Main incidental findings from cone beam computed tomography in the head and neck region and the impact in patients' lives: an integrative literature review / Principais achados incidentais em tomografia computadorizada de feixe cônico na região de cabeça e pescoço e o impacto na vida dos pacientes: uma revisão integrativa de literatura

ABSTRACT To identify the main incidental findings (IFs) in the head and neck region using Cone-Beam Computed Tomography (CBCT) and the impact on patient's live. The study was carried out using an integrative review method, starting with a guiding question followed by searches in the databases Pubmed, Scopus, Virtual Health Library and Dentistry & Oral Sciences Source for articles from 2009 until 2019. Forty-one articles became the object of this work. The incidental findings most reported by the articles are present in the bone and TMJ regions, with 35 different AIs being found. However, they are also common in the airways, such as mucosal thickening and retention mucosal cysts. Among the dental, the most pointed are impacted and supernumerary teeth. In the group of soft tissue calcifications, tonsillolite and calcification of the hyoid-style process are the most frequent. Atheroma and malignant lesions are less prevalent, but important due to the impact on patient's life. The main incident findings are bone / TMJ, followed by dental, soft tissue calcifications, airways and other findings. Most of them do not affect patient's life. However, some IFs require immediate interventions and are generally associated with elderly patients. Finally, more than half of the studies pointed out that the incidental findings are located in an extragnatic region.

RESUMO Identificar os principais achados incidentais na região de cabeça e pescoço com o uso de Tomografia Computadorizada de Feixe Cônico (TCFC) e os impactos na vida dos pacientes. O estudo foi realizado utilizando como método a revisão integrativa, iniciado com pergunta norteadora seguida de buscas nas bases de dados Pubmed, Scopus, Biblioteca Virtual em Saúde e Dentistry & Oral Sciences Source por trabalhos de 2009 até o ano de 2019. Tornaram-se objeto deste trabalho quarenta e um artigos. Os achados incidentais mais relatados pelos artigos estão presentes nas regiões ósseas e de ATM, sendo encontrados 35 diferente AIs. No entanto, eles também são comuns em vias aéreas, como o espessamento de mucosa e cistos de retenção mucoso. Entre os dentários, os mais apontados são dentes impactados e supranumerários. Já no grupo das calcificações de tecidos moles, o tonsilólito e as calcificação do processo estilo-hióide são as mais frequentes. Ateromas e lesões malignas são achados com menor prevalência, mas importantes devido ao impacto na vida do paciente. Os principais achados incidentais são os ósseos/ATM, seguidos pelos dentários, as calcificações de tecidos moles, os das vias aéreas e outros achados. A maioria deles não afetam a vida do paciente. Porém, alguns AIs requerem intervenções imediatas e geralmente estão associadas a pacientes idosos. Por fim, mais da metade dos estudos apontaram que os achados incidentais estão localizados em região extragnática.

Diagnostic performance of periapical and panoramic radiography and cone beam computed tomography for detection of circumferential gaps simulating osseointegration failure around dental implants: A systematic review.

OBJECTIVE: The objective of this study was to appraise the diagnostic performance of periapical (PR) and panoramic (PANO) radiographs and cone beam computed tomography (CBCT) in detecting artificial circumferential gaps simulating osseointegration failure around dental implants in ex vivo studies. STUDY DESIGN: Seven electronic databases and three gray literature sources were searched. Studies reporting diagnostic performance measures or data allowing calculation of those measures compared with the reference standard of in situ direct measurements were considered eligible. Either the area under the receiver operating characteristic curve or accuracy was chosen to summarize findings, with diagnostic performance interpreted as poor, acceptable, excellent, or outstanding. Risk of bias (RoB) was also assessed. RESULTS: The ten included studies mostly suggested overall excellent to outstanding diagnostic capability with PR and CBCT. Various enhancement filters, CBCT voxel sizes, and/or fields of view were associated with acceptable to outstanding efficacy. PANO had the poorest results, with most research demonstrating acceptable to excellent discrimination. The RoB was high for seven studies, moderate for two, and low for -one. CONCLUSIONS: PR and CBCT images were generally superior to PANO for the detection of artificial bone gaps. Results should be interpreted with caution because most studies had a high RoB.

Increasing the Thickness of the Collagen Xenogeneic Matrix Prevents Early Matrix Degradation and Improves the Proliferation, Adhesion, and Viability of Human Gingival Fibroblasts and Mesenchymal Stem Cells.

Using autogenous grafts in mucogingival surgeries is related to postoperative morbidity and limited tissue availability, and thus xenogeneic matrices are increasingly used. This in vitro study evaluated the influence of xenogeneic collagen matrix thickness on cell adhesion, morphology, viability, proliferation, and matrix degradation. Matrices were divided into three groups: SLC: single layer of Lumina Coat, as commercially available (2-mm thickness); DLC: double layer of SLC (Lumina Coat); and MG: single layer of Mucograft, as commercially available (4-mm thickness). SEM was used to evaluate the matrix surface topographies. To evaluate the cell viability, proliferation, adhesion, and morphology, human gingival fibroblasts (HGF) and stem cells from human exfoliated deciduous teeth (SHED) were used. Cell viability was evaluated through MTS colorimetric method evaluating HGF and SHED on days 1, 3, and 7. Cell proliferation was assessed by PicoGreen assay, evaluating HGF and SHED on days 3 and 7. Sample degradation was evaluated on days 1, 3, 7, 14, 21, 28, and 35. All groups were biocompatible for HGF and SHED, showing viabilities > 70% on days 1, 3, and 7. DCL promoted HGF viabilities similar to MG (P = .2828) and the highest SHED viability (P < .0001) on day 1. DLC also demonstrated HGF and SHED proliferations higher than the positive control (MG; P < .05) on day 7. SLC was completely degraded on day 14, while DLC and MG presented 48.41% and 20.52% of their initial mass, respectively, on day 35. Increasing the matrix thickness improved HGF and SHED viability and proliferation and prevented early matrix degradation. DLC demonstrated better results than SLC and MG concerning matrix degradation and HGF and SHED viability and proliferation.

Prostaglandin F2α regulation and function during ovulation and luteinization in cows.

Although prostaglandins are important in the ovulation process, a precise role for prostaglandin F2α (PGF) has not been elucidated. This study aimed to evaluate the regulation of PGF receptor mRNA (PTGFR) in granulosa cells and the local effect of PGF on ovulation and luteinization. In Experiment 1, using samples collected in vivo before (Day 2), during (Day 3) and after (Day 4) follicular deviation, expression of PTGFR in bovine granulosa cells was more abundant in the dominant follicle after deviation than in subordinates (P < 0.05). However, the expression of PTGFR was not regulated (P = 0.1) in preovulatory follicles at different time-points (0, 3, 6, 12 and 24 h) after ovulation induction with GnRH. In Experiment 2, to assess the role of systemic PGF treatment on luteinization and vascularization of preovulatory follicles, flunixin meglumine (FM), a nonsteroidal anti-inflammatory drug, was used to inhibit endogenous prostaglandin synthesis. Cows with preovulatory follicles were induced to ovulate with GnRH (0 h) and allocated to three groups: Control, with no further treatment; FM, treated with 2.2 mg/kg FM im 17 h after GnRH treatment; and FM + PGF, treated with FM 17 h after GnRH, followed by 25 mg dinoprost tromethamine (PGF) 23 h after GnRH treatment. FM injection was able to reduce the concentration of PGF in the follicular fluid (FF) (P < 0.001). However, contrary to our hypothesis, color Doppler ultrasound evaluations revealed decreased vascular flow in FM + PGF group (P < 0.05), and no effect of the treatments on intrafollicular P4 and E2 concentrations 24 h after GnRH. The prostaglandin metabolite (PGFM) concentrations in the FF were greater in cows receiving systemic PGF (P < 0.001), which prompted us to further check its role on ovulation. Therefore, in Experiment 3, in a final attempt to demonstrate the local effect of PGF on ovulation, cows with preovulatory follicles received an intrafollicular injection (IFI) of PBS (Control) or 100 ng/mL purified PGF (PGF group). PGF treatment did not affect the time of ovulation after IFI (66 ± 6.4 and 63 ± 8.5 h for control and PGF, respectively; P > 0.05), further suggesting that it has no direct effect in the ovulatory process. Based on our findings, we concluded that FM decreased PGF synthesis within the follicle, whereas PGF treatment decreased follicular vascularization. In addition, the in vivo model of intrafollicular injection evidenced that PGF alone is not able to locally induce ovulation.

Use of Saccharomyces cerevisiae-based products and effects on rumen environment and performance of sheep subjected to dietary changes / Utilização de produtos à base de Saccharomyces cerevisiae e seus efeitos sobre o ambiente ruminal e desempenho de ovinos submetidos a mudanças de dieta

ABSTRACT: Natural additives in ruminant diet optimizes animal performance by controlling or modifying the rumen fermentation pattern. The aim of this study was to evaluate the effects of using Saccharomyces cerevisiae products during abrupt changes in dietary starch concentration on ruminal pH maintenance, performance and metabolism of confined sheep. Twenty adult ewes, crossbred Texel x Corriedale(44.7±6.97 Kg BW) were divided into three groups: Control (n=6), Cultron X (yeast culture; n=7) and Cultron Pro (hydrolyzed yeast; n=7), administered at a dose of 5 g/sheep/day (10x1010CFU/g DM). The experiment lasted 20 days divided into four periods, alternating between 40 and 60% concentrate. Blood and ruminal fluid were collected at the end of each period, and daily dry matter intake was measured to determine the average daily gain (ADG). Blood tests included blood count and biochemical parameters such as glucose, urea, total plasma proteins (TPP), liver enzymes, acute phase proteins and minerals. There was an upward trend in ADG in group Cultron X compared to control in period 3. Although, ruminal pH did not differ between groups, protozoan motility was higher in animals supplemented with hydrolyzed yeast. The Cultron Pro group showed an increase in TPP in periods 3 and 4, and AST in periods 2 and 3 compared to the control group. There was no difference in other metabolites. Yeast supplementation is a potential tool in times of feeding challenge, in which yeast culture is the most effective for improving performance of confined sheep being in improving performance of confined sheep.

RESUMO: A utilização de aditivos naturais na dieta de ruminantes é uma prática que otimiza o desempenho, controlando ou modificando o padrão de fermentação ruminal. O objetivo do estudo buscou avaliar os efeitos da utilização de produtos à base de Saccharomyces cerevisiae durante mudanças na concentração de amido da dieta sobre a manutenção do pH ruminal, desempenho e metabolismo de ovinos confinados. Dessa forma, 20 fêmeas ovinas adultas mestiças das raças Texel e Corriedale (44,7±6,97 PV) foram divididas em três grupos: Controle (n=6), Cultron X (cultura de levedura; n=7) e Cultron Pro (levedura hidrolisada; n=7), administrados na dose de 5 g/ovelha/dia (10x1010ufc/g de MS). O experimento teve duração de 20 dias divididos em quatro períodos, alternando entre 40 e 60% de concentrado. Foram realizadas coletas de sangue e líquido ruminal ao final de cada período e mensuração da ingestão de matéria seca diariamente, a fim de determinar o ganho médio diário (GMD). As análises sanguíneas incluíram hemograma e parâmetros bioquímicos como glicose, ureia, proteínas plasmáticas totais (PPT), enzimas hepáticas, proteínas de fase aguda e minerais. Houve tendência de aumento no GMD no grupo Cultron X em relação ao controle no período 3. Apesar do pH ruminal não diferir entre grupos, a motilidade de protozoários foi melhor nos animais suplementados com levedura hidrolisada. O grupo Cultron Pro apresentou aumento de PPT nos períodos 3 e 4 e aumento nos níveis da enzima hepática AST nos períodos 2 e 3 em comparação ao grupo controle. Não houve diferença nos demais metabólitos. A suplementação com levedura apresentou-se como potencial ferramenta em momentos de desafio alimentar, sendo a cultura de levedura mais eficaz na melhora da performance de ovinos confinados.

Use of sulfonamides for the treatment of bovine neonatal diarrhea: clinical and performance parameters / Utilização de sulfonamidas para o tratamento de diarreia neonatal bovina: parâmetros clínicos e zootécnicos

This study was developed to evaluate the clinical, hematological, and performance parameters of calves affected by diarrhea caused by the bacterial enteric pathogen Escherichia coli, treated with three different protocols containing sulfonamides. Fourteen Holstein calves were monitored from birth to 60 days of age, and divided into 3 groups. Group 1 (n=5) animals were treated with 80 g of Kaopek®, Ibasa, Brazil, administered orally (BM), dissolved in 160 ml of water every 24 h; Group 2 (n=4) received IM sulfadiazine and trimethoprim (Ibatrim®, Ibasa, Brazil), and Group 3 (n=5) animals were treated with 80 g of Kaopek®, Ibasa, Brazil, which is made up of 16 g of phthalylsulfathiazole, associated with 2.28 g neomycin sulfate, 1.6 g of pectin, and 80 g of kaolin, dissolved in 160 ml of water and administered every 24 h by mouth, in addition to sulfadiazine and trimethoprim (Ibatrim®, Ibasa, Brazil), at a daily dose of 16 mg/kg live weight, through IM injection. During the study, the animals were clinically evaluated, and once they were diagnosed with diarrhea, feces samples were collected to identify the bacterial enteric pathogen, antibiogram, polymerase chain reaction (PCR), and coproparasitological exams. Blood samples were collected to evaluate the hematological profile, and the performance profile was monitored weekly. In the clinical examination, all calves presented a reduction in body temperature (<39.2°C) and some improvement in hydration after treatment (p=0,31). However, group 2 had a better concentration of lymphocytes and TP concerning the other animals, as well as better performance. Besides, E.coli was detected in 100% of feces samples. Thus, the therapeutic protocols with sulfonamides used to treat bovine neonatal diarrhea were effective in the clinical improvement of the animals. Nonetheless, the protocol with systemic therapy using sulfadiazine and trimethoprim (Ibatrim®, Ibasa, Brazil) intramuscularly, provided better performance, with better weight gain, and body development of the animals.(AU)

Este estudo foi desenvolvido com o objetivo de avaliar parâmetros clínicos, hematológicos e zootécnicos de bezerras acometidas por diarreia provocada pelo agente bacteriano Escherichia coli, tratadas com três diferentes protocolos contendo sulfonamidas. Quatorze bezerras da raça Holandês foram monitoradas do nascimento até os 60 dias de vida e divididas em 3 grupos: Grupo 1 (n=5), animais tratados com a dose de 80g de Kaopek®, Ibasa, Brasil, por via oral (VO), dissolvido em 160ml de água a cada 24 horas; Grupo 2 (n=4) receberam sulfadiazina e trimetropim (Ibatrim®, Ibasa, Brasil), na dose de 16mg/Kg de peso vivo, por dia, por via intramuscular (IM); Grupo 3 (n=5) 80g de Kaopek®, Ibasa, Brasil, por VO dissolvido em 160ml de água, a cada 24 horas e com 16mg/Kg de peso vivo, por dia, de sulfadiazina e trimetoprim (Ibatrim®, Ibasa, Brasil), por via IM. Durante o estudo, os animais foram avaliados clinicamente e a partir do diagnóstico de diarreia foram coletadas amostras de fezes para a identificação do agente bacteriano, antibiograma, reação em cadeia da polimerase (PCR) e exames coproparasitológicos. Amostras de sangue foram coletadas para avaliação do perfil hematológico e o perfil zootécnico foi acompanhado semanalmente. No exame clínico, todas as bezerras apresentaram redução na temperatura corporal (<39,2°C) e melhora na hidratação após o período de tratamento (p=0,31), porém o grupo 2 obteve maior concentração de linfócitos e PPT em relação aos demais, assim como melhor desempenho zootécnico, além disso em 100% das amostras de fezes foi detectado E. coli. Sendo assim, os protocolos terapêuticos com sulfonamidas utilizados para o tratamento da diarreia neonatal bovina foram eficazes na melhora clínica dos animais. Porém, o protocolo com terapia sistêmica com sulfadiazina e trimetoprim (Ibatrim®, Ibasa, Brasil) por via intramuscular proporcionou um melhor desempenho zootécnico, com melhor ganho de peso e desenvolvimento corporal dos animais.(AU)

Sweet Potato Flour as a Replacement for Ground Corn as an Energetic Concentrate / Utilização de farinha de batata-doce como substituto ao milho moído como concentrado energético

ABSTRACT: This study evaluated the effects of different levels of substitution of ground corn by sweet potato flour on intake, digestibility, microbial protein synthesis and total Nitrogen (N) retention in sheep fed mixed diets based on corn silage. Eight castrated male sheep were used, kept in metabolic cages. The animals received fixed proportions of oat hay, corn silage and soybean meal. The control group (0%) received only ground corn, while the other groups received different levels of inclusion of sweet potato flour (SPF) to replace ground corn, in the proportions of 33%, 66%, and 100%. The 0% and 33% groups had lower neutral detergent fiber (NDF) intake than the 66% and 100% groups. There was a trend (P = 0.07) of effect of treatments on crude protein (CP) intake with a significant positive linear effect (P = 0.03). There was a trend (P = 0.07) for treatment effects in N intake with a significant positive linear effect (P = 0.03). The other parameters as urine N excretion (P = 0.91) and feces N excretion (P = 0.16) were not affected by the replacement of ground corn by SPF. Moreover, there was no effect on N retention (P = 0.43) and on efficiency of N use (P = 0.69). Adding SPF to a diet instead of corn did not alter the microbial protein parameters. The inclusion of sweet potato flour did not cause changes in the protein metabolism of animals, suggesting it can be used instead of corn.

RESUMO: O objetivo desse estudo foi avaliar os efeitos dos diferentes níveis de substituição de milho moído por farinha de batata-doce na ingestão, digestibilidade, síntese de proteína microbiana e a retenção de Nitrogênio (N) em ovinos alimentados por dietas com base em silagem de milho. Foram utilizados oito ovinos machos castrados, mantidos em gaiolas metabólicas, divididos em quatro grupos no quadrado latino 4 x 4, totalizando quatro períodos de 15 dias cada. Os animais receberam proporções fixas de feno de aveia, silagem de milho e farelo de soja. O grupo controle (0%) recebeu apenas milho moído, enquanto os outros grupos receberam diferentes níveis de inclusão de farinha de batata doce (FBD) em substituição ao milho moído, nas proporções de 33%, 66% e 100%. Amostras de alimentos e sobras foram coletadas para avaliação do consumo e análise bromatológica. A urina foi coletada para avaliação da síntese proteica microbiana através dos derivados da purina (DP). As fezes foram coletadas para análise e estimativa da digestibilidade. Os grupos de 0% e 33% apresentaram menor consumo de fibra em detergente neutro (FDN) do que os grupos de 66% e 100%. Houve uma tendência (P = 0,07) de efeito dos tratamentos na ingestão de proteína bruta (PB) com efeito linear positivo significativo (P = 0,03). Houve uma tendência (P = 0,07) para os efeitos do tratamento na ingestão de N com um efeito linear positivo significativo (P = 0,03). Os demais parâmetros como excreção de N na urina (P = 0,91) e excreção de N nas fezes (P = 0,16) não foram afetados pela substituição do milho moído pela FBD. Além disso, não houve efeito na retenção de N (P = 0,43) e na eficiência do uso de N (P = 0,69). A adição de FBD a uma dieta em vez de milho não alterou os parâmetros das proteínas microbianas. A inclusão de farinha de batata-doce não causou alterações no metabolismo proteico dos animais, sugerindo que pode ser utilizada no lugar do milho.

Accuracy of cone-beam computed tomography in measuring the thickness of radicular dentin

Abstract The purpose of this study was to evaluate the accuracy of Cone-Beam Computed Tomography (CBCT) in measuring radicular dentin thickness focused on intraradicular post placement planning treatment. Ten single-rooted human premolars were selected. The teeth were divided into three segments (cervical, middle and apical). The coronal face of the apical and middle sections was selected for the dentin thickness assessment; which was measured from the external root surface to the root canal wall, on the buccal, lingual, mesial, and distal surfaces of each tooth. In situ anatomical measurement was the reference standard, and the corresponding axial CBCT imaging were evaluated by the i-CAT software. The one-way ANOVA test and the Bonferroni post hoc test were applied to compare the groups (p>0.05). CBCT imaging measurements (p=0.003) overestimated the radicular dentin thickness compared to the reference standard. Descriptive analysis showed that the greatest difference between the reference standard and the tomographic measurement means were 0.20 mm. One-way ANOVA test found the statistical significant difference among group's measurements. Bonferroni correction demonstrated statistically significant difference only related lingual surface for the CBCT imaging measurements. CBCT imaging measurements overestimated the radicular dentin thickness. However, the measurement difference was clinically acceptable.

Resumo O objetivo deste estudo foi avaliar a precisão da Tomografia Computadorizada de Feixe Cônico (TCFC) na mensuração da espessura da dentina radicular no planejamento de tratamento envolvendo a cimentação de pinos intrarradiculares. Dez pré-molares humanos unirradiculares foram selecionados. Os dentes foram divididos em três segmentos (cervical, médio e apical). A face coronal dos terços apical e médio foi selecionada para a avaliação da espessura da dentina; que foi medida a partir da superfície externa da raiz até a parede do canal radicular, nas superfícies vestibular, lingual, mesial e distal de cada dente. A medida anatômica in situ foi o padrão de referência, e a imagem de TCFC axial correspondente foi avaliada pelo software i-CAT. O teste de 1-fator ANOVA e o teste post hoc de Bonferroni foram aplicados para comparar os grupos (p>0,05). As medidas de imagem da TCFC (p=0,003) superestimaram a espessura da dentina radicular em comparação a referência padrão. A análise descritiva mostrou que a maior diferença entre a referência padrão e a medida tomográfica foi de 0,20 mm. O teste ANOVA encontrou a diferença de significância estatística entre as medidas do grupo. A correção de Bonferroni demonstrou diferença estatisticamente significante apenas relacionada às medidas de imagem da TCFC. A medida de imagem da TCFC superestimou a espessura da dentina radicular. No entanto, a diferença de medição foi clinicamente aceitável.

Preclinical evidences of aluminum-induced neurotoxicity in hippocampus and pre-frontal cortex of rats exposed to low doses.

Aluminum (Al) is a neurotoxicant agent implicated in several behavioral, neuropathological and neurochemical changes associated with cognitive impairments. Nevertheless, mechanisms of damage and safety concentrations are still very discussed. Thus, the main purpose of this study was to investigate whether two aluminum low doses were able to produce deleterious effects on cognition of adult rats, including oxidative stress in hippocampus and prefrontal cortex, two important areas for cognition. For this, thirty adult Wistar rats were divided into three groups: Al1 (8.3 mg/kg/day), Al2 (32 mg/kg/day) and Control (Ultrapure Water), in which all three groups received their solutions containing or not AlCl3 by intragastric gavage for 60 days. After the experimental period, the short- and long-term memories were assessed by the object recognition test and step-down inhibitory avoidance. After euthanizing, prefrontal cortex and hippocampus samples were dissected for Al levels measurement and evaluation of oxidative biochemistry. Only Al2 increased Al levels in hippocampal parenchyma significantly; both concentrations did not impair short-term memory, while long-term memory was affected in Al1 and Al2. In addition, oxidative stress was observed in prefrontal and hippocampus in Al1 and Al2. Our results indicate that, in a translational perspective, humans are subjected to deleterious effects of Al over cognition even when exposed to low concentrations, by triggering oxidative stress and poor long-term memory performance.

Utilização de taninos como aditivo nutricional na dieta de ruminantes / Use of tannins as a nutritional additive for ruminants / Uso de taninos como aditivo nutricional en dieta de rumiantes

Os taninos são compostos fenólicos presentes em plantas, classificados quanto à estrutura química em compostos hidrolisáveis e condensados. Os condensados são adicionados à dieta de ruminantes devido a sua capacidade de formar complexos com proteínas tornando-as não degradáveis no ambiente ruminal. Dessa forma, aumenta o aporte proteico no intestino delgado onde ocorrerá a maior absorção na porção cranial do órgão, o duodeno. A vantagem desse mecanismo é aumentar o aproveitamento da proteína da dieta pelos animais o que influenciará na produtividade e sistema imunológico, entre outros. Os efeitos positivos com a utilização desse composto como aditivo nutricional ainda precisam ser estudados, portanto, o objetivo dessa revisão consiste em demonstrar os resultados, até então conhecidos, da utilização de taninos condensados na dieta de ruminantes.(AU)

Tannins are phenolic compounds present in plants. According to their chemical structure, they can be classified into hydrolysable and condensed compounds. Condensed compounds are added to the ruminant nutrition due to their ability to form complexes with proteins, rendering them as non-degradable in the rumen environment. Thus, it increases the protein supply in the small intestine, where the highest absorption will occur in the duodenum, the cranial portion of the organ. The advantage of this mechanism is the increase of the use of dietary protein by the animals, which will thus influence productivity and the immune system, among others. The positive effects of the use of this compound as a nutritional additive still need to be further investigated, therefore, the purpose of this review is to demonstrate the known results of the use of condensed tannins in the diet of ruminants.(AU)

Los taninos son compuestos fenólicos presentes en plantas, clasificados según la estructura química en compuestos hidrolizables y condensados. Los condensados se agregan a la dieta de rumiantes debido a su capacidad de formar complejos con proteínas, haciéndolas no degradables en el entorno del rumen. Así, aumenta el aporte proteico en el intestino delgado donde habrá mayor absorción en la porción craneal del órgano, el duodeno. La ventaja de ese mecanismo es aumentar el aprovechamiento de la proteína de la dieta por los animales, lo que influirá en la productividad y sistema inmunológico, entre otros. Los efectos positivos con la utilización de ese compuesto, como aditivo nutricional, todavía necesita ser estudiado, el objetivo de esa revisión consiste en demostrar los resultados, hasta ahora conocidos, del uso de taninos condensados en la dieta de rumiantes.(AU)

In vitro fermentation of diets containing sweet potato flour as a substitute for corn in diets for ruminants / Fermentação in vitro de dietas contendo farinha de batata-doce como substituto do milho em dietas para ruminantes

ABSTRACT: With the intensification of production systems, dairy cow feeding has undergone changes creating the need to increase substitute feed options, focusing on more efficient, modern, and sustainable alternatives. Few researches were carried out evaluating the inclusion of sweet potato flour as an energy source in substitution of maize for ruminants. The aim of this study was to evaluate the in vitro gas production of ground corn replacement by sweet potato flour at different levels. For in vitro gas production, four treatments were performed, consisting of corn replacement by sweet potato flour at the levels of 0, 33, 66, and 100%, in a diet consisting of corn silage, soybean meal, and ground corn. In vitro incubations were conducted in sealed bottles containing 50 ml of the inoculum prepared using ruminal fluid and 0.5 g of each treatment. Gas production was determined in 96 consecutive hours. The cumulative gas production was greater when the corn was 100% replaced by SPF (224 ± 1.45 and 231.9 ± 1.45 ml/g DMi for 0 and 100% of replacement, P = 0.01). Degradation rates were 7.10, 7.59, 8.08, and 8.59 ± 0.06% per hour for the 0, 33, 66, and 100% replacement rates, respectively (P<0.001). There was also a difference (P = 0.002) in the lag time, in which diets with the highest SPF inclusion had a lower colonization time. In conclusion, sweet potato flour produced more gas and was more rapidly degraded than corn.

RESUMO: Com a intensificação dos sistemas de produção e o aumento das exigências alimentares das vacas leiteiras criou-se a necessidade de diversificação nas opções de alimentos, focando em alternativas mais eficientes, modernas e sustentáveis. Poucas pesquisas foram realizadas avaliando a inclusão da farinha de batata-doce como fonte de energia em substituição ao milho para ruminantes. O objetivo deste trabalho foi avaliar a produção de gás in vitro da farinha de batata-doce (SPF) em substituição ao milho moído em diferentes níveis. Para a produção de gás in vitro, foram realizados quatro tratamentos, com substituição de milho por farinha de batata-doce a 0, 33, 66 e 100%, em uma dieta com silagem de milho, farelo de soja e milho moído. As incubações foram conduzidas em frascos selados contendo 50 ml do inóculo preparado utilizando o fluido ruminal, solução tampão e 0,5 g de cada tratamento. A produção de gás acumulada foi maior na substituição do milho pela SPF em 100% (224 ± 1.45 e 231,9 ± 1.45 ml/g MSi para as substituições 0 e 100%, P = 0,01). A taxa de degradação foi 7,10, 7,59, 8,08 e 8,59 ± 0,06% por hora nas substituições 0, 33, 66 e 100%, respectivamente (P<0,001). Houve também diferença (P = 0,002) no lag time, em que as dietas com maior inclusão de SPF tiveram tempo de colonização bacteriana menor. Em conclusão, a farinha de batata-doce produziu mais gás e foi degradada mais rapidamente que o milho.

Prepartum lameness on subsequent lactation in Holstein dairy cows / Impactos da claudicação pré-parto na lactação subsequente de vacas leiteiras da raça Holandês

ABSTRACT: The aim of this study was to confirm the possible consequences of prepartum lameness on subsequent lactation among Holstein cows. In this research, 27 multiparous cows, were monitored from the 30th to 63rd day, relative to calving. Thirty days prior to parturition, the animals were segregated into two groups based on the locomotion score (LS), where LS 1 is attributed to animals without claudication, LS 2 to those with suspected lameness and LS 3, 4 and 5 to those with mild, moderate and severe lameness, respectively; in the lame cows group (LC) (n=15), the animals displayed LS ≥ 3, whereas in the non-lame cows group (NLC) (n=12) they showed LS 1. Milk production, body condition score (BCS) and blood concentration levels of β-hydroxybutyrate (BHB), urea, phosphorus, calcium aspartate aminotransferase (AST), gamma glutamyl transferase (GGT) and total plasma proteins (PPT) were evaluated. Milk production (17.675 ± 0.31 L of milk/day) and blood calcium concentration (7.42 ± 0.12 mg/dL) were lower in the lame cows in comparison to those without lameness (22.27 ± 0.42 L of milk/day and 9.63 ± 0.13 mg/dL). Besides, the lame cows showed higher BCS loss during the early postpartum period. The metabolites AST, GGT, PPT, urea, BHB and phosphorus revealed no difference between the groups during the period evaluated. The lameness evident in cows during prepartum exerted major negative effects on the milk production and calcemia, making the LS evaluation during these period an important tool in the early diagnosis of losses for future lactation.

RESUMO: O objetivo deste estudo foi verificar as consequências da claudicação no período pré-parto no início da lactação subsequente de vacas da raça Holandês. Vinte e sete vacas multíparas foram monitoradas do dia -30 até o dia 63 em relação ao parto. Trinta dias antes do parto os animais foram divididos em dois grupos de acordo com classificação de escore de locomoção (EL) em que EL é atribuído ao animal sem claudicação, EL 2 suspeito de claudicar e EL 3, 4 e 5 representam claudicação leve, moderada e severa, respectivamente. No grupo de vacas claudicantes (n=15) os animais apresentavam EL ≥3 e no grupo controle (n=12) apresentavam EL de 1. Foi mensurada a produção de leite, escore de condição corporal (ECC) e as concentrações sanguíneas de β-hidroxibutirato (BHB), ureia, fósforo, cálcio, aspartato aminotransferase (AST), gama glutamil transferase (GGT) e proteínas plastmáticas totais (PPT). A produção média de leite das vacas claudicantes (17,675 ± 0,31 L/dia) e concentração de cálcio sanguíneo (7,42 ± 0,12 mg/dL) foram menores quando comparadas com as não-claudicantes (22,27 ± 0,42 L/dia e 9,63 17,675 ± 0,13 mg/dL). Além disso, vacas claudicantes perderam mais ECC no pós-parto recente. Os metabólitos AST, GGT, PPT, ureia, BHB e fósforo não diferiram entre grupos durante o período avaliado. A claudicação evidente em vacas no pré-parto apresenta grandes reflexos negativos na produção de leite e calcemia desses animais, tornando o EL pré-parto uma ferramenta importante no diagnóstico precoce de prejuízos na futura lactação.

Intrafollicular lipopolysaccharide injection delays ovulation in cows.

The aim of this study was to evaluate effects of intra-follicular (i.f.) treatment with lipopolysaccharide (LPS) on follicular and luteal development in cows. There were 18 non-lactating cows assigned to two groups to address this aim: control group (n = 9), which received an i.f. injection of saline; and LPS group (n = 9), which received an i.f. injection of 1 µg of LPS per mL of follicular fluid. Cows were treated with an intravaginal P4 releasing device (IVD) and estradiol benzoate on D0. On D4 and D5 cows were treated with cloprostenol sodium and on D7 the IVD was removed. At 12 h after IVD removal, cows were administered the i.f. injection of LPS or saline. After administration of these treatments, follicular development was evaluated every 12 h until ovulation. The LPS treatment increased blood flow in pre-ovulatory follicles (P = 0.05). Follicle growth was reduced by LPS injection (P < 0.02) resulting a longer period to the time of ovulation for cows in the LPS than control group (P = 0.03). The percentage of cows having ovulations was less for the LPS than control group (P = 0.03). The diameter of the CL, CL blood flow and P4 concentrations 5 and 12 days after ovulation did not differ between groups (P> 0.05). In conclusion, intra-follicular treatment with LPS resulted in a decreased rate of follicle growth, delayed timing of ovulations and a lesser number of cows having ovulations.

Intrafollicular paraoxonase 1 activity and the steroidogenic potential of the first post-partum dominant follicle in dairy cows.

Cows experiencing high levels of inflammation and specific metabolic conditions tend to have slower follicular growth and lower serum and follicular concentrations of oestradiol (E2). Paraoxonase1 (PON1) activity decreases during inflammatory processes. Therefore, the aim of this study was to evaluate the association between serum and intrafollicular (FF) PON1 activity and the serum and intrafollicular levels of E2 and progesterone (P4), as well as the mRNA expression of genes related to steroidogenesis, metabolism and inflammation in the first post-partum dominant follicle of Holstein cows. No correlation was found between PON1 activity, the expression of the analysed genes and levels of follicular E2 and P4, except for a negative correlation between serum E2 and follicular PO1 activity. Also, no correlation was found between serum and follicular PON1 during the first post-partum follicular wave.

Brachial Plexus Injuries with Ulnar Musculocutaneous Transfer: 78 Cases Study Focused on Possible Postoperative Complications

Objective To analyze 78 cases of brachial plexus injury submitted to the Oberlin technique between 2003 and 2012. The potential complications of this technique were analyzed, especially motor damage or hypoesthesia of the hand. Method Medical records from patients with brachial plexus injuries at the levels of the C5-C6 and C5-C6-C7 vertebrae were retrospectively analyzed. Cases submitted to the Oberlin procedure with or without concomitant brachial plexus procedures between 2003 and 2012 were evaluated. The minimum follow-up period was of 1 year. In addition to the clinical examination, electromyography and magnetic resonance imaging (MRI) of the brachial plexus were used to diagnose and locate the nerve damage. Results A total of 78 surgical patients met the inclusion criteria. Postoperative neurological changes, mostly transient, were observed in 18 patients. Hypoesthesia in the ulnar side of the handwas observed in seven cases; neuropathic pain in five cases; allodynia in four cases, and hand motor loss in two cases. Conclusion Based on the results of the present case series, we conclude that there are few sequelae in the donor nerve territory compared with the benefit of the Oberlin technique on the recovery of elbow flexion after brachial plexus injuries.

Insulin effect during a Heatsynch protocol in dairy cows / Efeito da insulina durante um protocolo Heatsynch em vacas leiteiras

ABSTRACT: The objective of this study was to evaluate the effect of exogenous insulin administration on follicular growth, estrus presentation and conception rate during a protocol of ovulation synchronization. Dairy cows were subjected to the Heatsynch protocol, with the insertion of an intravaginal device containing 1.9 g of progesterone (CIDR) and an intramuscular injection containing 2.5 mg of GnRH on day 0. On day 7, the CIDR was removed and subjects were given 12.5 mg of dinoprost. Also on day 7, Insulin Group (IG, n = 21) animals received a subcutaneous injection containing 0.25 IU / kg of recombinant human insulin and the control group (CG, n = 25) received a 0.9% NaCl injection. On day 8, an injection of 0.5 mg of estradiol cypionate was administered to all cows. Animals were inseminated 12 hours after estrus presentation or at day 10 at fixed time. Follicular development was evaluated on days 7, 9, and 10 using transrectal ultrasonography, estrus presentation was observed between days 8 and 10, and conception rate was evaluated 30 days after AI. There were no differences in growth rate, follicular diameter, estrus presentation, and conception rate. Therefore, application of a single dose of insulin does not promoted an increase in follicular size, estrus presentation and conception rate in dairy cows.

RESUMO: O objetivo deste estudo foi avaliar o efeito da administração exógena de insulina sobre crescimento folicular, apresentação de cio e taxa de concepção durante um protocolo de sincronização da ovulação. As vacas holandês lactantes foram submetidas ao protocolo Heatsynch, com inserção do dispositivo intravaginal contendo 1,9 g de progesterona (CIDR) no dia 0 e uma injeção intramuscular de 2,5 mg de GnRH. No dia 7, o CIDR foi removido e foi aplicado 12,5 mg de dinoprost. Ainda no dia 7, os animais do Grupo Insulina (IG, n = 21) receberam uma injeção subcutânea de 0,25 UI / kg de insulina humana recombinante e o grupo controle (CG, n = 25) recebeu uma injeção de NaCl 0,9%. No dia 8 foi aplicado 0,5 mg de cipionato de estradiol em todas as vacas. Animais foram inseminados 12 horas após a apresentação de cio ou no dia 10 em tempo fixo. O desenvolvimento folicular foi avaliado nos dias 7, 9 e 10 por ultrassonografia transretal, a apresentação de cio foi observada entre os dias 8 e 10 e a taxa de prenhez/IA foi avaliada 30 dias após a IA. Não houve diferença quanto a taxa de crescimento e diâmetro folicular, apresentação de cio e taxa de concepção. A aplicação de uma dose única de insulina não promove o incremento no tamanho folicular, apresentação de cio e taxa de prenhez/IA em vacas de leite.

Rumen-protected methionine in cattle: influences on reproduction, immune response, and productive performance / Metionina protegida da degradação ruminal em bovinos: influências na reprodução, resposta imune e desempenho produtivo

Nowadays, information and knowledge generated about the main ingredients used in cattle diets have enabled greater assertiveness in their formulation. Among the ingredients, amino acids stand out as a promising tool, capable of reducing total crude protein (CP) levels and adjusting optimal metabolizable protein concentrations in diets. Nutritional programs allow diets due to amino acid requirements, providing the opportunity to increase the efficiency of the use of dietary nitrogen, increasing the scarce protein concentrates, maintaining or even boosting performance. This review aimed to present the influences of methionine, in its formulation protected from ruminal degradation, according to reproductive parameters, immune response, and productive performance in cattle. Reproduction-related benefits are linked to the early days of embryonic implantation in the uterine environment, which initially secretes through the histotroph produced by endometrial glands, the nutrients needed to develop the conceptus until implantation, and vascular communication with the mother. Given the immune response, the main results are related to the benefits of innate immunity, with marked increase in phagocytic capacity of neutrophils and monocytes, as well as an important antioxidant effect mediated by methionine products, such as glutathione. When evaluating the influences on productivity, the most evident correlation is the increase in protein in the milk of cows supplemented with methionine. Over the past decade, studies investigating the potential benefits of this strategic supplementation in beef cattle were intensified, expanding the opportunities for the development of new experimental projects.(AU)

Atualmente, as informações e o conhecimento gerado sobre os principais ingredientes utilizados em dietas para bovinos possibilitaram maior assertividade em suas formulações. Dentre esses ingredientes, os aminoácidos se destacam como uma ferramenta promissora, capaz de levar à redução nos níveis totais de proteína bruta e ajustar as concentrações ideais de proteína metabolizável nas dietas. Programas nutricionais permitem formular dietas por exigências de aminoácidos, oportunizando o aumento na eficiência de utilização do nitrogênio dietético, reduzindo dispêndios com concentrados ricos em proteína, com a manutenção, ou ainda, incremento de desempenho. Esta revisão buscou apresentar as influências da metionina, em sua formulação protegida da degradação ruminal, frente a parâmetros reprodutivos, resposta imune e desempenho produtivo em bovinos. Os benefícios relacionados à reprodução se mostram ligados aos primeiros dias de implantação embrionária no ambiente uterino, que inicialmente secreta, através do histotrofo produzido por glândulas endometriais, os nutrientes necessários para o desenvolvimento do concepto até a implantação e comunicação vascular com a mãe. Dada a resposta imune, os principais resultados estão relacionados aos benefícios da imunidade inata, com aumento acentuado da capacidade fagocitária de neutrófilos e monócitos, assim como um importante efeito antioxidante mediado por produtos originários da metionina, como a glutationa. Por fim, quando avaliadas as influências em produtividade, a correlação mais evidente é o incremento em proteína no leite de vacas suplementadas com metionina. Na última década, os estudos que investigam os potenciais benefícios dessa suplementação estratégica em bovinos de corte foram intensificados, abrindo um caminho de oportunidades para o desenvolvimento de novos projetos experimentais.(AU)

Cicatrizador personalizado em implantes imediatos: relato de caso / Customized healing screw in immediate implants: case report

Na região estética da maxila, os pacientes frequentemente precisam de extração, sendo o tratamento da zona edêntula realizado com implantes imediatos quando possível. É aceitável, em alguns casos, a abordagem de implantes em estágio único com a colocação de parafuso cicatrizador, desde que, a transmissão de cargas mastigatórias seja evitada ao implante, e também, haja um controle rígido do biofilme bacteriano durante a osseointegração. O paciente apresentando falhas no tratamento endodôntico foi submetida à instalação imediata de implantes em área estética de maxila com customização de parafuso cicatrizador. A colocação de cicatrizador personalizado logo após a instalação dos implantes deve ser inerte ao tecido perimplantar e objetiva, principalmente, manter a arquitetura gengival até a realização da prótese definitiva, quando não é possível a carga imediata, como ocorreu neste caso. A personalização do parafuso cicatrizador deve ainda obedecer a uma excelente lisura superficial, a fim de evitar a retenção de restos alimentares/ biofilme bacteriano, fatores que prejudicariam a cicatrização periodontal. Autilização do parafuso cicatrizador personalizado constitui-se como boa alternativa para manutenção da arquitetura gengival quando não é possível proceder à carga imediata(AU)

In the aesthetics maxilla area, patients often require extraction and the treatment of the edentulous area with immediate implants is performed when possible. It's acceptable in some cases the installing of implants in a single stage by placing healing screw, since the transmission masticatory loads for the implant are avoided, and exist also a strict control of bacterial biofilm during osseointegration. Patient presenting failures in endodontic treatment was submitted to immediate implant placement in aesthetic area of maxilla with customization healing screw. The placement of custom screw healing after implant placement should be inert to the peri-implant tissue and objective mainly maintaining gingival architecture until the completion of final prosthesis, when immediate loading is not possible, as occurred in this case. The customization of the healing screw must still obey an excellent surface smoothness, in order to prevent the retention of food debris / bacterial biofilms, factors that would harm the periodontal healing. The use of customizing healing screw constitutes a good alternative to the gingival architecture maintenance when it is not possible to immediate loading(AU)

Butafosfan e cianocobalamina: estratégia para melhorar a funcionalidade hepática de vacas leiteiras primíparas / Butaphosphan and cyanocobalamin: strategy to improve the liver function of primiparous dairy cows

O objetivo deste estudo foi avaliar os efeitos do butafosfan isolado ou associado à cianocobalamina sobre marcadores do metabolismo energético, mineral e inflamatório, produção de leite e índice de funcionalidade hepática (IFH) de vacas leiteiras primíparas. Vinte e três vacas da raça Holandês foram aleatoriamente distribuídas em três grupos experimentais: Grupo Combinação (COM, n = 8), que recebeu 100 mL da combinação de butafosfan+cianocobalamina;Grupo Butafosfan (BUT, n = 8), que recebeu 100 mL de solução aquosa de Butafosfan; e Grupo Controle (CTL, n = 7), que recebeu 100 mL de solução fisiológica 0,9%. Todos os animais recebram 5 doses subcutâneas de 20 mL a cada 24 horas, iniciando logo após o parto. Amostras de sangue foram coletadas nos dias 0, 1, 2, 3, 4, 5, 10, 15, 20 e 28 para análises de cálcio, fósforo, ácidos graxos não esterificados (AGNEs) e ß-hidroxibutirato (BHBA). Albumina, bilirrubina, colesterol total, haptoglobina e paraoxonase foram analisadas nos dias 0, 3, 5, 10, 15, 20 e 28. Foi avaliado o escore de condição corporal e a produção leiteira até 60 dias pós-parto. Níveis reduzidos de BHBA (P<0,05) foram encontrados no grupo BUT. Animais com alto IFH apresentaram menores níveis de BHBA (P<0,05) e tendência de redução nos níveis de AGNEs (P<0,10), porém o IFH não foi influenciado pelos tratamentos. Apesar de o butafosfan reduzir os níveis de BHBA, o índice de funcionalidade hepática de vacas primímaras não foi influenciado pelos tratamentos.

The objective of study was to evaluate the effects of butafosfan and cyanocobalamin on markers of energetic, mineral and inflammatory metabolism, milk production and the liver functionality index (LFI) of primiparous dairy cows. Twenty-three Holstein cows were allocated into: Combination group (COM, n = 8), receiving 100 mL of Catosal®; Butafosfan group (BUT, n = 8) that received 100 mL of aqueous Butafosfan; and Control (CTL, n = 7), receiving 100 mL of 0.9% saline. All the animals received 100 mL (5 doses of 20mL every 24h), subcutaneously, beginning soon after calving. Blood samples were collected on days 0, 1, 2, 3, 4, 5, 10, 15, 20 and 28 for analysis of calcium, phosphorus, non-esterified fatty acids (NEFA) and ß-hydroxybutyrate (BHB). The analysis of albumin, bilirubin, cholesterol, haptoglobin and paraoxonase were performed on days 0, 3, 5, 10, 15, 20 and 28. We evaluated body condition score (BCS) and milk production (kg /day) until day 60 after calving. The LFI was determined considering the plasma levels of total cholesterol, albumin and bilirubin on days 3 and 28 after calving. The BUT group showed lower BHB levels (P<0.05) than CTL group. The animals from group with high LFI had lower concentrations of BHB (P<0.05) and a trend of lower concentrations of NEFA (P<0.10), whereas the animals with poor liver function (low) showed tendency to have lower level of albumin (P <0.10). Howerver, the LFI was not affected by treatments (P> 0.05). In conclusion, despite the butafosfan and cyanocobalamin modulate energy metabolism in this study the hepatic functionality index was not affected by treatments.

Evaluation of Mandibular Bone After Dental Extraction in Rats Treated With Antiresorptive Drugs.

PURPOSE: Zoledronic acid (ZOL) and denosumab (Dmab) are commonly used to treat bone pathologies. Because these drugs suppress bone metabolism, this study sought to compare their effect on bone repair after tooth extraction. MATERIALS AND METHODS: Four-week-old male Wistar rats were randomly assigned to 1 of 3 groups: ZOL 0.125 mg/kg, Dmab 0.25 mg/kg, or saline solution 10 mL/kg (control). After 1 week of treatment, the first left molar was extracted; the rats were euthanized at 28 days. The jaws were removed and photographed for macroscopic analysis of wound healing and then subjected to tomographic and histologic analyses. Immunohistochemistry was carried out against the receptor activator of nuclear factor-κB ligand (RANKL) and osteoprotegerin (OPG). RESULTS: No difference in wound healing, presence of inflammatory infiltrate and bone sequestration, or osteocyte expression of RANKL and OPG was found among groups. Tomographic analysis showed that the ZOL group had less alveolar resorption and more complete alveolar repair compared with the other groups. There was a statistically significant difference in the OPG marker in the control (P = .008) and ZOL (P = .05) groups when comparing the extracted and non-extracted sides. CONCLUSION: Systemic use of ZOL can improve alveolar bone healing; however, the potential risk for the development of osteonecrosis should be considered. Higher expression of OPG seems to be associated with the control of osteoclastogenesis during bone repair.