scholarly journals Reanatomização do sorriso com uso de resina composta: relato de caso

2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Martha Gerusa da Silva Lima ◽  
Fabíola Gabriellen Barros Brito ◽  
José Henrique de Araújo Cruz ◽  
Luanna Abílio Diniz Melquíades Medeiros ◽  
Elizandra Silva da Penha ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Multidisciplinary Approach ◽  
Sao Paulo ◽  
Resin Composites ◽  
São Paulo ◽  
Fernando Pessoa ◽  
Tooth Structure ◽  
Smile Aesthetics ◽  
Tooth Colour

Introdução: Os pacientes têm exigido cada vez mais da odontologia estética para solucionar casos de desarmonia do sorriso, como alterações de cor, forma e tamanho. Com o avanço dos materiais dentários e aperfeiçoamento das técnicas é possível tratar casos estéticos com mínimos desgastes dentários e ter resultados excelentes. Cabe ao cirurgião-dentista optar por um tratamento que devolva saúde e função além da estética. Objetivo: Realizar reanatomização do sorriso por meio de facetas diretas em resina composta, como também mostrar que é possível alcançar sucesso clínico usando um material mais barato como a resina composta. Relato do caso: Paciente sexo feminino, 22 anos, apresentou-se à Clínica Escola de Odontologia da UFCG buscando melhorar a estética do seu sorriso. O material de escolhido foi resina composto por ser mais viável financeiramente em relação às cerâmicas, ter execução mais simples, necessitar de pouco ou nenhum desgaste e também ser reversível. A técnica usada foi Facetas diretas em resina composta; para realiza-lo foram imprescindíveis etapas pré-operatórias de gengivectomia, clareamento dental, enceramento diagnóstico para posteriormente realizar-se os desgastes. Utilizou-se guia de silicone para nortear os aumentos incisais, condicionamento ácido com ácido fosfórico a 37%, aplicação do sistema adesivo e realização dos incrementos de compósitos com posterior acabamento e polimento. Conclusão: A colaboração da paciente, um bom planejamento do caso, execução adequada da técnica e controle e manutenção periódica, proporcionaram uma estética dentária dentro dos padrões tão valorizados atualmente e aumento da sua autoestima.Descritores: Estética Dentária; Facetas Dentárias; Resinas Compostas.ReferênciasMarcondes R, Pires HCS, Bocutti JH. Lâmina cerâmica unitária sobre substrato escurecido: protocolo clinicolaboratorial com estratifcação em duas camadas. Rev Dental Press Estét. 2012;9(4):28-44.Sakamoto Junior AS, Higashi C, Gomes JC. Substituição de coroas totais metalocerâmicas em incisivos laterais conoides vitais: relato de caso clínico. Rev Dental Press Estét. 2015;12(3):71-83.Pontons-Melo JC. Harmonização do sorriso por meio de procedimentos minimamente invasivos. FGM News. 2013;132-37.Mondelli J. Estética e cosmética: em clínica integrada restauradora. São Paulo: Quintessence; 2003.Baratieri LN. Soluções clínicas: fundamentos e técnicas. Florianópolis: Ponto; 2008.Silva SB. Facetas diretas de resina composta versus facetas indiretas em porcelana [monografia] Florianópolis: ABO-SC; 2005.Queiroga RB. Laminados cerâmicos minimamente invasivos: novas possibilidades. Rev Dental Press Estét. 2012;9(1):34-47.Soares PV, Faria NFB, Cardoso IO, Moura GF, Pereira AG. Multidisciplinary approach for rehabilitation of smile aesthetics with minimally invasive ceramic veneers. J Clin Dent Res. 2017;14(1):68-88.Joiner A, Luo W. Tooth colour and whiteness: A review. J Dent. 2017;  67S:S3-S10.Nash RW. Resurfacing tooth structure with ceramic laminates. Dent Today. 2014; 33(8):68-71.  Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008;3(1):14-29.Almeida RR, Garib D.G, Almeida-Pedrin RR, Almeida MR, Pinzan A, Junqueira MHZ. Diastemas interincisivos centrais superiores: quando e como intervir?. R Dental Press Ortodon Ortop Facial. 2004;9(3):137-56.Lima RBW, Leite JT, França RM, Brito MCT, Uchôa RC, Andrade AKM. Reabilitação estética anterior pela técnica do facetamento – relato de caso. Rev bras ciênc saúde 2013; 17(4):363-70.Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent. 2013;41(11):979-85.Souza SJB, Magalhães D, Silva GR, Soares CJ, Soares PFB, Santos-Filho PCF. Cirurgia plástica periodontal para correção de sorriso gengival associada a restaurações em resina composta: relato de caso clínico. Rev Odontol Bras Central. 2010;19(51):362-66.Ferreira CLB. Fraturas dentárias no sector anterior abordagem estética através de restaurações diretas a resina composta [dissertação]. Porto: Faculdade de Ciências da Saúde Universidade Fernando Pessoa; 2013.Okida RC, Rahal V, Okida DSS. A associação entre dentística e periodontia no tratamento estético com lentes de contato: relato de caso. Rev Odontol Araçatuba. 2015;36(1):59-64.Cruz JHA, Silva RLB, Andrade-Júnior FP, Guênes GMT, Almeida MSC, Medeiros LADM et al. A importância da anatomia e escultura dental para prática de procedimentos clínicos odontológicos. RSC online, 2018;7(1):76-85.Sousa LX, Cruz JHA, Melo WOS, Freire SCP, Ribeiro ED, Freire JCP. Abfração dentária: um enfoque sobre a etiologia e o tratamento restaurador. Arch Health Invest. 2018; 7(2):51-53.

scholarly journals Follow-up of the air pollution and the human male-to-female ratio analysis in São Paulo, Brazil: a times series study

BMJ Open ◽  
2013 ◽  
Vol 3 (7) ◽  
pp. e002552 ◽  
Author(s):  
Simone Georges El Khouri Miraglia ◽  
Mariana Matera Veras ◽  
Luis Fernando Amato-Lourenço ◽  
Fernando Rodrigues-Silva ◽  
Paulo Hilário Nascimento Saldiva
Keyword(s):  
Air Pollution ◽  
Sao Paulo ◽  
Ratio Analysis ◽  
São Paulo ◽  
Female Ratio ◽  
Times Series ◽  
Human Male ◽  
Male To Female ◽  
Series Study

scholarly journals “É som de preto, de favelado”: o funk como forma de (r)existência para crianças e adolescentes em acolhimento/“Its black marginalized music”: funk as a way of (r)existence for children and young's in foster

2021 ◽  
Vol 5 (4) ◽  
pp. 632-638
Author(s):  
Paula Fernanda De Andrade Leite Fernandes ◽  
Alice Fernandes De Andrade ◽  
Leticia Ambrosio ◽  
Clau Fragelli
Keyword(s):  
Occupational Therapy ◽  
Cultural Identity ◽  
Professional Practice ◽  
Black People ◽  
Life Experience ◽  
Sao Paulo ◽  
São Paulo ◽  
Critical Perspective ◽  
Identidad Cultural

Contextualização: O artigo analisa a prática profissional terapêutica ocupacional em um Serviço de Acolhimento Institucional Infantojuvenil, em uma cidade no interior de São Paulo. Processo de intervenção: Compreendendo a raça como um marcador social de estereótipos e estigmas na vivência cotidiana dos corpos negros e a racialização das infâncias institucionalizadas, analisamos as experiências infantojuvenis nos processos de institucionalização. Análise crítica da prática: A partir de uma perspectiva decolonial e crítica da Terapia Ocupacional e de uma proposta contra hegemônica de atuação, discutimos a respeito de ações interventivas para valorização e reconhecimento da identidade cultural negra dentro do serviço, como uma possibilidade de prática afrorreferenciada e antirracista na/para Terapia Ocupacional.Palavras-chave: terapia Ocupacional. Prática Profissional. Criança Acolhida. Popoluação Negra AbstractContextualization: This article analyzes the professional practice of occupational therapist in an Institutional Childcare Service in a city of São Paulo state, in Brazil. Intervention / Follow-up process: We analyze children's experiences in institutionalization processes understanding race as a social marker. Critical analysis of the practice: The racialization of institutionalized childhoods causes stereotypes and stigmas in the day life experience of black kids. From a decolonial and critical perspective of Occupational Therapy and a counter-hegemonic proposal of action, we discuss interventional actions for valuing and recognizing black cultural identity within the service as a possibility of afro-referenced and anti-racist practice in/for Occupational Therapy.Keywords: Occupational Therapy. Professional Practice. Foster Child. Black People ResumenContextualización: El artículo analiza la práctica profesional terapéutica ocupacional en un Servicio de Acogida Institucional Infantil en una ciudad del interior de estado de São Paulo, en Brasil. Intervención / Proceso de seguimiento: Entendiendo la raza como un marcador social de estereotipos y estigmas en la vida cotidiana de los cuerpos negros y la racialización de la niñez institucionalizada, analizamos las experiencias de los niños en los procesos de institucionalización. Análisis crítico de la práctica: Desde una perspectiva decolonial y crítica de la Terapia Ocupacional y una propuesta de acción contrahegemónica, discutimos las acciones intervencionistas para la valoración y reconocimiento de la identidad cultural negra dentro del servicio como una posibilidad de práctica afro-referenciada y antirracista en/para la Terapia Ocupacional.Palabras clave: Terapia Ocupacional. Práctica Profesional. Ninõ acogido. Población Negra 

scholarly journals Clinical, Laboratory, and Genetic Features of Erdheim-Chester Disease Patients from Two Reference Centers in a Developing Country

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 22-23
Author(s):  
Antonio Adolfo Guerra Soares Brandão ◽  
Giancarlo Fatobene ◽  
Andre Abdo ◽  
Luis Alberto de Padua Covas Lage ◽  
Israel Bendit ◽  
...  
Keyword(s):  
Median Time ◽  
Latin American ◽  
Braf Mutation ◽  
Sao Paulo ◽  
São Paulo ◽  
First Line ◽  
Erdheim Chester Disease ◽  
Erdheim Chester ◽  
Chester Disease

INTRODUCTION: Erdheim-Chester Disease (ECD) is a rare histiocytic neoplasm with a heterogenous clinical course with asymptomatic localized course or systemic compromise involving multiples organs causing significant morbidity and mortality. There are few cohorts published however mainly from North America and Europe. Given the scarcity of data on ECD in Latin America, we have established a local registry in the city of São Paulo to collect clinical and biological material of ECD patients. METHODS: We retrospectively collected clinical data on biopsy-proven ECD patients diagnosed and treated at two reference centers for histiocytic disorders (Hospital das Clínicas da Universidade de São Paulo e Hospital Sírio-Libanês, Brazil) from January 2006 to February 2020. RESULTS: Sixteen patients with confirmed diagnosis of ECD were included with median age of 53 years. 75% were males and a median follow-up time of 50 months (7-163). Median time from onset of symptoms to diagnosis was 13 months (0.1-142). Immunohistochemistry (IHC) findings showed positivity for CD68 in 15/16 (94%) and for S100 in 3/16 (19%) patients, no case had CD1a positivity. The most frequent organs involved were: bone (75%), skin (44%), central nervous system (CNS) (44%), lymph nodes (31%), lung (13%), liver (6%), spleen (6%), and gastrointestinal tract (6%) of cases. CNS lesions involvement occurred mostly in the pituitary gland (86%). Twelve of 16 (75%) patients presented disease in more than one organ. Xanthelasma and xanthoma were the most common skin lesions (44%). The most frequent histiocytosis-related clinical manifestations were bone pain (44%) and diabetes insipidus (38%). The most frequent radiologic findings were osteosclerosis in 12/16 (75%) patients, retroperitoneal fibrosis around the kidneys in 6/16 (38%), the coated aorta sign and orbital infiltration were found in 4/16 (25%) of cases. 18FDG/PET-CT was performed in all patients, of whom 13 (81%) had hypermetabolic lesions. BRAF status at diagnosis was available in 13/16 patients using the technique of Sanger in 5/13, pyrosequencing in 3/13, IHC in 3/13 and polymerase chain reaction (PCR) in 2/13. Mutations were detected in only 3/16 (19%) cases. All patients received treatment due to symptomatic disease with a median of two lines of therapy (1-7). Median time between diagnosis and the first treatment was one month. First-line treatments were interferon in 12/16 patients, steroids in 5/16, and each one of thalidomide, vemurafenib and tumoral resection in one patient. Beyond first-line therapy, the most conventional chemotherapy regimens used were cladribine (4/16 patients) and LCH-like etoposide-containing vinblastine, methotrexate and mercaptopurine (2/16 patients). Other treatments included radiotherapy (4/16 patients) and a single patient used cobimetinib, imatinib and infliximab. Median progression free survival (PFS) after the first line treatment was 7.5 months (95% CI 5-10), and median overall survival (OS) was not reached to this date. Time to next treatment was 9 months in patients who did not achieved at least partial response after first line, and 15 months in those who attained it. PFS at 2 years was 45% (95% CI 0.17-0.71), and OS at 2 years was 100%. One patient died due to infection complication after the first cycle of cladribine after 50 months of follow-up. CONCLUSION: To our knowledge, despite the low number of patients, this is the largest Latin American cohort of patients with ECD reported to date. Our findings resemble demographic characteristics, sites of involvement and treatment choices reported by other groups. However, it is noteworthy that the proportion of ECD patients bearing a BRAF mutation (18.8%) was pretty lower than previously reported (approximately 50%). This needs to be taken cautiously due to the small number of subjects and due to technical issues, since all samples analyzed by PCR or Sanger were negative for BRAF mutation. A national registry of histiocytosis is needed to confirm these preliminary data. Disclosures No relevant conflicts of interest to declare.

PP151 Comparison Of Patients Undergoing New Technology For Prostate Cancer

2018 ◽  
Vol 34 (S1) ◽  
pp. 125-126
Author(s):  
Deyvid Silva ◽  
Letícia Lazarini ◽  
Araujo Aline ◽  
Evelinda Trindade ◽  
Otavio Becker ◽  
...  
Keyword(s):  
Intensive Care ◽  
Operating Room ◽  
Gleason Score ◽  
Open Surgery ◽  
Sao Paulo ◽  
High Intensity Focused Ultrasound ◽  
Disease Stage ◽  
Consecutive Series ◽  
São Paulo

Introduction:Prostate neoplasia affects more than one million people worldwide. Surgical treatments have evolved from open or video prostatectomy, up to the High Intensity Focused Ultrasound (HIFU) technique. HIFU studies cite less costs and better quality of life during the first year of follow-up. The objective of this study is to describe a consecutive series of eligible patients, with Gleason score 6 and 7, and compare resources used along those three treatment techniques.Methods:A comparative and retrospective study was conducted during the first 2017 semester, at Hospital de Transplantes de São Paulo, São Paulo city, Brazil. Consecutive eligible patients were matched by age, disease stage and profile and Gleason score 6 or 7. Resources used were assessed through medical records review and in- and out-patient visit interviews.Results:A total of 152 patients were followed: 50 underwent open surgery prostatectomy, 50 underwent video prostatectomy and 52 underwent HIFU. Mean age did not differ between groups (66.6, 64.1 and 65.6 years, respectively). All patients were followed for at least three months. The average operating room time was 4.7, 4.1 and 2.3 hours, and the average anesthetic recovery time was 2.0, 1.9 and 2.0 hours, respectively. Average inpatient length of stay was 2.5, 2.7 and 1.5 days, respectively. Postoperatively, nine (18 percent) open surgery patients, and 14 (28 percent) video-prostatectomy patients required an average of one full day of intensive care, compared to only one (2 percent) HIFU patient. During follow-up, the same effectiveness was observed between the groups, none required re-intervention. Thus, considering the 50 percent economy in hours of operating room and of days of hospital stay, as well as 10 times less use of intensive care unit days when the HIFU technique was compared to conventional surgeries, it is estimated the HIFU program allowed 30 percent cost savings.Conclusions:The HIFU program presented effectiveness and savings. The hospital can increase access to care for prostate neoplasia patients.

scholarly journals Dichotomy in Fatal Outcomes in a Large Cohort of People Living with HTLV-1 in São Paulo, Brazil

Pathogens ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 25 ◽  
Author(s):  
Rosa Maria N. Marcusso ◽  
Johan Van Weyenbergh ◽  
João Victor Luisi de Moura ◽  
Flávia Esper Dahy ◽  
Aline de Moura Brasil Matos ◽  
...  
Keyword(s):  
T Cell ◽  
Cause Of Death ◽  
Clinical Care ◽  
Laboratory Data ◽  
Sao Paulo ◽  
São Paulo ◽  
T Cell Leukemia ◽  
Cell Leukemia ◽  
Associated Diseases

Background: Despite its relatively low incidence of associated diseases, Human T-cell Leukemia Virus-1 (HTLV-1) infection was reported to carry a significant risk of mortality in several endemic areas. HTLV-1-associated diseases, adult T-cell leukemia/lymphoma (ATLL) and HTLV-1-associated myelopathy/tropical spastic paraperesis (HAM/TSP), as well as frequent coinfections with human immunodeficiency virus (HIV), hepatitis C virus (HCV), and Strongyloides stercoralis were associated to increased morbidity and mortality of HTLV-1 infection. Objective: To determine the mortality rate and its associated variables from an open cohort started in July 1997 at the HTLV Clinic, Emilio Ribas Institute (IIER), a major infectious disease hospital in São Paulo, Brazil. Methods: Since inception up to September 2018, we admitted 727 HTLV-1-infected individuals, with a rate of 30–50 new admissions per year. All patient data, including clinical and laboratory data, were regularly updated throughout the 21-year period, using a dedicated REDCap database. The Ethical Board of IIER approved the protocol. Results: During 21 years of clinical care to people living with HTLV-1 in the São Paulo region, we recruited 479 asymptomatic HTLV-1-infected individuals and 248 HAM/TSP patients, of which 632 remained under active follow-up. During a total of 3800 person-years of follow-up (maximum follow-up 21.5 years, mean follow-up 6.0 years), 27 individuals died (median age of 51.5 years), of which 12 were asymptomatic, one ATLL patient and 14 HAM/TSP patients. HAM/TSP diagnosis (but neither age nor gender) was a significant predictor of increased mortality by univariate and multivariate (hazard ratio (HR) 5.03, 95% CI [1.96–12.91], p = 0.001) Cox regression models. Coinfection with HIV/HCV was an independent predictor of increased mortality (HR 15.08; 95% CI [5.50–41.32]; p < 0.001), with AIDS-related infections as a more frequent cause of death in asymptomatics (6/13; p = 0.033). HIV/HCV-negative fatal HAM/TSP cases were all female, with urinary tract infection and decubitus ulcer-associated sepsis as the main cause of death (8/14, p = 0.002). Conclusions: All-cause mortality among people living with HTLV-1 in São Paulo differs between asymptomatic (2.9%) and HAM/TSP patients (7.3%), independent of age and gender. We observe a dichotomy in fatal cases, with HAM/TSP and HIV/HCV coinfection as independent risk factors for death. Our findings reveal an urgent need for public health actions, as the major causes of death, infections secondary to decubitus ulcers, and immune deficiency syndrome (AIDS)-related infections, can be targeted by preventive measures.

scholarly journals Auriculoterapia verdadeira e placebo para enfermeiros estressados: ensaio clínico randomizado

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Juliana Miyuki do Prado ◽  
Leonice Fumiko Sato Kurebayashi ◽  
Maria Julia Paes da Silva
Keyword(s):  
Sao Paulo ◽  
São Paulo

RESUMO Objetivo Comparar a eficácia da auriculoterapia verdadeira e placebo com pontos sham no tratamento de estresse em enfermeiros de um hospital beneficente em São Paulo. Método Ensaio clínico controlado randomizado, simples-cego. A amostra foi constituída de 168 enfermeiros que apresentaram níveis médio e alto de estresse pela Lista de Sintomas de Stress (LSS) e foram randomizados em 3 grupos: Auriculoterapia (G1), Placebo (G2) e Controle (G3). Os grupos 1 e 2 receberam 12 sessões, 2 vezes por semana. Os pontos utilizados no Grupo 1 foram: Shenmen e Tronco Cerebral; no Grupo 2 foram: Ouvido Externo e Bochecha. Os três grupos foram avaliados no início, após oito, 12 sessões e follow-up (15 dias). Resultados O grupo 1 conseguiu 43% de redução e 1,81 de índice d de Cohen (alto efeito), apresentando diferença estatística a partir de oito sessões, com manutenção no follow-up (p<0,001), segundo Análise de Variâncias. Já o grupo 2 atingiu 26% de redução, com d de Cohen de 0,86 (grande efeito), conseguindo diferença após 12 sessões (p<0,001), com manutenção no follow-up (p<0,05), comparativamente ao G3, que não obteve redução em nenhum momento. Conclusão A auriculoterapia verdadeira conseguiu maior redução de estresse entre enfermeiros, mas não houve diferença estatística entre os dois grupos de intervenção. Registro Brasileiro de Ensaios Clínicos: RBR-req2792

scholarly journals POESIA, PENSAMENTO E EXPANSÕES INTERMIDIÁTICAS EM ALBERTO PUCHEU

2019 ◽  
Vol 23 (2) ◽  
pp. 187-197
Author(s):  
Edmon Neto de Oliveira ◽  
Rosangela Machado Pereira Malvaccini
Keyword(s):  
Rio De Janeiro ◽  
Sao Paulo ◽  
São Paulo ◽  
Giorgio Agamben ◽  
Porto Alegre ◽  
Fernando Pessoa ◽  
Gottfried Benn ◽  
Jean Paul ◽  
Belo Horizonte

Este artigo tem por objetivo transitar pela obra poética do escritor brasileiro Alberto Pucheu, levantando um perfil de escrita que se manifesta desde as suas primeiras publicações até as mais recentes, como a que consta do poema “É preciso aprender a ficar submerso”, analisado a partir de abordagem cujo foco se concentra na relação entre literatura e imagem, sendo o vídeo produzido pela artista Danielle Fonseca (2015) o objeto de comparação, além da abordagem imanente concentrada nos aspectos internos ao texto.  Palavras-chave: Poesia. Imagem. Pensamento. Intermidialidade. Alberto Pucheu. Referências AGAMBEN, Giorgio. Estâncias: a palavra e o fantasma na cultura ocidental. Tradução Selvino José Assmann. Belo Horizonte: UFMG, 2007. BAUDRILLARD, Jean. Simulacros e simulação. Tradução Maria João da Costa. Lisboa: Relógio d’Agua, 1991. BOURRIAUD, Nicolas. Pós-produção: como a arte reprograma o mundo contemporâneo. São Paulo: Martins Fontes, 2009. CARLOS, Erasmo. Meus lados B. Produção André Midani, CD/DVD/Blu-Ray, Coqueiro Verde, 2015. CICERO, Antônio. Poesia e filosofia. Rio de Janeiro: Civilização brasileira, 2012. CORTEZ, Clarice Zamonaro; RODRIGUES, Hermes Rodrigues. Operadores de leitura da poesia. In: BONICI, Thomas; ZOLIN, Lúcia Osana (orgs.) Teoria literária: abordagens históricas e tendências contemporâneas. 4 ed. Maringá: Eduem, 2019. p. 63-84. COSTA, Gal. Divino maravilhoso. Produção Manoel Barenbein, CD, 39’28”, Philips, 1969. FONSECA, Danielle. É preciso aprender a ficar submerso. Out. 2015. Disponível em: https://www.youtube.com/watch?v=jGwY2daOJGs. Acesso em: 24 maio 2019. KLINGER, Diana. Poesia, documento, autoria. Estudos de Literatura Brasileira Contemporânea, Brasília, n. 55, set./dez. 2018. p. 17-33. MONTEIRO, André. É preciso aprender a ficar (in)disciplinado. Disponível em: http://www.albertopucheu.com.br/pdf/ensaios/eprecisoaprenderaficarindisciplinado_andremonteiro.pdf. Acesso em: 21 maio 2019. MONTEIRO, André; NETO, Edmon. Poesia e prosa porosas: um manifesto de Alberto Pucheu em favor da criação. Signótica, Goiânia, v. 29, n. 1, p. 242-258, 2017. NIETZSCHE, Friedrich W. Das três metamorfoses. In: ______. Assim falou Zaratustra: um livro para todos e para ninguém. Tradução Mário da Silva. Rio de Janeiro: Civilização Brasileira, 2010. p. 51-53. OLIVEIRA, Edmon Neto de. Em busca de um paradigma para a relação entre o surfista e o piloto do surfista ou Tradução monstruosa de um arranjo de Alberto Pucheu. Fórum de literatura brasileira contemporânea, Rio de Janeiro, v. 10, p. 133-156, 2018. PESSOA, Fernando. Navegar é preciso. In: ______. Fernando Pessoa: poesias. Porto Alegre: L&PM Pocket, 1997. p. 13. PUCHEU, Alberto. A fronteira desguarnecida (Poesia reunida 1993-2007). Rio de Janeiro: Beco do Azougue, 2007. ______. É preciso aprender a ficar submerso. In: ______. Mais cotidiano que o cotidiano. Rio de Janeiro: Azougue, 2013. p. 11-12. ______. Giorgio Agamben: poesia, filosofia, crítica. Rio de Janeiro: Beco do Azougue, 2010. ______. O dia em que Gottfried Benn pegou onda. Floema: caderno de teoria e história literária, Vitória da Conquista, n. 8, p. 107, out. 2017. SARTRE, Jean-Paul. A imaginação. Porto Alegre: L&PM, 2008. TODOROV, Tzvetan. A literatura em perigo. Tradução Caio Meira. Rio de Janeiro: DIFEL, 2009. VILLA-FORTE, Leonardo. Escrever sem escrever: literatura e apropriação no século XXI. Rio de Janeiro: PUC-Rio; Belo Horizonte: Relicário, 2019.

scholarly journals Survival and prognostic factors of breast cancer in women in the state of São Paulo

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Raissa Janine de Almeida ◽  
Carolina Terra de Moraes Luizaga ◽  
Cristiane Murta-Nascimento
Keyword(s):  
Breast Cancer ◽  
Prognostic Factors ◽  
Clinical Stage ◽  
Sao Paulo ◽  
The State ◽  
Rank Test ◽  
São Paulo ◽  
Historical Cohort ◽  
Female Population

Introduction: Breast cancer is the first most common malignancy in the female population worldwide. Monitoring the survival of women with breast cancer has been a strategy often adopted at the international level as a measure to assess public policy progress for disease control. Objectives: To estimate the probability of five-year survival and to investigate the prognostic factors of women with breast cancer included in the São Paulo State Cancer Hospital Records Base (RHC-SP), established in 2000 and maintained by the Oncocentro Foundation of São Paulo (Fundação Oncocentro de São Paulo – FOSP). Material and methods: This is a historical cohort. The sample consisted of women with breast cancer diagnosed between 2002 and 2012 and included in the RHC-FOSP. The event studied was specific mortality from breast cancer. Live cases at the end of follow-up (December 31st, 2017), loss of follow-up and those who died from causes other than breast cancer were considered censures on the date of the last contact or date of death. Survival analysis was performed using the Kaplan-Meyer method and the survival curves were compared using the log-rank test. Hazard ratios (HR) and respective 95% confidence intervals (95%CI) were also estimated using the Cox's proportional hazards model. This study was approved by the Human Research Ethics Committee of the School of Medicine of Botucatu, UNESP. Results: In the period between 2002‒2012, 53,146 cases of invasive breast cancer were registered at RHC-FOSP. The median age of women at diagnosis was 55.9 years. By the end of the follow-up (December 31st, 2017), 20,683 patients died and 71.4% were due to breast cancer. The probability of specific survival for the entire cohort at 5 and 10 years was 76.1% (95%CI 75.7‒76.5%) and 64.8% (95%CI 64.2‒65.3%), respectively. In the multivariate analysis, the factors associated with the prognosis were: age at diagnosis, year of diagnosis, educational level, grouped clinical stage and histological type. Conclusion: Specific survival for breast cancer in the state of São Paulo is significantly associated with several characteristics. The knowledge of these characteristics can contribute to the development of public policies in the area.

scholarly journals An estimate of the incidence and prevalence of laryngeal papillomatosis in São Paulo State (Brasil)

2020 ◽  
Vol 66 (9) ◽  
pp. 1247-1251
Author(s):  
Gustavo Mercuri ◽  
Sérgio Augusto Rodrigues ◽  
Regina Helena Garcia Martins
Keyword(s):  
Epidemiological Data ◽  
Sao Paulo ◽  
Health Centers ◽  
São Paulo ◽  
Regional Health ◽  
Laryngeal Papillomatosis ◽  
Papilloma Virus ◽  
Paulo State ◽  
São Paulo State

SUMMARY BACKGROUND: Recurrent laryngeal papillomatosis, caused by the Human Papilloma Virus, has a significant economic impact worldwide and there are no epidemiological data of this disease in Brasil. OBJECTIVE: The objective of the study was to estimate the incidence and prevalence of laryngeal papillomatosis of some otorhinolaryngology centers in São Paulo State (Brasil). METHODS: A questionnaire containing data on the number of new and follow-up cases diagnosed with laryngeal papillomatosis was sent to the Otorhinolaryngology services (n=35) of São Paulo State (Brasil). RESULTS: A total of 20 otorhinolaryngology centers answered the questionnaire. Of these, the five largest regional health centers were selected as follows: Campinas (42 cities – 4,536,657 inhabitants), Sao Jose do Rio Preto (102 cities – 1,602,845 inhabitants), Ribeirão Preto (26 cities – 1,483,715 inhabitants), Bauru (68 cities – 1,770,427 inhabitants), and Sorocaba (47 cities – 2,478,208 inhabitants). The incidence and prevalence of each regional health centers were, respectively: Campinas (5.51;7.27), Sorocaba (2.02;6.86), São José do Rio Preto (1.87;7.49), Ribeirão Preto (11.46;22.92), and Bauru (3.95;7.91). CONCLUSION: The incidence and prevalence of the laryngeal papillomatosis of the five largest regional health centers of the interior of São Paulo State (Brasil) varied between 1.87 to 11.46 and 6.86 to 22.92 per 1,000,000 inhabitants, respectively for a total population of 11,871,852 inhabitants.

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