The sub-acromial impingement (SAI) is the most common musculoskeletal disorder of shoulder pathologies. In recent times, the taping has become a relatively new and quite common indication in recent years. There will be a synthesis of evidence through a systematic review (SR) of randomized trials that had compared the use of taping for the management of these patients. The aim of this review is to determine the effect of taping on pain in subjects with sub-acromial pinch. The research strategy included randomized clinical trials (RCTs) databases were used: Medline, Cinahl, PEDro, Central, LILACS. In addition, we searched electronic journals, conference proceedings, randomized trials registry and contacted experts in the field. The results were two articles that met our eligibility criteria. We conclude that there is low quality evidence suggesting that the application of taping, would be effective to improve functionality and reduce pain at rest and during movements up to 1 week after application, in subjects with sub-acromial pinch compared to physical therapy program.

El pinzamiento sub-acromial (SPS) es el trastorno músculo-esquelético más frecuente de las patologías de hombro. El taping se ha transformado en una indicación relativamente nueva y bastante común en los últimos años. Se realizará una síntesis de la evidencia a través de una revisión sistemática (RS) de ensayos clínicos aleatorizados que hayan comparado el uso del taping para el manejo de estos pacientes. El objetivo de esta revisión es determinar el efecto del taping sobre el dolor en sujetos con pellizcamiento sub-acromial. La estrategia de búsqueda incluyó ensayos clínicos aleatorizados (ECA); las bases de datos usadas fueron: Medline, Cinahl, PEDro, Central, LILACS. Además, se realizó una búsqueda en revistas electrónicas, actas de congresos, Registro de Estudios Clínicos Aleatorizados y se contactó con expertos en el tema. Los resultados obtenidos fueron de dos artículos que cumplían con nuestros criterios de elegibilidad. Se concluye que existe evidencia de baja calidad que sugiere que la aplicación de taping sería efectiva para mejorar la funcionalidad, reducir el dolor en reposo y durante los movimientos hasta en una semana posterior a su aplicación, en sujetos que presentan pellizcamiento sub-acromial en comparación a un programa de terapia física.

Cardiac echinococcosis with aortic embolism is an extremely rare entity. It is caused by the rupture or detachment of fragments of the cardiac cyst. We report the case of an 11 year-old boy with sudden onset of lower limb ischemia and a previous history of dyspnea and chest pain. We describe the usefulness of multislice computed tomography in the evaluation of this disease.

La hidatidosis cardíaca con embolismo aórtico es una entidad extremadamente infrecuente. Se produce por una rotura o un desprendimiento total o parcial de un quiste hidatídico cardíaco. Presentamos el caso de un niño de 11 años de edad con manifestaciones de isquemia de miembros inferiores de inicio súbito y antecedentes de disnea y dolor torácico. Se describe la utilidad de la angiotomografía computada multidetector en la evaluación de este tipo de afecciones.

The improvement of aqueous solubility of methyl (5-[propylthio]-1H-benzimidazol-2-yl) carbamate, albendazole (ABZ) using polyamidoamine (PAMAM) dendrimers as solubility enhancers was investigated. Full generation PAMAM dendrimers with amine terminal groups, (G3), with hydroxyl terminal groups (G3OH) and half generation PAMAM dendrimers with carboxylate terminal groups (G2.5 and G3.5), were chosen for this study. The nature of dendrimer-ABZ association was investigated by UV absorption, fluorescence emission measurements and by ¹H-NMR spectroscopy. The results obtained show that these polymeric structures have the capacity to enhance the solubility of ABZ, both lipophilic and specific hydrogen bond interactions contributing to the guest-host association. Although all studied dendrimers have hydrophobic internal nanoenvironments with similar dimensions, their surfaces differ significantly and the nature and the localization of the interactions involved in ABZ-dendrimer association depend on the type of terminal groups.

Desde a instalação da cirurgia laparoscópica no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, a Disciplina de Cirurgia do Aparelho Digestivo passou a estruturar um programa para a formação do cirurgião em laparoscopia do aparelho digestivo. OBJETIVO: A estrutura de ensino inclui a informação no ensino médico regular, extensão na Liga de Cirurgia Laparoscópica, formando o médico a partir de residência, principalmente em seu quarto ano, com estágio na Unidade de Cirurgia Laparoscópica de três meses. MÉTODO: Este modelo de formação e preparo do cirurgião do aparelho digestivo assim implantado, com rigor, profundidade e seriedade é, certamente, responsável pelos resultados de nível de excelência obtidos. RESULTADOS: Exemplo disso representam as 1818 colecistectomias laparoscópicas realizadas na Unidade de Cirurgia Laparoscópica no período de outubro 1990 a dezembro de 1998, com índice de conversão de 0,9% e sem mortalidade. A ausência de acidentes operatórios e de complicações verificadas na experiência adquirida nas operações realizadas por nosso grupo cirúrgico, dá consistente suporte à orientação assumida pela Disciplina. CONCLUSÃO: Reforçam-se os princípios que foram adotados dentro da atividade em hospital universitário, que são: necessidade de formação de profissionais dentro de programa bem estruturado, ensejando-lhes preparo educacional humanístico e técnico, em torno de projeto pedagógico longo, mas com grande e sólido embasamento informativo e prático.

Since the beginning or laparoscopic surgery on University of Sao Paulo Medical School Clinics Hospital, the Digestive Surgery Division established an educational program for surgeons of the alimentary tract. PURPOSE: The course structure includes the information on medical school, extension in laparoscopic surgery league, and surgical formation during the residence, mainly in the fourth year, with a three months period in the Laparoscopic Surgery Unit. METHOD: This model of surgical formation is certainly responsible for the excellent results obtained. RESULTS: An example is the performing of 1818 cholecystectomies in the Laparoscopic Surgery Unit from 1990 till 1998, with 0.9% convertion, and no mortality. The absence of operative accidents or complications give support to the orientation assumed in our Division. CONCLUSION: In a university hospital there is the necessity of professional formation in a well structured program, with humanistic and technical education, in a large period of rotation, but with a solid information and practical structure.