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An unusual case of advanced synchronous colon and gastric carcinoma is described. A 36 year old female was admitted to our Department with a stenosing right colon cancer diagnosed at endoscopy which was performed for lower crampy abdominal pain and gross blood in the stool. Multiple colon polyps, distal to the tumor, were also detected. On preoperative abdominal computed tomography, a stenosing right colon cancer, without evidence of abdominal diffusion, was confirmed. At laparotomy, in addition to colon cancer, an antral gastric cancer was incidentally found. En bloc hemigastrectomy and subtotal colectomy were performed. Digestive continuity was restored by gastrojejunal and ileosigmoid anastomoses. At histology, a poorly differentiated gastric adenocarcinoma with signet ring-cell component (pT2, pN0; stage IB) and a moderately differentiated colon adenocarcinoma with a tubulovillous component (pT3, pN1; stage III, Stage Dukes C) were revealed. Both tumors showed a low expression of p53 and c-erb2 oncoproteins. No genetic defect was identified in the APC and MMR genes. The patient is alive, without recurrence, two years after the operation.

Submitted by Mariana Ferreira Varjão null (vmfvarja@stj.jus.br) on 2013-02-28T19:52:42Z No. of bitstreams: 1 novo_regime_legal_hamilton.pdf: 191852 bytes, checksum: 8e48722465f803e9df73670236eee0f9 (MD5) Approved for entry into archive by Adriana dos Santos Santana null(adrianas@stj.gov.br) on 2013-03-05T16:39:04Z (GMT) No. of bitstreams: 1 novo_regime_legal_hamilton.pdf: 191852 bytes, checksum: 8e48722465f803e9df73670236eee0f9 (MD5) Made available in DSpace on 2013-03-05T16:39:04Z (GMT). No. of bitstreams: 1 novo_regime_legal_hamilton.pdf: 191852 bytes, checksum: 8e48722465f803e9df73670236eee0f9 (MD5) Previous issue date: 2005

The mucosa of the gastric stump is considered at greater risk of dysplastic and neoplastic changes than that of the intact stomach. The combination of enteric reflux and Helicobacter pylori infection may have a synergistic damaging effect on the mucosa of the gastric remnant, both producing and increasing mucosal proliferation. The aim of this study was to assess whether the occurrence of H. pylori infection in the remnant mucosa of partially gastrectomized subjects for peptic ulcer disease is associated with an increase of the mucosal precursor lesions of malignancy. A series of 151 subjects who underwent partial gastrectomy for peptic ulcer disease were submitted to upper digestive endoscopy for long-term surveillance. Biopsy specimens of the gastric stump were tested for the occurrence of H. pylori infection and for the presence of precancerous mucosal lesions. The prevalence of H. pylori colonization in the remnant stomach was less than 30% and similar in subjects with different time intervals between gastrectomy and endoscopy. Age at surgery (χ 2 : p = 0.03) and H. pylori infection (χ 2 : p = 0.002) were significantly associated with the grading of mucosal lesions. The prevalence of normal mucosa was 10 times higher in H. pylori-negative patients as in H. pylori-positive ones (22.0% vs. 2.4%), and the prevalence of intestinal metaplasia was four times higher in H. pylori-positive patients than in H. pylori-negative ones (19.6% vs. 4.6%). We concluded that H. pylori infection may play a causal role in the development of gastric lesions in the operated stomach.

Submitted by Gabriela Evangelista Botelho null (gbotelho@stj.jus.br) on 2013-12-18T17:58:03Z No. of bitstreams: 1 revelia_premiada_sentido_hamilton.pdf: 137102 bytes, checksum: c0a3a3fabd84b777d9912b92167080a1 (MD5) Approved for entry into archive by Cleice Pereira Santos null(cleiceps@stj.jus.br) on 2013-12-19T17:17:14Z (GMT) No. of bitstreams: 1 revelia_premiada_sentido_hamilton.pdf: 137102 bytes, checksum: c0a3a3fabd84b777d9912b92167080a1 (MD5) Made available in DSpace on 2013-12-19T17:17:14Z (GMT). No. of bitstreams: 1 revelia_premiada_sentido_hamilton.pdf: 137102 bytes, checksum: c0a3a3fabd84b777d9912b92167080a1 (MD5) Previous issue date: 2004

Submitted by Ana Paula Santana (anapaulablok@hotmail.com) on 2009-11-09T17:52:14Z No. of bitstreams: 1 requiem_para_sigilo_inquerito_policial.pdf: 602504 bytes, checksum: dd974d62bc97f864442611ee2018a255 (MD5) Approved for entry into archive by Vandeilson Soares Neri(vandeilson.neri@stj.jus.br) on 2009-11-11T17:29:32Z (GMT) No. of bitstreams: 1 requiem_para_sigilo_inquerito_policial.pdf: 602504 bytes, checksum: dd974d62bc97f864442611ee2018a255 (MD5) Approved for entry into archive by Vandeilson Soares Neri(vandeilson.neri@stj.jus.br) on 2009-11-11T17:41:09Z (GMT) No. of bitstreams: 1 requiem_para_sigilo_inquerito_policial.pdf: 602504 bytes, checksum: dd974d62bc97f864442611ee2018a255 (MD5) Made available in DSpace on 2009-11-17T17:28:19Z (GMT). No. of bitstreams: 1 requiem_para_sigilo_inquerito_policial.pdf: 602504 bytes, checksum: dd974d62bc97f864442611ee2018a255 (MD5) Previous issue date: 2004 Trata do procedimento administrativo sigiloso no inquérito policial, analisando a doutrina e a jurisprudência atinente ao referido tema.

Hemigastrectomy for benign disease and Helicobacter pylori infection are risk conditions for the development of gastric cancer. Aim of the study was to compare gastric histology and precursor lesions of malignancy in these two conditions. The hemigastrectomy group included 351 consecutively endoscoped subjects operated for gastroduodenal benign disease. Six to ten biopsy specimens were routinely taken from the residual gastric mucosa. The intact stomach group included 2097 consecutively endoscoped symptomatic subjects, who did not receive eradication therapy against H. pylori. The histological findings were classified as normal mucosa (NM), chronic non atrophic gastritis (CNAG), chronic atrophic gastritis (CAG), intestinal metaplasia (IM) and dysplasia (DYS). One thousand and three intact stomachs were H. pylori negative, and 1094 showed H. pylori colonization. The age over fifty was a significant risk factor for the occurrence of IM (OR 2.52, Por = 0.001) and DYS (OR 3.46, Por = 0.001), while Hp-positivity was a risk factor for CNAG (OR 1.81, Por = 0.001) and CAG (OR 3.88, Por = 0.001). Gastroresection was associated to higher risk for CNAG (OR 1.53, Por = 0.001) and DYS (OR 4.31, Por = 0.001) and to a lower risk of CAG (OR 0.49, Por = 0.001). Both in males and females the risk for CNAG was significantly higher in Hp-positive (males OR 1.92, P=0.000; females OR 1.70, P=0.000) and gastrectomized subjects (males OR 2.06, P=0.000; females OR 2.43, P=0.000). Gastrectomized males, furthermore, showed an increased risk for DYS (OR 5.82, P=0.000). The aged Hp-negative and Hp-positive subjects evidenced a significant risk for IM (respectively OR's 3.42, P=0.000 and 4.85, P=0.000); the risk for DYS was significant in aged Hp-negative subjects (OR 4.09 Por = 0.020). The Hp-positive individuals evidenced a significant risk for metaplastic mucosal changes (OR 38.17, P=0.000). Subjects aged over forty at the time of surgery and those with a longer postoperative follow up endoscopy presented an increased risk for CNAG of the residual mucosa (respectively OR's 2.75, P=0.000 and 5.25, P=0.000). CNAG and IM were the most frequently observed mucosal lesions both in subjects operated for duodenal and gastric ulcer (respectively OR's 4.02, P=0.000 and 3.00, P=0.000). Our data support that hemigastrectomy for benign disease and H. pylori infection may induce an increased incidence for histological precursor lesions for gastric malignancy and suggest that carcinogenesis in a resected stomach may be different from that in the intact stomach.

It was suggested that there are no stronger prognostic factors in gastric cancer than nodal involvement or depth of wall invasion. The present paper evaluated the influence of maximum tumor diameter (MTD) value, measured on fixed resected specimens, on the extent of disease progression and the outcome in gastric cancer patients. Clinicopathological data were retrospectively retrieved from records of 122 patients who underwent curative gastrectomy. The patients' MTD values were grouped as follows: MTD1, up to 26 mm; MTD2, between 26 and 50 mm; and MTD3, over 50 mm. The three groups evidenced significant differences with regard to 5 year survival (MTD1: 54%, MTD2: 31%, MTD3: 20%; p = 0.00027), furthermore they were significantly different with respect to the type of gastrectomy (p = 0.021), depth wall invasion (p = 0.000), lymphatic microinvasion (p = 0.014), perineural microinvasion (p = 0.017), stromal reaction (p = 0.025), and stage (p = 0.035). ROC curve analysis individuated a best accurate MTD threshold value for nodal involvement of 32 mm (sensitivity = 56.6%; specificity = 60.9%; positive predictive value = 52.6%; negative predictive value = 64.6%). The logistic regression analysis suggested that the depth of wall invasion was the only independent variable associated with MTD value (p = 0.0005). Multivariate analysis showed that independent prognostic risk factors were sex (p0.0025), number of involved nodes (p0.001) and MTD (p0.001). In conclusion, the maximum tumor diameter value of gastric cancer may be a factor with greater prognostic implications than previously believed.

Submitted by Cleice Pereira Santos null (cleiceps@stj.jus.br) on 2014-01-16T15:33:01Z No. of bitstreams: 1 custo_social_uma_hamilton.pdf: 428376 bytes, checksum: 2ead6680a78a7fc5c6d9496689746858 (MD5) Approved for entry into archive by Josiane Cury Nasser Loureiro null(josiane@stj.jus.br) on 2014-01-17T16:12:53Z (GMT) No. of bitstreams: 1 custo_social_uma_hamilton.pdf: 428376 bytes, checksum: 2ead6680a78a7fc5c6d9496689746858 (MD5) Made available in DSpace on 2014-01-17T16:12:53Z (GMT). No. of bitstreams: 1 custo_social_uma_hamilton.pdf: 428376 bytes, checksum: 2ead6680a78a7fc5c6d9496689746858 (MD5) Previous issue date: 2002

Submitted by Ludmylla Matsuura Correa null (lucorrea@stj.jus.br) on 2013-12-19T19:38:16Z No. of bitstreams: 1 tecnica_denuncia_hamilton.pdf: 250505 bytes, checksum: dfbd236cd84d55b93b8a520d182e1edb (MD5) Approved for entry into archive by Cleice Pereira Santos null(cleiceps@stj.jus.br) on 2014-01-07T18:52:04Z (GMT) No. of bitstreams: 1 tecnica_denuncia_hamilton.pdf: 250505 bytes, checksum: dfbd236cd84d55b93b8a520d182e1edb (MD5) Made available in DSpace on 2014-01-07T18:52:05Z (GMT). No. of bitstreams: 1 tecnica_denuncia_hamilton.pdf: 250505 bytes, checksum: dfbd236cd84d55b93b8a520d182e1edb (MD5) Previous issue date: 2002

Submitted by Ana Paula Santana (anapaulablok@hotmail.com) on 2009-10-27T15:39:33Z No. of bitstreams: 1 ortodoxia_sistema_acusatorio_processo.pdf: 984554 bytes, checksum: ec710a2ea6e3e9f201fe9c3c1a88717a (MD5) Approved for entry into archive by Vandeilson Soares Neri(vandeilson.neri@stj.jus.br) on 2009-11-04T17:52:31Z (GMT) No. of bitstreams: 1 ortodoxia_sistema_acusatorio_processo.pdf: 984554 bytes, checksum: ec710a2ea6e3e9f201fe9c3c1a88717a (MD5) Approved for entry into archive by Vandeilson Soares Neri(vandeilson.neri@stj.jus.br) on 2009-11-06T18:53:29Z (GMT) No. of bitstreams: 1 ortodoxia_sistema_acusatorio_processo.pdf: 984554 bytes, checksum: ec710a2ea6e3e9f201fe9c3c1a88717a (MD5) Made available in DSpace on 2009-11-06T19:29:59Z (GMT). No. of bitstreams: 1 ortodoxia_sistema_acusatorio_processo.pdf: 984554 bytes, checksum: ec710a2ea6e3e9f201fe9c3c1a88717a (MD5) Previous issue date: 2002 Tem como escopo analisar o princípio e o processo acusatório no Código de Processo Penal brasileiro, investigando também o sistema inquisitório, o qual tem como característica o acúmulo pelo mesmo órgão, das funções de acusar, defender e julgar.

Suture line leakage is a frequent, serious problem in colon surgery. We propose the use of a flap of the parietal peritoneum from the paracolic gutter, adjacent to the operative site, to protect right and left colon suture lines. The advantage of this method is that it permits complete exclusion of the sutured intestine from the peritoneal cavity and avoids the risks of leakage from an intestinal suture line within the peritoneal cavity.

Submitted by Maria Luiza Barbosa (mluizab@stj.jus.br) on 2009-08-17T20:50:23Z No. of bitstreams: 1 queixa_subsidiaria_questoes_controversas.pdf: 1314541 bytes, checksum: fec6dca99acb52664262fc3564591252 (MD5) Approved for entry into archive by Arlan Morais de Lima(arlan.lima@stj.jus.br) on 2009-08-18T18:35:32Z (GMT) No. of bitstreams: 1 queixa_subsidiaria_questoes_controversas.pdf: 1314541 bytes, checksum: fec6dca99acb52664262fc3564591252 (MD5) Made available in DSpace on 2009-08-18T18:35:32Z (GMT). No. of bitstreams: 1 queixa_subsidiaria_questoes_controversas.pdf: 1314541 bytes, checksum: fec6dca99acb52664262fc3564591252 (MD5) Previous issue date: 2000-12 Enfoca questões controvertidas do Código de processo penal, entre elas, critica a redação do artigo 29, considerando que o termo queixa é confundido com ação penal privada, espécies processuais ontologicamente distintas, ressalta questões polêmicas ligadas à queixa subsidiária.

Renal cell carcinoma, in a high percentage of patients, metastasizes early, sometimes mimicking other lesions. We present a case of an asymptomatic papillary renal cell carcinoma that presented neck metastases as the initial manifestation. The laterocervical and supraclavicular masses were considered consistent with nodal metastases from a thyroid nodule. A hemithyroidectomy was performed before the renal tumor was diagnosed. Then the patient underwent a left-side radical nefrectomy. We discuss the unpredictability of the clinical course of renal cell carcinoma.

Splenic involvement by carcinomatous metastases occurs late in the course of widely disseminated disease. Solitary metastasis to the spleen from a primary of any source is an uncommon event. We report a case of a 58-year-old woman in which an asymptomatic solitary metastatic endometrial adenocarcinoma of the spleen was detected 28 months after resection of the primary malignancy and treated by splenectomy. There are thirteen other reported cases of solitary splenic metastasis from gynecological cancers; in four of these reports the source was endometrial.

Este trabalho foi realizado no Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo (HRAC-USP), Bauru, e relata o preparo da mãe para a alta, através do programa "mãe-participante", com o objetivo de orientar e preparar a mãe e o familiar para a continuidade dos cuidados pós-operatórios dos pacientes no domicílio, contribuindo no processo de cicatrização e no resultado estético e funcional da cirurgia nessa fase de reabilitação. This work was conducted at the Hospital de Reabilitação de Anomalias Craniofaciais of the University of São Paulo - USP Bauru, and it reports how to prepare the mother for discharge from the hospital, through the participating mother program, with the objective of giving orientations and preparing the mother and family members to give continuity to the patient's post-operactive care at home, thereby contributing to the healing process and to the aesthetic and functional surgery results during this phase of rehabilitation. Este trabajo fue realizado en el Hospital de Anomalias Craniofaciales de la Universidad de San Pablo (H.RA.C - USP), Baurú, y relata la preparación de la madre para el momento del alta a través del programa "madre participante", con el objetivo de orientar y preparar a la madre y a los familiares para dar continuidad a los cuidados postoperatorios de los pacientes en casa, contribuyendo en el proceso de cicatrización y en el resultado estético y funcional de la cirurgia en esta fase de rehabilitación.

Submitted by Mariana Ferreira Varjão null (vmfvarja@stj.jus.br) on 2013-03-01T18:31:46Z No. of bitstreams: 1 habeas_corpus_contra_hamilton.pdf: 116150 bytes, checksum: 360f6d64a588d9d915345c45ef8e73e2 (MD5) Rejected by Adriana dos Santos Santana null(adrianas@stj.gov.br), reason: Mariana, Parece que este artigo já tem registro na BDJur. http://bdjur.stj.jus.br/xmlui/handle/2011/21828 Compare os dois e, se o conteúdo for o mesmo, acrescente a referência da Emerj. ☺ on 2013-03-05T12:57:01Z (GMT) Submitted by Mariana Ferreira Varjão null (vmfvarja@stj.jus.br) on 2013-03-07T14:02:07Z No. of bitstreams: 1 habeas_corpus_contra_hamilton.pdf: 116150 bytes, checksum: 360f6d64a588d9d915345c45ef8e73e2 (MD5) Approved for entry into archive by Adriana dos Santos Santana null(adrianas@stj.gov.br) on 2013-03-07T16:21:12Z (GMT) No. of bitstreams: 1 habeas_corpus_contra_hamilton.pdf: 116150 bytes, checksum: 360f6d64a588d9d915345c45ef8e73e2 (MD5) Made available in DSpace on 2013-03-07T16:21:12Z (GMT). No. of bitstreams: 1 habeas_corpus_contra_hamilton.pdf: 116150 bytes, checksum: 360f6d64a588d9d915345c45ef8e73e2 (MD5) Previous issue date: 2005

Submitted by Vandeilson Soares Neri (vandeilson.neri@stj.jus.br) on 2009-06-04T19:59:02Z No. of bitstreams: 1 exame_corpo_delito_realidade.pdf: 1285881 bytes, checksum: 0191f84715b3600a0dbcb5a637eebfbc (MD5) Approved for entry into archive by Ernesto Bodê(bode@stj.gov.br) on 2009-06-08T18:05:39Z (GMT) No. of bitstreams: 1 exame_corpo_delito_realidade.pdf: 1285881 bytes, checksum: 0191f84715b3600a0dbcb5a637eebfbc (MD5) Made available in DSpace on 2009-06-08T18:05:39Z (GMT). No. of bitstreams: 1 exame_corpo_delito_realidade.pdf: 1285881 bytes, checksum: 0191f84715b3600a0dbcb5a637eebfbc (MD5) Previous issue date: 1996-09 Examina o sistema de provas no Código de Processo Penal (CPC). Analisa o exame de corpo de delito e o artigo 158 do CPC. Discorre acerca da Lei n. 9.099/95 e traça alguns panoramas sobre o tema.

Submitted by Jacyara Queblas (jacyara@stj.jus.br) on 2009-06-16T19:45:36Z No. of bitstreams: 1 reflexoes_exercicio_curadodia_processo.pdf: 1265505 bytes, checksum: b2592385ecf25b6d1c387b3701a9043a (MD5) Approved for entry into archive by Ernesto Bodê(bode@stj.gov.br) on 2009-06-16T21:03:39Z (GMT) No. of bitstreams: 1 reflexoes_exercicio_curadodia_processo.pdf: 1265505 bytes, checksum: b2592385ecf25b6d1c387b3701a9043a (MD5) Made available in DSpace on 2009-06-16T21:03:39Z (GMT). No. of bitstreams: 1 reflexoes_exercicio_curadodia_processo.pdf: 1265505 bytes, checksum: b2592385ecf25b6d1c387b3701a9043a (MD5) Previous issue date: 1995-10 Examina o ofício de curador sob diversos aspectos jurídicos apresentando suas múltiplas facetas dentro do Código de processo penal.

Submitted by eliana leila da silva nascimento (leila@stj.gov.br) on 2009-07-01T13:29:51Z No. of bitstreams: 1 tecnica_parecer.pdf: 1113151 bytes, checksum: e00d6d48d1d7c49c3805a6e347ce344b (MD5) Approved for entry into archive by Ernesto Bodê(bode@stj.gov.br) on 2009-07-01T16:12:20Z (GMT) No. of bitstreams: 1 tecnica_parecer.pdf: 1113151 bytes, checksum: e00d6d48d1d7c49c3805a6e347ce344b (MD5) Made available in DSpace on 2009-07-01T16:12:20Z (GMT). No. of bitstreams: 1 tecnica_parecer.pdf: 1113151 bytes, checksum: e00d6d48d1d7c49c3805a6e347ce344b (MD5) Previous issue date: 1995 Trata do "parecer do Ministério Público perante os tribunais superiores, voltado, de forma especial, para a atuação do Procurador de justiça que oficia perante o tribunal de justiça do estado."