Etiology and incidence facial fractures in children and adults

SummaryFacial trauma has presented an increasing occurrence in the last four decades, due especially to the growth of accidents with automobiles as well as to the urban violence. Both of which continue being the main cause of such traumas. Aim: To evaluate the features of the population victim of facial trauma as to gender, age, occupation, origin, type of fracture and its cause. Design study: retrospective clinical with transversal cohort. Material and Method: Retrospective study consulting hospital registers of 513 patients victms of the facial trauma. Results: There was a higher incidence of facial trauma on men (84,9%), white (82,7) and with an average age of 29. Regarding occupation, the trauma was mostly occurred to students (16,6%) and Masons (11,2%). The jaw was the most affected place (35%), followed by zygoma (24%) and by the nose (23%), though most patients presented a single facial fracture (82,5%). Among the causes, accidents with automobiles (28,3%), aggressions (21%) and accidental fall s (19,5%) were the most common. Conclusions: Accidents with automobiles continue being the main cause of facial trauma, especially of multiple factures due to the great transmission of kinetic energy

Brown dog tick, Rhipicephalus sanguineus sensu lato, infestation of susceptible dog hosts is reduced by slow release of semiochemicals from a less susceptible host

Domestic dog breeds are hosts for the brown dog tick, Rhipicephalus sanguineus sensu lato, but infestation levels vary among breeds. Beagles are less susceptible to tick infestations than English cocker spaniels due to enhanced production of 2-hexanone and benzaldehyde that act as volatile tick repellents. We report the use of prototype slow-release formulations of these compounds to reduce the burden of R. sanguineus s. l. on English cocker spaniel dogs. Twelve dogs were randomly assigned to two groups with six dogs each. The treated group received collars with slow-release formulations of the compounds attached, while the control group received collars with clean formulations attached. Five environmental infestations were performed, with the number of ticks (at all stages) on the dogs being counted twice a day for 45 days. The counts on the number of tick stages found per dog were individually fitted to linear mixed effects models with repeated measures and normal distribution for errors. The mean tick infestation in the treated group was significantly lower than in the control group. For larvae and nymphs, a decrease in tick infestation was observed at the fifth count, and for adults, lower average counts were observed in all counts. The compounds did not interfere with the distribution of the ticks on the body of the dogs, as a similar percentage of ticks was found on the anterior half of the dogs (54.5% for the control group and 56.2% for the treated group). The biological and reproductive parameters of the ticks were not affected by the repellents. This study highlights for the first time the potential use of a novel allomone (repellent)-based formulation for reduction of tick infestation on susceptible dogs

Evaluation of the normothermic ischemic liver injury: the role of main biliary duct occlusion and N-acetylcysteine

BACKGROUND: The aim of this study was to investigate the effect of N-Acetylcysteine (NAC) on the hepatic ischemia injury. METHODS: Thirty eight male EPM-1 Wistar rats were divided in four groups: G1 and G2 with ischemia time of 30 min.; groups 3 and 4 were submitted to 30 min of ischemia and bile duct was not clamped. Animals from groups 2 and 4 received NAC, 150mg.Kg-1 bw, by IV injection, 15 min. before procedure. Blood samples were collected before and after ischemia and liver function was evaluated by enzymatic measurement. Hepatic samples were processed to GSH/GSSG, light and electronic microscopy evaluation. Non-parametric tests were applied to the statistical analysis (p < 0.05). RESULTS: Enzymatic increase were higher when NAC was absent. There was no protection by NAC when bile duct was absent nor when bile duct was not clamped. Under light microscopy there was significant difference in the groups S/NAC X C/NAC, showing that group C/NAC maintained better parenchyma architecture during ischemia time, independent on bile duct clamp. Under electronic microscopy, the groups C/NAC and those without bile duct clamping showed preserved cellular arquitecture. NAC did not alter the relationship between reduced glutathione / oxidated gluthatione (GSH/GSSG). CONCLUSION: NAC is able to protect hepatic parenquime during normothermic ischemia and we purpose that such mechanism is related to a direct reaction of NAC with nitric oxide (NO).OBJETIVO: Estudar o efeito da N-acetilcisteína (NAC) na isquemia hepática. MÉTODO: Trinta e oito ratos machos EPM-1 Wistar foram distribuídos em quatro grupos. Nos Grupos 1 e 2 foi realizado 30 min de clampeamento do hilo hepático, e nos Grupos 3 e 4 os animais foram submetidos a 30 minutos de isquemia sem clampleamento do ducto biliar. Os animais dos Grupos 2 e 4 receberam 150mg.Kg-1 de NAC, endovenoso, 15 minutos antes do procedimento. Colheu-se sangue antes do procedimento e após o clampeamento do pedículo para a dosagem enzimática. Amostras de fígado foram coletadas para dosagem de glutationa, microscopia óptica e eletrônica. No estudo estatístico aplicaram-se testes não paramétricos, p < 0,05. RESULTADOS: O aumento das enzimas foi menor quando se administrou NAC, sendo semelhante na ausência do clampeamento da via biliar. À microscopia óptica houve diferença significante dos grupos S/NAC X C/NAC, mostrando que o grupo C/NAC manteve a arquitetura do parênquima durante a isquemia, independente do clampeamento do ducto biliar. Na microscopia eletrônica os grupos C/NAC e os sem clampeamento do ducto biliar apresentaram arquitetura celular preservada. A NAC não alterou a relação de glutationa reduzida/ glutationa oxidada (GSH/GSSG). CONCLUSÕES: A NAC é capaz de proteger o parênquima hepático durante a isquemia normotérmica e propõe-se que o mecanismo seja por reação direta da NAC com o óxido nítrico (NO).FURG Departamento de CirurgiaUNIFESP-EPM Departamento de CirurgiaUSP Departamento de Análises Clínicas e ToxicológicasUNIFESP-EPM Departamento de Medicina InternaUNIFESP-EPM Departamento de MorfologiaUNIFESP, EPM, Depto. de CirurgiaUNIFESP, EPM Depto. de Medicina InternaUNIFESP, EPM Depto. de MorfologiaSciEL

Nursing Practices In Intravenous Therapy In Newborns: An Integrative Review

Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice

Chemical characterization and bioactivity of phytochemicals from Iberian endemic Santolina semidentata and strategies for ex situ propagation

Asteraceae family members are well-known for their medicinal potential, comprising several properties that make them unique among plants. Here we focus on Santolina semidentata, an endemic plant from the Iberian Peninsula, not yet described for its medicinal properties. Phytochemical characterization of S. semidentata was performed, concerning total phenol content, flavonoid content, antioxidant capacity, HPLC-DAD profile, acetylcholinesterase inhibitory capacity, cytotoxicity and neuroprotective effect in a human neurodegeneration cell model. Moreover, essential oil composition and antifungal activity were also analised. This oil might be useful for therapeutical purposes, particularly in the treatment of dermatophytosis. S. semidentata potential for neuroprotection was revealed by acetylcholinesterase inhibitory capacity and also by an effective protective effect in human neuronal cells. Furthermore, different seed conservation protocols, as well as successful in vitro propagation were established which may be useful when integrated in a broad strategy for the conservation of these endemic plants and their sustainable use for potential biotechnological applications. The results presented here greatly contribute to value this species regarding its potential as a source of phytochemicals with prospective neuroprotective health benefits, either as alternative neuroprotective drugs or as leads for synthetizing more effective molecules.The authors wish to thank to “Fundo EDP para a Biodiversidade” for financial support. This work was also supported by “Fundação para a Ciência e a Tecnologia” through grant PEst-OE/EQB/LA0004/2011, BGCT/33418/2008, Green-it: UID/Multi/04551/2013, iNOVA4Health: UID/Multi/04462/2013 and financial support to CNS (IF/01097/20132), RP (SFRH/BD/63615/2009), IF (SFRH/BD/86584/2012) and AG (SFRH/BD/103155/2014).info:eu-repo/semantics/publishedVersio

Salivary gland extract from Aedes aegypti improves survival in murine polymicrobial sepsis through oxidative mechanisms

Sepsis is a systemic disease with life-threatening potential and is characterized by a dysregulated immune response from the host to an infection. The organic dysfunction in sepsis is associated with the production of inflammatory cascades and oxidative stress. Previous studies showed that Aedes aegypti saliva has anti-inflammatory, immunomodulatory, and antioxidant properties. Considering inflammation and the role of oxidative stress in sepsis, we investigated the effect of pretreatment with salivary gland extract (SGE) from Ae. aegypti in the induction of inflammatory and oxidative processes in a murine cecum ligation and puncture (CLP) model. Here, we evaluated animal survival for 16 days, as well as bacterial load, leukocyte migration, and oxidative parameters. We found that the SGE pretreatment improved the survival of septic mice, reduced bacterial load and neutrophil influx, and increased nitric oxide (NO) production in the peritoneal cavity. With regard to oxidative status, SGE increased antioxidant defenses as measured by Trolox equivalent antioxidant capacity (TEAC) and glutathione (GSH), while reducing levels of the oxidative stress marker malondialdehyde (MDA). Altogether, these data suggest that SGE plays a protective role in septic animals, contributing to oxidative and inflammatory balance during sepsis. Therefore, Ae. aegypti SGE is a potential source for new therapeutic molecule(s) in polymicrobial sepsis, and this effect seems to be mediated by the control of inflammation and oxidative damage

Imagens e concepções de adolescentes moradores de zonas rurais sobre saúde

O presente estudo teve como objetivo descrever as concepções de adolescentes moradores de zonas rurais sobre saúde por meio da fotografia. Estudo qualitativo, do tipo pesquisa participativa baseada na comunidade, que utilizou o método fotovoz para coleta dos dados com grupos de adolescentes. Durante um período de quatro meses, 26 participantes identificaram problemas de saúde da comunidade rural, captaram imagens e refletiram criticamente acerca da realidade. Os adolescentes apresentaram imagens e histórias que foram organizadas em temas e categorias da investigação que representaram condições de vida inadequadas para o desenvolvimento socioeconômico e cultural, limitando as oportunidades de mudança desta comunidade. O estudo evidenciou uma estratégia de educação em saúde positiva, que envolveu os adolescentes na saúde coletiva da comunidade e potencializou a voz do jovem como protagonista de sua história

Extracellular vesicles in infectious diseases caused by protozoan parasites in buffaloes

Background: Extracellular vesicles (EVs) are small membrane-bound vesicles of growing interest in vetetinary parasitology. The aim of the present report was to provide the first isolation, quantification and protein characterization of EVs from buffalo (Bubalus bubalis) sera infected with Theileria spp. Methods: Infected animals were identified through optical microscopy and PCR. EVs were isolated from buffalo sera by size-exclusion chromatography and characterized using western blotting analysis, nanoparticle tracking analysis and transmission electron microscopy. Subsequently, the proteins from isolated vesicles were characterized by mass spectrometry. Results: EVs from buffalo sera have shown sizes in the 124-140 nm range and 306 proteins were characterized. The protein-protein interaction analysis has evidenced biological processes and molecular function associated with signal transduction, binding, regulation of metabolic processes, transport, catalytic activity and response to acute stress. Five proteins have been shown to be differentially expressed between the control group and that infected with Theileria spp., all acting in the oxidative stress pathway. Conclusions: EVs from buffaloes infected with Theileria spp. were successfully isolated and characterized. This is an advance in the knowledge of host-parasite relationship that contributes to the understanding of host immune response and theileriosis evasion mechanisms. These findings may pave the way for searching new EVs candidate-markers for a better production of safe biological products derived from buffaloes

Arbustus unedo essence: morphological and genetic characterization of the strawberry tree of Castelo de Paiva

O medronheiro é um arbusto da região mediterrânica que pode ser encontrada por todo o país. Ao contrário do que verifica na região sul do país, no concelho de Castelo de Paiva é atribuída uma reduzida importância económica a esta espécie. Com o intuito de preservar e potenciar a produção desta espécie e contribuir para a dinamização da economia do concelho, procedeu-se à caracterização morfológica e genética de uma amostra da população de medronheiros de Castelo de Paiva. A caracterização morfológica e genética foi realizada para um total de 10 genótipos. Para tal recolheram-se 70 folhas aleatoriamente em cada árvore. Em 40 folhas mediu-se o comprimento, largura, comprimento do pedúnculo, peso fresco, peso seco e determinou-se a área foliar. Dos caracteres morfológicos analisados, aqueles que se revelaram mais úteis na distinção dos vários genótipos foram: comprimento do pedúnculo, peso fresco e peso seco. As restantes 30 folhas foram utilizadas para a caracterização genética. Esta caracterização foi realizada recorrendo a um marcador de DNA, ISSR. Os 5 primeiros exemplaresutilizados na técnica de ISSR demonstraram-se polimórficos. Os resultados da caracterização genética sugerem que a variabilidade genética na população é média a alta.The strawberry tree is a shrub native in the Mediterranean region and it can be found throughout Portugal. Unlike the case in the southern region of the country, in Castelo de Paiva a minor economic importance is given to this species. In order to preserve, to enhance the production of this species and to contribute to the boosting of the economy of the region, we proceeded to the characterization of a small sample population of this fruit tree of Castelo de Paiva in what concerns to its morphology and genetics. The morphological and genetic characterization was performed for a total of 10 genotypes. For this, 70 leaves were randomly collected from each tree. For 40 leaves, it was measured the length, the width, the peduncle length, the wet weight, the dry weight and determined the leaf area. Of the morphological characteristics analyzed, the ones that proved most useful in distinguishing the various genotypes were: the length peduncle, the wet weight and the dry weight. The remaining 30 leaves were used in the genetic characterization. This characterization was performed using a DNA marker, the ISSR. The 5 primers used in the ISSR technique proved to be polymorphic. The results from the genetic characterization suggest that variability in population genetics is medium to high