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1.
Life Sci Space Res (Amst) ; 41: 210-217, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38670649

RESUMO

In addition to the continuous exposure to cosmic rays, astronauts in space are occasionally exposed to Solar Particle Events (SPE), which involve less energetic particles but can deliver much higher doses. The latter can exceed several Gy in a few hours for the most intense SPEs, for which non-stochastic effects are thus a major concern. To identify adequate shielding conditions that would allow respecting the dose limits established by the various space agencies, the absorbed dose in the considered organ/tissue must be multiplied by the corresponding Relative Biological Effectiveness (RBE), which is a complex quantity depending on several factors including particle type and energy, considered biological effect, level of effect (and thus absorbed dose), etc. While in several studies only the particle-type dependence of RBE is taken into account, in this work we developed and applied a new approach where, thanks to an interface between the FLUKA Monte Carlo transport code and the BIANCA biophysical model, the RBE dependence on particle energy and absorbed dose was also considered. Furthermore, we included in the considered SPE spectra primary particles heavier than protons, which in many studies are neglected. This approach was then applied to the October 2003 SPE (the most intense SPE of solar cycle 23, also known as "Halloween event") and the January 2005 event, which was characterized by a lower fluence but a harder spectrum, i.e., with higher-energy particles. The calculation outcomes were then discussed and compared with the current dose limits established for skin and blood forming organs in case of 30-days missions. This work showed that the BIANCA model, if interfaced to a radiation transport code, can be used to calculate the RBE values associated to Solar Particle Events. More generally, this work emphasizes the importance of taking into account the RBE dependence on particle energy and dose when calculating equivalent doses.


Assuntos
Radiação Cósmica , Eficiência Biológica Relativa , Atividade Solar , Radiação Cósmica/efeitos adversos , Humanos , Voo Espacial , Método de Monte Carlo , Astronautas , Doses de Radiação
2.
Int J Phytoremediation ; 19(8): 709-717, 2017 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-28398075

RESUMO

The purpose of this study was to evaluate the remediation potential and disturbance response indicators of Impatiens walleriana exposed to benzene and chromium. Numerous studies over the years have found abundant evidence of the carcinogenicity of benzene and chromium (VI) in humans. Benzene and chromium are two toxic industrial chemicals commonly found together at contaminated sites, and one of the most common management strategies employed in the recovery of sites contaminated by petroleum products and trace metals is in situ remediation. Given that increasing interest has focused on the use of plants as depollution agents, direct injection tests and benzene misting were performed on I. walleriana to evaluate the remediation potential of this species. I. walleriana accumulated hexavalent chromium, mainly in the root system (164.23 mg kg-1), to the detriment of the aerial part (39.72 mg kg-1), and presented visible damage only at the highest concentration (30 mg L-1). Unlike chromium (VI), chromium (III) was retained almost entirely by the soil, leaving it available for removal by phytotechnology. However, after the contamination stopped, I. walleriana responded positively to the detoxification process, recovering its stem stiffness and leaf color. I. walleriana showed visible changes such as leaf chlorosis during the ten days of benzene contamination. When benzene is absorbed by the roots, it is translocated to and accumulated in the plant's aerial part. This mechanism the plant uses ensures its tolerance to the organic compound, enabling the species to survive and reproduce after treatment with benzene. Although I. walleriana accumulates minor amounts of hexavalent chromium in the aerial part, this amount suffices to induce greater oxidative stress and to increase the amount of hydrogen peroxide when compared to that of benzene. It was therefore concluded that I. walleriana is a species that possesses desirable characteristics for phytotechnology.


Assuntos
Benzeno/toxicidade , Cromo/toxicidade , Impatiens , Poluentes do Solo/toxicidade , Biodegradação Ambiental , Humanos , Impatiens/crescimento & desenvolvimento , Impatiens/metabolismo
3.
Neurotoxicology ; 59: 9-21, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28048979

RESUMO

The hippocampus maintains a capacity for neurogenesis throughout life, a capacity that is reduced in models of adult onset hypothyroidism. The effects of developmental thyroid hormone (TH) insufficiency on neurogenesis in the adult hippocampus, however, has not been examined. Graded degrees of TH insufficiency were induced in pregnant rat dams by administration of 0, 3 or 10ppm of 6-propylthiouracil (PTU) in drinking water from gestational day (GD) 6 until weaning. Body, brain, and hippocampal weight were reduced on postnatal day (PN) 14, 21, 78 and hippocampal volume was smaller at the 10 but not 3ppm dose level. A second experiment examined adult hippocampal neurogenesis following developmental or adult onset hypothyroidism. Two male offspring from 0 and 3ppm exposed dams were either maintained on control water or exposed to 3ppm PTU to create 4 distinct treatment conditions (Control-Control; Control-PTU, PTU-Control, PTU-PTU) based on developmental and adult exposures. Beginning on the 28th day of adult exposure to 0 or 3ppm PTU, bromodeoxyuridine (BrdU, 50mg/kg, ip) was administered twice daily for 5days, and one male from each treatment was sacrificed 24h and 28days after the last BrdU dose and brains processed for immunohistochemistry. Although no volume changes were seen in the hippocampus of the neonate at 3ppm, thinning of the granule cell layer emerged in adulthood. Developmental TH insufficiency produced a reduction in newly born cells, reducing BrdU+ve cells at 1 with no further reduction at 28-days post-BrdU. Similar findings were obtained using the proliferative cell marker Ki67. Neuronal differentiations was also altered with fewer doublecortin (Dcx) expressing cells and a higher proportion of immature Dcx phenotypes seen after developmental but not adult TH insufficiency. An impaired capacity for neurogenesis may contribute to impairments in synaptic plasticity and cognitive deficits previously reported by our laboratory and others following moderate degrees of developmental TH insufficiency induced by this PTU model.


Assuntos
Hipocampo/patologia , Hipotireoidismo/patologia , Neurogênese/efeitos dos fármacos , Efeitos Tardios da Exposição Pré-Natal/fisiopatologia , Análise de Variância , Animais , Animais Recém-Nascidos , Antimetabólitos/toxicidade , Bromodesoxiuridina/metabolismo , Contagem de Células , Diferenciação Celular/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Proteínas do Domínio Duplacortina , Proteína Duplacortina , Feminino , Hipocampo/embriologia , Hipocampo/crescimento & desenvolvimento , Hipotireoidismo/sangue , Hipotireoidismo/induzido quimicamente , Antígeno Ki-67/metabolismo , Proteínas Associadas aos Microtúbulos/metabolismo , Neuropeptídeos/metabolismo , Gravidez , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Propiltiouracila/toxicidade , Ratos , Ratos Long-Evans , Hormônios Tireóideos/sangue
4.
Appl Radiat Isot ; 106: 156-60, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26515135

RESUMO

Neutron transport calculation is a key factor in BNCT numerical dosimetry assessments where thermal neutron flux is intimately related to the neutron dose, specially, the therapeutic boron dose. In this work, numerical calculations in phantoms were performed to determine the importance of utilizing the appropriate thermal scattering treatment for different organic tissues. Two thermal treatments for the neutron scattering were included in the simulations: hydrogen bounded in bulk water and hydrogen bounded in a lipid like carbon chain (polyethylene). The results showed difference between both thermal treatments that can reach several percent points depending on the type of source and irradiated geometry.


Assuntos
Terapia por Captura de Nêutron de Boro , Doses de Radiação , Distribuição Tecidual
5.
Neuroscience ; 310: 242-51, 2015 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-26383253

RESUMO

The complex neuronal circuitry of the cerebellum is embedded within its lamina, folia, and lobules, which together play an important role in sensory and motor function. Studies in mouse models have demonstrated that both cerebellar lamination and lobule/fissure development are under genetic control. The cerebellar vermis of C57BL/6 mice exhibits spontaneous malformations of neuronal migration of posterior lobules (VIII-IX; molecular layer heterotopia); however, the extent to which other inbred mice also exhibit these malformations is unknown. Using seven different inbred mouse strains and two first filial generation (F1) hybrids, we show that only the C57BL/6 strain exhibits heterotopia. Furthermore, we observed heterotopia in consomic and recombinant inbred strains. These data indicate that heterotopia formation is a weakly penetrant trait requiring homozygosity of one or more C57BL/6 alleles outside of chromosome 1 and the sex chromosomes. Additional morphological analyses showed no relationship between heterotopia formation and other features of lobule/fissure organization. These data are relevant toward understanding normal cerebellar development and disorders affecting cerebellar foliation and lamination.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal/genética , Proteínas Adaptadoras de Transdução de Sinal/metabolismo , Vermis Cerebelar/anormalidades , Vermis Cerebelar/crescimento & desenvolvimento , Malformações do Desenvolvimento Cortical/patologia , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Animais , Bases de Dados Genéticas , Regulação da Expressão Gênica , Malformações do Desenvolvimento Cortical/genética , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Mutantes , Camundongos Transgênicos , Proteína 1 Homóloga a MutL , Mutação/genética
6.
Appl Radiat Isot ; 104: 55-9, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26141296

RESUMO

Neutron transport calculation is a key factor in BNCT numerical dosimetry assessments where thermal neutron flux is intimately related to the neutron dose, specially, the therapeutic boron dose. In this work, numerical calculations in phantoms were performed to determine the importance of utilizing the appropriate thermal scattering treatment for different organic tissues. Two thermal treatments for the neutron scattering were included in the simulations: hydrogen bounded in bulk water and hydrogen bounded in a lipid like carbon chain (polyethylene). The results showed difference between both thermal treatments that can reach several percent points depending on the type of source and irradiated geometry.


Assuntos
Terapia por Captura de Nêutron de Boro/métodos , Modelos Biológicos , Nêutrons , Radiometria/métodos , Planejamento da Radioterapia Assistida por Computador/métodos , Espalhamento de Radiação , Absorção de Radiação , Animais , Simulação por Computador , Humanos , Dosagem Radioterapêutica , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
7.
Neuroscience ; 290: 196-203, 2015 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-25637486

RESUMO

Post-mitotic neurons are particularly susceptible to DNA double-strand breaks during their relatively long lifespan. Here, we report the anatomical distribution and subcellular localization of a molecule first identified as a DNA damage checkpoint protein. Immunocytochemical analysis of 53BP1 showed that this nuclear molecule is widely expressed in adult human and rat brains. Further, we showed that 53BP1 routinely co-clusters with γ-aminobutyric acid neurons throughout the rat neuraxis. Notably, 53BP1 is only expressed in neuronal cells as the DNA damage checkpoint protein was virtually absent from glial cells. Finally, we found that human neural progenitors showed a differential index of DNA fragmentation at different stages of cellular differentiation. These data provide additional and important anatomical findings for the distribution and phenotype of DNA double-strand breaks in the mammalian brain, and suggest that DNA fragmentation is a spontaneous event routinely occurring in neural progenitors and adult neurons.


Assuntos
Encéfalo/metabolismo , Quebras de DNA de Cadeia Dupla , Adulto , Animais , Encéfalo/anatomia & histologia , Linhagem Celular Tumoral , Células Cultivadas , Proteínas Cromossômicas não Histona/metabolismo , Proteínas de Ligação a DNA/metabolismo , Humanos , Imuno-Histoquímica , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Masculino , Pessoa de Meia-Idade , Células-Tronco Neurais/metabolismo , Neurogênese/genética , Neuroglia/metabolismo , Neurônios/metabolismo , Fotomicrografia , Ratos Long-Evans , Proteína 1 de Ligação à Proteína Supressora de Tumor p53 , Ácido gama-Aminobutírico/metabolismo
8.
J Neuroendocrinol ; 26(8): 528-41, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24889016

RESUMO

Thyroid hormones (TH) play crucial roles in brain maturation and are important for neuronal migration and neocortical lamination. Subcortical band heterotopia (SBH) represent a class of neuronal migration errors in humans that are often associated with childhood epilepsy. We have previously reported the presence of SBH in a rodent model of low level hypothyroidism induced by maternal exposure to the goitrogen, propylthiouracil (PTU). In the present study, we report the dose-response characteristics of this developmental malformation and the connectivity of heterotopic neurones with other brain regions, as well as their functionality. Pregnant rats were exposed to varying concentrations of PTU through the drinking water (0-10 p.p.m.) beginning on gestational day 6 to produce graded levels of TH insufficiency. Dose-dependent increases in the volume of the SBH present in the corpus callosum were documented in the adult offspring, with a clear presence at concentrations of PTU that resulted in minor (< 15%) reductions in maternal serum thyroxine as measured when pups were weaned. SBH contain neurones, oligodendrocytes, astrocytes and microglia. Monoaminergic and cholinergic processes were prevalent and many of the axons were myelinated. Anatomical connectivity of SBH neurones to cortical neurones and the synaptic functionality of these anatomical connections was verified by ex vivo field potential recordings. SBH persisted in adult offspring despite a return to euthyroid status on termination of exposure and these offspring displayed an increased sensitivity to seizures. Features of this model are attractive with respect to the investigation of the molecular mechanisms of cortical development, the effectiveness of therapeutic intervention in hypothyroxinaemia during pregnancy and the impact of the very modest TH imbalance that accompanies exposure to environmental contaminants.


Assuntos
Lissencefalias Clássicas e Heterotopias Subcorticais em Banda/patologia , Lissencefalias Clássicas e Heterotopias Subcorticais em Banda/fisiopatologia , Hipotireoidismo/complicações , Efeitos Tardios da Exposição Pré-Natal/patologia , Efeitos Tardios da Exposição Pré-Natal/fisiopatologia , Tiroxina/sangue , Animais , Encéfalo/patologia , Encéfalo/fisiopatologia , Lissencefalias Clássicas e Heterotopias Subcorticais em Banda/complicações , Relação Dose-Resposta a Droga , Feminino , Hipotireoidismo/sangue , Hipotireoidismo/induzido quimicamente , Exposição Materna/efeitos adversos , Potenciais da Membrana , Técnicas de Rastreamento Neuroanatômico , Neuroglia/patologia , Neurônios/patologia , Pentilenotetrazol/farmacologia , Gravidez , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Propiltiouracila/farmacologia , Ratos , Convulsões/induzido quimicamente , Convulsões/complicações , Tireotropina/sangue , Tri-Iodotironina/sangue
9.
Neuroscience ; 248: 165-79, 2013 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-23769893

RESUMO

An increasing number of studies indicate that there exists greater diversity of cortical neurons than previously appreciated. In the present report, we use a combination of physiological and morphological methods to characterize cortical neurons in infragranular layers with apical dendrites pointing toward the white-matter compared to those neurons with apical dendrites pointing toward the pia in both mouse and rat neocortex. Several features of the dendritic morphology and intrinsic and synaptic physiology of these "inverted" neurons revealed numerous differences among this cell type between species. We also found differences between the different cell types within the same species. These data reveal that similar cell types in the rat and mouse may not always share similar physiological and morphological properties. These data are relevant to models of information processing through micro- and larger neocortical circuits and indicate that different cell types found within similar lamina can have different functional properties.


Assuntos
Células Piramidais/citologia , Células Piramidais/fisiologia , Córtex Somatossensorial/citologia , Córtex Somatossensorial/fisiologia , Animais , Dendritos/ultraestrutura , Potenciais da Membrana , Camundongos , Ratos , Ratos Sprague-Dawley
10.
Water Sci Technol ; 65(9): 1540-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22508114

RESUMO

This work investigated the use of submerged anaerobic membrane bioreactors (SAMBRs) in the presence and absence of powdered activated carbon (PAC) for the treatment of genuine textile wastewater. The reactors were operated at 35 °C with an HRT of 24 h and the textile effluent was diluted (1:10) with nutrient solution containing yeast extract as the source of the redox mediation riboflavin. The results showed that although both SAMBRs exhibited an excellent performance, the presence of PAC inside SAMBR-1 enhanced reactor stability and removal efficiency of chemical oxygen demand (COD), volatile fatty acids (VFA), turbidity and color. The median removal efficiencies of COD and color in SAMBR-1 were, 90 and 94% respectively; whereas for SAMBR-2 (without PAC) these values were 79 and 86%, In addition, the median values of turbidity and VFA were 8 NTU and 8 mg/L for SAMBR-1 and 14 NTU and 26 mg/L for SAMBR-2, indicating that the presence of PAC inside SAMBR-1 led to the production of an anaerobic effluent of high quality regarding such parameters.


Assuntos
Reatores Biológicos , Carbono/química , Pós , Indústria Têxtil , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/metabolismo , Anaerobiose , Poluentes Químicos da Água/química , Purificação da Água
11.
Neuroscience ; 153(3): 654-63, 2008 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-18424008

RESUMO

In the mammalian neocortex, the corpus callosum serves as the major source of interhemispheric communication, composed of axons from callosal neurons located in supragranular (II/III) and infragranular (V/VI) layers. We sought to characterize the physiology and morphology of supragranular and infragranular callosal neurons in mice using retrograde tracers and whole-cell patch clamp recordings. Whole-cell patch clamp recordings were made from retrogradely labeled callosal neurons following unilateral injection of fluorescent latex microspheres in the contralateral sensory-motor cortex. Following recordings and biocytin dialysis, labeled neurons were reconstructed using computer-assisted camera lucida (Neurolucida) for morphological analyses. Whole-cell recordings revealed that callosal neurons in both supra- and infragranular layers display very similar intrinsic membrane properties and are characteristic regular-spiking neurons. Morphological features examined from biocytin-filled reconstructions as well as retrogradely BDA labeled cells did not reveal any differences. Analysis of spontaneous postsynaptic potentials from callosal neurons did reveal several differences including average amplitude, frequency, and decay time. These findings suggest that callosal neurons in both supra- and infragranular layers have similar phenotypes though belong to different local, intracortical networks.


Assuntos
Corpo Caloso/citologia , Corpo Caloso/fisiologia , Neurônios/citologia , Neurônios/fisiologia , Potenciais de Ação/fisiologia , Animais , Camundongos , Potenciais Pós-Sinápticos em Miniatura/fisiologia , Técnicas de Patch-Clamp
12.
Neuroscience ; 132(1): 1-12, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15780462

RESUMO

A conflict task was developed that simultaneously examines place aversion learning and fear-motivated context discrimination. The task superimposed Pavlovian discriminative fear conditioning on an appetitively motivated instrumental response (alternation). Rats were trained to alternate along a high-walled, diamond-shaped runway between two chambers for food. On half of the trials, a tone CS signaled the fact that a fixed section at the apex of the runway was electrified. Both the tone and the shock were turned on at the beginning of, and remained on for the duration of, each tone trial. A new trial was initiated at the time the animal entered the subsequent food chamber. Therefore, during a tone trial, in order to attain additional food reinforcement, the animal had to cross over the electrified region at the runway apex. Behavioral performance of rats with small lesions of the amygdala or dorsal hippocampus (DH) was compared with that of sham-operated controls. All groups displayed significant discriminative responding, hesitating more on tone trials while in areas of the runway adjacent to the shock region. Animals with lesions of the DH were similar to controls with respect to the tone-mediated discrimination, yet were delayed in the initial expression of a location-specific fear response. Conversely, amygdala lesions did not affect place learning; however, these animals were impaired in their suppression of the fear response following repeated unpaired trials.


Assuntos
Tonsila do Cerebelo/fisiologia , Aprendizagem da Esquiva/fisiologia , Aprendizagem por Discriminação/fisiologia , Hipocampo/fisiologia , Deficiências da Aprendizagem/fisiopatologia , Transtornos da Memória/fisiopatologia , Estimulação Acústica , Tonsila do Cerebelo/fisiopatologia , Animais , Condicionamento Psicológico/fisiologia , Denervação , Extinção Psicológica/fisiologia , Medo/fisiologia , Hipocampo/fisiopatologia , Masculino , Transtornos da Memória/patologia , Modelos Animais , Motivação , Orientação/fisiologia , Ratos , Ratos Endogâmicos F344 , Percepção Espacial/fisiologia
13.
J Med Microbiol ; 48(3): 303-307, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10334598

RESUMO

Mupirocin is a topical antimicrobial agent that has been successfully used to eradicate methicillin-resistant Staphylococcus aureus from the anterior nares and other sites of patients and health care personnel. This report describes the acquisition of a novel mupirocin resistance gene (ileS) by an epidemic MRSA clone that is geographically widespread in Brazil.


Assuntos
Antibacterianos/farmacologia , Resistência Microbiana a Medicamentos/genética , Mupirocina/farmacologia , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/efeitos dos fármacos , Brasil , Infecção Hospitalar/microbiologia , DNA Bacteriano/análise , Surtos de Doenças , Resistência a Múltiplos Medicamentos , Humanos , Resistência a Meticilina , Testes de Sensibilidade Microbiana , Mapeamento Físico do Cromossomo , Staphylococcus aureus/genética , Staphylococcus aureus/isolamento & purificação
14.
Phytochemistry ; 49(3): 675-80, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9779593

RESUMO

A lectin from Vatairea macrocarpa Duke seeds (VML) was isolated using affinity chromatography on a guar gum column. The lectin, a glycoprotein without erythrocyte specificity, displays specificity to galactose and some derivatives. On SDS-polyacrylamide gels, V. macrocarpa seed lectin is composed of two major high-Mr bands of 34 and 32 kDa and two minor low-Mr bands of 22 and 13 kDa. N-Terminal sequencing showed that the 34, 32, and 13 kDa products possess identical N-terminal sequence, which display best similarity with the N-terminal portion of Robinia pseudoacacia lectins (RPL). On the other hand, the N-terminal sequence of the 22 kDa band can be aligned with an internal sequence of RPL starting at residue 149 of the cDNA-derived sequence. These data indicate that, like other leguminous lectins, VML is made up of a mixture of one-chain 30-35 kDa glycoforms and of 22 and 13 kDa endogenous C- and N-terminal fragments. Size-exclusion chromatography indicated that, at neutral pH, VML is predominantly a dimeric (70 kDa) protein, although tetramers (115 kDa) and larger aggregates (300 kDa) were also present.


Assuntos
Fabaceae/química , Lectinas/isolamento & purificação , Plantas Medicinais , Aminoácidos/análise , Animais , Carboidratos/análise , Galactose/metabolismo , Testes de Hemaglutinação , Humanos , Técnicas In Vitro , Lectinas/química , Lectinas/metabolismo , Lectinas de Plantas
15.
Rev. bras. cir ; 81(4): 183-6, jul.-ago. 1991. tab
Artigo em Português | LILACS | ID: lil-100014

RESUMO

Säo relatados os resultados imediatos em 26 casos de úlcera gastroduodenal perfurada, operados no Hospital de Pronto Socorro da FUSAM, num período de 3 anos. A perfuraçäo ocorreu, em mais da metade dos pacientes (57,7%), na face anterior do duodeno. A técnica cirúrgica preferencialmente utilizada foi a sutura da perfuraçäo, associada ou näo à epiploplastia (53,8%). Ocorreram complicaçöes pós-operatórias em 7 pacientes (26,9%) e a mortalidade foi de 11,6%. Em relaçäo à mortalidade, houve uma diferença significativa (p < 0.05) entre os pacientes situados nas faixas etárias superior e inferior a 60 anos e entre os operados antes e após 48 horas do início dos sintomas. Os índices de complicaçöes e mortalidade correlacionaram-se diretamente com a idade do paciente, o grau de contaminaçäo peritoneal e o período decorrido entre o ínicio dos sintomas e a operaçäo, independentemente do tipo de cirurgia realizada ou do local da perfuraçäo


Assuntos
Humanos , Masculino , Feminino , Úlcera Péptica Perfurada/cirurgia , Brasil
16.
J Subst Abuse Treat ; 5(3): 151-61, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3236389

RESUMO

This article describes a group model of treatment for methadone-maintained pregnant women. Its purpose is to help health care providers alter their own stereotypical attitude toward this population by highlighting the beneficial aspects of group psychotherapy. Special emphasis is placed on developing a comprehensive care program with a biopsychosocial orientation.


Assuntos
Metadona/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/reabilitação , Complicações na Gravidez/reabilitação , Psicoterapia de Grupo , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Transtornos Relacionados ao Uso de Opioides/psicologia , Educação de Pacientes como Assunto , Gravidez , Complicações na Gravidez/psicologia , Resultado da Gravidez
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