Clinical strategies for managing emergency endodontic pain

Pulpal and periradicular pain is leading cause of emergency care demand. Literature review: Pain management in endodontics includes important aspects for its control and prevention, such as reducing anxiety and preoperative pain, control of intra-operative pain and the treatment of postoperative pain. These review pointed out some important measures that may be the key for the effectiveness control and prevention of pain in endodontic procedures. One of the effective strategies currently used in these cases is structured to evaluate the painful condition through a 3-D approach which establish a differential diagnosis, definitive treatment, and rational use of drugs, based on the most appropriate scientific evidence available in the literature

Perineal Hernia in Dogs

Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles and fasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineum region. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence rates remain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU) from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the most relevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected. The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, body mass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120 cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgical techniques, surgical wires used, recurrences and postoperative complications. Fisher's exact test was applied to assess the influence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were the most affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent with the most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was the most used and showed a high number of complications. The second most used technique was the elevation of the internal shutter, which proved to be more efficient than the simple technique. Regardless of the technique used, the association of two or more techniques proved to be more efficient to reduce major complications. The use of the vaginal tunic stood out because it proved to be efficient in the treatment of perineal hernias regardless of whether it is associated with simple herniorrhaphy or obturator elevation. The surgical fixations of abdominal organs (Bladder, Ducto deferente and Colon) proved to be effective, since there were no recurrences or major complications associated with their use and the most used threads for herniorrhaphy were polyamide and catgut. Low recurrence rates were found in patients who received synthetic yarns. The most frequent complications were suture dehiscence and serous secretion.Discussion: Perineal hernia is a very important alteration due to difficulties in treatment, high rates of complications and recurrence, in addition to the large number of affected dogs. Several surgical techniques have already been proposed for the treatment of perineal hernia in dogs and are based on the reconstruction of the perineal musculature through sutures, muscle flaps, biological membranes, synthetic mesh and the reduction of pressure on the perineum through the surgical fixation of organs abdominals such as colon, vas deferens and bladder (in the musculature of the abdominal wall). It is concluded that the perineal hernia affects mainly male, non-neutered and geriatric dogs, being rare in females. Regardless of the techniques used, the association of two or more techniques is more efficient to reduce the rate of recurrences and complications. The autogenous vaginal tunic is a good option for muscle strengthening in perineal herniorraphies. The use of synthetic surgical wires leads to better results in the treatment of perineal hernia when compared to biological wires

Treatment of chronic Hepatitis C with daclatasvir, sofosbuvir and simeprevir in patients from the reference hospital of infectology in central Brazil/ Tratamento da Hepatite C crônica com daclatasvir, sofosbuvir e simeprevir em pacientes do hospital de referência de infectologia do centro do Brasil

The drug treatment of hepatitis C represents a great therapeutic advance in favor of the elimination of the virus. The present study assessed the efficacy of treatment regimens involving direct action antivirals (DAAs), given to patients with chronic hepatitis C, attended at a referral hospital of infectology, central Brazil. This is a descriptive and cross - sectional study, based on the electronic database of the outpatient pharmacy, that evaluated the characteristics of patients and drug regimens involving DAA, from November 2015 to June 2017. Among 717 patients enrolled in this study, most of them had advanced liver fibrosis, were treatment naïve and HCV genotype 1 infected almost 80% of participants. A high efficacy of HCV treatment was achieved with 97% (95% CI: 94.9-98.2%) of SVR among the 431 patients who presented the results of viral load tests (HCV-RNA) at 12 weeks post-treatment. Patients infected with genotype 3 and who were cirrhotic had a lower SVR rate (87%). Treatment efficacy was not associated with age or sex among participants. The results of this study corroborate the findings in literature that showed a high efficacy of DAAs in the treatment of chronic hepatitis C, implemented through the clinical protocol and therapeutic guidelines for hepatitis C of the Ministry of Health in 2015. Many challenges must be overcome in order to combating viral hepatitis. In this context, the efficacy of HCV treatment it is an important issue to achieve the HCV elimination as a public health threa

Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery

Objective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology. Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transurethral resections. We performed standardized measurement of penile and urethral meatus biometry followed by penile photo in the front position. The need to perform meatoplasty or dilatation during resectoscope introduction was registered. Data were analyzed comparing the correlation between two groups: without intervention (Group A) and with intervention (Group B). Results. We observed in Group A and Group B, respectively, the average length of urethral meatus of 1.07 cm versus 0.75 cm (p<0.001) and average width of urethral meatus of 0.59 cm versus 0.38 cm (p<0.001). Considering the morphology of the urethral meatus, we propose a new classification, in the following groups: (a) typical; (b) slit; (c) point-like; (d) horseshoe; and (e) megameatus. The point-like meatus was the one that most needed intervention, followed by the slit and the typical meatus (p<0.001). Conclusions. Point-like and slit-shaped urethral meatus, as well as reduced length and width of the urethral meatus, are the determining factors

Gbs-based Single Dosage Markers For Linkage And Qtl Mapping Allow Gene Mining For Yield-related Traits In Sugarcane

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Sugarcane (Saccharum spp.) is predominantly an autopolyploid plant with a variable ploidy level, frequent aneuploidy and a large genome that hampers investigation of its organization. Genetic architecture studies are important for identifying genomic regions associated with traits of interest. However, due to the genetic complexity of sugarcane, the practical applications of genomic tools have been notably delayed in this crop, in contrast to other crops that have already advanced to marker-assisted selection (MAS) and genomic selection. High-throughput next-generation sequencing (NGS) technologies have opened new opportunities for discovering molecular markers, especially single nucleotide polymorphisms (SNPs) and insertion-deletion (indels), at the genome-wide level. The objectives of this study were to (i) establish a pipeline for identifying variants from genotyping-by-sequencing (GBS) data in sugarcane, (ii) construct an integrated genetic map with GBS-based markers plus target region amplification polymorphisms and microsatellites, (iii) detect QTLs related to yield component traits, and (iv) perform annotation of the sequences that originated the associated markers with mapped QTLs to search putative candidate genes. Results: We used four pseudo-references to align the GBS reads. Depending on the reference, from 3,433 to 15,906 high-quality markers were discovered, and half of them segregated as single-dose markers (SDMs) on average. In addition to 7,049 non-redundant SDMs from GBS, 629 gel-based markers were used in a subsequent linkage analysis. Of 7,678 SDMs, 993 were mapped. These markers were distributed throughout 223 linkage groups, which were clustered in 18 homo(eo)logous groups (HGs), with a cumulative map length of 3,682.04 cM and an average marker density of 3.70 cM. We performed QTL mapping of four traits and found seven QTLs. Our results suggest the presence of a stable QTL across locations. Furthermore, QTLs to soluble solid content (BRIX) and fiber content (FIB) traits had markers linked to putative candidate genes. Conclusions: This study is the first to report the use of GBS for large-scale variant discovery and genotyping of a mapping population in sugarcane, providing several insights regarding the use of NGS data in a polyploid, non-model species. The use of GBS generated a large number of markers and still enabled ploidy and allelic dosage estimation. Moreover, we were able to identify seven QTLs, two of which had great potential for validation and future use for molecular breeding in sugarcane.18FINEP (Finaciadora de Estudos e Projetos)FAPESP (Fundacao de Amparo a Pesquisa de Sao Paulo) [08/52197-4]INCT-Bioetanol (Instituto Nacional de Ciencia e Tecnologia do Bioetanol) [FAPESP 08/57908-6]INCT-Bioetanol (CNPq, Conselho Nacional de Desenvolvimento Cientifico e Tecnologico) [574002/2008-1]FAPESP [10/50091-4, 12/25236-4, 10/50549-0, 10/50031-1, 12/11109-0]CNPqCAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Representativeness of the field of rural buildings and ambience in Brazilian journals / Representatividade do campo dos edifícios rurais e do ambiente nas revistas brasileiras

According to CAPES, Rural Buildings and Ambience is an area of concentration within the knowledge subarea of Agriculture Engineering which is part of the field of Agrarian Sciences. In the last 20 years, the Brazilian journals on Agrarian Sciences that publish articles related to Rural Buildings and Ambience have significantly increased the number of published documents, especially after the year 2006. Nevertheless, the number of articles in this area of concentration is not expressive when compared to the total of articles published in other areas of Agrarian Sciences. Considering the current scenario of the national agricultural production, especially for animal production, all parameters involving rural buildings, as well as climate and air quality analysis indoors, play a very relevant role in production efficiency, raising the importance of research in this area. Therefore, they would increase the number of published scientific articles. This work started with a systematic quantitative analysis of the last 21 years of scientific publications, considering 16 Brazilian journals and selecting 824 articles, revealing low representativeness of the area of concentration Rural Buildings and Ambience within the field of Agrarian Sciences, although important information was collected and tabulated for the growth of this sector in the national industry

Hysteropexy in the Treatment of Total Uterine Prolapse in a Brazilian Molosser Bitch

Background: Uterine prolapse is an obstetric emergency because the exposed tissue can present edema, devitalization or even gangrene, depending on the evolution time and on the severity of circulatory changes. Haemorrhage due to the rupture of ovarian or uterine vessels can evolve rapidly to hypovolemic shock. More rarely, secondary thromboembolism to the uterine strangulation can be developed, complication that can also lead to death. This study reports the case of a Brazilian Molosser bitch treated by reducing total uterine prolapse, complemented with hysteropexy, in order to prevent recurrence and maintain its reproductive ability. Case: A 5-year-old Brazilian Molosser bitch was attended presenting double firm and tubular mass protruding through the vulva. The patient gave birth to five live pups, the last two of which needed to be pulled. Two days after parturition, she had abdominal contraction when a mass protruded from the vagina. A total uterine prolapse was diagnosed, since both uterine horns were found exposed and inverted, with exposition of the endometrium and the areas of placental implantation, together with the body of the uterus. The tissue was apparently edematous and lightly parched, with the presence of strange bodies, but without signals of circulatory complications or lacerations that could turn a possible reduction and maintenance of the uterus unfeasible. Due to interest of the tutor in preserving the reproductive ability, an internal reduction via ventral medial celiotomy and the fixation of the uterus in the lateral abdominal wall (hysteropexy) was chosen in order to diminish the possibility of relapse in future parturition.Discussion: The definitive treatment of the uterine prolapse can be realized through ovariohysterectomy when the exposed uterine tissue is highly compromised or there is vessel rupture or no reproductive purpose for the female. The amputation of everted tissue through the vulva is also an option, but the risk of intracavitary bleeding during tissue resection must be considered when the uterine and ovarian artery and vein escape to the interior of the abdomen without according hemostasis. In cases which there are no complications of the prolapsed tissue and is desired to maintain the reproductive ability of the female, the internal reduction with hysteropexy is recommended. As the etiology of the uterine prolapse is a condition bound to several factors, in between them multiple pregnancies, relaxation of the uterine ligaments and genetic factors, conditions which can be associated to the cause of the prolapse in the mentioned patient, the hysteropexy was preferred as a complementary technique to uterine preservation and prevention of the prolapse relapse in a possible new parturition. In this case, the reduction of prolapse followed by hysteropexy was preferred, because the female dog was apparently well, without signs of complication of the prolapsed tissue and with satisfactory preoperative evaluation. Adding these to the request of the tutor in maintaining the reproductive ability of the female, since the procedure would not pose as a life risk to it. The absence of severe lacerations and circulatory complications in the prolapsed uterus of the bitch under study and the non-detection of toxemia and septicemia corroborated to the reduction and preservation of the uterus. Even though the uterine prolapse is a rare disease, it is necessary to improve surgical techniques that enable the conservation of the female dog in reproduction. In situations of viability of the prolapsed tissue, the technique of hysteropexy in abdominal wall showed itself effective, concluding that hysteropexy is feasible and efficient as a complementary procedure to the reduction of uterine prolapse, having contributed to avoid relapse and maintaining the reproductive of the subject related in this article

Growth and crop production of jambu under various irrigation depths.

O objetivo deste trabalho foi avaliar o efeito de diferentes lâminas de irrigação no crescimento e produção de plantas de jambu. Os tratamentos consistiram de cinco lâminas de irrigação correspondentes a 40%, 70%, 100%, 130% e 160% da capacidade de campo. O delineamento experimental foi em blocos casualizados com quatro repetições. A parcela foi constituída por quatro plantas em vasos separados. Para efeito de comparação dos tratamentos, 27 dias após o transplantio, foram analisadas as seguintes variáveis: comprimento da parte aérea, diâmetro da haste, massa fresca de folhas, massa fresca de caule, massa fresca de raiz, massa fresca das inflorescências, massa seca de folhas, massa seca de caule, massa seca de raiz, massa seca das inflorescências e eficiência do uso de água. O efeito das lâminas foi significativo para todas as variáveis analisadas exceto o diâmetro da haste e a massa seca das inflorescências. Houve comportamento quadrático para a maioria das variáveis em relação às lâminas de irrigação aplicadas. Os valores máximos de cada parâmetro foram obtidos com lâminas próximas à lâmina de 100% da capacidade de campo. Embora a eficiência da utilização de água tenha sido maior para a lâmina de 40% da capacidade de campo, o mais recomendado é utilizar a de 100% da capacidade de campo, pois esta proporcionou as melhores respostas nas variáveis analisadasThis study evaluated the effect that different irrigation depths have on the growth and crop production of jambu plants. The treatments consisted of five irrigation depths corresponding to 40%, 70%, 100%, 130% and 160% of field capacity. We used randomized blocks with four replications for the experimental design. The plot consisted of four plants in separate pots. For comparison of treatments, at 27 days after transplantation, the following variables were analyzed: plant height, stem diameter, leaf fresh matter, stalk fresh matter, root fresh matter, inflorescence fresh matter, leaf dry matter, stalk dry matter, root dry matter, inflorescence dry matter and water use efficiency. The effect of irrigation depth was significant for the analyzed variables, except for stem diameter and inflorescence dry matter. There was a quadratic behavior of the variables regarding the applied irrigation depths. The maximum values of each parameter were obtained with irrigation depths close to 100% field capacity. Although the efficiency of water use was higher for the irrigation depth of 40% field capacity, the use of irrigation depth at 100% field capacity is recommended since it provided the best answers of the variables analyzed

Ocorrência de Botulismo em cão – relato de caso: Dog Botulism - case report

O botulismo canino possui com etiologia o Clostridium botulinum produtor das neurotoxinas botulínicas, que promove o quadro de neuroparalisia em função do bloqueio da acetilcolina na junção neuromuscular, resultando na tetraparesia flácida. O diagnóstico definitivo é firmado pela detecção da toxina no soro sanguíneo com inoculação em camundongos. Assim, o presente trabalho tem como objetivo relatar a ocorrência do botulismo em um cão. Para isso, um canino, macho, sem raça definida (SRD), três meses de idade, pesando 5,4kg chegou para atendimento clínico apresentando tetraparesia flácida com progressão de 24 horas. O seu tutor relatou que o mesmo possui hábitos de ingerir carcaças de frangos em decomposição ou excretos de frangos. Ao exame físico foi constatada os seguintes parâmetros clínicos; 38.6°C de temperatura, 144 de frequência cardíaca, 24 de frequência respiratória, dois segundos de perfusão tecidual e ausência de desidratação. Contudo, constatou-se a presença da tetraparesia flácida com ausência dos reflexos de retirada, panículo e propriocepção em membros posteriores e anteriores. Exames complementares foram realizados visando descartar lesões medulares em região cervical e toracolombar. Os exames laboratoriais demostraram eritrocitose e discreta trombocitopenia. A terapia suporte foi instituída a base de fluidoterapia intravenosa, analgesia, antibioticoterapia, fisioterapia e complexos vitamínicos diariamente, com a evolução progressiva do paciente em 10 dias com retorno de forma progressiva os reflexos dos membros e sua permanência em estação, com posterior locomoção. Assim, em função da história e evolução clínica do paciente, pode-se fechar o diagnóstico em botulismo canino por Clostridium botulinum

Indigenous and local communities can boost seed supply in the UN decade on ecosystem restoration.

The UN Decade of Ecosystem Restoration is poised to trigger the recovery of ecosystem services and transform structural injustices across the world in a way unparalleled in human history. The inclusion of diverse Indigenous and local communities to co-create robust native seed supply systems is the backbone to achieve the goals for the Decade. Here we show how community-based organizations have co-developed native seed supply strategies for landscape restoration from the bottom-up. We draw on the interconnections over two decades of seed networks in Brazil and the emerging Indigenous participation in native seed production in Australia. From an environmental justice perspective, we provide a participatory seed supply approach for local engagement, noting local geographical, social and cultural contexts. Meeting large-scale restoration goals requires the connection between local seed production and collaborative platforms to negotiate roles, rights and responsibilities between stakeholders. An enduring native seed supply must include a diversity of voices and autonomy of community groups that builds equitable participation in social, economic, and environmental benefits.Funder: European Research Council (ERC) Award number: 86600