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1.
Adv Exp Med Biol ; 1232: 121-127, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31893403

RESUMO

Changes in NIRS signals are related to changes in local cerebral blood flow or oxy-Hb concentration. On the other hand, recent studies have revealed the effect of chewing gum on cognitive performance, stress control etc. which accompanied brain activity in the prefrontal cortex (PFC). However, these relationships are still controversial. To evaluate the chewing effect on PFC, NIRS seems to be a suitable method of imaging such results. When measuring NIRS on PFC, blood volume in superficial tissues (scalp, skin, muscle) might have some affect. The aim of the present study was to clarify the effect of the anterior temporal muscle on NIRS signals during gum chewing. Eight healthy volunteers participated. Two-channel NIRS (HOT-1000, NeU, Japan), which can distinguish total-Hb concentrations in deep tissue and superficial tissue layers, was used. In addition to a conventional optode separation distance of 3.0 cm, Hot 1000 has a short distance of 1.0 cm (NEAR channel) to measure NIRS signals that originate exclusively from surface tissues. NIRS probes were placed at Fp1 and Fp2 in the normal probe setting. The headset was displaced to the left in order to allow the left probe to be placed over the left anterior temporal muscle. In the normal setting, the superficial signal curve shows no notable change; however, the neural (calculated and defined in HOT-1000) and deep curves show an increase during the gum chewing task. At the deviated setting, all three signals show marked changes during the task. Total-Hb concentration in the deviated probe setting is significantly large (p < 0.05) than that of in the normal probe setting. When using gum chewing as a task, it would be better to consider a probe position carefully so that the influence of muscle activity on NIRS signal can be distinguished.


Assuntos
Mastigação , Córtex Pré-Frontal , Espectroscopia de Luz Próxima ao Infravermelho , Adulto , Hemoglobinas/metabolismo , Humanos , Japão , Projetos Piloto , Córtex Pré-Frontal/fisiologia , Adulto Jovem
2.
Adv Exp Med Biol ; 1232: 323-329, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31893427

RESUMO

Recent guidelines on cardiopulmonary resuscitation (CPR) have stressed the necessity to improve the quality of CPR. Our previous studies demonstrated the usefulness of monitoring cerebral blood oxygenation (CBO) during CPR by near-infrared spectroscopy (NIRS). The present study evaluates whether the NIRO-CCR1, a new NIRS device, is as useful in the clinical setting as the NIRO-200NX. We monitored CBO in 20 patients with cardiac arrest by NIRS. On the arrival of patients at the emergency department, the attending physician immediately assessed whether the patient was eligible for this study after conventional advanced life support and, if eligible, measured CBO in the frontal lobe by NIRS. We found that in all patients, the cerebral blood flow waveform was in synchrony with the chest compressions. Moreover, the tissue oxygenation index increased following cardiopulmonary bypass (CPB) in patients undergoing CPB, including one patient in whom CBO was monitored using the NIRO-CCR1. In addition, although the NIRO-CCR1 could display the pulse rate (Tempo) in real time, Tempo was not always detected, despite detection of the cerebral blood flow waveform. This suggested that chest compressions may not have been effective, indicating that the NIRO-CCR1 also seems useful to assess the quality of CPR. This study suggests that the NIRO-CCR1 can measure CBO during CPR in patients with cardiac arrest as effectively as the NIRO-200NX; in addition, the new NIRO-CCR1 may be even more useful, especially in prehospital fields (e.g. in an ambulance), since it is easy to carry.


Assuntos
Reanimação Cardiopulmonar , Circulação Cerebrovascular , Parada Cardíaca , Monitorização Fisiológica , Oximetria , Espectroscopia de Luz Próxima ao Infravermelho , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/normas , Oximetria/instrumentação , Oximetria/normas , Projetos Piloto , Espectroscopia de Luz Próxima ao Infravermelho/instrumentação , Espectroscopia de Luz Próxima ao Infravermelho/normas
3.
Medicine (Baltimore) ; 99(1): e18615, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31895816

RESUMO

Chronic urinary retention (CUR) is defined as a non-painful bladder that remains palpable or percussible after the patient has passed urine. Acupuncture may decrease PVR and improve bladder function in patients with neurogenic CUR. The aim of this study was to preliminarily observe the effectiveness of electroacupuncture (EA) for patients with CUR caused by a lower motor neuron lesion and to provide some therapeutic data for further study.This study was a pilot study of 30 patients with CUR caused by a lower motor neuron lesion. Patients were treated with EA for 12 weeks with 36 sessions of EA.Responders were defined as participants with a decline in postvoid residual urine (PVR) volume after spontaneous urination of ≥50% from baseline. The proportion of responders, change in PVR volume from baseline after spontaneous urination, and the proportion of patients with severe difficulty with urination, who required assistance with bladder emptying and with stool retention, were measured at weeks 4, 8, and 12.Thirty patients were included in this study, and 23 completed 12 weeks of treatment. The proportion of responders at weeks 4, 8, and 12 was 6.67%, 28%, and 43.48%, respectively. Decrease in PVR volume, compared with baseline, was significant at all asessment timepoints. The proportion of patients with severe difficulty with urination, who required assistance with bladder emptying and with stool retention, decreased after treatment.EA is a potential treatment for improving bladder function in patients with CUR caused by a lower motor neuron lesion.


Assuntos
Eletroacupuntura/estatística & dados numéricos , Doença dos Neurônios Motores/complicações , Retenção Urinária/terapia , Adulto , Idoso , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença dos Neurônios Motores/sangue , Projetos Piloto , Retenção Urinária/etiologia
4.
Psychiatr Prax ; 47(1): 22-28, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910457

RESUMO

INTRODUCTION: Over the last decade, methamphetamine use has spread rapidly in Europe, leading to a significant medical shortfall in many regions. To date, there are no standardized German-language therapy programs for qualified detoxification and motivation treatment. We have developed a therapy manual ("CrystalClean") over 15 therapy modules, which was evaluated in the present pilot study with regard to feasibility and acceptability. METHODS: Observational study with systematic interviews over 3 months on 31 patients with methamphetamine dependence. RESULTS: Acceptability of most modules was rated as high by both patients and therapists. In addition, the manual was considered to be well feasible in inpatient daily routine. However, contact terminations frequently occurred when switching to outpatient treatment. CONCLUSION: Results from our study point to a high acceptance of the manual for the accompaniment of qualified detoxification and motivation treatment in patients with methamphetamine dependence. Feasibility in the clinical setting can be improved by reducing the number of modules to the 12 best evaluated and by increasing the frequency of therapies.


Assuntos
Linguagem , Metanfetamina , Transtornos Relacionados ao Uso de Opioides/reabilitação , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Europa (Continente) , Estudos de Viabilidade , Alemanha , Humanos , Motivação , Aceitação pelo Paciente de Cuidados de Saúde , Projetos Piloto , Tradução
5.
Psychiatr Prax ; 47(1): 29-34, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910458

RESUMO

Formal thought disorders are common in people diagnosed with schizophrenia. Among them, concretism stands for deficiencies in the understanding of idiomatic expressions, metaphors and proverbs. However, little is known as to whether concretism is a correlate of the acuteness or severity of schizophrenia within patients. In this pilot study data of 28 patients was collected in the process of implementing a proverb test for screening purposes as part of an enhancement to the standard assessment of the general cognitive functioning of the patients. Our findings support the argument for such a coherence as a significant correlation between the degree of acuteness and concretism was found. However, the proverb test also correlated significantly with our standard cognitive assessment so the question as to which degree the proverb test will add further information regarding the general cognitive functioning needs to be addressed. Finally, the question as to whether there is an indication to specifically approach concretism in the treatment of patients with schizophrenia is discussed.


Assuntos
Transtornos Cognitivos , Esquizofrenia , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/terapia , Alemanha , Humanos , Metáfora , Projetos Piloto , Esquizofrenia/diagnóstico , Esquizofrenia/terapia
6.
Anticancer Res ; 40(1): 349-356, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31892586

RESUMO

BACKGROUND/AIM: Follicle-stimulating hormone receptor (FSHr), expressed on endothelial cells of vessels in different malignant tumors, has been recently investigated as a potential pan-receptor of cancer treatment. However, the expression of this receptor has also been confirmed in other tissues under pathological conditions including cancer. The aim of the presented pilot study was to evaluate the expression of FSHr in head and neck squamous cancer (HNSCC). PATIENTS AND METHODS: A total of 28 HNSCC patient samples were immunohistochemically analyzed for the presence of FSHr using a commercially available primary antibody. RESULTS: FSHr was detected not only in the tumor tissue, but also in the basal layer or dysplastic parts of squamous mucosa and also in fibroblasts surrounding the tumor tissue. CONCLUSION: FSHr is present on different benign or malignant mesenchymal and epithelial structures in HNSCC. A brief literature review revealed a wider role of FSHr in the development of neoplasia.


Assuntos
Receptores do FSH/metabolismo , Carcinoma de Células Escamosas de Cabeça e Pescoço/metabolismo , Animais , Linhagem Celular Tumoral , Feminino , Humanos , Imuno-Histoquímica , Camundongos , Projetos Piloto
7.
Eur J Dent Educ ; 24(1): 121-125, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31631472

RESUMO

INTRODUCTION: WhatsApp is an instant multimedia messaging and social media software which can be used for multiple purposes such as data, text, photographs and document transfer. Due to its versatility and multiple utilities, WhatsApp has been used within the educational setting in medicine and dentistry, proving a positive attitude of students towards its use. AIM: To compare the reception time and the response time of WhatsApp with the traditional electronic email within the dental educational environment. METHOD: A two-group comparative study was designed. Four multiple choice questions were sent via WhatsApp (group WA) and via electronic mail (group eM) to dental students. Data collected focused on the reception time and response time of students. Specifications of WhatsApp were used to collect data whilst an email tracker was used for the eM group. Excel software and Stata/IC version 15.1 software were used for data analysis. RESULTS: Seventy-four dental students from the University x (anonymised for reviewing purposes) dental school agreed to take part in this experience. However, 59 provided their responses (80%). Forty-four were females, and 15 were males. Twenty-seven participants were randomly allocated to the WA group and 32 to the eM group. The statistical analysis revealed a significant difference between groups: Reception time, P: .0286 value and response time, P: .0448 value indicating that the WA group was significantly faster in terms of reception and response time. CONCLUSION: This pilot study suggests that WhatsApp is more efficient in terms of reception and response time than electronic emails.


Assuntos
Correio Eletrônico , Mensagem de Texto , Educação em Odontologia , Feminino , Humanos , Masculino , Projetos Piloto , Estudantes de Odontologia
8.
J Sports Sci ; 38(2): 140-149, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31680636

RESUMO

The aim of this study was to assess the influence of a half-time (HT) re-warm up (RWU) strategy on measures of performance and the physical and perceptual response to soccer-specific activity. Ten male soccer players completed a control (CON) and RWU trial, in which participants completed 60 min (4 x 15-min periods with a 15-min HT interspersing the third and fourth periods) of a soccer-specific exercise protocol. The CON trial comprised a passive 15-min HT, whilst the RWU trial comprised a passive 12-min period, followed by a 3-min RWU. The RWU elicited an improvement in 20 m sprint times (d= 0.6; CON: 3.42 ± 0.20 s; RWU: 3.32 ± 0.12 s), and both squat (d= 0.6; CON: 26.96 ± 5.00 cm; RWU: 30.17 ± 5.13 cm) and countermovement jump height (d= 0.7; CON: 28.15 ± 4.72 cm; RWU: 31.53 ± 5.43 cm) following the RWU and during the initial stages of the second half. No significant changes were identified for 5 m or 10 m sprint performance, perceived muscle soreness, or PlayerLoadTM. Ratings of perceived exertion were however higher (~2 a.u) following the RWU. These data support the use of a HT RWU intervention to elicit acute changes in performance.


Assuntos
Desempenho Atlético/fisiologia , Desempenho Atlético/psicologia , Futebol/fisiologia , Exercício de Aquecimento/fisiologia , Adulto , Estudos Cross-Over , Frequência Cardíaca/fisiologia , Humanos , Masculino , Mialgia/psicologia , Percepção/fisiologia , Esforço Físico/fisiologia , Projetos Piloto , Exercício Pliométrico/psicologia , Adulto Jovem
9.
Clin Oral Implants Res ; 31(1): 84-92, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31705683

RESUMO

OBJECTIVES: Examine the clinical and microbiological benefits of a dual-strain Lactobacillus reuteri probiotic on the non-surgical therapy of initial peri-implantitis. MATERIALS AND METHODS: This randomized, double-blind study targeted patients with initial peri-implantitis, that is peri-implantitis with a maximum mean probing pocket depth of 6 mm and maximum 3 mm bone loss compared with loading. A full-mouth prophylaxis was performed and the peri-implantitis sites were debrided. Subsequently, local application of the study drops was carried out at the peri-implantitis sites and the study lozenges were handed out. The patients in the probiotic group received drops and lozenges containing L. reuteri (ATCC PTA 5289 & DSM 17938), those in the control group received placebo products. At the implant level the measurements of interest were bleeding, probing pocket depth and plaque. Full-mouth bleeding and plaque scores were also recorded. Microbiological samples were taken from the tongue, saliva and subgingivally around the implants. RESULTS: All clinical parameters were significantly decreased after 12 and 24 weeks. At the implant level the only statistically significant difference was a greater decrease in plaque levels in the probiotic versus the control group (p = .002 at 24 weeks). At the full-mouth level, the only intergroup difference was the greater decrease in full-mouth bleeding on probing sites in the probiotic group compared with the control group (p < .001 at 24 weeks). Concerning the microbiological outcomes, no significant differences could be found at any time point, neither intra- nor intergroup. CONCLUSIONS: No adjunctive effects of the use of L. reuteri probiotics in the treatment of peri-implantitis were found.


Assuntos
Lactobacillus , Peri-Implantite , Probióticos , Método Duplo-Cego , Humanos , Projetos Piloto
10.
Water Res ; 169: 115246, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31710918

RESUMO

In a one-year (October 2014-October 2015) pilot study, we assessed wastewater monitoring with sustained sampling for analysis of global enterovirus (EV) infections in an urban community. Wastewater was analysed by ultra-deep sequencing (UDS) after PCR amplification of the partial VP1 capsid protein gene. The nucleotide sequence analysis showed an unprecedented diversity of 48 EV types within the community, which were assigned to the taxonomic species A (n = 13), B (n = 23), and C (n = 12). During the same period, 26 EV types, of which 22 were detected in wastewater, were identified in patients referred to the teaching hospital serving the same urban population. Wastewater surveillance detected a silent circulation of 26 EV types including viruses reported in clinically rare respiratory diseases. Wastewater monitoring as a supplementary procedure can complement clinical surveillance of severe diseases related to non-polio EVs and contribute to the final stages of poliomyelitis eradication.


Assuntos
Infecções por Enterovirus , Enterovirus , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Filogenia , Projetos Piloto , Águas Residuárias
11.
Orthod Craniofac Res ; 23(1): 102-109, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31550076

RESUMO

OBJECTIVE: To determine the influence of altered head or tongue posture on upper airway (UA) volumes using MRI imaging based on a new objective and validated UA evaluation protocol. SETTING AND SAMPLE POPULATION: One supine CBCT and five sagittal MRI scans were obtained from ten subjects in different head and tongue positions: (a) supine neutral head position (NHP) with the tongue in a natural resting position with the tip of the tongue in contact with the lingual aspect of the lower incisors (TRP); (b) head extension with TRP; (c) head flexion with TRP; (d) NHP with the tip of the tongue in contact with the posterior edge of the hard palate (THP); and (e) NHP with the tip of the tongue in contact with the floor of the mouth in contact with the caruncula sublingualis. MATERIAL AND METHODS: Based on a validated CBCT UA analysis, the retropalatal, oropharyngeal and the corresponding total volumes were measured from each MRI scan. Wilcoxon signed-rank test was applied to determine the statistically significant difference in mean volume between the baseline head and tongue posture (NHP with TRP) and the other postures. RESULTS: Five females and five males with a mean age of 46.5 ± 13.7 years volunteered for this pilot study. UA volumes, particularly the oropharyngeal volume, increased significantly with head extension and NHP with THP and decreased significantly with head flexion. CONCLUSION: Altered head and tongue posture proved to affect UA volumes, thus representing confounding variables during three-dimensional radiographic image acquisition.


Assuntos
Cabeça , Postura , Cefalometria , Feminino , Imagem por Ressonância Magnética , Masculino , Faringe , Projetos Piloto , Língua
13.
Int J Oral Maxillofac Surg ; 49(2): 244-249, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31296437

RESUMO

A comprehensive evaluation of treatment outcomes in paediatric temporomandibular joint (TMJ) ankylosis patients should include the assessment of quality of life (QoL) along with the traditional clinical indicators. This longitudinal retrospective descriptive study evaluated the impact on QoL of interpositional arthroplasty for the treatment of TMJ ankylosis in 18 patients between 8 and 10 years of age. The subjects completed the Child Perceptions Questionnaire (CPQ 8-10) while their parents/primary caregivers completed the Parental/Caregiver Perceptions Questionnaire (PCPQ), once before and then at 3 months after the surgery. There was a significant improvement in mean cumulative scores for both questionnaires. Significant improvements were seen in the oral symptoms, functional limitation (P<0.02), and social wellbeing domains (P<0.05) of the CPQ, and in the oral symptoms and functional limitation (P<0.05) domains of the PCPQ. The improvements in the physical domains were considered important for treatment success by both groups. The psychosocial domains were observed to be largely unaffected by the condition. The level of agreement between the two groups was higher for physical domains as compared to psychosocial domains. This study indicates that QoL outcomes in paediatric TMJ ankylosis patients are largely influenced by the physical factors, while the psychosocial factors play a secondary role.


Assuntos
Anquilose , Qualidade de Vida , Artroplastia , Criança , Humanos , Projetos Piloto , Estudos Retrospectivos , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular
14.
Toxicol Lett ; 319: 237-241, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31738974

RESUMO

The RSDL® (Reactive Skin Decontamination Lotion) Kit contains a lotion-impregnated sponge extensively studied for the removal or neutralization of chemical warfare agents from skin. Pilot investigation of efficacy with industrial threat compounds noted that synthetic opioid fentanyl citrate was removed by the RSDL Kit but not chemically inactivated by the lotion. This implies that after use the RSDL Kit will contain intact fentanyl, which may pose a dermal health hazard if the fentanyl is then transferred to skin after use without proper handling. This in vitro investigation studied the contaminated RSDL Kit using three different concentrations of fentanyl with a skin contact time of 15 min under direct interaction from passive contact, light touch, and leaning with one hand. It was demonstrated that the expected transfer of fentanyl from contaminated RSDL depends on 1) the concentration of fentanyl and 2) the area of the exposed surface. From a toxicological perspective, the contact risk of fentanyl under the conditions tested can be considered low but not absent. The present study determined that a contaminated RSDL Kit, used for removal of fentanyl, should be handled with proper care. Use of protective gloves in operational use and washing skin afterwards is advised to prevent undesired contamination.


Assuntos
Analgésicos Opioides/efeitos adversos , Analgésicos Opioides/análise , Contaminação de Medicamentos , Fentanila/efeitos adversos , Fentanila/análise , Creme para a Pele/efeitos adversos , Creme para a Pele/análise , Animais , Substâncias para a Guerra Química/química , Técnicas In Vitro , Projetos Piloto , Medição de Risco , Absorção Cutânea , Suínos
15.
Vasa ; 49(1): 43-49, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31755826

RESUMO

Background: Timely diagnosis of vascular graft infections is of major importance in vascular surgery. The detection of causative microorganisms is needed for specific medical treatment, but conventional culture is often slow, insensitive and inconclusive due to antibiotic pre-treatment. Detection of bacterial DNA by polymerase chain reaction (PCR) might bypass these problems. We hypothesised that multiplex PCR (mPCR) is feasible, fast and sensitive to detect causative microorganisms in vascular graft infections. Patients and methods: We performed a pilot observational prospective study comparing conventional culture and a commercial mPCR. Inclusion criteria were: confirmed graft infection, suspicious imaging, clinical suspicion, anastomotic aneurysm and repeated graft occlusion. Diagnostic methods were performed using identical samples. Time to result, microorganisms and antibiotic resistance in both groups were compared using Student's t-test or nonparametric tests. Results: 22 samples from 13 patients were assessed and 11 samples were negative for bacteria. Some showed multiple germs. In total, we found 15 different organisms. 13 samples matched, 9 had non-concordant results. Out of the mismatches 3 microorganisms identified in PCR were not detected by culture. Time to result with PCR was shorter (median 5 h vs. 72 h, p < 0.001) than with culture. No resistance genes were detected by mPCR, but conventional culture allowed susceptibility testing and revealed resistance in 5 samples. Conclusions: mPCR seems to be a feasible and quick tool to detect causes of vascular graft infections within 24 h and might be helpful in antibiotic pre-treated patients. The detection of antibiotic resistance with mPCR needs improvement for clinical practice.


Assuntos
Reação em Cadeia da Polimerase Multiplex , DNA Bacteriano , Humanos , Projetos Piloto , Estudos Prospectivos
16.
Sports Health ; 12(1): 61-65, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31526322

RESUMO

BACKGROUND: Given the relatively high risk of contralateral anterior cruciate ligament (ACL) injury in patients with ACL reconstruction (ACLR), there is a need to understand intrinsic risk factors that may contribute to contralateral injury. HYPOTHESIS: The ACLR group would have smaller ACL volume and a narrower femoral notch width than healthy individuals after accounting for relevant anthropometrics. STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 3. METHODS: Magnetic resonance imaging data of the left knee were obtained from uninjured (N = 11) and unilateral ACL-reconstructed (N = 10) active, female, collegiate-level recreational athletes. ACL volume was obtained from T2-weighted images. Femoral notch width and notch width index were measured from T1-weighted images. Independent-samples t tests examined differences in all measures between healthy and ACLR participants. RESULTS: The ACLR group had a smaller notch width index (0.22 ± 0.02 vs 0.25 ± 0.01; P = 0.004; effect size, 1.41) and ACL volume (25.6 ± 4.0 vs 32.6 ± 8.2 mm3/(kg·m)-1; P = 0.025; effect size, 1.08) after normalizing by body size. CONCLUSION: Only after normalizing for relevant anthropometrics, the contralateral ACLR limb had smaller ACL size and narrower relative femoral notch size than healthy individuals. These findings suggest that risk factor studies of ACL size and femoral notch size should account for relevant body size when determining their association with contralateral ACL injury. CLINICAL RELEVANCE: The present study shows that the method of the identified intrinsic risk factors for contralateral ACL injury could be used in future clinical screening settings.


Assuntos
Lesões do Ligamento Cruzado Anterior/patologia , Ligamento Cruzado Anterior/anatomia & histologia , Fêmur/anatomia & histologia , Adolescente , Ligamento Cruzado Anterior/diagnóstico por imagem , Lesões do Ligamento Cruzado Anterior/diagnóstico por imagem , Lesões do Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior , Tamanho Corporal , Estudos Transversais , Feminino , Fêmur/diagnóstico por imagem , Humanos , Imagem por Ressonância Magnética , Projetos Piloto , Recidiva , Fatores de Risco , Adulto Jovem
17.
Chemosphere ; 239: 124635, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31514013

RESUMO

A comprehensive pilot study was carried out to experimentally assess the potential of newly developed treatment trains integrating two-stage AOPs and biofiltration to reach potable reuse water quality standards from municipal wastewater. The processes consisted of a two-stage AOPs with (carbon or limestone) biofiltration, the first AOP (O3/H2O2) serving as pre-treatment to biofiltration and the second AOP (UV254/H2O2) serving as post-biofiltration finishing step to ensure advanced disinfection. A comprehensive monitoring campaign was put in place resulting from the combination of targeted, non-targeted and suspect screening measurements. It was found that 13 organic micropollutants were detected from a list of 219 suspects although at ng/L level only. For the treatment conditions piloted in this study (O3 = 13 ±â€¯0.5 mg/L, H2O2 = 11 ±â€¯0.4 mg/L for the O3/H2O2 process, and UV = 410 ±â€¯63.5 mJ/cm2, H2O2 = 5 mg/l for the UV254/H2O2 process), it was possible to estimate the overall removal efficacy for each unit process, which was found to follow this order: RO (99%)  > BAC (87%) > O3-H2O2 (78%)  > BAL (67%)  > UV/H2O2 (43%)  > AOP contact chamber (19%)  > UF(0%), with the treatment train integrating two AOPs and granular biofiltration with activated carbon (O3/H2O2 + BAC + UV254/H2O2) showing superior performance with a 99% abatement in total micropollutants. No ecotoxicologically-positive response was generally observed for any of the effluent samples from the tested trains, even when pre-concentration factors up to 100-1000 times were employed to increase the sensitivity of the bioassay methods.


Assuntos
Água Potável/química , Filtração/métodos , Águas Residuárias/química , Poluentes Químicos da Água/análise , Purificação da Água/métodos , Carvão Vegetal/química , Desinfecção , Peróxido de Hidrogênio/química , Oxirredução , Ozônio/química , Projetos Piloto , Raios Ultravioleta
18.
Chemosphere ; 240: 124915, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31563105

RESUMO

In animal livestock heavy metals are widely used as feed additives to control enteric bacterial infections as well as to enhance the integrity of the immune system. As these metals are only partially adsorbed by animals, the content of heavy metals in manure and wastewaters causes soil and ground water contamination, with Zn2+ and Cu2+ being the most critical output from pig livestock. Phytoremediation is considered a valid strategy to improve the purity of wastewaters. This work studied the effect of Zn2+ and Cu2+ on the morphology and protein expression in Thelypteris palustris and Typha latifolia plants, cultured in a wetland pilot system. Despite the absence of macroscopic alterations, remodeling of cell walls and changes in carbohydrate metabolism were observed in the rhizomes of both plants and in leaves of Thelypteris palustris. However, similar modifications seemed to be determined by the alterations of different mechanisms in these plants. These data also suggested that marsh ferns are more sensitive to metals than monocots. Whereas toleration mechanisms seemed to be activated in Typha latifolia, in Thelypteris palustris the observed modifications appeared as slight toxic effects due to metal exposure. This study clearly indicates that both plants could be successfully employed in in situ phytoremediation systems, to remove Cu2+ and Zn2+ at concentrations that are ten times higher than the legal limits, without affecting plant growth.


Assuntos
Biodegradação Ambiental/efeitos dos fármacos , Cobre/toxicidade , Traqueófitas/metabolismo , Typhaceae/metabolismo , Eliminação de Resíduos Líquidos/métodos , Zinco/toxicidade , Animais , Parede Celular/efeitos dos fármacos , Parede Celular/metabolismo , Cobre/farmacocinética , Gado , Esterco , Projetos Piloto , Células Vegetais/efeitos dos fármacos , Células Vegetais/metabolismo , Folhas de Planta/efeitos dos fármacos , Folhas de Planta/metabolismo , Proteínas de Plantas , Especificidade da Espécie , Suínos , Traqueófitas/efeitos dos fármacos , Typhaceae/efeitos dos fármacos , Águas Residuárias/química , Águas Residuárias/toxicidade , Poluentes Químicos da Água/farmacocinética , Poluentes Químicos da Água/toxicidade , Áreas Alagadas , Zinco/farmacocinética
20.
Artigo em Inglês | MEDLINE | ID: mdl-31815985

RESUMO

Eight patients with 38 Miller Class I, II, and III gingival recession defects were treated using an acellular bovine dermal matrix graft (Primatrix, Integra) under a coronal positioned flap. There was a significant 2.43-mm reduction in defect depth, 85.96% mean root coverage, and 65.79% complete root coverage at the 6-month follow-up. Patients reported a significant improvement in perceived esthetics as well as trends for reduced dentinal hypersensitivity, minimal postoperative pain, and overall satisfaction with the procedure. The favorable clinical outcomes and oral biocompatibility would benefit from comparative trials to evaluate the material against contemporary grafting techniques.


Assuntos
Gengiva , Retração Gengival , Animais , Bovinos , Tecido Conjuntivo , Seguimentos , Xenoenxertos , Humanos , Projetos Piloto , Raiz Dentária , Resultado do Tratamento
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