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1.
Oper Dent ; 47(5): 514-526, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36121737

RESUMO

OBJECTIVES: The initial shade of a resin-based restorative material should be the same as that after polymerization. In this study, the color changes of translucent and opaque composites from nine different brands were assessed after polymerization using a spectrophotometer and cross-polarization (CP) photography. METHODS AND MATERIALS: Thirteen nano-hybrid (Essentia LE, GC Corp; Ceram.x Duo SphereTEC A2E/A2D, Dentsply Sirona; Harmonize A2E/A2D, Kerr Dental; IPS Empress Direct A2E/A2D, Ivoclar Vivadent; Mosaic EN/A2, Ultradent Products; Clearfil Majesty Es-2 A2E/A2D, Kuraray Noritake; Charisma Topaz A2/OL, Kulzer), two supra nano-hybrid (Estelite Asteria NE/A2B; Tokuyama), two nano-filled (Filtek Ultimate A2E/A2D; 3M) light-curing resin composites, and one micro-hybrid (Essentia MD, GC Corp) light-curing resin composite were tested. Disc-shaped specimens (n=5) were prepared using silicone molds (12 × 5 mm) and polymerized from both sides using an LED curing light (Elipar Deepcure S, 3M) at a light intensity of 1470 mW/cm2. Measurements were performed before and 1 day after polymerization using a contact-type dental spectrophotometer (Easy Shade 5, VITA Zahnfabrik, Bad Säckingen, Germany) and a combination of CP photography and Photoshop CC software (Adobe Inc, San Jose, CA, USA). Spectrophotometry and CP photography ΔE* values were calculated; the perceptibility threshold was a ΔE* value of 1.2. VITA spectrophotometry color change scores were also calculated and evaluated. RESULTS: The overall ΔE* values ranged between 0.34 and 12.56. Two-way analysis of variance (ANOVA) showed that color change was associated most strongly with composite brand (p<0.001), followed by shade (p=0.002). Color change (p=0.002) and degree of darkening/lightening (p<0.001) were significantly greater for dentin compared to enamel shades. Clearfil Majesty Es-2 (Kuraray Noritake) showed significant lightening, whereas all other composites showed darkening after polymerization. All composite brands presented perceptible (ΔE*≥1.2) color changes. Estelite Asteria (Tokuyama), Ceram.x Duo SphereTEC (Dentsply Sirona), and Harmonize (Kerr Dental) were considered the most reliable brands regardless of the shade. The spectrophotometry and CP photography methods were positively correlated (p<0.001). Also, CIEDE2000 and CIELCH (also referred to as CIE L*c*h) color systems were positively correlated based on the ΔE* values (p<0.001). CONCLUSIONS: Despite improvements in the chemical composition of, and fillers for, contemporary resin-based composites (RBCs), all tested composite brands showed perceptible color change after polymerization, except for some shades. Under the conditions in this study, it is preferable to polymerize the composite during the trial phase, before identifying the most appropriate shade. CP photography in combination with Photoshop analysis appears to be a reliable and promising approach for color evaluation.


Assuntos
Resinas Compostas , Materiais Dentários , Cor , Resinas Compostas/química , Materiais Dentários/química , Teste de Materiais , Polimerização , Polimetil Metacrilato , Silicones
2.
West Indian med. j ; 69(6): 395-398, 2021. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1515687

RESUMO

ABSTRACT Objective: The mean platelet volume (MPV) is a potential marker of platelet reactivity. Increased MPV levels are shown to be the predictors of inflammations. The aim of this study was to investigate whether MPV is an inflammatory indicator in children with allergic rhinitis. Methods: The study included 44 children with allergic rhinitis between the ages of 6 and 18 years (47.1% boys), and 45 healthy children between the ages of 6 and 18 years (52.9% boys), and the MPV, platelet (PLT), white blood cell (WBC), haemoglobin (Hb) values in their haemograms were compared. Results: No differences were found between the allergic rhinitis group and the healthy control group in terms of their age and their gender (p = 0.15 and 0.60, respectively). While the MPV value of the patient group was 6.9 fL (6-9), the MVP value of the control group was 7.0 fL (5.9-9.7). There was no statistically significant difference between the patient and the control groups in terms of their MPV data (p = 0.15). In addition, there were no differences between the patient and control groups in terms of PLT count, WBC count, or Hb data (p = 0.09, 0.22, and 0.22, respectively). Conclusion: To the best of our knowledge, this is the first study to analyse the role of MPV as an inflammatory indicator in children with allergic rhinitis. According to our results, MPV cannot be used as an indicator of inflammation in children with allergic rhinitis.

3.
Cell ; 178(1): 160-175.e27, 2019 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-31155233

RESUMO

Single-cell technologies have described heterogeneity across tissues, but the spatial distribution and forces that drive single-cell phenotypes have not been well defined. Combining single-cell RNA and protein analytics in studying the role of stromal cancer-associated fibroblasts (CAFs) in modulating heterogeneity in pancreatic cancer (pancreatic ductal adenocarcinoma [PDAC]) model systems, we have identified significant single-cell population shifts toward invasive epithelial-to-mesenchymal transition (EMT) and proliferative (PRO) phenotypes linked with mitogen-activated protein kinase (MAPK) and signal transducer and activator of transcription 3 (STAT3) signaling. Using high-content digital imaging of RNA in situ hybridization in 195 PDAC tumors, we quantified these EMT and PRO subpopulations in 319,626 individual cancer cells that can be classified within the context of distinct tumor gland "units." Tumor gland typing provided an additional layer of intratumoral heterogeneity that was associated with differences in stromal abundance and clinical outcomes. This demonstrates the impact of the stroma in shaping tumor architecture by altering inherent patterns of tumor glands in human PDAC.


Assuntos
Fibroblastos Associados a Câncer/metabolismo , Carcinoma Ductal Pancreático/metabolismo , Carcinoma Ductal Pancreático/patologia , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patologia , Microambiente Tumoral , Animais , Proliferação de Células , Técnicas de Cocultura , Transição Epitelial-Mesenquimal , Feminino , Células HEK293 , Xenoenxertos , Humanos , Camundongos , Camundongos Endogâmicos NOD , Camundongos SCID , Proteínas Quinases Ativadas por Mitógeno/metabolismo , RNA-Seq , Fator de Transcrição STAT3/metabolismo , Células Estromais/metabolismo , Transfecção
4.
Cell ; 177(7): 1903-1914.e14, 2019 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-31031007

RESUMO

Xenograft cell transplantation into immunodeficient mice has become the gold standard for assessing pre-clinical efficacy of cancer drugs, yet direct visualization of single-cell phenotypes is difficult. Here, we report an optically-clear prkdc-/-, il2rga-/- zebrafish that lacks adaptive and natural killer immune cells, can engraft a wide array of human cancers at 37°C, and permits the dynamic visualization of single engrafted cells. For example, photoconversion cell-lineage tracing identified migratory and proliferative cell states in human rhabdomyosarcoma, a pediatric cancer of muscle. Additional experiments identified the preclinical efficacy of combination olaparib PARP inhibitor and temozolomide DNA-damaging agent as an effective therapy for rhabdomyosarcoma and visualized therapeutic responses using a four-color FUCCI cell-cycle fluorescent reporter. These experiments identified that combination treatment arrested rhabdomyosarcoma cells in the G2 cell cycle prior to induction of apoptosis. Finally, patient-derived xenografts could be engrafted into our model, opening new avenues for developing personalized therapeutic approaches in the future.


Assuntos
Animais Geneticamente Modificados/metabolismo , Protocolos de Quimioterapia Combinada Antineoplásica/farmacologia , Neoplasias Musculares , Rabdomiossarcoma , Peixe-Zebra/metabolismo , Animais , Animais Geneticamente Modificados/genética , Animais Geneticamente Modificados/imunologia , Feminino , Xenoenxertos , Humanos , Células K562 , Masculino , Neoplasias Musculares/tratamento farmacológico , Neoplasias Musculares/imunologia , Neoplasias Musculares/metabolismo , Neoplasias Musculares/patologia , Transplante de Neoplasias , Ftalazinas/farmacologia , Piperazinas/farmacologia , Rabdomiossarcoma/tratamento farmacológico , Rabdomiossarcoma/imunologia , Rabdomiossarcoma/metabolismo , Rabdomiossarcoma/patologia , Temozolomida/farmacologia , Ensaios Antitumorais Modelo de Xenoenxerto , Peixe-Zebra/genética , Peixe-Zebra/imunologia
5.
Eur J Trauma Emerg Surg ; 44(4): 597-605, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28717983

RESUMO

PURPOSE: The aim of our study was to evaluate the effects of AKI development on mortality with four different classification systems (RIFLE, AKIN, CK, KDIGO) in critically ill trauma patients followed in the intensive care unit. METHODS: A retrospective review of 2034 patients in our intensive care unit was conducted between July 2010 and August 2013. A total of 198 patients with primary trauma were included in the study to evaluate the development of AKI. RESULTS: When the presence of AKI was investigated according to the four criteria (RIFLE, AKIN, CK, and KDIGO), the highest incidence of AKI was found according to the KDIGO classification (74.2%), followed by AKIN (72.2%), RIFLE (69.7%), and CK (59.1%). It was observed that more AKI developed according to KDIGO in patients with multiple trauma and thoracic trauma (p = 0.031, p = 0.029). Sixty-two (31%) of the 198 trauma patients monitored in the intensive care unit died; mortality was frequently found high in AKI stage 2 and 3 patients. According to the CK classification, there was a significant increase in mortality in patients with AKI on the first day (p = 0.045). AKI classifications by RIFLE, AKIN, CK, and KDIGO were independently associated with the risk of in-hospital death. CONCLUSION: In this study, the presence of AKI was found to be an independent risk factor in the development of in-hospital mortality according to all classification systems (RIFLE, AKIN, CK, and KDIGO) in critically traumatic patients followed in ICU, and the compatibility between RIFLE, AKIN, and KDIGO was the highest among the classification systems.


Assuntos
Injúria Renal Aguda/classificação , Injúria Renal Aguda/mortalidade , Estado Terminal/classificação , Estado Terminal/mortalidade , Mortalidade Hospitalar/tendências , Medição de Risco/métodos , Adulto , Idoso , Feminino , Humanos , Incidência , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de Doença , Turquia/epidemiologia
6.
Annals of Dentistry ; : 23-30, 2018.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wpr-750382

RESUMO

@#To assess the oral health behaviour and preventive dental care experiences of patients with special health care needs (SHCN) who attended the Special Care Dental (SCD) Clinic at University of Malaya. Data were collected from 31 patients using a self-administered questionnaire which consisted of questions pertaining to their oral health behaviours and experiences on receiving preventive dental care (PDC). For patients who were unable to answer due to existing health conditions, parents or primary caregivers were approached as proxy. Descriptive analysis was conducted and reported based on percentages to identify the oral health behaviour and PDC of the individuals. Majority brushed their teeth at least once a day (84%), used fluoridated toothpaste (87%) and oral hygiene aids (58%). However, almost half of them (48%) required assistance from parents or caregivers during tooth brushing and consumed sugary snacks in between meals (58%). About 80% had received PDC where the type of care received was mainly oral hygiene advice (77%). Slightly more than 80% preferred the one-to-one demonstration method during PDC. Most gave positive evaluation on their PDC experience especially on items pertaining to the dentist’s attitude. Whilst most of the SHCN patients in this study had positive perception on the PDC that they received and practised good brushing behaviour, their dietary habits need to be improved. Thus, regular preventive dental visit amongst SHCN patients is important for appropriate and comprehensive dental care in maintaining oral health..

7.
Aust Dent J ; 62(2): 186-191, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27813093

RESUMO

BACKGROUND: Dentine hypersensitivity is a common problem attributed by patent dentinal tubules. Ingredients incorporated in toothpastes aim to occlude patent dentinal tubules to minimize the dentine hypersensitivity. However, frequent consumption of acidic soft drinks may reverse the dentinal tubules' occlusion. In this in vitro study, the efficacy of dentinal tubules occluded by commercially available toothpastes to withstand different durations of an acidic soft drink challenge was investigated. METHODS: One hundred and twenty dentine discs were divided into three groups. The discs from each group were brushed with toothpaste containing bioactive glass, arginine and control toothpaste. Each group was then divided into four subgroups and exposed to acidic soft drink over four different time durations. RESULTS: The scoring and the percentage of occluded dentinal tubules by Novamin-containing toothpaste was significantly better compared with arginine or the control toothpaste. Acidic soft drink challenge reduced the extent of dentinal tubules occlusion along with time. Dentinal tubules occluded by Novamin-containing toothpaste withstand the acidic challenge comparatively for a longer period. CONCLUSIONS: The findings demonstrated that occlusion of dentinal tubules is more efficient by the bioactive glass-containing toothpaste and thus may contribute to its better resistance to acidic soft drink challenge.


Assuntos
Bebidas Gaseificadas , Dessensibilizantes Dentinários/farmacologia , Sensibilidade da Dentina/tratamento farmacológico , Dente/ultraestrutura , Cremes Dentais/farmacologia , Ácidos , Arginina/farmacologia , Dentina , Permeabilidade da Dentina/efeitos dos fármacos , Vidro , Humanos , Microscopia Eletrônica de Varredura , Fatores de Tempo , Dente/efeitos dos fármacos
8.
Int J Impot Res ; 28(3): 110-3, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27030054

RESUMO

Thiazolidinediones (TZDs) improve vascular endothelial dysfunction through non-genomic effects of peroxisomal proliferator-activated receptor γ. This study investigated the acute effect of one of the TZD, rosiglitazone, on endothelium-dependent relaxation response of corpus cavernosum (CC) in hypercholesterolemic rabbits. New Zealand rabbits were divided into two groups randomly as control and cholesterol groups. Hypercholesterolemia was induced by feeding rabbits with 2% cholesterol diet (w/w) for 6 weeks. Endothelium-dependent and -independent relaxation response of CC were evaluated in the presence of rosiglitazone by organ bath studies with cumulative doses of acetylcholine (Ach) and sodium nitroprusside (SNP). Maximal relaxation (Emax) response to Ach significantly decreased owing to hypercholesterolemia in CC tissues. However, in vitro incubation of rosiglitazone with different concentrations (0.1, 1 and 10 µm) did not improve the Ach-dependent Emax responses in hypercholesterolemic rabbit CC. Surprisingly, rosiglitazone caused a significant decrease in Ach-dependent relaxation in healthy CC. Emax responses to SNP did not differ in the presence of rosiglitazone in both the control and hypercholesterolemic groups. Rosiglitazone does not improve hypercholesterolemia-induced endothelial dysfunction in CC tissues while it dose-dependently impairs endothelium-dependent relaxation in healthy CC tissue.


Assuntos
Hipercolesterolemia/fisiopatologia , Hipoglicemiantes/farmacologia , Relaxamento Muscular/efeitos dos fármacos , PPAR gama/antagonistas & inibidores , Pênis/efeitos dos fármacos , Tiazolidinedionas/farmacologia , Acetilcolina/farmacologia , Animais , Peso Corporal/efeitos dos fármacos , Colesterol na Dieta , Endotélio Vascular/efeitos dos fármacos , Masculino , Músculo Liso Vascular/efeitos dos fármacos , Coelhos , Rosiglitazona , Vasodilatadores/farmacologia
9.
Bratisl Lek Listy ; 116(3): 177-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25869567

RESUMO

BACKGROUND: We aimed to investigate the therapeutic effectiveness of leflunomide (LEF) in lung injury after an aspiration of unknown pathophysiology. MATERIAL AND METHODS: Forty-two healthy Sprague Dawley rats were anesthetized and allocated to six experimental groups: saline (S) aspirated, S+LEF, hydrochloric acid (HCl) aspirated, HCl+LEF, formula aspirated (FOR), and FOR+LEF. The treatment groups (S+LEF, HCl+LEF, and FOR+LEF) received 20 mg/kg/day intraperitoneal (i.p.) injection of LEF for seven days. At the end of the seven days, blood and tissue samples were taken from the rats for histopathological, biochemical, and immunohistochemical examination. RESULTS: There was a significant increase in serum levels of YKL-40, a chitinase-like protein, in the HCl group after the aspiration (p<0.01). The increase in serum YKL-40 levels decreased significantly with LEF treatment (p<0.01). There was no significant difference in serum YKL-40 levels in the FOR group compared to the control group at pretreatment and in the FOR+LEF group at post-treatment. There was a significant increase in serum thiobarbituric acid-reactive species (TBARS) values in the HCl and FOR groups compared to the control group (p=0.001 and p<0.01, respectively). In both treatment groups, the serum TBARS values significantly decreased after treatment with LEF (p=0.001 and p<0.05, respectively). There was a significant improvement in the histopathological scores, which deteriorated after the aspiration, and in the number of inducible nitric oxide synthase (iNOS)-positive cells after treatment with LEF.


Assuntos
Lesão Pulmonar Aguda/prevenção & controle , Anti-Inflamatórios não Esteroides/farmacologia , Antioxidantes/farmacologia , Isoxazóis/farmacologia , Aspiração Respiratória/complicações , Lesão Pulmonar Aguda/etiologia , Animais , Leflunomida , Pulmão/patologia , Óxido Nítrico Sintase Tipo II/metabolismo , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley
10.
Bratisl Lek Listy ; 116(3): 196-202, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25869570

RESUMO

BACKGROUND AND OBJECTIVES: Despite advances in treatment modalities, the discovery of optimal medical therapies still remains a necessity in the management of pulmonary fibrosis. MATERIAL AND METHODS: The experiments were performed in 35 adult Sprague Dawley rats, randomly allotted into one of five groups (n=7). The control group was treated with 1 ml/kg, 0.9 % saline; the BLM group was given a single dose of BLM (2.5 U/kg); the BLM+ER group was treated with ER (10 mg/kg/day po) for 14 days after BLM administration; the BLM+SMT group was treated with i.p injections of SMT (20 mg/kg/ day) for 14 days after BLM administration; the BLM+ER+SMT group was treated with ER and SMT for 14 days after BLM administration. At the end of day 14, the results of histopathological, biochemical, and immunohistochemical investigations were analyzed. RESULTS: Serum TNF-α, nitrate/nitrite, and TBARS levels significantly increased in BLM group compared to control group (p < 0.001, p < 0.001 and p < 0.05 respectively). Lung tissue content of IL-6 was found to be lower in BLM+ER, BLM+SMT and BLM+ER+SMT groups compared to BLM group by immunhistochemical examinations (p < 0.01, p < 0.01 and p < 0.001, respectively). Similarly, the TNF-α reactions (p < 0.01 for each group) and NF-kB expressions were shown to be significantly different among the study groups (p < 0.05, p < 0.05 and p < 0.001, respectively). CONCLUSION: Based on our study, ER and SMT attenuate BLM-induced pulmonary fibrosis; the combination of two agents has a greater protective efficacy against fibrosis than one alone, reducing the inflammatory markers (Tab. 2, Fig. 2, Ref. 31).


Assuntos
Lesão Pulmonar Aguda/tratamento farmacológico , Inibidores Enzimáticos/administração & dosagem , Expectorantes/administração & dosagem , Isotiurônio/análogos & derivados , Óxido Nítrico Sintase Tipo II/antagonistas & inibidores , Fibrose Pulmonar/tratamento farmacológico , Tioglicolatos/administração & dosagem , Tiofenos/administração & dosagem , Lesão Pulmonar Aguda/induzido quimicamente , Lesão Pulmonar Aguda/patologia , Animais , Bleomicina , Quimioterapia Combinada , Injeções Intraperitoneais , Isotiurônio/administração & dosagem , Pulmão/patologia , Masculino , Fibrose Pulmonar/induzido quimicamente , Fibrose Pulmonar/patologia , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Fator de Necrose Tumoral alfa/metabolismo
11.
Br J Pharmacol ; 172(6): 1434-54, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24661203

RESUMO

The ability to get and keep an erection is important to men for several reasons and the inability is known as erectile dysfunction (ED). ED has started to be accepted as an early indicator of systemic endothelial dysfunction and subsequently of cardiovascular diseases. The role of NO in endothelial relaxation and erectile function is well accepted. The discovery of NO as a small signalling gasotransmitter led to the investigation of the role of other endogenously derived gases, carbon monoxide (CO) and hydrogen sulphide (H2 S) in physiological and pathophysiological conditions. The role of NO and CO in sexual function and dysfunction has been investigated more extensively and, recently, the involvement of H2 S in erectile function has also been confirmed. In this review, we focus on the role of these three sister gasotransmitters in the physiology, pharmacology and pathophysiology of sexual function in man, specifically erectile function. We have also reviewed the role of soluble guanylyl cyclase/cGMP pathway as a common target of these gasotransmitters. Several studies have proposed alternative therapies targeting different mechanisms in addition to PDE-5 inhibition for ED treatment, since some patients do not respond to these drugs. This review highlights complementary and possible coordinated roles for these mediators and treatments targeting these gasotransmitters in erectile function/ED.


Assuntos
Monóxido de Carbono/metabolismo , Disfunção Erétil/fisiopatologia , Sulfeto de Hidrogênio/metabolismo , Óxido Nítrico/metabolismo , Animais , GMP Cíclico/metabolismo , Desenho de Fármacos , Disfunção Erétil/tratamento farmacológico , Guanilato Ciclase/metabolismo , Humanos , Masculino , Terapia de Alvo Molecular , Ereção Peniana/efeitos dos fármacos , Ereção Peniana/fisiologia , Receptores Citoplasmáticos e Nucleares/metabolismo , Transdução de Sinais/fisiologia , Guanilil Ciclase Solúvel
12.
Int J Dent Hyg ; 13(3): 199-205, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25040653

RESUMO

OBJECTIVE: To assess Malaysian dental therapists' perceptions of their job satisfaction and future roles. METHODS: A nationwide postal survey involving all Malaysian dental therapists who met the inclusion criteria (n = 1726). RESULTS: The response rate was 76.8%. All respondents were females; mean age 35.4 years (SD = 8.4). Majority were married (85.5%) and more than one-half had a working experience of <10 years (56.1%). Majority worked in community dental service (94.3%) and in urban areas (61.7%). Overall, they were highly satisfied with most aspects of their career. However, they were least satisfied with administrative workload (58.1%), career advancement opportunities (51.9%) and remuneration package; specifically income (45.2%), allowances (45.2%) and non-commensurate between pay and performance (44.0%). Majority perceived their role as very important in routine clinical tasks such as examination and diagnosis, preventive treatment, extraction of deciduous teeth and oral health promotion. However, fewer than one-half consider complex treatment such as placement of preformed crowns on deciduous teeth (37.1%) and extraction of permanent teeth (37.2%) as very important tasks. CONCLUSION: Majority expressed high career satisfaction with most aspects of their employment but expressed low satisfaction in remuneration, lack of career advancement opportunities and administrative tasks. We conclude that most Malaysian dental therapists have positive perceptions of their current roles but do not favour wider expansion of their roles. These findings imply that there was a need to develop a more attractive career pathway for therapists to ensure sustainability of effective primary oral healthcare delivery system for Malaysia's children.


Assuntos
Atitude do Pessoal de Saúde , Auxiliares de Odontologia/psicologia , Satisfação no Emprego , Adulto , Mobilidade Ocupacional , Serviços de Saúde Comunitária , Estudos Transversais , Delegação Vertical de Responsabilidades Profissionais , Auxiliares de Odontologia/tendências , Assistência Odontológica , Feminino , Promoção da Saúde , Humanos , Renda , Relações Interprofissionais , Malásia , Estado Civil , Pessoa de Meia-Idade , Saúde Bucal , Atenção Primária à Saúde , Relações Profissional-Paciente , Salários e Benefícios , Serviços Urbanos de Saúde , Carga de Trabalho , Local de Trabalho
13.
Bratisl Lek Listy ; 115(9): 538-43, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25318911

RESUMO

BACKGROUND: Cardiac contusion is an important cause of mortality after blunt chest trauma (BCT). The aim of this study was to investigate the therapeutic efficacy of the usage of aminoguanidine (AG), in myocardial damage occurring after BCT, alone and in combination with methylprednisolone (MP). METHODS: Thirty-five female Wistar albino rats were randomly assigned to five groups (n = 7) including: sham controls (S); only cardiac contusion (CONT); cardiac contusion treated with methylprednisolone (CONT+MP); cardiac contusion treated with aminoguanidine (CONT+AG); and cardiac contusion treated with methylprednisolone and aminoguanidine (CONT+MP+AG). Seven days following the treatments, heart and serum specimens were evaluated histopathologically, immunohistochemically, and biochemically in all groups. RESULTS: Serum AOPP and Tn-I levels increased significantly after cardiac contusions. Haemorrhage, tissue degeneration, and necrosis development was evident following contusions. Increased iNOS expression in myocardial tissue was significantly decreased in the CONT+AG+MP group compared to CONT+AG and CONT+MP groups (p = 0.001 and p = 0.011, respectively). The combined treatment of AG and MP increased Bcl-2 expression significantly after contusions compared to the other treatment groups. CONCLUSIONS: Combined usage of AG, a selective iNOS inhibitor, with MP, in cardiac contusions, showed a more powerful cardioprotective effect by increasing Bcl-2 expression and reducing iNOS expression (Tab. 3, Fig. 4, Ref. 33).


Assuntos
Contusões/tratamento farmacológico , Inibidores Enzimáticos/uso terapêutico , Glucocorticoides/uso terapêutico , Guanidinas/uso terapêutico , Traumatismos Cardíacos/tratamento farmacológico , Metilprednisolona/uso terapêutico , Animais , Quimioterapia Combinada , Feminino , Óxido Nítrico Sintase Tipo II/antagonistas & inibidores , Ratos Wistar
14.
Hum Exp Toxicol ; 33(9): 980-90, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24505046

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the patients with acute amitriptyline poisoning and investigate predictive factors for the development of life-threatening complications. METHODS: Demographics, clinical, laboratory, and electrocardiographic (ECG) findings of 250 patients were evaluated retrospectively. Predictive parameters for the development of serious complications were studied. RESULTS: Median age of patients was 14.6 years, of which, 70% of patients were female and 66% were in pediatric age group. The most common pathological clinical finding and laboratory abnormality were alteration of consciousness and hyponatremia. The rate of convulsive seizure, arrhythmia, and respiratory depression were 17 (6.8%), 16 (6.4%), and 11 (4.4%), respectively. These complications were more seen in pediatric patients than adults (15.8% and 1.2%). The incidence of hyponatremia was more in pediatric patients and severe poisoning groups (38.8 and 53.4%, respectively). The levels of amitriptyline and nortriptyline were significantly higher in the group with complications than the group without complications (p < 0.05). All adult patients were discharged with good prognosis. In pediatric age group, one patient was discharged with severe neurological sequelae and one patient died. QRS duration >100 ms, long corrected QT duration interval, and low Glasgow Coma Score (GCS) at admission were identified as independent risk factors for the development of life-threatening complications (odds ratio: 69.4, 1.9, and 1383, respectively; p < 0.05). CONCLUSION: Amitriptyline poisoning may be associated with life-threatening complications, especially in pediatric age group and in patients with hyponatremia. Low GCS, presence of hyponatremia, high serum drug levels, and pathological ECG findings on admission may be helpful in predicting the development of complications and poor prognosis.


Assuntos
Amitriptilina/intoxicação , Antidepressivos Tricíclicos/intoxicação , Overdose de Drogas/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Amitriptilina/administração & dosagem , Amitriptilina/sangue , Amitriptilina/farmacocinética , Antidepressivos Tricíclicos/administração & dosagem , Antidepressivos Tricíclicos/sangue , Antidepressivos Tricíclicos/farmacocinética , Área Sob a Curva , Criança , Pré-Escolar , Overdose de Drogas/mortalidade , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
15.
Int J Dent Hyg ; 11(4): 280-6, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23802751

RESUMO

UNLABELLED: To describe the perceptions of senior dental officers (SDOs) on the roles of dental therapists (DTs) and their education needs in Malaysia. METHODS: A cross-sectional survey was conducted using a self-administered postal questionnaire targeting all 112 SDOs in the Malaysian Ministry of Health. The SDOs were asked about their perceptions of DT's roles in relation to clinical tasks, oral health promotion, administration and the dental team and their perceptions of DT's future education needs. Data were analysed using spss software, version 17 (SPSS Inc., Chicago, IL, USA). RESULTS: The response rate was 60%. A majority of SDOs were women (68%) with a mean age of 44.9 (SD: 8.04). Generally, the majority of SDOs perceived the current roles of DT in non-complex clinical tasks such as examination and diagnosis, preventive treatment, extraction of deciduous teeth and oral health promotion as very important. Fewer than half of SDOs perceived DT's role in the extraction of permanent teeth as important. Most SDOs perceived the need to train DT in 'scaling and polishing for adults' (80.5%), 'delivering inferior alveolar nerve block' (57.3%) and 'pulp therapy' (59.2%). They also had positive perceptions of providing education for DT up to degree level (70.8%). CONCLUSION: This study suggests that Malaysian SDOs have positive perceptions of the current roles of DT and of the expansion of some of their clinical tasks to include broader client groups through further training and education. These findings indicate a need to revise the current curriculum and legislation pertaining to DT's education and scope of practice in Malaysia.


Assuntos
Atitude do Pessoal de Saúde , Auxiliares de Odontologia/educação , Odontólogos/psicologia , Necessidades e Demandas de Serviços de Saúde , Adulto , Criança , Pré-Escolar , Competência Clínica , Estudos Transversais , Delegação Vertical de Responsabilidades Profissionais , Auxiliares de Odontologia/organização & administração , Assistência Odontológica/organização & administração , Profilaxia Dentária , Restauração Dentária Permanente , Raspagem Dentária , Feminino , Promoção da Saúde , Humanos , Malásia , Masculino , Nervo Mandibular , Bloqueio Nervoso , Saúde Bucal , Equipe de Assistência ao Paciente/organização & administração , Exame Físico , Odontologia Preventiva , Tratamento do Canal Radicular , Extração Dentária
16.
Bratisl Lek Listy ; 114(5): 258-61, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23611047

RESUMO

This study was performed to clarify the role of extracellular and intracellular Ca2+ on rho-kinase enzyme inhibition-induced relaxation in rabbit renal arteries. The response to rho-kinase inhibitor (Y-27632) was studied in isolated renal artery segments precontracted with phenylephrine in the presence of voltage-gated calcium channel blocker nifedipine and in the absence of intracellular or extracellular Ca2+. Cumulative addition of rho-kinase inhibitor Y-27632 (10-8-10-5 M) produced a concentration-dependent relaxation in renal artery rings precontracted with phenylephrine. Preincubation with nifedipine (1µM) resulted in a significant increase in relaxation response to rho-kinase inhibitor Y-27632 compared with preincubation with DMSO; the solvent of nifedipine. The maximal relaxation to Y-27632 in renal arteries precontracted with phenylephrine was significantly increased in the Ca-free Krebs containing 100 µmol/l ethylene glycol tetraacetic acid (EGTA) but after depletion of intracellular stores with 20 mmol/l caffeine and 1mmol/l EGTA in Ca2+ free Krebs there was no significant difference between the relaxation to Y-27632 from control response in 2.5 mmol/l Ca2+ Krebs in the renal artery. These results suggest the involvement of extracellular Ca and L-type voltage-operated Ca2+ channels in phenylephrine-induced rho-kinase activation (Fig. 3, Ref. 20).


Assuntos
Amidas/farmacologia , Cálcio/fisiologia , Inibidores Enzimáticos/farmacologia , Piridinas/farmacologia , Artéria Renal/efeitos dos fármacos , Artéria Renal/fisiologia , Quinases Associadas a rho/antagonistas & inibidores , Animais , Masculino , Relaxamento Muscular/efeitos dos fármacos , Músculo Liso Vascular/efeitos dos fármacos , Coelhos
17.
Hum Exp Toxicol ; 32(1): 53-61, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23023024

RESUMO

Our aim in this study is to examine the effects of α-tocopherol (AT) on rats with aspiration pneumonitis induced with bile acids (BAs). The animals were divided in to four groups, namely saline group (n = 7), saline + AT group (n = 7), BA group (n = 7), and BA + AT group (n = 7). Saline and BA groups aspirated intratracheally with 1 ml/kg saline and 1 ml/kg bile acids, respectively. AT was given at 20 mg/kg/day dosage for 7 days to the groups. AT group was given 20 mg/kg/day AT for 7 days. Malondialdehyde (MDA), Clara cell protein 16 (CC-16), catalase (CAT), superoxide dismutase (SOD), as well as peribronchial inflammatory cell infiltration, alveolar septal infiltration, alveolar edema, alveolar exudate, alveolar histiocytes, and necrosis were evaluated. The CAT activity of the BA group was significantly lower than the saline group. In the BA + AT group, there was a significant increase in SOD and CAT activities when compared with that of the BA group. The CC-16 and MDA contents in the BA group were significantly higher than in the saline group. The CC-16 and MDA levels of the BA + AT group were significantly lower than BA group. Histopathologic changes were seen in BA group, and there was a significant decrease in the BA + AT group. In conclusion, AT might be beneficial in the treatment of aspiration pneumonitis induced by BAs because AT decreased oxidative damage and resulted in a decrease in CC-16 levels.


Assuntos
Antioxidantes/uso terapêutico , Pneumonia Aspirativa/tratamento farmacológico , alfa-Tocoferol/uso terapêutico , Animais , Antioxidantes/farmacologia , Ácidos e Sais Biliares , Feminino , Malondialdeído/sangue , Estresse Oxidativo/efeitos dos fármacos , Pneumonia Aspirativa/sangue , Pneumonia Aspirativa/induzido quimicamente , Pneumonia Aspirativa/patologia , Ratos , Ratos Sprague-Dawley , Superóxido Dismutase/sangue , Uteroglobina/sangue , alfa-Tocoferol/farmacologia
18.
Adv Exp Med Biol ; 696: 581-8, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21431599

RESUMO

Even with today's advances in technology, the processes involved in medical research continue to be both time consuming and labor intensive. We have built an experimental integrated tool to convert the textual information available to the researchers into a concept map using the Web Ontology Language as an intermediate source of information. This tool is based on building semantic models using concept maps. The labor-intensive sequence of processes involved in medical research is suitably replaced by using this tool built by a suitable integration of concept maps and Web Ontology Language. We analyzed this tool by considering the example of linking vitamin D deficiency with prostate cancer. This tool is intended to provide a faster solution in building relations and concepts based on the existing facts.


Assuntos
Pesquisa Biomédica/estatística & dados numéricos , Eficiência , Humanos , Armazenamento e Recuperação da Informação , Internet , Masculino , Informática Médica , Processamento de Linguagem Natural , Neoplasias da Próstata/etiologia , Deficiência de Vitamina D/complicações
19.
Int J Impot Res ; 22(4): 227-33, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20596084

RESUMO

The aim of this study is to evaluate the effects of hypercholesterolemia in thoracic aorta (TA), mesenteric artery (MA), renal artery (RA), and corpus cavernosum (CC) isolated from cholesterol-fed rabbits. For determination of the maximum detrimental effect, vasorelaxation and vasoconstriction results of arteries and CC have been compared. Animals were fed with a diet that contained 2% w/w cholesterol and 2% w/w high cholesterol plus resveratrol (4 mg kg(-1) per day) for 6-week duration. Total cholesterol levels in the plasma were measured. Vascular and endothelial functions in RA, TA, MA, and CC were assessed by isolated tissue bath with cumulative doses of acetylcholine and sodium nitroprusside. The statistical significance of differences of groups was analyzed by means of one-way ANOVA or Student's t-test. P-values <0.05 were considered significant. There have been no significant changes on plasma total cholesterol levels between cholesterol and cholesterol + resveratrol-treated groups. Vasorelaxation responses to acetylcholine in resveratrol-treated group showed significant changes when compared with hypercholesterolemic group. No statistically significant differences were seen between non-receptor-mediated vasorelaxation responses between the three groups. Resveratrol might be an effective treatment in the prevention of atherosclerotic changes in arteries and CC. The initial effects of hypercholesterolemia on erectile dysfunction and endothelial dysfunction may be precluded with resveratrol. This protective effect may also ensure the prevention of coronary arterial diseases and renovascular diseases in hypercholesterolemic patients.


Assuntos
Disfunção Erétil/prevenção & controle , Hipercolesterolemia/complicações , Músculo Liso Vascular/fisiopatologia , Pênis/irrigação sanguínea , Estilbenos/uso terapêutico , Acetilcolina/administração & dosagem , Animais , Aorta Torácica/fisiopatologia , Artérias/fisiopatologia , Colesterol na Dieta/administração & dosagem , Endotélio Vascular/fisiopatologia , Hipercolesterolemia/fisiopatologia , Masculino , Artérias Mesentéricas/fisiopatologia , Nitroprussiato/administração & dosagem , Coelhos , Artéria Renal/fisiopatologia , Resveratrol , Vasoconstrição/efeitos dos fármacos , Vasodilatação/efeitos dos fármacos
20.
Kardiol Pol ; 68(4): 482-3, 2010 Apr.
Artigo em Polonês | MEDLINE | ID: mdl-20425717

RESUMO

Anomalous origin of the left main coronary artery from the right sinus Valsalva is extremely rare when not associated with other congenital cardiac anomalies. It is reported to constitute just 0.019% of angiographic series. These patients are usually asymptomatic and prone to atherosclerotic disease, however, they also may have normal coronary arteries. We report here the unusual case of a patient with ST segment elevation myocardial infarction who was managed by percutaneous coronary intervention performed through single coronary ostium.


Assuntos
Angioplastia Coronária com Balão , Anomalias dos Vasos Coronários/terapia , Idoso , Angiografia Coronária , Anomalias dos Vasos Coronários/diagnóstico por imagem , Humanos , Masculino , Infarto do Miocárdio/etiologia , Infarto do Miocárdio/terapia , Choque Cardiogênico/etiologia , Choque Cardiogênico/terapia
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