Digital subtraction radiographic analysis of the combination of bioabsorbable membrane and bovine morphogenetic protein pool in human periodontal infrabony defects

Objectives: This study assessed the bone density gain and its relationship with the periodontal clinical parameters in a case series of a regenerative therapy procedure. Material and Methods: Using a split-mouth study design, 10 pairs of infrabony defects from 15 patients were treated with a pool of bovine bone morphogenetic proteins associated with collagen membrane (test sites) or collagen membrane only (control sites). The periodontal healing was clinically and radiographically monitored for six months. Standardized presurgical and 6-month postoperative radiographs were digitized for digital subtraction analysis, which showed relative bone density gain in both groups of 0.034 ± 0.423 and 0.105 ± 0.423 in the test and control group, respectively (p>0.05). Results: As regards the area size of bone density change, the influence of the therapy was detected in 2.5 mm2 in the test group and 2 mm2 in the control group (p>0.05). Additionally, no correlation was observed between the favorable clinical results and the bone density gain measured by digital subtraction radiography (p>0.05). Conclusions: The findings of this study suggest that the clinical benefit of the regenerative therapy observed did not come with significant bone density gains. Long-term evaluation may lead to a different conclusions

EXERCÍCIOS DE VIBRAÇÃO DE CORPO INTEIRO EM PLATAFORMAS VIBRATÓRIAS: INTERESSE CIENTÍFICO

The aim of this study was identify the scientific interest, evaluating the number of publications (NP) cited per year in the PubMed about whole body vibration (WBV) isolated and in the association with some clinical application. The searches were performed in PubMed, using the keyword "whole body vibration" alone or in combination with disease or aging. The scientific interest has increased about WBV exercise in last years. A high NP with elderly and low-back pain variables was identified, indicating that vibratory platforms can generate vibrations and the WBV exercises may be an effective intervention for the treatment of musculoskeletal disorders in trained, untrained individuals as and in elderly. Is necessary to take to those who perform WBV exercises on vibrating platforms due to their individual reactions, because scientific information is still limited.   Descriptors: Exercise; PubMed; Elderly; Vibration.O objetivo do presente estudo foi identificar o interesse científico, avaliando o número de publicações (NP) citadas por ano sobre exercício de vibração no corpo inteiro (EVCI) isolado e em associação a aplicações clínicas. A pesquisa foi realizada no PubMed, com a palavra-chave “whole body vibration” isolada ou em associação com doenças ou com envelhecimento. Foi demonstrado aumento crescente do interesse científico sobre EVCI nos últimos anos. Um elevado NP com as variáveis idoso e dor lombar foi identificado, indicando que as plataformas que possam gerar vibrações e os EVCI podem ser uma intervenção efetiva para o tratamento de alterações musculoesqueléticas em indivíduos treinados, não treinadas e idosos. Torna-se necessário ter atenção com aqueles que realizam EVCI em plataformas vibratórias devido as suas reações individuais, pois as informações científicas ainda são limitadas. Descritores: Exercício; PubMed; Idoso; Vibração

Microclimatic conditions at forest edges have significant impacts on vegetation structure in large Atlantic forest fragments

Forest fragmentation creates forest edges, and the effect of those edges increases as the size of forest fragments decreases. Edge effects include changes to microclimatic conditions at the forest edge, which affect vegetation structure. No previous studies have directly tested the relationship between microclimate and vegetation structure (for instance, basal area, trees mean height, dead trees and damage trees) at the edge of forest fragments in the Atlantic Forest domain. We tested the following three hypotheses: (i) the microclimatic conditions differ between the edge and the interior of the forest, (ii) the forest structure differs between the edge and the interior of the forest and (iii) changes to microclimatic conditions at the forest edge negatively affect vegetation structure at the edges. Our results demonstrate that edge habitats are significantly more susceptible to strong winds, lower humidity and higher air temperatures than forest interiors. The microclimate may be considered the principal factor that explains the difference between the vegetation structure of the forest edge and the forest interior. Our results suggest that even large forest fragments in the Brazilian Atlantic Forest may be impacted by negative edge effects

Cellular and molecular effects of electromagnetic radiation and sonic waves

Electromagnetic radiation (in the form of pulsed magnetic fields, radiofrequency and intense pulsed light) and mechanical agents (such as sonic waves) have been used in physical therapy. The aim of this study was to assess the effects of low-intensity magnetic fields, sonic and radiofrequency waves, and intense pulsed light on the survival of Escherichia coli cultures and on the electrophoretic mobility of plasmid DNA. Exponentially growing E. coli AB1157 cultures and plasmid DNA samples were exposed to these physical agents and 0.9% NaCl (negative control) and SnCl2 (positive control) solutions. Aliquots of the cultures were diluted and spread onto a solidified rich medium. The colony-forming units were counted after overnight incubation and the survival fraction was calculated. Agarose gel electrophoresis was performed to visualise and quantify the plasmid topological forms. The results suggest that these agents do not alter the survival of E. coli cells or plasmid DNA electrophoresis mobility. Moreover, they do not protect against the lesive action of SnCl2. These physical agents therefore had no cytotoxic or genotoxic effects under the conditions studied

Laringectomia de resgate: utilização do retalho miocutâneo de peitoral maior na prevenção de fístula faringocutânea The usefulness of a pectoralis major myocutaneous flap in preventing salivary fistulae after salvage total laryngectomy

Laringectomias de resgate estão associadas a altas taxas de complicações pós-operatórias. O uso de retalhos na reconstrução do trânsito faríngeo poderia reduzir a incidência destas complicações. OBJETIVO: Avaliar a utilidade do retalho miocutâneo de músculo peitoral maior na prevenção da fístula salivar no pós-operatório de laringectomia total de resgate. MÉTODO: Estudo retrospectivo, realizado de abril/2006 a maio/2011, com 31 pacientes portadores de CCE de laringe recidivado, tratados previamente com quimiorradioterapia ou radioterapia isolada, submetidos à laringectomia de resgate. Destes 31 pacientes, a reconstrução da faringe foi realizada com utilização do retalho miocutâneo de músculo peitoral maior em 19 (61%) casos, enquanto o fechamento primário ocorreu em 12 pacientes (39%). RESULTADOS: Foi observada taxa de fistula salivar em (16%) dos pacientes em que se utilizou o retalho e 58% nos pacientes submetidos a fechamento primário da faringe (p < 0,02). Não foi observada diferença estatisticamente significativa entre os grupos em relação ao tempo médio de aparecimento de fistula e reintrodução da dieta por via oral, bem como tempo de uso de cateter nasoentérico para alimentação. CONCLUSÃO: O retalho miocutâneo do músculo peitoral maior mostrou-se como opção capaz de reduzir incidência de fistula salivar em laringectomias de resgate.<br>Salvage laryngectomy in patients treated with organ preservation protocols is associated with high rates of postoperative complications. The use of non-irradiated tissue flaps in pharyngeal reconstruction could reduce the incidence of these complications. OBJECTIVE: This study aims to evaluate the usefulness of the pectoralis major myocutaneous flap in preventing salivary fistulae during the postoperative period of salvage total laryngectomy (TL). MATERIALS AND METHOD: This retrospective study enrolled 31 patients operated between April of 2006 and May of 2011. All patients had advanced cancer at the time of the salvage procedure and had been treated with chemoradiotherapy or radiotherapy alone. Pharyngeal reconstruction was performed using pectoralis major myocutaneous flap in 19 cases (61%); primary wound closure occurred in 12 patients (39%). RESULTS: Salivary fistulae occurred in 16% of the patients who received the flap and in 58% of the patients with primary closure of the pharynx (p < 0.02). No statistically significant differences were noted between the groups with respect to the mean time for fistula formation, reintroduction of an oral diet, or use of a nasoenteric tube for feeding. CONCLUSION: The pectoralis major myocutaneous flap was found to reduce the incidence of salivary fistulae in salvage laryngectomy procedures