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1.
Beijing Da Xue Xue Bao Yi Xue Ban ; 55(1): 88-93, 2023 Feb 18.
Artigo em Zh | MEDLINE | ID: mdl-36718694

RESUMO

OBJECTIVE: To compare the clinical effects of pulpotomy with two kinds of calcium silicate materials, and to evaluate the formation of dentin bridge and pulp calcification after pulpotomy of adult permanent teeth. METHODS: Patients who visited the General Department of Peking University School and Hospital of Stomatology from November 2017 to September 2019 and planned for pulpotomy on permanent premolars and molars with carious exposed pulp were selected. They were randomly divided into two groups. Bioceramic putty material iRoot BP (iRoot group, n=22) and mineral trioxide aggregate MTA (MTA group, n=21) were used as pulp capping agents, respectively. The patients were recalled after one year and two years. The clinical efficacy, dentin bridge index (DBI) and pulp calcification index (PCI) were recorded. Blinding method was used for the patients and evaluators. RESULTS: There was no significant difference in gender, mean age, dentition and tooth position between the two groups (P>0.05). Seven cases were lost during the first year (4 cases in iRoot group and 3 cases in MTA group). In the iRoot group, 1 case had transient sensitivity at the time of 1-year follow-up. The cure rate of the two groups was 100% at the time of 2-year follow-up. The proportion of dentin bridge formation was 38.9% one year after operation, 55.6% two years after operation. The proportion of partial or even complete disappearance of root canal image was 5.6% before operation, 38.9% and 55.6% one and two years after operation, respectively. The difference was statistically significant by rank sum test (P < 0.05). There was no significant difference in dentin bridge formation and pulp calcification between the two groups (P < 0.05). DBI and PCI after operation was as the same as those before operation (44.4% cases of DBI and 25% cases of PCI) or gradually increased (55.6% cases of DBI and 75% cases of PCI). Spearman's nonparametric correlation analysis showed that age was positively correlated with preoperative pulp calcification index (PCI0, P < 0.05), but not with the dentin bridge index (DBI1, DBI2), pulp calcification index (PCI1, PCI2) and the degree of change (DBI2 vs. DBI1, PCI1 vs. PCI0, PCI2 vs. PCI0) 1-year and 2-year after operation (P>0.05). CONCLUSION: According to this study, good clinical effects were obtained within 2-year after pulpotomy of adult permanent teeth with MTA and iRoot. In some cases, the root canal system had a tendency of calcification aggravation, and there was no statistical difference in the development of this trend between the two groups.


Assuntos
Compostos de Cálcio , Pulpotomia , Humanos , Adulto , Pulpotomia/métodos , Raios X , Compostos de Cálcio/uso terapêutico , Dentição Permanente , Dente Molar/cirurgia , Resultado do Tratamento , Silicatos/uso terapêutico , Compostos de Alumínio/uso terapêutico , Óxidos , Combinação de Medicamentos , Capeamento da Polpa Dentária
2.
Beijing Da Xue Xue Bao Yi Xue Ban ; 54(1): 113-118, 2022 Feb 18.
Artigo em Zh | MEDLINE | ID: mdl-35165477

RESUMO

OBJECTIVE: To evaluate the clinical characteristics and effectiveness of pulpotomy in mature permanent teeth with bioceramic putty repairmen iRoot and mineral trioxide aggregate (MTA). METHODS: Pulpotomy was performed on mature permanent premolars and molars with carious exposures at the Department of General Dentistry of Peking University School and Hospital of Stomatology, from November 2017 to September 2019. The patients were randomly divided into 2 groups, Group iRoot (n=22) and Group MTA (n=21). In Group iRoot, bioceramic putty repairmen iRoot was used as pulp capping agent, while in Group MTA, mineral trioxide aggregate was used as pulp capping agent. All the patients had signed informed consent forms. The clinical efficacy was evaluated by clinical examinations (temperature and electrical activity test) and imaging examinations 3, 6, and 12 months after surgery. Blinding was used for the patients and evaluators, but due to the obvious differences in the properties of the two pulp capping agents, the blinding method was not used for the treatment provider (the attending physician). RESULTS: There was no significant difference in gender, average age, dentition and tooth position distribution between the two groups (P>0.05). In the study, 7 cases were lost to follow-up 12 months after operation (4 cases in Group iRoot, and 3 cases in Group MTA). One case in each of the two groups had transient sensitivity at the end of the 3-month follow-up, and the pulp vitality was normal at the end of the 6-month follow-up. One case in Group iRoot showed sensitivity at the end of the 12-month follow-up. The success rates of the two groups at the end of 12-month follow-up were 100%, and the cure rates were 94.4% (Group iRoot) and 100% (Group MTA), respectively, and the difference was not statistically significant (P>0.05). No cases in Group iRoot had obvious crown discoloration, while 3 cases in Group MTA had. CONCLUSION: The clinical characteristics and effectiveness of pulpotomy in mature permanent teeth with bioceramic putty repairmen iRoot were similar with MTA. Bioceramic putty repairmen iRoot is an acceptable material when used in pulpotomy of mature permanent teeth. Because it is not easy to cause tooth discoloration after treatment and is convenient to operate, bioceramic putty repairmen iRoot has a better clinical application prospect.


Assuntos
Pulpotomia , Silicatos , Compostos de Alumínio/uso terapêutico , Compostos de Cálcio/uso terapêutico , Combinação de Medicamentos , Humanos , Óxidos/uso terapêutico , Silicatos/uso terapêutico , Resultado do Tratamento
3.
Zhonghua Yi Xue Za Zhi ; 102(26): 2030-2032, 2022 Jul 12.
Artigo em Zh | MEDLINE | ID: mdl-35817729

RESUMO

To investigate the effect and clinical value of morcellation within disposable extraction bag with traction wire through posterior vaginal fornix in laparoscopic myomectomy. A total of 42 patients who underwent laparoscopic myomectomy and morcellation through posterior vaginal fornix in the Second Affiliated Hospital of Soochow University from June 2019 to June 2021 were retrospectively analyzed. After the uterine fibroids were removed, the fibroids were placed into the extraction bag, tightening the mouth of the bag with a traction wire to make it airtight. After the uterine incisions were sutured, the extraction bag was taken out through the posterior fornix of the vagina, and the fibroids were broken up with a scalpel in the bag and taken out. The fibroids were successfully removed from the 42 patients through the posterior fornix of the vagina. There were no fibroids fragments found in the peritoneal cavity and vagina. There were no malignant cells or spindle cells found in the peritoneal lavage cytology before and after the operation. After filling the extraction bags with water, there was no leakage. There were 39 cases of uterine leiomyoma, 2 cases of cell-rich uterine leiomyoma, and 1 case of smooth muscle tumor of uncertain malignant potential in postoperative pathological diagnosis. Forty-two cases were followed up for 6 to 30 months. The posterior vaginal fornix incision healed well and there was no recurrence or metastasis. Morcellation within disposable extraction bag with traction wire through posterior vaginal fornix in laparoscopic myomectomy is a safe and feasible method for fibroids removal, which may help to reduce the dissemination of iatrogenic tumors.


Assuntos
Laparoscopia , Leiomioma , Morcelação , Miomectomia Uterina , Neoplasias Uterinas , Feminino , Humanos , Laparoscopia/métodos , Leiomioma/cirurgia , Morcelação/métodos , Estudos Retrospectivos , Tração , Miomectomia Uterina/métodos , Neoplasias Uterinas/patologia
4.
Zhonghua Yi Xue Za Zhi ; 100(42): 3291-3295, 2020 Nov 17.
Artigo em Zh | MEDLINE | ID: mdl-33202489

RESUMO

Objective: To evaluate the consistency of different measurement methods of saliva 1,5-anhydroglucitol (1,5-AG) in different glucose metabolism populations. Methods: From January 2018 to June 2019, 175 healthy volunteers (21-65 years, 58 males and 117 females) with normal glucose tolerance (NGT) and 80 diabetic patients (18-70 years, 44 males and 36 females) were enrolled in Shanghai Jiao Tong University Affiliated Sixth People's Hospital. Saliva was collected by saliva collection tube, and 1,5-AG was measured using both enzymatic and mass spectrometry methods. Serum 1,5-AG was determined by enzymatic method. Results: In NGT subjects, both serum and saliva 1,5-AG levels detected by enzymatic method were positively correlated with the saliva 1,5-AG levels detected by liquid chromatography-mass spectrometry (r=0.247 and 0.523, respectively, both P<0.05). However, there was no significant correlation between saliva and serum 1,5-AG levels detected by enzymatic method (r=-0.074, P=0.333). In diabetic patients, both serum and saliva 1,5-AG levels detected by enzymatic method were positively correlated with the saliva 1,5-AG levels detected by gas chromatography-mass spectrometry (r=0.284 and 0.423, respectively, both P<0.05). However, there was no significant correlation between saliva and serum 1,5-AG levels detected by enzymatic method (r=-0.079, P=0.487). Conclusions: Both serum and saliva 1,5-AG levels detected by enzymatic method have a good consistency with saliva 1,5-AG levels detected by mass spectrometry method. The saliva and serum 1,5-AG levels detected by enzymatic method are not well correlated, and thus the enzymatic detection of saliva 1,5-AG needs further improvement in clinical practice.


Assuntos
Diabetes Mellitus , Saliva , China , Desoxiglucose , Feminino , Humanos , Masculino
5.
Med Oral Patol Oral Cir Bucal ; 23(1): e30-e37, 2018 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29274159

RESUMO

BACKGROUND: The subcrestal placement of implant platform has been considered a key factor in the preservation of crestal bone, but the influence of implant placement depth on bone remodeling combined with peri-implantitis is not fully understood. The aim of this study was to assess the effect of the crestal or subcrestal placement of implants on peri-implant bone defects of ligature-induced peri-implantitis in dogs. MATERIAL AND METHODS: Eight weeks after tooth extraction in six beagle dogs, two different types of implants (A: OsseoSpeed(TM), Astra, Molndal, Sweden; B: Integra-CP(TM), Bicon, Boston, USA) were placed at either crestal or subcrestal (-1.5 mm) positions on one side of the mandible. Ligature-induced peri-implantitis was initiated four weeks after the installation of the healing abutment connections. After 12 weeks, tissue biopsies were processed for histological analyses. RESULTS: Supra-alveolar bone loss combined with a shallow infrabony defect was observed in crestal level implants while deep and wide infrabony defects were present in subcrestal level groups. Subcrestal groups showed significantly greater ridge loss, depths and widths of infrabony defects when compared to crestal groups (P <0.001). CONCLUSIONS: Within the limitations of the animal study, it can be stated that the implants at subcrestal position displayed greater infra-osseous defect than implants at crestal position under an experimental ligature-induced peri-implantitis.


Assuntos
Implantação Dentária Endóssea/métodos , Peri-Implantite/etiologia , Perda do Osso Alveolar/etiologia , Processo Alveolar/cirurgia , Animais , Cães , Ligadura , Masculino
6.
J Periodontal Res ; 52(4): 755-760, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28256004

RESUMO

BACKGROUND AND OBJECTIVE: Vitamin D-binding protein (DBP) is a highly expressed plasma protein with many important functions, including transport of vitamin D metabolites, sequestration of actin, control of bone metabolism and modulation of immune and inflammatory responses. Previous results of our study indicated an association between DBP and periodontitis. We hypothesized that periodontium might be another source of DBP in gingival crevicular fluid other than serum. MATERIAL AND METHODS: DBP expression was examined in dental and periodontal tissues of monkeys by immunohistochemistry, and in primary cells isolated from human dental and periodontal tissues by reverse transcription plus the polymerase chain reaction and immunocytochemistry. RESULTS: DBP was constitutively expressed and widely distributed in dental and periodontal tissues of primates. Their immunoreaction was evident in gingival epithelium, particularly in junctional epithelium, and in mineralizing areas of the dental pulp, periodontal ligament and bone marrow. Correspondingly, mRNA and protein expression were detected in primary human gingival epithelial cells, dental pulp cells and periodontal ligament cells. CONCLUSION: DBP is highly expressed and widely distributed in dental and periodontal tissues, which may take an active part in local host defense and hard tissue metabolism.


Assuntos
Periodonto/metabolismo , Proteína de Ligação a Vitamina D/metabolismo , Animais , Células Cultivadas , Humanos , Imuno-Histoquímica , Técnicas In Vitro , Macaca fascicularis , Masculino , Ligamento Periodontal/citologia , Reação em Cadeia da Polimerase
7.
Genet Mol Res ; 15(2)2016 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-27173212

RESUMO

We sought to determine the efficacy of atomized paclitaxel liposome inhalation treatment of pulmonary fibrosis in a bleomycin-induced rat model. Forty male Sprague-Dawley rats were randomly divided into four groups: healthy control, pulmonary fibrosis without treatment, paclitaxel liposome inhalation-treated, and intravenous paclitaxel liposome-treated. Fibrosis was induced by bleomycin injection. A total of 20 mg/kg paclitaxel liposome was administered by inhalation every other day for a total of 10 doses. The intravenous group received 5 mg/kg paclitaxel liposome on days 1, 7, 14, and 21. We observed the general condition, weight change, survival index, and pathological changes in the lung tissue of the rats. Quantitative analysis of collagen types I and III and transforming growth factor (TGF)-ß1 expression in the lungs was also performed. The paclitaxel liposome inhalation and intravenous delivery methods improved survival index and pulmonary fibrosis Ashcroft score, and decreased the thickness of the alveolar interval. No obvious difference was found between the two groups. Compared with the untreated group, paclitaxel liposome inhalation and intravenous injection significantly reduced the levels of collagen types I and III and TGF-ß1 expression equally. In conclusion, atomized paclitaxel liposome inhalation protects against severe pulmonary fibrosis in a bleomycin-induced rat model. This delivery method has less systemic side effects and increased safety over intravenous injection.


Assuntos
Lipossomos , Paclitaxel/uso terapêutico , Fibrose Pulmonar/tratamento farmacológico , Administração por Inalação , Animais , Bleomicina/toxicidade , Colágeno Tipo I/genética , Colágeno Tipo I/metabolismo , Colágeno Tipo III/genética , Colágeno Tipo III/metabolismo , Injeções Intravenosas , Masculino , Paclitaxel/administração & dosagem , Fibrose Pulmonar/etiologia , Ratos , Ratos Sprague-Dawley , Fator de Crescimento Transformador beta1/genética , Fator de Crescimento Transformador beta1/metabolismo
8.
Zhonghua Yi Xue Za Zhi ; 96(1): 36-42, 2016 Jan 05.
Artigo em Zh | MEDLINE | ID: mdl-26792606

RESUMO

OBJECTIVE: To determine whether intramural administration of rapamycin (RPM)-loaded polylactic-polyglycolic acid (PLGA) nanoparticles (NPs) can reduce intimal thickening and affect the mRNA expressions of matrix metalloproteinase (MMP)-2, tissue inhibitor of metalloproteinase (TIMP)-2 and p27(kipl) in a coronary injury-stenosis model of minipigs. METHODS: Twenty eight minipigs were randomly separated into four groups: saline group (n=7), blank PLGA NPs group (5.0 mg/ml)(n=7), RPM group (1.0 mg/ml)(n=7), and RPM-PLGA NPs(5.0 mg/ml)group (n=7), respectively. Different treatments were intracoronary locally delivered via a Dispatch™ catheter for 10 minutes. Serial angiography was performed pre-and post-modeling 30 days and the percent stenosis degree was assessed. Hematoxylin-Eosin (HE) staining, Weigert's resorcin fuchsin staining and picric acid-sirius red staining were used for morphometric analysis. Immunohistochemistry was performed to assess the levels of proliferating cell nuclear antigen (PCNA), MMP-2, and TIMP-2 at early and late time points, respectively. The expression of p27(kip1) mRNA was detected by in situ hybridization staining. RESULTS: Data from 21 minipigs had been collected at the end of the experiment with 6, 4, 5, and 6 from the former mentioned 4 groups, respectively. For the instant injury index, there was no significant difference among the four groups. The percent stenosis degree of RPM-PLGA NPs group was significantly lower than that of the other three groups respectively (all P< 0.05). The neointima area, net external elastic lamina area to external elastic laminal area ratio, and proliferative index of RPM-PLGA NPs group were significantly less than those of the other three groups, with all the P values less than 0.05. The mean value of integral optical density of p27(kip1)mRNA expression of RPM-PLGA group was 0.35 ± 0.06, higher than that of blank PLGA NPs group (0.12 ± 0.05, P< 0.01), saline group (0.16 ± 0.03, P< 0.05), and RPM group (0.15 ± 0.03, P< 0.05), respectively. The MMP-2/TIMP-2 ratio and the positive expression index of PCNA in RPM-PLGA group were lower than that of the other groups (P< 0.05). CONCLUSIONS: Locally delivered rapamycin-loaded PLGA NPs significantly reduces MMP-2/TIMP-2 ratio and PCNA expression, increases p27(kip1) mRNA expression and significantly relieves percent stenosis degree and shows excellent acute procedural results in the minipig interventional coronary artery oversized balloon injury model. The results from minipig model further support that this approach could be a potential clinical procedure for vascular proliferative disease.


Assuntos
Nanopartículas , Animais , Constrição Patológica , Modelos Animais de Doenças , Ácido Láctico , Ácido Poliglicólico , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Sirolimo , Suínos , Porco Miniatura
9.
Eur J Clin Microbiol Infect Dis ; 33(2): 211-9, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23955115

RESUMO

The prevention and treatment of periodontitis requires not only the control of causative pathogens, especially Porphyromonas gingivalis, but also the regulation of inflammatory immune response. Investigating auxiliary drugs for periodontitis during conventional treatments is, thus, quite important. Capsaicin, an agonist for the vanilloid receptor subtype 1 (TRPV1), due to its bacteriostatic activity against Gram-negative bacteria and anti-inflammatory effects, appears to be a promising drug. In this work, the antimicrobial activity of capsaicin against P. gingivalis and biofilm formation, inflammatory cytokine levels in experimental periodontitis, osteoclast precursor proliferation, and osteoclastogenesis in vitro were fully investigated. The results showed that capsaicin inhibited P. gingivalis growth with a minimum inhibitory concentration (MIC) and a minimum bactericidal concentration (MBC) of 16 and 64 mg/l, respectively. Capsaicin also inhibited P. gingivalis biofilm formation, with minimum biofilm inhibition concentrations MBIC50 and MBIC90 of 16 and 32 mg/l, respectively, and reduced pre-formed biofilms' viability with a minimum biofilm reduction concentration MBRC50 of 64 mg/l, as demonstrated by confocal laser scanning microscopy. In experimental periodontitis, except for IL-10, TNF-α, IL-1ß, IL-6, IL-12, and iNOS were depressed after capsaicin treatment. Moreover, capsaicin also suppressed osteoclast precursor proliferation and osteoclastogenesis, as demonstrated by NF-ĸB p65. However, this favorable effect was attenuated by the TRPV1 antagonist, camphor. It, thus, suggests that capsaicin is a potential drug for the auxiliary treatment of periodontitis. TRPV1 activation may involve in beneficial roles of capsaicin on periodontitis.


Assuntos
Antibacterianos/uso terapêutico , Biofilmes/efeitos dos fármacos , Capsaicina/uso terapêutico , Imunidade nas Mucosas , Fatores Imunológicos/uso terapêutico , Periodontite/tratamento farmacológico , Porphyromonas gingivalis/efeitos dos fármacos , Animais , Antibacterianos/farmacologia , Biofilmes/crescimento & desenvolvimento , Reabsorção Óssea/prevenção & controle , Capsaicina/farmacologia , Citocinas/metabolismo , Modelos Animais de Doenças , Gengiva/efeitos dos fármacos , Fatores Imunológicos/farmacologia , Masculino , Testes de Sensibilidade Microbiana , Viabilidade Microbiana/efeitos dos fármacos , Porphyromonas gingivalis/crescimento & desenvolvimento , Porphyromonas gingivalis/fisiologia , Ratos Sprague-Dawley
10.
Int Endod J ; 46(10): 962-70, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23488707

RESUMO

AIM: To investigate the new tissues growing into the pulp space of immature dog teeth that were infected, disinfected and filled with blood clot (BC), dental pulp cells (DPCs), platelet-rich plasma (PRP) or a combination of DPCs and PRP in immature dog teeth with apical periodontitis. METHODOLOGY: Fifty-six immature roots from mandibular premolars of four beagles were divided into four experimental groups (n = 40) and two control groups. After the induction of apical periodontitis, the root canals of experimental groups were disinfected with NaOCl irrigation and a tri-antibiotic paste medication. The canals were then filled with different materials according to the experimental group: BC group, DPCs group, PRP group or DPCs + PRP group. Access cavities were sealed with MTA and composite. Radiographs were taken after 90 days, and the jaws including the teeth were processed for histologic analysis. The data were statistically analysed using chi-square evaluation and Student's t-test. RESULTS: Radiographic analyses demonstrated no significant difference between experimental groups in periradicular bone healing (P > 0.05), whilst those groups that used DPCs produced a significantly greater root thickening (P < 0.01). The histologic evaluation showed that the groups with PRP formed more tissues in the canals (P = 0.01). The groups with DPCs had substantially more mineralized tissue formation in the canal than those without DPCs, especially in the apical third. In DPCs + PRP group, bone-like tissue grew into the canal space from the periapical tissue. CONCLUSIONS: A combination of DPCs + PRP increased vital tissue regeneration within the root canals of immature teeth associated with apical periodontitis.


Assuntos
Polpa Dentária/patologia , Periodontite Periapical/patologia , Plasma Rico em Plaquetas , Regeneração , Animais , Células Cultivadas , Cães , Masculino , Materiais Restauradores do Canal Radicular
11.
J Dent Res ; 102(6): 689-698, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36942967

RESUMO

Periodontitis is a prevalent inflammatory oral disease associated with an increased risk of colorectal cancer. Experimental animal models are critical tools to investigate the effects and mechanisms of periodontitis on colorectal cancer. Several murine periodontitis models have been used in research, including oral gavage, periodontal pathogen injection, and ligature models. The role of experimental periodontitis caused by silk ligation in colorectal cancer remains unclear. In this study, we used an experimental periodontitis model on a colitis-associated colorectal cancer model and a spontaneous model, respectively. We observed the promotion of colorectal cancer in ligature-induced periodontitis mice compared to those control mice in 2 different models, as assessed by tumor number, tumor size, and tumor load. Since bacterial dysbiosis is an important feature of periodontitis, we next analyzed the oral and gut microbiomes using 16S ribosomal RNA gene sequencing. We found that the experimental periodontitis model reshaped the microbial community in the oral cavity and gut. In addition, we found a higher extent of programmed death 1 (PD-1)-positive CD8+ T-cell infiltration in tumor samples of the periodontitis group than in controls by immunofluorescence staining. Regarding the potential molecular mechanism, we transplanted the fecal microbiota of the periodontitis patient into mice and observed a tumor-promoting effect in the periodontitis group, assessed by tumor volume and tumor weight, together with a low level of INF-γ+ CD8+ T-cell infiltration in subcutaneous tumor mice. Taken together, we show that ligature-induced periodontitis model promotes colorectal cancer by microbiota remodeling and suppression of the immune response.


Assuntos
Neoplasias Colorretais , Microbioma Gastrointestinal , Periodontite , Camundongos , Animais , Periodontite/microbiologia , Bactérias/genética , Neoplasias Colorretais/complicações , Modelos Animais de Doenças , Camundongos Endogâmicos C57BL , RNA Ribossômico 16S/genética
12.
Int J Oral Maxillofac Surg ; 51(12): 1545-1548, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35393256

RESUMO

Autosomal recessive hyper-IgE syndrome caused by DOCK8 gene mutation is an immunodeficiency. However, the presentation of a tumour-like lesion of the lip in autosomal recessive hyper-IgE syndrome has not yet been reported. This article reports the case of a 20-year-old man with autosomal recessive hyper-IgE syndrome who presented with a tumour-like lesion of the lip, and hyperplasia and erosion of the gingiva. The clinical manifestations included coarse face and neck skin, a diffuse tumour-like lesion on the upper lip showing a reddish erosive nodular surface with yellowish-white exudation, erosive buccal mucosa, and severe periodontitis. The swollen gingival and palatal mucosa indicated nodular hyperplasia and redness with pseudomembrane. The patient had a significantly increased peripheral blood eosinophil count and serum IgE level and an abnormal T lymphocyte count. His oral lesions improved markedly after prednisolone acetate use and local symptomatic treatment for 2 years. However, the patient unfortunately died of a cerebral infection 6 months after the oral lesions had resolved. The novel features of the labial tumour-like lesion described here extend our understanding of the manifestations of autosomal recessive hyper-IgE syndrome.


Assuntos
Síndrome de Job , Neoplasias , Humanos , Masculino , Adulto Jovem , Adulto , Síndrome de Job/genética , Síndrome de Job/terapia , Hiperplasia , Lábio , Fatores de Troca do Nucleotídeo Guanina/genética , Mutação
13.
Int J Oral Maxillofac Surg ; 51(1): 44-53, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33865661

RESUMO

Spatial deviations of the temporomandibular joint (TMJ) after oncological mandibular reconstruction are important to the aesthetic and functional rehabilitation. The aim of this study was to clarify whether and how three dimensionally (3D) printed patient-specific surgical plates, and the preservation of the condyle or ramus, affect spatial deviations of the TMJ. A total of 33 patients who underwent mandibular reconstruction via computer-assisted surgery were included. Regarding absolute deviations, patients in the 3D-printed plate group showed smaller TMJ deviations compared to those in the conventional plate group. There was no difference in absolute deviations of the TMJ regardless of whether the condyle or ramus was preserved. Regarding physiological deviations, the impact on the contralateral TMJ was smaller in the 3D-printed plate group. Patients with both the condyle and ramus removed had significantly higher deviations of the condyle and joint space. In summary, 3D-printed patient-specific surgical plates improved the spatial accuracy of the TMJ. Under physiological conditions, TMJ deviations on the operated side were mainly affected by the preservation of the condyle. Removal of both the condyle and ramus caused more severe spatial interference to the TMJ; this should be further confirmed.


Assuntos
Reconstrução Mandibular , Cirurgia Assistida por Computador , Placas Ósseas , Estética Dentária , Humanos , Côndilo Mandibular , Articulação Temporomandibular
14.
Int J Oral Maxillofac Surg ; 49(8): 1016-1019, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31892445

RESUMO

Segmental mandibular defects require reconstruction. The fibula flap serves as a versatile flap in restoring mandibular contour and bony height. With the advances in computer-aided design and additive manufacturing technology, an innovative "one-piece" patient-specific reconstruction plate to facilitate double-barrel fibula flap shaping and bone securing was developed; the plate is described in this study. The "one-piece" plate is fabricated with individualized specifications and is mainly composed of three components: the long-bar reconstruction plate, a short-bar plate, and connecting bars. Our initial experiences showed that mandibular reconstructive surgery was greatly facilitated by the "one-piece" reconstruction plate for double-barrel fibula flap reconstruction and achieved satisfactory outcomes. A well-designed clinical trial is required to confirm the superiority of the "one-piece" reconstruction plate in the future. ClinicalTrials.gov registration: NCT03057223.


Assuntos
Retalhos de Tecido Biológico , Reconstrução Mandibular , Procedimentos de Cirurgia Plástica , Cirurgia Assistida por Computador , Transplante Ósseo , Desenho Assistido por Computador , Fíbula , Humanos , Mandíbula/cirurgia
15.
Int J Oral Maxillofac Surg ; 49(1): 13-21, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31230767

RESUMO

Three-dimensionally (3D) printed patient-specific surgical plates have been proposed to facilitate mandibular reconstruction and are attracting extensive attention. We have recently reported the high accuracy of 3D-printed patient-specific surgical plates used in head and neck reconstruction. Based on this previous work, the current study proposes a novel 'surgeon-dominated' approach to the design of 3D-printed patient-specific surgical plates. The aim of this proof-of-concept study was to explore the workflow and technical procedures of the surgeon-dominated approach. The workflow includes virtual surgery, the design and printing of patient-specific surgical devices, and real surgery. The prototype of the patient-specific surgical plate was designed by surgeons and further optimized for 3D printing by engineers. Different types of mandibular defect were tested to confirm the wide applicability of this approach. Cases in which this approach was used were reviewed and the duration of time spent on each case studied. Based on a total of 16 patients, the time spent on virtual surgery and plate design was 18.83±13.19hours, and the time taken for 3D printing, post-processing, and product delivery was 162.9±55.15hours. Therefore, this novel surgeon-dominated approach is feasible and time-saving, which would likely promote the wide application of patient-specific surgical plates and lead to a new era of 'digitization and precision' in mandibular reconstruction. ClinicalTrials.gov registration: NCT03057223.


Assuntos
Reconstrução Mandibular , Procedimentos de Cirurgia Plástica , Cirurgiões , Cirurgia Assistida por Computador , Placas Ósseas , Desenho Assistido por Computador , Humanos , Mandíbula , Impressão Tridimensional
16.
Artigo em Inglês | MEDLINE | ID: mdl-18519206

RESUMO

Ba(0.6)Sr(0.4)Cr(x)Ti(1-x)O(3) (BSCT) films were prepared by pulsed laser deposition with the value of x varying from 0 mol% to 2.0 mol%. X-ray diffraction analysis detected an increase in the lattice parameters, which could be due to the characteristics of the growth process. Dielectric properties and tunability of the BSCT films were measured. The dissipation factors of the films decreased with increasing Cr-concentration. The highest figure of merit (FOM) value of 33.3 was obtained in 1.0 mol%-doped BSCT film. As a result, the effect of Cr doping is positive.


Assuntos
Cerâmica/química , Cristalização/métodos , Membranas Artificiais , Impedância Elétrica , Lasers , Teste de Materiais
17.
Environ Technol ; 28(7): 761-70, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17674649

RESUMO

Modified bench scale jar tests were conducted to evaluate a treatment strategy for combined sewer overflow (CSO) generated during wet-weather conditions in Windsor, Ontario, Canada. Alum and an anionic polymer (Polymer A-3330) were used as a primary coagulant and coagulant aid, respectively. Commercially available silica sand was employed as the micro carrier. Under the operating conditions optimized in the study, alum dose of 9.7 - 17.8 mg l(-1) as Al3+ and polymer dosage of 1.0 - 1.8 mg l(-1) were observed to be the most effective in solids removal. Addition of the micro carrier (MC) up to 3 g l(-1) significantly increased the settleability of suspended solids, and about a five-fold increase in settleability was observed with 3 g l(-1) MC. In the size range of < 300 microm and at 3 g l(-1) concentration, the effect of MC size on the performance of the process was observed to be insignificant. Using the developed process, suspended solids and BOD removal efficiencies of > 98% and > 60%, respectively, were obtained with wet-weather flow after 8 minutes of settling, under both low and high suspended solids conditions.


Assuntos
Floculação , Esgotos , Purificação da Água/métodos , Resinas Acrílicas , Compostos de Alúmen , Ontário , Dióxido de Silício
18.
Braz J Med Biol Res ; 50(10): e6586, 2017 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-28832767

RESUMO

Human enterovirus 71 (EV71) is the major causative agent of hand, foot, and mouth disease (HFMD), particularly in infants and children below 4 years of age. Shikonin is a bioactive compound with anti-inflammatory, antiviral, and antibacterial activities derived from the roots of the Chinese medicinal herb Lithospermum erythrorhizon. This study aimed to examine the antiviral activity of PMM-034, a shikonin ester derivative, against EV71 in rhabdomyosarcoma (RD) cells. Cytotoxicity of PMM-034 on RD cells was determined using WST-1 assay. Dose- and time-dependent effects of PMM-034 on EV71 replication in RD cells were determined using plaque reduction assay. mRNA expression levels of EV71/VP1 and pro-inflammatory cytokines (IL-1ß, IL-6, IL-8, and TNF-α) were determined by real-time RT-PCR, and EV71/VP1 and phospho-p65 protein expressions were determined by western blot analysis. PMM-034 exhibited only weak cytotoxicity against RD cells. However, PMM-034 exhibited significant antiviral activity against EV71 in RD cells with 50% inhibitory concentration of 2.31 µg/mL. The VP1 mRNA and protein levels were significantly reduced in cells treated with PMM-034. Furthermore, relative mRNA expression levels of IL-1ß, IL-6, IL-8, and TNF-α significantly decreased in the cells treated with PMM-034, while the phospho-p65 protein expression was also significantly lower in the treated cells. These results indicated that PMM-034 suppressed the expressions of pro-inflammatory cytokines in RD cells, exhibiting antiviral activity against EV71, as evidenced by the reduced VP1 mRNA and protein levels in PMM-034-treated cells. Thus, PMM-034 is a promising candidate for further development as an EV71 inhibitor.


Assuntos
Antivirais/farmacologia , Enterovirus Humano A/efeitos dos fármacos , Naftoquinonas/farmacologia , Rabdomiossarcoma/virologia , Western Blotting , Linhagem Celular Tumoral , Citocinas/análise , Relação Dose-Resposta a Droga , Humanos , Reação em Cadeia da Polimerase em Tempo Real , Testes de Toxicidade , Ensaio de Placa Viral , Replicação Viral/efeitos dos fármacos
19.
J Environ Sci (China) ; 17(5): 705-10, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16312988

RESUMO

Impacts of newly added organic carbon(C) and inorganic nitrogen (N) on the microbial utilization of soil organic matter are important in determining the future C balance of terrestrial ecosystems. We examined microbial responses to cellulose and ammonium nitrate additions in three soils with very different C and N availability. These soils included an organic soil (14.2% total organic C, with extremely high extractable N and low labile C), a forest soil (4.7% total organic C, with high labile C and extremely low extractable N), and a grassland soil (1.6% total organic C, with low extractable N and labile C). While cellulose addition alone significantly enhanced microbial respiration and biomass C and N in the organic and grassland soils, it accelerated only the microbial respiration in the highly-N limited forest soil. These results indicated that when N was not limited, C addition enhanced soil respiration by stimulating both microbial growth and their metabolic activity. New C inputs lead to elevated C release in all three soils, and the magnitude of the enhancement was higher in the organic and grassland soils than the forest soil. The addition of cellulose plus N to the forest and grassland soils initially increased the microbial biomass and respiration rates, but decreased the rates as time progressed. Compared to cellulose addition alone, cellulose plus N additions increased the total C-released in the grassland soil, but not in the forest soil. The enhancement of total C-released induced by C and N addition was less than 50% of the added-C in the forest soil after 96 d of incubation, in contrast to 87.5% and 89.0% in the organic and grassland soils. These results indicate that indigenous soil C and N availability substantially impacts the allocation of organic C for microbial biomass growth and/or respiration, potentially regulating the turnover rates of the new organic C inputs.


Assuntos
Carbono/análise , Ecossistema , Nitrogênio/análise , Microbiologia do Solo , Solo/análise , Análise de Variância , Biomassa , Celulose/metabolismo , Nitratos/metabolismo , North Carolina
20.
J Biomech ; 24(11): 1007-18, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1761579

RESUMO

Rheological flow properties of link-stable and link-free proteoglycan (PG) aggregates in concentrated solutions were measured using a cone-on-plate viscometer. A second-order constitutive model, based upon the statistical-network theories of Lodge, [Rheol. Acta 7, 379-392 (1968)] and De Kee and Carreau [J. Non-Newtonian Fluid Mech. 6, 127-143 (1979)], was developed to describe the measured steady and transient flow responses exhibited by the PG solutions. Our measurements confirmed previous experimental findings that the complex shear modulus of PG solutions depends on the frequency of the imposed small-amplitude oscillatory shear, and the apparent viscosity and primary normal-stress difference depend nonlinearly on the shear rate under steady-shear flow conditions [Mow et al., J. Biomechanics 17, 325-338 (1984b); Hardingham et al., J. orthop. Res. 5, 36-46 (1987)]. In the present study, we found that PG solutions exhibit pronounced stress overshoot responses and large hysteresis loop effects. These transient responses were shown to be sensitive to acceleration strain (i.e. the second rate of strain) as well as PG structure (i.e. link-protein stabilization). The model parameters were determined by curvefitting of the second-order constitutive model and experimental data from steady, oscillatory and transient shear flow measurements. Using this network model, we calculated the density of the idealized interaction sites existing in the PG network, and the average strength of these interaction sites. The results indicate that link-protein stabilization of PG aggregates does not change the density of interaction sites formed in the PG network, rather, it increases the average strength of these interaction sites.


Assuntos
Modelos Químicos , Proteoglicanas/química , Aceleração , Animais , Cartilagem/química , Bovinos , Fenômenos Químicos , Físico-Química , Elasticidade , Substâncias Macromoleculares , Polímeros/química , Proteoglicanas/isolamento & purificação , Reologia , Soluções , Estresse Mecânico , Suínos , Viscosidade
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