RESUMO
Bariatric surgery for patients with severe obesity (body mass index (BMI) ≥ 50kg/m2) is technically challenging. Intragastric balloon (IGB) has been proposed for weight loss before bariatric surgery to reduce surgical risks but its efficacy remains unclear. We conducted a systematic review and meta-analysis of the effectiveness of IGB as bridging therapy and assess potential complications. Amongst 2419 citations, 13 studies were included. IGB resulted in a BMI reduction of 6.60 kg/m2 (MD=6.60, 95% CI: 5.06-8.15; I2=72%). The total post-procedural complication rate was 8.13% (95% CI: 4.04-13.17%), with majority being balloon intolerance. Overall, IGB is effective as a bridging therapy with adequate procedural safety profile, but further study is needed to evaluate the risk reduction for bariatric surgery and long-term weight-loss outcomes.
Assuntos
Cirurgia Bariátrica , Balão Gástrico , Obesidade Mórbida , Cirurgia Bariátrica/métodos , Índice de Massa Corporal , Humanos , Obesidade Mórbida/cirurgia , Resultado do Tratamento , Redução de PesoRESUMO
The COVID-19 pandemic pushed dental health officials around the world to reassess and adjust their existing healthcare practices. As studies on controlled COVID-19 transmission remain challenging, this review focuses on particles that can carry the virus and relevant approaches to mitigate the risk of pathogen transmission in dental offices. This review gives an overview of particles generated in clinical settings and how size influences their distribution, concentration, and generation route. A wide array of pertinent particle characterization and counting methods are reviewed, along with their working range, reliability, and limitations. This is followed by a focus on the effectiveness of personal protective equipment (PPE) and face shields in protecting patients and dentists from aerosols. Direct studies on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are still limited, but the literature supports the use of masks as an important and effective non-pharmaceutical preventive measure that could reduce the risk of contracting a respiratory infection by up to 20%. In addition to discussing about PPE used by most dental care professionals, this review describes other ways by which dental offices can protect patients and dental office personnel, which includes modification of the existing room design, dental equipment, and heating, ventilation, and air conditioning (HVAC) system. More affordable modifications include positioning a high-efficiency particulate air (HEPA) unit within proximity of the patient's chair or using ultraviolet germicidal irradiation in conjunction with ventilation. Additionally, portable fans could be used to direct airflow in one direction, first through the staff working areas and then through the patient treatment areas, which could decrease the number of airborne particles in dental offices. This review concludes that there is a need for greater awareness amongst dental practitioners about the relationship between particle dynamics and clinical dentistry, and additional research is needed to fill the broad gaps of knowledge in this field.
RESUMO
Hypoxia-inducible factors (HIFs) are heterodimeric transcription factors that are induced in many cancer types, promoting tumor-forming pathways. The HIF-2α PAS-B domain of the human HIF-2 complex contains a large buried hydrophilic cavity that is filled with eight ordered water molecules, making the domain a promising drug target. Recent work has led to the hypothesis that these buried water molecules act as an internal scaffold that stabilizes the buried cavity, holding it open to ease ligand binding. Here we show that extensive molecular dynamics simulations of the HIF-2α PAS-B domain strongly support this hypothesis. If water is prevented from entering the buried cavity, several amino acid side chains lining the cavity undergo a major conformational change that shrinks the cavity volume by an average of â¼45% relative to the hydrated cavity. The structural change within the cavity is due mainly to side chain rearrangements; the absence of bound water has only minor effects on the protein backbone conformation. Moreover, when the cavity lacks internally bound water, the side chain of Tyr307 rotates such that it blocks a major route for entry of the ligand into the cavity, greatly raising the free energy barrier for binding of an artificial ligand compared to when the cavity contains water. Finally, there is no difference in global protein stability of PAS-B when the cavity lacks water, as indicated by the same degree of protein flexibility and identical predicted melting temperatures. These findings help to explain further how water stabilizes large internal cavities, a relatively underexamined feature of proteins.
Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/química , Fatores de Transcrição Hélice-Alça-Hélice Básicos/metabolismo , Fenômenos Biofísicos , Cristalografia por Raios X , Dimerização , Humanos , Ligantes , Simulação de Dinâmica Molecular , Ligação Proteica , Conformação Proteica , Domínios Proteicos , Multimerização Proteica , Estabilidade Proteica , Água/químicaRESUMO
A multiparous adult cat with a history of prior trauma but no presenting clinical signs was admitted for routine ovariohysterectomy. Uterine abnormalities indicative of trauma were found in addition to 2 ectopic fetuses wrapped in omentum. The ovariohysterectomy was completed and the ectopic fetuses were removed. Recovery was uneventful.
Cas de fÅtus abdominaux ectopiques félins secondaires à un traumatisme. Une chatte adulte multipare ayant une anamnèse de traumatismes antérieurs mais ne présentant aucun signe clinique a été admise pour une ovario-hystérectomie de routine. Des anomalies utérines indiquant un traumatisme ont été trouvées en plus de deux fÅtus ectopiques enveloppés dans l'omentum. L'ovario-hystérectomie a été réalisée et les fÅtus ectopiques ont été enlevés. Le rétablissement s'est effectué normalement.(Traduit par Isabelle Vallières).
Assuntos
Traumatismos Abdominais/veterinária , Gatos/lesões , Morte Fetal/etiologia , Gravidez Ectópica/veterinária , Ruptura Uterina/veterinária , Traumatismos Abdominais/complicações , Animais , Feminino , Histerectomia/veterinária , Ovariectomia/veterinária , Gravidez , Ruptura Uterina/etiologiaRESUMO
Renal preglomerular arterioles regulate vascular tone to ensure a large pressure gradient over short distances, a function that is extremely important for maintaining renal microcirculation. Regulation of renal microvascular tone is impaired in salt-sensitive (SS) hypertension-induced nephropathy, but the molecular mechanisms contributing to this impairment remain elusive. Here, we assessed the contribution of the SH2 adaptor protein p66Shc (encoded by Shc1) in regulating renal vascular tone and the development of renal vascular dysfunction associated with hypertension-induced nephropathy. We generated a panel of mutant rat strains in which specific modifications of Shc1 were introduced into the Dahl SS rats. In SS rats, overexpression of p66Shc was linked to increased renal damage. Conversely, deletion of p66Shc from these rats restored the myogenic responsiveness of renal preglomerular arterioles ex vivo and promoted cellular contraction in primary vascular smooth muscle cells (SMCs) that were isolated from renal vessels. In primary SMCs, p66Shc restricted the activation of transient receptor potential cation channels to attenuate cytosolic Ca2+ influx, implicating a mechanism by which overexpression of p66Shc impairs renal vascular reactivity. These results establish the adaptor protein p66Shc as a regulator of renal vascular tone and a driver of impaired renal vascular function in hypertension-induced nephropathy.
Assuntos
Hipertensão Renal/fisiopatologia , Rim/irrigação sanguínea , Rim/fisiopatologia , Nefrite/fisiopatologia , Proteína 1 de Transformação que Contém Domínio 2 de Homologia de Src/metabolismo , Albuminas/análise , Animais , Arteríolas/fisiopatologia , Pressão Sanguínea , Cálcio/metabolismo , Hipertensão/fisiopatologia , Hipertensão Renal/metabolismo , Glomérulos Renais/metabolismo , Masculino , Microcirculação , Músculo Liso Vascular/fisiopatologia , Nefrite/metabolismo , Regiões Promotoras Genéticas , Ratos , Ratos Endogâmicos BN , Ratos Endogâmicos Dahl , Ratos Endogâmicos WKY , Ratos Transgênicos , Especificidade da Espécie , VasoconstriçãoRESUMO
BACKGROUND: Mesenchymal stromal cells (MSC) are increasingly investigated for their clinical utility in dogs. Fetal bovine serum (FBS) is a common culture supplement used for canine MSC expansion. However, FBS content is variable, its clinical use carries risk of an immune response, and its cost is increasing due to global demand. Platelet lysate (PL) has proven to be a suitable alternative to FBS for expansion of human MSC. HYPOTHESIS AND OBJECTIVES: We hypothesized that canine adipose tissue (AT) and bone marrow (BM) MSC could be isolated and expanded equally in PL and FBS at conventionally-used concentrations with differentiation of these MSC unaffected by choice of supplement. Our objectives were to evaluate the use of canine PL in comparison with FBS at four stages: 1) isolation, 2) proliferation, 3) spontaneous differentiation, and 4) directed differentiation. RESULTS: 1) Medium with 10% PL was unable to isolate MSC. 2) MSC, initially isolated in FBS-supplemented media, followed a dose-dependent response with no significant difference between PL and FBS cultures at up to 20% (AT) or 30% (BM) enrichment. Beyond these respective peaks, proliferation fell in PL cultures only, while a continued dose-dependent proliferation response was noted in FBS cultures. 3) Further investigation indicated PL expansion culture was inducing spontaneous adipogenesis in concentrations as low as 10% and as early as 4 days in culture. 4) MSC isolated in FBS, but expanded in either FBS or PL, maintained ability to undergo directed adipogenesis and osteogenesis, but not chondrogenesis. CONCLUSIONS/SIGNIFICANCE: Canine PL did not support establishment of MSC colonies from AT and BM, nor expansion of MSC, which appear to undergo spontaneous adipogenesis in response to PL exposure. In vivo studies are warranted to determine if concurrent use of MSC with any platelet-derived products such as platelet-rich plasma are associated with synergistic, neutral or antagonistic effects.
Assuntos
Tecido Adiposo/citologia , Células da Medula Óssea/citologia , Técnicas de Cultura de Células/métodos , Meios de Cultura , Células-Tronco Mesenquimais/citologia , Animais , Bovinos , Proliferação de Células , Cães , Plasma Rico em PlaquetasRESUMO
The mechanisms contributing to collective attention in humans remain unclear. Research indicates that pedestrians utilise the gaze direction of others nearby to acquire environmentally relevant information, but it is not known which, if any, additional social cues influence this transmission. Extending upon previous field studies, we investigated whether gaze cues paired with emotional facial expressions (neutral, happy, suspicious and fearsome) of an oncoming walking confederate modulate gaze-following by pedestrians moving in a natural corridor. We found that pedestrians walking alone were not sensitive to this manipulation, while individuals traveling together in groups did reliably alter their response in relation to emotional cues. In particular, members of a collective were more likely to follow gaze cues indicative of a potential threat (i.e., suspicious or fearful facial expression). This modulation of visual attention dependent on whether pedestrians are in social aggregates may be important to drive adaptive exploitation of social information, and particularly emotional stimuli within natural contexts.
Assuntos
Sinais (Psicologia) , Emoções/fisiologia , Movimentos Oculares/fisiologia , Expressão Facial , Fixação Ocular , Caminhada/psicologia , Atenção , Medo , Feminino , Felicidade , Humanos , Relações Interpessoais , Masculino , Percepção Social , Percepção VisualRESUMO
Close behavioural coupling of visual orientation may provide a range of adaptive benefits to social species. In order to investigate the natural properties of gaze-following between pedestrians, we displayed an attractive stimulus in a frequently trafficked corridor within which a hidden camera was placed to detect directed gaze from passers-by. The presence of visual cues towards the stimulus by nearby pedestrians increased the probability of passers-by looking as well. In contrast to cueing paradigms used for laboratory research, however, we found that individuals were more responsive to changes in the visual orientation of those walking in the same direction in front of them (i.e. viewing head direction from behind). In fact, visual attention towards the stimulus diminished when oncoming pedestrians had previously looked. Information was therefore transferred more effectively behind, rather than in front of, gaze cues. Further analyses show that neither crowding nor group interactions were driving these effects, suggesting that, within natural settings gaze-following is strongly mediated by social interaction and facilitates acquisition of environmentally relevant information.
Assuntos
Comportamento/fisiologia , Relações Interpessoais , Percepção Visual/fisiologia , Caminhada/psicologia , Atenção , Aglomeração , Sinais (Psicologia) , Feminino , Generalização do Estímulo , Movimentos da Cabeça/fisiologia , Humanos , Masculino , Orientação , Percepção SocialRESUMO
As part of our research interest directed toward the development of antimycobacterial agents, we have investigated compounds based on galactofuranose (Galf), an essential cell wall component of mycobacteria. The objective of this study was to explore structure activity relationships of Galf thioglycosides with straight chain and branched aglycons. Acylated Galf 9-heptadecyl thioglycoside was prepared by Lewis acid-catalyzed thioglycosidation of 1,2,3,5,6-penta-O-acyl-D-galactofuranose with 9-heptadecanethiol, and subsequently converted to the corresponding sulfone using m-CPBA. Both Galf 9-heptadecyl thioglycoside and sulfone displayed in vitro inhibition (MIC) of the growth of Mycobacterium smegmatis below 5 microg/mL, while Galf 1-octyl thioglycoside gave no inhibition at or below 32 microg/mL.
Assuntos
Antituberculosos/farmacologia , Mycobacterium/efeitos dos fármacos , Tioglicosídeos/síntese química , Tioglicosídeos/farmacologia , Antituberculosos/síntese química , Galactose , Indicadores e Reagentes , Modelos Moleculares , Conformação Molecular , Sulfonas , TermodinâmicaRESUMO
The recent emergence of clinically oppressive superbugs, some with resistance to nearly all frontline drug therapies, has challenged our ability to combat such infectious organisms as Mycobacterium tuberculosis, the causative agent of tuberculosis (TB). Our medicinal chemistry program targeting this pathogen has identified several potent galactofuranose-based in vitro inhibitors of mycobacterial growth. The most potent compound, the Galf N,N-didecyl sulfenamide 8d, displayed anti-mycobacterial activity (MIC) of 1 microg/mL in a cell based assay against a representative strain of Mycobacterium smegmatis.