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1.
Braz J Med Biol Res ; 56: e12922, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37970922

RESUMEN

Nuclear proliferation marker MIB-1 (Ki-67) immunohistochemistry (IHC) is used to examine tumor cell proliferation. However, the diagnostic or prognostic value of the Ki-67 nuclear staining intensity and location, defined as nuclear gradient (NG), has not been assessed. This study examined the potential association between Ki-67 NG and cell cycle phases and its effect on the prognosis of pulmonary typical carcinoid (PTC) tumors. We propose a method for classifying the NG of Ki-67 during the cell cycle and compare the results between PTC, pulmonary adenocarcinoma (PAD), and breast ductal carcinoma (BDC). A literature review and objective analysis of IHC-stained paraffin sections were used to determine the Ki-67 labeling index and composed a stratification of the NG into NG1, NG2, and NG3/4 categories. A semi-automated image analysis protocol was established to determine the Ki-67 NG in PTC, PAD, and BDC. High intraobserver consistency and moderate interobserver agreement were achieved in the determination of Ki-67 NG in tumor specimens. NG1 and NG2 were lower in PTC than in PAD and BDC. Cox multivariate analysis of PTC after adjusting for age and number of metastatic lymph nodes showed that Ki-67 NG1 and NG2 significantly predicted clinical outcomes. The semi-automated method for quantification of Ki-67 nuclear immunostaining proposed in this study could become a valuable diagnostic and prognostic tool in PTC.


Asunto(s)
Antígeno Ki-67 , Inmunohistoquímica , Antígeno Ki-67/metabolismo
2.
Braz. j. med. biol. res ; 56: e12922, 2023. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1520463

RESUMEN

Nuclear proliferation marker MIB-1 (Ki-67) immunohistochemistry (IHC) is used to examine tumor cell proliferation. However, the diagnostic or prognostic value of the Ki-67 nuclear staining intensity and location, defined as nuclear gradient (NG), has not been assessed. This study examined the potential association between Ki-67 NG and cell cycle phases and its effect on the prognosis of pulmonary typical carcinoid (PTC) tumors. We propose a method for classifying the NG of Ki-67 during the cell cycle and compare the results between PTC, pulmonary adenocarcinoma (PAD), and breast ductal carcinoma (BDC). A literature review and objective analysis of IHC-stained paraffin sections were used to determine the Ki-67 labeling index and composed a stratification of the NG into NG1, NG2, and NG3/4 categories. A semi-automated image analysis protocol was established to determine the Ki-67 NG in PTC, PAD, and BDC. High intraobserver consistency and moderate interobserver agreement were achieved in the determination of Ki-67 NG in tumor specimens. NG1 and NG2 were lower in PTC than in PAD and BDC. Cox multivariate analysis of PTC after adjusting for age and number of metastatic lymph nodes showed that Ki-67 NG1 and NG2 significantly predicted clinical outcomes. The semi-automated method for quantification of Ki-67 nuclear immunostaining proposed in this study could become a valuable diagnostic and prognostic tool in PTC.

3.
Water Sci Technol ; 83(8): 1781-1796, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33905352

RESUMEN

Organochlorines have diverse structures and applications and are included in the list of persistent organic pollutants (POPs) due to their toxicity and environmental persistence. The reduced capacity of conventional wastewater treatment plants to remove these compounds encourages the development of cost-effective and efficient remediation approaches. Fungal biotechnology can contribute to the development of these technologies through their enzymatic machinery but faces several drawbacks related to the use of dispersed mycelium. In this sense, investigations concerning the degradation of organochlorines using immobilized fungi demonstrated an increase in contaminant removal efficiency compared with degradation by free cells. Despite this interest, the mechanisms of immobilized fungi have not been comprehensively reviewed. In this paper, recent advances of laboratory and field studies in organochlorine compounds removal by fungi are reviewed, focusing on the role of immobilization techniques. Firstly, the mechanisms of organochlorines bioconversion by fungi and the factors affecting enzyme activity are elucidated and discussed in detail. Then, the main targeted compounds, fungi, technics, and materials used for immobilization are discussed, as well as their advantages and limitations. Furthermore, critical points for future studies of fungi immobilization for organochlorine removal are proposed.


Asunto(s)
Hidrocarburos Clorados , Purificación del Agua , Hongos , Micelio
4.
Bull Environ Contam Toxicol ; 107(1): 131-139, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33847799

RESUMEN

The large-scale use of pesticides is one of the main causes of the dramatic degradation of our environment. Pesticides such as imidacloprid (IMID) have been linked to declines in bee health and toxicity to other beneficial insects. They pose a threat to human health due to their persistence in the environment and accumulation in the food chain. Therefore, it is essential to test possible environmentally-friendly solutions for their elimination. The present study evaluates the efficiency of microalgae Nannochloropsis sp. for the removal of IMID from synthetic wastewater. The influence of aeration, light, and the presence of UV radiation on the degradation of IMID were factors considered in the study. A rapid RP-HPLC method was developed and validated for the analysis and quantification of IMID in the context of bioremediation with microalgae. Nannochloropsis sp. removed 4.39 µg mL-1 from an initial content of 9.59 µg mL-1 (reaching approximately 50%) of IMID in the first 20 h. This study demonstrated that the removal of IMID by the marine microalgae Nannochloropsis sp. is both effective and light-dependent.


Asunto(s)
Microalgas , Estramenopilos , Animales , Abejas , Cromatografía Líquida de Alta Presión , Neonicotinoides , Nitrocompuestos , Aguas Residuales , Agua
5.
Mater Sci Eng C Mater Biol Appl ; 121: 111815, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33579459

RESUMEN

This work deals with two new molecule-based materials, namely NiII-complexes of general formulae [Ni(L1)2] (Ni1) and [Ni(L2)2] (Ni2), where L1 = trans-cinnamaldehyde-N(4)-methyl thiosemicarbazone and L2 = trans-cinnamaldehyde-N(4)-ethyl thiosemicarbazone, as potential antitumor agents. Both compounds were characterized by elemental analysis, molar conductivity and spectroscopic techniques (FTIR and NMR). Their molecular structures were obtained by single-crystal X-ray diffraction analysis. Each one crystallizes in a monoclinic space group P 21/c, also the asymmetric unit comprises of one NiII ion located on an inversion centre and one anionic ligand, which acts as a κ2N,S-donor affording a five-membered metallaring. The compounds were screened against two selected tumour cell lines (MCF-7 and A549) and non-tumour fibroblasts cell line (MRC-5) via MTT assays. In both tumour cells, all compounds exhibited higher cytotoxicity than the control drug (cisplatin). The IC50 values ranges of 3.70 - 41.37 µM and 1.06 - 14.91 µM were found for MCF-7 and A549, respectively. Importantly, all of them were less toxicity than cisplatin in MRC-5 with SI values ranged at 11.80 - 86.60. The red blood cell (RBC) assay revealed Ni2 as non-toxic due to its reduced haemolytic effect (0--9% at 1--10 µM). The DNA binding was investigated through a combination of spectrophotometric absorption and emission titrations, electrophoresis, and circular dichroism experiments. As a result, these metal complexes were not able to strongly binding to DNA (Kb values ~104 mol L--1) but suggesting groove-binding interactions. The scavenging ability of them towards 2,2-diphenyl-1-picrylhydrazyl (DPPH) free-radical was also evaluated in this work, but no important antioxidant behaviour was detected. Further, the interaction of Ni1 and Ni2 to human serum albumin (HSA) was explored by quenching of tryptophan emission, warfarin competitive assay, and molecular docking protocols. The HSA binding analyses indicated good affinity of both complexes to Sudlow site I (Kb values ⁓103 mol L-1).


Asunto(s)
Antineoplásicos , Complejos de Coordinación , Tiosemicarbazonas , Antineoplásicos/farmacología , Humanos , Ligandos , Simulación del Acoplamiento Molecular , Estructura Molecular
6.
Resuscitation ; 162: 205-217, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33549689

RESUMEN

BACKGROUND: The ILCOR Basic Life Support Task Force and the international drowning research community considered it timely to undertake a scoping review of the literature to identify evidence relating to the initial resuscitation, hospital-based interventions and criteria for safe discharge related to drowning. METHODS: Medline, PreMedline, Embase, Cochrane Reviews and Cochrane CENTRAL were searched from 2000 to June 2020 to identify relevant literature. Titles and abstracts and if necessary full text were reviewed in duplicate. Studies were eligible for inclusion if they reported on the population (adults and children who are submerged in water), interventions (resuscitation in water/boats, airway management, oxygen administration, AED use, bystander CPR, ventilation strategies, ECMO, protocols for hospital discharge (I), comparator (standard care) and outcomes (O) survival, survival with a favourable neurological outcome, CPR quality, physiological end-points). RESULTS: The database search yielded 3242 references (Medline 1104, Pre-Medline 202, Embase 1722, Cochrane reviews 12, Cochrane CENTRAL 202). After removal of duplicates 2377 papers were left for screening titles and abstracts. In total 65 unique papers were included. The evidence identified was from predominantly high-income countries and lacked consistency in the populations, interventions and outcomes reported. Clinical studies were exclusively observational in nature. CONCLUSION: This scoping review found that there is very limited evidence from observational studies to inform evidence based clinical practice guidelines for drowning. The review highlights an urgent need for high quality research in drowning.


Asunto(s)
Reanimación Cardiopulmonar , Ahogamiento , Servicios Médicos de Urgencia , Adulto , Niño , Humanos , Resucitación
7.
Epidemiol Infect ; 145(16): 3516-3524, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29173226

RESUMEN

This study aimed to evaluate the risk factors for tuberculosis (TB) treatment default in a priority city for disease control in Brazil. A cohort of TB cases diagnosed from 2008 to 2009 was followed up from patients' entry into three outpatient sites, in Juiz de Fora, Minas Gerais (Brazil), until the recording of the outcomes. Drug addiction, alcoholism and treatment site appeared to be independently associated with default. Current users of crack as the hardest drug (odds ratio (OR) 12·25, 95% confidence interval (CI) 3·04-49·26) were more likely to default than other hard drug users (OR 5·67, 95% CI 1·34-24·03), former users (OR 4·12, 95% CI 1·11-15·20) and those not known to use drugs (reference group). Consumers at high risk of alcoholism (OR 2·94, 95% CI 1·08-7·99) and those treated in an outpatient hospital unit (OR 8·22, 95% CI 2·79-24·21%) also were more likely to default. Our results establish that substance abuse was independently associated with default. National TB programmes might be more likely to achieve their control targets if they include interventions aimed at improving adherence and cure rates, by diagnosing and treating substance abuse concurrently with standard TB therapy.


Asunto(s)
Alcoholismo/epidemiología , Antituberculosos/uso terapéutico , Cumplimiento de la Medicación/estadística & datos numéricos , Trastornos Relacionados con Sustancias/epidemiología , Tuberculosis/tratamiento farmacológico , Adulto , Alcoholismo/complicaciones , Brasil/epidemiología , Femenino , Humanos , Masculino , Estudios Prospectivos , Factores de Riesgo , Trastornos Relacionados con Sustancias/complicaciones , Tuberculosis/complicaciones , Tuberculosis/epidemiología
8.
Chromosoma ; 126(2): 245-260, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27001473

RESUMEN

Anoles are a clade of iguanian lizards that underwent an extensive radiation between 125 and 65 million years ago. Their karyotypes show wide variation in diploid number spanning from 26 (Anolis evermanni) to 44 (A. insolitus). This chromosomal variation involves their sex chromosomes, ranging from simple systems (XX/XY), with heterochromosomes represented by either micro- or macrochromosomes, to multiple systems (X1X1X2X2/X1X2Y). Here, for the first time, the homology relationships of sex chromosomes have been investigated in nine anole lizards at the whole chromosome level. Cross-species chromosome painting using sex chromosome paints from A. carolinensis, Ctenonotus pogus and Norops sagrei and gene mapping of X-linked genes demonstrated that the anole ancestral sex chromosome system constituted by microchromosomes is retained in all the species with the ancestral karyotype (2n = 36, 12 macro- and 24 microchromosomes). On the contrary, species with a derived karyotype, namely those belonging to genera Ctenonotus and Norops, show a series of rearrangements (fusions/fissions) involving autosomes/microchromosomes that led to the formation of their current sex chromosome systems. These results demonstrate that different autosomes were involved in translocations with sex chromosomes in closely related lineages of anole lizards and that several sequential microautosome/sex chromosome fusions lead to a remarkable increase in size of Norops sagrei sex chromosomes.


Asunto(s)
Evolución Molecular , Lagartos/genética , Cromosomas Sexuales , Animales , Bandeo Cromosómico , Mapeo Cromosómico , Pintura Cromosómica , Femenino , Genes Mitocondriales , Hibridación Fluorescente in Situ , Cariotipo , Cariotipificación , Masculino , Recombinación Genética
9.
R Soc Open Sci ; 3(7): 160210, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27493776

RESUMEN

Empirical tests of adaptive maternal sex allocation hypotheses have presented inconsistent results in mammals. The possibility that mothers are constrained in their ability to adjust sex ratios could explain some of the remaining variation. Maternal effects, the influence of the maternal phenotype or genotype on her developing offspring, may constrain sex allocation through physiological changes in response to the gestational environment. We tested if maternal effects constrain future parental sex allocation through a lowered gestational stress environment in laboratory mice. Females that experienced lowered stress as embryos in utero gave birth to female-biased litters as adults, with no change to litter size. Changes in offspring sex ratio was linked to peri-conceptual glucose, as those females that had increasing blood glucose peri-conceptionally gave birth to litters with a higher male to female sex ratio. There was, however, no effect of the lowered prenatal stress for developing male embryos and their sperm sex ratio when adult. We discuss the implications of maternal effects and maternal stress environment on the lifelong physiology of the offspring, particularly as a constraint on later maternal sex allocation.

10.
Rev Mal Respir ; 33(10): 899-904, 2016 Dec.
Artículo en Francés | MEDLINE | ID: mdl-27282325

RESUMEN

The objectives of outpatient surgery are to reduce the risks connected to hospitalization, to improve postoperative recovery and to decrease the health costs. Few studies have been performed in the field of thoracic surgery and there remains great scope for progress in outpatient lung surgery. The purpose of this article is to present a revue of the current situation and the prospects for the development of out patient thoracic surgery.


Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Procedimientos Quirúrgicos Torácicos , Procedimientos Quirúrgicos Ambulatorios/métodos , Procedimientos Quirúrgicos Ambulatorios/normas , Procedimientos Quirúrgicos Ambulatorios/estadística & datos numéricos , Procedimientos Quirúrgicos Ambulatorios/tendencias , Humanos , Selección de Paciente , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Guías de Práctica Clínica como Asunto , Cirugía Torácica Asistida por Video/estadística & datos numéricos , Procedimientos Quirúrgicos Torácicos/métodos , Procedimientos Quirúrgicos Torácicos/normas , Procedimientos Quirúrgicos Torácicos/estadística & datos numéricos , Procedimientos Quirúrgicos Torácicos/tendencias
11.
Drug Deliv Transl Res ; 6(6): 755-762, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-27338561

RESUMEN

Currently, most in vitro drug release studies for ophthalmic applications are carried out in static sink conditions. Although this procedure is simple and useful to make comparative studies, it does not describe adequately the drug release kinetics in the eye, considering the small tear volume and flow rates found in vivo. In this work, a microfluidic cell was designed and used to mimic the continuous, volumetric flow rate of tear fluid and its low volume. The suitable operation of the cell, in terms of uniformity and symmetry of flux, was proved using a numerical model based in the Navier-Stokes and continuity equations. The release profile of a model system (a hydroxyethyl methacrylate-based hydrogel (HEMA/PVP) for soft contact lenses (SCLs) loaded with diclofenac) obtained with the microfluidic cell was compared with that obtained in static conditions, showing that the kinetics of release in dynamic conditions is slower. The application of the numerical model demonstrated that the designed cell can be used to simulate the drug release in the whole range of the human eye tear film volume and allowed to estimate the drug concentration in the volume of liquid in direct contact with the hydrogel. The knowledge of this concentration, which is significantly different from that measured in the experimental tests during the first hours of release, is critical to predict the toxicity of the drug release system and its in vivo efficacy. In conclusion, the use of the microfluidic cell in conjunction with the numerical model shall be a valuable tool to design and optimize new therapeutic drug-loaded SCLs.


Asunto(s)
Lentes de Contacto Hidrofílicos , Ojo/metabolismo , Hidrogeles/química , Modelos Teóricos , Diclofenaco/química , Liberación de Fármacos , Hidrodinámica , Metacrilatos/química , Microfluídica , Povidona/química
12.
Oper Dent ; 41(4): E93-E101, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26919080

RESUMEN

OBJECTIVES: This randomized clinical trial tested the three-month desensitizing effect of two protocols using nano-hydroxyapatite formulations compared with Pro-Argin and fluoride varnish. METHODS: Twenty-eight subjects with 137 teeth presenting dentin exposure with a minimal hypersensitivity of four on the visual analog scale (VAS) took part of this study. The subjects were randomly assigned to four groups: Desensibilize Nano-P paste (20% hydroxyapatite [HAP], potassium nitrate, and sodium fluoride [NaF]; 9000 ppm fluoride [F]); Desensibilize Nano-P associated with experimental home-care pastes (10% HA, potassium nitrate, and NaF; 900 ppm F); Pro-Relief professional paste (8% arginine with Pro-Argin technology) associated with home-care toothpaste (8% arginine, sodium monofluorophosphate, 1450 ppm F); and Duraphat professional varnish (NaF varnish, 22,600 ppm F). The professional treatments were performed in weekly appointments over three weeks. The home-care products were used continuously for three months. A VAS was used to assess the tooth sensitivity response after standardized evaporative stimulus at baseline and after one month and three months. The baseline score was deducted from the final score, and the means were analyzed using nested analysis of variance, while the comparison between times was performed by a general linear model (p<0.05). RESULTS: At the first month all treatments were effective, but there were no significant differences among them (p=0.94). At the third month, despite the fact that NaF varnish had the lowest effect in reducing hypersensitivity, no significant difference was found among the treatments (p=0.09). Only Pro-Relief increased its effect over time (p=0.049). CONCLUSIONS: Nano-hydroxyapatite formulations (with or without home->care product association) were as effective as the other treatments in reducing dentin hypersensitivity over three months.


Asunto(s)
Desensibilizantes Dentinarios/uso terapéutico , Sensibilidad de la Dentina/terapia , Cepillado Dental , Pastas de Dientes , Adulto , Método Doble Ciego , Durapatita , Femenino , Fluoruros , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Fosfatos , Fluoruro de Sodio , Resultado del Tratamiento
13.
Braz. j. med. biol. res ; 48(11): 996-1003, Nov. 2015. graf
Artículo en Inglés | LILACS | ID: lil-762900

RESUMEN

Exercise is known to cause a vasodilatory response; however, the correlation between the vasorelaxant response and different training intensities has not been investigated. Therefore, this study evaluated the vascular reactivity and lipid peroxidation after different intensities of swimming exercise in rats. Male Wistar rats (aged 8 weeks; 250-300 g) underwent forced swimming for 1 h whilst tied to loads of 3, 4, 5, 6, and 8% of their body weight, respectively (groups G3, G4, G5, G6 and G8, respectively; n=5 each). Immediately after the test, the aorta was removed and suspended in an organ bath. Cumulative relaxation in response to acetylcholine (10−12-10−4 M) and contraction in response to phenylephrine (10−12-10−5 M) were measured. Oxidative stress was estimated by determining malondialdehyde concentration. The percentages of aorta relaxation were significantly higher in G3 (7.9±0.20), G4 (7.8±0.29), and G5 (7.9±0.21), compared to the control group (7.2±0.04), while relaxation in the G6 (7.4±0.25) and G8 (7.0±0.06) groups was similar to the control group. In contrast, the percentage of contraction was significantly higher in G6 (8.8 ±0.1) and G8 (9.7±0.29) compared to the control (7.1±0.1), G3 (7.3±0.2), G4 (7.2±0.1) and G5 (7.2±0.2%) groups. Lipid peroxidation levels in the aorta were similar to control levels in G3, G4 and G5, but higher in G6 and G8, and significantly higher in G8 (one-way ANOVA). These results indicate a reduction in vasorelaxing activity and an increase in contractile activity in rat aortas after high-intensity exercise, followed by an increase in lipid peroxidation.


Asunto(s)
Animales , Masculino , Aorta/fisiología , Peroxidación de Lípido/fisiología , Estrés Oxidativo/fisiología , Esfuerzo Físico/fisiología , Vasodilatación/fisiología , Análisis de Varianza , Aorta/metabolismo , Prueba de Esfuerzo , Corazón/fisiología , Contracción Isométrica/fisiología , Ácido Láctico/sangre , Malondialdehído/análisis , Ratas Wistar , Natación/fisiología
14.
Braz J Med Biol Res ; 48(11): 996-1003, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26397974

RESUMEN

Exercise is known to cause a vasodilatory response; however, the correlation between the vasorelaxant response and different training intensities has not been investigated. Therefore, this study evaluated the vascular reactivity and lipid peroxidation after different intensities of swimming exercise in rats. Male Wistar rats (aged 8 weeks; 250-300 g) underwent forced swimming for 1 h whilst tied to loads of 3, 4, 5, 6, and 8% of their body weight, respectively (groups G3, G4, G5, G6 and G8, respectively; n=5 each). Immediately after the test, the aorta was removed and suspended in an organ bath. Cumulative relaxation in response to acetylcholine (10-12-10-4 M) and contraction in response to phenylephrine (10-12-10-5 M) were measured. Oxidative stress was estimated by determining malondialdehyde concentration. The percentages of aorta relaxation were significantly higher in G3 (7.9±0.20), G4 (7.8±0.29), and G5 (7.9±0.21), compared to the control group (7.2±0.04), while relaxation in the G6 (7.4±0.25) and G8 (7.0±0.06) groups was similar to the control group. In contrast, the percentage of contraction was significantly higher in G6 (8.8 ±0.1) and G8 (9.7±0.29) compared to the control (7.1±0.1), G3 (7.3±0.2), G4 (7.2±0.1) and G5 (7.2±0.2%) groups. Lipid peroxidation levels in the aorta were similar to control levels in G3, G4 and G5, but higher in G6 and G8, and significantly higher in G8 (one-way ANOVA). These results indicate a reduction in vasorelaxing activity and an increase in contractile activity in rat aortas after high-intensity exercise, followed by an increase in lipid peroxidation.


Asunto(s)
Aorta/fisiología , Peroxidación de Lípido/fisiología , Estrés Oxidativo/fisiología , Esfuerzo Físico/fisiología , Vasodilatación/fisiología , Análisis de Varianza , Animales , Aorta/metabolismo , Prueba de Esfuerzo , Corazón/fisiología , Contracción Isométrica/fisiología , Ácido Láctico/sangre , Masculino , Malondialdehído/análisis , Ratas Wistar , Natación/fisiología
15.
Oper Dent ; 40(2): 123-8, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25275959

RESUMEN

This article reports on a three-year follow-up of two biological restorations performed on a 15-year-old female patient. After clinical evaluation, tooth fragments from extracted permanent molars were obtained from a Human Teeth Bank and were autoclaved, adjusted to the prepared cavity, and bonded to the remaining tooth structure with dual resin cement. The technical aspects are described and the benefits and disadvantages of biological restorations as an alternative treatment for rehabilitation of severely destroyed permanent molars are discussed.


Asunto(s)
Restauración Dental Permanente/métodos , Diente Molar/cirugía , Adolescente , Amalgama Dental/uso terapéutico , Recubrimiento Dental Adhesivo/métodos , Femenino , Humanos , Diente Molar/trasplante , Cementos de Resina/uso terapéutico , Bancos de Tejidos
16.
Rev Pneumol Clin ; 70(1-2): 87-90, 2014.
Artículo en Francés | MEDLINE | ID: mdl-24566028

RESUMEN

The bronchopulmonary typical carcinoid tumors are often considered as non-metastatic neoplasia. The appearance of metastases is observed in 10% of the cases. We detail here studies based on the identification of the risk factors of metastases occurrence to adapt the lung surgery and lymph node dissection to the individual patient risk.


Asunto(s)
Tumor Carcinoide/secundario , Tumor Carcinoide/cirugía , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/cirugía , Humanos , Escisión del Ganglio Linfático , Metástasis Linfática , Pronóstico
17.
J Dent Res ; 91(12): 1119-23, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23023765

RESUMEN

This proof-of-concept study assessed whether the reduction of the degradation of the demineralized organic matrix (DOM) by pre-treatment with protease inhibitors (PI) is effective against dentin matrix loss. Bovine dentin slices were demineralized with 0.87 M citric acid, pH 2.3, for 36 hrs. In sequence, specimens were treated or not (UT, untreated) for 1 min with gels containing epigallocatechin 3-gallate (EGCG, 400 µM), chlorhexidine (CHX, 0.012%), FeSO(4) (1 mM), NaF (1.23%), or no active compound (P, placebo). Specimens were then stored in artificial saliva (5 days, 37°C) with the addition of collagenase (Clostridium histolyticum, 100 U/mL). We analyzed collagen degradation by assaying hydroxyproline (HYP) in the incubation solutions (n = 5) and evaluated the dentin matrix loss by profilometry (n = 12). Data were analyzed by ANOVA and Tukey's test (p < 0.05). Treatment with gels containing EGCG, CHX, or FeSO(4) led to significantly lower HYP concentrations in solution and dentin matrix loss when compared with the other treatments. These results strongly suggest that the preventive effects of the PI tested against dentin erosion are due to their ability to reduce the degradation of the DOM.


Asunto(s)
Cariostáticos/uso terapéutico , Colágeno/metabolismo , Colagenasas/metabolismo , Dentina/metabolismo , Inhibidores de Proteasas/uso terapéutico , Erosión de los Dientes/prevención & control , Análisis de Varianza , Animales , Proteínas Bacterianas/metabolismo , Catequina/análogos & derivados , Catequina/uso terapéutico , Bovinos , Clorhexidina/uso terapéutico , Dentina/ultraestructura , Matriz Extracelular/metabolismo , Compuestos Ferrosos/uso terapéutico , Fluoruro de Sodio/uso terapéutico , Desmineralización Dental/enzimología , Desmineralización Dental/prevención & control , Erosión de los Dientes/enzimología
18.
Oper Dent ; 37(6): 602-9, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22616925

RESUMEN

The aim of this study was to evaluate the effect of different materials used for dentin prophylaxis on the microtensile bond strengths (µTBS) of adhesively cemented indirect composite restorations. Sixty bovine incisors had the buccal surface ground with wet #600-grit silicon carbide abrasive paper to obtain a flat exposed superficial dentin and were submitted to different prophylaxis protocols, as follows: 3% hydrogen peroxide (HydP); 0.12% chlorhexidine (Chlo); sodium bicarbonate jet (SodB); 50-µm aluminum oxide air abrasion (AirA); pumice paste (PumP), and control group-water spray (Cont). After prophylaxis protocols a resin composite block (3.0 mm × 5.0 mm × 5.0 mm) was adhesively cemented using dual resin cement (Rely X ARC). After 24 hours of water storage, specimens were serially sectioned perpendicular to the bonded interface into 1-mm-thick slices. Each specimen was trimmed with a diamond bur to an hourglass shape with a cross-sectional area of approximately 1.0 mm(2) at the bonded area. Specimens were tested (µTBS) at 0.5 mm/min using a universal testing machine. Scanning electron microscopy was used to examine the effects of prophylaxis techniques on dentin. Bond strength data (MPa) were analyzed by one-way analysis of variance and failure mode by Fisher test (α=0.05). µTBS data, means (SD), were (different superscripted letters indicate statistically significant differences): AirA, 25.2 (7.2)(a); PumP, 24.1 (7.8)(a); Chlo, 21.5 (5.6)(a); Cont, 20.6 (8.1)(a); HydP(,) 15.5 (7.6)(b); and SodB(,) 11.5 (4.4)(c). The use of aluminum oxide air abrasion, pumice paste, and chlorhexidine before acid etching did not significantly affect µTBS to dentin; however, the use of hydrogen peroxide and sodium bicarbonate jet significantly reduced µTBS.


Asunto(s)
Recubrimiento Dental Adhesivo , Profilaxis Dental/métodos , Recubrimientos Dentinarios/química , Dentina/ultraestructura , Grabado Ácido Dental/métodos , Óxido de Aluminio/química , Animales , Antiinfecciosos Locales/química , Bisfenol A Glicidil Metacrilato/química , Bovinos , Cementación/métodos , Clorhexidina/química , Resinas Compuestas/química , Materiales Dentales/química , Análisis del Estrés Dental/instrumentación , Peróxido de Hidrógeno/química , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Ácidos Fosfóricos/química , Polietilenglicoles/química , Ácidos Polimetacrílicos/química , Cementos de Resina/química , Silicatos/química , Bicarbonato de Sodio/química , Estrés Mecánico , Propiedades de Superficie , Factores de Tiempo , Agua/química
19.
Rev Pneumol Clin ; 68(2): 131-45, 2012 Apr.
Artículo en Francés | MEDLINE | ID: mdl-22361067

RESUMEN

The improvement of respiratory symptoms for emphysematous patients by surgery is a concept that has evolved over time. Initially used for giant bullae, this surgery was then applied to patients with diffuse microbullous emphysema. The physiological and pathological concepts underlying these surgical procedures are the same in both cases: improve respiratory performance by reducing the high intrapleural pressure. The functional benefit of lung volume reduction surgery (LVRS) in the severe diffuse emphysema has been validated by the National Emphysema Treatment Trial (NETT) and the later studies which allowed to identify prognostic factors. The quality of the clinical, morphological and functional data made it possible to develop recommendations now widely used in current practice. Surgery for giant bullae occurring on little or moderately emphysematous lung is often a simpler approach but also requires specialised support to optimize its results.


Asunto(s)
Neumonectomía/métodos , Enfisema Pulmonar/cirugía , Humanos , Pulmón/diagnóstico por imagen , Pulmón/patología , Pulmón/cirugía , Neumonectomía/estadística & datos numéricos , Cuidados Posoperatorios , Cuidados Preoperatorios , Enfisema Pulmonar/diagnóstico por imagen , Enfisema Pulmonar/patología , Radiografía Torácica , Índice de Severidad de la Enfermedad , Tomografía Computarizada por Rayos X/métodos
20.
Int Endod J ; 45(2): 136-45, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21995296

RESUMEN

AIM: To evaluate the effect of luting agent and fibreglass post design on bond strength to root dentine at different depths within the canal. METHODOLOGY: Ninety single-rooted teeth were root filled and prepared to receive either a parallel-sided and serrated fibreglass post (Reforpost no. 2) or a tapered and smooth fibreglass post (Exato Cônico). The posts were cemented with the following resin cements: dual-cured resin cement (Rely X ARC), two self-adhesive resin cements (Rely X Unicem and MaxCem) and a self-cured resin cement (Cement-Post). The roots were cross-sectioned to obtain two 1-mm-thick discs for each cervical, middle and apical third of the prepared root portion. The posts were submitted to a micropush-out test at a speed of 0.5 mm min(-1), and the bond strength values (MPa) were submitted to anova in a split-plot arrangement and Tukey's test (P < 0.05). RESULTS: The RelyX Unicem demonstrated significantly higher bond strength values (P < 0.001) along the root dentine. The RelyX ARC and Cement-Post had similar bond strength values in the cervical third; however, the bond strength decreased significantly (P < 0.001) in an apical direction for the RelyX ARC. Significantly lower bond strength values (P < 0.001), irrespective of canal region, were found for MaxCem cement. The bond strength was similar for both post configurations irrespective of the resin cement and canal region. CONCLUSIONS: The retention of glass fibre posts remained unaffected by surface roughness but was influenced by resin cement type. The self-adhesive cement RelyX Unicem yielded a significantly greater (P < 0.001) bond strength value when cementing the fibreglass posts.


Asunto(s)
Recubrimiento Dental Adhesivo , Diseño de Prótesis Dental , Cavidad Pulpar/ultraestructura , Dentina/ultraestructura , Técnica de Perno Muñón/instrumentación , Cementos de Resina/química , Adhesividad , Bisfenol A Glicidil Metacrilato/química , Resinas Compuestas/química , Materiales Dentales/química , Análisis del Estrés Dental/instrumentación , Recubrimientos Dentinarios/química , Vidrio/química , Humanos , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Polietilenglicoles/química , Ácidos Polimetacrílicos/química , Preparación del Conducto Radicular/métodos , Estrés Mecánico , Propiedades de Superficie , Ápice del Diente/ultraestructura
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