Evaluation of prevalence of Haller cells and their relationship with maxilofacial changes

Introdução: As células de Haller são descritas como células etmoidais aeradas, localizadas na margem inferior da órbita, próximas aos óstios dos seios maxilares. A tomografia computadorizada de feixe cônico (TCFC) tem amplo uso na odontologia, permitindo aquisição de imagens da região craniofacial. Objetivo: Identificar, em exames de TCFC, a relação da célula de Haller com as seguintes condições: sinusopatia, desvio de septo nasal ósseo, tratamento endodôntico e lesões periapicais. Materiais e métodos: Foram utilizados 99 exames de TCFC, sendo 51 incluídos nos critérios da pesquisa. As imagens foram analisadas no software Xelis Dental®, de maneira a identificar a presença ou não da célula de Haller, bem como sua relação com as condições citadas. Resultados: Dentre os 51 exames de TCFC avaliados, 35,3% apresentaram célula de Haller do lado direito e 23,5% no lado esquerdo. Levando-se em conta a relação das células de Haller com uma ou mais alterações aqui citadas, no lado direito a tivemos em 72% dos casos, enquanto no lado esquerdo tal relação se fez presente em 75% dos casos. Conclusão: Exames de TCFC que apresentam a margem infraorbital permitem verificar a presença ou ausência da célula de Haller. Nessa amostra, verificamos maior presença de casos de endodontia, desvio de septo e sinusopatia nos indivíduos que apresentaram células de Haller.Introduction: The Haller Cells are described as aerated ethmoidal cells, located in the inferior margin of the orbit, near the ostia of the maxillary sinuses. The Cone Beam Computed Tomography (CBCT) is widely used in dentistry, allowing acquisition of images of the craniofacial region. Objective: to identify in CBCT exams the Haller´s cell relationship with the following conditions: sinus disease, bony nasal septum deviation, endodontic treatment and periapical lesions. Materials and methods: 99 CBCT exams were used, from which 51 were included in the research criteria. The images were analyzed in the Xelis Dental® software to identify the presence or absence of the Haller Cell, as well as the relationship with the mentioned conditions. Results: Among the 51 CFCT exams evaluated, 35.3% presented Haller´s Cell on the right side and 23.5% on the left side. Whereas the relationship of the Haller Cells with one or more alterations mentioned here, on the right side we had it in 72% of the cases, while on the left side such relationship was present in 75% of the cases. Conclusion: CBCT exams that present the infraorbital margin allow to verify the presence or absence of the Haller Cell. In this sample, we verified a greater presence of endodontic cases, bony nasal septum deviation and sinus disease cases in individuals who presented Haller Cells

Swine Carcass Condemnation in Commercial Slaughterhouses

ABSTRACT Objective. The research was conducted to evaluate the main causes of carcass condemnation, as well as the financial loss caused by it, at a commercial slaughterhouse located in Dourados, MS, Brazil. Materials and methods. The data related to carcass condemnation, for the years 2007 to 2009 was obtained from a commercial slaughterhouse, located in the city of Dourados, MS, Brazil, and turned into a percentage of the total number of animals slaughtered during that period. The most frequent causes of carcass condemnation (total or partial) were grouped into classes (pleurisy + pneumonia; enteritis; arthritis; abscesses; fractures/hematomas + contusions + death). The financial loss by the slaughterhouse was estimated using the condemnation data. Results. The total rate of carcass condemnation was low and tended to stability (<0.45%). The most prevalent causes of condemnation during the study period were abscesses and death in the transport, which together accounted for approximately 40% of all condemnation. The condemnation due to health problems tended to decrease or to be stable over the years. However, the condemnations caused by management problems (abscesses, fractures, contusions and death) showed a significant increase. The average loss to the integrative company according to the carcasses condemnation was exceeding U$1,600,000.00 in the years studied. Conclusions. The main causes of carcass condemnation come from management failure. The annual loss by the company can be invested in the training of manpower in order to reduce the rates of carcass condemnation

CT and MR imaging prior to transcatheter aortic valve implantation: standardisation of scanning protocols, measurements and reporting—a consensus document by the European Society of Cardiovascular Radiology (ESCR)

Abstract: Transcatheter aortic valve replacement (TAVR) is a minimally invasive alternative to conventional aortic valve replacement in symptomatic patients with severe aortic stenosis and contraindications to surgery. The procedure has shown to improve patient’s quality of life and prolong short- and mid-term survival in high-risk individuals, becoming a widely accepted therapeutic option which has been integrated into current clinical guidelines for the management of valvular heart disease. Nevertheless, not every patient at high-risk for surgery is a good candidate for TAVR. Besides clinical selection, which is usually established by the Heart Team, certain technical and anatomic criteria must be met as, unlike in surgical valve replacement, annular sizing is not performed under direct surgical evaluation but on the basis of non-invasive imaging findings. Present consensus document was outlined by a working group of researchers from the European Society of Cardiovascular Radiology (ESCR) and aims to provide guidance on the utilisation of CT and MR imaging prior to TAVR. Particular relevance is given to the technical requirements and standardisation of the scanning protocols which have to be tailored to the remarkable variability of the scanners currently utilised in clinical practice; recommendations regarding all required pre-procedural measurements and medical reporting standardisation have been also outlined, in order to ensure quality and consistency of reported data and terminology. Key Points • To provide a reference document for CT and MR acquisition techniques, taking into account the significant technological variation of available scanners. • To review all relevant measurements that are required and define a step-by-step guided approach for the measurements of different structures implicated in the procedure. • To propose a CT/MR reporting template to assist in consistent communication between various sites and specialists involved in the procedural planning

Senda Darwin Biological Station: Long-term ecological research at the interface between science and society

Indexación: Web of Science; Scielo.La Estación Biológica Senda Darwin (EBSD) constituye un centro de investigación inmerso en el paisaje rural del norte de la Isla de Chiloé (42º S), donde fragmentos del bosque siempreverde original coexisten con praderas de uso ganadero, turberas de Sphagnum, matorrales sucesionales, plantaciones de Eucalyptus y otras formaciones de origen antropogénico. Desde 1994 hemos realizado estudios de largo plazo centrados en algunas especies de plantas (e.g., Pilgerodendron uviferum D. Don) y animales (e.g., Aphrastura spinicauda Gmelin, Dromiciops gliroides [Thomas]) catalogados como amenazados o escasamente conocidos y en ecosistemas nativos de importancia regional y global (e.g., turberas de Sphagnum, bosque Valdiviano y Nordpatagónico). Las investigaciones han considerado las respuestas de las especies y de los ecosistemas frente al cambio antropogénico del paisaje y cambio climático, así como los efectos de diferentes formas de manejo. Este escenario es semejante al de otras regiones de Chile y Latinoamérica lo que da generalidad a nuestros resultados y modelos. En este período, investigadores asociados a la EBSD han producido más de un centenar de publicaciones en revistas nacionales e internacionales y 30 tesis de pre y postgrado. Entendiendo el papel clave de los seres humanos en los procesos ecológicos de la zona rural, la EBSD ha desarrollado un programa de educación ecológica y vinculación del avance científico con la sociedad local y nacional. La integración de la EBSD a la naciente red de Sitios de Estudios Socio-Ecológicos de Largo Plazo en Chile consolidará y fortalecerá la investigación básica y aplicada que realizamos para proyectarla hacia la siguiente década.Senda Darwin Biological Station (SDBS) is a field research center immersed in the rural landscape of northern Chiloé island (42º S), where remnant patches of the original evergreen forests coexist with open pastures, secondary successional shrublands, Sphagnum bogs, Eucalyptus plantations and other anthropogenic cover types, constituting an agricultural frontier similar to other regions in Chile and Latin America. Since 1994, we have conducted long-term research on selected species of plants (e.g., Pilgerodendron uviferum) and animals (e.g., Aphrastura spinicauda, Dromiciops glirioides) that are considered threatened, poorly known or important for their ecological functions in local ecosystems, and on ecosystems of regional and global relevance (e.g., Sphagnum bogs, North Patagonian and Valdivian rain forests). Research has assessed the responses of species and ecosystems to anthropogenic land-use change, climate change, and the impact of management. During this period, more than 100 scientific publications in national and international journals, and 30 theses (graduate and undergraduate) have been produced by scientists and students associated with SDBS. Because of our understanding of the key role that humans play in ecological processes at this agricultural frontier, since the establishment of SDBS we have been committed to creative research on the communication of science to society and ecological education. The integration of SDBS to the nascent Chilean network of long-term socio-ecological research will consolidate and strengthen basic and applied research to project our work into the next decade.http://ref.scielo.org/vbm4r

Gravity with more or less gauging

General relativity is usually formulated as a theory with gauge invariance under the diffeomorphism group, but there is a 'dilaton' formulation where it is in addition invariant under Weyl transformations, and a 'unimodular' formulation where it is only invariant under the smaller group of special diffeomorphisms. Other formulations with the same number of gauge generators, but a different gauge algebra, also exist. These different formulations provide examples of what we call 'inessential gauge invariance', 'symmetry trading' and 'linking theories'; they are locally equivalent, but may differ when global properties of the solutions are considered. We discuss these notions in the Lagrangian and Hamiltonian formalism

S-allylmercaptocysteine scavenges hydroxyl radical and singlet oxygen in vitro and attenuates gentamicin-induced oxidative and nitrosative stress and renal damage in vivo

BACKGROUND: Oxidative and nitrosative stress have been involved in gentamicin-induced nephrotoxicity. The purpose of this work was to study the effect of S-allylmercaptocysteine, a garlic derived compound, on gentamicin-induced oxidative and nitrosative stress and nephrotoxicity. In addition, the in vitro reactive oxygen species scavenging properties of S-allylmercaptocysteine were studied. RESULTS: S-allylmercaptocysteine was able to scavenge hydroxyl radicals and singlet oxygen in vitro. In rats treated with gentamicin (70 mg/Kg body weight, subcutaneously, every 12 h, for 4 days), renal oxidative stress was made evident by the increase in protein carbonyl content and 4-hydroxy-2-nonenal, and the nitrosative stress was made evident by the increase in 3-nitrotyrosine. In addition, gentamicin-induced nephrotoxicity was evident by the: (1) decrease in creatinine clearance and in activity of circulating glutathione peroxidase, and (2) increase in urinary excretion of N-acetyl-β-D-glucosaminidase, and (3) necrosis of proximal tubular cells. Gentamicin-induced oxidative and nitrosative stress and nephrotoxicity were attenuated by S-allylmercaptocysteine treatment (100 mg/Kg body weight, intragastrically, 24 h before the first dose of gentamicin and 50 mg/Kg body weight, intragastrically, every 12 h, for 4 days along gentamicin-treatment). CONCLUSION: In conclusion, S-allylmercaptocysteine is able to scavenge hydroxyl radicals and singlet oxygen in vitro and to ameliorate the gentamicin-induced nephrotoxicity and oxidative and nitrosative stress in vivo

Platelet-Activating Factor Receptor Plays a Role in Lung Injury and Death Caused by Influenza A in Mice

Influenza A virus causes annual epidemics which affect millions of people worldwide. A recent Influenza pandemic brought new awareness over the health impact of the disease. It is thought that a severe inflammatory response against the virus contributes to disease severity and death. Therefore, modulating the effects of inflammatory mediators may represent a new therapy against Influenza infection. Platelet activating factor (PAF) receptor (PAFR) deficient mice were used to evaluate the role of the gene in a model of experimental infection with Influenza A/WSN/33 H1N1 or a reassortant Influenza A H3N1 subtype. The following parameters were evaluated: lethality, cell recruitment to the airways, lung pathology, viral titers and cytokine levels in lungs. The PAFR antagonist PCA4248 was also used after the onset of flu symptoms. Absence or antagonism of PAFR caused significant protection against flu-associated lethality and lung injury. Protection was correlated with decreased neutrophil recruitment, lung edema, vascular permeability and injury. There was no increase of viral load and greater recruitment of NK1.1+ cells. Antibody responses were similar in WT and PAFR-deficient mice and animals were protected from re-infection. Influenza infection induces the enzyme that synthesizes PAF, lyso-PAF acetyltransferase, an effect linked to activation of TLR7/8. Therefore, it is suggested that PAFR is a disease-associated gene and plays an important role in driving neutrophil influx and lung damage after infection of mice with two subtypes of Influenza A. Further studies should investigate whether targeting PAFR may be useful to reduce lung pathology associated with Influenza A virus infection in humans

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700