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3.
J Hazard Mater ; 195: 115-23, 2011 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-21862213

RESUMO

The reaction between uranium and water vapour has been well investigated, however discrepancies exist between the described kinetic laws, pressure dependence of the reaction rate constant and activation energies. Here this problem is looked at by examining the influence of impurities in the form of carbide inclusions on the reaction. Samples of uranium containing 600 ppm carbon were analysed during and after exposure to water vapour at 19 mbar pressure, in an environmental scanning electron microscope (ESEM) system. After water exposure, samples were analysed using secondary ion mass spectrometry (SIMS), focused ion beam (FIB) imaging and sectioning and transmission electron microscopy (TEM) with X-ray diffraction (micro-XRD). The results of the current study indicate that carbide particles on the surface of uranium readily react with water vapour to form voluminous UO(3) · xH(2)O growths at rates significantly faster than that of the metal. The observation may also have implications for previous experimental studies of uranium-water interactions, where the presence of differing levels of undetected carbide may partly account for the discrepancies observed between datasets.


Assuntos
Carbono/química , Corrosão , Urânio/química , Água/química , Microscopia Eletrônica de Varredura , Oxirredução , Espectrometria de Massa de Íon Secundário , Difração de Raios X
4.
J Orthop Res ; 24(8): 1587-96, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16779825

RESUMO

Physical wear of orthopedic implants is inevitable. CoCr alloy samples, typically used in joint reconstruction, corrode rapidly after removal of the protective oxide layer. The behavior of CoCr pellets immersed in human serum, foetal bovine serum (FBS), synovial fluid, albumin in phosphate-buffered saline (PBS), EDTA in PBS, and water were studied using X-ray Photoelectron Spectroscopy (XPS) and Time-of-Flight Secondary Ion Mass Spectroscopy (ToF-SIMS). The difference in the corrosive nature of human serum, water, albumin in PBS and synovial fluid after 5 days of immersion was highlighted by the oxide layer, which was respectively 15, 3.5, 1.5, and 1.5 nm thick. The thickness of an additional calcium phosphate deposit from human serum and synovial fluid was 40 and 2 nm, respectively. Co and Cr ions migrated from the bulk metal surface and were trapped in this deposit by the phosphate anion. This may account for the composition of wear debris from CoCr orthopedic implants, which is known to consist predominantly of hydroxy-phosphate compounds. Known components of synovial fluid including proteoglycans, pyrophosphates, phospholipids, lubricin, and superficial zone protein (SZP), have been identified as possible causes for the lack of significant calcium phosphate deposition in this environment. Circulation of these compounds around the whole implant may inhibit calcium phosphate deposition.


Assuntos
Fosfatos de Cálcio/química , Ligas de Cromo/química , Sangue Fetal/química , Falha de Prótese , Líquido Sinovial/química , Albuminas/química , Animais , Soluções Tampão , Bovinos , Corrosão , Ácido Edético/química , Humanos , Técnicas In Vitro , Cloreto de Sódio , Espectrometria de Massa de Íon Secundário , Espectrometria por Raios X , Estresse Mecânico , Água/química
5.
J Dent ; 34(3): 207-13, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16112333

RESUMO

OBJECTIVES: Investigations of the erosive potential of soft drinks are usually performed at room or body temperature, but drinks are more frequently served chilled, with ice, or hot. Since the rate of chemical reactions usually increases with temperature, it is predicted that erosion is more severe at high temperatures and reduced at low temperatures. The aim of this study was to investigate the correlation between enamel softening, enamel erosion, and temperature. METHODS: Atomic force microscopy nanoindentation and non-contact optical profilometry were used to assess changes in enamel nanomechanical properties after 5 min and erosive material loss after 30 min exposure to two different non-carbonated soft drinks at 4, 25, 50 and 75 degrees C. RESULTS: For one drink (Robinson's Original Juice Drink), there was a statistically significant difference between nanomechanical properties and erosion depth at all temperatures, with softening and erosion increasing with temperature. For another drink (Ribena ToothKind Juice Drink), there was a slight softening and virtually no material loss, and temperature had no statistically significant impact on erosion. There was a good linear correlation (R2 = 0.94) between nanomechanical properties and material loss. CONCLUSIONS: The difference between the drinks can be explained by their composition. For the erosive drink, material loss increased, and nanohardness decreased, approximately linearly with temperature. The correlation between softening and erosion demonstrated that nanomechanical properties after very short erosion times can be considered a good predictor of bulk material loss after considerably longer erosion times.


Assuntos
Bebidas/efeitos adversos , Esmalte Dentário/efeitos dos fármacos , Erosão Dentária/induzido quimicamente , Elasticidade/efeitos dos fármacos , Dureza/efeitos dos fármacos , Temperatura Alta/efeitos adversos , Humanos , Nanotecnologia , Estatísticas não Paramétricas , Fatores de Tempo
6.
Nat Protoc ; 1(5): 2320-5, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17406474

RESUMO

We describe a modification of the DNA extraction method, in which cetyltrimethylammonium bromide (CTAB) is used to extract nucleic acids from plant tissues. In contrast to the original method, the modified CTAB procedure is faster, omits the selective precipitation and CsCl gradient steps, uses less expensive and toxic reagents, requires only inexpensive laboratory equipment and is more readily adapted to high-throughput DNA extraction. This protocol yields approximately 5-30 microg of total DNA from 200 mg of tissue fresh weight, depending on plant species and tissue source. It can be completed in as little as 5-6 h.


Assuntos
Compostos de Cetrimônio , DNA de Plantas/isolamento & purificação , Magnoliopsida/química , Folhas de Planta/química , Cetrimônio , Fatores de Tempo
7.
J Biomed Mater Res A ; 73(4): 456-67, 2005 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-15900610

RESUMO

The corrosion and dissolution of high- and low-carbon CoCrMo alloys, as used in orthopedic joint replacements, were studied by immersing samples in phosphate-buffered saline (PBS), water, and synovial fluid at 37 degrees C for up to 35 days. Bulk properties were analyzed with a fine ion beam microscope. Surface analyses by X-ray photoelectron spectroscopy and Auger electron spectroscopy showed surprisingly that synovial fluid produced a thin oxide/hydroxide layer. Release of ions into solution from the alloy also followed an unexpected pattern where synovial fluid, of all the samples, had the highest Cr concentration but the lowest Co concentration. The presence of carbide inclusions in the alloy did not affect the corrosion or the dissolution mechanisms, although the carbides were a significant feature on the metal surface. Only one mechanism was recognized as controlling the thickness of the oxide/hydroxide interface. The analysis of the dissolved metal showed two mechanisms at work: (1) a protein film caused ligand-induced dissolution, increasing the Cr concentration in synovial fluid, and was explained by the equilibrium constants; (2) corrosion at the interface increased the Co in PBS. The effect of prepassivating the samples (ASTM F-86-01) did not always have the desired effect of reducing dissolution. The release of Cr into PBS increased after prepassivation. The metal-synovial fluid interface did not contain calcium phosphate as a deposit, typically found where samples are exposed to calcium rich bodily fluids.


Assuntos
Ortopedia/métodos , Cloreto de Sódio/farmacologia , Líquido Sinovial/metabolismo , Vitálio/farmacologia , Água/farmacologia , Materiais Biocompatíveis , Soluções Tampão , Cálcio/química , Fosfatos de Cálcio/química , Carbono/química , Cromo/química , Temperatura Alta , Humanos , Hidróxidos/química , Íons , Teste de Materiais , Modelos Químicos , Fosfatos/farmacologia , Próteses e Implantes , Espectrometria por Raios X , Propriedades de Superfície , Temperatura , Termodinâmica , Fatores de Tempo
8.
J Oral Rehabil ; 32(1): 16-21, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15634296

RESUMO

The objective of this study was to investigate human enamel erosion under constant composition conditions, as a function of solution degree of saturation (DS) with respect to hydroxyapatite. The experimental conditions were relevant to the initial stages of enamel erosion by soft drinks. Nanoindentation was used to compare enamel surface softening caused by a control mineral water and two citric acid solutions with DS = 0.000 and DS = 0.032, both having pH 3.30. Enamel hardness and reduced elastic modulus were measured after 0, 30, 60, 120, 300 and 600 s exposure. A statistically significant change in enamel hardness was detected after 30 s exposure to both citric acid solutions, indicating that nanoindentation is extremely sensitive to the initial stages of erosion. There was a statistically significant difference between the mechanical properties of enamel exposed to the two citric acid solutions after 30, 60 and 120 s. At these times, the solution with DS = 0.000 caused twice as much enamel softening as that with DS = 0.032. This demonstrates that it may be possible to design a soft drink with a low erosive potential and a good taste by a small change in DS, at a typical drink pH.


Assuntos
Ácido Cítrico/farmacologia , Solubilidade do Esmalte Dentário/efeitos dos fármacos , Hidroxiapatitas/farmacologia , Erosão Dentária/induzido quimicamente , Bebidas/efeitos adversos , Cálcio/farmacologia , Esmalte Dentário/efeitos dos fármacos , Elasticidade , Dureza/efeitos dos fármacos , Testes de Dureza/métodos , Humanos , Concentração de Íons de Hidrogênio , Fosfatos/farmacologia
10.
Neuroscience ; 127(4): 989-99, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15312911

RESUMO

While peripheral tissues and serum-shocked fibroblasts express rhythmic oscillations in clock gene expression, only the suprachiasmatic nucleus (SCN) is capable of endogenous, self-sustained rhythmicity and of functioning as a pacemaker by imposing rhythmic properties upon other cells. To differentially examine the molecular elements necessary for the distinctive rhythm-generating and pacemaking properties of the SCN, the effects of antisense inhibition of Clock expression on the rhythms in 2-deoxyglucose uptake and Per gene expression were compared in immortalized SCN cells and a fibroblast cell line. Similar to changes in molecular and physiological rhythmicity observed in the SCN of Clock mutant mice, the rhythmic pattern of Per2 expression was disrupted and the period of metabolic rhythmicity was increased in SCN2.2 cells subjected to antisense inhibition of Clock. NIH/3T3 fibroblasts cocultured with antisense-treated SCN2.2 cells showed metabolic rhythms with comparable increases in period and decreases in rhythm amplitude. Per2 expression in these cocultured fibroblasts exhibited a similar reduction in peak levels, but was marked by non-24 h or irregular peak-to-peak intervals. In serum-shocked NIH/3T3 fibroblasts, oscillations in Per2, Bmal1, and Cry1 expression persisted with some change in rhythm amplitude during antisense inhibition of CLOCK, demonstrating that feedback interactions between Clock and other core components of the clock mechanism may be regulated differently in SCN2.2 cells and fibroblasts. The present results suggest that CLOCK is differentially involved in the generation of endogenous molecular and metabolic rhythmicity within SCN2.2 cells and in the regulation of their specific outputs that control rhythmic processes in NIH/3T3 cells.


Assuntos
Relógios Biológicos/genética , Ritmo Circadiano/genética , Núcleo Supraquiasmático/metabolismo , Transativadores/biossíntese , Animais , Proteínas CLOCK , Linhagem Celular Transformada , Regulação da Expressão Gênica/fisiologia , Camundongos , Células NIH 3T3 , RNA Mensageiro/biossíntese , RNA Mensageiro/genética , Núcleo Supraquiasmático/citologia , Transativadores/genética
11.
J Colloid Interface Sci ; 277(1): 23-8, 2004 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-15276033

RESUMO

The sorption behavior of Ba(2+) and Co(2+) ions on a natural clay sample rich in kaolinite was studied using time-of-flight secondary ion mass spectrometry (ToF-SIMS). Depth profiling at 10-A steps was performed up to a 70-A matrix depth of the clay prior to and following sorption. The results showed that Co(2+) is sorbed in slightly larger quantities than Ba(2+), with significant numbers of ions fixed on the outermost surface of the clay. Depletion of the ions K(+), Mg(2+), and Ca(2+) from the clay lattice was observed to accompany enrichment with Co(2+) and Ba(2+) ions. The data obtained using X-ray powder diffraction (XRPD) and scanning electron microscopy (SEM) indicated insignificant structural and morphological changes in the lattice of the clay upon sorption of both Ba(2+) and Co(2+) ions. Analysis using energy dispersive X-ray spectroscopy (EDS) showed that the average atomic percentage (+/-S.D.) of Ba and Co on kaolinite surface were 0.49 +/- 0.11 and 0.61 +/- 0.19 , respectively, indicating a limited uptake capacity of natural kaolinite for both ions.


Assuntos
Silicatos de Alumínio/química , Compostos de Bário/química , Cloretos/química , Cobalto/química , Caulim/química , Espectrometria de Massa de Íon Secundário/métodos , Compostos de Bário/farmacocinética , Cloretos/farmacocinética , Argila , Cobalto/farmacocinética , Propriedades de Superfície
12.
J Microsc ; 213(1): 39-45, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14678511

RESUMO

We report here a preliminary study in which dynamic secondary ion mass spectrometry (SIMS) has provided images of boron-10 (10B) in biological tissue as used in research into boron neutron capture therapy. Cultured tumour cells incubated in media containing known concentrations of a 10B-containing compound, p-boronophenylalanine (BPA), and intracranial tumour tissue from animals previously injected with BPA were analysed by an in-house constructed SIMS. Investigations were conducted in positive secondary ion detection mode using a 25-keV, 5-nA gallium primary ion source. For calibration purposes, tissue standards were also analysed and their boron-to-carbon signal ratios correlated to bulk boron concentrations measured by inductively coupled plasma atomic emission spectroscopy (ICP-AES). Ion maps of 10B, 12C, 23Na and 39K showing gross tissue and cell features were acquired. SIMS and ICP-AES standard measurements were in good agreement. Tissue regions with high or low 10B concentrations were identified along with 10B hotspots in normal brain areas. Cultured cells revealed the intracellular localization of 10B. SIMS is capable of producing images showing the distribution of 10B at p.p.m. levels in cells and in normal and tumour-bearing brain tissue.


Assuntos
Compostos de Boro/análise , Terapia por Captura de Nêutron de Boro , Isótopos/análise , Fenilalanina/análogos & derivados , Fenilalanina/análise , Espectrometria de Massa de Íon Secundário/métodos , Animais , Compostos de Boro/administração & dosagem , Compostos de Boro/metabolismo , Encéfalo/metabolismo , Neoplasias Encefálicas/metabolismo , Modelos Animais de Doenças , Glioblastoma/terapia , Gliossarcoma/metabolismo , Humanos , Camundongos , Fenilalanina/administração & dosagem , Fenilalanina/metabolismo , Ratos , Células Tumorais Cultivadas
13.
Environ Pollut ; 120(2): 415-22, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12395856

RESUMO

The bandgap of solid-state TiO2 (3.2 eV) enables it to be a useful photocatalyst in the ultraviolet (lambda < 380 nm) region of the spectrum. A clean TiO2 surface in the presence of sunlight therefore enables the removal of harmful NOx gases from the atmosphere by oxidation to nitrates. These properties, in addition to the whiteness, relative cheapness and non-toxicity, make TiO2 ideal for the many de-NOX catalysts that are currently being commercially exploited both in the UK and Japan for concrete paving materials in inner cities. There is need, however, for further academic understanding of the surface reactions involved. Hence, we have used surface specific techniques, including X-ray photoelectron spectroscopy and Raman spectroscopy, to investigate the NOx adsorbate reaction at the TiO2 substrate surface.


Assuntos
Poluentes Atmosféricos/química , Saúde Ambiental , Óxidos de Nitrogênio/química , Titânio/química , Adsorção , Amônia/química , Catálise , Microscopia Eletrônica de Varredura , Espectrometria por Raios X , Análise Espectral Raman , Raios Ultravioleta
15.
Plant Mol Biol ; 43(2-3): 361-76, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10999416

RESUMO

Matrix attachment regions (MARs) are operationally defined as DNA elements that bind specifically to the nuclear matrix in vitro. It is possible, although unproven, that they also mediate binding of chromatin to the nuclear matrix in vivo and alter the topology of the genome in interphase nuclei. When MARs are positioned on either side of a transgene their presence usually results in higher and more stable expression in transgenic plants or cell lines, most likely by minimizing gene silencing. Our review explores current data and presents several plausible models to explain MAR effects on transgene expression.


Assuntos
DNA/metabolismo , Inativação Gênica , Matriz Nuclear/metabolismo , Transgenes/genética , Animais , DNA/genética , Regulação da Expressão Gênica de Plantas , Humanos , Proteínas Nucleares/metabolismo , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo , Ligação Proteica
16.
Arch Otolaryngol Head Neck Surg ; 126(8): 1004-8, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10922235

RESUMO

BACKGROUND: The Le Fort I maxillary osteotomy approach for skull base tumor removal in the pediatric age group has not been widely discussed in the literature except for sporadic case reports and limited case series. OBJECTIVES: To review our experience with the Le Fort I osteotomy and to propose that it be used as an alternative approach because of its many advantages for the removal of tumors of the central skull base and paranasal sinuses. DESIGN: Case series. SETTING: Tertiary academic center. PATIENTS AND METHODS: A 5-year retrospective chart review of cases involving children who had undergone skull base tumor resection via the Le Fort I osteotomy approach. INTERVENTIONS: Skull base tumor removal via the Le Fort I osteotomy approach. MAIN OUTCOME MEASURES: Tumor type, location, and size; intraoperative and postoperative complications; and residual tumor and/or tumor recurrence associated with the surgical approach. RESULTS: Eleven patients (9 boys and 2 girls; mean age, 14.3 years) were identified through the chart review. The tumor types included 8 angiofibromas, 1 malignant fibrous histiocytoma, 1 giant cell tumor, and 1 cavernous hemangioma. All these lesions had extensive tumor growth into at least 1 of the following sites: pterygomaxillary space, sphenoidal sinus, and areas adjacent to the optic nerve, cavernous sinus, clivus, and anterior cranial fossa. The mean follow-up for this cohort was 12.8 months. No intraoperative complications were noted. Postoperative complications were reviewed with respect to the approach. To date, there have been no cases of residual tumor or tumor recurrence that can be attributed to the procedure. CONCLUSIONS: Our experience suggests that the Le Fort I osteotomy approach is a useful technique for the removal of extensive central skull base tumors and paranasal sinuses in the pediatric age group. It has distinct advantages over traditional anterior or lateral approaches, including a more direct line of vision and improved exposure and cosmesis.


Assuntos
Angiofibroma/cirurgia , Tumores de Células Gigantes/cirurgia , Histiocitoma Fibroso Benigno/cirurgia , Osteotomia/métodos , Neoplasias da Base do Crânio/cirurgia , Adolescente , Angiofibroma/diagnóstico , Criança , Pré-Escolar , Feminino , Tumores de Células Gigantes/diagnóstico , Histiocitoma Fibroso Benigno/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Estudos Retrospectivos , Neoplasias da Base do Crânio/diagnóstico , Tomografia Computadorizada por Raios X , Resultado do Tratamento
17.
Pediatrics ; 105(1): e13, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10617750

RESUMO

Varicella is a nearly ubiquitous acquired childhood disease. Infectious complications of varicella can be life- or limb-threatening. These complications appear 3 to 4 days after the appearance of varicella exanthem and are heralded by fever, pain, and erythema of the overlying skin. Airway complications of varicella are rare, rapidly evolving, and, unfortunately, difficult to visualize. We report a child who presented with a unique combination of varicella-induced airway complications-acute epiglottitis and subsequent necrotizing fasciitis of the head and neck. varicella, epiglottitis, necrotizing fasciitis, group A beta-hemolytic streptococcus, nasopharyngoscopy.


Assuntos
Varicela/complicações , Epiglotite/etiologia , Fasciite Necrosante/etiologia , Criança , Epiglotite/microbiologia , Fasciite Necrosante/microbiologia , Humanos , Masculino , Staphylococcus aureus/isolamento & purificação , Streptococcus pyogenes/isolamento & purificação
18.
Otolaryngol Clin North Am ; 33(1): 1-14, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10637341

RESUMO

The history of pediatric airway management is inseparable from the history of medicine in general. Advancing medical technology and improved childhood survival gave impetus for pioneering physicians with a vision for the future to branch out and develop the specialty of pediatric otolaryngology. Institutions and organizations committed to research, uncompromised care, and training have provided a firm foundation for the future growth and development of the specialty.


Assuntos
Otolaringologia/história , Pediatria/história , Criança , História do Século XIX , Humanos , Doenças Respiratórias/história , Estados Unidos
19.
Biochemistry ; 38(39): 12795-804, 1999 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-10504249

RESUMO

Matrix attachment regions (MARs) can be operationally defined as DNA fragments that bind to the nuclear matrix. We have created a library of randomly obtained MARs from tobacco (Nicotiana tobacum) by cloning DNA fragments that co-isolate with nuclear matrixes prepared by a method involving lithium diiodosalicylate. The interactions of several of the cloned MARs with nuclear matrixes were tested by an in vitro binding assay in which genomic DNA was used as competitor. Based on this assay, the MARs were classified as strong, medium, and weak binders. Examples of each of the binding classes were further studied by in vitro binding using self- and cross-competition. Estimates of dissociation constants for several MARs ranged from 6 to 11 nM and correlated inversely with binding strength. The number of binding sites per matrix for several MARs ranged from 4 x 10(5) to 9 x 10(5) and correlated directly with binding strength. We conclude that binding strength, as we have measured it, is a function of both numbers of binding sites and affinity for the sites. The tobacco MARs were sequenced and analyzed for overall AT content, for distribution of AT-rich regions, and for the abundance of several MAR-related motifs. Previously identified MAR motifs correlate to various degrees with binding strength. Notably, the Drosophila topoisomerase II motif does not correlate with binding strength of the tobacco MARs. A newly identified motif, the "90%AT Box," correlates better with binding strength than any of the previously identified motifs we investigated.


Assuntos
Matriz Nuclear/metabolismo , Plantas/metabolismo , Sequência de Bases , Clonagem Molecular , DNA de Plantas , Dados de Sequência Molecular
20.
Arch Otolaryngol Head Neck Surg ; 125(5): 547-51, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10326812

RESUMO

OBJECTIVE: To review the effectiveness of a perioperative management protocol and our experience with a large population of patients with von Willebrand disease (vWD) who require adenotonsillar surgery (T&A). DESIGN: A retrospective review of the medical records of all patients having the diagnosis of vWD who underwent T&A between January 1, 1992, and July 31, 1996. SETTING: A tertiary care, university-based children's hospital. INTERVENTIONS: Patients having a preoperative diagnosis of vWD received a single intravenous dose of desmopressin acetate, 0.3 pg/kg, approximately 20 minutes before the induction of anesthesia. Beginning January 15, 1994, a standard management protocol involving the postoperative administration of fluids and electrolytes was followed. MAIN OUTCOME MEASURES: Operative blood loss and the incidence of postoperative bleeding and of hyponatremia. RESULTS: Of approximately 4800 patients who underwent T&A during the study period, 69 patients had a diagnosis of vWD. All 67 patients identified preoperatively received desmopressin; 2 were identified by postoperative workup as a result of excessive surgical bleeding. Minimal immediate postoperative bleeding was noted in 7 patients (10%), but none required intervention. Delayed bleeding occurred in 9 patients (13%); all were readmitted to the hospital for observation, 4 (6%) requiring operative cauterization. Substantial postoperative hyponatremia occurred in 3 patients, and 1 patient had seizure activity. Symptomatic hyponatremia has been avoided since a protocol of fluid and electrolyte administration was instituted. CONCLUSIONS: Although T&A can be performed safely in patients with vWD, it is not without an increased risk of postoperative hemorrhage. The administration of desmopressin has been reported to reduce the risk of bleeding, but it is not without risk. A protocol for fluid and electrolyte management is recommended.


Assuntos
Adenoidectomia , Desamino Arginina Vasopressina/uso terapêutico , Hemostáticos/uso terapêutico , Hemorragia Pós-Operatória/prevenção & controle , Tonsilectomia , Tonsilite/complicações , Tonsilite/cirurgia , Doenças de von Willebrand/complicações , Tonsila Faríngea , Adolescente , Distribuição por Idade , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Doenças Linfáticas/complicações , Doenças Linfáticas/cirurgia , Masculino , Estudos Retrospectivos
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