Made available in DSpace on 2015-07-15T13:31:41Z (GMT). No. of bitstreams: 1 DISSERTA_MARLA.pdf: 612061 bytes, checksum: 166910dfea7fd46850738ceab0614740 (MD5) Previous issue date: 2008-01-10 / During pregnancy occur in the woman organism, physiological changes as a result of high levels of sex hormones necessary to maintenance of pregnancy. Local changes also occurred during this period, including in the mouth. The objective of this study was to evaluate the relationship between lesions in the oral mucosa of pregnant who the municipality of Feira de Santana - BA and the biological and social aspects as well as the prevalence of such lesions in the sample studied. It was done a descriptive study was done where it was applied a form and an oral clinical examination was done in the sample of 204 pregnant. After the procedure of collecting data, it was done a descriptive analysis of the interest variables, and finally stratified analysis and logistic regression. The results showed that pregnant who participated in the survey had an age group that ranged from 14 to 39 years, the majority was dun, had a family income between 1 and 3 minimum wages, and reported to be housewife. 38.2% of them had some kind of lesion in mouth, and the injury that was more detected was gingivitis with 30.4% of the cases. We could conclude that pregnant who were in first 2 quarters have a lower prevalence of oral lesions than those who are in the 3 rd quarter. / Durante a gravidez ocorrem, no organismo da mulher, altera??es fisiol?gicas em conseq??ncia dos n?veis elevados de horm?nios sexuais, necess?rias para a manuten??o da gesta??o. Altera??es locais tamb?m ocorrem neste per?odo, incluindo a boca. O objetivo deste estudo foi avaliar a preval?ncia de les?es bucais em gestantes atendidas nas Unidades do Programa de Sa?de da Fam?lia no munic?pio de Feira de Santana BA e estudar a sua rela??o com os aspectos biossociais na amostra estudada. Foi realizado um estudo descritivo durante o per?odo de mar?o a julho de 2007 onde se aplicou um formul?rio e se realizou exame cl?nico bucal em uma amostra de 204 gestantes. Ap?s o procedimento de coleta de dados, procedeu-se a an?lise estat?stica, onde foi realizada a an?lise descritiva das vari?veis de interesse, a estratificada e por fim, regress?o log?stica. Os resultados mostraram que as gestantes que participaram da pesquisa tinham uma faixa et?ria que variava de 14 a 39 anos, a maioria era parda (65,7%), tinha uma renda familiar entre 1 e 3 sal?rios m?nimos, e relatou ser dona-de-casa. Quanto ? presen?a de les?o, 38,2% delas apresentaram algum tipo de les?o em boca, sendo que a gengivite foi a les?o mais encontrada, com 30,4% dos casos. P?de-se concluir que mulheres que se encontram no 1? e 2? trimestres gestacionais t?m uma menor preval?ncia de les?o bucal do que aquelas que se encontram no 3? trimestre gestacional.

Made available in DSpace on 2014-12-17T15:32:16Z (GMT). No. of bitstreams: 1 MarceloGV.pdf: 2007167 bytes, checksum: 5ee7e9c9bd56fd72fecb1874fb64a80e (MD5) Previous issue date: 2008-02-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Angiogenesis, a fundamental mechanism in tumor development, is used for differential diagnosis and prognosis purposes in various neoplasias of the head and neck. This study proposes to assess angiogenic activity using immunohistochemical expression by anti-CD105 and anti-CD34 antibodies in 20 cases of hemangiomas and 20 cases of oral pyogenic granulomas, in addition to determining the usefulness of these markers as one of the differential diagnosis resources for these two oral lesions. The results showed no statistically significant difference between microvascular count (MVC) means determined by anti-CD105 (p = 0.803) and anti-CD34 (p = 0.279) antibodies. The mean number of vessels obtained by MVC in the oral hemangiomas immunostained by anti-CD105 and anti-CD34 was 18.75 and 59.72, respectively, whereas in the oral pyogenic granulomas, the mean number was 20.22 and 48.09 respectively. It was also shown that CD34 was more effective than CD105 in identifying blood vessels. However, it must be pointed out that the anti-CD105 antibody seems to be more related to vascular neoformation. Overall, this assay reinforces the role of angiogenic factors in the etiopathogenesis of hemangiomas and oral pyogenic granulomas, but the results showed that angiogenesis quantification cannot be used as a differential diagnosis parameter between the two lesions analyzed / A angiog?nese ? um mecanismo fundamental para o desenvolvimento tumoral, sendo utilizada para fins de diagn?stico diferencial e determina??o de progn?stico em v?rias neoplasias de cabe?a e pesco?o. Este trabalho se prop?s avaliar a atividade angiog?nica atrav?s da express?o imuno-histoqu?mica dos anticorpos anti-CD105 e anti-CD34 em 20 casos de hemangiomas e 20 casos de granulomas piog?nicos orais, al?m de averiguar a utilidade destes marcadores como um dos recursos de diagn?stico diferencial para estas duas les?es orais. Os resultados deste experimento demonstraram que n?o houve diferen?a estatisticamente significativa entre as m?dias de contagem microvascular (MVC) determinadas pelos os anticorpos anti-CD105 (p=0,803) e anti-CD34 (p=0,279). O n?mero m?dio dos vasos obtidos pela MVC nos esp?cimes de hemangiomas orais imunomarcados pelo anti-CD105 e anti-CD34 foram respectivamente 18,75 e 59,72, enquanto nos granulomas piog?nicos orais, o n?mero m?dio dos vasos obtidos pela MVC pelo anti-CD105 e anti-CD34 foram respectivamente 20,22 e 48,09. Foi verificado, tamb?m, que o CD34 foi mais efetivo na identifica??o de vasos sang??neos quando comparado com o CD105. Entretanto, faz-se necess?rio destacar, que o anticorpo anti-CD105 parece estar mais relacionado com a neoforma??o vascular. Em linhas gerais, este ensaio refor?a a participa??o dos fatores angiog?nicos na etiopatog?nese dos hemangiomas e granulomas piog?nicos orais, por?m os resultados mostraram que a quantifica??o da angiog?nese n?o pode ser utilizada como par?metro de diagn?stico diferencial entre as duas les?es analisadas

Made available in DSpace on 2014-12-17T15:32:23Z (GMT). No. of bitstreams: 1 TiagoJSF_DISSERT.pdf: 3045279 bytes, checksum: 8153fafe331060792baf7be0c25c538f (MD5) Previous issue date: 2014-02-10 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Vascular anomalies constitute a distinct group of lesions, but they may present similar clinical and histopatological characteristics, which can lead to diagnostic mistakes. This study aimed by histopathology and immunohistochemical expression of human glucose transporter protein (GLUT-1), correctly identify and classify oral vascular anomalies, besides analyzing the immunoexpression of markers proliferation and apoptosis (Ki-67 and Bcl-2). All cases diagnosed as "oral hemangiomas" belonging to the archives of the Service of Pathological Anatomy from the subject of Oral Pathology of the Department of Dentistry (DOD), of the Federal University of Rio Grande do Norte (UFRN) were reviewed, totalizing 77 cases. Immunohistochemical analysis for GLUT-1 showed that only 26 (33.8%) of the specimens were true infantile hemangiomas (IHs). The 51 (66.2%%) GLUT-1 negative specimens were then reclassified as pyogenic granulomas (PGs) and vascular malformations (VMs) from their histopathologic characteristics,totalizing 26 (33.8%) cases of IHs, 20 (26.0%) of PGs and 31 (40.2) cases of oral VMs. The cases analyzed by the marker Ki-67 showed different median IH (13,85), PG (33,70) and VM (4.55) with statistically significant differences between them (p <0.001). In relation to the protein Bcl-2, the groups also showed different median of the established scores IH (1.00), PG (1.50), VMs (0.0) demonstrating statistically significant differences between them (p<0,001). No statistically significant correlation between the indexes of positivity for Ki-67 and the scores of immunoexpression of Bcl-2 were observed in any group. Thus, we can conclude that it is necessary a careful and parameterized review of cases of vascular anomalies making use of auxiliary tools such as GLUT-1, since the histopathological findings alone, sometimes, are not sufficient to differentiate some anomalies. Furthermore, analysis of the expressions of markers involved in the levels of proliferation of lesions is important for a better understanding of its biological behavior aspect / As anomalias vasculares constituem um grupo de les?es distintas, mas que podem apresentar caracter?sticas cl?nicas e histopatol?gicas semelhantes, que podem levar a equ?vocos diagn?sticos.Este estudo objetivou por meio da histopatologia e da express?o imuno-histoqu?mica daprote?na humana transportadora de glicose (GLUT-1), identificar e classificar corretamente as anomalias vasculares orais, al?m de analisar a imunoexpress?o de marcadores de prolifera??o e apoptose (Ki-67 e Bcl-2).Todos os casos diagnosticados como hemangiomas orais pertencentes aos arquivos do Servi?o de Anatomia Patol?gica da disciplina de Patologia Oral do Departamento de Odontologia (DOD) da Universidade Federal do Rio Grande do Norte (UFRN) foram revisados, totalizando 77 casos. A an?lise imuno-histoqu?mica para GLUT-1 revelou que apenas 26 (33,8%) dos esp?cimes tratavam-se de hemangiomas da inf?ncia (HIs) verdadeiros. Os 51 (66,2%%)esp?cimes GLUT-1 negativos foram ent?o reclassificados em granulomas piog?nicos (GPs) e malforma??es vasculares (MVs) a partir de suas caracter?sticas histopatol?gicas, totalizando 26 (33,8%) casos de HIs, 20 (26,0%) de GPs e 31 (40,2) casos de MVs orais. Os casos submetidos ? an?lise do marcador Ki-67 apresentaram medianas diferentes HI (13,85), GP (33,70) e MV (4,55) com diferen?as estatisticamente significantes entre elas (p<0,001). Em rela??o ? prote?na Bcl-2, os grupos tamb?m apresentaram diferentes medianas dos escores estabelecidos HI (1,00), GP (1,50), MVs (0,0), demonstrando diferen?as estatisticamente significantes entre elas (p<0,001). N?o foi observada correla??o estatisticamente significante entre os ?ndices de positividade para o Ki-67 e os escores de imunoexpress?o de Bcl-2 em nenhum grupo.Dessa maneira, podemos concluir que se faz necess?rio uma revis?o criteriosa e parametrizada dos casos de anomalias vasculares utilizando ferramentas auxiliares, como a GLUT-1, uma vez que os achados histopatol?gicos sozinhos, ?s vezes, n?o s?o suficientes para diferenciar algumas anomalias. Al?m disso, a an?lise das express?es de marcadores envolvidos nos n?veis de prolifera??o das les?es ? um aspecto importante para o melhor entendimento do seu comportamento biol?gico