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1.
Front Immunol ; 14: 1108630, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37426675

RESUMO

Growth hormone (GH) is a classic pituitary-derived hormone crucial to body growth and metabolism. In the pituitary gland, GH production is stimulated by GH-releasing hormone and inhibited by somatostatin. GH secretion can also be induced by other peptides, such as ghrelin, which interacts with receptors present in somatotropic cells. It is well established that GH acts directly on target cells or indirectly by stimulating the production of insulin-like growth factors (IGFs), particularly IGF-1. Notably, such somatotropic circuitry is also involved in the development and function of immune cells and organs, including the thymus. Interestingly, GH, IGF-1, ghrelin, and somatostatin are expressed in the thymus in the lymphoid and microenvironmental compartments, where they stimulate the secretion of soluble factors and extracellular matrix molecules involved in the general process of intrathymic T-cell development. Clinical trials in which GH was used to treat immunocompromised patients successfully recovered thymic function. Additionally, there is evidence that the reduction in the function of the somatotropic axis is associated with age-related thymus atrophy. Treatment with GH, IGF-1 or ghrelin can restore thymopoiesis of old animals, thus in keeping with a clinical study showing that treatment with GH, associated with metformin and dehydroepiandrosterone, could induce thymus regeneration in healthy aged individuals. In conclusion, the molecules of the somatotrophic axis can be envisioned as potential therapeutic targets for thymus regeneration in age-related or pathological thymus involution.


Assuntos
Grelina , Fator de Crescimento Insulin-Like I , Animais , Fator de Crescimento Insulin-Like I/metabolismo , Hormônio do Crescimento , Timo , Somatostatina
2.
Neuroepidemiology ; 57(3): 170-175, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37454654

RESUMO

INTRODUCTION: Treatment of stroke is time-dependent and it challenges patients' social and demographic context for timely consultation and effective access to reperfusion therapies. OBJECTIVE: The objective of this study was to relate indicators of social position to cardiovascular risk factors, time of arrival, access to reperfusion therapy, and mortality in the setting of acute stroke. METHODS: A retrospective analysis of patients with a diagnosis of ischaemic stroke in a referral hospital in Bogotá was performed. A simple random sample with a 5% margin of error and 95% confidence interval was selected. Patients were characterised according to educational level, place of origin, marital status, occupation, duration of symptoms before consultation, cardiovascular risk factors, access to reperfusion therapy, and mortality during hospitalisation. RESULTS: 558 patients were included with a slight predominance of women. Diagnosis of diabetes was more common in women and smoking in men (n = 68, 28.4% vs. n = 51, 15.9%; p = 0.0004). Rural origin was associated with higher prevalence of hypertension, diabetes, and dyslipidaemia (hypertension n = 45, 73.8% vs. n = 282, 57.4%; p = 0.007; diabetes n = 20, 33.3% vs. 109, 19.5%; p = 0.02; dyslipidaemia n = 19, 32.7% vs. n = 93, 18.9%; p = 0.02). Mortality was higher in rural patients (n = 8, 14.2% vs. n = 30, 6.1%; p = 0.03). Lower schooling was associated with higher frequency of hypertension and dyslipidaemia (hypertension n = 152, 76.0% vs. n = 94, 46.3%; p ≤ 0.0001; dyslipidaemia n = 56, 28% vs. n = 35, 17.0%; p = 0.009) as well as with late consultation (n = 30, 15% vs. n = 59, 28.7%; p = 0.0011) and lower probability of accessing reperfusion therapy (n = 12, 6% vs. n = 45, 22%; p ≤ 0.0001). Formal employment was associated with a visit to the emergency department in less than 3 h (n = 50, 25.2% vs. n = 58, 18%, p = 0.04 and a higher probability of accessing reperfusion therapy (n = 35, 17.6% vs. n = 33, 10.2%; p = 0.01). Finally, living in a household with a stratum higher than 3 was associated with a consultation before 3 h (n = 77, 25.5% vs. n = 39, 15.6%; p = 0.004) and a higher probability of reperfusion therapy (n = 57, 18.9% vs. n = 13, 5.2%; p ≤ 0.0001). CONCLUSION: Indicators of socio-economic status are related to mortality, consultation time, and access to reperfusion therapy. Mortality and reperfusion therapy are inequitably distributed and, therefore, more attention needs to be directed to the cause of these disparities in order to reduce the access gap in the context of acute stroke in Bogotá.


Assuntos
Isquemia Encefálica , Diabetes Mellitus , Dislipidemias , Hipertensão , Acidente Vascular Cerebral , Masculino , Humanos , Feminino , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/terapia , Acidente Vascular Cerebral/etiologia , Estudos Retrospectivos , Isquemia Encefálica/complicações , Colômbia , Fatores de Risco , Encaminhamento e Consulta , Dislipidemias/complicações , Hipertensão/epidemiologia
3.
In Vitro Cell Dev Biol Anim ; 58(10): 877-885, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36401120

RESUMO

Insulin-like growth factor-1 (IGF-1), in addition to its classic effects on cell proliferation and organism growth, has pleiotropic actions on the immune system, particularly on the thymus. Thus, the objective of this study was to evaluate the influence of IGF-1 on molecules involved in the survival of thymocytes in vitro using a co-culture system with thymic stromal cells obtained from C57BL/6 mice. The obtained thymic stroma has contained thymic epithelial cells, macrophages, dendritic cells, fibroblasts, and preserved the expression of the major histocompatibility complex (MHC) molecules. Fresh thymocytes were added to these cultures and the co-culture were treated daily with IGF-1 (100 ng/mL) for 3 days. In this scheme, the viability of the thymocytes was about 70%, either in the control (non-treated cells) or in the IGF-1-treated cultures. It was found that IGF-1 was able to increase the percentage of thymocytes from the CD4+ single-positive (SP) subset. This result was accompanied by an increase in the MHC II expression on thymic stromal cells and an augment on the interleukin-7 receptor (CD127) on the surface of the CD4 SP thymocytes after treatment with IGF-1. Finally, IGF-1 treatment increased the expression of the ThPOK encoding gene Zbtb7b, which is involved in the differentiation of CD4+ SP thymocytes. Our study demonstrates the participation of IGF-1 in the thymocyte/thymic stroma interactions, especially in the extended survival of the CD4+ lineage in the thymus.


Assuntos
Fator de Crescimento Insulin-Like I , Timócitos , Camundongos , Animais , Fator de Crescimento Insulin-Like I/farmacologia , Técnicas de Cocultura , Camundongos Endogâmicos C57BL , Timo/metabolismo , Diferenciação Celular , Linfócitos T CD4-Positivos/metabolismo , Células Estromais , Proteínas de Ligação a DNA/metabolismo , Fatores de Transcrição/metabolismo
4.
Nat Commun ; 13(1): 4022, 2022 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-35821503

RESUMO

Trypsin is best known as a digestive enzyme in animals, but remains unexplored in phytoplankton, the major primary producers in the ocean. Here we report the prevalence of trypsin genes in global ocean phytoplankton and significant influences of environmental nitrogen (N) and phosphorus (P) on their expression. Using CRISPR/Cas9 mediated-knockout and overexpression analyses, we further reveal that a trypsin in Phaeodactylum tricornutum (PtTryp2) functions to repress N acquisition, but its expression decreases under N-deficiency to promote N acquisition. On the contrary, PtTryp2 promotes phosphate uptake per se, and its expression increases under P-deficiency to further reinforce P acquisition. Furthermore, PtTryp2 knockout led to amplitude magnification of the nitrate and phosphate uptake 'seesaw', whereas PtTryp2 overexpression dampened it, linking PtTryp2 to stabilizing N:P stoichiometry. Our data demonstrate that PtTryp2 is a coordinate regulator of N:P stoichiometric homeostasis. The study opens a window for deciphering how phytoplankton adapt to nutrient-variable marine environments.


Assuntos
Diatomáceas , Fitoplâncton , Diatomáceas/genética , Diatomáceas/metabolismo , Nutrientes , Fosfatos/metabolismo , Fitoplâncton/genética , Fitoplâncton/metabolismo , Tripsina/metabolismo
5.
Curr Aging Sci ; 15(3): 266-273, 2022 08 04.
Artigo em Inglês | MEDLINE | ID: mdl-35430985

RESUMO

BACKGROUND: Age-related impairments in macrophage functions have important consequences for the health of the elderly population. The aging process is also accompanied by a reduction in several hormones, including growth hormone (GH). Previous studies have shown that this hormone can affect macrophage activity in young individuals; however, the biological effects of GH stimulation on macrophages during aging have not yet been elucidated. OBJECTIVE: The aim of this work was to investigate the in vitro effects of GH on peritoneal macrophages from aged mice. METHODS: Peritoneal macrophages isolated from young (4 months-old) and old (12-15 months-old) mice were treated in vitro with 100 ng/mL of GH for 24 hours. After treatment, cells were analysed for cell morphology, reactive oxygen species (ROS) production, expression of integrins, cell adhesion to extracellular matrix molecules, and migration in transwell chambers. RESULTS: Although GH-treated cells from old mice exhibited decreased ROS production, we did not observe the effects of GH on macrophage morphology or macrophage phagocytic activity in young and old mice-derived cell cultures. Macrophages from old mice had increased adhesion to laminin and fibronectin substrates, as did cells obtained from young mice treated with GH, but no change was observed in the expression of integrin receptors. Furthermore, cells from old mice exhibited increased migration compared to young mice and a significant increase in macrophage migration was observed under GH stimulation. CONCLUSION: Our results showed that GH can interfere with the motility of macrophages from old mice, advancing our understanding of the interactions between the immune and neuroendocrine systems during aging.


Assuntos
Hormônio do Crescimento , Macrófagos , Idoso , Envelhecimento , Animais , Movimento Celular/fisiologia , Hormônio do Crescimento/metabolismo , Hormônio do Crescimento/farmacologia , Humanos , Macrófagos/metabolismo , Camundongos , Espécies Reativas de Oxigênio/metabolismo
6.
Immunol Invest ; 51(2): 395-410, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33070651

RESUMO

BACKGROUND: The thymus is responsible for thymocyte differentiation into immunocompetent T lymphocytes. Different cell types in the thymic microenvironment actively cooperate in this process, interacting with the developing thymocytes through soluble factors, extracellular matrix (ECM) molecules, and receptors. In addition, this microenvironment can be influenced by several factors, such as semaphorin-3A (Sema3A), which is a multifunctional protein involved in cell migration. We evaluated the Sema3A effects on the cellular parameters and functional features of thymic stromal cells. METHODS: Thymic stromal cells were obtained by enzymatic digestion of the murine thymus. These cells were treated with Sema3A and evaluated as follows: cell morphology by scanning electron microscope, F-actin cytoskeleton and deposition of ECM molecules by fluorescence microscopy, and adhesion assays with freshly obtained thymocytes. RESULTS: The obtained thymic stroma was composed of 67% of thymic epithelial cells (TECs), and 90% of the TECs were positive for the Sema3A receptor neuropilin-1. These cells secreted CXCL12, IL-7 and extended thymocyte survival. Sema3A changed the morphology of thymic stromal cells and promoted F-actin reorganization. In addition, the fibronectin fibers were reoriented, and the laminin production was increased in Sema3A-treated thymic stromal cells. In the adhesion assays, there was an increase in the number of adhered thymocytes when thymic stromal cells were pretreated with Sema3A. CONCLUSION: Our data strongly suggest the active participation of Sema3A in thymic physiology, highlighting its role as an immunomodulatory molecule. This may provide important knowledge for understanding the interactions of thymic cells.


Assuntos
Semaforina-3A , Timócitos , Animais , Movimento Celular , Células Epiteliais , Camundongos , Células Estromais
7.
J Biosci ; 462021.
Artigo em Inglês | MEDLINE | ID: mdl-34815373

RESUMO

The prolactin hormone (PRL), in addition to its known effects on breast development and lactation, exerts effects on the immune system, including pleiotropic effects on the thymus. The aim of this study was to evaluate the influence of PRL on the epithelial compartment of the thymus. Thymic epithelial cells (TECs) (2BH4 cells) and fresh thymocytes were used. Immunofluorescence assay revealed that PRL treatment (10 ng/ mL) increases the deposition of laminin and expression of the chemokine CXCL12 in 2BH4 cells. However, no change was observed in the deposition of fibronectin. Moreover, PRL altered F-actin polymerisation, allowing the formation of focal adhesion complexes in treated cells. When 2BH4 cells were pre-treated with PRL, thymocyte adhesion was not altered. However, in the cell migration assay, pre-treatment with PRL potentiated the chemotactic effect of CXCL12 on the migration of total, double-positive, CD4-positive, and CD8-positive thymocytes. Together, the results of this study demonstrate the effect of PRL on thymic epithelial cells, particularly on CXCL12-driven thymocyte migration, confirming that this hormone is a regulator of thymic physiology.


Assuntos
Quimiocina CXCL12/metabolismo , Prolactina/farmacologia , Timócitos/citologia , Timo/citologia , Actinas/metabolismo , Animais , Adesão Celular/efeitos dos fármacos , Movimento Celular/efeitos dos fármacos , Células Cultivadas , Citoesqueleto/efeitos dos fármacos , Células Epiteliais , Matriz Extracelular/efeitos dos fármacos , Feminino , Fibronectinas/metabolismo , Masculino , Camundongos Endogâmicos C57BL , Timócitos/efeitos dos fármacos , Timócitos/fisiologia
8.
Zootaxa ; 4790(3): zootaxa.4790.3.5, 2020 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-33056696

RESUMO

Characidium cacah, new species, apparently endemic to the rio das Velhas sub-basin, upper rio São Francisco basin, Brazil, is described. The new species is easily distinguished from congeners, except C. chicoi, C. helmeri, C. mirim, C. nana, C. nupelia, C. stigmosum and C. xavante, by having an incomplete lateral line and for lacking an adipose fin. The new species can be diagnosed from the aforementioned species by a series of characters, including the presence of 12 circumpeduncular scales, the isthmus completely scaled, a thin inconspicuous or dashed midlateral dark stripe, the absence of a conspicuous peduncular blotch, and humeral blotch and basicaudal spot variably marked.


Assuntos
Caraciformes , Animais , Brasil
9.
Sensors (Basel) ; 20(4)2020 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-32093329

RESUMO

Investigating the growth behavior of plant root systems as a function of soil water is considered an important information for the study of root physiology. A non-invasive tool based on electromagnetic wave transmittance in the microwave frequency range, operating close to 4.8 GHz, was developed using microstrip patch antennas to determine the volumetric moisture of soil in rhizoboxes. Antennas were placed on both sides of the rhizobox and, using a vector network analyzer, measured the S parameters. The dispersion parameter S21 (dB) was also used to show the effect of different soil types and temperature on the measurement. In addition, system sensitivity, reproducibility and repeatability were evaluated. The quantitative results of the soil moisture, measured in rhizoboxes, presented in this paper, demonstrate that the microwave technique using microstrip patch antennas is a reliable, non-invasive and accurate system, and has shown potentially promising applications for measurement of rhizobox-based root phenotyping.


Assuntos
Micro-Ondas , Solo/química , Raízes de Plantas
10.
Am J Orthod Dentofacial Orthop ; 156(4): 475-484, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31582119

RESUMO

INTRODUCTION: This project was undertaken to accomplish 2 objectives: (1) to identify whether there is a discrepancy between orthodontists and experts in temporomandibular disorders (TMD) related to diagnosis and treatment of TMD patients, and (2) to influence the manner in which TMD curricula are taught in orthodontic residency programs, better preparing future orthodontic specialists to diagnose and treat (and refer) patients with TMD. METHODS: A survey invitation was e-mailed to 8870 members of the American Association of Orthodontists. Items were answered on a 6-point scale (0 = I don't know; 1 = strongly disagree; 2 = disagree; 3 = neutral; 4 = agree; 5 = strongly agree). A group consensus was attributed when more than 50% of the orthodontists supported a response. Previously published responses of TMD experts were used as a reference to evaluate the orthodontists' responses. Comparisons between the responses from the 2 groups were assessed using a z-test. RESULTS: Among the participants who responded to the questionnaire, 148 were residents, 1132 were private practitioners, and 61 were full-time faculty. Sixty-two percent of the participants did not think they received enough training in TMD during their orthodontic residency. Although 62% of participants indicated that they feel comfortable diagnosing TMD patients, 50.2% do not feel comfortable treating TMD patients. There was no significant difference between the 2 groups' responses under one-third of the questions. CONCLUSIONS: It is clear that orthodontic residencies in the U.S. need to improve methods of teaching TMD concepts. Although most orthodontists feel comfortable diagnosing TMD patients, less than half feel comfortable treating those patients, and the difference in responses with the TMD expert group was significant in 71% of the questions.


Assuntos
Educação de Pós-Graduação em Odontologia/normas , Ortodontistas/educação , Ortodontistas/psicologia , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/terapia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Inquéritos e Questionários , Estados Unidos
11.
Genes (Basel) ; 10(8)2019 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-31390792

RESUMO

Recent developments in our understanding of the interactions between long non-coding RNAs (lncRNAs) and cellular components have improved treatment approaches for various human diseases including cancer, vascular diseases, and neurological diseases. Although investigation of specific lncRNAs revealed their role in the metabolism of cellular RNA, our understanding of their contribution to post-transcriptional regulation is relatively limited. In this study, we explore the role of lncRNAs in modulating alternative splicing and their impact on downstream protein-RNA interaction networks. Analysis of alternative splicing events across 39 lncRNA knockdown and wildtype RNA-sequencing datasets from three human cell lines-HeLa (cervical cancer), K562 (myeloid leukemia), and U87 (glioblastoma)-resulted in the high-confidence (false discovery rate (fdr) < 0.01) identification of 11,630 skipped exon events and 5895 retained intron events, implicating 759 genes to be impacted at the post-transcriptional level due to the loss of lncRNAs. We observed that a majority of the alternatively spliced genes in a lncRNA knockdown were specific to the cell type. In tandem, the functions annotated to the genes affected by alternative splicing across each lncRNA knockdown also displayed cell-type specificity. To understand the mechanism behind this cell-type-specific alternative splicing pattern, we analyzed RNA-binding protein (RBP)-RNA interaction profiles across the spliced regions in order to observe cell-type-specific alternative splice event RBP binding preference. Despite limited RBP binding data across cell lines, alternatively spliced events detected in lncRNA perturbation experiments were associated with RBPs binding in proximal intron-exon junctions in a cell-type-specific manner. The cellular functions affected by alternative splicing were also affected in a cell-type-specific manner. Based on the RBP binding profiles in HeLa and K562 cells, we hypothesize that several lncRNAs are likely to exhibit a sponge effect in disease contexts, resulting in the functional disruption of RBPs and their downstream functions. We propose that such lncRNA sponges can extensively rewire post-transcriptional gene regulatory networks by altering the protein-RNA interaction landscape in a cell-type-specific manner.


Assuntos
Processamento Alternativo , Neoplasias/genética , RNA Longo não Codificante/genética , Proteínas de Ligação a RNA/metabolismo , Células HeLa , Humanos , Especificidade de Órgãos , Ligação Proteica , RNA Longo não Codificante/metabolismo , Proteínas de Ligação a RNA/genética
13.
J Mass Dent Soc ; 65(2): 22-26, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-29847068

RESUMO

OBJECTIVES: To evaluate the pneumatization pattern in the temporal bone in patients with cleft lip and palate. METHODS: A retrospective observational analysis of cone beam computed tomography (CBCT) scans of patients with cleft lip and palate was done. The patients were referred for orthodontic treatment and had a unilateral cleft lip and palate and anterior maxillary constriction. Four reference structures were identified to evaluate the extension of pneumatization in the cleft vs non-cleft side temporal bones. RESULTS: Twenty patients had cleft on the left side and nine patients had cleft on the right side, This study found reduced temporal bone pneumatization on the side of the cleft. The mean score of temporal bone pneumatization on the cleft side was 4.7±1.47 while mean score of pneumatization on the non-cleft side was 6.7±1.80 (P<0.001). CONCLUSIONS: Pneumatization of the temporal bone was significantly lower on the side of the cleft and an identification of this change can help in early diagnosis and management of any ear-related conditions in this vulnerable group of patients to make appropriate referrals for specialized care.


Assuntos
Fenda Labial/diagnóstico por imagem , Fissura Palatina/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico , Osso Temporal/diagnóstico por imagem , Osso Temporal/patologia , Adolescente , Criança , Feminino , Humanos , Masculino , Estudos Retrospectivos
14.
Gen Dent ; 62(2): e27-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24598507

RESUMO

Osteoarthrosis is a disease that affects the temporomandibular joint (TMJ). This case report chronicles the diagnosis and treatment of a patient for whom this pathological condition was accompanied by a rupture of the articular disc. The patient presented with loud sounds in the left TMJ and an irregular mandibular occlusal plane due to condylar intrusion in the glenoid fossa on the ipsilateral side. A noninvasive treatment was selected. A 4-month follow-up revealed remission of the articular sounds, and tissue regeneration was noted. These improvements remained visible at 5-year follow-up.


Assuntos
Disco da Articulação Temporomandibular , Transtornos da Articulação Temporomandibular/diagnóstico , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Placas Oclusais , Ruptura Espontânea , Disco da Articulação Temporomandibular/diagnóstico por imagem , Disco da Articulação Temporomandibular/patologia , Disco da Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/terapia , Tomografia Computadorizada por Raios X , Adulto Jovem
15.
J Pain ; 14(11): 1502-13, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24094979

RESUMO

UNLABELLED: The purpose of the present study was to determine if we could identify a specific subtype of temporomandibular disorder (TMD) pain patients that does not respond to treatment. Patients were 101 men and women with chronic TMD pain recruited from the community and randomly assigned to 1 of 2 treatment conditions: a standard conservative care (STD) condition or a standard care plus cognitive-behavioral therapy condition (STD + CBT) in which patients received all elements of STD but also received cognitive-behavioral coping skills training. Growth mixture modeling, incorporating a series of treatment-related predictors, was used to distinguish several distinct classes of responders or nonresponders to treatment based on reported pain over a 1-year follow-up period. Results indicated that treatment nonresponders accounted for 16% of the sample and did not differ from treatment responders on demographics or temporomandibular joint pathology, but that they reported more psychiatric symptoms, poorer coping, and higher levels of catastrophizing. Treatment-related predictors of membership in treatment responder groups versus the nonresponder group included the addition of CBT to STD, treatment attendance, and decreasing catastrophization. It was concluded that CBT may be made more efficacious for TMD patients by placing further emphasis on decreasing catastrophization and on individualizing care. PERSPECTIVE: This article provides evidence that the TMD chronic pain population is heterogeneous and that a subsample of patients will be unresponsive to standard or psychosocial approaches. The addition of CBT to treatment may be helpful for this group, but new individualized approaches will be needed to treat all patients effectively.


Assuntos
Catastrofização/psicologia , Terapia Cognitivo-Comportamental/métodos , Manejo da Dor , Transtornos da Articulação Temporomandibular/terapia , Adaptação Psicológica , Adulto , Anti-Inflamatórios não Esteroides/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/tratamento farmacológico , Dor/psicologia , Cooperação do Paciente , Transtornos da Articulação Temporomandibular/tratamento farmacológico , Transtornos da Articulação Temporomandibular/psicologia , Falha de Tratamento , Resultado do Tratamento
16.
Anesth Pain Med ; 1(3): 201-2, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-24904796
17.
J Orofac Pain ; 25(2): 117-24, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21528118

RESUMO

AIM: To examine differences between idiopathic continuous orofacial neuropathic pain (ICONP) patients and chronic masticatory muscle pain (MMP) patients for psychosocial functioning and sleep quality. METHODS: Archival data were used to compare 81 ICONP patients to 81 age- and sex-matched chronic MMP patients on pain severity, life interference, life control, and affective distress measures from the Multidimensional Pain Inventory (MPI), a global severity index of psychological symptoms from the Symptom Checklist-90-R (SCL-90-R), Posttraumatic Stress Disorder Checklist-Civilian (PCL-C), and overall sleep quality from the Pittsburgh Sleep Quality Index (PSQI). MANOVA, MANCOVA, and chi-square analysis were used to investigate differences between the two groups in the psychosocial and sleep variables. RESULTS: The ICONP group reported greater pain severity (P = .013) and more life interference (P = .032) than the MMP group, while the MMP group reported higher levels of global psychological symptoms (P = .005) than the ICONP group. After controlling for pain severity, however, the MMP group demonstrated greater affective distress (P = .014) than the ICONP group, and life interference was no longer significantly different between the groups. ICONP patients were more likely to report a traumatic life event (P = .007). CONCLUSION: Although ICONP patients are likely to present more intense pain and report that their pain causes more interference in their lives, MMP patients are more likely to present with higher levels of overall psychological symptoms. The greater levels of pain severity reported by ICONP patients appear to be partially responsible for their higher levels of reported life interference.


Assuntos
Dor Facial/etiologia , Dor Facial/psicologia , Relações Interpessoais , Transtornos do Sono-Vigília/etiologia , Transtornos da Articulação Temporomandibular/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Doença Crônica , Feminino , Humanos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Neuralgia/etiologia , Medição da Dor , Estudos Retrospectivos , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos da Articulação Temporomandibular/complicações , Síndrome da Disfunção da Articulação Temporomandibular/complicações , Síndrome da Disfunção da Articulação Temporomandibular/psicologia , Adulto Jovem
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