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RESUMO Objetivo Verificar a correlação entre desvantagem vocal e a qualidade de vida em deglutição de indivíduos que foram submetidos ao tratamento quimiorradioterápico para câncer de laringe. Método Estudo transversal, observacional e quantitativo do qual participaram 14 indivíduos do gênero masculino diagnosticados com câncer de laringe, que, para tratamento, fizeram uso exclusivo de quimiorradioterapia. Aplicaram-se os instrumentos Índice de Desvantagem Vocal e Protocolo de Qualidade de Vida em Deglutição SWAL-QoL. Fez-se análise descritiva e, em seguida, aplicou-se o teste de Correlação de Spearman para verificar se havia correlação entre os escores dos instrumentos aplicados. Foram considerados estatisticamente significativos os valores de p ≤ 0,05. Resultados Não houve correlação significativa entre os domínios total do IDV e global do SWAl-QoL, porém houve correlação significante entre os domínios “Funcional” do IDV e os domínios “Fadiga” e “Social” do Swal-Qol; domínio “Orgânico” do IDV com o domínio “Social” do SWAL-QoL; escore total do IDV, com o domínio de “Deglutição como um fardo” do SWAL-QoL. Além disso, foi possível observar que o tratamento quimiorradioterápico ocasionou maior impacto em relação à voz do que em relação à deglutição para os pacientes estudados. Conclusão Os dados demonstraram correlação significante entre a desvantagem vocal e o impacto da qualidade de vida em deglutição de pacientes com câncer de laringe submetidos à quimiorradioterapia, podendo afetar seu estado emocional e sua socialização, piorando assim, sua qualidade de vida de modo geral.

Diversas são as complicações possíveis da radioterapia na adjuvância do tratamento de neoplasias. Lesões actínicas de artéria subclávia em pacientes submetidos a este tipo de tratamento para neoplasia de mama são complicações conhecidas, porém com poucos relatos de casos publicados. No presente relato, descrevemos um caso de oclusão de artéria subclávia direita em paciente submetida à radioterapia para tratamento de neoplasia de mama, tratada com a revascularização convencional, com interposição de enxerto de politetrafluoretileno (PTFE). Na revisão da literatura realizada, foram encontrados doze casos descritos que evidenciaram diferentes opções terapêuticas. Concluímos que a arterite actínica de artéria subclávia é uma doença incomum, entretanto sua hipótese deve ser aventada em todos os pacientes com isquemia de membro superior já submetidos a tratamento de radioterapia.Several complications may occur as a consequence of adjuvant radiotherapy for cancer. One of these complications is actinic lesions of the subclavian artery in patients undergoing radiotherapy for breast cancer; however, there are few reported cases. In the present case report, we describe a case of right subclavian artery occlusion in a patient undergoing radiotherapy for breast cancer. Occlusion was treated by means of conventional artery bypass with interposition graft with polytetrafluoroethylene (PTFE). Our extensive review of the literature revealed 12 reported cases showing the different treatment options performed. We concluded that actinic arteritis of the subclavian artery is an uncommon condition; however, its presence should be considered in all patients with upper limb ischemia who underwent radiotherapy.

OBJETIVO: Avaliação dos resultados da utilização de enxerto de espessura parcial de esclera autóloga para o tratamento das úlceras esclerais profundas, como complicação tardia da exérese de pterígio associada à betaterapia. MÉTODOS: Foram tratados doze olhos de doze pacientes, nove femininos e três masculinos, com idade variando entre 48 e 82 anos, média 65,2 anos. RESULTADOS: Houve boa integração do enxerto em todos os casos, com resultado funcional e cosmético favorável e sem complicações. CONCLUSÃO: Várias técnicas de enxertia tem sido propostas para o tratamento da úlcera escleral: esclera e dura-máter homólogas, derme, cartilagem auricular e periósteo autólogos. No entanto, o procedimento com esclera autóloga apresenta reais vantagens em relaçâo aos enxertos empregados anteriormente. Não há referências na literatura quanto ao emprego de enxerto de esclera autóloga de espessura parcial para o tratamento da úlcera escleral.

O eritema ab igne é lesão de pele reticular pigmentada com telangiectasias, causada pela exposição prolongada ao calor. Relatamos o caso de uma adolescente de 12 anos de idade com eritema ab igne produzido por computador laptop. É discutido como os computadores geram calor e a importância da notificação pelos fabricantes da possibilidade de aparecimento desta dermatose nos usuários de computadores portáteis.Erythema ab igne is a pigmented reticular skin lesion with telangiectasias caused by prolonged exposure to heat. This report describes the case of a 12-year-old adolescent girl with erythema ab igne induced by a laptop computer. The paper also discusses how computers generate heat and how important it is for the manufacturers of these devices to warn consumers of the potential hazards that could occur if the equipment is misused.

Several complications may occur as a consequence of adjuvant radiotherapy for cancet One of these complications is actinic lesions of the subclavian artery in patients undergoing radiotherapy for breast cancer; however, there are few reported cases. In the present case report, we describe a case of right subclavian artery occlusion in a patient undergoing radiotherapy for breast cancet Occlusion was treated by means of conventional artery bypass with interposition graft with polytetrafluoroethylene (PTFE). Our extensive review of the literature revealed 12 reported cases showing the different treatment options performed. We concluded that actinic arteritis of the subclavian artery is an uncommon condition; however, its presence should be considered in all patients with upper limb ischemia who underwent radiotherapy. [ABSTRACT FROM AUTHOR]

Objeticve: The authors describes a surgical technique that utilizes autologus delaminated scleral graft for the management of deep scleral ulcers. Methods: In this technique that were perfomed in 12 eyes of 12 patients, 9 female, 3 male, age from 48 to 82 years, mean age 65.2 years. Results: Occurred good integration of the grafting in all cases without any complications. Conclusion: Many techniques have been proposed for the management of scleral ulcers: sclera and dura-mater, autologus derme, auricular cartilage and autologus periosteum. There is no reference in relation to autologus scleral grafting with partial thickness for the treatment of scleral ulcers, as proposed in this study. [ABSTRACT FROM AUTHOR]

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OBJECTIVE: The present study was aimed at evaluating the importance given by radiology technicians to the implementation of a quality control program and the existence of radiological protection criteria in their centers. MATERIALS AND METHODS: The data for the present descriptive and cross-sectional study were collected by means of a four-module questionnaire, with data anonymity and confidentiality being assured. The sample consisted of 48 radiology technicians working in health institutions of the District of Vila Real (North of Portugal). RESULTS: Among the radiology technicians participating in the present study, 62.5% do not know what a quality control program is, although its implementation is considered as very important for their centers by 85.4% and 89.6% consider that its implementation would be a motivating factor. Also, the authors have observed that hospitals and health centers evaluated are not in compliance with the basic principles of radiation protection. CONCLUSION: Although the radiology technicians do not know what a quality control program is, they are willing to collaborate in the elaboration of this program. The present study has allowed the authors to testify a supposedly inexistent reality: public institutions whose mission is based on health promotion ignoring the non-compliance with principles of radiological protection. [ABSTRACT FROM AUTHOR]

ABSTRACT Introduction: Radiation induces acute and late alterations in blood proteins. Objective: The present study aims at analyzing in time kinetics the electrophoretic profiles of expression bands of blood protein, in the molecular weight range greater than and equal to that of albumin, modulated by ionizing radiation in the cardiac territory, in animal model. Material and methods: Animals were exposed to a whole-body dose of 5 Gy ionizing radiation (Co-60). Serum samples were collected from isogenic Wistar rats (control and irradiated groups). At a time kinetics of 12, 24, 48, 72, 96 hours and 35 days post-irradiation, thoracolaparotomies were performed with anesthesia, and 0.3 ml of blood was collected between the left ventricle and the pulmonary artery. The samples were held in heparin and their components were separated by centrifugation. Protein bands with similar molecular weight were identified by vertical 10% electrophoresis, silver staining. Results: The findings indicate a systemic acute altered expression of proteins with molecular weight greater than or equal to that of albumin in acrylamide gel, presenting suppression and increased expression due to modulation of preexisting bands, identified in time kinetics. Conclusion: These findings point out to acute alterations of protein expression modulated in time, but also to a late modulation of gene expression.