Photobiomodulation therapy reduces postoperative pain after third molar extractions: A randomized clinical trial.

BACKGROUND: To assess the efficacy of PBMT on reducing postoperative pain scores in patients submitted to third molar extractions. MATERIAL AND METHODS: A randomized controlled trial (ReBEC:RBR-94BCKZ) was designed according to the SPIRIT and followed the CONSORT. Patients were randomly allocated according to control or PBMT groups. PBMT consisted of the application of GaAlAs laser (808nm;50mW) applied in six points (1.23 min;11 J/cm2) after extraction. Pain scores were assessed using the Visual Analogue Scale (VAS) in millimeters evaluated after 6 (T6), 24 (T24), and 48 (T48) hours. The Wilcoxon Mann-Whitney test was used to check for possible associations between VAS scores and treatment groups. RESULTS: A total of 101 third molar extractions were performed in 44 patients. The mean age was 28 years old(SD±11.54). Comparing control and intervention, PBMT group showed a significant effect on the reduction of postoperative pain at T6(mean VAS=0.9; C.I:0.63-1.16) compared to control (mean VAS=2.5;C.I:2.1-2.88)(p<0.001). The same statistically significant effect on the reduction of postoperative pain was observed at T24 (PBMT mean VAS=0.72;C.I:0.51-0.93; control mean VAS=2.86;C.I:2.40-3.31;p<0.001) and T48 (PBMT mean VAS=0.64;C.I:0.36-0.92; control mean VAS=2.86;C.I:2.37-3.34;p<0.001). CONCLUSIONS: PBMT significantly reduce the postoperative pain scores when assessed 6, 24, and 48 hours after third molar extractions.

Risk clusters of COVID-19 transmission in northeastern Brazil: prospective space-time modelling.

This study aimed to analyse the trend and spatial-temporal clusters of risk of transmission of COVID-19 in northeastern Brazil. We conducted an ecological study using spatial and temporal trend analysis. All confirmed cases of COVID-19 in the Northeast region of Brazil were included, from 7 March to 22 May 2020. We used the segmented log-linear regression model to assess time trends, and the local empirical Bayesian estimator, the global and local Moran indexes for spatial analysis. The prospective space-time scan statistic was performed using the Poisson probability distribution model. There were 113 951 confirmed cases of COVID-19. The average incidence rate was 199.73 cases/100 000 inhabitants. We observed an increasing trend in the incidence rate in all states. Spatial autocorrelation was reported in metropolitan areas, and 178 municipalities were considered a priority, especially in the states of Ceará and Maranhão. We identified 11 spatiotemporal clusters of COVID-19 cases; the primary cluster included 70 municipalities from Ceará state. COVID-19 epidemic is increasing rapidly throughout the Northeast region of Brazil, with dispersion towards countryside. It was identified high risk clusters for COVID-19, especially in the coastal side.

Achatina fulica (Gastropoda: Pulmonata): Occurrence, environmental aspects and presence of nematodes in Sergipe, Brazil / Achatina fulica (Gastropoda: Pulmonata): ocorrencia, aspectos ambientais e presença de nematódeos em Sergipe, Brasil

Abstract The objective of this study was to identify the occurrence of Achatina fulica in the Great Aracaju-SE Territory. This research was developed during the months of June 2016 to May 2017. The plots methodology was used for the monthly collections, following the collection time of 20 minutes per area. The mollusks were measured and soon afterwards the parasitological analysis of the mucus and faeces was performed. Molecular identification was performed to evaluate the possible presence of Angiostrongylus sp. We observed that the occurrence of A. fulica was more representative in urban areas, especially in vacant lots with the presence of litter and decomposing materials. In the specimens of A. fulica examined were male and female nematodes of the genus Rhabditis, in the research municipalities, except in Barra dos Coqueiros. No parasites of the genus Angiostrongylus were found in the mollusks examined. The influence of the presence of litter on the plots associated with the frequency of A. fulica was statistically significant. There was a correlation between the influence of rainfall and the frequency of A. fulica. A significant relationship between moisture and frequency and nematode positivity was identified. It was also observed that the larger the mollusk, the greater the chances of being infected by nematodes. Scientific knowledge about the biology of the A. fulica species associated with human intervention such as the maintenance of land and adequate sanitary measures may be important factors for a better control of this invasive mollusk.

Resumo O objetivo deste estudo foi verificar a ocorrência de A. fulica no território da Grande Aracaju, Sergipe, avaliando a infecção destes moluscos por nematódeos, a influência das condições climáticas e das características do ambiente. Esta pesquisa foi desenvolvida durante os meses de junho de 2016 a maio de 2017. Foi utilizada a metodologia de parcelas para as coletas mensais de 20 min por área, um total de 15 parcelas distribuídas em 5 municípios. Os moluscos foram mensurados e logo em seguida realizada a análise parasitológica do muco e fezes. Foi realizada a identificação molecular para avaliar a possível presença de Angiostrongylus sp. Observamos que a ocorrência de A. fulica foi mais representativa em áreas urbanas, sobretudo em terrenos baldios com a presença de lixo e materiais em decomposição. Nos exemplares de A. fulica examinados foram encontrados nematódeos do gênero Rhabditis, nos municípios da pesquisa, exceto em Barra dos Coqueiros. Não foram encontrados parasitos do gênero Angiostrongylus nos moluscos examinados. A influência da presença de lixo nas parcelas associado à frequência da A. fulica mostrou-se estatisticamente significativa. Houve correlação entre a influência da chuva e a frequência de A. fulica. Foi identificada uma relação significativa entre a umidade e a frequência e a positividade para nematódeos. Foi também observado que quanto maior o molusco, maiores são as chances deste apresentar nematódeos. O conhecimento científico a respeito da biologia da espécie A. fulica associado à intervenção humana como, a manutenção de terrenos e medidas sanitárias adequadas podem ser fatores importantes para um controle malacológico mais adequado para esta espécie invasora.

Achatina fulica (Gastropoda: Pulmonata): Occurrence, environmental aspects and presence of nematodes in Sergipe, Brazil.

The objective of this study was to identify the occurrence of Achatina fulica in the Great Aracaju-SE Territory. This research was developed during the months of June 2016 to May 2017. The plots methodology was used for the monthly collections, following the collection time of 20 minutes per area. The mollusks were measured and soon afterwards the parasitological analysis of the mucus and faeces was performed. Molecular identification was performed to evaluate the possible presence of Angiostrongylus sp. We observed that the occurrence of A. fulica was more representative in urban areas, especially in vacant lots with the presence of litter and decomposing materials. In the specimens of A. fulica examined were male and female nematodes of the genus Rhabditis, in the research municipalities, except in Barra dos Coqueiros. No parasites of the genus Angiostrongylus were found in the mollusks examined. The influence of the presence of litter on the plots associated with the frequency of A. fulica was statistically significant. There was a correlation between the influence of rainfall and the frequency of A. fulica. A significant relationship between moisture and frequency and nematode positivity was identified. It was also observed that the larger the mollusk, the greater the chances of being infected by nematodes. Scientific knowledge about the biology of the A. fulica species associated with human intervention such as the maintenance of land and adequate sanitary measures may be important factors for a better control of this invasive mollusk.

A new acridone with antifungal properties against Candida spp. and dermatophytes, and antibiofilm activity against C. albicans.

AIM: The increase in the number of fungal infections worldwide, coupled with the limitations of current antifungal chemotherapy, demand the development of safe and effective new antifungals. Here, we presented the synthesis of a novel acridone (M14) and its antifungal properties against Candida and dermatophytes species. METHODS AND RESULTS: A series of 17 acridones was designed, synthesized and tested for its antifungal activity. The minimum inhibitory concentration (MIC) was determined by the broth microdilution method. Only the acridone M14 showed growth-inhibitory activity against reference strains and clinical isolates of Candida and dermatophytes, with MIC range of 7·81-31·25 µg ml-1 . Moreover, M14 exhibited fungicidal activity and prevented biofilm formation by C. albicans as well as reduced the viability of preformed biofilms, even at sub-MICs. The confocal laser scanning microscopy analysis revealed that C. albicans hyphal growth was completely inhibited in the presence of M14. Similarly, there was a severe inhibition on hyphal growth of Trichophyton rubrum. We also found that M14 has relatively low toxicity to human fibroblasts. CONCLUSIONS: The new acridone M14 has antifungal properties against Candida spp. and dermatophytes, and antibiofilm activity against C. albicans. In addition, M14 is relatively selective to fungal cells compared to human normal cells. SIGNIFICANCE AND IMPACT OF THE STUDY: Because of its in vitro antifungal activity, anti-Candida biofilm effect and moderate cytotoxicity towards normal human cell, M14 may serve as a valuable lead compound to develop a new antifungal agent.

Wear Behavior of Graded Glass/Zirconia Crowns and Their Antagonists.

Monolithic zirconia crowns have become very popular; their surface finish is considered a key factor for restoration longevity. While polishing has shown excellent results in vivo, the surface glass infiltration of zirconia may offer superior damage resistance and aesthetic advantages by using tooth-colored glasses. Thus, the purpose of this study is to evaluate the efficacy of polishing and glass infiltration on the wear behavior of monolithic zirconia crowns. The wear behavior of intact natural molar teeth was investigated as a reference. Zirconia crowns were divided into 3 groups: PolZ-sintered then polished; PolGZ-polished in the presintered state and then glass infiltrated and sintered; NoPolGZ-as machined, glass infiltrated and sintered. Crowns were adhesively bonded to a dentin-like abutment. Zirconia crowns and molar teeth ( n = 15) were subjected to contact-slide-liftoff cyclic loading (200 N, 1.25 million cycles) with a steatite sphere ( r = 3 mm) as an antagonist in water. Surface and subsurface damages were investigated with optical and scanning electron microscopies. Wear depth and volume loss were determined with micro-computed tomography. PolGZ and NoPolGZ crowns exhibited shallow wear scars, where material loss remained within the glass/zirconia layer with no visible cracks. Meanwhile, PolZ crowns presented no visible wear damage. Volume loss (mm3) in the steatite antagonist was as follows (mean ± SD): PolZ = 0.022 ± 0.007, PolGZ = 0.011 ± 0.004, and NoPolGZ = 0.014 ± 0.006. Molar teeth yielded no measurable wear on the antagonist, while the wear scar on the teeth was greater than that on zirconia crowns, ranging from 0.07 to 0.35 mm3. The combination of polishing and glass infiltration on the occlusal surface of monolithic zirconia crowns yielded reduced wear on both crown and antagonist.

Serological survey of Australian native reptiles for exposure to ranavirus.

Ranaviruses have been isolated from many ectothermic vertebrates, and serological surveys of both amphibians and reptiles have shown the presence of ranaviral antibodies in a proportion of these populations. An enzyme-linked immunosorbent assay (ELISA) was developed to measure serum antibodies against ranavirus in Australian reptiles. The ELISA was validated with serum from challenge trials with Bohle iridovirus (BIV) in 6 reptilian species. A preliminary sero-survey of northern Queensland riparian reptile fauna (saw-shelled turtles Myuchelys latisternum, Krefft's river turtles Emydura macquarii krefftii, freshwater crocodiles Crocodylus johnstoni, as well as the snakes Boiga irregularis, Dendrelaphis punctulatus, Tropidonophis mairii, Morelia spilota, Liasis childreni and L. fuscus) revealed evidence of past exposure to Bohle iridoviral antigens in part of the population at several locations sampled. Furthermore, in Krefft's river turtles and freshwater crocodiles, a statistically significant trend was apparent for larger reptiles to be more likely to have BIV-reactive sera than smaller individuals. The use of adult tortoise populations as sentinels can assist in monitoring the presence of BIV in northern Australian freshwater streams, and thereby the potential dangers to native fauna from this agent.

Squid predation by slender sunfish Ranzania laevis (Molidae).

In addition to crustaceans, remains from 17 individual squid were found in the stomach of a 58 cm slender sunfish Ranzania laevis from Australia, adding a new prey item to their little studied diet. Taken together with existing data from the literature, crustaceans appear to be a common prey item, with larger R. laevis (26-65 cm) also taking small fish and squid. Along with new documentation on breaching, the unexpected finding of squid in the stomach confirms that these fish are fast and agile predators.

Distinct Roles of Th17 and Th1 Cells in Inflammatory Responses Associated with the Presentation of Paucibacillary Leprosy and Leprosy Reactions.

It is well established that helper T cell responses influence resistance or susceptibility to Mycobacterium leprae infection, but the role of more recently described helper T cell subsets in determining severity is less clear. To investigate the involvement of Th17 cells in the pathogenesis of leprosy, we determined the immune profile with variant presentations of leprosy. Firstly, IL-17A, IFN-γ and IL-10 were evaluated in conjunction with CD4+ T cell staining by confocal microscopy of lesion biopsies from tuberculoid (TT) and lepromatous leprosy (LL) patients. Secondly, inflammatory cytokines were measured by multiplex assay of serum samples from Multibacillary (MB, n = 28) and Paucibacillary (PB, n = 23) patients and household contacts (HHC, n = 23). Patients with leprosy were also evaluated for leprosy reaction occurrence: LR+ (n = 8) and LR- (n = 20). Finally, peripheral blood mononuclear cells were analysed by flow cytometry used to determine the phenotype of cytokine-producing cells. Lesions from TT patients were found to have more CD4+ IL-17A+ cells than those from LL patients. Higher concentrations of IL-17A and IL-1ß were observed in serum from PB than MB patients. The highest serum IFN-γ concentrations were, however, detected in sera from MB patients that developed leprosy reactions (MB LR+ ). Together, these results indicate that Th1 cells were associated with both the PB presentation and also with leprosy reactions. In contrast, Th17 cells were associated with an effective inflammatory response that is present in the PB forms but were not predictive of leprosy reactions in MB patients.

Achatina fulica (Gastropoda: Pulmonata): Occurrence, environmental aspects and presence of nematodes in Sergipe, Brazil

Abstract The objective of this study was to identify the occurrence of Achatina fulica in the Great Aracaju-SE Territory. This research was developed during the months of June 2016 to May 2017. The plots methodology was used for the monthly collections, following the collection time of 20 minutes per area. The mollusks were measured and soon afterwards the parasitological analysis of the mucus and faeces was performed. Molecular identification was performed to evaluate the possible presence of Angiostrongylus sp. We observed that the occurrence of A. fulica was more representative in urban areas, especially in vacant lots with the presence of litter and decomposing materials. In the specimens of A. fulica examined were male and female nematodes of the genus Rhabditis, in the research municipalities, except in Barra dos Coqueiros. No parasites of the genus Angiostrongylus were found in the mollusks examined. The influence of the presence of litter on the plots associated with the frequency of A. fulica was statistically significant. There was a correlation between the influence of rainfall and the frequency of A. fulica. A significant relationship between moisture and frequency and nematode positivity was identified. It was also observed that the larger the mollusk, the greater the chances of being infected by nematodes. Scientific knowledge about the biology of the A. fulica species associated with human intervention such as the maintenance of land and adequate sanitary measures may be important factors for a better control of this invasive mollusk.

Resumo O objetivo deste estudo foi verificar a ocorrência de A. fulica no território da Grande Aracaju, Sergipe, avaliando a infecção destes moluscos por nematódeos, a influência das condições climáticas e das características do ambiente. Esta pesquisa foi desenvolvida durante os meses de junho de 2016 a maio de 2017. Foi utilizada a metodologia de parcelas para as coletas mensais de 20 min por área, um total de 15 parcelas distribuídas em 5 municípios. Os moluscos foram mensurados e logo em seguida realizada a análise parasitológica do muco e fezes. Foi realizada a identificação molecular para avaliar a possível presença de Angiostrongylus sp. Observamos que a ocorrência de A. fulica foi mais representativa em áreas urbanas, sobretudo em terrenos baldios com a presença de lixo e materiais em decomposição. Nos exemplares de A. fulica examinados foram encontrados nematódeos do gênero Rhabditis, nos municípios da pesquisa, exceto em Barra dos Coqueiros. Não foram encontrados parasitos do gênero Angiostrongylus nos moluscos examinados. A influência da presença de lixo nas parcelas associado à frequência da A. fulica mostrou-se estatisticamente significativa. Houve correlação entre a influência da chuva e a frequência de A. fulica. Foi identificada uma relação significativa entre a umidade e a frequência e a positividade para nematódeos. Foi também observado que quanto maior o molusco, maiores são as chances deste apresentar nematódeos. O conhecimento científico a respeito da biologia da espécie A. fulica associado à intervenção humana como, a manutenção de terrenos e medidas sanitárias adequadas podem ser fatores importantes para um controle malacológico mais adequado para esta espécie invasora.

Determination of time-reversal symmetry breaking lengths in an InGaAs interferometer array.

Quantum interference oscillations due to the Aharonov-Bohm phase were measured in a ring interferometer array fabricated on a two-dimensional electron system in an InGaAs/InAlAs heterostructure. Coexisting oscillations with magnetic flux periodicity h/e and h/2e were observed and their amplitudes compared as function of applied magnetic field. The h/2e oscillations originate in time-reversed trajectories with the ring interferometers operating in Sagnac-type mode, while the h/e oscillations result from Mach-Zehnder operation. The h/2e oscillations require time-reversal symmetry and hence can be used to quantify time-reversal symmetry breaking, more particularly the fundamental mesoscopic dephasing length associated with time-reversal symmetry breaking under applied magnetic field, an effective magnetic length. The oscillation amplitudes were investigated over magnetic fields spanning 2.2 T, using Fourier transforms over short segments of 40 mT. As the magnetic field increased, the h/2e oscillation amplitude decreased due to time-reversal symmetry breaking by the local magnetic flux in the interferometer arms. A dephasing model for quantum-coherent arrays was used to experimentally quantify effective magnetic lengths. The data was then compared with analytical expressions for diffusive, ballistic and confined systems.

Effect of simulated microwave disinfection on the linear dimensional change, hardness and impact strength of acrylic resins processed by different polymerization cycles.

AIM: This study investigated the effect of simulated microwave disinfection (SMD) on the linear dimensional changes, hardness and impact strength of acrylic resins under different polymerization cycles. METHDOS: Metal dies with referential points were embedded in flasks with dental stone. Samples of Classico and Vipi acrylic resins were made following the manufacturers' recommendations. The assessed polymerization cycles were: A) water bath at 74 ºC for 9 h; B) water bath at 74 ºC for 8 h and temperature increased to 100 ºC for 1 h; C) water bath at 74 ºC for 2 h and temperature increased to 100 ºC for 1 h; and D) water bath at 120 ºC and pressure of 60 pounds. Linear dimensional distances in length and width were measured after SMD and water storage at 37 ºC for 7 and 30 days using an optical microscope. SMD was carried out with the samples immersed in 150 mL of water in an oven (650 W for 3 min). A load of 25 gf for 10 s was used in the hardness test. Charpy impact test was performed with 40 kpcm. Data were submitted to ANOVA and Tukey's test (5%). RESULTS: The Classico resin was dimensionally steady in length in the A and D cycles for all periods, while the Vipi resin was steady in the A, B and C cycles for all periods. The Classico resin was dimensionally steady in width in the C and D cycles for all periods, and the Vipi resin was steady in all cycles and periods. The hardness values for Classico resin were steady in all cycles and periods, while the Vipi resin was steady only in the C cycle for all periods. Impact strength values for Classico resin were steady in the A, C and D cycles for all periods, while Vipi resin was steady in all cycles and periods. CONCLUSION: SMD promoted different effects on the linear dimensional changes, hardness and impact strength of acrylic resins submitted to different polymerization cycles when after SMD and water storage were considered.

Effect of simulated microwave disinfection on the linear dimensional change, hardness and impact strength of acrylic resins processed by different polymerizing cycles.

AIM: This study investigated the effect of simulated microwave disinfection (SMD) on the linear dimensional changes, hardness and impact strength of acrylic resins under different polymerization cycles. METHODS: Metal dies with referential points were embedded in flasks with dental stone. Samples of Classico and Vipi acrylic resins were made following the manufacturers' recommendations. The assessed polymerization cycles were: A-- water bath at 74ºC for 9 h; B-- water bath at 74ºC for 8 h and temperature increased to 100ºC for 1 h; C-- water bath at 74ºC for 2 h and temperature increased to 100ºC for 1 h;; and D-- water bath at 120ºC and pressure of 60 pounds. Linear dimensional distances in length and width were measured after SMD and water storage at 37ºC for 7 and 30 days using an optical microscope. SMD was carried out with the samples immersed in 150 mL of water in an oven (650 W for 3 min). A load of 25 gf for 10 sec was used in the hardness test. Charpy impact test was performed with 40 kpcm. Data were submitted to ANOVA and Tukey's test (5%). RESULTS: The Classico resin was dimensionally steady in length in the A and D cycles for all periods, while the Vipi resin was steady in the A, B and C cycles for all periods. The Classico resin was dimensionally steady in width in the C and D cycles for all periods, and the Vipi resin was steady in all cycles and periods. The hardness values for Classico resin were steady in all cycles and periods, while the Vipi resin was steady only in the C cycle for all periods. Impact strength values for Classico resin were steady in the A, C and D cycles for all periods, while Vipi resin was steady in all cycles and periods. CONCLUSION: SMD promoted different effects on the linear dimensional changes, hardness and impact strength of acrylic resins submitted to different polymerization cycles when after SMD and water storage were considered.

Aharonov-Bohm oscillations, quantum decoherence and amplitude modulation in mesoscopic InGaAs/InAlAs rings.

Low-temperature Aharonov-Bohm oscillations in the magnetoresistance of mesoscopic interferometric rings patterned on an InGaAs/InAlAs heterostructure are investigated for their dependence on excitation current and temperature. The rings have an average radius of 650 nm, and a lithographic arm width of 300 nm, yielding pronounced interference oscillations over a wide range of magnetic fields. Apart from a current and temperature dependence, the oscillation amplitude also shows a quasi-periodic modulation with applied magnetic field. The phase coherence length is extracted by analysis of the fundamental and higher Fourier components of the oscillations, and by direct analysis of the amplitude and its dependence on parameters. It is concluded that the Thouless energy forms the measure of excitation energies for quantum decoherence. The amplitude modulation finds an explanation in the effect of the magnetic flux threading the finite width of the interferometer arms.

Characterization of the pelagic fish community of the north-western and northern Spanish shelf waters.

This study demonstrates the utility of trawl data, collected during acoustic surveys of pelagic fish stocks as a way of confirming fish identification, to characterize the pelagic community, as well as allowing description and prediction of fish distribution patterns, based on data from Spanish Atlantic Ocean shelf surveys during spring 2005-2011. The composition of the pelagic community is described, as well as spatial and temporal patterns of variation in both the community composition and the presence and importance of two of the main exploited pelagic species, sardine Sardina pilchardus and anchovy Engraulis encrasicolus. The most important species in terms of both frequency of occurrence and standardized mass in hauls were mackerel Scomber scombrus, hake Merluccius merluccius, horse mackerel Trachurus trachurus, S. pilchardus and bogue Boops boops. Multivariate analysis indicated significant effects of depth, geographical area and year on haul composition. Descriptive generalized additive models (GAM), with latitude, longitude and depth as predictors, identified clear spatial patterns in the occurrence and abundance of both S. pilchardus and E. encrasicolus, with abundance being highest closer to the coast and, in the case of E. encrasicolus, higher near the French and Portuguese borders. Further GAM analysis, using environmental variables to explain spatial patterns, revealed significant effects of depth and sea surface temperature (SST) gradient and depth on S. pilchardus importance, while E. encrasicolus importance was related to SST. The importance of both species in hauls was higher in the years of higher spawning stock biomass (SSB) and E. encrasicolus also appeared to expand its range when SSB was higher.

Dynamic light scattering and viscosity measurements in a ternary and quaternary discotic lyotropic nematic liquid crystal: tuning the backflow with salt.

Using a dynamic light scattering technique, we measure the damping rate of thermal fluctuations of the nematic director for the so-called disklike nematic N(D) phase of both the ternary lyotropic K-laurate-1-decanol-H(2)O system and the quaternary one of similar composition except for the addition of salt (K(2)SO(4)). By varying the scattering angle in suitable geometries and polarizations, we are able to measure the orientational diffusivities associated with the pure deformations of splay and twist. A previous study made in the N(D) phase of the same ternary system yielded a large deviation between the splay and twist diffusivities. The effect was then interpreted in terms of the anisotropy between their associated viscosities due to induced flows, or backflow. In the present work we observe a strong increase of the backflow as an effect of the added salt. In addition, we make auxiliary measurements of shear viscosity and magnetic instabilities, which help to characterize the effect of the salt in the orientational diffusivities as they are mixed quantities involving elastic constants and viscosity coefficients.

Pharmacokinetic assessment of sufentanil in cardiac surgery.

Plasma monitoring and pharmacokinetic assessment are important tools used in therapeutic control. Sufentanil is responsible for the hemodynamic stabilization of patients, providing better suppression of the neuroendocrine response compared to its analogue fentanyl. This study aims to use the plasma monitoring of sufentanil in patients undergoing cardiac surgery with extracorporeal circulation (ECC, group 1) or without ECC (group 2) to assess the pharmacokinetics of the compound.The 42 patients in this study received 0.5 µg/kg of sufentanil through bolus injection followed by a maintenance infusion of 0.5 µg/kg.h. Serial blood samples were collected during the post induction intraoperative period and during the postoperative period until 36 h after sufentanil administration. The plasma concentrations were determined by a validated method utilizing liquid chromatography coupled to mass spectrometry. The pharmacokinetic modeling was performed using a 3-compartment model fit.The surgical patients included in the protocol were adults of both genders, with 30 patients in the ECC group and 12 in the group without ECC. The plasma concentrations obtained were significantly different between the 2 groups. During the extracorporeal circulation procedure, intense fluctuations were observed in the sufentanil plasma concentrations. Compared with the results of group 2, the ECC procedure reduced the terminal or gamma half-life from 36.35 ± 6.37 h to 23.25 ± 2.75 h in group 1. In addition, the ECC procedure promoted higher fluctuations in the sufentanil plasma concentrations without causing alterations in the area under the curve, distribution volume, clearance or the distributional (alpha) and rapid elimination (beta) half-lives (t1/2α and t1/2ß, respectively).

Correlation of previous experience, patient expectation and the number of post-delivery adjustments of complete dentures with patient satisfaction in a Brazilian population.

A number of variables may influence the outcome of complete denture therapy. The objective of this study was to verify possible correlations between previous experience with dentures, patient expectation and the number of post-delivery adjustments with patient satisfaction after treatment. One hundred patients (mean age 61·9 ± 10·3) rated their previous experiences with complete dentures and their expectations before and satisfaction after treatment on a visual analogue scale (VAS) using scores from 0 (worst results) to 10 (best results). The number of post-delivery adjustments and other patient-related clinical variables was also noted. Patient expectation scores were higher than previous experience scores and satisfaction after treatment scores. Positive and weak correlations were found between previous chewing experiences with complete dentures, with regard to chewing expectations and comfort of use. Phonetics and comfort of use in previous experiences presented a positive correlation with expectations for chewing, aesthetics, phonetics and comfort of use. Groups of patients with different levels of education presented significant differences in expectation scores regarding comfort of use as well. A negative and weak correlation was found between phonetics satisfaction and the number of post-delivery adjustments. Patients' expectations for the therapy were higher than their satisfaction after treatment. Previous experiences with complete dentures could slightly influence patients' expectations and satisfaction, whereas lower scores for previous experience with complete dentures caused lower scores for both expectation and satisfaction. Patients' educational levels and the number of post-delivery adjustments influenced negatively the expectations about comfort of use and patient satisfaction, respectively.

Activated carbon fibers with a high heteroatom content by chemical activation of PBO with phosphoric acid.

The preparation of activated carbon fibers (ACFs) by phosphoric acid activation of poly(p-phenylene benzobisoxazole) (PBO) fibers was studied, with particular attention to the effects of impregnation ratio and carbonization temperature on porous texture. Phosphoric acid has a strong effect on PBO degradation, lowering the temperature range at which the decomposition takes place and changing the number of mass loss steps. Chemical analysis results indicated that activation with phosphoric acid increases the concentration of oxygenated surface groups; the resulting materials also exhibiting high nitrogen content. ACFs are obtained with extremely high yields; they have well-developed porosity restricted to the micropore and narrow mesopore range and with a significant concentration of phosphorus incorporated homogeneously in the form of functional groups. An increase in the impregnation ratio leads to increases in both pore volume and pore size, maximum values of surface area (1250 m(2)/g) and total pore volume (0.67 cm(3)/g) being attained at the highest impregnation ratio (210 wt % H(3)PO(4)) and lowest activation temperature (650 °C) used; the corresponding yield was as large as 83 wt %. The obtained surface areas and pore volumes were higher than those achieved in previous works by physical activation with CO(2) of PBO chars.

Three-dimensional finite element analysis of stress distribution in peri-implant bone with relined dentures and different heights of healing caps.

The purpose of this study was to evaluate the influence of height of healing caps and the use of soft liner materials on the stress distribution in peri-implant bone during masticatory function in conventional complete dentures during the healing period by using finite element analysis. Three-dimensional models of a severely resorbed mandible with two recently placed implants in the anterior region were created and divided into the following situations: (i) submerged implants, (ii) healing cap at gingival level and (iii) 1·5-mm supragingival. All these situations were also analysed for a conventional complete denture and a denture relined with a 3-mm-thick layer of soft liner material. The models were exported to mechanical simulation software that presented two simulations, one with load in the inferior right canine (35 N) and the other in the inferior right first molar (50 N). Data were evaluated using Maximum Principal Stress provided by the software. All models showed a stress concentration in the cortical bone corresponding to the cervical part of the implant. The simulations with non-submerged implants showed higher values of stress concentration than those that were submerged. Likewise, soft liner materials presented better results than when the denture base was not relined. The height of the healing caps seems to have a direct influence on the stress distribution in the peri-implant bone during the healing period. Considering the values obtained in this study, the use of soft liners with submerged implants seems to be the most suitable method to use during the period of osseointegration.