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1.
Artículo en Inglés | MEDLINE | ID: mdl-37987964

RESUMEN

The International Consortium Network/Orofacial Pain Special Interest Group focuses on temporomandibular disease diagnosis procedure guidelines as a reference iQAn this scope. Concerning this reference, the aim of this study was to comprehensively analyze injury and sequela frames within European and American approaches to personal damage. A quasiexperimental pilot study of Portuguese orofacial trauma cases in a medico-legal evaluation database was performed with an interrupted time series design. The clinical data were recorded following five criteria of TMJ diagnosis (jaw opening, pain, anatomical deficit, functional deficit, clinical sounds, and occlusal deficit) under three degrees of severity. The injury frame evaluation was recorded in the first-degree stage in all criteria. Pain, as a sequela, was the criterion present in 45% of the sample as spontaneous (20%) or stimulated (25%). Temporomandibular trauma damage evaluation emphasizes the accurate injury diagnosis and sequela framework. Orofacial trauma analysis should focus on the inclusion or exclusion of a TMD diagnosis. This study suggests revising the reference tables on personal damage, considering the inclusion of TMD and its categorization and impact.

2.
Environ Sci Technol ; 56(5): 2990-3001, 2022 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-35133134

RESUMEN

Identifying engineered nanomaterials (ENMs) made from earth-abundant elements in soils is difficult because soil also contains natural nanomaterials (NNMs) containing similar elements. Here, machine learning models using elemental fingerprints and mass distributions of three TiO2 ENMs and Ti-based NNMs recovered from three natural soils measured by single-particle inductively coupled plasma time-of-flight mass spectrometry (spICP-TOFMS) was used to identify TiO2 ENMs in soil. Synthesized TiO2 ENMs were unassociated with other elements (>98%), while 40% of Ti-based ENM particles recovered from wastewater sludge had distinguishable elemental associations. All Ti-based NNMs extracted from soil had a similar chemical fingerprint despite the soils being from different regions, and >60% of Ti-containing NNMs had no measurable associated elements. A machine learning model best distinguished NNMs and ENMs when differences in Ti-mass distribution existed between them. A trained LR model could classify 100 nm TiO2 ENMs at concentrations of 150 mg kg-1 or greater. The presence of TiO2 ENMs in soil could be confirmed using this approach for most ENM-soil combinations, but the absence of a unique chemical fingerprint in a large fraction of both TiO2 ENMs and Ti-NNMs increases model uncertainty and hinders accurate quantification.


Asunto(s)
Nanoestructuras , Suelo , Aprendizaje Automático , Suelo/química , Titanio
3.
Proc Natl Acad Sci U S A ; 116(30): 14893-14898, 2019 07 23.
Artículo en Inglés | MEDLINE | ID: mdl-31285331

RESUMEN

Fibrous particles interact with cells and organisms in complex ways that can lead to cellular dysfunction, cell death, inflammation, and disease. The development of conductive transparent networks (CTNs) composed of metallic silver nanowires (AgNWs) for flexible touchscreen displays raises new possibilities for the intimate contact between novel fibers and human skin. Here, we report that a material property, nanowire-bending stiffness that is a function of diameter, controls the cytotoxicity of AgNWs to nonimmune cells from humans, mice, and fish without deterioration of critical CTN performance parameters: electrical conductivity and optical transparency. Both 30- and 90-nm-diameter AgNWs are readily internalized by cells, but thinner NWs are mechanically crumpled by the forces imposed during or after endocytosis, while thicker nanowires puncture the enclosing membrane and release silver ions and lysosomal contents to the cytoplasm, thereby initiating oxidative stress. This finding extends the fiber pathology paradigm and will enable the manufacture of safer products incorporating AgNWs.


Asunto(s)
Endosomas/metabolismo , Fibroblastos/efectos de los fármacos , Lisosomas/metabolismo , Nanocables/toxicidad , Animales , Línea Celular , Células Cultivadas , Conductividad Eléctrica , Fibroblastos/metabolismo , Peces , Humanos , Ratones , Nanocables/química , Estrés Oxidativo , Plata/química
4.
Dent Traumatol ; 38(1): 41-47, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34160886

RESUMEN

BACKGROUND/AIMS: Orofacial injuries are a significant public health issue. The evidence-based knowledge associated with adolescent violence and trauma is highlighted by the World Health Organization with regard to its specific needs related to disability, violence, and unintentional injuries. The main aim of this study was to present evidence-based information about orofacial traumatic injuries of an adolescent population using Portuguese epidemiological data. The second aim was to report follow-up data of injuries for disability assessment in a trauma prevention approach. METHODS: An observational cohort study was performed using the clinical database of the national-specialist-healthcare-centre-of-trauma (2014-2018). Information was collected regarding gender, school age range, etiology, injury type, injury time, and severity. Mann-Whitney (p < .05), Kruskal-Wallis (p < .001), and Cox regression (p < .001) analyses were performed. RESULTS: Orofacial trauma injuries were present in 23.3% of Portuguese adolescents (age range 10-18 years). The majority were male (72.6%), and no age range stood out in frequency. School accidents (90.6%) were the major etiology for all groups of injuries. The diagnosis of superficial intraoral injuries was the most frequent (50.8%), followed by similar injuries to the face (22.5%). A Cox regression model with an adequate fit was yielded (χ2 [6] = 54.893, p < .001), suggesting that variable injury type was a predictor of disability, considering injury time. Tooth and alveolar loss, complicated tooth fracture, complicated face injury, and temporomandibular injuries were more predictive (1

Asunto(s)
Traumatismos Faciales , Traumatismos de los Dientes , Adolescente , Niño , Evaluación de la Discapacidad , Femenino , Humanos , Masculino , Portugal , Instituciones Académicas
5.
Small ; 17(20): e2005834, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33811450

RESUMEN

Microplastic and nanoplastic contamination is widespread and affects aquatic and terrestrial ecosystems. Photosynthetic organisms are present in both media, they are primary producers, sink for CO2 , and they represent a major point of entry in the food chain. Here, the current knowledge on the fate and impacts of microplastics and nanoplastics in interaction with these organisms is reviewed. As a general trend, plastic characteristics (smaller size and positive charge) play a crucial role in their toxicity toward photosynthetic organisms. Plastic leachates (containing additives) also represent a major source of toxicity, and some harmful compounds such as phthalate esters are shown to accumulate in plants and generate a risk for the consumers. Adsorption of plastic particles is evidenced for each type of photosynthetic organism, and uptake and translocation in terrestrial plants is evidenced for nanoplastics, leading to concerns for trophic chain contamination. The available techniques for the detection of microplastics and nanoplastics and their secondary products in biological samples and media are also listed. Finally, the current gaps of knowledge, specific challenges, and future research directions are also discussed.


Asunto(s)
Microplásticos , Contaminantes Químicos del Agua , Adsorción , Ecosistema , Plásticos/toxicidad , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad
6.
Eur J Pediatr ; 180(8): 2529-2537, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33959818

RESUMEN

Interleukin-10 (IL-10) and interferon-gamma (IFN-gamma) are associated with body weight alterations in children, adolescents, and adults. However, little is known regarding the role of IL-10 and IFN-gamma in birth weight of neonates. One hundred eighty-two infants were enrolled and divided in groups of normal birth weight (< 95th percentile) or increased birth weight (> 95th percentile) for gestational age. IL-10 and IFN-gamma levels were measured in umbilical cord tissue and blood of newborns by quantitative polymerase chain reaction (qPCR) and enzyme-linked immunosorbent assay (ELISA). The average value of birth weight in infants below and above the 95th percentile was 3.03±0.39 and 3.58±0.37 kg, respectively, and was independent of the mother's pre-gestational body mass index. The Student t test revealed that neonates with birth weights > 95th percentile show a significant 30% decrease in cord blood values of IL-10 as compared to infants with birth weights < 95th percentile (P<0.0001), with no significant changes in IFN-gamma levels (P=0.1661). Cord blood IL-10 was not of maternal origin but produced by umbilical cord tissue that showed less IL-10 expression in neonates with birth weights > 95th percentile than in infants with birth weights < 95th percentile (P=0.0252). Cord blood levels of IL-10 exhibited significant inverse correlations with birth weight (r = - 0.658, P=0.002) and INF-gamma (r = - 0.502, P=0.005).Conclusion: In conclusion, this work demonstrates for the first time that cord blood IL-10 decreases as birth weight increases in infants born at term and might help to improve early recognition of newborns at higher risk of developing obesity in childhood or adulthood. What is Known: • Reduction in interleukin-10 levels has been associated with obesity in adolescents and adults but not newborns. • The number of neonates with excess birth weight has alarmingly increased in the last 30 years. What is New: • We demonstrate that umbilical cord blood levels of interleukin-10 clearly decrease as birth weight increases. • Interleukin-10 and interferon-gamma integrate a cytokine network that might play a role in obesity in infants.


Asunto(s)
Sangre Fetal , Obesidad Infantil , Adolescente , Adulto , Peso al Nacer , Niño , Edad Gestacional , Humanos , Lactante , Recién Nacido , Interleucina-10
7.
Dent Traumatol ; 36(6): 624-631, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32799374

RESUMEN

BACKGROUND/AIM: Sociodemographic, cultural and environmental factors play significant roles in orofacial trauma. The main aim of the present work was to study the epidemiological data regarding temporomandibular trauma, in the orofacial trauma context. Secondly, follow-up data between injury and sequelae were assessed, in the medico-legal approach for this disability. MATERIAL AND METHODS: An observational, cross-sectional study, from 2000 to 2017, was performed, using the clinical reports of the National Institute of Legal Medicine and Forensic Sciences Institute of Portugal-Coimbra Central Branch. A descriptive analysis was performed. RESULTS: The injury group, 8.9% of the analysed population (2622 reports), included a majority of men (60.7%) with a mean age of 33.9 years. They were mainly students or retired (38.9%) and reported physical violence as the main external cause (56.4%) and temporomandibular joint (TMJ) trauma occurred with dental and facial trauma (84.2%). The sequela group, 2.9% of the analysed population, included a majority of men (65.6%) with a mean age of 40.1 years, focusing on a professional active population. They reported physical violence as the main external cause (46.3%) and TMJ (13.2%), soft tissues and teeth (12.8%) sequelae. CONCLUSIONS: Not all TMJ injuries corresponded to sequelae (63.4%). The sequela resulting from TMJ trauma encompass soft and hard tissues and TMJ sequelae, isolated or not. Physical violence was the primary external cause of TMJ injuries in both groups. Conversely, road accidents were the major external cause of isolated TMJ sequelae, highlighting the need to reinforce safety measures.


Asunto(s)
Traumatismos Faciales , Trastornos de la Articulación Temporomandibular , Adulto , Estudios Transversales , Humanos , Masculino , Prevalencia , Articulación Temporomandibular , Trastornos de la Articulación Temporomandibular/epidemiología , Trastornos de la Articulación Temporomandibular/etiología
8.
Nat Mater ; 17(11): 971-977, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30349030

RESUMEN

Zika virus is a mosquito-borne virus that is associated with neurodegenerative diseases, including Guillain-Barré syndrome1 and congenital Zika syndrome2. As Zika virus targets the nervous system, there is an urgent need to develop therapeutic strategies that inhibit Zika virus infection in the brain. Here, we have engineered a brain-penetrating peptide that works against Zika virus and other mosquito-borne viruses. We evaluated the therapeutic efficacy of the peptide in a lethal Zika virus mouse model exhibiting systemic and brain infection. Therapeutic treatment protected against mortality and markedly reduced clinical symptoms, viral loads and neuroinflammation, as well as mitigated microgliosis, neurodegeneration and brain damage. In addition to controlling systemic infection, the peptide crossed the blood-brain barrier to reduce viral loads in the brain and protected against Zika-virus-induced blood-brain barrier injury. Our findings demonstrate how engineering strategies can be applied to develop peptide therapeutics and support the potential of a brain-penetrating peptide to treat neurotropic viral infections.


Asunto(s)
Antivirales/uso terapéutico , Encéfalo/metabolismo , Péptidos/uso terapéutico , Infección por el Virus Zika/tratamiento farmacológico , Animales , Antivirales/farmacocinética , Humanos , Masculino , Ratones , Ratones Endogámicos BALB C , Péptidos/farmacocinética
9.
J Contemp Dent Pract ; 20(5): 548-551, 2019 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-31316015

RESUMEN

AIM: The aim of this study is to evaluate the potential of deoxyribonucleic acid (DNA) recovery from bite marks in foods, in different collection types, from DNA quantification. MATERIALS AND METHODS: The sample consisted of 80 swabs, obtained from 20 cheese pieces, bitten by the same person, using the double-swab technique in the center and the periphery of the bite. A statistical analysis was carried out using Statistical Package for the Social Sciences (SPSS) statistical software version 20.0, with values of p < 0.05 being considered statistically significant. RESULTS: The DNA was recovered in all cheese pieces, regardless of the collection types and the bite region. However, the comparative analysis of DNA recovery potential in the four swabs allowed us to infer that the collections in the central region of the bite (DC and WC) were the ones that presented better precision, in addition to extracting a higher DNA concentration, the dry swab being in the center of the bite which presented better results. CONCLUSION: The results proved the effectiveness of the double-swab technique for collecting genetic materials in bite marks; however, in the food used, a single collection at the center of the bite would be enough, optimizing the resources and time needed for the analysis. CLINICAL SIGNIFICANCE: Due to the difficulties of physically comparing a site of a skin lesion and the dental arches of the suspect, the evidence of DNA in saliva has been used to indicate the perpetrator of the bite. In addition, the collection, preservation, and isolation of saliva DNA can be done at low cost and provide flexibility for clinical and laboratory workflow.


Asunto(s)
ADN , Alimentos , Odontología Forense , Saliva , Humanos
10.
Environ Sci Technol ; 52(1): 71-78, 2018 01 02.
Artículo en Inglés | MEDLINE | ID: mdl-29211460

RESUMEN

Sulfidation is a key process for silver nanoparticles released from consumer products in the environment. This study focuses on the impact of a model soil microorganism, Bacillus subtilis, on the fate of pristine and already sulfidized Ag-NPs. The nanoparticles were incubated with the initial growth medium, isolated secretome, and living bacteria, and characterized for their size and morphology, agglomeration state, structure, and Ag speciation. No Ag internalization or sorption on the cell wall was detected. A partial sulfidation, leading to an Ag-Ag2S core-shell structure, was observed in the presence of the secretome, and the rate limiting step of the reaction was the oxidation of Ag0, and it was favored near the crystal dislocations. The sulfidation was complete in the presence of the living bacteria and followed an indirect pathway. Both crystalline Ag2S and amorphous Ag2S and/or Ag-thiol were identified. At the opposite, the bacteria had no impact on Ag2S. These results suggest that microorganisms participate in the sulfidation of Ag-NPs in aerobic systems such as unsaturated soils, and thus affect the bioavailability of Ag. It is important to take these transformations into account during exposure experiments, since they drastically change the exposure conditions. Finally, the secretome of B. subtilis might be used for the green synthesis of Ag-Ag2S core-shell nanoparticles.


Asunto(s)
Nanopartículas del Metal , Plata , Oxidación-Reducción , Suelo
11.
Environ Sci Technol ; 51(10): 5774-5782, 2017 May 16.
Artículo en Inglés | MEDLINE | ID: mdl-28445036

RESUMEN

Agricultural soils are major sinks of silver nanoparticles in the environment, and crops are directly exposed to these emerging contaminants. A clear picture of their chemical transformations, uptake and transport mechanisms, and phytotoxic impacts is still lacking. In this work, wheat plants were exposed to pristine metallic (Ag-NPs) and sulfidized (Ag2S-NPs) silver nanoparticles and ionic Ag. Data on Ag distribution and speciation, phytotoxicity markers, and gene expression were studied. A multi-technique and multi-scale approach was applied, combining innovating tools at both the laboratory and synchrotron. Various chemical transformations were observed on the epidermis and inside roots, even for Ag2S-NPs, leading to an exposure to multiple Ag forms, which likely evolve over time. Genes involved in various functions including oxidative stress, defense against pathogens, and metal homeostasis were impacted in different ways depending upon the Ag source. This study illustrates the complexity of the toxicity pattern for plants exposed to Ag-NPs, the necessity of monitoring several markers to accurately evaluate the toxicity, and the interest of interpreting the toxicity pattern in light of the distribution and speciation of Ag.


Asunto(s)
Nanopartículas del Metal , Plata/farmacocinética , Contaminantes del Suelo/farmacocinética , Triticum/química , Raíces de Plantas , Plata/química , Suelo , Contaminantes del Suelo/química
12.
Environ Sci Technol ; 50(7): 3503-10, 2016 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-26840361

RESUMEN

Silver nanoparticles (Ag-NP) discharged into the municipal sewer system largely accumulate in the sewage sludge. Incineration and agricultural use are currently the most important strategies for sewage sludge management. Thus, the behavior of Ag-NP during sewage sludge incineration is essential for a comprehensive life cycle analysis and a more complete understanding of the fate of Ag-NP in the (urban) environment. To address the transformation of Ag-NP during sewage sludge incineration, we spiked metallic Ag(0)-NP to a pilot wastewater treatment plant and digested the sludge anaerobically. The sludge was then incinerated on a bench-scale fluidized bed reactor in a series of experiments under variable conditions. Complementary results from X-ray absorption spectroscopy (XAS) and electron microscopy-energy dispersive X-ray (EM-EDX) analysis revealed that Ag(0)-NP transformed into Ag2S-NP during the wastewater treatment, in agreement with previous studies. On the basis of a principal component analysis and subsequent target testing of the XAS spectra, Ag(0) was identified as a major Ag component in the ashes, and Ag2S was clearly absent. The reformation of Ag(0)-NP was confirmed by EM-EDX. The fraction of Ag(0) of the total Ag in the ashes was quantified by linear combination fitting (LCF) of XAS spectra, and values as high as 0.8 were found for sewage sludge incinerated at 800 °C in a synthetic flue gas atmosphere. Low LCF totals (72% to 94%) indicated that at least one relevant reference spectrum was missing in the LCF analysis. The presence of spherical Ag-NP with a diameter of <50 nm extending into the sub-nm range was revealed by electron microscopy analyses. The rapid formation of Ag(0)-NP from Ag2S during sewage sludge incineration, as demonstrated in this study, needs to be considered in the life cycle assessment of engineered Ag-NP.


Asunto(s)
Incineración , Nanopartículas del Metal/química , Aguas del Alcantarillado/química , Plata/química , Nanopartículas del Metal/ultraestructura , Análisis de Componente Principal , Aguas Residuales/química , Espectroscopía de Absorción de Rayos X
13.
Environ Sci Technol ; 50(4): 1759-68, 2016 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-26756906

RESUMEN

The objective of this work was to investigate the fate of silver nanoparticles (Ag-NPs) in a sludge-amended soil cultivated with monocot (Wheat) and dicot (Rape) crop species. A pot experiment was performed with sludges produced in a pilot wastewater treatment plant containing realistic Ag concentrations (18 and 400 mg kg(-1), 14 mg kg(-1) for the control). Investigations focused on the highest dose treatment. X-ray absorption spectroscopy (XAS) showed that Ag2S was the main species in the sludge and amended soil before and after plant culture. The second most abundant species was an organic and/or amorphous Ag-S phase whose proportion slightly varied (from 24% to 36%) depending on the conditions. Micro and nano X-ray fluorescence (XRF) showed that Ag was preferentially associated with S-rich particles, including organic fragments, of the sludge and amended soils. Ag was distributed as heteroaggregates with soil components (size ranging from ≤0.5 to 1-3 µm) and as diffused zones likely corresponding to sorbed/complexed Ag species. Nano-XRF evidenced the presence of mixed metallic sulfides. Ag was weakly exchangeable and labile. However, micronutrient mobilization by plant roots and organic matter turnover may induce Ag species interconversion eventually leading to Ag release on longer time scales. Together, these data provide valuable information for risk assessment of sewage sludge application on agricultural soils.


Asunto(s)
Nanopartículas , Aguas del Alcantarillado/química , Plata , Suelo/química , Contaminantes Químicos del Agua/análisis , Agricultura , Brassica rapa/crecimiento & desarrollo , Brassica rapa/metabolismo , Nanopartículas/análisis , Nanopartículas/química , Raíces de Plantas/metabolismo , Medición de Riesgo , Plata/química , Plata/farmacocinética , Contaminantes del Suelo/análisis , Contaminantes del Suelo/farmacocinética , Azufre/química , Suiza , Triticum/crecimiento & desarrollo , Triticum/metabolismo , Eliminación de Residuos Líquidos/métodos , Aguas Residuales/química , Espectroscopía de Absorción de Rayos X
14.
Arch Sex Behav ; 45(8): 2047-2055, 2016 11.
Artículo en Inglés | MEDLINE | ID: mdl-27270734

RESUMEN

Recent studies have shown that psoriasis is associated with an increased prevalence of erectile dysfunction. To our knowledge, no comparative study has considered simultaneously the role of organic factors and psychological factors in this process. We performed a prospective case series study matched by age to explore the prevalence of erectile dysfunction in psoriasis patients compared to a healthy population and to investigate the role of anxiety, depression, and cardiovascular risk factors in the relationship between psoriasis and erectile dysfunction. The healthy group was matched by frequency to cases by age. Seventy-nine patients with moderate to severe psoriasis and 79 healthy controls participated in the study. Participants completed the Massachusetts General Hospital Sexual Functioning Questionnaire and the Hospital Anxiety and Depression Scale. Psoriasis patients had an increased prevalence of erectile dysfunction in comparison to controls, 34.2 vs. 17.7 % (p < .05). Multivariate analysis showed a significant association between erectile dysfunction and age, smoking and anxiety/depression, but not with psoriasis per se. In conclusion, the higher prevalence of smoking and anxiety/depression among patients with moderate to severe psoriasis probably explains the higher prevalence of erectile dysfunction in this population.


Asunto(s)
Disfunción Eréctil/epidemiología , Psoriasis/complicaciones , Adulto , Ansiedad , Enfermedades Cardiovasculares/complicaciones , Depresión , Disfunción Eréctil/complicaciones , Disfunción Eréctil/psicología , Humanos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Prevalencia , Estudios Prospectivos , Psoriasis/psicología , Factores de Riesgo , Fumar/efectos adversos
15.
Int J Phytoremediation ; 18(6): 567-74, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26375321

RESUMEN

The objective of this work is to study the response of Silene vulgaris to a range of environmentally relevant concentrations of Cr(VI) in order to evaluate its potential use in the phytomanagement of Cr polluted sites. Cuttings of six homogenous genotypes from Madrid (Spain) have been used as plant material. The eco-physiological response of S. vulgaris to Cr(VI) changed with the genotype. The yield dose-response curve was characterized by stimulation at low doses of Cr(VI). The effects of metal concentration were quantified on root dry weight, water content and chlorophyll content, determined by SPAD index. The response was not homogeneous for all studied genotypes. At high doses of Cr(VI), plants increased micronutrient concentration in dry tissues which suggested that nutrient balance could be implicated in the alleviation of Cr toxicity. This work highlights the importance of studying the eco-physiological response of metallophytes under a range of pollutant concentrations to determine the most favorable traits to be employed in the phytomanagement process.


Asunto(s)
Caryophyllaceae/metabolismo , Cromo/metabolismo , Contaminantes del Suelo/metabolismo , Biodegradación Ambiental , Caryophyllaceae/química , Caryophyllaceae/clasificación , Caryophyllaceae/genética , Clorofila/análisis , Clorofila/metabolismo , Cromo/análisis , Genotipo , Raíces de Plantas/química , Raíces de Plantas/genética , Raíces de Plantas/metabolismo , Contaminantes del Suelo/análisis
16.
Aust Orthod J ; 32(2): 199-205, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29509345

RESUMEN

INTRODUCTION: A considered space analysis aims to predict the combined mesiodistal widths of unerupted permanent canine and premolars. A miscalculation can lead to the application of inadequate and irreversible treatments. OBJECTIVE: To assess the level of agreement between predictions generated by three methods (Moyers' predictive tables at the 50th and 75th percentiles and Tanaka-Johnston's equations) on the sum of unerupted teeth compared with measurements derived from cone beam computed tomography, considered in the present study as a 'gold standard'. MATERIALS AND METHODS: The study sample was comprised of children (N = 26) aged 8-13 who visited the Department of Dentistry. Moyers' predictive tables and the Tanaka-Johnston equation were applied to ascertain the space requirements. Cone beam computed tomography was performed on each patient and the volumetric data analysed. A concordance correlation coefficient between each method's predictions was applied. RESULTS: The three methods tended to overestimate the cone beam computed tomography readings and were not able to entirely capture the variability of the sum of the unerupted teeth. Moyers' 50th percentile estimate revealed a more balanced distribution between over- and underestimation. CONCLUSION: The present study suggested that Moyers' 50th percentile is the predictive method with the lowest absolute error and is preferred for clinical use.


Asunto(s)
Tomografía Computarizada de Haz Cónico/métodos , Dentición Mixta , Odontometría/métodos , Diente no Erupcionado/diagnóstico por imagen , Adolescente , Niño , Femenino , Humanos , Masculino , Valor Predictivo de las Pruebas
17.
Calcif Tissue Int ; 97(2): 125-33, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26092508

RESUMEN

Autoantibodies neutralising the effect of the bone regulatory cytokine osteoprotegerin (OPG) have been described in a patient with severe osteoporosis and coeliac disease. This study aimed to determine the prevalence and epitope specificity of autoantibodies to OPG in patients with coeliac disease, and correlate their presence with bone mineral density. A direct enzyme-linked immunosorbent assay was developed and used to screen patients with coeliac disease for autoantibodies to OPG. Recombinant fragments of OPG were made to evaluate the epitope specificity and affinity of these antibodies. Phenotype information of the patients was obtained by case note review. Raised titres of antibodies to OPG were found in 7/71 (9.8 %) patients with coeliac disease, compared with 1/72 (1.4 %) non-coeliac osteoporosis clinic control patients (p < 0.05). Our results suggest that a polyclonal antibody response to OPG is raised in these patients capable of recognising different epitopes of OPG with varying affinity. The titre of OPG antibodies was associated with lower bone mineral density Z-score of the hip in coeliac patients on univariate (p < 0.05) and multivariate analysis including age, sex height and weight as covariates (p < 0.01). Polyclonal antibodies to OPG are more common in patients with coeliac disease and are independently associated with lower bone mineral density Z-scores of the hip. Further work is required to establish the clinical utility of testing for OPG antibodies.


Asunto(s)
Autoanticuerpos/sangre , Autoantígenos/inmunología , Enfermedad Celíaca/inmunología , Osteoprotegerina/inmunología , Absorciometría de Fotón , Adulto , Anciano , Anciano de 80 o más Años , Autoanticuerpos/inmunología , Western Blotting , Densidad Ósea/fisiología , Enfermedad Celíaca/sangre , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
18.
Dermatol Online J ; 21(5)2015 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-26295865

RESUMEN

Palmoplantar lichen planus is a localized and rare subtype of lichen planus (LP) often underdiagnosed. Several morphological types of palmoplantar lesions have been defined in LP. We present an unusual case of the palmoplantar kyperkeratotic variant of LP. Histopathology examination confirmed our diagnosis. We emphasize the importance of this rare entity in the differential diagnosis of palmoplantar dermatoses.


Asunto(s)
Dermatosis del Pie/diagnóstico , Dermatosis de la Mano/diagnóstico , Queratodermia Palmoplantar/diagnóstico , Liquen Plano/diagnóstico , Diagnóstico Diferencial , Dermatosis del Pie/etiología , Dermatosis de la Mano/etiología , Humanos , Queratodermia Palmoplantar/etiología , Liquen Plano/complicaciones , Masculino , Persona de Mediana Edad
19.
J Sex Med ; 11(12): 2882-9, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25266400

RESUMEN

INTRODUCTION: Psoriasis may significantly impair sexual function. Depression and organic factors appear to play a key role in this relationship. However, beyond genital psoriasis, the importance of the distribution pattern of the disease has not been considered. AIM: To investigate the role of the distribution pattern of psoriasis in sexual dysfunction. METHODS: A prospective case series study was carried out on 133 patients with moderate to severe psoriasis. MAIN OUTCOME MEASURES: The participants completed the Massachusetts General Hospital-Sexual Functioning Questionnaire, the Hospital Anxiety and Depression Scale, and the Self-Administered Psoriasis Area and Severity Index. RESULTS: Forty-four women (mean age 42.0 ± 14.1) and 79 men (mean age 47 ± 11.7) were included in the study. Psoriasis lesions on abdomen, genitals, lumbar region, and buttocks in women and chest, genitals, and buttocks in men were associated with an increase in sexual dysfunction. Multivariate logistic regression analysis showed that the involvement of these specific areas may be independent risk factors for sexual dysfunction in patients with moderate to severe psoriasis. CONCLUSIONS: This is the first study identifying body areas other than genitals as potentially related to sexual dysfunction in psoriasis patients. The results suggest that the assessment of sexual dysfunction and the involvement of these body areas should be considered as disease severity criteria when deciding on treatment for psoriasis patients.


Asunto(s)
Enfermedades de los Genitales Femeninos/psicología , Enfermedades de los Genitales Masculinos/psicología , Psoriasis/psicología , Autoimagen , Índice de Severidad de la Enfermedad , Disfunciones Sexuales Psicológicas/psicología , Adulto , Anciano , Ansiedad/etiología , Imagen Corporal , Depresión/etiología , Femenino , Enfermedades de los Genitales Femeninos/complicaciones , Enfermedades de los Genitales Masculinos/complicaciones , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Psoriasis/complicaciones , Disfunciones Sexuales Psicológicas/etiología , Encuestas y Cuestionarios
20.
Environ Sci Technol ; 48(19): 11479-86, 2014 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-25188746

RESUMEN

Phytomanagement could be a viable alternative in areas polluted with wastes from chromium-using industries. This study investigated the ability of Silene vulgaris to take up Cr(III) and Cr(VI) with special attention on the mechanism used by this species to tolerate high doses of Cr(VI). Plants were grown semihydroponically with different concentrations of either Cr(III) or Cr(VI). A combination of synchrotron X-ray spectroscopic techniques, scanning electron and light microscopy and infrared spectroscopy were used to determine the distribution and speciation of Cr. S. vulgaris accumulated more Cr when grown with Cr(VI) resulting in an overall reduction in biomass. Starch accumulation in leaves may be attributed to an impartment between carbon utilization and assimilation resulted from stunted plant growth but not the complete inhibition of photosynthesis indicating that S. vulgaris possess tolerance mechanisms that allows it to survive in Cr(VI) rich environments. These primary tolerance mechanisms are (a) the total reduction of Cr(VI) to Cr(III) in the rhizosphere or just after uptake in the fine lateral root tips and (b) chelation of Cr(III) to the cell wall both of which reduce metal interference with critical cell functions. These mechanisms make S. vulgaris suitable for in situ remediation of Cr polluted soils.


Asunto(s)
Cromo/metabolismo , Inactivación Metabólica , Silene/metabolismo , Biodegradación Ambiental , Biomasa , Fenotipo , Hojas de la Planta/metabolismo , Hojas de la Planta/ultraestructura , Raíces de Plantas/metabolismo , Brotes de la Planta/metabolismo , Tallos de la Planta/metabolismo , Silene/crecimiento & desarrollo , Espectrometría por Rayos X , Espectroscopía Infrarroja por Transformada de Fourier , Sincrotrones
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