Nos casos de hiperparatireoidismo secundário onde não é possível o tratamento clínico, é indicada a paratireoidectomia. No Serviço de Cirurgia de Cabeça e Pescoço do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, o tipo de cirurgia utilizada é a paratireoidectomia total com auto-implante de paratireóide em membro superior. Nesses casos, ao contrário da paratireoidectomia total, pode haver recidiva do hiperparatireoidismo no sítio do implante, com sintomas sistêmicos e com necessidade de intervenção para retirada do tecido hiperplásico. Já na paratireoidectomia total, há hipoparatireoidismo definitivo e risco de doença óssea adinâmica. O presente estudo tem como escopo avaliar os pacientes submetidos a paratireoidectomia com implante e esclarecer se há fatores clínicos e de imunohistoquímica que possam indicar antes da cirurgia algum risco de recidiva no implante / When clinical treatment of secondary hyperparathyroidism fails, parathyroidectomy is mandatory. Total parathyroidectomy and immediate parathyroid autotransplantation in the forearm is the treatment of choice at Head and Neck Surgery of Hospital das Clínicas of University of São Paulo Medical School. In this cases, recurrent hyperparathyroidism may be caused by hyperplastic graft tissue. Without autotransplantation, adinamic bone disease may occur. The present study seek to evaluate patients submitted to total parathyroidectomy and autotransplantation and try to clarify clinical or immunohistochemical

This thesis is concentrated on the detection and evaluation of views and experience of the institutions active in criminal procedure, namely the representatives of district courts, district prosecutions, municipal police departments of the Czech Republic and the Penitentiary of the Czech Republic. Furthermore, it deals with the position of the Probation and Mediation Service in the Czech legal system and its integration into criminal justice system. This domain is examined under three defined indicators: abbreviation of procedure, decrease of prison population and the impact of the social work implementation in justice on the offender resocialization. The investigated area was selected on the basis of study practices executed in the Probation and Mediation Service departments in Jablonec na Nisou and in Liberec, in the Prison Rýnovice and also partly by reading of expert essays, in which the results of researches concentrated on these areas are evaluated very contrarily. To achieve the objectives of the study was used a case study on probation centers in Jablonec nad Nisou and Liberec, the results were compared with a nationwide questionnaire survey.