Biomaterials for bone regeneration: an orthopedic and dentistry overview.

Because bone-associated diseases are increasing, a variety of tissue engineering approaches with bone regeneration purposes have been proposed over the last years. Bone tissue provides a number of important physiological and structural functions in the human body, being essential for hematopoietic maintenance and for providing support and protection of vital organs. Therefore, efforts to develop the ideal scaffold which is able to guide the bone regeneration processes is a relevant target for tissue engineering researchers. Several techniques have been used for scaffolding approaches, such as diverse types of biomaterials. On the other hand, metallic biomaterials are widely used as support devices in dentistry and orthopedics, constituting an important complement for the scaffolds. Hence, the aim of this review is to provide an overview of the degradable biomaterials and metal biomaterials proposed for bone regeneration in the orthopedic and dentistry fields in the last years.

Biomaterials for bone regeneration: an orthopedic and dentistry overview

Because bone-associated diseases are increasing, a variety of tissue engineering approaches with bone regeneration purposes have been proposed over the last years. Bone tissue provides a number of important physiological and structural functions in the human body, being essential for hematopoietic maintenance and for providing support and protection of vital organs. Therefore, efforts to develop the ideal scaffold which is able to guide the bone regeneration processes is a relevant target for tissue engineering researchers. Several techniques have been used for scaffolding approaches, such as diverse types of biomaterials. On the other hand, metallic biomaterials are widely used as support devices in dentistry and orthopedics, constituting an important complement for the scaffolds. Hence, the aim of this review is to provide an overview of the degradable biomaterials and metal biomaterials proposed for bone regeneration in the orthopedic and dentistry fields in the last years.

Renal safety after one year of sofosbuvir-based therapy for chronic hepatitis C: A Brazilian "real-life" study.

WHAT IS KNOWN AND OBJECTIVE: Sofosbuvir(SOF)-based regimens have been administrated with excellent efficacy in chronic hepatitis C. Few uncontrolled ("real-life") studies consider the assessment of renal function when evaluating their post-treatment outcomes. This study aims to evaluate renal biomarkers in a "real-life" experience with chronic hepatitis C patients treated with SOF therapy in a long-term follow-up. METHODS: Serum and urinary biomarkers were analysed before, at the end of therapy (EoT), after 12 weeks (sustained virological response-SVR) and one year (1y) post-treatment. Patients were categorized according to baseline glomerular filtration rate (GFR-cut-off 45 mL/min/1.73 m2 ). RESULTS: Ninety-four patients with a mean age of 59.9 ± 8.5 years were included; 98.9% of patients reached SVR. Significant improvement in renal biomarkers was observed in patients with GFR ≥45 mL/min/1.73 m2 , as indicated by a progressive increase in mean GFR values until 1y. No evidence of tubular dysfunction was identified. Patients with baseline GFR <45 mL/min/1.73 m2 did not experience alterations in renal biomarkers; however, a mean change of +10.7 in GFR values was observed. We noticed significant upper stage transition in the CKD classification, and 58.7% of patients achieved G1 stage at 1y (P < .0001). WHAT IS NEW AND CONCLUSION: In a "real-life experience" of a Brazilian centre, SOF therapy appears to guarantee renal safety for patients with chronic hepatitis C followed until one year after treatment.

Disturbance response indicators of Impatiens walleriana exposed to benzene and chromium.

The purpose of this study was to evaluate the remediation potential and disturbance response indicators of Impatiens walleriana exposed to benzene and chromium. Numerous studies over the years have found abundant evidence of the carcinogenicity of benzene and chromium (VI) in humans. Benzene and chromium are two toxic industrial chemicals commonly found together at contaminated sites, and one of the most common management strategies employed in the recovery of sites contaminated by petroleum products and trace metals is in situ remediation. Given that increasing interest has focused on the use of plants as depollution agents, direct injection tests and benzene misting were performed on I. walleriana to evaluate the remediation potential of this species. I. walleriana accumulated hexavalent chromium, mainly in the root system (164.23 mg kg-1), to the detriment of the aerial part (39.72 mg kg-1), and presented visible damage only at the highest concentration (30 mg L-1). Unlike chromium (VI), chromium (III) was retained almost entirely by the soil, leaving it available for removal by phytotechnology. However, after the contamination stopped, I. walleriana responded positively to the detoxification process, recovering its stem stiffness and leaf color. I. walleriana showed visible changes such as leaf chlorosis during the ten days of benzene contamination. When benzene is absorbed by the roots, it is translocated to and accumulated in the plant's aerial part. This mechanism the plant uses ensures its tolerance to the organic compound, enabling the species to survive and reproduce after treatment with benzene. Although I. walleriana accumulates minor amounts of hexavalent chromium in the aerial part, this amount suffices to induce greater oxidative stress and to increase the amount of hydrogen peroxide when compared to that of benzene. It was therefore concluded that I. walleriana is a species that possesses desirable characteristics for phytotechnology.

Antibacterial activity of commercially available plant-derived essential oils against oral pathogenic bacteria.

This work investigated the antibacterial activity of 15 commercially available plant-derived essential oils (EOs) against a panel of oral pathogens. The broth microdilution method afforded the minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of the assayed EOs. The EO obtained from Cinnamomum zeylanicum (Lauraceae) (CZ-EO) displayed moderate activity against Fusobacterium nucleatum (MIC and MBC = 125 µg/mL), Actinomyces naeslundii (MIC and MBC = 125 µg/mL), Prevotella nigrescens (MIC and MBC = 125 µg/mL) and Streptococcus mutans (MIC = 200 µg/mL; MBC = 400 µg/mL). (Z)-isosafrole (85.3%) was the main chemical component of this oil. We did not detect cinnamaldehyde, previously described as the major constituent of CZ-EO, in specimens collected in other countries.

Oxidized-LDL and paraoxonase-1 as biomarkers of coronary artery disease in patients with sleep-disordered breathing.

UNLABELLED: Coronary Artery Disease (CAD) and OBJECTIVES: Sleep Disordered Breathing (SDB) are both oxidative stress disorders. SDB intermittent hypoxia induces oxidative stress, and reduces NO(·) availability, causing endothelial dysfunction. Low-density lipoprotein (LDL) peroxidation is involved in atherosclerosis, and is reported in SDB. Oxidized LDL (ox-LDL) and malondialdehyde (MDA) are lipid peroxidation markers. High-density lipoprotein (HDL) presents antiatherosclerotic properties related to paraxonase-1 (PON-1) activity. PON-1 hydrolyseyses lipid peroxides as ox-LDL. This study compares the relationship of HDL and PON-1, the lipid peroxidation markers ox-LDL and MDA, and 8-OHdG DNA damage marker in the association of SDB and CAD. DESIGN AND METHODS: 29 controls and 27 cases with CAD (defined as > 30% coronary narrowing) patients were included. The apnea-hypopnea index (AHI), and several lipid and oxidative stress parameters were measured in these patients. RESULTS: AHI is increased in CAD patients, and PON-1 activity and HDL levels are decreased. Regression analyseyses showed that lower PON-1 activity and higher ox-LDL levels are important CAD predictors, compared to HDL or MDA levels and present an age-dependent increase. Nitrites and nitrates, indirect NO(·) markers, are positive vs correlated with PON-1 and are negatively correlated to ox-LDL. SDB is not correlated to PON-1 activity decrease or ox-LDL increase. AHI is inversely correlated to HDL levels. CONCLUSIONS: These results indicate that PON-1 and ox-LDL are important predictors of CAD, however they may not be directly related to SDB.

Uso de redes neurais artificais na predição de valores genéticos para peso aos 205 dias em bovinos da raça Tabapuã / Use of artificial neural networks in breeding values prediction for weight at 205 days in Tabapuã beef cattle

Dados de 19240 animais Tabapuã, provenientes de 152 fazendas localizadas em diversos estados brasileiros, nascidos entre 1976 e 1995, foram utilizados para predição do valor genético do peso aos 205 dias de idade (VG_P205) por meio de redes neurais artificiais (RNAs) e usando o algoritmo LM - Levenberg Marquardt - para treinamento dos dados de entrada. Por se tratar de rede com aprendizado supervisionado, foram utilizados, como saída desejada, os valores genéticos preditos pelo BLUP para a característica P205. Os valores genéticos do P205 obtidos pela RNA e os preditos pelo BLUP foram altamente correlacionados. A ordenação dos valores genéticos do P205 oriundos das RNAs e os valores preditos pelo BLUP (VG_P205_RNA) sugeriram que houve variação na classificação dos animais, indicando riscos no uso de RNAs para avaliação genética dessa característica. Inserções de novos animais necessitam de novo treinamento dos dados, sempre dependentes do BLUP.

Data from 19,240 Tabapuã animals from 152 farms located in different states of Brazil, born from 1976 to 1995, were used to predict the genetic value of body weight at 205 days of age (BV_P205) of Tabapuã beef cattle using Artificial Neural Networks (ANN) and LM algorithm - Levenberg Marquardt training for data entry. Due to the use of networks with supervised learning, the predicted breeding values for P205 from BLUP were used as desired output. The breeding values for P205 obtained from RNA and those predicted by BLUP were highly correlated. The ranked breeding values for body weight at 205 days through RNA and those predicted by BLUP (VG_P205_RNA) showed a variation in the classification of animals indicating risks in the use of ANNs procedure for genetic evaluation of this trait. Insertions of new animals require new training data always dependent on BLUP.

Efectos de la transferencia eléctrica capacitiva en el tejido dérmico y adiposo / Capacitive electric transference effects in dermal and adipose tissues

ObjetivosLa transferencia eléctrica capacitiva (TEC) es una nueva modalidad, usada por los fisioterapeutas en ortopedia y estética, que causa un calentamiento profundo mediante una radiofrecuencia de 0,55MHz.ObjetivosEl propósito de este estudio es analizar los efectos de la TEC en los adipocitos de la dermis y la hipodermis, como así también los cambios en el tejido conjuntivo.Material y métodosSeis conejos de la especie Oryctolagus cuniculus, familia Leporidae, tipo albinos, fueron divididos en dos grupos. El primero (n=4) recibió 6min de TEC en un área de 38cm2. El procedimiento fue repetido 8 veces. El otro (n=2) recibió terapia con placebo. Al final de la metodología, los conejos fueron sacrificados y se retiraron 3 muestras de cada animal que fueron empleadas para contar las células adiposas y analizar los cambios del tejido conjuntivo.ResultadosLa diferencia entre el grupo control y el tratado en el conteo de células adiposas en la dermis fue significativa (p=0,0135) y muy significativa (p=0,0015) en la hipodermis. La disminución de peso postratamiento no fue significativa (p=0,3851). El análisis cualitativo arrojó en nueve de las muestras tratadas lesión con disminución de la densidad del tejido conjuntivo y en las 3 restantes, lesión con incremento de la densidad. En las muestras control hubo 3 lesiones leves. Sólo se encontró inflación aguda en 3 de las muestras control y en ninguna muestra, inflamación crónica.ConclusiónLa diferencia significativa en el número de adipocitos no llevó a una reducción significativa de peso. La disminución de la densidad del tejido conjuntivo podría ser responsable de la efectividad de la TEC en la fibrosis y la celulitis. El incremento de la densidad podría explicar el efecto «lifting» a temperaturas mayores(AU)

AimsCapacitive Electric Transference (CET) is a new therapeutic modality used by physical therapists in orthopedic and esthetics that causes deep warning using a radiofrequency of 0.55MHz.AimsThe purpose of this study is to analyze the effects of CET in dermis and hypodermis adipocytes and the changes in the conjunctive tissue.MethodSix Oryctolagus Cuniculus- albino rabbits from the Loporidae family were divided into 2 groups. The first group (n=4) received 6 minutes of CET in an area of 38cm2. The process was repeated 8 times. The other group (n=2) received sham therapy. At the end of the treatment, the rabbits were sacrificed and 3 skin samples were obtained from each animal, and were used for adipose cells count and conjunctive tissue analysis.ResultsThere was a significant difference between the treated and sham group in adipose cells count in the dermis (p=0.0135) and a very significant difference (p=0.0015) in hypodermic tissue. Post-treatment weight decrease was not significant (p=0.3851).ResultsThe qualitative analysis found conjunctive tissue lesions with density decrease in 9 of the treated samples and a density increase in 3 of them. Mild lesion was also found in 3 of the sham samples. Acute inflammation was only found in 3 of the sham group samples and the chronic inflammation type was not found in any of the samples.DiscussionThe significant difference in adipose cells count did not cause a significant weight lost. The density decrease of conjunctive tissue could be reason for the effectiveness of CET in fibrosis and cellulites treatment. The density increase could explain the “lifting effect” at higher temperatures(AU)

Lipodistrofia generalizada congênita: correlação com leptina e outros aspectos bioquímicos / Generalized congenital lipodystrophy: correlation with leptin and other biochemical parameters

PURPOSE: To correlate serum leptin and insulin levels, and the glucosic profile of 21 patients shared in diabetics and non diabetics with Congenital Generalized Lipodystrophy (CGL). METHODS: In a prospective study, were dosed serum leptin level with radioimmunoassay technique, fasting plasma glucose through of the glucoseoxidase-peroxidase reaction, the hemoglobin glycate using the technique microchromatography for ionic exchange resin and insulin through immunoassay system. The fructosamine concentration serum was determinated for reduction nitroblue tetrazolium method. The Student's test was used to compare results between the groups and the correlation [quot ]r[quot ] coefficient to analise the relation among the several variants studied, with significant level of 5% (p < 0.05). All the statistical procedures were performed using the Excel by Microsoft and the Statistic program for Windows by StatSoft, Inc. version 5.1 edition 97. RESULTS: Leptin decreased on the most patients, showing no statistically significant difference between the groups. Also there wasn't difference statistically significant (p = 0.9542) of the insulin's value between diabetics and non diabetics. CONCLUSION: The hyperinsulinism and the hypoleptinemia occurred independently of diabetes in the CGL's patients and this can be due to the natural history of disease, in which the raise insulin levels precede the initial diabetes mellitus and the low leptin levels were related to the lipoatrophy.

Increased fetal hemoglobin levels in patients infected with human immunodeficiency virus (HIV1/2)

Fetal hemoglobin was measured in HIV1/2 patients under treatment with combined therapy (zidovudine and a protease inhibitor). A total of 143 patients and 103 normal individuals were investigated by the quantitative method of Betke and the semi-quantitative acid elution method of Kleihauer. In the normal person, hemoglobin F makes up less than 1 percent and an increase higher than 1.5 percent was observed in 21.4 percent of HIV patients by the method of Betke and in 24.8 percent of HIV-infected patients by the method of Kleihauer. The quantitative biochemical method of Betke showed that the populations were significantly different (two-tailed Mann-Whitney test). The reason for this hemoglobin F increase might be ascribed to the effect of zidovudine or to direct viral action on gamma chain expression. The finding of a higher F cell frequency indicated by the method of Kleihauer rather suggests that there is an increased F cell clone proliferation rather than an increase in hemoglobin F level in every cell

Increased fetal hemoglobin levels in patients infected with human in patients infected with uman immunodeficiency virus (HIV 1/2)

Fetal hemoglobin was measured in HIV 1/2 patients under treatment with combined therapy (zidovudine and a protease inhbitor). A total of 143 patientes and 103 normal individual were investigated by the quantitative method of Betke and the semi-quantitative acid elution method of Keihauer. In the normal person, hemoglobin F makes up less than.

Increased fetal hemoglobin levels in patients infected with human immunodeficiency virus (HIV1/2).

Fetal hemoglobin was measured in HIV1/2 patients under treatment with combined therapy (zidovudine and a protease inhibitor). A total of 143 patients and 103 normal individuals were investigated by the quantitative method of Betke and the semi-quantitative acid elution method of Kleihauer. In the normal person, hemoglobin F makes up less than 1% and an increase higher than 1.5% was observed in 21.4% of HIV patients by the method of Betke and in 24.8% of HIV-infected patients by the method of Kleihauer. The quantitative biochemical method of Betke showed that the populations were significantly different (two-tailed Mann-Whitney test). The reason for this hemoglobin F increase might be ascribed to the effect of zidovudine or to direct viral action on gamma chain expression. The finding of a higher F cell frequency indicated by the method of Kleihauer rather suggests that there is an increased F cell clone proliferation rather than an increase in hemoglobin F level in every cell.

Psiquiatria e historia: as condicoes brasileiras / Psychiatry and history: the Brazilian conditions

O autor comenta a continuidade, atraves da Historia, de uma pratica psiquiatrica no Brasil, sem compromisso com a literatura e com a dignidade humana, ou seja, com a legitima condicao de saude mental

Psiquiatria e historia: as condicoes brasileiras. / Psychiatry and history: the Brazilian conditions

O autor comenta a continuidade, atraves da Historia, de uma pratica psiquiatrica no Brasil, sem compromisso com a literatura e com a dignidade humana, ou seja, com a legitima condicao de saude mental