ABSTRACT
ABSTRACT The Neotropical micromoth genus Leurocephala Davis & Mc Kay, 2011 (Lepidoptera, Gracillariidae) was originally described to include only the type species, L. schinusae Davis & Mc Kay, 2011, whose leaf miner larvae are associated with Anacardiaceae in Argentina, Brazil and Paraguay. An integrative analysis including morphology, life history and DNA barcode sequences revealed that specimens collected on Schinus molle L. (Anacardiaceae) in the coastal valleys of the Atacama Desert of northern Chile belong to a second species of this formerly monotypic genus. Adults of Leurocephala chilensis Vargas & Moreira sp. nov. are herein described and illustrated in association with the immature stages and life history, and corresponding phylogenetic relationships are assessed based on DNA barcode sequences. This finding provides the first record of Leurocephala from west of the Andes Range, expanding remarkably its geographic range. It is suggested that the extent of diversity within Leurocephala is much greater and that variation in geographic factors and host plant use may have modeled it, an evolutionary hypothesis that should be assessed in further studies.
ABSTRACT
The authors relate an uncommon case of pyogenic granuloma restricted to tarsal conjunctiva post retinopexy with scleral buckle.
Os autores relatam um caso de granuloma piogênico subconjuntival pós retinopexia com introflexão escleral. É uma complicação pós-cirúrgica incomum neste tipo de procedimento.
Subject(s)
Humans , Male , Middle Aged , Conjunctival Diseases/etiology , Granuloma, Pyogenic/etiology , Retinal Detachment/surgery , Scleral Buckling/adverse effectsABSTRACT
CONTEXTO: Trabalho realizado na área de cirurgia vascular, porém relevante a todas as especialidades clínicas e cirúrgicas devido à importância clínica da trombose venosa profunda e sua principal complicação, a embolia pulmonar. OBJETIVOS: Verificar se a profilaxia para a trombose venosa profunda está sendo utilizada de forma adequada e rotineira em nosso serviço e avaliar o conhecimento dos médicos sobre as indicações de profilaxia medicamentosa. MÉTODOS: Foi realizado um estudo prospectivo com 850 pacientes internados de março a maio de 2007 no Hospital Geral de Roraima. Foram pesquisados fatores clínicos, medicamentosos e cirúrgicos. A estratificação de risco e a avaliação da profilaxia foram estabelecidas conforme a classificação recomendada pela Sociedade Brasileira de Angiologia e Cirurgia Vascular e o protocolo realizado por Caiafa em 2002. Os médicos responderam a um questionário e analisaram três casos clínicos hipotéticos. Os dados foram tabulados e analisados estatisticamente usando o programa de computador Epi-Info 2002®. RESULTADOS: Dos 850 pacientes estudados, 557 (66,66 por cento) eram clínicos e 293 (33,34 por cento) cirúrgicos. Do total, 353 pacientes (41,56 por cento) foram classificados como baixo risco, 411 (48,32 por cento) como médio risco e 86 (10,12 por cento) como alto risco para desenvolver trombose venosa profunda. Dos 497 pacientes que necessitavam receber profilaxia medicamentosa para trombose venosa profunda, apenas 120 (24 por cento) a receberam; destes, 102 (85 por cento) a receberam de forma correta. Dos que não necessitavam de profilaxia, nenhum a recebeu. Os clínicos prescreveram mais e de forma mais correta a profilaxia em relação aos cirurgiões, apesar de estes terem demonstrado possuir um melhor conhecimento teórico do tema. No geral, o conhecimento teórico sobre trombose venosa profunda foi insuficiente. CONCLUSÕES: Em nosso serviço, a profilaxia medicamentosa da trombose venosa profunda é subutilizada...
BACKGROUND: Although this work belongs to the area of vascular surgery, it is relevant to all clinical and surgical specialties due to the clinical importance of deep venous thrombosis and its main complication, pulmonary embolism. OBJECTIVES: To verify whether pharmacological prophylaxis of deep venous thrombosis is being adequately and routinely used in our service and to evaluate physicians' knowledge about the indications of deep venous thrombosis chemoprophylaxis. METHODS: A prospective study was accomplished including 850 patients hospitalized from March to May 2007 at Hospital Geral de Roraima. Clinical, pharmacological and surgical factors were researched. Risk stratification and evaluation of prophylaxis were established according to the classification suggested by the Brazilian Society of Angiology and Vascular Surgery and to the protocol developed by Caiafa in 2002. Physicians answered a questionnaire and analyzed three hypothetical clinical cases. Data were tabled and statistically analyzed with the support of the software Epi-Info 2002®. RESULTS: Of the 850 patients surveyed, 557 (66.66 percent) were clinical and 293 (33.34 percent) were surgical patients. Of the total, 353 (41.56 percent) had low risk, 411 (48.32 percent) medium risk and 86 (10.12 percent) high risk for development of deep venous thrombosis. Of the 497 patients that needed to receive chemoprophylaxis for deep venous thrombosis, only 120 (24 percent) received it and of these, 102 (85 percent) received it adequately. Any patient who did not need prophylaxis received it. Clinical physicians prescribed prophylaxis more frequently and correctly than surgeons, although the latter have demonstrated better theoretical knowledge of the theme. In general, theoretical knowledge on deep venous thrombosis was insufficient. CONCLUSIONS: In our hospital, chemoprophylaxis for deep venous thrombosis is underused in patients indicated for receiving it. Therefore, it is necessary...
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Pulmonary Embolism/therapy , Venous Thrombosis/therapy , Risk FactorsABSTRACT
Trauma raquimedular é uma lesão traumática que acarreta comprometimento da função da medula espinal emgraus variados de extensão. No Brasil 130 mil indivíduos são portadores de lesão medular, com aumento anual da incidência decorrente de acidentes automobilísticos e da violência urbana, sendo imprescindível para a reabilitação a intervenção fisioterapêutica precoce. Nesse contexto, o presente estudo teve por objetivo identificar e caracterizar a demanda de pacientes com diagnóstico de trauma raquimedular atendidos em um Hospital Público de São José do Rio Preto, no ano de 2005. A pesquisa foi realizada por meio da análise dos prontuários desses pacientes, sendo encontrados 14 indivíduos com traumatismo raquimedular. A grande prevalência foi do sexo masculino, faixa etária entre 20 e 35 anos, sendo queda a maior causa e, a medula espinal, o segmento mais acometido com seqüela motora de tetraplegia na maior parte. Realizaram fisioterapia durante a internação hospitalar 11 indivíduos dentre os casos analisados. Em conclusão observaram-se índices consideráveis no Brasil e no mundo do trauma raquimedular, com aumento no número de casos a cada ano, principalmente entre os jovens. Assim a fisioterapia tem grande importância na reabilitação e recuperação dos indivíduos com lesão medular.
Spinal cord injury is a traumatic lesion that causes dysfunction, to a greater or lesser extent, of the spinal cord. In Brazil, a 130,000 people suffer spine cord injury. The incidence of spinal cord injury has gradually increased due to both car accidents and urban violence. Its essential to start an early rehabilitation with a physical therapist. The objective of this study is to identify and to characterize the demand of patients with spinal cord injury treated at a Public Hospital of São José do Rio Preto in 2005. The study was carried out analyzing the patients medical records. It was found 14 patients with spinal cord injury. The majority was men, aged between 20 and 35-years-old, and the principal cause of lesion was accidental falls; the most impaired segment of the body was the cervical vertebrae, and in most patients, tetraplegia was the most common motor impairment. Of the 14 patients analyzed, 11 were submitted to physical therapy while at the hospital. In conclusion, in Brazil and in the world, spinal cord injury increases each year, and it prevail in young people. Therefore, the physical therapy plays an important role in the rehabilitation and recovery of people who have suffered spinal cord injury.