RESUMO
Interactions of herbicides and natural environmental stressors such as pH and food availability are poorly understood. We tested a chemical formulation of triclopyr (Release) at environmentally relevant test concentrations (0.25 and 0.50 mg L(-1)) in combination with two levels of pH (pH 5.5 and 7.5), and two levels of food availability (high and low). Population level effects of each stressor alone and in combination with the others were investigated using Simocephalus vetulus, a zooplankton species, and Rana pipiens tadpoles (Gosner stage 25), both common to forest ponds and wetlands. Herbicide treatments resulted in significant decreases in survival of both test species as well as reproduction and development time for S. vetulus at levels 5-10x below predicted worst case environmental concentrations (2.6 mg L(-1)). This laboratory study demonstrates a probable risk of toxic effects of Release herbicide which may be significantly increased by low food availability and by low pH at environmentally relevant concentrations.
Assuntos
Crustáceos/efeitos dos fármacos , Glicolatos/toxicidade , Herbicidas/toxicidade , Rana pipiens/crescimento & desenvolvimento , Zooplâncton/efeitos dos fármacos , Animais , Relação Dose-Resposta a Droga , Ecossistema , Concentração de Íons de Hidrogênio , Larva/efeitos dos fármacos , Larva/crescimento & desenvolvimento , Reprodução/efeitos dos fármacos , Fatores de TempoRESUMO
For individuals with temporomandibular joint (TMJ) disc displacement without reduction with limited mouth opening (closed lock), interventions vary from minimal treatment to surgery. In a single-blind trial, 106 individuals with TMJ closed lock were randomized among medical management, rehabilitation, arthroscopic surgery with post-operative rehabilitation, or arthroplasty with post-operative rehabilitation. Evaluations at baseline, 3, 6, 12, 18, 24, and 60 months used the Craniomandibular Index (CMI) and Symptom Severity Index (SSI) for jaw function and TMJ pain respectively. Using an intention-to-treat analysis, we observed no between-group difference at any follow-up for CMI (p > or = 0.33) or SSI (p > or = 0.08). Both outcomes showed within-group improvement (p < 0.0001) for all groups. The findings of this study suggest that primary treatment for individuals with TMJ closed lock should consist of medical management or rehabilitation. The use of this approach will avoid unnecessary surgical procedures.
Assuntos
Luxações Articulares/terapia , Disco da Articulação Temporomandibular/patologia , Transtornos da Articulação Temporomandibular/terapia , Adolescente , Adulto , Idoso , Anti-Inflamatórios/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Artroplastia , Artroscopia , Aconselhamento , Seguimentos , Humanos , Luxações Articulares/tratamento farmacológico , Luxações Articulares/cirurgia , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Placas Oclusais , Modalidades de Fisioterapia , Índice de Gravidade de Doença , Método Simples-Cego , Disco da Articulação Temporomandibular/cirurgia , Transtornos da Articulação Temporomandibular/tratamento farmacológico , Transtornos da Articulação Temporomandibular/cirurgia , Resultado do TratamentoRESUMO
The psychological characteristics of patients with temporomandibular disorders have received much attention in the literature. A multivariate clustering technique has been used in the study of psychological characteristics of other chronic pain conditions, and this has recently been applied to "temporomandibular joint pain" patients to develop homogeneous psychometric subgroups. The primary objective of this study was to determine if these subgroups could be replicated in a separate sample. A group of 109 consecutive patients, presenting with complaints of jaw pain, were administered a Symptom Checklist-90 Revised and a questionnaire regarding characteristics of the pain complaint. A multivariate clustering technique was used to identify three discrete psychometric subgroups, as in previous studies. Although similar, these subgroups were not identical to those of previous studies. The small number of subjects in the psychometrically abnormal subgroup was of special interest.
Assuntos
Dor Facial/psicologia , Transtornos da Articulação Temporomandibular/psicologia , Adolescente , Adulto , Idoso , Análise por Conglomerados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Medição da Dor , Inventário de Personalidade , Psicometria , Inquéritos e Questionários , Fatores de TempoRESUMO
This article presents an overview of some of the behavioral and psychosocial issues involved in the care of TMJ and orofacial pain patients. The importance of a thorough pretreatment assessment is emphasized. Treatment options for oral habits, stress management, and other psychosocial challenges are briefly discussed.
Assuntos
Dor Facial/psicologia , Síndrome da Disfunção da Articulação Temporomandibular/psicologia , Adaptação Psicológica , Atitude Frente a Saúde , Terapia Comportamental , Bruxismo/terapia , Dor Facial/terapia , Hábitos , Indicadores Básicos de Saúde , Humanos , Estilo de Vida , Medição da Dor , Cooperação do Paciente , Determinação da Personalidade , Estresse Psicológico/terapia , Síndrome da Disfunção da Articulação Temporomandibular/terapiaRESUMO
Twenty males who scored relatively high on the rotor-pursuit motor skills task (High performance group) were given seven 2-minute trials to increase heart rate and seven 2-minute trials to decrease heart rate, as were 20 males who scored relatively low on the rotor-pursuit task (Low performance group). Visual analogue feedback was not provided during the first and last acceleration and deceleration trials but was presented during all other trials. Both groups of subjects were able to decrease heart rate significantly with and without feedback. Subjects in the High performance group were able to increase heart rate significantly with feedback and could generalize this increase to a no-feedback trial following feedback trials. Subjects in the Low performance group could not increase heart rate with or without feedback. Changes in respiration rate paralleled those noted for heart rate, but changes in chin electromyographic activity generally did not parallel the heart rate results. The heart rate data are discussed in terms of motor skills theories of self-regulation of heart rate.
Assuntos
Nível de Alerta , Biorretroalimentação Psicológica , Individualidade , Destreza Motora , Adolescente , Adulto , Frequência Cardíaca , Humanos , Masculino , Tono Muscular , RespiraçãoRESUMO
A soluble glutathione S-transferase isoenzyme, designated SmGST-4 was purified to apparent homogeneity in a single step from the cytosol of adult Schistosoma mansoni by selective elution of the enzyme from a glutathione-agarose affinity column using glutathione disulfide. SmGST-4, which comprised about 5% of the bound glutathione S-transferase activity, could be distinguished from the previously characterized glutathione S-transferase isoenzyme family (SmGST-1/2/3), by its unique chromatographic behavior, lower subunit M(r) (26,000), differences in substrate specificity and inhibitor sensitivity, and a lack of reactivity with antiserum to SmGST-3. The purified isoenzyme catalyzed the conjugation of several model xenobiotics including 1-chloro-2,4-dinitrobenzene, ethacrynic acid, and trans-4-phenyl-3-buten-2-one. Like the SmGST-1/2/3 isoenzyme family, SmGST-4 failed to catalyze the conjugation of a model epoxide substrate, 1,2-epoxy-3-(p-nitrophenoxy)propane. Because glutathione S-transferases from other organisms play a role in protecting cells against the toxic products of lipid peroxidation, SmGST-4 and the members of the SmGST-1/2/3 isoenzyme family were tested for their capacity to reduce cumene hydroperoxide and to catalyze the conjugation of 4-hydroxyalk-2-enals. Although all four isoenzymes catalyzed both reactions, the specific activity of SmGST-1, SmGST-2, and SmGST-3 toward cumene hydroperoxide was at least 10-fold greater than that of SmGST-4. In contrast, the latter more effectively conjugated a homologous series of 4-hydroxyalk-2-enal isomers.(ABSTRACT TRUNCATED AT 250 WORDS)