Tooth abnormalities in individuals with unilateral alveolar clefts : a comparison between sides using cone-beam computed tomography

Background: Tooth abnormalities are most often present in individuals with oral clefts than general population, and lead to a long-term impact on facial anatomy and self-esteem. The purpose of this study was to compare the proportion of dental anomalies between the cleft side and non-cleft side in individuals with non-syndromic unilateral alveolar clefts (AC). Material and Methods: Twenty cone beam computed tomography (CBCT) scans were converted into threedimensional (3D) virtual models. The dental anomalies considered were: tooth agenesis; supernumerary teeth; giroversion; and microdontia. Statistical analysis was performed using the McNemar?s test and Fisher?s exact test ( p < 0.05). Results: Statistically significant differences were not found either between the prevalence of individuals with dental abnormalities on the non-cleft side and the sides of the AC ( p = 1.00), or sex ( p = 0.36). Tooth agenesis was the most prevalent dental anomaly (55.6%). On the cleft side the lateral incisor was tooth most involved by dental anomalies; and the second premolar was the most affected on the non-cleft side. Conclusions: This study showed a high frequency of dental anomalies in the cleft individuals and indicated that the side of AC and sex do not interfere in the proportion of dental anomalies on non-cleft side

Diagnosis, management, and follow-up of extensive dermoid cyst of the submental region

Dermoid cyst (DC) is a cystic lesion of developmental origin and uncertain etiology that rarely affects the floor of the mouth. We report a case of a large lesion found in the submental and submandibular region in a 25-year-old male patient. Computed tomography revealed extensive hypodense lesion in the submental and submandibular space without peripheral enhancement. The microscopical analysis showed a cystic cavity lined by orthokeratinized stratified squamous epithelium. The cystic capsule was composed of dense fibrous connective tissue containing cutaneous attachments, such as sebaceous and sweat glands. The diagnosis of DC was made. The differential diagnosis of expansive sublingual lesions can be clinically challenging due to the similarity with several lesions frequently observed in this region. Herein, we describe a case of extensive DC arising in the floor of the mouth, presenting clinical, imaging, and microscopical features

Generalized hereditary gingival fibromatosis in a child: clinical, histopathological and therapeutic aspects

Hereditary gingival fibromatosis (HGF) is a rare genetic condition characterized by slow and progressive gingival enlargement. The gingival overgrowth often delays teeth eruption and may cause serious functional and aesthetic problems. We reported a case of a 10-year-old female child presenting a generalized gingival enlargement covering almost all the maxillary and mandibular teeth and resulted in problems for swallowing, speaking, and poor aesthetics. An incisional biopsy was performed and revealed a hypocellular and hypovascular dense collagenous tissue covered by squamous epithelium exhibiting acanthosis and elongated rete ridges. The diagnosis was HGF. The treatment instituted was an association of gingivectomy with a rigorous program of oral hygiene and follow-up. Herein, we describe a rare non-syndromic case of generalized HGF, including clinical and microscopical features, as well as highlighting the importance of correct diagnosis of this genetic condition

Evaluation of Bacteria and Fungi DNA Abundance in Human Tissues

Whereas targeted and shotgun sequencing approaches are both powerful in allowing the study of tissue-associated microbiota, the human: microorganism abundance ratios in tissues of interest will ultimately determine the most suitable sequencing approach. In addition, it is possible that the knowledge of the relative abundance of bacteria and fungi during a treatment course or in pathological conditions can be relevant in many medical conditions. Here, we present a qPCR-targeted approach to determine the absolute and relative amounts of bacteria and fungi and demonstrate their relative DNA abundance in nine different human tissue types for a total of 87 samples. In these tissues, fungi genomes are more abundant in stool and skin samples but have much lower levels in other tissues. Bacteria genomes prevail in stool, skin, oral swabs, saliva, and gastric fluids. These findings were confirmed by shotgun sequencing for stool and gastric fluids. This approach may contribute to a more comprehensive view of the human microbiota in targeted studies for assessing the abundance levels of microorganisms during disease treatment/progression and to indicate the most informative methods for studying microbial composition (shotgun versus targeted sequencing) for various samples types

Trypanosoma vivax in Dairy Cattle

Background: Trypanosoma vivax is a protozoan that causes reproductive disorders and decreased production in domestic and wild ungulate animals. The bovine are the main hosts of the disease and the transmission occurs by the bite of hematophagous insects, mainly tabanids. Several diagnostic techniques can be used to detect the parasite, both in parasitologicalform and by serological kits. In Brazil, the disease has been reported in bovines, goats and sheep of some states, with high morbidity and mortality and due to the scarcity of results on the epidemiology of the disease, this work had the objective to report the presence of T. vivax in a female bovine of a dairy herd in Parnaíba county, Piauí.Case: The animal naturally infected by Trypanosoma vivax, was a three-year-old cow from a dairy farm in the Parnaíba county, located in the north of Piauí state. The farm had a herd whith 62.20% of young Girolando breed cows and the breeding system used was semi-confinement, with two mechanical milking per day. At the time of a Veterinarian’s technicalvisit to the property, it was observed the occurrence of abortions, mastitis, estrus repetitions and cows with hematuria, leading to the suspicion of the bovine leptospirosis occurrence. Blood samples were collected from 78 cows from the herd for hematological, biochemical and serological tests, and 72 (92.30%) were reactive to some Leptospira serovars. All the exams were carried out at the Federal University of Piauí (UFPI). In the group of animals negative for leptospirosis, a female was diagnosed positive for bovine trypanosomiasis, confirming the result in the blood smear. This animal had no clinical signs characteristic of the disease at the time of the evaluation.Discussion: Blood trypomastigote forms of Trypanosoma vivax were visualized on several slides of the animal smear and all the morphological structures of the parasite found were clearly seen under microscopyas described in the literature. The hematological alterations observed were normochromic normocytic anemia, thrombocytopenia, leukocytosis due tolymphocytosis, monocytosis and eosinophilia. The anemia and leukocytosis clinical condition found in the specific animal is commonly found in bovines naturally infected by trypanosomiasis in the chronic phase of the disease. The results of the serum biochemistry revealed decreased blood glucose and increased renal and hepatic parameters, as well as the inversion of the albumin-globulin ratio. Similar laboratory results were also described previously. The animal had a good body score, a good diet and showed no clinical signs of the disease. A good nutrition may have controlled the T. vivax parasitaemia, avoiding the characterization of the clinical condition. This fact can be attributed to the differences in pathogenicity of the parasite and/or susceptibility of a particular host. In the area of the farm where the cattle were housed the presence ofseveral tabanids was noticed and the increase of these insects in the environment is considered a risk factor, predisposing, even, the occurrence of new outbreaks. The epidemiological situation of the disease in Brazil is described, for the most part, by reports of outbreaks or specific events, revealing the lack of more consistent studies. With this result it is knownthat trypanosomiasis exists in the dairy herd of the state of Piauí, being important to carry out new work to diagnose the epidemiological situation of the disease within the productive context of our region.Keywords: bovine, dairy herd, trypanosomiasis

Relato sobre o desenvolvimento de modelos para obtenção automática do conteúdo de sites sobre saúde

Este relato técnico descreve o desenvolvimento de modelos, técnicas e protótipos para localização, padronização e extração automática do conteúdo apresentado em sites/páginas web com assuntos relacionados à área da saúde, visando à estimativa da qualidade destes sites/páginas extraídos. As técnicas e propostas descritas neste documento foram desenvolvidas ao longo do primeiro semestre de 2009 pelos alunos da disciplina CMPl12 - Sistemas de Informação Distribuídos do Programa de Pós-Graduação do Instituto de Informática da Universidade Federal do Rio Grande do Sul, ministrada pelo Professor Dr. José Palazzo Moreira de Oliveira. Cada uma das tarefas descritas aplicou técnicas e tecnologias diferentes para o seu desenvolvimento, apresentando resultados de diferentes naturezas, como tabelas, protótipos e modelos. Entretanto, todas foram desenvolvidas em busca do mesmo objetivo: a extração automática do conteúdo de sites/páginas que tratam sobre o tema "Doença de Alzheimer". Ao final to trabalho, obteve-se um conjunto de resultados, os quais serão utilizados para possibilitar a realização de estimativas a respeito da qualidade dos sites/páginas extraídos, de acordo com métricas de qualidade definidas.This report describes the development of models, techniques and prototypes to location, standardization and automatic extraction of content presented in web sites/pages with subject related to health, objecting estimate its quality. The techniques and proposals described here was performed during the first half of 2009 by students of the lecture CMP112 – Distributed Information Systems of Institute of Informatics of Federal University of Rio Grande do Sul, conducted by Professor Dr. José Palazzo Moreira de Oliveira. Each one of the tasks described in this report used different techniques and technologies for their development, presenting results of different natures, such as tables, prototypes and models. However, all tasks were developed looking for the same objective: the automatic extraction of content from web sites/pages related with the subject “Alzheimer’s Disease”. At the end of the work, we obtained a set of results, which will be used to enable the development of estimative concerning the quality of extracted web sites/pages, according with defined quality metrics

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection