A atuação do fluoreto na superfície dentária em relação aos processos de desmineralização e remineralização

O flúor é um mineral largamente distribuído na natureza e temcomo mecanismo de ação, no controle da cárie dentária, diminuir a desmineralização e ativar a remineralização do esmalte e dentina (CURY e TENUTA, 2010). Objetivo: Demonstrar, por esquematização, como os cristais de fluorapatita participam do processo de remineralização e no controle da cárie dentária

Níveis de cálcio em dietas para poedeiras semipesadas após o pico de postura Levels of calcium in diets for brown layers post-peak production

Um experimento foi conduzido com o objetivo de estudar os efeitos dos níveis de cálcio nas rações sobre o desempenho e a qualidade de ovos de poedeiras comerciais. Foram utilizadas 216 poedeiras da linhagem Lohmann Brown no período de 39 a 55 semanas de idade. O delineamento utilizado foi inteiramente casualizado, composto de seis níveis de cálcio (3,0; 3,4; 3,8; 4,2; 4,6; 5,0%) e seis repetições de seis aves por parcela. Os níveis de cálcio avaliados não influenciaram os parâmetros produtivos, mas afetaram significativamente as porcentagens de albúmen e casca do ovo. O aumento do cálcio na dieta promove incremento na qualidade da casca do ovo em relação aos demais componentes do ovo. Recomenda-se nível de 4,3% de cálcio em dietas para poedeiras semipesadas após o pico de postura.<br>Two hundred and sixteen layers were raised from 39 to 55 weeks of age to study the effects of levels of calcium in the rations on performance and eggs quality of brown commercial layers. A completely randomized experimental design were used with six levels of calcium (3.0; 3.4; 3.8; 4.2; 4.6 and 5.0%) and six replicates of six layers hens. There was no effect of calcium levels on hen performance, however significantly affected the percentage of albumen and egg shell. The increase of calcium in the diet promoted increment in egg shell quality in relationship to other eggs components. The calcium level of 4.3% is recommended for brown layer hens after production peak

Effect of soil contaminated by diesel oil on the germination of seeds and the growth of Schinus terebinthifolius Raddi (Anacardiaceae) Seedlings

The effect of soil polluted by diesel oil on the germination of seeds and the growth of Schinus terebinthifolius Raddi seedlings was analyzed at different times after contamination of the soil. The experiments were conducted under greenhouse conditions, with four treatments and five repetitions. The four treatments included: soil contaminated 30 (T30), 90 (T90) or 180 (T180) days before planting as well as a non-polluted soil (T0) (control). Soil saturated to 50% of its maximum retention capacity (MRC) was contaminated with diesel oil at a rate of 92.4 mL per kg. The germination rate and germination speed index (GSI) were significantly affected only in T30. The development of the plants was affected significantly in all the treatments, with reductions of biomass and eophyll area. It could be concluded that diesel oil significantly affected the germination, GSI and seedling growth of S. terebinthifolius, but the toxic effect decreased over the time

Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022

In 2022, a sevenfold increase in the number of notifiable invasive Streptococcus pyogenes (iGAS) infections among children aged 0-5 years was observed in the Netherlands compared with pre-COVID-19 pandemic years. Of 42 cases in this age group, seven had preceding or coinciding varicella zoster infections, nine were fatal. This increase is not attributable to a specific emm type. Vigilance for clinical deterioration as iGAS sign is warranted in young children, especially those with varicella zoster infection

Postoperative continuous positive airway pressure to prevent pneumonia, re-intubation, and death after major abdominal surgery (PRISM): a multicentre, open-label, randomised, phase 3 trial

Background: Respiratory complications are an important cause of postoperative morbidity. We aimed to investigate whether continuous positive airway pressure (CPAP) administered immediately after major abdominal surgery could prevent postoperative morbidity. Methods: PRISM was an open-label, randomised, phase 3 trial done at 70 hospitals across six countries. Patients aged 50 years or older who were undergoing elective major open abdominal surgery were randomly assigned (1:1) to receive CPAP within 4 h of the end of surgery or usual postoperative care. Patients were randomly assigned using a computer-generated minimisation algorithm with inbuilt concealment. The primary outcome was a composite of pneumonia, endotracheal re-intubation, or death within 30 days after randomisation, assessed in the intention-to-treat population. Safety was assessed in all patients who received CPAP. The trial is registered with the ISRCTN registry, ISRCTN56012545. Findings: Between Feb 8, 2016, and Nov 11, 2019, 4806 patients were randomly assigned (2405 to the CPAP group and 2401 to the usual care group), of whom 4793 were included in the primary analysis (2396 in the CPAP group and 2397 in the usual care group). 195 (8\ub71%) of 2396 patients in the CPAP group and 197 (8\ub72%) of 2397 patients in the usual care group met the composite primary outcome (adjusted odds ratio 1\ub701 [95% CI 0\ub781-1\ub724]; p=0\ub795). 200 (8\ub79%) of 2241 patients in the CPAP group had adverse events. The most common adverse events were claustrophobia (78 [3\ub75%] of 2241 patients), oronasal dryness (43 [1\ub79%]), excessive air leak (36 [1\ub76%]), vomiting (26 [1\ub72%]), and pain (24 [1\ub71%]). There were two serious adverse events: one patient had significant hearing loss and one patient had obstruction of their venous catheter caused by a CPAP hood, which resulted in transient haemodynamic instability. Interpretation: In this large clinical effectiveness trial, CPAP did not reduce the incidence of pneumonia, endotracheal re-intubation, or death after major abdominal surgery. Although CPAP has an important role in the treatment of respiratory failure after surgery, routine use of prophylactic post-operative CPAP is not recommended