Changes in EMG activity during clenching in chronic pain patients with unilateral temporomandibular disorders

[Abstract] The study assessed the differences in electromyographic (EMG) activity recorded during clenching in women with chronic unilateral temporomandibular disorders (TMDs) as compared to control subjects. Seventy-five full dentate, normo-occlusion, right-handed, similarly aged female subjects were recruited. Twenty five subjects presented with right side TMD, 25 presented with left side TMD and 25 pain-free control subjects participated. Using integrated surface EMG over a 1 s contraction, the anterior temporalis and masseter muscles were evaluated bilaterally while subjects performed maximum voluntary clenching. Lower EMG activation was observed in patients with TMD as compared to control subjects (temporalis: 195.74 ± 18.57 vs. 275.74 ± 22.11, P = 0.011; masseters: 151.09 ± 17.37 vs. 283.29 ± 31.87, P < 0.001). An asymmetry index (SAI) was calculated to determine ratios of right to left sided activation. Patients with right-sided TMD demonstrated preferential use of their left-sided muscles (SAI −5.35 ± 4.02) whereas patients with left-sided TMD demonstrated preferential use of their right-sided muscles (SAI 6.95 ± 2.82), (P = 0.016). This unilateral reduction in temporalis and masseter activity could be considered as a specific protective functional adaptation of the neuromuscular system due to nociceptive input. The asymmetry index (SAI) may be a useful measure in discriminating patients with right vs. left-sided TMD.Galicia. Consellería de Cultura, Educación e Ordenación Universitaria; Grant 9/7/1996/DOG/22/7/199

Jaw biodynamic data for 24 patients with chronic unilateral temporomandibular disorder

This study assessed 24 adult patients, suffering from severe chronic unilateral pain diagnosed as temporomandibular joint (TMJ) disorder (TMD). The full dentate patients had normal occlusion and had never received an occlusal therapy, i.e., were with natural dental evolution/maturation. The following functional and dynamic factors were assessed: (1) chewing function; (2) TMJ remodeling or the condylar path (CP); and (3) lateral jaw motion or lateral guidance (LG). CPs were assessed using conventional axiography, and LG was assessed by K7 jaw tracking. Seventeen (71%) of the 24 (100%) patients consistently showed a habitual chewing side. The mean (standard deviation [SD]) of the CP angles was 47.90 (9.24) degrees. The mean (SD) of the LG angles was 42.95 (11.78) degrees. Data collection emerged from the conception of a new TMD paradigm where the affected side could be the habitual chewing side, the side with flatter lateral jaw motion or the side with an increased CP angle. These data may lead to improved diagnosis, therapy plans and evolution in TMD patients

Pimentão (capsicum Annuum) Fertilizado Com Composto Orgânico E Irrigado Com Diferentes Lâminas De Irrigação

Irrigation and fertilization are determining factors in vegetables’ productivity, mainly when correct doses are applied to obtain high productivity. Fertilization with organic composts is a feasible option, because it contributes to reduce production costs, improves productivity and is good to the environment. The objective of this study was to evaluate the effects of fertilization with organic waste compost in the productivity of green sweet peppers irrigated in a protected environment. The experimental design was randomized blocks with 24 treatments, factorial 6 × 4, being six fertilizations (mineral, organic with the dosages 4, 8, 12 e 16 t ha-1 and control) and replacement of water (70, 100, 130 e 160%) to take the soil to field capacity, with tree repetitions and six plants each replicate. Among the results it was verified that when water replacement was made in full (100%) the average number of fruits was similar for mineral fertilizer and fertilization with organic compost of 8 t ha-1, 12 t ha-1 and 16 t ha-1, showing the feasibility of the use of these compounds in this culture. © 2016, Universidade Estadual Paulista - UNESP. All rights reserved.21467368

Derivation and external validation of the SIMPLICITY score as a simple immune-based risk score to predict infection in kidney transplant recipients

Existing approaches for infection risk stratification in kidney transplant recipients are suboptimal. Here, we aimed to develop and validate a weighted score integrating non-pathogen-specific immune parameters and clinical variables to predict the occurrence of post-transplant infectious complications. To this end, we retrospectively analyzed a single-center derivation cohort of 410 patients undergoing kidney transplantation in 2008-2013 in Madrid. Peripheral blood lymphocyte subpopulations, serum immunoglobulin and complement levels were measured at one-month post-transplant. The primary and secondary outcomes were overall and bacterial infection through month six. A point score was derived from a logistic regression model and prospectively applied on a validation cohort of 522 patients undergoing kidney transplantation at 16 centers throughout Spain in 2014-2015. The SIMPLICITY score consisted of the following variables measured at month one after transplantation: C3 level, CD4+ T-cell count, CD8+ T-cell count, IgG level, glomerular filtration rate, recipient age, and infection within the first month. The discrimination capacity in the derivation and validation cohorts was good for overall (areas under the receiver operating curve of 0.774 and 0.730) and bacterial infection (0.767 and 0.734, respectively). The cumulative incidence of overall infection significantly increased across risk categories in the derivation (low-risk 13.7%; intermediate-risk, 35.9%; high-risk 77.6%) and validation datasets (10.2%, 28.9% and 50.4%, respectively). Thus, the SIMPLICITY score, based on easily available immune parameters, allows for stratification of kidney transplant recipients at month one according to their expected risk of subsequent infection

Identifying and explaining the farming system composition of agricultural landscapes: The role of socioeconomic drivers under strong biophysical gradients

In mountain landscapes, agricultural abandonment is taking place in the most vulnerable areas, while intensification increases in the most productive lands. These contrasting processes, which have different impacts on biodiversity and ecosystem services (BES), are related to changes in the farming system component of these landscapes. Farming systems are identified based on farmer’s decisions on, for example, type of crop and level of fertilizers, which represent the descriptors of farming systems and can be grouped into several dimensions (e.g. land use and intensity). Since obtaining this data at farm-level is often difficult, an alternative is to study the spatial combinations of farming systems at parish-level, i.e., Farming System Mixes (FSM), relying on agricultural census data. Other biophysical (e.g. climate, soil) and socioeconomic (e.g. labour, farmer’s age) variables, independent of farmers' decisions, represent the exogenous drivers of these decisions. The separation between descriptors and drivers is important to improve knowledge about what drives farmers' decisions regarding farming system choice, as these choices are often the focus of policies aiming the support of BES. In this study, we explored the underlying drivers of FSM and assessed the role of socioeconomic drivers, main target for policy makers, in a context of strong biophysical gradients. Biophysical drivers emerge as those that primarily discriminate between the FSM located in different topographic positions (valleys, mountains and plateau). In the situations where there is a greater range of productive choices available for farmers, such as in valleys, socioeconomic drivers assume a preponderant role on farming system choiceinfo:eu-repo/semantics/publishedVersio

Assessment of plasma chitotriosidase activity, CCL18/PARC concentration and NP-C suspicion index in the diagnosis of Niemann-Pick disease type C: A prospective observational study

Background: Niemann-Pick disease type C (NP-C) is a rare, autosomal recessive neurodegenerative disease caused by mutations in either the NPC1 or NPC2 genes. The diagnosis of NP-C remains challenging due to the non-specific, heterogeneous nature of signs/symptoms. This study assessed the utility of plasma chitotriosidase (ChT) and Chemokine (C-C motif) ligand 18 (CCL18)/pulmonary and activation-regulated chemokine (PARC) in conjunction with the NP-C suspicion index (NP-C SI) for guiding confirmatory laboratory testing in patients with suspected NP-C. Methods: In a prospective observational cohort study, incorporating a retrospective determination of NP-C SI scores, two different diagnostic approaches were applied in two separate groups of unrelated patients from 51 Spanish medical centers (n = 118 in both groups). From Jan 2010 to Apr 2012 (Period 1), patients with =2 clinical signs/symptoms of NP-C were considered ''suspected NP-C'' cases, and NPC1/NPC2 sequencing, plasma chitotriosidase (ChT), CCL18/PARC and sphingomyelinase levels were assessed. Based on findings in Period 1, plasma ChT and CCL18/PARC, and NP-C SI prediction scores were determined in a second group of patients between May 2012 and Apr 2014 (Period 2), and NPC1 and NPC2 were sequenced only in those with elevated ChT and/or elevated CCL18/PARC and/or NP-C SI =70. Filipin staining and 7-ketocholesterol (7-KC) measurements were performed in all patients with NP-C gene mutations, where possible. Results: In total across Periods 1 and 2, 10/236 (4%) patients had a confirmed diagnosis o NP-C based on gene sequencing (5/118 4.2%] in each Period): all of these patients had two causal NPC1 mutations. Single mutant NPC1 alleles were detected in 8/236 (3%) patients, overall. Positive filipin staining results comprised three classical and five variant biochemical phenotypes. No NPC2 mutations were detected. All patients with NPC1 mutations had high ChT activity, high CCL18/PARC concentrations and/or NP-C SI scores =70. Plasma 7-KC was higher than control cut-off values in all patients with two NPC1 mutations, and in the majority of patients with single mutations. Family studies identified three further NP-C patients. Conclusion: This approach may be very useful for laboratories that do not have mass spectrometry facilities and therefore, they cannot use other NP-C biomarkers for diagnosis