Morphological evaluation of maxillary second molars with fused roots: a micro-CT study.

AIM: To evaluate the internal and external morphologies of fused-rooted maxillary second molars by means of micro-computed tomography (micro-CT) analysis. METHODOLOGY: A total of 100 fused-rooted maxillary second molars from a Brazilian subpopulation were divided into six groups according to the root morphology. The samples were scanned at a resolution of 19.6 µm and evaluated with regard to the external morphology of the roots, the root canal configuration, the percentage frequency of C-shaped canals and isthmuses, as well as the morphology of the root canal system at 1, 2 and 3 mm from the anatomical apex of the fused roots. RESULTS: The most prevalent root canal fusions were type 1, mesiobuccal root fused with distobuccal root (32%), followed by type 3, DB root fused with P root (27%), and type 4, MB root fused with DB root, and P root fused with MB or DB roots (21%). The prevalence of C-shaped root canal systems were 22%. Depending on the type of root fusion, the percentage frequency of isthmuses in the apical level varied from 9.3% to 42.8%, whilst the presence of apical deltas ranged from 18.5% to 57.1% of teeth. CONCLUSIONS: The root canal system of maxillary second molars with fused roots may have a high incidence of merging canals, isthmuses, apical deltas and C-shaped configurations.

Efficacy of xylene and passive ultrasonic irrigation on remaining root filling material during retreatment of anatomically complex teeth.

AIM: To evaluate the volume of remaining filling material in the mesial root canals of mandibular molars after root canal retreatment with different procedures performed sequentially. METHODOLOGY: The mesial root canals of 12 human first mandibular molars were instrumented using the BioRace system until a size 25, .06 taper instrument. The mesial roots were filled with gutta-percha and AH-Plus using a vertical compaction technique. The specimens were scanned using microcomputed tomography with a voxel size of 16.8 µm before and after the retreatment procedures. To remove the filling material, the root canals were enlarged until the size 40, .04 taper instrument. The second step was to irrigate the root canals with xylene in the attempt to clean the root canals with paper points. In the third step, the passive ultrasonic irrigation technique (PUI) was performed using 2.5% sodium hypochlorite. The initial and residual filling material volume (mm(3) ) after each step was evaluated from the 0.5 to 6.5 mm level. The obtained data were expressed in terms of percentage of residual filling material. Statistical analysis was performed using the Friedman test (P < 0.05). RESULTS: All specimens had residual filling materials after all retreatment procedures. Passive ultrasonic irrigation enhanced the elimination of residual filling material in comparison with the mechanical stage at the 0.5-2.5 mm and 4.5-6.5 mm levels (P < 0.05). No significant difference was found between xylene and PUI methods. CONCLUSIONS: Filling materials were not completely removed by any of the retreatment procedures. The use of xylene and PUI after mechanical instrumentation enhanced removal of materials during endodontic retreatment of anatomically complex teeth.

Insularization drives physiological condition of Amazonian dung beetles.

The fragmentation and degradation of otherwise continuous natural landscapes pose serious threats to the health of animal populations, consequently impairing their fitness and survival. While most fragmentation ecology studies focus on habitat remnants embedded withinn terrestrial matrices, the effects of true insularization remains poorly understood. Land-bridge islands created by major dams leads to habitat loss and fragmentation, negatively affecting terrestrial biodiversity. To assess the effects of insularization, we conducted a study on the key aspects of dung beetle physiological condition and body size throughout the Balbina Hydroelectric Reservoir located in the Central Amazon. We assessed these traits at the population and assemblage levels, collecting dung beetles from both forest islands and continuous forest areas while analyzing various landscape variables. We show that landscapes with higher forest cover positively affected dung beetle body size. Interestingly, dung beetle responses to insularization were species-dependent; larger islands tended to host larger individuals of Deltochilum aspericole, while in Canthon triangularis, smaller islands showed larger body sizes. However, individuals from the mainland were larger than those from the islands. Moreover, the proportion of closed-canopy forest in the landscapes also impacted physiological attributes. It negatively affected the body size of Deltochilum aspericole and the lipid mass of Dichotomius boreus, but positively affected the lipid mass of Canthon triangularis. These findings contribute to a better understanding of how habitat fragmentation in aquatic matrices affects the size structure and physiology of insect assemblages. This is essential in formulating effective conservation strategies for preserving biodiversity loss in tropical forest regions and mitigating the consequences of hydropower infrastructure.

Pressure-induced formation of inactive triple-shelled rotavirus particles is associated with changes in the spike protein Vp4.

Rotaviruses are non-enveloped, triple-shelled particles that cause enteritis in animals and humans. The interactions among the different viral proteins located in the three concentric layers make the rotavirus particle an excellent model for physico-chemical and biological studies of viral assemblage. SA11-4S rotaviruses subjected to high pressure were inactivated by more than five log units. After pressure treatment, the particles were recovered with slight structural changes when compared to the control. Electron microscopy suggested subtle changes in the viral outer layer in some pressurised particles. Fluorescence spectroscopy showed that much more dramatic changes were produced by urea denaturation than by pressure. Based on the fluorescence spectrum, the genome resistance to ribonuclease, and the absence of changes in hydrodynamic properties, there was little or no disruption of the capsid under pressure. On the other hand, hemagglutination assays indicated that the main component affected by pressure was the spike protein VP4, thus accounting for changes in interaction with host cells and greatly reduced infectivity. The changes leading to inactivation did not cause removal of VP4 from the outer capsid, as verified by size-exclusion chromatography. Antibodies raised against pressurised material were as effective as antibodies raised against the intact virus, based on their neutralisation titre in plaque reduction assays, enzyme-linked immunosorbent assays and direct interaction with the particle, as measured by gel-filtration chromatography. Therefore, the new conformation of the pressurised particle did not result in loss of immunogenicity. We propose that pressure alters the receptor-binding protein VP4 by triggering changes similar to those produced when the virus interacts with target cells. As the changes in VP4 conformation caused by pressure occur prior to virus exposure to target cells, it leads to non-infectious particles and may lead to the exposure of previously occult epitopes, important for vaccine development.

Identification of plasmenylethanolamine as a major component of the phospholipids of strain DM 28c of Trypanosoma cruzi.

A novel phospholipid has been purified from strain Dm 28c of Trypanosoma cruzi, and characterized by fast atom bombardment mass spectrometry and nuclear magnetic resonance spectroscopy as a plasmenylethanolamine with a hexadec-l-enyl group in the sn-1 position and an approximately equimolar mixture of octadecenoate and octadecadienoate esterified to the sn-2 hydroxyl. The purified plasmenylethanolamine reacted positively when probed with sera from patients with chronic Chagas' disease. Since plasmenylethanolamines of similar structure are abundant in mammalian cardiac and neuronal tissues, cross reactions between these epitopes may be a factor in the mechanism of autoimmune pathology in the chronic phase of Chagas' disease.

A combined electrochemical quartz-crystal microbalance probe beam deflection (EQCM-PBD) study of solvent and ion transfers at a poly

The oxidative polymerisation of the complex2,3-dimethyl-N,N'-bis-(salicylidene)butane-2,3-diaminatonick-el(II), [Ni(saltMe)], was monitored by the electrochemical quartz microbalance (EQCM) and crystal impedance techniques. Polymerisation efficiency was maintained throughout deposition of a film, which behaved rigidly, on the electrode. A combined EQCM-PBD (probe beam deflection) study of the redox process of the film exposed to a monomer-free solution of 0.1 M tetraethylammonium perchlorate (TEAP) in acetonitrile showed an electroneutrality mechanism dominated by anion movement accompanied by co-transfer of solvent above 0.8 V. The individual contributions of all the mobile species involved in the redox switching of the poly[Ni(saltMe)] film were determined quantitatively by temporal convolution analysis; the estimated solution-phase diffusion coefficient of the exchanged species was 1.24 x 10(-5) cm2s-1.

Structural determination of N-2'-hydroxyoctadecenoyl-1-O-beta-D-glucopyranosyl-9-methyl-4, 8-sphingadienine from species of Aspergillus.

Ceramide monohexosides from Aspergillus fumigatus 2140 and 2109 strains and Aspergillus versicolor 550 strain, obtained by silica gel 60, and Iatrobeads chromatography were analysed using high-resolution 1D-, 2D-1H-NMR and 13C-NMR spectroscopy and fast atom bombardment mass spectrometry (FAB-MS). The ceramide monohexoside fraction (CMH) from A. fumigatus 2140 and A. versicolor 550 was identified as glucosylceramide, whereas glucose and galactose were present at a ratio of 1:1 in the CMH of A. fumigatus 2109. The major glycosphingolipid has a particular ceramide composition consisting of 9-methyl-4,8-sphingadienine linked to a 2-hydroxyoctadec-3-enoic acid. Although the structures presently described are similar to those of monohexosylceramides from other fungi, including edible ones, this is the first report on their occurrence in species pathogenic in humans.

[Kingella kingae osteomyelitis]. / Kingella kingae osteomyelitis.

A case of Kingella kingae osteomyelitis in a 1-year-old child is described. Kingella kingae osteoarticular infections in children and the difficulties of isolating this slow growing, fastidious bacterium are discussed.

Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry.

BACKGROUND/OBJECTIVES: Total body fat percentage (%BF) evaluated by dual energy X-ray absorptiometry (DXA) scans (DXA %BF) is widely recognized as a precise measure of fatness. We aimed to establish national reference curves for DXA %BF, %BF calculated from skinfolds (SF %BF) and waist circumference (WC) in healthy children, and to compare agreement between the different methods. SUBJECTS/METHODS: Based on 11 481 physical examinations (anthropometry) and 1200 DXA scans from a longitudinal cohort of Danish children (n=2647), we established reference curves (LMS-method) for SF %BF, WC (birth to 14 years) and DXA %BF (8-14 years). Age- and sex-specific Z-scores for body mass index (BMI), WC and SF %BF were compared. Sensitivity and specificity were calculated for agreement of WC, SF %BF and BMI with DXA %BF to identify obese children (>+1 s.d.). RESULTS: %BF differed with age, sex, pubertal stage and social class. SF %BF correlated strongly with DXA %BF (r=0.86). BMI and WC also correlated positively with DXA %BF (Z-scores; r= 0.78 and 0.69). Sensitivity and specificity were 79.5 and 93.8 for SF %BF, 75.9 and 90.3 for BMI and 59.2 and 95.4 for WC. CONCLUSIONS: SF %BF showed the highest correlation and best agreement with DXA %BF in identifying children with excess fat (+1 s.d.).

Monitoring of bedridden patients: development of a fall detection tool.

Falls of patients are an important issue in hospitals nowadays; it causes severe injuries, increases hospitalization time and treatment costs. The detection of a fall, in time, provides faster rescue to the patient, preventing more serious injuries, as well as saving nursing time. The MovinSense® is an electronic device designed for monitoring patients to prevent pressure sores, and the main goal of this work was to develop a new tool for this device, with the purpose of detecting if the patient has fallen from the hospital bed, without changing any of the device's original features. Experiments for gathering data samples of inertial signals of falling from the bed were obtained using the device. For fall detection a sensitivity of 72% and specificity of 100% were reached. Another algorithm was developed to detect if the patient got out of his/her bed.

Strain-dependent arthritogenic potential of the zoonotic pathogen Corynebacterium ulcerans.

During the last decade the majority of diphtheria cases in Europe had Corynebacterium ulcerans as the etiologic agent with dogs and cats as the reservoir hosts. However, little has been documented about the virulence factors of this zoonotic pathogen. To set up an in vivo experimental C. ulcerans infection model, conventional Swiss Webster mice were intravenously infected with different doses (from 1 × 10(7) to 5 × 10(9) bacteria per mouse) of C. ulcerans strains, namely 809 (from human lower respiratory tract), BR-AD22 (from asymptomatic dog nares) and CDC-KC279. Mortality rates were demonstrated by LD(50) values ranging from 1.9 × 10(8) to 1.3 × 10(9). Viable bacteria were recovered from blood, kidneys, liver, spleen and joints. For CDC-KC279 and 809 strains (2 × 10(8)mL(-1)) approximately 85% and 72% of animals with articular lesions were observed, respectively; BR-AD22-infected mice showed no signs of arthritis. CDC-KC279 and 809 strains exhibited higher arthritogenic potential when compared to the homologous toxigenic (ATCC27012) and non-toxigenic (ATCC27010) strains of Corynebacterium diphtheriae. A high number of affected joints and arthritis index in addition to the histopathological features, including subcutaneous edema, inflammatory infiltrate, damage to bone tissue and synoviocyte hypertrophy, indicated a strain-dependent ability of C. ulcerans strains to cause severe polyarthritis. A correlation between the arthritis index and systemic levels of IL-6 and TNF-α was observed for C. ulcerans strains, with the exception of the non-arthritogenic BR-AD22 strain. In conclusion, C. ulcerans revealed a strain-dependent arthritogenic potential independent of DNAse, PLD and diphtheria toxin production.

Changes in anti-Müllerian hormone (AMH) throughout the life span: a population-based study of 1027 healthy males from birth (cord blood) to the age of 69 years.

CONTEXT: Anti-Müllerian hormone (AMH), which is secreted by immature Sertoli cells, triggers the involution of the fetal Müllerian ducts. AMH is a testis-specific marker used for diagnosis in infants with ambiguous genitalia or bilateral cryptorchidism. AIM: The aim of the study was to describe the ontogeny of AMH secretion through life in healthy males. SETTING: This was a population-based study of healthy volunteers. PARTICIPANTS: PARTICIPANTS included 1027 healthy males from birth (cord blood) to 69 yr. A subgroup was followed up longitudinally through the infantile minipuberty [(in cord blood, and at 3 and 12 months), n=55] and another group through puberty [(biannual measurements), n=83]. MAIN OUTCOME MEASURES: Serum AMH was determined by a sensitive immunoassay. Serum testosterone, LH, and FSH were measured, and pubertal staging was performed in boys aged 6 to 20 yr (n=616). RESULTS: Serum AMH was above the detection limit in all samples with a marked variation according to age and pubertal status. The median AMH level in cord blood was 148 pmol/liter and increased significantly to the highest observed levels at 3 months (P<0.0001). AMH declined at 12 months (P<0.0001) and remained at a relatively stable level throughout childhood until puberty, when AMH declined progressively with adults exhibiting 3-4% of infant levels. CONCLUSION: Based on this extensive data set, we found detectable AMH serum levels at all ages, with the highest measured levels during infancy. At the time of puberty, AMH concentrations declined and remained relatively stable throughout adulthood. The potential physiological role of AMH and clinical applicability of AMH measurements remain to be determined.

Seletividade de acaricidas utilizados em cafeeiro para pré-pupas e adultos de Chrysoperla externa (Hagen, 1861) (Neuroptera: Chrysopidae) / Selectivity of pesticides used in coffee crops to pre-pupae and adults of Chrysoperla externa (Hagen, 1861) (Neuroptera: Chrysopidae)

Os ácaros Oligonychus ilicis (McGregor, 1917) (Tetranychidae) e Brevipalpus phoenicis (Geijskes, 1939) (Tenuipalpidae) causam prejuízos econômicos ao cafeeiro e seu controle é feito geralmente por meio do método químico. Dentre os inimigos naturais que regulam as densidades populacionais desses artrópodes-praga, destacam-se os crisopídeos, os quais devem ser preservados por meio do uso de compostos seletivos. Desta forma, objetivou-se avaliar os efeitos de espirodiclofeno (0,12 g i.a./L), fenpropatrina (0,15 e 0,30 g i.a./L), enxofre (4,0 e 8,0 g i.a./L) e abamectina (0,0067 e 0,0225 g i.a./L) sobre as fases de pré-pupa e adulta de Chrysoperla externa. As pulverizações dos compostos foram realizadas diretamente sobre pré-pupas e adultos do crisopídeo por meio de torre de Potter. Em seguida, as pré-pupas foram transferidas para tubos de vidro (2 x 8 cm) e os adultos para gaiolas de PVC (10 x 10 cm), sendo mantidos em sala climatizada (25 ± 2o C, UR de 70 ± 10% e fotofase de 12h). Os compostos foram classificados de acordo com o efeito total no desenvolvimento do predador, seguindo recomendações da IOBC. Constatou-se que espirodiclofeno, fenpropatrina e abamectina foram moderadamente nocivos para C. externa quando aplicados sobre a fase de pré-pupa e enxofre foi levemente nocivo. Quando aplicados sobre adultos, fenpropatrina foi nocivo, espirodiclofeno, abamectina e enxofre na maior dose (8,0 g i.a./L) foram moderadamente nocivos, enquanto que enxofre na menor dose (4,0 g i.a./L) mostrou-se levemente nocivo.

The mites Oligonychus ilicis (McGregor, 1917) (Tetranychidae) and Brevipalpus phoenicis (Geijskes, 1939) (Tenuipalpidae) cause economic losses to coffee and they are usually controlled by means of chemical method. Among the natural enemies that regulate the population densities of arthropod pests, the green lacewings stand out, which must be preserved through the use of selective compounds. For this reason, the present study evaluated the effects of spirodiclofen (Envidor ­ 0.12 g a.i./L), fenpropathrin (Meothrin 300 ­ 0.15 and 0.30 g a.i./L), sulphur (Thiovit Sandoz ­ 4.0 and 8.0 g a.i./L) and abamectin (Vertimec 18 CE ­ 0.0067 and 0.0225 g a.i./L) on pre-pupae and adults of Chrysoperla externa (Hagen). The pesticides were applied directly on pre-pupae and adults of green lacewings, using a Potter's tower. The pre-pupae were then transferred to glass tubes (2 x 8 cm) and the adults to PVC cages (10 x 10cm) and maintained in climatic chambers (25 ± 2o C, RH of 70 ± 10% and 12h photophase). The compounds were classified according to the total effect on the development of the predator, following recommendations of the IOBC. Spirodiclofen, fenpropathrin and abamectin were moderately harmful to C. externa, when applied on the pre-pupae, and sulphur was slightly harmful. When applied on adults, the acaricide fenpropathrin was harmful; spirodiclofen, abamectin and sulphur (8.0 g a.i./L) were moderately harmful, and sulphur (4.0 g a.i./L) was slightly harmful.

Rapid maxillary expansion in the primary and mixed dentitions: a cephalometric evaluation.

The present study evaluated the skeletal alterations induced by rapid maxillary expansion procedures in 30 patients in the primary and mixed dentitions. The results were obtained with the use of lateral cephalometrics before and immediately after the active phase of expansion. The time span between these two cephalometric films ranged from 14 to 21 days; therefore the "growth factor" was not considered. Based on the differences in the cephalometric measurements studied on the first and second tracings, it seems that anterior displacement of the maxilla with significant changes in the SNA angle should not be expected, although point B was repositioned more posteriorly (SNB) because of the mandibular downward and backward rotation, with subsequent increase of the inclination of the mandibular plane. The alterations in the A-P position of the mandible was reflected in the increase of ANB and NAP angles. The maxilla always dislocates downward, displaying a downward and backward rotation in the palatine plane, significantly altering the following measurements: N-ANS, PNS-PNS', A-A', SN.PP. The anchoring molars also follow the downward maxillary displacement (M-M') and, as a direct consequence of the vertical displacement of the maxilla and upper molars (N-ANS, A-A', ANS-Me, N-Me, PNS-PNS'), the facial heights increase.

Reactivity of chagasic sera with crude and highly purified glycosphingolipid fractions from Trypanosoma cruzi epimastigotes.

The reactivities of sera from patients with Chagas disease or from T. cruzi-immunized rabbits with two different lipid preparations of T. cruzi were assessed using epimastigote antigens. Serum reactivities were determined using a quantitative enzyme-linked immunosorbent assay (ELISA). Antigen 1 represents the lower phase obtained from crude lipid extract after Folch partition (LCL). Antigen 2 is a highly purified glycosphingolipid fraction (GSL). The LCL antigen discriminated quite well the reactivities of Chagasic patients' sera and sera from healthy individuals, as well as between the serum from a T. cruzi-immunized rabbit (TIRS) and normal rabbit serum (NRS). A strong reactivity with GSL was obtained with TIRS. Reactivity with GSL was also obtained with human Chagasic sera. Compared to a group of normal individuals, the reactions of antibodies directed against lipid antigens were considerably increased in sera of patients with Chagas disease. Chagasic sera did not differentiate between glycolipids with terminal beta-glucosyl or beta-galactosyl non-reducing units. They discriminated, however, glucosylceramides with differences in the ceramide structure. To determine the specificity of Chagasic sera, antibodies isolated on LCL-immunosorbent (LCL-Ch Abs) as well as on laminin-immunosorbent (Lam-Ch Abs) were tested against laminin and LCL antigens. We found that Lam-Ch Abs reacted with murine laminin, whereas the reaction was negative with LCL. In contrast, the LCL-Ch Abs reacted either with LCL antigens or with laminin. The reactivity with laminin was strong in comparison with LCL.(ABSTRACT TRUNCATED AT 250 WORDS)

The allergy pricker. Qualitative aspects of skin prick testing using a precision needle.

Skin prick test has advantages over other diagnostic tests in allergy, and attempts to increase the reproducibility are warranted. A standardised disposable precision needle with a needle point of 1.0 mm has recently become available. Based on 960 tests with histamine and grass pollen (Phleum pratense) the reproducibility of the skin prick weal area was calculated. Using histamine 10 mg/ml and grass pollen (1000 and 5000 PNU) a significantly lower coefficient of variation was found compared with a standard blood lancet with a point of 4 mm. The mean weal reaction is reduced to about 80% of the size obtained with the blood lancet. Testing with the precision needle resulted in a significantly reduced incidence of bleedings. The precision needle simplifies the skin test and does not require as much skill as other needles, and is recommended for both routine tests and the biological standardization of allergen extracts.

Reassembly of a large multisubunit protein promoted by nonprotein factors. Effects of calcium and glycerol on the association of extracellular hemoglobin.

The effects of cations and glycerol on the dissociation induced by pressure and on the reassembly of Glossoscolex paulistus hemoglobin were examined by light scattering, gel filtration, and electron microscopy. Calcium stabilized the quaternary structure of the hemoglobin against pressure dissociation. In the presence of 50 mM Ca2+, the half-dissociation pressure (p 1/2) increased by 400 bar, which corresponds to an average stabilization of -0.62 kcal/mol of dissociating subunit. Calcium also promoted a large increase in the yield of recovery of fully assembled hemoglobin at the expense of the partially dissociated (one-twelfth subunit) and fully dissociated forms. Glycerol protected the hemoglobin from pressure dissociation, increasing the half-dissociation pressure (p 1/2) and promoted an increase in the yield of recovery of fully assembled hemoglobin by about 40%. Addition of calcium after return to atmospheric pressure increased recovery of the fully associated form only in a long time scale (many days). The existence of time-dependent changes in the conformation of the dissociated subunits is suggested to explain the partial association to one-twelfth subaggregates (drifted forms) that lack the ability to reassemble to native hemoglobin. The promotion of reassembly by nonprotein factors (calcium and glycerol) is suggested to occur by preventing the formation of wrong intermediate forms (drifted one-twelfth subunits).

Spectroelectrochemical characterisation of poly[Ni(saltMe)]-modified electrodes.

Electrogenerated polymers based on the nickel(II) complex 2,3-dimethyl-N,N'-bis(salicylidene)butane-2,3-diaminatonickel(II), poly[Ni(saltMe)], were characterised by in situ FTIR and UV/Vis spectroscopy and ex-situ EPR spectroscopy in order to gain insights into film structure, electronic states and charge conduction. The role of the nickel ions during film oxidation was probed by using EPR to study naturally abundant Ni and 61Ni-enriched polymers. The data from all the spectroscopic techniques are consistent, and clearly indicate that polymerisation and redox switching are associated with oxidative ligand based processes; coulometry suggests that one positive charge was delocalised through each monomer unit. EPR provided evidence for the non-direct involvement of the metal in polymer oxidation: the polymer is best described as a polyphenylene-type compound (conducting polymer), rather than an aggregation of nickel complexes (redox polymer), and the main charge carriers are identified as polarons. An explanation for the high electrochemical stability and conductivity of poly[Ni(saltMe)] with respect to that of poly[Ni(salen)] is proposed. based on stereochemical repulsion between monomeric units; this can impose a less compact supramolecular structure on polymers with bulkier substituents.