findings, species identification, antimicrobial susceptibility and clonal diversity of rapidly growing mycobacteria isolated in this outbreak.MethodsAll 39 isolates were analyzed by Ziehl-Nielsen stained smear, bacterial culture and submitted to rpoB partial gene sequencing for identification. The isolates were also evaluated for their susceptibility to amikacin, cefoxitin, clarithromycin, ciprofloxacin, doxycycline, tobramycin and sulfamethoxazole.ResultsThirty-six isolates out of the confirmed cases were identified as Mycobacterium massiliense and the remaining three were identified as Mycobacterium abscessus, Mycobacterium chelonae and Mycobacterium fortuitum. All M. massiliense isolates were susceptible to amikacin (MIC90 = 8 μg/mL) and clarithromycin (MIC90 = 0.25 μg/mL) but resistant to cefoxitin, ciprofloxacin, doxycycline, tobramycin and sulfamethoxazole. Molecular analysis by pulsed-field gel electrophoresis clustered all 36 M. massiliense isolates and showed the same pattern (BRA 100) observed in three other outbreaks previously reported in Brazil.ConclusionsThese findings suggest a common source of infection for all patients and reinforce the hypotheses of spread of M. massiliense BRA100 in Brazilian hospital surgical environment in recent years. 相似文献