Infiltração marginal em restaurações de amalgama de prata sob influencia de formas de condensação e uso de materiais intermediarios na interface marginal

Orientadores: Simonides Consani, Lourenço Correr SobrinhoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de PiracicabaResumo: A proposta deste estudo "in vitro" foi avaliar a capacidade de selamento de restaurações de amálgama de prata submetidas à três técnicas de condensação (manual, mecânica e ultra-sônica) utilizando-se, como materiais intermediários, adesivo dentinário, cimento de ionômero de vidro modificado por resina, cimento resinoso, verniz copal e, como controle, somente amálgama. Foram preparadas cavidades tipo classe V na raiz de 210 dentes incisivos de bovinos, com 4 mm no maior tamanho no sentido cervico-oclusal e mésio-distal e 1,5 mm de profundidade com todas as margens localizadas em dentina. Os dentes foram divididos em 5 grupos com 42 dentes em cada um sendo que um dos grupos foi utilizado como controle, sem material intermediário (G1) e cada um dos outros quatro grupo recebeu um material intermediário diferente e as três formas de condensação. Antes da condensação do amálgama (Dispersalloy) as cavidades foram tratadas de acordo com as instruções dos fabricantes com Copalite (G2), Vitremer (G3), Enforce + Prime & Bond 2.1 (G4) e Prime & Bond 2.1(05). As amostras ficaram armazenadas em solução salina durante 30 dias e, a cada 15 dias, foi realizado uma termociclagem que constou de 500 ciclos cada, com tempo de 15 segoem cada banho e temperaturas de 5°C e 55° C. Depois da fadiga térmica as amostras foram mergulhadas em solução de fucsina básica 0,5% à temperatura ambiente durante 24h depois das quais foram lavadas e incluídas em resina acrílica para seccionamento em máquina específica (LABCUT). De cada restauração foram obtidos 3 ou 4 cortes e aquele que apresentou a maior penetração de corante, foi fotografado no Estereomicroscópio e avaliado em graus que variaram entre "0" (sem infiltração) até "3" (máxima infiltração). Os resultados foram submetidos à testes estatísticos de 'X POT. 2¿ e pode-se observar que as formas de condensação não afetaram significativamente a quantidade de infiltração observada. No entanto, quando consideramos apenas a presença ou não de infiltração, os testes estatísticos mostraram que a condensação manual foi superior as outras duas (mecânica e ultrassônica) mostrando uma microinfiltração significativamente menor. Também foi possível verificar que as amostras com Prime & Bond 2.1 e o grupo sem material intermediário mostraram significativamente menos infiltração do que o grupo com Enforce + Prime & Bond 2.1. O grupo com Copalite mostrou um pior resultado apenas quando comparado ao grupo controle sendo semelhante a todos os outros grupos testados. O grupo com Vitremer mostrou-se significantemente melhor do que grupo com Enforce + Prime & Bond 2.1Abstract: The purpose of this "in vitro" study was to determine the sealing ability of amalgam restorations submit to 3 condensation techniques underlined with adhesive systems, resin modified glass ionomer, copal varnish and amalgam only, wich was use as control. Class V cavities were made in 210 bovine incisor teeth. The cavities had 4mm in diameter and 1.5mm in depth and were prepared at the root in such way that the margins were established in dentin. Before packing the amalgam (Dispersalloy), the cavities were treated, according to the manufacturer's direction, with Copalite Varnish, Vitremer, Enforce + Prime & Bond 2.1 and Prime & Bond 2.1.The sample remained stored in saline solution for a months and in the meantime they were thennocycled. Each thennocycling comprised of 500 cycles between 5° and 55° C with a dwell time of 15 seconds. After the tennal stress the sample were immersed in 0.5% basic fucsin solution 24 h. and washed. The teeth were embedded in resin acrylic and sectioned in a cutting machine (LABCUT). Three to four buccal-lingual cuts, including the restoration were obtained and the microleakage scored from "0" (no leakage) to "3" (maximum leakage). The highest score for each tooth was considered. Chi-square test was applied to the results and the following observations could be drawn: the 3 different condensation techniques did not significantly affect microleakage. It was also possible to observe that the specimens with Prime & Bond 2.1 and control grup showed signficatly less leakage the Enforce + Prime & Bond 2.1. No significantly difference between Copalite and the other groups, except the was obsered G1(control). The Vitremer was only significantly better than G4DoutoradoDoutor em Materiais Dentário

Antibodies Against Glycolipids Enhance Antifungal Activity of Macrophages and Reduce Fungal Burden After Infection with Paracoccidioides brasiliensis

Paracoccidioidomycosis is a fungal disease endemic in Latin America. Polyclonal antibodies to acidic glycosphingolipids (GSLs) from Paracoccidioides brasiliensis opsonized yeast forms in vitro increasing phagocytosis and reduced the fungal burden of infected animals. Antibodies to GSL were active in both prophylactic and therapeutic protocols using a murine intratracheal infection model. Pathological examination of the lungs of animals treated with antibodies to GSL showed well-organized granulomas and minimally damaged parenchyma compared to the untreated control. Murine peritoneal macrophages activated by IFN-gamma and incubated with antibodies against acidic GSLs more effectively phagocytosed and killed P brasiliensis yeast cells as well as produced more nitric oxide compared to controls. The present work discloses a novel target of protective antibodies against P brasiliensis adding to other well-studied mediators of the immune response to this fungus.CapesFAPESPUniv Sao Paulo, Dept Microbiol, Inst Biomed Sci, Sao Paulo, BrazilUniv Sao Paulo, Lab Med Mycol IMTSP LIM53, Sao Paulo, BrazilAlbert Einstein Coll Med, Dept Med, New York, NY USAAlbert Einstein Coll Med, Dept Microbiol & Immunol, New York, NY USAUniv Fed Fluminense, Niteroi, RJ, BrazilUniv Fed Sao Paulo, Dept Microbiol Immunol & Parasitol, Sao Paulo, BrazilUniv Fed Sao Paulo, Dept Microbiol Immunol & Parasitol, Sao Paulo, BrazilFAPESP: 2011/17267-4FAPESP: 2013/18655-3Web of Scienc

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

Marginal leakage in resin composite restorations lined with different adhesive materials

Este estudo avaliou a capacidade de selamento de restaurações de resina composta com diferentes materiais adesivos intermediários. Cavidades Classe V padronizadas, com margens em esmalte e dentina/cemento, foram confeccionadas em incisivos bovinos. A resina de alto escoamento Fill Magic (Vigodent) e o cimento ionomérico Vitremer (3M ESPE) foram empregados como intermediários de restaurações com os compósitos Charisma e Solitaire (Heraeus Kulzer),formando 6 grupos (n = 14): [C1] – compósito microhíbrido Charisma; [C2] – Fill Magic + Charisma; [C3] – Vitremer + Charisma; [S1] –compósito condensável Solitaire; [S2] – Fill magic + Solitaire; [S3] – Vitremer + Solitaire. Após acabamento e polimento, as amostras foram armazenadas em solução fisiológica a 37ºC, por 30 dias, e então imersas em solução de fucsina básica a 0,5% por 24h. Os dentes foram longitudinalmente seccionados e a penetração do corante avaliada sob magnificância (40×), por dois examinadores, com escores padronizados. Os dados foram submetidos ao teste estatístico não-paramétrico de Kruskal-Wallis. Nas margens em esmalte, diferenças significativas foram verificadas apenas para a associação de intermediários à resina Solitaire, com os grupos S2 (p < 0,05) e S3 (p < 0,001) apresentando escores de infiltração significativamente maiores em relação aos demais. As margens em dentina/cemento apresentaram maior penetração em relação às margens em esmalte (p < 0,001). Apenas a associação do Vitremer às duas resinas melhorou o selamento deste substrato, com os grupos C3 (p < 0,001) e S3 (p < 0,05) apresentando os menores escores de infiltraçã

Influência de restaurações temporárias contendo eugenol na microinfiltração de sistemas adesivos convencional e autocondicionante

Purpose: This in vitro study evaluated the influence of zinc oxide-eugenol temporary cement(ZOE-TC) on the sealing ability of composite restorations using two adhesive systems. Methods: Standard Class V cavities were prepared in 20 bovine incisors and restored with either ZOE-TC (IRM) or eugenol-free cement (Cavit®) (n=10/temporary cement type). After 7 days, five teeth per material group were restored using Single Bond(SB) and five using Adper Prompt(AP). The cavities were filled with composite (Filtek Z-250), thermal cycled (500 cycles),immersed in basic fuchsine solution, and longitudinally sectioned. Dye penetration was evaluated using optical-microscopy and scored. Data were analyzed by Kruskal-Wallis test (P = 0.05). Results: Overall, leakage in dentin was similar to that in enamel. In enamel margins, only the group with Cavit cement associated with AP presented significant higher leakage. In dentin margins, AP exhibited higher leakage than the groups restored with SB; there was no significant difference between eugenol-free cement and ZOE-TC. Conclusion: In general, SB showed better marginal sealing than AP, and ZOE-TC did not increase dye leakage. Eugenol in the temporary cement did not affect the marginal sealing of adhesive restorations

Anti-Inflammatory Effects of (3<i>S</i>)-Vestitol on Peritoneal Macrophages

The isoflavone (3S)-vestitol, obtained from red propolis, has exhibited anti-inflammatory, antimicrobial, and anti-caries activity; however, few manuscripts deal with its anti-inflammatory mechanisms in macrophages. The objective is to elucidate the anti-inflammatory mechanisms of (3S)-vestitol on those cells. Peritoneal macrophages of C57BL6 mice, stimulated with lipopolysaccharide, were treated with 0.37 to 0.59 µM of (3S)-vestitol for 48 h. Then, nitric oxide (NO) quantities, macrophages viability, the release of 20 cytokines and the transcription of several genes related to cytokine production and inflammatory response were evaluated. The Tukey–Kramer variance analysis test statistically analyzed the data. (3S)-vestitol 0.55 µM (V55) lowered NO release by 60% without altering cell viability and diminished IL-1β, IL-1α, G-CSF, IL-10 and GM-CSF levels. V55 reduced expression of Icam-1, Wnt5a and Mmp7 (associated to inflammation and tissue destruction in periodontitis) and Scd1, Scd2, Egf1 (correlated to atherosclerosis). V55 increased expression of Socs3 and Dab2 genes (inhibitors of cytokine signaling and NF-κB pathway), Apoe (associated to atherosclerosis control), Igf1 (encoder a protein with analogous effects to insulin) and Fgf10 (fibroblasts growth factor). (3S)-vestitol anti-inflammatory mechanisms involve cytokines and NF-κB pathway inhibition. Moreover, (3S)-vestitol may be a candidate for future in vivo investigations about the treatment/prevention of persistent inflammatory diseases such as atherosclerosis and periodontitis