Effects of therapeutic ultrasound on the endothelial function of patients with type 2 diabetes mellitus

Type 2 diabetes mellitus (T2DM) is characterized by endothelial dysfunction that causes micro- and macrovascular complications. Low intensity therapeutic ultrasound (LITUS) may improve endothelial function, but its effects have not been investigated in these patients. The aim of our study was to compare the effects of pulsed (PUT) and continuous (CUT) waveforms of LITUS on the endothelium-dependent vasodilation of T2DM patients. The present randomized crossover trial had a sample of twenty-three patients (7 men) diagnosed with T2DM, 55.6 (±9.1) years old, with a body mass index of 28.6 (±3.3) kg/m2. All patients were randomized and submitted to different waveforms (Placebo, CUT, and PUT) of LITUS and the arterial endothelial function was evaluated. The LITUS of 1 MHz was applied in pulsed (PUT: 20% duty cycle, 0.08 W/cm2 SATA), continuous (CUT: 0.4 W/cm2 SPTA), and Placebo (equipment off) types of waves during 5 min on the brachial artery. Endothelial function was evaluated using the flow-mediated dilation (FMD) technique. PUT (mean difference 2.08%, 95% confidence interval 0.65 to 3.51) and CUT (mean difference 2.32%, 95% confidence interval 0.89 to 3.74) increased the %FMD compared to Placebo. In the effect size analysis, PUT (d=0.65) and CUT (d=0.65) waveforms presented moderate effects in the %FMD compared to Placebo. The vasodilator effect was similar in the different types of waves. Pulsed and continuous waveforms of LITUS of 1 MHz improved the arterial endothelial function in T2DM patients.

Genetic polymorphisms and protein levels in vocal fold leukoplakia: a systematic review

Vocal fold leukoplakia (VFL) has a risk of malignant transformation. Therefore, patients can have symptoms such as dysphonia, vocal strain, difficulty breathing, and dysphagia. Additionally, there is a genetic predisposition that can be associated with genetic polymorphisms. We aimed to evaluate the influence of genetic polymorphisms and protein levels in the etiology of VFL. Our study followed the PRISMA checklist and was registered on PROSPERO database. The questions were: "Are genetic polymorphisms involved in the etiology of VFL? Are protein levels altered in patients with VFL?". Eligibility criteria were case control studies that compared the presence of polymorphisms or/and protein levels of subjects diagnosed with VFL and healthy controls. Of the 905 articles retrieved, five articles with a total of 1038 participants were included in this study. The C allele of the single nucleotide polymorphisms (SNP)-819 T/C IL-10, A allele of the SNP -592 A/C IL-10, CT genotype of the SNP rs11886868 C/T BCL11A, GG genotype of the SNP rs4671393 A/G BCL11A, LL genotype, and L allele of (GT)n repeat polymorphisms of the HO-1 were risk factors for VFL development. Nevertheless, there was a lack of association between VFL and the -1082 A/G IL-10, rs14024 CK-1, and -309 T/G Mdm2 SNPs. The concentrations of the MDM2, BCL11A, and HO-1 proteins were modified, while IL-10 levels were normally expressed in these subjects. In conclusion, most markers evaluated in this review could be potential indicators to develop effective therapies, avoiding a malignant transformation of the lesion.

Resolución de hipertrofia de labios menores mediante técnicas simples / Resolution of hypertrophy of the labia minora using simple techniques

Introducción. La hipertrofia de los labios menores se define como tejido labial que sobresale más allá de los labios mayores, puede afectar de manera uni- o bilateral y resultar en dispareunia, interferencia con los deportes, dificultades con la limpieza, irritación e infecciones crónicas del tracto urinario, incomodidad para el uso de prendas ajustadas, además de trastornos psicológicos. Todos estos motivos llevan a las mujeres a la consulta. La reducción de labios menores es el procedimiento estético genital femenino más común. Este trabajo tiene como objetivo presentar técnicas de baja complejidad para resolver diferentes grados de hipertrofia de labios menores. Materiales y métodos. Estudio retrospectivo, observacional que comprendió 3 pacientes entre el periodo de marzo del 2019 a febrero 2020 que Incluyó a pacientes con hipertrofias leves y moderadas. Resultados. En 2 pacientes se realizó escisión directa y en 1, técnica del desepitelizado más lipotransferencia de labios mayores, sin evidenciar complicaciones mayores. Discusión. Si bien en la literatura se han reportado un gran número de técnicas quirúrgicas, cada una de ellas debe adecuarse al tipo de hipertrofia labial. La técnica del desepitelizado permite conservar un borde natural, con conservación de la coloración y textura original de la paciente, aporte neurovascular, pero no es conveniente utilizarla en pacientes de grados mayores de hipertrofia. La escisión directa proporciona una técnica simple para la escisión del exceso de tejido en pacientes con mayor tamaño de sus labios menores, pero elimina el contorno, la coloración y la textura naturales del borde libre, aun así, las pacientes resultan conformes con su nuevo aspecto. Conclusión. La reconstrucción de los labios menores, utilizando las técnicas de desepitelización y escisión directa, es confiable y da un resultado cosmético y funcional exitoso. Estas técnicas son de baja complejidad, tiempo operatorio breve, técnicamente reproducibles, dando gran conformidad y resultando un método seguro

Introduction. Hypertrophy of the labia minora is defined as lip tissue that protrudes beyond the labia majora, can affect unilaterally or bilaterally and result in dyspareunia, interference with sports, difficulties with cleaning, irritation and chronic infections of the urinal tract, discomfort for wearing tight clothes, in addition to psychological disorders. All these reasons lead women to the consultation. Labia minora reduction is the most common female genital cosmetic procedure. This work aims to present low complexity techniques to resolve different degrees of hypertrophy of the labia minora. Materials and methods: retrospective, observational study that comprised 3 patients between the period of March 2019 to February 2020 that included patients with mild and moderate hypertrophy. Results: Direct excision was performed in 2 patients and in 1, de-epithelialization technique plus lipotransference of the labia majora. Without showing major complications. Discussion: Although a large number of surgical techniques have been reported in the literature, each of them must be adapted to the type of lip hypertrophy. The de-epithelialization technique allows a natural border to be preserved, with preservation of the patient's original color and texture, neurovascular supply, but it is not convenient to use it in patients with higher degrees of hypertrophy. Direct excision provides a simple technique for excision of excess tissue in patients with larger labia minora, but removes the natural contour, coloration and texture of the free edge, yet patients are still satisfied with their new appearance. Conclusion. The reconstruction of the labia minora, using de-epithelialization and direct excision techniques is reliable and gives a successful cosmetic and functional result. These are low complexity techniques, short operating time, technically reproducible, giving great conformity and resulting in a safe method

Oxidative profiles of endurance horses racing different distances / Perfil oxidativo em cavalos de enduro competindo em diferentes distâncias

Increased oxidative stress during prolonged endurance exercises may result in muscle damage, fatigue and decreased performance. An adequate stress response during training is critical to obtain improved results and high animal welfare standards. The aim of this study was to evaluate the red blood cell haemolysate concentrations of superoxide dismutase (SOD), glutathione peroxidase (GPx), reduced glutathione (GSH) and catalase (CAT) and the plasma concentrations of malondialdehyde (MDA) from endurance horses in different distances at high speed in a tropical climate. Fifteen horses were tested; five at 160km (18.54 - 17.16km/h race speed), five at 120km (21.53 - 17km/h race speed) and five at 80km (20.06 - 18.01km/h race speed). Blood samples were collected at rest, immediately after and three hours after the horses left the final vet check and three, seven and fourteen days after the race. No significant increases (P > 0.05) in the levels of SOD, GPx, GSH, CAT or MDA were observed for any of the times or distances examined. Based on these observations, we conclude that reactive oxygen species (ROS) formation during exercise evokes specific adaptations, such as increased antioxidant/oxidative damage-repairing enzyme activity, increased resistance to oxidative stress and lower levels of oxidative damage...

Aumento do estresse oxidativo durante o exercício prolongado pode resultar em fadiga muscular, lesões e diminuição do desempenho. Uma adequada resposta a esse estresse durante o treinamento é fundamental para a obtenção de melhores resultados e bem-estar dos animais. O objetivo deste estudo foi avaliar a concentração de superóxido dismutase (SOD), glutationa peroxidase (GPx), glutationa reduzida (GSH) e catalase (CAT) no hemolisado sanguíneo e malondialdeído (MDA) plasmático em cavalos de enduro correndo em diferentes distâncias, com alta média de velocidade, em clima tropical. Quinze cavalos foram testados, cinco em 160km (18.54-17.16km/h), cinco em 120km (21.53-17km/h) e cinco em 80km (20.06-18.01km/h). Amostras de sangue foram coletadas em repouso, imediatamente e três horas depois que os cavalos passaram pela inspeção veterinária final e três, sete e 14 dias após a corrida. Não houve aumentos significativos (P>0,05) dos níveis de SOD, GPx, GSH, CAT ou MDA em nenhum tempo nem distâncias analisadas. Com base nessas observações, pode-se concluir que as espécies reativas de oxigênio (ROS) formadas durante o exercício provocam adaptações específicas, tais como atividade antioxidante aumentada da enzima, maior resistência ao estresse oxidativo e menores níveis de danos oxidativos...

Fratura de patela com ruptura do tendão patelar em um cão: relato de caso / Patella fracture with rupture of the patellar tendon in a dog: case report

Relatou-se a ocorrência de fratura patelar associada à ruptura do tendão patelar em um cão sem raça definida, macho, atendido em um hospital veterinário escola. A técnica utilizada foi a combinação de fixação óssea com fio de Kirschner e aplicação de banda de tensão, recomendada em fraturas transversais da patela. Para reparar a lesão do tendão patelar, realizou-se a sutura tipo Kessler modificada com fio de náilon 0,80mm. No retorno do paciente, 150 dias após o procedimento cirúrgico, havia processo cicatricial ósseo avançado da patela. Concluiu-se que as medidas adotadas para reparação da lesão foram eficazes.

It is reported the occurrence of patellar fracture associated with rupture of the patellar tendon in a mongrel male dog referred to a Teaching Veterinary Hospital. The used technique was the combination of bone fixation with Kirschner wire and application of tension band recommended in most transverse fractures of the patella. To repair the damage to the patellar tendon, the modified Kessler suture with nylon 0.80mm was performed. When the patient returned 150 days after surgery, advanced bone healing process was observed in patella. It was concluded that the measures taken to repair the injury were effective.

First record of Trichodina heterodentata (Ciliophora: Trichodinidae) from channel catfish, Ictalurus punctatus cultivated in Brazil / Primeiro registro de Trichodina heterodentata (Ciliophora: Trichodinidae) em bagre-do-canal, Ictalurus punctatus cultivado no Brasil

This study characterises morphologically Trichodina heterodentata Duncan, 1977 from channel catfish, Ictalurus punctatus (Rafinesque, 1818) in the State of Santa Catarina, Brazil. Body and gill smears were air-dried at room temperature, impregnated with silver nitrate and/or stained with Giemsa. Ten characteristics were selected to compare the present material with other morphological characterisations of T. heterodentata. Prevalence rate was 100 percent, mean intensity 89,333.70 (3,125 to 299,100 parasites per host). Trichodina heterodentata was considered medium-sized trichodinid with mean body diameter 59.4 ± 8.5 μm, denticulate ring 38.5 ± 4.5 μm, adhesive disc 60.2 ± 6.7 μm diameter and 24.4 ± 1.6 denticles. In relation to previous reports of T. heterodentata this material resembles in 90 percent of the analysed characters. This work confirms the biometrical variation that exists in the different populations of T. heterodentata. A list of hosts and comparative measurements of T. heterodentata are presented and the channel catfish is considered a new host.

Este estudo caracteriza morfologicamente Trichodina heterodentata Duncan, 1977 em bagre-do-canal, Ictalurus punctatus (Rafinesque, 1818) no Estado de Santa Catarina, Brasil. Esfregaços do corpo e brânquias foram secados à temperatura ambiente, impregnados com nitrato de Prata e/ou corados com Giemsa. Dez características foram selecionadas para comparar o presente material com as diferentes caracterizações morfológicas de T. heterodentata. A taxa de prevalência foi de 100 por cento, a intensidade média foi de 89.333.75 (3.125 a 299.100 parasitos por hospedeiro). Trichodina heterodentata foi considerado um tricodinídeo de tamanho médio com a média do diâmetro do corpo de 59,4 ± 8.5 μm, anel denticulado 38,5 ± 4,5 μm, disco adesivo 60,2 ± 6,7 μm de diâmetro e 24,4 ± 1,6 dentículos. Em relação a registros prévios de T. heterodentata, 90 por cento das características foram semelhantes. Este trabalho confirma a variação biométrica que existe em diferentes populações de T. heterodentata. Uma lista de hospedeiros e medidas comparativas de T. heterodentata são apresentadas e o bagre-do-canal considerado um novo hospedeiro.

Plantas medicinais comercializadas por raizeiros no Centro de Campo Grande, Mato Grosso do Sul / Medicinal plants from herb sellers operating in downtown Campo Grande, Mato Grosso do Sul, Brazil

Foi realizado um levantamento das plantas medicinais mais solicitadas a raizeiros do centro da cidade de Campo Grande, Mato Grosso do Sul, ou por eles indicadas. Esse levantamento foi efetuado em duas épocas distintas: 1992 e 2002. A compilação dos dados revelou que 27 espécies foram citadas em 1992 e 32 em 2002. As seis espécies mais freqüentemente consumidas (Maytenus cf. macrodonta, "cancorosa"; Baccharis trimera, "carqueja"; Achyrocline alata, "jateí-kaá"; Stryphnodendron adstringens, "barbatimão"; Cochlospermum regium, "algodãozinho", e Echinodorus macrophyllus, "chapéu-de-couro") foram adquiridas para identificação e avaliação preliminar da sua qualidade. Nas duas épocas, a qualidade das plantas medicinais apresentava itens que reprovavam seu consumo. Em ambos os levantamentos, observou-se uma constância das espécies mais utilizadas e uma coerência satisfatória com os dados disponíveis sobre os hábitos da automedicação da população do município. Os motivos e sintomas mais freqüentes para a aquisição de plantas medicinais foram os relacionados ao uso analgésico, sistemas genitourinário, respiratório e osteomuscular, dispepsia/má digestão e tecido conjuntivo.

A survey of the medicinal plants requested from and/or indicated by herb sellers operating in the central area of Campo Grande, Mato Grosso do Sul, Brazil, was performed at two different times - 1992 and 2002. The first survey revealed 27 species being used; the second one, 32 species. The species most often consumed (Maytenus cf. macrodonta, ‘cancorosa’; Baccharis trimera, ‘carqueja’; Achyrocline alata, ‘jateí-kaá’; Stryphnodendron adstringens, ‘barbatimão’; Cochlospermum regium, ‘algodãozinho’, and Echinodorus macrophyllus, ‘chapéu-de-couro’) were acquired for identification and evaluation of their quality. On both occasions, the quality of the samples was negatively affected by features that made them inappropriate for human consumption. The results of both surveys agreed as to the species most used. Also, a satisfactory degree of coherence was found regarding the data available on the self-medication behavior of the population of Campo Grande. These medicinal plants were more often sought for analgesic use and for symptoms related to the genitourinary, respiratory and skeletomuscular systems, connective tissue and dyspepsia/maldigestion.

Active replication of hepatitis B virus (HBV) in HIV type 1 and in HIV type 2 infected patients

A fim de avaliar as consequencias da infeccao por HIV no curso da infeccao por HBV, ou na imunidade anteriormente adquirida, estudamos um grupo de 66 doentes Caucasoides HIV1+ sintomaticos e outro de 38 individuos seropositivos para HIV2 e provenientes da Africa, quanto a marcadores serologicos de infeccao por HBV e quanto a presenca de DNA viral circulante, tomada como sinal de replicacao do virus da hepatite. Os grupos HIV+ foram comparados com controles seronegativos adequados tendo-se verificado que 7,6 por cento dos doentes HIV1+ eram tambem HBV-DNA+ (versus 3,2 por cento nos seronegativos) bem como 2,6 por cento dos HIV2+ (versus 2,9 por cento nos controles seronegativos), nao sendo as diferencas estatisticamente significativas em qualquer um dos casos e nao tendo sido encontrada correlacao entre infeccao por HIV e replicacao ativa de HBV...