Metabólitos bioativos e atividades biológicas, tóxicas e farmacológicas de plantas ornamentais: uma revisão das espécies hydrangea macrophylla, euphorbia milii, dieffenbachia seguine e dracaena trifasciata / Bioactive metabolites and biological, toxic and pharmacological activities of ornamental plants: a review of the species hydrangea macrophylla, euphorbia milii, dieffenbachia seguine and dracaena trifasciata / Metabolitos bioactivos y actividades biológicas, tóxicas y farmacológicas de plantas ornamentales: una revisión de las especies hydrangea macrophylla, euphorbia milii, dieffenbachia seguine y dracaena trifasciata

As plantas ornamentais foram selecionadas pelo homem a partir de caracteres atraentes e começaram a ser cultivadas por sua beleza. São utilizadas frequentemente em arquitetura e paisagismo de espaços externos, porém, pode possuir princípios ativos que as tornam tóxicas e que podem causar danos a saúde como irritações na pele e mucosas. No Brasil há descritas diversas plantas de uso ornamental e que são consideradas tóxicas, dentre elas podemos destacar popularmente hortênsia, comigo-ninguém-pode, espada-de- são-jorge e a coroa-de-cristo e na literatura o envenenamento humano por essas plantas tóxicas quase não é documentado o que despertou interesse nessa revisão. Logo, esse estudo possui objetivo de revisar as bases de dados em busca de informações de atividades biológicas, tóxicas, farmacológicas e de metabólitos bioativos das espécies Hydrangea macrophylla, Euphorbia milii, Dieffenbachia seguine e Dracaena trifasciata. Para o compilado de dados deste artigo de revisão, foram utilizados 51 artigos que reuniram as condições de elegibilidade buscadas. Os artigos foram lidos na integra e os dados agregados em tabela ou texto. Esta revisão observou que a maioria dos ensaios aplicados nessas espécies foram de caráter toxicológico e objetivavam a busca de veículos para controle de doenças ocasionadas por vetores. Os ensaios demonstraram potencial tóxico preliminar, justificando os efeitos relacionados à intoxicação ou aos danos á saúde como irritações na pele e mucosas.

Ornamental plants were selected by man from attractive characters and began to be cultivated for their beauty. They are often used in architecture and landscaping of outdoor spaces; however, they may have active ingredients that make them toxic and that can cause health damage such as skin and mucous membrane irritations. In Brazil there are described several plants of ornamental use and that are considered toxic, among them we can highlight hortênsia, comigo-ninguém-pode, espada-de-são-jorge e a coroa-de- cristo, and in the literature the human poisoning by these toxic plants is hardly documented which aroused interest in this review. Therefore, this study aims to review the databases in search of information on biological, toxic, pharmacological activities and bioactive metabolites of the species Hydrangea macrophylla, Euphorbia milii, Dieffenbachia seguine and Dracaena trifasciata. To compile data from this review article, 51 articles were used that met the sought eligibility conditions. The articles were read in full and the data aggregated in a table or text. This review noted that most of the tests applied to these species were toxicological in nature and aimed to search for vehicles to control diseases caused by vectors. The trials demonstrated preliminary toxic potential, justifying the effects related to intoxication or damage to health such as skin and mucous membrane irritations.

Las plantas ornamentales fueron seleccionadas por el hombre a partir de caracteres atractivos y empezaron a cultivarse por su belleza. A menudo se utilizan en la arquitectura y el paisajismo de espacios exteriores; sin embargo, pueden tener principios activos que las hacen tóxicas y que pueden causar daños a la salud, como irritaciones de la piel y de las mucosas. En Brasil están descritas varias plantas de uso ornamental y que son consideradas tóxicas, entre ellas se destacan hortênsia, comigo-ninguém-pode, espada-de-são-jorge e a coroa-de- cristo, y en la literatura el envenenamiento humano por estas plantas tóxicas está poco documentado lo que despertó el interés en esta revisión. Por lo tanto, este estudio tiene como objetivo revisar las bases de datos en busca de información sobre las actividades biológicas, tóxicas, farmacológicas y metabolitos bioactivos de las especies Hydrangea macrophylla, Euphorbia milii, Dieffenbachia seguine y Dracaena trifasciata. Para recopilar los datos de este artículo de revisión, se utilizaron 51 artículos que cumplían las condiciones de elegibilidad buscadas. Los artículos se leyeron en su totalidad y los datos se agregaron en una tabla o texto. En esta revisión se observó que la mayoría de los ensayos aplicados a estas especies eran de naturaleza toxicológica y tenían como objetivo la búsqueda de vehículos para el control de enfermedades causadas por vectores. Los ensayos demostraron potencial tóxico preliminar, justificando los efectos relacionados con intoxicación o daños a la salud, como irritaciones de piel y mucosas.

Evaluation of the nutritional composition and antioxidant activity of Bjerkandera adusta

Abstract Bjerkandera adusta, a globally distributed fungus, is commonly used in the nutritional practices of the East Asian population. In this study, we evaluated the nutritional composition of the lyophilized mycelium of B. adusta as well as the phenolic composition and antioxidant activity of its extracts. The mycelium exhibited moisture (7.97 %), ash (3.27 %), and fiber (5.31 %) content values similar to the established values reported in the available literature. In addition, a high protein (9.32 %) and carbohydrate (63.45 %) content was shown, with a low lipid (1.36 %) content. The energy value per 100 g sample of mycelium was 1445.85 kJ. The results obtained indicated a statistically significant variation (p < 0.05) in the phenolic composition (81.84-110.96 mg gallic acid equivalents (GAE) per g of extract), free radical 1,1-diphenyl-2-picrylhydrazyl (DPPH) scavenging activity (IC50 29.05-340.46 µg·mL-1), phosphomolybdenum antioxidant content (34.89-55.64 %), reduction of ferricyanide ion (66.55-69.4 %), and thiobarbituric acid reactive substance (TBARS) values (44.66-133.03 %). These results are unprecedented for this species and emphasize its nutraceutical potential.

Herbal medicines from the industry in the unified health system: challenge faced by medical professionals

Abstract The World Health Organization recognized the use of herbal medicines as a therapeutic resource and its application in the primary attention to heath. The begin of this expansion was in 2006, with the National Policy on Integrative and Complementary practices of the Unified Health System (SUS). This research aimed to evaluate the questionnaires applied to doctors, who may have prescribed industrialized herbal medicines and to identify the difficulties involved with the implementation of this therapy as an integrative and complementary practice. It is a quantitative, observational and transversal study conducted in the municipality of Pinhais/Brazil. The questionnaire applied had as themes the experience of personal use of industrialized herbal medicines, improvement after their use. Forty-four individuals from four different nationalities: Brazilian (88.64%), Cuban (6.82%), Mexican (2.27%) and Argentinian (2.27%), ages between 25 and 69 years, mainly male sex (54.55%) answered the questionnaire. According to the study, the doctors consider herbal medicines an alternative to the conventional treatment and these medical professionals have already prescribed some industrialized herbal medications. Despite the difficulties faced by medical doctors with the prescription of herbs, it is possible to define strategies to assist these professionals, such as the incentive the actions by the governments.

Inhibition of α-glucosidase, pancreatic lipase, and antioxidant property of Myrcia hatschbachii D. Legrand containing gallic and ellagic acids / Inhibición de la α-glucosidasa, la lipasa pancreática y la propiedad antioxidante de Myrcia hatschbachii D. Legrand que contiene ácidos gálico y elágico

Several species of the Myrcia genus have been used in folk medicine to treat diabetes. Therefore, the aim of this work was to investigate the inhibitory activity of α-glucosidase and pancreatic lipase in the crude extract (EBF) and in the ethyl acetate fraction (FFA) of Myrcia hatschbachii, as well as to identify isolated phenolic compounds and to evaluate the antioxidant property and preliminary in vitro toxicity against Artemia salina. EBF (IC50: 3.21 µg/mL) and FFA (IC50: 1.14 µg/mL) showed inhibitory activity superior to acarbose (IC50: 193.65 µg/mL). In addition, they showed inhibitory effects of pancreatic lipase (IC50: 556.58 µg/mL for EBF and 532.68 µg/mL for FFA), antioxidant potential, absence of preliminary toxicity and presence of gallic andellagic acids in FFA. The relevant results in the inhibition of α-glucosidase and pancreatic lipase motivate new studies for the development of herbal medicines that assist in the treatment of diabetic patients.

Varias especies del género Myrcia se han utilizado en la medicina popular para tratar la diabetes. Por lo tanto, el objetivo de este trabajo fue investigar la actividad inhibitoria de la α-glucosidasa y la lipasa pancreática en el extracto crudo (EBF) y en la fracción de acetato de etilo (FFA) de Myrcia hatschbachii, así como identificar compuestos fenólicos aislados y evaluar la propiedad antioxidante y toxicidad in vitro preliminar contra Artemia salina. EBF (IC50: 3.21 µg/mL) y FFA (IC50: 1.14 µg/mL) mostraron una actividad inhibitoria superior a la acarbosa (IC50: 193.65 µg/mL). Además, mostraron efectos inhibitorios de la lipasa pancreática (IC50: 556.58 µg/mL para EBF y 532.68 µg/mL para FFA), potencial antioxidante, ausencia de toxicidad preliminar y presencia de ácidos gálico y elágico en FFA. Los resultados relevantes en la inhibición de la α-glucosidasa y la lipasa pancreática motivan nuevos estudios para el desarrollo de medicamentos a base de hierbas que ayudan en el tratamiento de pacientes diabéticos.

Componentes químicos del aceite esencial de Ocotea paranaensis (Lauraceae) y sus propiedades antioxidantes, anticancer y antimicrobianas / Chemical constituents of Ocotea paranaensis (Lauraceae) essential oil and their antioxidant, anticancer and antimicrobial properties

La composición química del aceite esencial obtenido de las ramas de Ocotea paranaensis se estudió por cromatografía de gases/espectrometría de masas (CG/MS). Se identificaron veintisiete compuestos, que comprenden el 94,82% de los componentes totales. El aceite se caracterizó por una concentración relativamente alta de sesquiterpenos (62,96%), sesquiterpenos oxigenados (33,33%) y diterpeno (3,70%). En cuanto a los compuestos principales, se destacaron Z-nerolidol (19,16%), germacreno D (12,92%) y α-bulnesene (8,47%), que correspondieron al 40,55% de las sustancias encontradas. El aceite esencial analizado de Ocotea paranaensis tiene una buena acción reductora de fosfomolibdeno y es moderadamente tóxico para la Artemia salina (LC50 = 147,91 µg/mL). Mostró potencial hemolítico y actividad moderada contra Staphylococcus aureus (concentración inhibitoria mínima MIC = 250 µg/mL) y Pseudomonas aeruginosa (MIC = 500 µg/mL). No se observaron resultados satisfactorios de citotoxicidad en el linaje H460 y HeLa.

The chemical composition of the essential oil obtained from the branches of Ocotea paranaensis was studied by gas chromatography/mass spectrometry (GC/MS). Twenty-seven compounds, comprising 94.82% of the total components, were identified. The oil showed relatively high concentration of sesquiterpenes (62.96%), oxygenated sesquiterpenes (33.33%), and diterpene (3.70%). Regarding the major compounds, Z-nerolidol (19.16%), germacrene D (12.92%) and α-bulnesene (8.47%) could be highlighted, which corresponded to 40.55% of the substances that were found. The essential oil from Ocotea paranaensis has phosphomolybdenum reducing action and is moderately toxic to the Artemia salina (LC50 = 147.91 µg/mL). It showed haemolytic potential and moderate activity against Staphylococcus aureus, (minimum inhibitory concentration MIC = 250 µg/mL) and Pseudomonas aeruginosa (MIC = 500 µg/mL). No satisfactory cytotoxicity results were observed in lineage H460 and HeLa.

Brazilian panorama about the registration and use of herbal medicines / Panorama brasileño en cuanto al registro y el uso de las hierbas medicinales

It was evaluated the Brazilian panorama regarding the registration and use of phytotherapics. A descriptive study about herbal medicines was carried out using the Pubmed and Portal Capes databases, and online data from the National Health Surveillance Agency (ANVISA). Of the 114-plant species described in the list of Brazilian Common Denomination (CBD), 67 have at least one formulation registered by ANVISA, with emphasis on Ginkgo biloba L. Fifteen different pharmaceutical forms were observed, the most common being tablets. There are 22 different indications, laxative was the most cited. Publications in the field of herbal medicine have increased significantly in the last 2 decades.

Se evaluó el panorama brasileño sobre el registro y uso de fitoterápicos. Se realizó un estudio descriptivo de las hierbas medicinales utilizando las bases de datos Pubmed y Portal Capes, así como datos en línea de la Agencia Nacional de Vigilancia Sanitaria (ANVISA). De las 114 especies de plantas descritas en la lista de Denominación Común Brasileña (CBD), 67 tienen al menos una formulación registrada por ANVISA, con énfasis en Ginkgo biloba L. Se observaron 15 formas farmacéuticas diferentes, siendo las más comunes las tabletas. Hay 22 indicaciones diferentes, laxante fue el más citado. Las publicaciones en el campo de la medicina herbal han aumentado significativamente en las últimas 2 décadas.

Characteristics of the fibroplasia and collagen expression in the abdominal wall after implant of the polypropylene mesh and polypropylene/polyglecaprone mesh in rats

ABSTRACT PURPOSE: To compare fibroplasia and the resistance of the abdominal wall when polypropylene meshes and polypropylene/poliglecaprone are used. METHODS: Seventy-seven male Wistar rats were divided into three groups: Control Group (for resistance); Group E (polypropylene mesh); and Group U (polypropylene/poliglecaprone mesh). The animals in Groups E and U had a standard muscular and aponeurotic defect, with integral peritoneum, and correction with the mesh. Measurements were taken 4, 7, 14, 28 and 56 days after surgery. The resistance, and collagen density were studied. RESULTS: Resistance on the 56th day was similar in both meshes. The gain in resistance described an ascending curve for the polypropylene mesh and was irregular in the case of the polypropylene/poliglecaprone. Fibroplasia showed a gain in type I and type III collagen in both groups (p<0.001). Collagen III stabilized in the 14th day and collagen I continued to ascend. CONCLUSIONS: The gain in resistance of the polypropylene mesh is regular and ascending, whereas the polypropylene/poliglecaprone is not regular. The final resistance of both meshes is similar; the collagen density increases over time, and show the same inflammatory potential.

Inflammatory reaction and tensile strength of the abdominal wall after an implant of polypropylene mesh and polypropylene/poliglecaprone mesh for abdominal wall defect treatment in rats

PURPOSE: To compare the inflammatory reaction and the growing resistance of the abdominal wall with the use of poliglecaprone meshes and polypropylene meshes associated with poliglecaprone in the correction of abdominal defects. METHODS: Seventy-seven Wistar rats were divided into three groups: CG (non-operated animals: EG (polypropylene mesh) and UG (polypropylene and poliglecaprone mesh). A muscular and aponeurotic defect was formed and treated according to the group. Evaluations were made after 4, 7, 14, 28 and 56 days. The resistance and inflammatory pattern were studied. RESULTS: There was a gradual and significant gain in resistance, regularly in the EG and irregularly in the UG, which was lower on the 14th day (p=0.008). The inflammatory reaction was acute and more intense in the UG on the fourth day. At all other times, the inflammatory pattern was acute to chronic, similar in both groups, with minimum intensity on the 56th day. CONCLUSION: The greater resistance offered by the polypropylene mesh was regular and ascending, stabilizing on the 28th day, while that of the polypropylene/poliglecaprone was not even. In the end, the resistances were similar. The inflammatory response was greater in the UG on the fourth day and similar at all other times. .

Minichromosome maintenance 2 and 5 expressions are increased in the epithelium of hereditary gingival fibromatosis associated with dental abnormalities

INTRODUCTION: Gingiva fibromatosis is a relatively rare condition characterized by diffuse enlargement of the gingiva, which is caused by expansion and accumulation of the connective tissue. OBJECTIVE: The aim of the present study was to investigate proliferative and apoptotic biomarker expression in normal gingiva and two forms of gingival fibromatosis. METHODS: Archived tissue specimens of hereditary gingival fibromatosis, gingival fibromatosis and dental abnormality syndrome and normal gingiva were subject to morphological analysis and immunohistochemical staining. The results were analyzed statistically. RESULTS: Proteins associated with proliferation were found in the nuclei of epithelial cells from the basal and suprabasal layers, whereas apoptotic proteins were detected in the cytoplasm of the upper layers of the epithelium. Increased expressions of minichromosome maintenance proteins 2 and 5 were observed in the gingival fibromatosis and dental abnormality syndrome samples. In contrast, geminin expression was higher in normal gingiva samples. No difference in the expression of apoptotic proteins was observed among the groups. CONCLUSION: Our findings support a role for augmented proliferation of epithelial cells within the overgrown tissues associated with gingival fibromatosis or dental abnormality syndrome. However, our data suggest that different biological mechanisms may account for the pathogenesis of different types of gingival fibromatosis.

Avaliação do espaço aéreo faríngeo por meio da tomografia computadorizada de feixe cônico / Assessment of pharyngeal airway space using Cone-Beam Computed Tomography

INTRODUÇÃO: a avaliação do espaço aéreo superior faz parte da rotina na elaboração do diagnóstico e plano de tratamento ortodôntico. A radiografia cefalométrica em norma lateral tem sido usada rotineiramente na avaliação da permeabilidade do espaço aéreo, esbarrando na limitação de fornecer uma imagem bidimensional de uma estrutura tridimensional. A Tomografia Computadorizada de Feixe Cônico (TCFC) tem entrado na realidade ortodôntica trazendo um arsenal de informações concernentes ao espaço aéreo superior. Por fornecer uma imagem tridimensional, possibilita determinar de maneira precisa a área de maior estreitamento da faringe, que ofereceria maior resistência à passagem aérea. OBJETIVOS: o propósito deste artigo é esclarecer o ortodontista quanto aos recursos disponíveis na TCFC para o diagnóstico de possíveis barreiras físicas que possam diminuir a permeabilidade das vias aéreas superiores.

INTRODUCTION: Evaluation of upper airway space is a routine procedure in orthodontic diagnosis and treatment planning. Although limited insofar as they provide two dimensional images of three-dimensional structures, lateral cephalometric radiographs have been used routinely to assess airway space permeability. Cone-Beam Computed Tomography (CBCT) has contributed to orthodontics with information concerning the upper airway space. By producing three-dimensional images CBCT allows professionals to accurately determine the most constricted area, where greater resistance to air passage occurs. OBJECTIVES: The purpose of this article is to enlighten orthodontists on the resources provided by CBCT in the diagnosis of possible physical barriers that can reduce upper airway permeability.

Complicação sistêmica de angina de Ludwig: relato de caso / Systemic complication of Ludwig's angina: case report

Objetivo: relatar um caso clínico de complicação sistêmica de Angina de Ludwig. Relato do caso: homem de 25 anos,atendido no Pronto Socorro Municipal de Belém apresentando aumento de volume na região cervical e sintomatologiana região submandibular. Após realização de exames clínicos e radiográficos contatou-se que a infecção tinha origemodontogênica. Durante a internação, a infecção disseminou-se para o mediastino e para os rins ocasionando nefropatiacrônica bilateral. O paciente obteve alta melhorado, sendo encaminhado para hemodiálise. Considerações finais: a anginade Ludwig deve ser diagnosticada e tratada o mais breve possível já que pode evoluir para complicações sistêmicas.

Objective: report a case of systemic complication of Ludwig?s Angina. Case report: a man of 25 years sought carein Pronto Socorro Municipal of Belém presenting a volume increase in symptoms in the neck and submandibularregion. After clinical and radiographic examination contacted that the infection was odontogenic origin. Duringhospitalization, the infection spread to the mediastinum and the bilateral kidneys causing chronic nephropathy.Thepatient was discharged improved and was reffered for hemodialysis. Final considerations: the Ludwig?s Anginashould be diagnosed and treated as soon as possible as it can progress to systemic complications

Memória de reconhecimento social em ratos / Social recognition memory in rats / Mémoire de reconnaissance sociale chez les rats / Memoria de reconocimiento social en ratones

O paradigma intruso-residente vem sendo intensamente empregado em estudos para avaliar a memória de reconhecimento social em roedores. Tipicamente, ratos adultos (residentes) são expostos a dois encontros de 5 minutos cada com um mesmo intruso juvenil ou com juvenis diferentes; o intervalo entre encontros é usualmente 30 minutos. A quantidade de comportamentos sociais do residente, no segundo encontro, em relação a um intruso familiar é substancialmente menor do que o observado no primeiro encontro, o que não ocorre quando o segundo encontro envolve um juvenil novo; esse resultado caracteriza memória de reconhecimento social. Neste estudo discutimos achados recentes sobre os tipos de comportamentos usualmente incluídos nas categorias social e não-social, a influência da fase temporal, a interferência de rotinas laboratoriais na memória de reconhecimento social, modalidades sensoriais usualmente empregadas por roedores no processamento de informações na memória social e alternativas adicionais para o estudo da socialidade em roedores

The intruder-resident paradigm has been extensively employed in studies of social recognition memory in rodents. Typically, adult rats (residents) are exposed to two 5-min encounters with the same juvenile intruder or with two different juveniles; the interval between the encounters is 30 min. The amount of social behaviors exhibited by the resident rats toward the same intruder juvenile in the second encounter is substantially smaller when compared to both that seen in the first encounter and that seen toward a different juvenile; these results characterize social recognition memory. In this study we discuss recent findings related to behaviors usually included as social and non-social, the influence of the temporal phase on social behavior, the interference of laboratory routines on social recognition memory, sensory modalities usually employed by rodents for processing relevant information in the social memory and additional alternatives to study sociability in these animals

Le paradigme intrus-résident a été employée dans les études de memoire de reconnaissance social chez les rongeurs. Les rats adultes, nommés résidents, sont exposés à deux rencontres de 5min chacun, avec un même intrus juvénile ou avec des différents. L'intervalle de temps parmi les rencontres est 30 min. Le montant des comportements sociaux du résident, à la deuxième rencontre, parrapport a un intrus familiaire est sensiblement inférieur à celui observé à la première rencontre, ce qui ne se produit pas lorsque la deuxième recontre implique un nouveau juvenil. Ce résultat caractérise la mémoire de reconnaissance social. Cette étude discute des récentes conclusions du comportement social et non social, l'influence de la phase temportelle, l'ingérence dês routines de laboratoire dans cette memoire, les modalités sensorielles habituellement utilisées par les rongeurs dans le traitement de l'information sociale dans la mémoire et des solutions alternatifs pour l'étude de la socialité chez eux

El paradigma intruso-residente se viene utilizando extensivamente en estudios de memoria de reconocimiento social en roedores. Típicamente, un ratón adulto (residente) se expone a dos encuentros de 5 minutos cada uno con el mismo intruso juvenil o con dos juveniles diferentes; el intervalo entre los encuentros es de 30 minutos. El número de comportamientos sociales en el segundo encuentro exhibido por el residente y direccionado hacia el mismo intruso es substancialmente menor comparado con el primer encuentro o con un intruso nuevo; este tipo de disminución comportamental caracteriza memoria de reconocimiento social. En este estudio discutimos nuevos resultados relacionados con los comportamientos sociales y no-sociales, influencia de la fase circadiana, interferencia de las rutinas de laboratorio en la memoria de reconocimiento social, modalidades sensoriales empleadas por roedores para procesar información relevante a la memoria social y las alternativas adicionales para estudiar sociabilidad en estos animales

Efeitos do ultrassom terapêutico em modelo experimental de ciatalgia / Therapeutic ultrasound effects in a sciatica experimental model

A ciática possui grande prevalência geral e seu tratamento tende a resolver as causas de compressão nervosa. A fisioterapia objetiva reduzir os sintomas causados pela compressão. O presente estudo teve como objetivo avaliar a eficácia do ultrassom terapêutico sobre a dor, em animais submetidos a modelo experimental de ciatalgia. Foram usados 18 ratos neste estudo, divididos em três grupos: GS (n = 4), submetido a modelo de ciatalgia e tratados com ultrassom desligado; GUP (n = 7), submetido à ciatalgia e tratados com ultrassom pulsado 2W/cm² (SATP; 0,4 - SATA); e grupo GUC (n = 7), submetido à ciática e ultrassom contínuo (0,4W/cm²). O nervo ciático do membro posterior direito foi exposto à compressão com fio categute em quatro pontos. No 3º dia pós-operatório (PO), iniciou-se tratamento indireto por quatro dias. No 9º dia PO, o tratamento direto começou sobre a área do procedimento cirúrgico, por cinco dias consecutivos. O tempo de elevação da pata, durante a marcha, foi avaliado antes e após a ciatalgia, no 3º, 6º, 9º e 13º PO. Os resultados demonstraram que a aplicação do ultrassom reduziu a dor com ambos os tratamentos efetivos e tendeu a ser mais eficaz na forma pulsada.

The sciatica possesses great general population prevalence, and its treatment tends to solve the nervous compression causes. Physiotherapy aims to reduce the symptoms caused by compression. This study aimed to evaluate the effectiveness of therapeutic ultrasound on pain in animals subjected to sciatica experimental model. Eighteen rats were used and they were divided in 3 groups: group SG (n=4) submitted to the sciatica and treated with the ultrasound off, group PUG (n=7) submitted to the sciatica and treated with pulsed ultrasound 2 W/cm² (SATP; 0,4 - SATA) and group CUG (n=7) submitted to the sciatica and treated with continuous ultrasound (0,4 W/cm²). The sciatic nerve of the posterior right limb was exposed to the compression with Catgut wire in 4 points. In the 3rd postoperative day, the indirect treatment was started (right inferior limb) for four days. In the 9th postoperative day, the direct treatment begins on the surgical procedure area for 5 serial days. The paw elevation time, during the march, of the animal was verified before and after the sciatica, at the 3rd, 6th, 9th and 13th postoperative day. The results demonstrated that the application of the therapeutic ultrasound reduced the pain with both treatments in PUG and CUG, and it has tended larger effectiveness in the pulsed form.

Oral myiasis: a case report

Objective: report a case of oral and maxillofacial myiasis in a patient who was found in a forest region inside the city of Belém, Pará, in Brazil. Case report: a male patient, of unknown age, indigent, was found in a forest area inside the city of Belém, Pará, in the Brazilian Amazon region, and his mouth and the lower third of his face were covered in larvae. He was referred for care at the Municipal Emergency Hospital. Physical examination revealed a large area of necrosis that involved most of the lower third of his face and showed the presence of many live larvae, measuring about three millimeters on average and with fetid odor. The patient was febrile, malnourished and dehydrated. Anamnesis could not be properly conducted because the patient could not communicate at all, neither verbally or using writing. The initial procedure was the manual removal of the larvae, then, the patient was sent to surgery. Final considerations: health professionals, including dental surgeons, must be alert to episodes of myiasis in humans, since Brazil has favorable conditions for the proliferation of the main species of flies that cause this condition.

Objetivo: relatar um acaso de miíase oral e maxillofacial em um paciente encontrado em uma região de mata fechada na cidade de Belém, Pará, no Brasil. Relato do caso: homem, idade desconhecida, indigente, foi encontrado em uma área de mata fechada dentro da cidade de Belém, Pará, e sua boca e o terço inferior da face estavam cobertos de larvas. Ele foi encaminhado para o Pronto Socorro Municipal. O exame físico revelou uma extensa área de necrose envolvendo a maior parte do terço inferior da face, mostrando inúmeras larvas vivas, medindo cerca de três milímetros, em média e com odor fétido. O paciente estava febril, desnutrido e desidratado. A anamnese não pôde ser adequadamente conduzida, devido o paciente não conseguir comunicar-se, nem verbalmente, nem através de escrita. O procedimento inicial foi a remoção mecânica das larvas, sendo que, posteriormente, o paciente foi encaminhado para cirurgia. Considerações finais: profissionais de saúde, incluindo cirurgiões-dentistas, devem estar atentos para a ocorrência de miíase em humanos, pois o Brasil possui condições favoráveis a proliferação de várias espécies de moscas causadoras desta condição.

Doença de Paget óssea em paciente jovem: relato de caso / Paget's disease of bone in young patient: a case report

Objetivo: Relatar o caso de um paciente de 22 anos com Doença de Paget óssea. Relato do caso: homem de 22 anos, atendido na Clínica Odontológica da UFPA, referindo a perda de elementos dentais e com sinaisfísicos característicos; solicitados exames laboratoriais, histopatológico e imaginológicos, que confirmaram a suspeita de um caso raro de Doença de Paget óssea em um paciente jovem . Consideraçõesfinais: o caso relatado é considerado raro em razão do paciente acometido pela doença apresentar idade inferior à faixa etária comumente descrita na literatura.

Objective: to report an uncommon case of a 22 years old patient affected by Paget´s disease of bone. Case Report: a 22 years old man, that reported the loss of dental elements, was evaluated at the UFPA´s Dental Clinic showing typical physical signs that made the staff responsible for his care request laboratory, imaging and histopathology tests, which confirmed the suspicion that this was a rare case of Paget´s disease of bone in a young patient. Final considerations: the case reported is considered uncommon due to the fact that the patient´s age was below that the age group reported in the literature as the most affected by this disease.

Qualidade de vida e aspectos psicológicos em pacientes com doença trofoblástica gestacional / Quality of life and psychological aspects in pacients with gestational trophoblastic disease

Doença trofoblástica gestacional (DTG) é um grupo de anomalias proliferativas em células trofoblásticas placentárias que levam a diferentes quadros evolutivos: remissão espontânea, invasão miometrial, metástase e recorrência. O medo da doença, da quimioterapia e da recorrência, bem como a incerteza quanto a futuras gestações são fatores de estresse que afetam consideravelmente a qualidade de vida das pacientes com DTG. Todos esses transtornos resultam em estresse psicológico, social e sexual no momento do diagnóstico, ao longo do seguimento e até mesmo após a cura. A fim de aperfeiçoar a assistência, a qualidade de vida tem sido avaliada em pacientes com diferentes doenças. Entretanto, poucos estudos têm como foco a influência da DTG sobre aspectos psicológicos, sociais e sexuais. Este trabalho tem como objetivo a revisão de estudos sobre qualidade de vida e aspectos psicológicos em pacientes com doença trofoblástica gestacional.