High prevalence of oral potentially malignant disorders and risk factors in a semi-urban brazilian city: a population-based cross-sectional study.

BACKGROUND: Oral Potentially Malignant Disorders (OPMDs) are defined as lesions with a greater likelihood of progressing to cancer. Population-based studies that evaluate the prevalence of OPMDs are scarce in Brazil. The aim of the present study was to determine the prevalence of OPMDs and associated risk factors in a semi-urban Brazilian population. MATERIAL AND METHODS: This is a cross-sectional study, whose universe included individuals aged 40 years or older residing in a medium-sized city of northeastern Brazil. Data collection was divided into two steps: interview and oral examination. The outcome variable was the presence of OPMDs. The predictor variables were sociodemographic characteristics and risk habits. The bivariate analysis was performed through chi-square test. The crude prevalence ratios (PR) and its respective 95% confidence intervals (CI) were calculated. Poisson regression analysis with robust variance was used to calculate adjusted PRs and 95% CI. RESULTS: Three hundred fourteen individuals were included in the study. When asked about risk habits, 58.9% reported being current smokers or ex-smokers and 62.2% reported being current drinkers or ex-drinkers. The prevalence of OPMDs was 7.6% and was significantly higher among individuals with black skin color (p < 0.001), alcohol users (p = 0.017), and individuals with both tobacco and alcohol habits (p = 0.012). CONCLUSIONS: Therefore, the population in the present study had a high frequency of risk habits associated with PMDs of the oral cavity.

Is Dexamethasone superior to Ketorolac in reducing pain, swelling and trismus following mandibular third molar removal? A split mouth triple-blind randomized clinical trial.

BACKGROUND: The preemptive use of anti-inflammatory drugs, such as corticosteroids and NSAIDs, has the potential to reduce pain, swelling and trismus following oral surgery. The aim of this study was to compare the efficacy of dexamethasone and ketorolac tromethamine in reducing pain, swelling and trismus after mandibular third molar removal. MATERIAL AND METHODS: The researches implemented a triple-blind, randomized clinical trial. The study was conducted with ASA I individuals aging between 18 and 35 years, which were randomized and submitted to two interventions, one with 8mg dexamethasone and the other with 20mg ketorolac tromethamine given 1h before the procedure. The primary predictor variable was the use of dexamethasone or ketorolac. The primary outcome variable was the postoperative pain level, measured with a Visual Analogue Scale. The secondary outcome variables were the amount of rescue analgesic consumed, swelling and trismus. Repeated-measures ANOVA and t-test for paired samples were used to compare the means. Significance was set at p < 0.05. RESULTS: Fifty individuals were randomized and allocated to intervention, and the sample was composed of 40 subjects who completed the study (27 female and 13 male). Dexamethasone, when compared to ketorolac tromethamine, showed a significantly higher reduction in pain level at 8h, 16h, 24h, 32h, 40h and 72h, in swelling and trismus at 24h, 48h, 72h and 7 days and in total number of rescue analgesics taken up to 72h postoperative (p < 0.05). CONCLUSIONS: The clinical performance of dexamethasone in controlling pain, swelling and trismus after mandibular third molar removal was superior to ketorolac tromethamine's.

Prevalence of ulcerative stomatitis in arbovirus infections in a Brazilian Northeast population.

BACKGROUND: Although there are no population-based studies that support an association, there are reports in the literature of mucocutaneous, vesiculobullous and ulcerated lesions in the oral mucosa in cases of arbovirus infection. The aim of this study is to analyze the prevalence of ulcerative stomatitis in individuals affected by arboviruses in a population of the municipality of Arcoverde, Pernambuco, Brazil. MATERIAL AND METHODS: 1,003 people living in an area assigned to a Primary Health Care Unit were interviewed. A structured questionnaire was used for data collection, with questions about sociodemographic variables, residence conditions, general health information, as well as information about the general signs and symptoms of arboviruses and specifically about oral lesions. RESULTS: Of the 1,003 individuals interviewed, 815 (81.25%) were infected by one or more arboviruses. Of these, 147 (18%) reported ulcerated oral lesions during arbovirus infections. The association between arbovirus infections and the presence of ulcerated oral lesions was statistically significant (p = 0.000). CONCLUSIONS: In these cases, the ulcerated lesions on the oral mucosa appear to be associated with arbovirus infection, especially Chikungunya, although the pathophysiological mechanisms are not defined, and the studies are not sufficient to confirm this association.

"Retronychia--clinical and pathophysiological aspects".

Retronychia represents proximal ingrowth of the nail that occurs when the nail embeds backwards into the proximal nail fold. It is suspected when there is a persistent paronychia, particularly in the setting of trauma. Important clinical criteria for diagnosis are inflammation of the proximal nail fold, granulation tissue emerging from under the nail fold, thickening of the proximal portion of the nail plate and interruption of nail growth. The condition is rarely diagnosed and often misinterpreted, and is therefore unnecessarily treated with systemic antibiotics and antifungals. Avulsion of the nail confirms the diagnosis and it is the curative treatment. Conservative treatment with an adhesive technique is a valid option in early cases. We report 20 cases of retronychia diagnosed in our department between 2010 and 2013.

Influência de Agaricus blazei Murrill sobre o tumor sólido de Ehrlich e linfonodos poplíteos de camundongos / Influence of Agaricus blazei Murrill in solid Ehrlich tumor and popliteal lymph nodes in mice

Estudou-se a influência do tratamento diário com filtrado aquoso de Agaricus blazei Murrill (ABM) (25mg/ml), via oral, por 17 e 57 dias, em camundongos inoculados com tumor sólido de Ehrlich (TSE) por meio da curva de crescimento tumoral, do peso relativo do tumor, da contagem de regiões organizadoras de nucléolos (AgNORs) e dos padrões histológicos das massas tumorais e linfonodos poplíteos. Os animais que ingeriram o extrato aquoso do ABM por 57 dias apresentaram menor (P<0,05) crescimento do TSE, no segundo e terceiro dias, fase inflamatória do crescimento tumoral. Quanto ao peso relativo das massas tumorais, valores de AgNORs, padrões morfoistopatológicos do TSE e ocorrência de processos metastáticos, não houve alteração significativa (P>0,05) entre os animais tratados e não tratados.

The influence of daily administration of Agaricus blazei Murrill (ABM) aqueous solution (25mg/ml) during 17 and 57 days in mice bearing solid Ehrlich tumor was studied. Tumoral growth, tumoral and spleenic relative weights, nucleoly organization regions AgNORs values and tumor and popliteal lymph nodes histopathology were daily evaluated. The animals that received ABM during 57 days showed lower values (P<0.05) of tumoral growth on second and third days after the period corresponding to the inflammatory phase of tumoral growth. The relative weight of the tumor and AgNORs values were similar (P>0.05) between treated and non-treated animals. No difference in microscopic evaluation of the tumors in treated and non-treated animals was seen and metastasis in popliteal nodes of the tumor occurred in all the animals.

Perfil de utilização de fitoterápicos em farmácias comunitárias de Belo Horizonte sob a influência da legislação nacional / Profile of the utilization of phytotherapie medicines in communitary pharmacies of Belo Horizonte, under the influence of the national legislation

Um panorama do consumo de fitoterápicos em farmácias comunitárias de Belo Horizonte (MG) é utilizado neste artigo como instrumento para analisar a influência da legislação nacional sobre este mercado. Para tal, foram entrevistados indivíduos que adquiriram fitoterápicos nos estabelecimentos farmacêuticos visitados. Observa-se que, na mesma nação detentora da maior biodiversidade do planeta e privilegiada por uma cultura popular conhecedora das propriedades terapêuticas das plantas, existe uma tendência de mercado para a utilização de plantas exóticas, oriundas de países desenvolvidos. A influência da legislação brasileira de fitoterápicos, que prima pela qualidade, eficácia e segurança desses medicamentos, mas que, ao mesmo tempo, tende a proscrever as drogas nativas que fazem parte da medicina popular brasileira, é discutida nesse trabalho. Verifica-se, assim, a pertinência de se discutir o perfil de usuário de fitoterápicos à luz das normas de registro desses fármacos no país no campo da saúde pública, tendo em vista que essa legislação repercute nas estratégias e/ou empecilhos para aumentar o acesso a medicamentos pela população.

An overview of the herbal drugs consumption in communitarian pharmacies in Belo Horizonte (MG), Brazil is used in this article as a tool to analyze the influence of the national law over this market. In order to reach this goal, individuals that had bought herbal drugs were interviewed at the pharmacies. It was observed that, in the same nation that has the highest biodiversity in the planet and is privileged by a popular culture knowledgeable in the therapeutic properties of the plants, there is a tendency in the market for the use of exotic plants, coming from developed countries. The influence of the Brazilian law about the herbal drugs, which constantly worries about the quality, efficiency and safety of these medicines, but at the same time, tends to proscribe the native drugs that are part of the popular medicine, is discussed in this assignment. It is concluded that it is pertinent to discuss the profile of the herbal drugs users in the spot of the laws of the country related to these drugs, in the field of the public health, since this legislation is reflected in the strategies and/or barriers to increase the access to the drugs by the population.

Evaluation of the incorporation ratio of ZnO, PbO and CdO into cement clinker.

Zinc, lead, and cadmium are minor elements that might be brought by wastes to the cement kilns. This work studies the incorporation ratio of ZnO, PbO, and CdO when they are added to the clinker raw material. The cement raw material used in this work was prepared by mixing pure compounds, this choice was made to avoid the effect of other elements and provide a better understanding of the behavior of these metals during the clinkering process. The samples contained additions of 0.05, 0.10, 0.30, 0.50, 0.80 and 1.00 wt.% of a specific oxide (ZnO, PbO, or CdO) to the clinker raw-meal. The chlorine influence in the ZnO incorporation ratio was also evaluated. A device to simulate the thermal cycle imposed on the charge during the clinker production was used to evaluate the incorporation ratio of these oxides as well as thermogravimetric tests. The products of the tests in the simulator device were submitted to X-ray fluorescence chemical analysis or energy disperse scanning (EDS) microprobe analysis. The results led to the conclusions that the evaporation of Zn in cements kilns is due to the chlorine content and the Pb and Cd incorporation ratio stands around 50 wt.%.

Extratos de Curcuma longa L. e Kalanchoe brasiliensis Camb. no tratamento local do envenenamento por Bothrops alternatus

Este trabalho teve como objetivo a utilização dos extratos aquosos das plantas Curcuma longa e Kalanchoe brasiliensis na terapêutica tópica complementar do envenenamento botrópico experimental em camundongos, visando a antagonização dos efeitos locais (edema, hemorragia e necrose) provocados pelo veneno. O experimento mostrou que os melhores resultados foram obtidos com o extrato de Kalanchoe brasiliensis.

In this contribution, an aqueous extract from rhizomes of Curcuma longa and an aqueous extract from the aerial parts of Kalanchoe brasiliensis were investigated for their properties against the local effects (edema, hemorrhage and necrosis) of Bothrops alternatus venom in mice. The experiment showed that the best results were obtained with Kalanchoe brasiliensis extract.

Quadro hematologico e peso do baço de camundongos com tumor de Ehrlich na forma sólida tratados com Agaricus blazei

Este trabalho teve como objetivo avaliar a utilização do Agaricus blazei nas formas de filtrado e suspensão total aquosa (10mg/animal) na terapêutica de camundongos portadores de tumor de Ehrlich sólido, testando sua atividade anti-neoplásica. Os animais tratados diariamente com A. blazei apresentaram valores maiores dos parâmetros hematológicos (eritrograma e leucograma), e peso relativo final do baço quando comparados com o grupo controle (água destilada), porém sem diferença significativa (P>0,05).

The aim of this study was to evaluate the antineoplastic properties of the aqueous suspension and filtrate (10mg/animal), Agaricus blazei on the solid Ehrlich tumor in mice. Groups treated with A. blazei had higher values of eritrogram and leukogram, and higher relative final spleen weight when compared to control (distillated water), but not statistically different (p>0,05).

Tratamento tópico de coelhos com Agaricus blazei Murril após envenenamento botrópico experimental

Este trabalho teve como objetivo avaliar a utilização do cogumelo Agaricus blazei Murril (5 por cento) na terapêutica tópica do envenenamento experimental de coelhos por Bothrops alternatus, visando a antagonização dos efeitos locais (edema, hemorragia e necrose) provocados por esse veneno. Os resultados finais mostraram um menor grau de edema e do halo hemorrágico no grupo tratado quando comparados com o grupo controle (salina).

In this contribution, the mushroom Agaricus blazei Murril was investigated for its properties against the local effects of Bothrops alternatus venom in rabbits to antagonize the local effects (edema, hemorrhage and necrosis). The results showed that the group treated with Agaricus blazei had smaller edema and hemorrhage than Control group (saline).

Chloride influence on the incorporation of Cr(2)O(3) and NiO in clinker: a laboratory evaluation.

Co-incinerating wastes in cement rotary kilns may introduce elements not usually found in the raw material into the process or even increase the quantity of some minor elements. Chromium and nickel are present in some electroplating sludges. These wastes are hazardous and must be treated and disposed of in a controlled landfill. The objective of this work was to study the incorporation of chromium and nickel oxides when they were added to clinker raw meal. The clinker raw meal used in this study was prepared by mixing pure compounds in the ratio that made it possible to obtain the same phases of an industrial Portland clinker at the end of the heating process. Twelve samples were prepared by adding 0.05, 0.1, 0.3, 0.5, 0.8 and 1.0wt.% of Cr(2)O(3) and 0.05, 0.1, 0.3, 0.5, 0.8 and 1.0wt.% of NiO to the base charge. Also, four more samples were prepared with additions of 0.6% Cr(2)O(3) and 0.1% NaCl, 0.7% Cr(2)O(3) and 0.1% KCl, 0.8% NiO and 0.1% NaCl and 0.8% NiO and 0.1% KCl. In order to study the Cr and Ni incorporation, thermogravimetric (TG) tests were performed, as well as tests in an assembled experimental device. The products were characterized by X-ray fluorescence chemical analysis, microprobe analyses by energy disperse scanning (EDS) and leaching tests. The results showed that the chromium and nickel added were incorporated into the clinker, even when chlorides were present.

Eggplant (Solanum melongena) infusion has a modest and transitory effect on hypercholesterolemic subjects.

Eggplant (Solanum melongena) is consumed extensively in Brazil. It has been believed that infusion of a powdered preparation of the fruit may reduce serum cholesterol. However, there are few documented reports on its effects on cholesterol metabolism and its possible hypocholesterolemic effect has not been proved by well-controlled studies. The aim of the present study was to observe the effects of S. melongena on the serum cholesterol and triglycerides of 38 hypercholesterolemic human volunteers ingesting S. melongena infusion for five weeks. Thirty-eight hypercholesterolemic subjects receiving either S. melongena infusion (N = 19) or placebo (N = 19) participated in two clinical experiments in which the effect of S. melongena infusion was studied with (N = 16) or without (N = 38) dietary orientation. Total cholesterol and its fractions, triglycerides, and apolipoproteins A and B were measured in blood at the beginning of the experiment and three and five weeks thereafter. No differences were observed compared to control. Intraindividual analysis showed that S. melongena infusion significantly reduced the blood levels of total and LDL cholesterol and of apolipoprotein B. After dietary orientation, no intra- or intergroup differences were seen for any of the parameters analyzed. The results suggest that S. melongena infusion had a modest and transitory effect, which was not different from that obtained with standard orientation for dyslipidemia patients (diet and physical activities).

Eggplant (Solanum melongena) infusion has a modest and transitory effect on hypercholesterolemic subjects

Eggplant (Solanum melongena) is consumed extensively in Brazil. It has been believed that infusion of a powdered preparation of the fruit may reduce serum cholesterol. However, there are few documented reports on its effects on cholesterol metabolism and its possible hypocholesterolemic effect has not been proved by well-controlled studies. The aim of the present study was to observe the effects of S. melongena on the serum cholesterol and triglycerides of 38 hypercholesterolemic human volunteers ingesting S. melongena infusion for five weeks. Thirty-eight hypercholesterolemic subjects receiving either S. melongena infusion (N = 19) or placebo (N = 19) participated in two clinical experiments in which the effect of S. melongena infusion was studied with (N = 16) or without (N = 38) dietary orientation. Total cholesterol and its fractions, triglycerides, and apolipoproteins A and B were measured in blood at the beginning of the experiment and three and five weeks thereafter. No differences were observed compared to control. Intraindividual analysis showed that S. melongena infusion significantly reduced the blood levels of total and LDL cholesterol and of apolipoprotein B. After dietary orientation, no intra- or intergroup differences were seen for any of the parameters analyzed. The results suggest that S. melongena infusion had a modest and transitory effect, which was not different from that obtained with standard orientation for dyslipidemia patients (diet and physi

Incidence and distribution of postcranial fractures in the prehistoric population of San Pedro de Atacama, Northern Chile.

Trauma incidence analysis in skeletal populations has been very popular among skeletal biologists during the last two decades. In this context, the work of Lovejoy and Heiple ([1981] Am. J. Phys. Anthropol. 55:529-541) has been quoted as a landmark because their analysis rested on a populational approach, avoiding simple assumptions about cause and etiology. In this study, we apply to the prehistoric population of San Pedro de Atacama, northern Chile, an approach similar to that carried out by Lovejoy and Heiple (1981). The results obtained point to a peak of risk of fractures among old people, estimated age around 45 years. The distribution of fractures by sex and age suggests that the prevailing etiology is related to accidents and not violence. When the frequencies of fractures are compared, the Libben population shows a much higher incidence than the Atacamenean population. It is suggested that this difference can be explained by peculiarities of the subsistence economies of the two populations.

Integration of Trypanosoma cruzi kDNA minicircle sequence in the host genome may be associated with autoimmune serum factors in Chagas disease patients.

Integration of kDNA sequences within the genome of the host cell shown by PCR amplification with primers to the conserved Trypanosoma cruzi kDNA minicircle sequence was confirmed by Southern hybridization with specific probes. The cells containing the integrated kDNA sequences were then perpetuated as transfected macrophage subclonal lines. The kDNA transfected macrophages expressed membrane antigens that were recognized by antibodies in a panel of sera from ten patients with chronic Chagas disease. These antigens barely expressed in the membrane of uninfected, control macrophage clonal lines were recognized neither by factors in the control, non-chagasic subjects nor in the chagasic sera. This finding suggests the presence of an autoimmune antibody in the chagasic sera that recognizes auto-antigens in the membrane of T. cruzi kDNA transfected macrophage subclonal lines.

Separation and simultaneous high-performance liquid chromatographic determination of benzocaine and benzyl benzoate in a pharmaceutical preparation.

A simple reversed-phase high-performance liquid chromatographic method suitable for the simultaneous determination of benzocaine and benzyl benzoate in dermatological preparations is described. An internal standard method was employed, using C18 "bonded phase" silica column and a mobile phase consisting of acetonitrile - water (40:60, v/v), with absorption of the column effluent monitored at 254 nm. No sources of interference were observed. The simultaneous determination of both compounds by the method described is rapid and accurate.

The effect of short-wavelength ultraviolet light on antigens, lectin receptors and the ultrastructure of Crithidia fasciculata.

Crithidia fasciculata is an important trypanosomatid parasite commonly affecting insects and is used extensively as a model for the study of the biochemistry, ultrastructure and organization of the kDNA network of trypanosomatids. The present study describes the evolution of UV-induced morphological changes detectable by transmission electron microscopy in Crithidia fasciculata. Although only rare and minor changes in kinetoplast DNA were demonstrable 7 h after UV irradiation, alterations of this organelle were present in almost all flagellates observed 24 h and 48 h after irradiation. Other cell structures were apparently undamaged. Ultrastructural changes in kDNA did not correspond to changes in antigenicity of protein bands in western blotting against serum from Chagas' disease patients or in the presence of 3 different lectin receptors on the surface of the parasite.

The effect of short-wavelength ultraviolet light on antigens, lection receptors and the ultraestructure of Crithidia fasciculata

Crithidia fasciculata is an important trypanosomatid parasite commonly affecting insects and is used extensively as a model for the study of the biochemistry, ultrastructure and organization of the kDNA network of trypanosomatids. The present study describes the evolution of UV-induced morphological changes detectable by transmission electron microscopy in Crithidia fasciculata. Although only rare and minor changes in Kinetoplast DNA were demonstrable 7 h after UV irradiation, alterations of this orgtanelle were present in almost al flagellates observed 24 h and 48 h after irradiation. Other cell structures were apparently undamaged. Ultrastructural changes in kDNA did not correspond to changes in antigenicity of protein bands in western blotting against serum from Chagas' disease patients or in the presence of 3 different lectin receptors on the surface of the parasite

UV-induced growth inhibition in the trypanosomatid Crithidia fasciculata

The effects of short ultraviolet (253 mm) radiation on the growth of the trypanosomatid flagellate Crithidia fasciculada were studied in liquid medium and nutrient agar plates. Cell duplication was completely inhibited after exposure of the flagellates to doses equal to or higher than 50 J/m2. The UV-induced lag period was dose-dependent. Survival was reduced to 1% after exposure of the parasites to 200 J/m2. Ultrastructural changes after the lag period were studied by transmission electron microscopy. Changes of the kinetoplast network structure and sometimes of the mitochondrial matrix were observed. The existence of DNA repair mechanisms in this protozoan is discussed

UV-induced growth inhibition in the trypanosomatid Crithidia fasciculata.

The effects of short ultraviolet (253 nm) radiation on the growth of the trypanosomatid flagellate Crithidia fasciculata were studied in liquid medium and nutrient agar plates. Cell duplication was completely inhibited after exposure of the flagellates to doses equal to or higher than 50 J/m2. The UV-induced lag period was dose-dependent. Survival was reduced to 1% after exposure of the parasites to 200 J/m2. Ultrastructural changes after the lag period were studied by transmission electron microscopy. Changes of the kinetoplast network structure and sometimes of the mitochondrial matrix were observed. The existence of DNA repair mechanisms in this protozoan is discussed.