Paracoccidioidomycosis is the most common deep mycosis in South America and is caused by Paracoccidioides brasiliensis (P. brasiliensis), a thermally dimorphic fungus. Infections usually occur by inhalation of conidia, which more often cause respiratory, mucocutaneous, and lymph nodal changes. Chronic features of this mycosis can mimic diverse infections and malignancies and constitute diagnosis challenges. Squamous cell carcinoma deserves special attention in this setting. We describe the case of a patient with synchronous diagnosis of oral paracoccidioidomycosis and esophageal squamous cell carcinoma. Concomitance of these conditions may be a casual event, but a not fully understood causal relationship can be involved.
In clinical research there is a real possibility to have some conflict of interests. Even for the researcher, the identification of these conflicts cannot be clear. There are many aspects to be considered, involving all participants of the process: the research subject, the researcher, the institution where the research is carried through, the sponsor, the ethics committees, the regulating agencies, the scientific community and the society. The conclusion is that conflicts of interests are common and inevitable in the academic field. The challenge is not to eradicate them, but to recognize them and to manage them properly. The only acceptable way to do this is to expose clearly the conflicts of interests and always to submit the clinical research projects to the ethics committees.
A terminologia médica apresenta numerosos casos de impropriedades evitáveis. 3,4,[6][7][8] Nos relatos médicos, como anotações do prontuário, publicações, discursos, há grande número de cochilos gramaticais e de estilo.2 De fato, algumas expressões comuns precisam de ser retocadas, tais como "colher hemograma" (hemograma é um laudo), "dor na topografia do baço" (significa descrição dolorosa sobre a localização do baço), "metástase envolvendo o fígado" (na verdade, é o fígado que envolve a metástase), "Foi feito radiografias" (pelas normas gramaticais diz-se: Foram feitas radiografias). É necessário e oportuno tornar conhecidos e remediar descuidos sempre que possível.Este artigo apresenta comentários dos autores sobre alguns termos médicos de uso discutível, como contribuição aos estudos sobre linguagem médica. Ostomia, ostomisado, osteomaDe acordo com as normas de transmudação de termos gregos para o português, ostomia é forma irregular. Não há "ostoma" nem "ostomia" registrados nos dicionários, embora possam, futuramente, aparecer neles se esses nomes tiverem uso muito difundido.Na língua portuguesa, as formas derivadas do termo grego stóma, boca, quando iniciam palavra, são feitas com e inicial (estoma), não o (ostoma). Daí, criaram-se termos como estomalgia, estomatite, estomódio e semelhantes. Como regra, embora haja exceções, na formação de nomes com elementos procedentes do grego ou do latim, usase o referido e prostético antes de termos iniciados por s, seguido de outra consoante. Exemplos:
The main purpose of the off-pump coronary artery bypass surgery is to reduce morbidity and mortality due cardiopulmonary bypass. However, even though many studies have shown that off-pump coronary artery bypass is feasible and provides hospital morbidity and mortality similar to the on-pump coronary artery bypass graft surgery, probably better in some aspects, its long-term results have been questioned, since some trials have shown reduced survival with off-pump coronary artery bypass. It is likely that incomplete revascularization and/or poor graft patency with off-pump coronary artery bypass probably are responsible for such unfavorable outcome.
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