The Sedentary Lifestyle and Masticatory Dysfunction: Time to Review the Contribution to Age-Associated Cognitive Decline and Astrocyte Morphotypes in the Dentate Gyrus.

As aging and cognitive decline progresses, the impact of a sedentary lifestyle on the appearance of environment-dependent cellular morphologies in the brain becomes more apparent. Sedentary living is also associated with poor oral health, which is known to correlate with the rate of cognitive decline. Here, we will review the evidence for the interplay between mastication and environmental enrichment and assess the impact of each on the structure of the brain. In previous studies, we explored the relationship between behavior and the morphological features of dentate gyrus glial fibrillary acidic protein (GFAP)-positive astrocytes during aging in contrasting environments and in the context of induced masticatory dysfunction. Hierarchical cluster and discriminant analysis of GFAP-positive astrocytes from the dentate gyrus molecular layer revealed that the proportion of AST1 (astrocyte arbors with greater complexity phenotype) and AST2 (lower complexity) are differentially affected by environment, aging and masticatory dysfunction, but the relationship is not straightforward. Here we re-evaluated our previous reconstructions by comparing dorsal and ventral astrocyte morphologies in the dentate gyrus, and we found that morphological complexity was the variable that contributed most to cluster formation across the experimental groups. In general, reducing masticatory activity increases astrocyte morphological complexity, and the effect is most marked in the ventral dentate gyrus, whereas the effect of environment was more marked in the dorsal dentate gyrus. All morphotypes retained their basic structural organization in intact tissue, suggesting that they are subtypes with a non-proliferative astrocyte profile. In summary, the increased complexity of astrocytes in situations where neuronal loss and behavioral deficits are present is counterintuitive, but highlights the need to better understand the role of the astrocyte in these conditions.

Metalobezoar intestinal: relato de caso / Metalobezoar bowel; case report

Objetivo: relatar um caso de metalobezoar intestinal. Relato de caso: paciente de 18 anos atendido no Serviço de Cirurgia Geral do Hospital de Emergências de Macapá-AP, com quadro de dor abdominal, vômitos e febre. Radiografia simples de abdome apresentando imagem radiopaca em quadrante inferior direito. Considerações Finais: confirmado diagnóstico de metalobezoar após abordagem cirúrgica por laparotomia exploratória, salientando a necessidade de, diante de um abdome agudo inflamatório, sempre ter em mente as causas comuns de sua ocorrência, mas também orientar a propedêutica e o diagnóstico diferencial para causas incomuns.

Objective: to report a case of intestinal metalobezoar. Case report: 18 year old patient attended at the General Surgery Service of the Emergency Hospital in Macapa-AP, with abdominal pain, vomiting and fever. Plain abdominal radiograph showing radiopaque image in the lower right quadrant. Final considerations: Confirmed diagnosis of metalobezoar after surgical exploratory laparotomy approach, stressing the need for, in a case of inflammatory acute abdomen, to always keep in mind the common causes of their occurrence, but also guide the propaedeutics and differential diagnosis for unusual causes.