Concern about the risk of aerosol contamination from ultrasonic scaler: a systematic review and meta-analysis.

BACKGROUND: Many instruments used in dentistry are rotary, such as handpieces, water syringes, and ultrasonic scalers that produce aerosols. The spray created by these instruments can carry, in addition to water, droplets of saliva, blood, and microorganisms, which can pose a risk of infections for healthcare professionals and patients. Due to the COVID-19 pandemic, this gained attention. OBJECTIVE: The aim was to carry out a systematic review of the evidence of the scope of the aerosol produced by ultrasonic scaler in environmental contamination and the influence of the use of intraoral suction reduction devices. DESIGN: Scientific literature was searched until June 19, 2021 in 6 databases: Pubmed, EMBASE, Web of science, Scopus, Virtual Health Library and Cochrane Library, without restrictions on language or publication date. Studies that evaluated the range of the aerosol produced by ultrasonic scaler during scaling/prophylaxis and the control of environmental contamination generated by it with the use of low (LVE) and high (HVE) volume evacuation systems were included. RESULTS: Of the 1893 potentially relevant articles, 5 of which were randomized controlled trials (RCTs). The meta-analysis of 3 RCTs showed that, even at different distances from the patient's oral cavity, there was a significant increase in airborne bacteria in the dental environment with the use of ultrasonic scaler. In contrast, when meta-analysis compared the use of HVE with LVE, there was no significant difference (P = 0.40/CI -0.71[-2.37, 0.95]) for aerosol produced in the environment. CONCLUSIONS: There is an increase in the concentration of bioaerosol in the dental environment during the use of ultrasonic scaler in scaling/prophylaxis, reaching up to 2 m away from the patient's mouth and the use of LVE, HVE or a combination of different devices, can be effective in reducing air contamination in the dental environment, with no important difference between different types of suction devices.

Trauma e gestação / Trauma and pregnancy

A incidência de trauma durante a gestação é de 6% a 8% (formas graves de trauma: 3%-6%). Das gestantes que necessitam de internação por causa de um trauma, 60% evoluem para o parto. As gestantes têm 1,6 vez mais chances de morrer numa situação de trauma. As alterações anatômicas e fisiológicas da gestação interferem nas repercussões e na abordagem do trauma. A violência doméstica representa o mecanismo mais comum de trauma para a gestante e desencadeia várias complicações obstétricas, devendo ser, idealmente, identificada no pré-natal. No acidente automobilístico, atenção especial deve ser dada ao diagnóstico de descolamento prematuro de placenta (DPP). O ultrassom na sala de trauma possibilita ação na assistência ao trauma e também, como mecanismo rápido, informações necessárias sobre o feto e a gestação (FAST fetal). A maioria dos exames de imagem necessários para a boa assistência ao trauma não representa agravos à gestação. O pré-natal tem papel importante na prevenção dos traumas na gestação. A ação conjunta do cirurgião do trauma e do obstetra é recomendada no atendimento da gestante traumatizada, principalmente nos casos graves e em gestantes acima de 20-24 semanas

Estimulação elétrica nervosa transcutânea (tens) e ultrassom para os sintomas da síndrome do intestino irritável: um estudo de caso / Transcutaneous nervous electrical stimulation (tens) and ultrasound for irritable bowel syndrome symptoms: a case study / Estimulación nerviosa eléctrica transcutánea (tens) y ultrasonido para los síntomas del síndrome del intestino irritable: un estudio de casos

Introdução: O intestino é um órgão vital, entretanto, seu mau funcionamento pode gerar alguns distúrbios como por exemplo, "A síndrome do intestino irritável". O quadro desses pacientes são dores na barriga, inchaço abdominal e alteração na frequência das evacuações e na consistência das fezes. A fisioterapia tem apresentado meios que favorecem analgesia. Objetivo: Verificar os efeitos da Estimulação Elétrica Nervosa Transcutânea (TENS) e do Ultrassom (US) nos sintomas da síndrome do intestino irritável. Método: Foi utilizado o TENS na região abdominal, durante 15 minutos. O Ultrassom foi usado durante 3 minutos em cada região abdominal, somando 12 minutos ao total. O tratamento foi realizado durante um mês, com 9 sessões. Utilizou-se a Escala Visual Analógica (EVA) e o questionário Inflammatory Bowel Disease Questionnaire (IBDQ). Resultados: Nos sintomas intestinais obteve-se progresso de 5 pontos no questionário IBDQ e nos sintomas emocionais houve uma evolução de 9 pontos, sendo este, estatisticamente significante. Na escala EVA a média de escore diminui de 5,6 para 3,6 ao final da intervenção. Conclusão: A intervenção fisioterapêutica surtiu efeitos positivos e contribuiu para a diminuição da dor e os outros sintomas como: inchaço abdominal e diminuição na quantidade de evacuações e essa evolução auxiliou na qualidade de vida do voluntário.

Introduction: The intestine is a vital organ, however, due to its malfunction, some disorders appear, for example, "The irritable bowel syndrome", patients with this syndrome experience pain in the belly, abdominal swelling, changes in the frequency of bowel movements and stool consistency. Physiotherapy uses means that help to cause analgesia. Objective: To verify the effects of TENS and Ultrasound on the symptoms of the individual with irritable bowel syndrome, contributing to the quality of life. Method: TENS was used in the abdominal region in Burst mode with a frequency of 150Hz with amplitude until it caused a slight contraction, for 15 minutes. Ultrasound was used in continuous mode with a frequency of 1MHZ, with a dose of 0.5w / cm2, for 3 minutes in each abdominal region, adding 12 minutes to the total. The treatment was carried out for one month, with 9 sessions. The EVA scale and the IBDQ questionnaire were used. Results: In the intestinal symptoms there was an improvement of 5 points in the IBDQ questionnaire and in the emotional aspect there was an improvement of 9 points and in the emotional aspect it was statistically significant, passing through the Wilcoxon test, P (est.) = 0.031 P (exact) ) = 0.031. On the EVA scale, the mean score before the intervention was 5.6 and at the end 3.6. Conclusion: The physical therapy intervention had positive effects, helping to reduce pain and other symptoms such as:abdominal swelling, decrease in the amount of bowel movements and this improvement helped the individual's emotional state, however a study on the subject is still necessary.

Introducción: El intestino es un órgano vital, sin embargo, su mal funcionamiento puede generar algunos trastornos como el "síndrome del intestino irritable". Los síntomas de estos pacientes son dolor de estómago, hinchazón abdominal y alteración de la frecuencia de las deposiciones y de la consistencia de las heces. La fisioterapia ha presentado medios que favorecen la analgesia. Objetivo: Verificar los efectos de la Estimulación Nerviosa Eléctrica Transcutánea (TENS) y el Ultrasonido (US) en los síntomas del síndrome del intestino irritable. Método: Se utilizó TENS en la región abdominal durante 15 minutos. Los ultrasonidos se utilizaron durante 3 minutos en cada región abdominal, sumando 12 minutos en total. El tratamiento se llevó a cabo durante un mes, con 9 sesiones. Se utilizaron la Escala Visual Analógica (EVA) y el Cuestionario de Enfermedad Inflamatoria Intestinal (IBDQ). Resultados: En los síntomas intestinales hubo una progresión de 5 puntos en el cuestionario IBDQ y en los síntomas emocionales hubo una evolución de 9 puntos, siendo esto, estadísticamente significativo. En la escala VAS, la puntuación media disminuyó de 5,6 a 3,6 al final de la intervención. Conclusión: La intervención fisioterapéutica tuvo efectos positivos y contribuyó a la reducción del dolor y de otros síntomas como: hinchazón abdominal y disminución de la cantidad de deposiciones y esta evolución ayudó a la calidad de vida del voluntario.

Muscle architecture of the vastus lateralis and rectus femoris in the production of knee extensor torque in physically inactive women

Abstract Aim: This study aimed to verify the data reliability of muscle architecture (MA) variables, and the relationship between MA and the isometric peak torque (PT) of the monoarticular and biarticular knee extensor (KE) muscle in physically inactive women. Methods: Ten physically inactive women (24.0 ± 1.64 years; 162.9 ± 5.34 cm; 63.5 ± 11.90 kg) participated in the study. An ultrasound device assessed the MA variables (muscle thickness, fascicle length, and pennation angle) of the Vastus Lateralis (VL) and Rectus Femoris (RF), and an isokinetic dynamometer assessed the PT. Pearson correlation evaluated the relationship between PT and MA variables, with a significance level of 5%. Additionally, the intraclass correlation coefficient, coefficient of variation, and standard error of measurement. Results: Excellent reliability between images was observed, and no significant relationships were observed between the PT and MA variables of the VL and RF. Conclusion: Isolated variables of the MA of a monoarticular or a biarticular muscle do not influence the production of the isometric PT of the KE.

Cáncer de Ovario: Tamizaje y diagnóstico imagenológico / Ovarian Cancer: Screening and imaging diagnosis

Resumen El cáncer de ovario se ha caracterizado por ser la neoplasia ginecológica de peor pronóstico. Lo anterior es consecuencia del curso silente de la enfermedad que ocasiona que la mayoría de las veces el diagnóstico se realice en etapas avanzadas. La información recolectada señala que los avances terapéuticos no han demostrado ser efectivos en mejorar la sobrevida de las pacientes con cáncer de ovario, lo cual orienta a la búsqueda constante de un método (o conjunto de éstos), que permita llevar a cabo el tamizaje y la detección temprana de dicha patología. Sin embargo, debido a que actualmente no se ha logrado identificar un método que sea costo-efectivo para el tamizaje, el mismo no se aplica a la población general y se reserva para casos específicos, como mujeres con antecedentes familiares de la enfermedad o que presentan síndromes hereditarios. Esta revisión incluye además información sobre las diferentes técnicas de imagen utilizadas tanto para el estudio y caracterización de masas anexiales, como para el estadiaje y pronóstico del cáncer de ovario. De las técnicas estudiadas, el ultrasonido (US) demostró ser la mejor opción para el abordaje inicial de masas anexiales; sin embargo, a la hora de realizar el estadiaje resultó ser inferior a la tomografía computarizada (TC) y la resonancia magnética (RM).

Abstract Ovarian cancer is the gynecological malignancy with the worst prognosis. Due to the silent course of the disease the diagnosis is made mainly in advanced stages. The literature reviewed showed that the therapeutic advances have not shown any major improvement in patient´s survival with ovarian cancer, therefore there is a constant research for a technique (or a set of them) that allows a proper screening and early detection of the disease. However, a cost effective method has not been found for screening, therefore it is not recommended for general population and it is reserved for specific cases, such as women with family history of ovarian cancer and with hereditary syndromes. This review also includes information about the different imaging techniques available not only for the study and characterization of neoplasms, but also for staging and prognosis of ovarian cancer. The ultrasound proved to be the best option for the initial approach of adnexal masses, however it has shown to be inferior for staging than CT-Scan and MRI.

Determination of cadmium in bread and biscuit samples using ultrasound-assisted temperature-controlled ionic liquid microextraction.

BACKGROUND: In the present work, a simple and rapid method was proposed for the preconcentration of cadmium using ultrasound-assisted temperature-controlled ionic liquid microextraction (TC-IL-LPME). The dispersion of the ionic liquid (1-Hmim[PF6 ]) in the aqueous phase was performed by heating it in an ultrasonic bath, followed by cooling in an ice bath. After centrifugation, the enriched phase was dissolved in 45% (w/w) nitric acid solution to reduce viscosity, and the cadmium content was measured employing electrothermal atomic absorption spectrometry (ET-AAS). The 2-(5-bromo-2-pyridylazo)-5-diethylaminophenol reagent (Br-PADAP) was used as a complexing agent. RESULTS: Under optimized conditions, the method had a detection limit of 2.0 ng L-1 and an enrichment factor of 24. The accuracy of the method was evaluated through the analysis of the certified reference material of brown bread (BCR-191). The method was applied to the determination of cadmium in samples of bread and biscuit. The limit of detection of the solid samples was 0.10 µg kg-1 . The recovery of cadmium in the samples varied between 93% and 107%. CONCLUSION: The proposed method is presented as a simple, cheap, ecological and a sensitive alternative for the determination of cadmium in bread and biscuit samples. © 2019 Society of Chemical Industry.

Overcoming dormancy of Senna multijuga seeds with an ultrasonic probe the comparison with ultrasound and sulfuric acid baths / Superação da dormência de sementes de Senna multijuga com sonda ultrassônica e a comparação com banho de ultrassom e ácido sulfúrico

Understanding germination is extremely important for the production of seedlings that are used in revegetation of degraded areas. Some species enter dormancy as a survival strategy to overcome adverse environmental conditions. Their seeds germinate only when this process is interrupted, which can occur naturally when the conditions become more favorable for the survival of the species or by induction. Studies showed that ultrasound can increase the germination rate of seeds. The objective of this research was to evaluate the effect of an ultrasound probe and compare it with other methodologies implemented for seed germination of Senna multijuga (Rich.) H. S. Irwin & Barneby, a species used in revegetation of degraded areas. The experiment evaluated the effect of the ultrasonic probe at different powers on seeds that were placed to germinate in a gerbox on paper moistened with distilled water. Ninety-five percent of seeds treated with ultrasound and only 14% of non-treated seeds (control) germinated. There was no significant difference in the germination among the treatments with different powers. The speed of germination index (SGI) reached 4.7 in seeds that underwent the treatment, and 0.6 in the control group. From the results it is possible to conclude that the ultrasound probe is an efficient treatment to accelerate seed germination in this species; and consequently, contributed to production of a greater number of seedlings to be used in revegetation of degraded areas in a short period of time.(AU)

Entender a germinação é extremamente importante para produção de mudas utilizadas na revegetação de áreas degradadas. Algumas espécies são consideradas dormentes por apresentarem uma estratégia de sobrevivência para superar condições ambientais adversas. Essas sementes germinam apenas quando esse processo é interrompido, o que pode ocorrer naturalmente quando as condições se tornam mais favoráveis para a sobrevivência da espécie ou de forma induzida. Estudos demonstram que o ultrassom pode aumentar a taxa de germinação das sementes. Esse trabalho teve como objetivo avaliar o efeito da sonda ultrassom e compará-la com outras metodologias utilizadas para a germinação de sementes de Senna multijuga (Rich.) H. S. Irwin & Barneby, espécie utilizada na revegetação de áreas degradadas. O experimento avaliou o efeito da sonda de ultrassom em diferentes potências sobre as sementes, que foram colocadas para germinar em gerbox sobre papel umedecido com água destilada. Das sementes que sofreram o tratamento com a sonda de ultrassom 95% germinaram, já das que não sofreram nenhum tratamento apenas 14% delas germinaram. Não houve diferença significativa entre as diferentes potências avaliadas. O índice de velocidade de germinação (IVG) chegou a 4,7 em sementes que sofreram o tratamento e 0,6 no grupo controle. A partir dos resultados é possível concluir que a sonda de ultrassom é um tratamento eficiente para acelerar a germinação de sementes desta espécie e, consequentemente, contribuir para produção de um maior número de mudas em curto período para serem utilizadas na revegetação de áreas degradadas.(AU)

A single simple position for ultrasound assessment of both common extensor and common flexor origin at the elbow

Abstract Objective: Is to evaluate the simplicity of 90° flexion/neutral position for ultrasonography assessment of both common extensor and common flexor origins in comparison with the standard position. Material and methods: A standard questionnaire was distributed on 50 trainees, rheumatologists with No previous experience or training in ultrasonography. (They) were attending musculoskeletal training workshops at AL-Azhar rheumatology department musculoskeletal ultrasonography unit in 2016. Each participant then (was) asked to practice US examination of both common extensor and common flexor origins in both positions and then fill four questionnaires, two (of which are) for common flexor and (the other) two (are) for the common extensor origins, in the standard and the other proposed single position. Each questionnaire (whose) answer was graded on scale from 0 to 10, includes the following points: Time needed to examine the tendon in minutes, Difficulty in maintaining the probe contact to the skin, Difficulty in getting good image of the tendon, The overall impression of simplicity. Results: Descriptive analysis of the questionnaire results shows that the participants favors the single position in all questionnaire parameters. Comparing means of the four questionnaire parameters in both positions shows highly significant difference in the four parameters at the level of both common flexor and extensor origins in favor of the single position as p > 0.005. Conclusion: The 90 degree flexion/neutral position appears to be simpler than the standard position for ultrasonography assessment of common extensor and common flexor tendons at the elbow.

A novel ultrasonic tip for removal of filling material in flattened/oval-shaped root canals: a microCT study.

The aim of this study was to evaluate the influence of a novel ultrasonic tip as an auxiliary method for removing filling material from flattened/oval-shaped canals. The null hypothesis tested was that this method does not influence removing the filling material in flattened/oval-shaped canals. Forty-five mandibular incisors were selected and randomly divided into three experimental groups (n = 15) according to different protocols for removing root canal filling material. Group R: Reciproc R25/.08, Group RC: Reciproc R25/.08 + Clearsonic tip, and Group CR: Clearsonic tip + Reciproc R25/.08. The teeth were scanned pre and post-operatively by means of a micro-computed tomography system. Data were analyzed using non-parametric Kruskal-Wallis and Dunn tests (p < 0.05). The percentage of residual root canal filling material between the experimental groups was examined. Statistically significant differences between the experimental groups were found in the root canal. Group R had the highest percentage of residual root canal filling material when compared with Groups RC and CR. The lowest percentage of residual root canal filling material was observed in Group CR. In the apical third of the root canal, statistically significant differences were found between the different protocols. The use of the ClearSonic tip followed by the Reciproc 25/.08 file to remove filling material resulted in the lowest percentage of residuals in the whole root canal and in the apical third.

Superior gluteal nerve: a new block on the block? / Nervo glúteo superior: um novo bloqueio a caminho?

Abstract Background and objectives The superior gluteal nerve is responsible for innervating the gluteus medius, gluteus minimus and tensor fascia latae muscles, all of which can be injured during surgical procedures. We describe an ultrasound-guided approach to block the superior gluteal nerve which allowed us to provide efficient analgesia and anesthesia for two orthopedic procedures, in a patient who had significant risk factors for neuraxial techniques and deep peripheral nerve blocks. Clinical report An 84-year-old female whose regular use of clopidogrel contraindicated neuraxial techniques or deep peripheral nerve blocks presented for urgent bipolar hemiarthroplasty in our hospital. Taking into consideration the surgical approach chosen by the orthopedic team, we set to use a combination of general anesthesia and superficial peripheral nerve blocks (femoral, lateral cutaneous of thigh and superior gluteal nerve) for the procedure. A month and a half post-discharge the patient was re-admitted for debriding and correction of suture dehiscence; we performed the same blocks and light sedation. She remained comfortable in both cases, and reported no pain in the post-operative period. Conclusions Deep understanding of anatomy and innervation empowers anesthesiologists to solve potentially complex cases with safer, albeit creative, approaches. The relevance of this block in this case arises from its innervation of the gluteus medius muscle and posterolateral portion of the hip joint. To the best of our knowledge, this is the first report of an ultrasound-guided superior gluteal nerve block with an analgesic and anesthetic goal, which was successfully achieved.

Resumo Justificativa e objetivos O nervo glúteo superior é responsável pela inervação dos músculos glúteo médio, glúteo mínimo e tensor da fáscia lata, todos podem ser lesados durante procedimentos cirúrgicos. Descrevemos uma abordagem guiada por ultrassom para bloqueio do nervo glúteo superior, o que nos permitiu fornecer analgesia e anestesia eficientes para dois procedimentos ortopédicos a uma paciente que apresentava fatores de risco significativos para técnicas neuraxiais e bloqueios profundos de nervos periféricos. Relato de caso Paciente do sexo feminino, 84 anos, cujo uso regular de clopidogrel contraindicava técnicas neuraxiais ou bloqueios profundos de nervos periféricos, apresentou-se para hemiartroplastia bipolar urgente em nosso hospital. Levando em consideração a abordagem cirúrgica escolhida pela equipe de ortopedia, estabelecemos o uso de uma combinação de anestesia geral e bloqueios superficiais de nervos periféricos (femoral, cutâneo lateral da coxa e nervo glúteo superior) para o procedimento. Um mês e meio após a alta, a paciente foi readmitida para desbridamento e correção da deiscência de sutura quando fizemos os mesmos bloqueios e sedação leve. A paciente permaneceu confortável em ambos os casos, sem queixa de dor no período pós-operatório. Conclusões A compreensão profunda da anatomia e da inervação capacita os anestesiologistas a resolver casos potencialmente complexos com abordagens mais seguras, até criativas. A relevância desse bloqueio neste caso resulta da sua inervação do músculo glúteo médio e da porção posterolateral da articulação do quadril. De acordo com nossa pesquisa, este é o primeiro relato de um bloqueio do nervo glúteo superior guiado por ultrassom com objetivo analgésico e anestésico que foi obtido com sucesso.

A novel ultrasonic tip for removal of filling material in flattened/oval-shaped root canals: a microCT study

Abstract The aim of this study was to evaluate the influence of a novel ultrasonic tip as an auxiliary method for removing filling material from flattened/oval-shaped canals. The null hypothesis tested was that this method does not influence removing the filling material in flattened/oval-shaped canals. Forty-five mandibular incisors were selected and randomly divided into three experimental groups (n = 15) according to different protocols for removing root canal filling material. Group R: Reciproc R25/.08, Group RC: Reciproc R25/.08 + Clearsonic tip, and Group CR: Clearsonic tip + Reciproc R25/.08. The teeth were scanned pre and post-operatively by means of a micro-computed tomography system. Data were analyzed using non-parametric Kruskal-Wallis and Dunn tests (p < 0.05). The percentage of residual root canal filling material between the experimental groups was examined. Statistically significant differences between the experimental groups were found in the root canal. Group R had the highest percentage of residual root canal filling material when compared with Groups RC and CR. The lowest percentage of residual root canal filling material was observed in Group CR. In the apical third of the root canal, statistically significant differences were found between the different protocols. The use of the ClearSonic tip followed by the Reciproc 25/.08 file to remove filling material resulted in the lowest percentage of residuals in the whole root canal and in the apical third.

Avaliação da transmissibilidade ultrassônica do gel fitoterápico de Copaifera duckei Dwyer / Evaluation of ultrasonic transmission of Copaifera duckei Dwyer herbal gel

Esse estudo teve por objetivo avaliar o potencial de transmissibilidade ultrassônica de um gel fitoterápico de copaíba da espécie Copaifera duckei Dwyer na concentração de 10%. A pesquisa foi registrada junto ao Sistema Brasileiro de Biodiversidade. O gel fitoterápico de Copaifera duckei 10% foi manipulado de acordo diretrizes da Farmacopéia Brasileira e testado em um aparelho de Ultrassom (US) operado na faixa de 1 MHz. Como grupos controle foram selecionados a água destilada e o gel hidroalcoólico. A análise ocorreu de forma qualitativa e quantitativa através do modelo proposto na literatura. O US foi programado para modos de corrente pulsado/contínuo e testados nas intensidades (0,2/0,4/0,6/0,8/1,0W/cm2), em 1mim/cm2. Os dados receberam tratamento estatístico pelo software BioEstat 5.3 e foi admitido um nível de significância de ≥0,05. No modo contínuo e na intensidade de 0.2W/cm2 o gel foi considerado "Bom transmissor", na intensidade de 0.4 W/cm2 e 0.6W/cm2 um "Transmissor moderado" e nas intensidades de 0.8W/cm2 e 1.0W/cm2 um "Transmissor pobre". Concluiu-se que o gel de C. duckei 10% não atenuou as ondas de US em nenhum modo ou intensidade testado. E pode assim ser adicionado a esse para tratamentos sendo considerado transmissor bom ou moderado de acordo com a intensidade do US.(AU)

This study aimed to evaluate the potential of transmissibility of an herbal gel of Copaifera duckei Dwyer at a concentration of 10%. The research was registered with the Brazilian Biodiversity System. The gel of Copaifera duckei 10% was guidelined by the Brazilian Pharmacopoeia and tested on an Ultrasound device (US) operated in the range of 1 MHz. The control groups were selected distilled water and hydro alcoholic gel. The analysis was qualitatively and quantitatively using the model proposed in the literature. The US was scheduled to current modes pulsed/continuous and tested in the intensities (0.2/0.4/0.6/0.8/1.0W/cm2) in 1mim/cm2. The data received statistical treatment by BioEstat software 5.3 and was admitted to a significance level of ≥0.05. In continuous mode and intensity of 0.2W/cm2 gel was considered "good transmitter" at the intensity of 0.4W/cm2 and 0.6W/cm2 a "moderate Transmitter" and the intensity of 0.8W/cm2 and 1.0W/cm2 a "poor transmitter". It was concluded that the 10% gel C. duckei US did not attenuate US waves in any form or intensity tested; it can thus be used for this treatment being considered a good or moderate transmitter according to the intensity of US.(AU)

Comparative study using video analysis and an ultrasonic measurement system to quantify mandibular movement.

OBJECTIVES: This study provides a direct comparison between two registration systems used in quantifying mandibular opening movements: two-dimensional videography and electronic axiography, which is used as a reference. METHOD: A total of 32 volunteers (age: 27.2 ± 6.8 - gender: 17 F - 15 M) participated in the study and repeated a characteristic movement, the frontal Posselt, used in the clinical evaluation of the temporomandibular joint. RESULTS: Frontal Posselt diagrams were reconstructed with the data gathered from both systems, which yielded acceptably similar data. Three commonly assessed parameters were obtained from each diagram and compared. These parameters were: maximum opening, right laterotrusion and left laterotrusion. Both descriptive statistics and the ANOVA test suggested that there was no significant difference between the estimated maximum opening parameter and the reference system (p = 0.217, 95% confidence). Laterotrusion values, on the other hand, appear to be overestimated by videography system and to show greater variability. DISCUSSION: Two-dimensional videography appears to be a suitable tool with resolution that is adequate for tracing mandibular movements - and opening values, in particular - for screening purposes, long-term observation, and as a quick check for dysfunction as far as frontal plane trajectories are concerned. CONCLUSION: Reliability and acceptable quality of 2D videography data, acquired in this work, show that it has clear advantages for its wide application in the dental office due to simplicity and low cost for maximum opening measurement given the usefulness of this parameter in the detection of temporomandibular disorders.

The effect of eggshell thickness on the hatchability of guinea fowl and pheasants

Successful incubation affects the number of healthy chicks in all poultry species. This study examined the effect of eggshell thickness on the hatching rates of guinea fowl and pheasant eggs. In total, 964 guinea fowl and 1,728 pheasant eggs were used in the study. Eggshell thickness was measured directly with an ultrasound gauge. Thicknesses ranged between 0.27-0.47 mm in guinea fowl and 0.24-0.49 mm in pheasant eggs. Incubation periods were 28 days for guinea fowl and 25 days for pheasant eggs. At the end of the incubation period, unhatched eggs were broken to identify the causes of embryonic mortality. Eggs were classified as thin-, medium- and thick-shelled, and hatching rates were calculated as a function of eggshell thickness. Differences in hatching rates of guinea fowl and pheasant eggs with different shell thicknesses were not statistically significant (p>0.05).(AU)

The effect of eggshell thickness on the hatchability of guinea fowl and pheasants

Successful incubation affects the number of healthy chicks in all poultry species. This study examined the effect of eggshell thickness on the hatching rates of guinea fowl and pheasant eggs. In total, 964 guinea fowl and 1,728 pheasant eggs were used in the study. Eggshell thickness was measured directly with an ultrasound gauge. Thicknesses ranged between 0.27-0.47 mm in guinea fowl and 0.24-0.49 mm in pheasant eggs. Incubation periods were 28 days for guinea fowl and 25 days for pheasant eggs. At the end of the incubation period, unhatched eggs were broken to identify the causes of embryonic mortality. Eggs were classified as thin-, medium- and thick-shelled, and hatching rates were calculated as a function of eggshell thickness. Differences in hatching rates of guinea fowl and pheasant eggs with different shell thicknesses were not statistically significant (p>0.05).

The effect of eggshell thickness on hatching traits of partridges

Incubation is an important factor in poultry production, particularly in species with relatively low fertility and hatchability rates. This study examined the effect of eggshell thickness on hatching traits of partridges (A. chukar). A total of 462 eggs from intensively reared partridges were separated into three groups according to eggshell thickness, which was measured ultrasonically before incubation. Hatchability, chick weight, and chick length were assessed at the end of the incubation period. Hatching times were recorded during hatching. Embryonic mortalities in unhatched eggs were classified according to mortality stage at the end of incubation. The effect of eggshell thickness on hatchability was found to be insignificant for all groups. Moreover, eggshell thickness had no significant effect on chick weight or length.

The effect of eggshell thickness on hatching traits of partridges

Incubation is an important factor in poultry production, particularly in species with relatively low fertility and hatchability rates. This study examined the effect of eggshell thickness on hatching traits of partridges (A. chukar). A total of 462 eggs from intensively reared partridges were separated into three groups according to eggshell thickness, which was measured ultrasonically before incubation. Hatchability, chick weight, and chick length were assessed at the end of the incubation period. Hatching times were recorded during hatching. Embryonic mortalities in unhatched eggs were classified according to mortality stage at the end of incubation. The effect of eggshell thickness on hatchability was found to be insignificant for all groups. Moreover, eggshell thickness had no significant effect on chick weight or length.(AU)

Técnica de ultrassom associada a limas manuais para remoção de instrumentos fraturados no sistema de canais radiculares: uma série de casos / Ultrasonic technique associated with manual les to remove broken les from root canals system: a case series

Introdução: a anatomia complexa dos canais radiculares, aliada ao uso repetido e/ou inadequado dos instrumentos, pode ocasionar sua fratura. Objetivo: demonstrar, por meio de três relatos de casos clínicos, uma técnica de remoção de limas endodônticas fraturadas, em diferentes terços do canal radicular, por meio da associação de limas manuais e ultrassom. Métodos: nessa série de casos, três dentes que apresentavam limas fraturadas no interior dos canais radiculares foram tratados de forma similar, por meio da associação de limas endodônticas manuais e ultrassom. Para todos os casos, havia uma estimativa de insucesso, devido ao tamanho e posição do fragmentos no interior dos canais. Porém, o protocolo adotado demonstrou 100% de e cácia. Conclusão: a presente técnica, associando limas manuais e ultrassom, se mostrou e caz, permitindo a remoção de limas manuais fraturadas no interior dos canais radiculares.

Cirurgia peri-implantar com o uso de ultrassom cirúrgico piezoelétrico / Peri-implant surgery with ultrasound piezoelectric device

O objetivo deste artigo foi relatar um caso clínico com uso do instrumento piezoelétrico e enxertia no seio maxilar na mesma sessão clínica. Uma paciente do sexo feminino, 71 anos de idade, apresentou-se com queixa de desconforto na região maxilar direita, motivo da fratura radicular no dente 26. Após a análise tomográfica, a altura óssea residual era de 3 mm. Assim, através de uma janela cirúrgica vestibular e pelo levantamento da membrana do seio maxilar com dispositivo piezoelétrico, foi instalado um implante dentário. O procedimento foi completado pela colocação de uma membrana reabsorvível e um biomaterial liofilizado associado ao PRP. As potencialidades do dispositivo piezoelétrico (diminuição do aquecimento no corte, não perfuração da membrana Schneideriana, bem como o sangramento reduzido) o tornam ideal do ponto de vista regenerativo e para colocação dos implantes dentários no seio maxilar.

The aim of this article was to report a clinical case using the piezoelectric device for simultaneous maxillary sinus lifting and dental implant placement. A 71 years-old female patient presented to the clinics with discomfort at the region of tooth 26 due to root fracture. After CBCT examining, the residual bone height was 3 mm. Thus, it was decided to open a lateral buccal window and to lift the sinus membrane using the piezosurgical unit, followed by dental implant placement. The procedure was completed by insertion of a collagen resorbable membrane associated to lyophilized bone and PRP. The potentials of piezosurgery (less heating, less membrane perforation, and reduced bleeding) make it ideal for regenerative procedures involving implant placement at the maxillary sinus region.

Effect of ultrasound on survival and growth of Escherichia coli in cactus pear juice during storage.

The aim of this study was to investigate the effectiveness of ultrasound as a conservation method for the inactivation of Escherichia coli inoculated into cactus pear juices (green and purple). Total soluble solids, pH, titratable acidity, and the kinetics of E. coli in cactus pear juices treated by ultrasound (60%, 70%, 80% and 90% amplitude levels for 1, 3 and 5min) were evaluated over 5 days. Total inactivation was observed in both fruit juices after 5min of ultrasound treatment at most amplitude levels (with the exception of 60% and 80%). After one and two days of storage, the recovery of bacteria counts was observed in all cactus pear juices. Ultrasound treatment at 90% amplitude for 5min resulted in non-detectable levels of E. coli in cactus pear juice for 2 days. The parameters of pH, titratable acidity and soluble solids were unaffected.