Chlorphenamine adsorption on commercial activated carbons: Effect of Operating Conditions and Surface Chemistry.

Chlorphenamine (CPA) adsorption onto three activated carbons (ACs), namely, Megapol M (MM), Micro 10 (M10), and GAMA B (GB), was studied in this work. The textural properties, concentrations of active sites, surface charge and point of zero charge of the ACs were assessed. The surface areas (SBET) of MM, GB and M10 were 1107, 812 and 766 m2/g, respectively. The MM surface had an acidic character, while the surfaces of M10 and GB were basic. The adsorption capacity of MM, M10, and GB towards CPA was studied at pH 7 and 11, and the adsorption capacity decreased in the order MM > M10 ≈ GB, which was ascribed to the magnitude of SBET and the concentration of acidic sites. The solution pH significantly increased the adsorption capacity of MM towards CPA by raising the solution pH from 5 to 9, and this behavior was attributed to the electrostatic attraction between the negatively charged surface of MM and the cationic species of CPA. The maximum uptake of CPA adsorbed on MM was 574.6 mg/g at pH = 11 and T = 25 °C. The adsorption capacity of MM was slightly raised by incrementing the temperature. Lastly, the zeta potential measurements of pristine MM and MM saturated with CPA confirmed that the electrostatic attraction predominated in the pH range of 5-9, and the π-π stacking interactions were the principal mechanism of CPA adsorption on MM at pH 11.

Elimination of E. faecalis and C. albicans Biofilm: A comparison between single and multiple file systems in an Ex Vivo study

To evaluate whether the WaveOne Gold and Reciproc single file instrumentation systems, are effective in reducing the microbial load of a mixed biofilm and the cleaning of apical third compared to the Twisted File Adaptive system (multiple- file system). Seventy mesial roots of the first and second molars were included and randomly divided into three experimental groups (n=20, n=10 controls). Biofilms were formed inside canals over 31 days. After instrumentation with the unique file systems, WaveOne Gold and Reciproc and the multiple file system Twisted File Adaptive, using 2.25% sodium hypochlorite as an irrigant in all cases, a count of colony forming units was performed using serial dilutions, cleaning of the apical third was evaluated using scanning electron microscopy. Comparisons amongst groups were made by using parametric and non-parametric statistics, according to a normal or non-normal data distribution, respectively. No significant differences in the reduction of the microbial load after employing a single-file system in comparison to the multiple-file system were found; in addition, the cleaning of the apical third was similar for the three different instrumentation systems. The single-file system is equal in effectiveness compared with the multiple-file system in reducing the microbial load.

Evaluar si los sistemas de instrumentación de lima única, como WaveOne Gold y Reciproc son efectivos para reducir la carga microbiana de un biofilm mixto y la limpieza del tercio apical, comparado con los sistemas de limas múltiples, como Twisted File Adaptive. Setenta raíces mesiales de primeros y segundos molares fueron incluidos y divididos de forma aleatoria en tres grupos experimentales (n=20, n=10 controles). El biofilm fue formado en el interior de los conductos durante 31 días. Después se instrumentó con los sistemas de lima única (WaveOne Gold y Reciproc) y el sistema de limas múltiples Twisted File Adaptive, usando hipoclorito de sodio al 2.5% en todos los casos. El conteo de unidades formadoras de colonias se realizó usando diluciones seriales, la limpieza del tercio apical se evaluó empleando el microscopio electrónico de barrido. La comparación entre grupos se realizó con pruebas paramétricas y no paramétricas, de acuerdo con la distribución normal y no normal de los datos, respectivamente. No hubo una diferencia significativa en la reducción de la carga microbiana después de emplear los sistemas de lima única en comparación a los de limas múltiples, además, la limpieza del tercio apical fue similar en los 3 diferentes sistemas de instrumentación. Los sistemas de lima única son igual de efectivos para reducir la carga microbiana comparados con los sistemas de limas múltiples.

Use of a Cellulase from Trichoderma reesei as an Adjuvant for Enterococcus faecalis Biofilm Disruption in Combination with Antibiotics as an Alternative Treatment in Secondary Endodontic Infection.

Apical periodontitis is an inflammation leading to the injury and destruction of periradicular tissues. It is a sequence of events that starts from root canal infection, endodontic treatment, caries, or other dental interventions. Enterococcus faecalis is a ubiquitous oral pathogen that is challenging to eradicate because of biofilm formation during tooth infection. This study evaluated a hydrolase (CEL) from the fungus Trichoderma reesei combined with amoxicillin/clavulanic acid as a treatment against a clinical E. faecalis strain. Electron microscopy was used to visualize the structure modification of the extracellular polymeric substances. Biofilms were developed on human dental apices using standardized bioreactors to evaluate the antibiofilm activity of the treatment. Calcein and ethidium homodimer assays were used to evaluate the cytotoxic activity in human fibroblasts. In contrast, the human-derived monocytic cell line (THP-1) was used to evaluate the immunological response of CEL. In addition, the secretion of the pro-inflammatory cytokines IL-6 and TNF-α and the anti-inflammatory cytokine IL-10 were measured by ELISA. The results demonstrated that CEL did not induce the secretion of IL-6 and TNF-α when compared with lipopolysaccharide used as a positive control. Furthermore, the treatment combining CEL with amoxicillin/clavulanic acid showed excellent antibiofilm activity, with a 91.4% reduction in CFU on apical biofilms and a 97.6% reduction in the microcolonies. The results of this study could be used to develop a treatment to help eradicate persistent E. faecalis in apical periodontitis.

Impact of an Online Parenting Support Programme on Children's Quality of Life.

The study aims to describe the parental use of an online parenting support programme, the 'Open Window to Family' (JAF) and to evaluate its impact on perceived children's quality of life (QoL). This programme makes online resources available to support positive parenting. The study included 363 parents (nintervention group = 142) who completed measures to evaluate their children's QoL. The results suggest that using the programme for a longer time and accessing more information/services are positively related to the perception of utility but not to the frequency of use. The programme proved to be more useful for specific difficulties and to search for specific information. We found high levels of parental perception of children's well-being, both physical and psychological, and lower values in social support and relationships with peers. No differences were observed between the total QoL of children in the intervention group and control group. The differences in the dimensions of QoL are due to interaction with the level of education of the mother: mothers with higher education reported higher physical well-being, social support, relationships with peers, and school context. Guidelines are suggested to enhance the accessibility of this type of programme as well as enhance its impact on parents and children.

Formaldehyde and tripolyphosphate crosslinked chitosan hydrogels: Synthesis, characterization and modeling.

In this work, the synthesis of crosslinked chitosan hydrogels was performed by ionic and covalent interactions using tripolyphosphate (TPP) and formaldehyde (CH2O), respectively. The hydrogels synthesis was performed using a D-Optimal combined experiment design with two mixing variables, A and B representing the TPP weight fraction (slack variable) and CH2O weight fraction, respectively, and three (3) process variables C-chitosan concentration, D-cross-linker concentration, and E-Contact time. The response variables studied were the point of zero charge (pHPZC), the swelling ratio (SW), and the equilibrium water content (EWC), which are relevant physicochemical properties in applications such as the pollutant removal from water. According to the ANOVA results, the model obtained was significant; this means it can be adequately used to predicting pHPZC, SW, and EWC from the mixing and process variables, obtaining coefficients of determination R2 of 0.9572, 0.8900, and 0.8447, respectively. The pHPZC is affected by chitosan concentration, while the crosslinker concentration influences the SW, and the contact time most significantly affected the EWC. Morphology and hardness tests, thermal stability, infrared spectroscopy, and scanning electron microscopy, allowed verifying the types of crosslinking of chitosan with TPP and CH2O.

Evaluation of in vitro biofilm elimination of Enterococcus faecalis using a continuous ultrasonic irrigation device.

This study sought to evaluate biofilm elimination using the HBW Ultrasonic Ring based on continuous ultrasonic irrigation. Forty-five premolars and molars with complex curvatures were included. An Enterococcus faecalis biofilm was established for 30 days on the extracted teeth. The teeth were then stratified into three experimental groups for instrumentation and irrigation (i.e. HBW Ultrasonic Ring, conventional irrigation, and passive ultrasonic irrigation). Pre- and post-instrumentation samples were collected, and reductions of bacterial load were evaluated by McFarland's scale, counting of colony-forming units, and scanning electronic microscopy. The HBW Ultrasonic Ring promoted a higher reduction in bacterial load relative to conventional irrigation (P < 0.05) and a similar reduction compared with passive ultrasonic irrigation (P > 0.05). These results suggest the HBW Ultrasonic Ring is a promising alternative modality for simultaneous instrumentation and irrigation during root canal treatment, achieving an appropriate level of bacterial reduction and allowing the passage of the irrigating solution throughout the entire working length.

Characterization, antibiofilm and biocompatibility properties of chitosan hydrogels loaded with silver nanoparticles and ampicillin: an alternative protection to central venous catheters.

The purpose of this study was to generate novel chitosan hydrogels (CHs) loaded with silver nanoparticles (AgNPs) and ampicillin (AMP) to prevent early formation of biofilms. AgNPs and CHs were characterized by UV-Vis, DLS, TEM, rheology, FT-IR, Raman, and SEM. The antibiofilm effect of the formulations was investigated against four multidrug-resistant and extensively drug-resistant pathogens using a colony biofilm, a high cell density and gradients model. Also, their hemostatic properties and cytotoxic effect were evaluated. Rheology results showed that CHs with AgNPs and AMP are typical non-Newtonian pseudoplastic fluids. The CH with 25 ppm of AgNPs and 50 ppm AMP inhibited the formation of biofilms of Acinetobacter baumannii, Enterococcus faecium and Staphylococcus epidermidis, while a ten-fold increase of the antimicrobial's concentration was needed to inhibit the biofilm of the ß-lactamase positive Enterobacter cloacae. Further, CH with 250 ppm of AgNPs and 500 ppm AMP showed anticoagulant effect, and it was shown that all formulations were biocompatible. Besides to previous reports that described the bioadhesion properties of chitosan, these results suggest that AgNPs and AMP CHs loaded could be used as prophylactic treatment in patients with central venous catheter (CVC), inhibiting the formation of biofilms in their early stages, in addition to their anticoagulant effect and biocompatibility, those properties could keep the functionality of CVC helping to prevent complications such as sepsis and thrombosis.

Glass coatings to enhance the interfacial bond strength between veneering ceramic and zirconia.

The purpose of this study was to investigate the tensile bond strength (TBS) and shear bond strength (SBS) between a zirconia core and fluoroapatite-pressed ceramic after the application of glass 46SP6 and AP40 via the ISO-17095:2013 methodology. Sintered zirconia beams (n = 120) were divided into four groups: (a) control: no treatment; (b) ZirL: IPS-E max ceram ZirLiner coating; (c) glass AP40 coating; and (d) glass 46SP6 coating. A fluoroapatite ceramic (IPS e.max Zir Press, Ivoclar Vivadent) beam was injected perpendicularly on top of each zirconia (Zenostar, Wieland Dental) beam forming a cross-bonded specimen. All groups were sub-divided into two for tensile and shear bond strength tests using a universal testing machine. Data were analyzed using the Kruskal-Wallis, Pearson Chi2, and Mann-Whitney U test (α = 0.05). The failure modes were measured using a stereomicroscope for each group. Scanning electron and atomic force microscopy were also employed. Zirconia surface modification with glass AP40 showed higher TBS values followed by the ZirL group with statistical differences (p < 0.05). SBS values showed no statistical differences between the groups. AFM analysis showed higher roughness values (Ra) in the 46SP6 and AP40 groups (p < 0.05). Glass coating AP40 exhibited promising bond strength results between zirconia and fluorapatite veneering ceramic, making it better for chemical and mechanical interlocking which may improve bilayered restorations longevity.

Spatial distribution, mobility and bioavailability of arsenic, lead, copper and zinc in low polluted forest ecosystem in North-western Mexico.

A geochemical-environmental mapping was carried for a low polluted forest in North-western Mexico (Santiago Papasquiaro mining area), as part of the North American forests accounting for environmental behavior of arsenic (As), lead (Pb), zinc (Zn) and copper (Cu) in soil and tree components (stem wood and aciculums). Spectroscopic and microscopic techniques along with standard protocols were used to determine the mineralogical phases containing these elements, and their corresponding spatial distributions in soil and forests and mobility. In soil, total As, Pb, Zn and Cu ranged from 4.9 to 98.3, 19.6 to 768.6, 19.6 to 407.1, and 1.6 to 63.8 mg kg-1, respectively. Ultrafine particles (<5-10 µm) of arsenopyrite and sphalerite (and complex Zn-Fe phase) were the main As and Zn-bearing phases determined by SEM-EDS, respectively. Complex Pb-Cu-Fe and Cu-O oxide-like phases were the only ones containing Pb and Cu, respectively. Mobility was low for Pb, Zn and Cu, whereas a significant mobility was assessed for As. Concentrations vs. depth profiles suggested progressive accumulations of As, Pb, Zn and Cu in top soil. Total As, Pb, Zn and Cu in pine stem wood varied from 11.5 to 184.5, 98.9 to 7359.8, 3242.7 to 22197.3, 689.2 to 7179.6 µg kg-1, respectively. The respective concentrations in the pine needles ranged from 50 to 624.2, 100 to 16353.1, 120 to 46440.9 and 720 to 7200 µg kg-1, indicating an active bioaccumulation of As, Pb, Zn and Cu. A prospective environmental behavior was discussed for As, Pb, Zn and Cu in the low-polluted forest.

Antagonistic, synergistic and non-interactive competitive sorption of sulfamethoxazole-trimethoprim and sulfamethoxazole­cadmium (ii) on a hybrid clay nanosorbent.

The competitive sorption of the antibiotics sulfamethoxazole (SMX) and trimethoprim (TMP) and SMX-Cd(II) on a hybrid clay nanosorbent (NanoSorb) was investigated in detail in this work. NanoSorb was synthesized by sorbing a surfactant on bentonite. Besides, the sorption of SMX on the NanoSorb was confirmed by FTIR analysis, and SMX was mainly sorbed on NanoSorb by a partition mechanism due to hydrophobic interactions. Otherwise, the single adsorption of Cd(II) and TMP onto NanoSorb were due to electrostatic interaction and hydrophobic partition, respectively. The capacity of NanoSorb for sorbing single SMX was very similar to that for single Cd(II), but more than 10 times higher than that for single TMP. The competitive sorption of SMX-TMP was antagonistic because the sorption of one antibiotic on NanoSorb was decreased by the presence of the other antibiotic. The uptake of SMX was reduced up to 43.4% by the presence of TMP, whereas the presence of SMX decreased the uptake of TMP up to 29.6%. The non-modified Langmuir multicomponent isotherm (NLMI) interpreted quite well the experimental competitive sorption data of SMX-TMP. On the other hand, the competitive sorption of SMX-Cd(II) on NanoSorb revealed that the sorption of SMX was non-interactive because it was not influenced by the presence of Cd(II). Whereas, the sorption of Cd(II) was synergistic or cooperative since the uptake of Cd(II) sorbed increased considerably with the uptake of SMX sorbed on NanoSorb. The two-site Langmuir model fitted the experimental competitive sorption data of Cd(II) on NanoSorb saturated with SMX. The application of this isotherm was based on the fact that Cd(II) sorbed on two types of sites: a) cationic sites of the NanoSorb and b) Pi-cation interactions between the aromatic ring of the SMX sorbed on NanoSorb and Cd2+.

Assessment of arsenic and fluorine in surface soil to determine environmental and health risk factors in the Comarca Lagunera, Mexico.

Total, bioaccessible and mobile concentrations of arsenic and fluorine are determined in polluted surface soil within the Comarca Lagunera region using standardized protocols to obtain a full description of the environmental behavior for these elements. The composition of mineral phases associated with them is evaluated with microscopic and spectroscopic techniques. Mineralogical characterizations indicate that ultra-fine particles (<1-5 µm) including mimetite-vanadite (Pb5(AsO4)3Cl, Pb5(AsO4, VO4)3Cl)-like, lead arseniate (Pb3(AsO4)2)-like and complex arsenic-bearing compounds are main arsenic-bearing phases, while fluorite (CaF2) is the only fluorine-bearing phase. Total fluorine and arsenic concentrations in surface soil range from 89.75 to 926.63 and 2.7-78.6 mg kg-1, respectively, exceeding in many points a typical baseline value for fluorine (321 mg kg-1), and trigger level criterion for arsenic soil remediation (20 mg kg-1); whereas fluoride and arsenic concentrations in groundwater vary from 0.24 to 1.8 mg L-1 and 0.12-0.650 mg L-1, respectively. The main bioaccessible percentages of soil in the gastric phase (SBRC-G) are estimated for arsenic from 1 to 63%, and this parameter in the intestinal phase (SBRC-I) fluorine from 2 to 46%, suggesting human health risks for this region. While a negligible/low mobility is found in soil for arsenic (0.1-11%), an important mobility is determined for fluorine (2-39%), indicating environmental risk related to potential fluorine release. The environmental and health risks connected to arsenic and fluorine are discussed based on experimental data.

Risk factors and biofilm detection on central venous catheters of patients attended at tertiary hospital.

AIM: To determinate the significance of risk factors with the presence of biofilm on catheters of patients attended at tertiary hospital cares. MATERIAL AND METHODS: A total of 126 patients were included, data collection by observing the handling of the CVC, clinical history and microbiological isolation methods of CVCs tips (Roll-plate, sonication and scanning electron microscopy) were evaluated. RESULTS: Certain factors, such as the lack of proper hand washing, the use of primary barriers and preparing medications in the same hospital service, showed an important relationship between biofilm formation in CVCs. The sonication method presented that most of the samples had isolation of multispecies 29 samples (64%); in contrast with the roll-plate method, just one sample (3%) was isolated. CONCLUSIONS: The importance of the strict aseptic techniques of insertion and of the handlings of CVC was highlighted, the failure of both techniques was related to the biofilm formation and was evidenced using the scanning electron microscopy. Since this tool is not available in most hospitals, we present the correlation of those evidences with other standard microbiological methods and risk factors, which are necessary for the sensible detection of the different steps of the biofilm formation on CVC and their correct interpretation with clinical evidences.

Continuous drip flow system to develop biofilm of E. faecalis under anaerobic conditions.

PURPOSE: To evaluate a structurally mature E. faecalis biofilm developed under anaerobic/dynamic conditions in an in vitro system. METHODS: An experimental device was developed using a continuous drip flow system designed to develop biofilm under anaerobic conditions. The inoculum was replaced every 24 hours with a fresh growth medium for up to 10 days to feed the system. Gram staining was done every 24 hours to control the microorganism purity. Biofilms developed under the system were evaluated under the scanning electron microscope (SEM). RESULTS: SEM micrographs demonstrated mushroom-shaped structures, corresponding to a mature E. faecalis biofilm. In the mature biofilm bacterial cells are totally encased in a polymeric extracellular matrix. CONCLUSIONS: The proposed in vitro system model provides an additional useful tool to study the biofilm concept in endodontic microbiology, allowing for a better understanding of persistent root canal infections.

Efficacy of the self-adjusting file system on cleaning and shaping oval canals: a microbiological and microscopic evaluation.

INTRODUCTION: The shaping ability of root canal instruments is determined by a complex interrelationship of parameters such as cross-sectional design and the ability to remove debris and the smear layer. The self-adjusting file (SAF) consists of a hollow, flexible instrument in the form of a compressible, thin-walled, pointed cylinder. The aim of this study was to compare the SAF with the ProTaper rotary file system, evaluating debris and smear layer removal and the presence of bacteria by using microbiological and scanning electron microscopy (SEM) evaluation. METHODS: Fifty maxillary premolars were inoculated with Enterococcus faecalis for 30 days and then randomly distributed into 2 groups. Group 1 was prepared with ProTaper rotary instruments and irrigated with 30-gauge side-vented needles. Group 2 was prepared by using the SAF system with continuous irrigation. Bacteriologic samples were taken before and after preparation. All samples were then longitudinally split and analyzed under scanning electron microscopy. The scoring was carried out by 3 blinded evaluators. RESULTS: In group 1, 40% of samples had negative cultures with postinstrumentation samples taken with paper points (S2a) and 45% with postinstrumentation dentin samples (S2b). In group 2, 20% of samples had negative cultures with S2a and 15% with S2b. Intragroup analyses evaluating the reduction in the number of colony-forming units (CFUs) from S1 to S2a and S2b demonstrated both preparation techniques were highly effective (P < .01). Further reduction of CFUs was observed when comparing S2a and S2b in group 1 (P < .05), whereas no difference was observed in group 2. Intergroup analysis demonstrated a statistically significant difference of CFUs at S2a and S2b (P < .05). SEM scores were consistent with the microbiology findings. CONCLUSIONS: The SAF system does not allow control of the apical enlargement, thus limiting the ability of the irrigants to achieve effective and predictable disinfection.

[Conservative surgery in pancreatic solid pseudo papillary tumor]. / Cirurgia conservadora no tumor sólido pseudopapilar do páncreas.

We report the case of a 18-year-old girl having a solid pseudopapillary pancreatic tumor. The patient underwent local enucleation of the tumor located on pancreatic head and remained free of recurrence on the 5th year of follow up. Surgical management is discussed.

Quantification of polycyclic aromatic hydrocarbons based on comprehensive two-dimensional gas chromatography-isotope dilution mass spectrometry.

Comprehensive two-dimensional gas chromatography (GCxGC) offers favourable resolution and sensitivity compared with conventional one-dimensional gas chromatography (1D-GC), as reported in many studies. These characteristics are of major interest when analytes are in trace concentration, and are present in complex mixtures, as is the case of polycyclic aromatic hydrocarbons (PAHs) in atmospheric particulate samples. Whilst GCxGC has been widely applied to identification of different types of analytes in several matrices, less seldom has it been used for quantification of these analytes. Although several quantitative methods have been proposed, they may be tedious and/or require considerable user development. Whereas quantification in 1D-GC is a routine and well-established procedure, in GCxGC, it is not so straightforward, especially where novel or untested procedures have yet to be incorporated into software packages. In the present study, it is proposed that a subset of the modulated peaks generated for each solute may be summed, based on the specific target ion mass of each compound present in a certified standard reference material (SRM) 1649a (urban dust). The ratio between a PAH and its corresponding deuterated (PAH-d) form showed that there is no statistical loss of sensitivity when this ratio is calculated based on whether the total sum of modulated peaks, or if only the two or the three most intense modulated peaks, are employed. Manual integration may be required, and here was found to give more acceptable values than automatic integration. Automated integration has been shown here to underestimate the modulated peak responses when low concentrations of PAHs were analyzed. Although for most PAHs good agreement with the certified values were observed, the analytical method needs to be further optimized for some of the other PAH, as can be see with those PAH with high variability in the range of urban dust analyzed.

[Splenic metastasis in ovary serous adenocarcinoma]. / Metástases esplénicas no adenocarcinoma seroso do ovário.

Splenic metastasis is rare, and is usually associated with disseminated malignancy. The primary tumours more frequently related with splenic metastasis are lung, breast, gynaecologic, specially ovary tumours, colon, rectum and melanoma. Isolated secondary splenic disease is rare, but it is described, often associated to ovary cancer. We report a 55 years old women with parenchymal splenic metastases of serous ovary cystadenocarcinoma in the 5th follow up year. This patient had positive peritoneal washings chytology but not macroscopic disease. We discuss the secondary splenic involvement of ovary cancer, dissemination route, prognosis and role of splenectomy as treatment modality in this unusual recurrence site in ovary cancers.

[Laparoscopic cholecystectomy: day case procedure]. / Colecistectomia laparoscópica: cirurgia de ambulatório.

We describe a retrospective analysis of 105 patients who underwent day-case laparoscopic cholecystectomy to evaluate the safety of this procedure. Selection criteria included surgical indications and admission/exclusion criteria for day-case surgery. We analysed: causes of overnight stay and readmission, need of medical or nursing care after discharge, degree of patient satisfaction and insatisfaction reasons. This study has demonstrated a low rate of overnight stay and readmission and a high degree of patient satisfaction for this procedure. We concluded that in selected patients, laparoscopic cholecystectomy as a day-case surgery is a safe procedure.

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