Time-course changes of intraosseous environment and shear resistance mechanical properties of jawbone in SD rats with fluorosis / 环境与职业医学

Background At present, a large number of reports focus on the bones of limbs and trunk, while there are few studies on the effect of fluorosis on jawbone which is the inevitable structural basis for the development and treatment of oral diseases. Objective To preliminarily investigate the effect of fluoride exposure on the mechanical properties of jawbone by observing the changes in the intraosseous environment and the maximum load against shearing force (LSFmax) of the jawbone in rats with chronic fluoride treatment. Methods Screening experiment: 48 SD male rats were randomly divided into a control group and three fluoride exposure groups (50, 150, and 250 mg·L−1 fluoride concentration), 12 rats in each group. The fluoride exposure groups were molded by feeding different concentrations of sodium fluoride solution, and the control group drank tap water from Guizhou area. Each group was further divided into 4 subgroups with 3 animals each according to observation time points after 0, 2, 4, and 6 months. The LSFmax of the jawbone was measured with an electronic universal ergometer, the expression of type I collagen (Col1) was shown by Sirius red staining, and the expression of runt-related transcription factor 2 (Runx2) was determined semi-quantitatively by immunohistochemistry at selected time points. Formal experiment: 12 male SD rats were randomly divided into a fluoride exposure group and a control group. The fluoride exposure group were fed with 150 mg·L−1 sodium fluoride solution, and the control group drank tap water from Guizhou. After feeding with fluoride for 5 months, the ergometer was used to measure the LSFmax of the jawbone. Osteoclasts were counted after tartrate resistant acid phosphatase (TRAP) staining. Col1, Runx2, bone morphogenetic protein 2 (BMP-2), alkaline phosphatase (ALP), and cathepsin K (Cath K) were detected semi-quantitatively by immunohistochemistry expression and Sirius red staining. Micro computed tomography (Micro CT) was used to observe the trabecular bone microstructure. Results Screening experiment: The LSFmax of the control group and the 50 mg·L−1 fluoride exposure group reached the peak value at the 2nd month, and the LSFmax of the 50 mg·L−1 fluoride exposure group reached the valley value at the 4th month. The LSFmax of the 150 mg·L−1 fluoride exposure group at the 4th month was higher than that at the 6th month (P<0.05). There was no significant difference in the LSFmax at each time point in the 250 mg·L−1 fluoride exposure group. At the same time point, there was no statistically significant difference in LSFmax among the groups. The Col1 levels of the 50 mg·L−1, 150 mg·L−1, and 250 mg·L−1 fluoride exposure groups were higher than the time point 0 from the 2nd month (P＜0.05). The Runx2 showed no statistically significant difference by concentration or time. Formal experiment: After feeding with 150 mg·L−1 fluoride for 5 months, the LSFmax of the fluoride exposure group was greater than that of the control group (P<0.05). The expressions of Col1, Runx2, BMP2, ALP, and Cath K in the fluorosis exposure group were higher than those in the control group (P<0.05). There were no statistically significant differences in osteoclast count or indicators of bone trabecular microstructure. Conclusion Chronic fluoride exposure may increase the shear strength of jaw bone.

VWF Damage Based on Novel Maglev Taylor-Couette Blood-Shearing Circulation Platform / 医用生物力学

Objective To study von Willebrand factor(VWF) damage based on a novel Maglev Taylor-Couette blood-shearing device. Methods The magnetic levitation (maglev) Taylor-Couette blood-shearing device was designed, and the blood-shearing platform was built. Fresh porcine blood was tested in circulation loop for 1 hour at laminar flow state. VWF damage was assessed by analyzing sample through Western blot and enzyme-linked immunosorbent assay. Results With the increase of exposure time and shear stress, a large number of high molecular weight VWF multimers were degraded into low molecular weight VWF. The maximum rate of degradation was 569%. When the shear stress increased from 18 Pa to 55 Pa, the ratio of VWF-Rco to VWF-Ag decreased from 45.7% to 32.8%. ConclusionsCompared with initial sample, the VWF damage was mainly manifested by the decrease of high molecular weight VWF and the decrease of VWF activity, and VWF-Ag did not change significantly. The novel maglev Taylor-Couette blood-shearing device can quantitatively control the flow parameters (exposure time and shear stress), and be used for blood damage research in vitro, thus providing references for the design and optimization of extracorporeal membrane oxygenation and blood pump.

Study on Optimization of Formulation and Technology of Citronellol Submicroemulsion / 中国药房

OBJECTIVE：To optimize the p reparation technology of citronellol submicroemulsion. METHODS ：The content of citronellol in Citronellol submicroemulsion was determined by HPLC. Citronellol submicroemulsion by high-speed shearing dispersion-high pressure homogenization method ，with centrifugation stability constant （ke） and particle size were used as evaluation indexes. Its formulation and preparation technology were optimized and validated. Drug-loading amount and encapsulation rate of the preparation were detected. RESULTS ：The linear range of citronellol were 4-64 μg/mL（R 2＝0.999 9）. RSDs of precision ，stability（24 h）and reproducibility tests were all lower than 3％. The recoveries were 97.64％-101.97％（RSD＝ 2.28％，n＝3），97.71％-99.50％（RSD＝1.29％，n＝3），96.87％-101.48％（RSD＝2.86％，n＝3）. The optimal formulation included that total weight of soybean oil and medium chain triglycerides （1 ∶ 1，g/g）was 3.75 g，1.2％ soybean phospholipid was 0.6 g， cholesterol was 0.06 g，citronellol was 1.25 g，0.6 ％ sodium oleate was 0.3 g，15-hydroxystearic acid polyethylene glycol ester was 0.75 g，poloxamer 188 was 0.75 g，water added to 50 mL. After prepared by optimal technology at 4 ℃ which contained shearing speed of 13 000 r/min，lasting for 5 min， primary emulsion was adjusted to pH 7 with dilute hydro- chloric acid ，and homogenized with 600 Bar high pressure for 1434412440@qq.com 5 min. The parameters of Citronellol submicroemulsion accor- ding to optimal formulation and technology contained mean particle size of （91.05±0.26）nm，PDI of （0.20±0.01）， Zeta-potential of （－30.86±0.39）mV，average content of 649511230@qq.com citronellol（100.21±0.01）％，the drug-loading amount was （2.481 7 ± 0.000 7） mg/mL，the encapsulation rate was （99.27 ± 0.03）％ . CONCLUSIONS ：The optimal formulation and technology is stable and feasible.

Preparation and mechanical properties of zirconia-based nano-hydroxyapatite functionally graded material / 中国组织工程研究

BACKGROUND: Studies have shown that the nano-hydroxyapatite coating on the surface of zirconia has not only high strength and toughness, but also good biocompatibility. It is an ideal substitute for hard tissue. However, the coating is easy to fall off from the surface of zirconia, which is a fatal defect. OBJECTIVE: To prepare functionally graded bioceramics with pure zirconia as matrix, gradient layer in the middle and nano-hydroxyapatite on the surface by gradient composite technology and to screen the optimal mechanical properties and sintering temperature. METHODS: Using zirconia and nano hydroxyapatite powder as raw materials, ceramic specimens were prepared by the lamination method in powder metallurgy. According to the thickness of zirconia layer, three groups A (40 mm), B (30 mm) and C (20 mm) were designated. Each group was sub-divided into three subgroups 1 (3 layers), 2 (5 layers) and 3 (7 layers). Thus, there were 162 ceramic specimens in nine subgroups. The ceramic specimens were sintered at different temperatures (1 300,1 350,1 400,1 450,1500, and 1 550°C) and then processed into rectangular specimens for mechanical property testing. RESULTS AND CONCLUSION: The zirconia-based nano-hydroxyapatite functionally graded material can be formed by 10 MPa single side vertical pressure. With the increases in the number of gradient layers and sintering temperature, the mechanical properties of the functionally graded bioceremics in each group were enhanced. The functionally graded bioceramics had the optimal mechanical properties when sintering temperature was 1 550°C, the number of gradient layers was 7, and substrate thickness was 40 mm. The optimal mechanical property of the functionally graded bioceramics produced at above parameter was significantly superior to that produced at other eight sets of parameters (P<0.05). According to the optimal gradient design, the zirconia-based nano-hydroxyapatite functionally graded ceramic specimens prepared by high temperature sintering technique have stronger mechanical properties.

Optimization of puerarin nanoemulsion based on glycyrrhizic acid by central composite design-response surface method and its in vitro release studies / 中草药

Objective: Puerarin nanoemulsion (Pue-NE) was prepared with glycyrrhizic acid as a natural stabilizer, and its release characteristics in vitro were investigated. Methods: Data processing was performed using particle size and polydispersity index (PDI) as independent variables, and using the overall desirability (OD) as the evaluation index. The central composite design-response surface method was used to optimize the prescription, and the physical and chemical properties and release characteristics of Pue-NE prepared by the optimal prescription were investigated. Results: The best prescription for Pue-NE is puerarin at a concentration of 5.0 mg/mL, glycyrrhizic acid at a concentration of 1.75 mg/mL, and caprylic glyceride in an amount of 3.5 mL. The average particle size of the nanoemulsion is (184.5 ± 0.8) nm, the PDI is 0.088 ± 0.002, the zeta potential is (10.56 ± 0.35) mv, the conductivity is (98.3 ± 0.4) μs/cm, pH is 6.750 ± 0.005, solubility (4.970 ± 0.008) mg/mL, drug loading is (99.4 ± 0.2)%, turbidity (24.3 ± 1.0) cm-1 (n = 3). It was identified as O/W emulsion by dyeing method. TEM scanning results show that the droplets are spherical and uniform in size and the stability results showed that Pue-NE has good storage stability at 25 ℃. In vitro release results showed that Pue-NE has the greatest release in phosphate buffered pH 6.8 within 24 hours. Conclusion: The preparation of Pue-NE with glycyrrhizic acid as a natural stabilizer is not only simple and convenient, but also can effectively replace the use of traditional chemical synthetic stabilizers and improve the solubility of puerarin.

Valor nutritivo do capim-xaraés em três intensidades luminosas / Nutritive value of xaraés palisade grass in three light intensities

Este trabalho teve como objetivo avaliar o valor nutritivo e a força de cisalhamento da cultivar de Urochloa brizantha (syn Brachiaria brizantha) cv Xaraés submetida a três intensidades luminosas e quatro cortes. O experimento foi conduzido na FMVZ - Unesp de Botucatu, com delineamento experimental em blocos ao acaso, sendo os tratamentos: luminosidade natural, redução de 30% e 60% de luz, com quatro cortes e três repetições. As análises realizadas foram: composição bromatológica, digestibilidade e a força de cisalhamento. Não houve diferença na digestibilidade entre os tratamentos em nenhum dos cortes, mas a qualidade forrageira foi influenciada pelos níveis de intensidade de luz, tendo o tratamento com 60% de redução de luminosidade apresentado maiores concentrações de proteína bruta e cinzas, menores teores de fibra em detergente neutro, hemicelulose, celulose e força de cisalhamento. Em relação aos cortes estudados, o primeiro teve o menor intervalo de corte e produziu forragem com qualidade superior em comparação ao último, pois obteve menor teor de fibra em detergente ácido, lignina, hemicelulose, celulose e consequente menor força de cisalhamento. Portanto, a redução de 60% de luminosidade é benéfica à qualidade e à força de cisalhamento da cultivar Xaraés.(AU)

This study aimed to evaluate the nutritive value and shear strength of the Xaraés grass (Urochloa brizantha) under the three intensities of light and four cuts. The experiment was conducted at FMVZ - UNESP, Botucatu, with a randomized block design, with the following treatments: natural luminosity, 30% and 60% light reduction, with four cuts and three replications. The analyzes were bromatological composition, digestibility, and shearing strength. There was no difference in digestibility between the treatments in any of the cuts, forage quality was influenced by the light intensity levels, and the treatment with 60% of light reduction produced higher concentrations of crude protein and ash, lower levels of neutral detergent fiber, hemicellulose, cellulose and shear strength. According to the studied cuts, the first one had the lowest cut interval and produced superior forage compared with the last one, as it obtained lower fiber content in acid detergent, lignin, hemicellulose, cellulose and consequent lower shear force. Therefore, the reduction of 60% of luminosity is beneficial to the quality and shear force of the Xaraés palisade grass.(AU)

Micronization and extrusion processing on the physicochemical properties of dietary fiber / Efeito dos processos de micronização e extrusão nas propriedades físico-químicas da fibra alimentar

ABSTRACT: Dietary fiber plays an important physiological role, which is directly linked to its physicochemical properties, water-holding, oil-binding, and cation-exchange capacities. These properties can be altered by employing enzymatic, mechanical, and physical processes. Enzymatic and chemical processes require solvents and special conditions that make it unfeasible to use. Thus, the use of physical methods, such as micronization and extrusion, make promising options to change the physicochemical properties of dietary fiber. In this way, this review aimed to approach relevant information about the use of physical processes, specifically micronization and extrusion, for this purpose. Furthermore, conceptual aspects, such as definition, classification, and properties of dietary fiber and mainly characteristics about the micronization and extrusion processes, are reported. Micronization and extrusion are based on the decrease of the particle size to a micro scale and on the combination of high temperature, mechanical shearing and pressure, respectively. Applying these methods, modifications on the food matrix occurred by increasing the surface area and disruption of the glycosidic bonds. Consequently, there is a change in physicochemical properties of dietary fiber, which predict the physiological effect associated with dietary fiber consumption, such as decrease in blood cholesterol and glucose levels and improvement of intestinal transit. Moreover, these changes increase the bio accessibility of bioactive compounds present in the food matrix and improve the antioxidant capacity of products.

RESUMO: A fibra alimentar desempenha importante papel fisiológico, o qual está diretamente ligado às suas propriedades físico-químicas de capacidade de retenção de água, ligação ao óleo e a cátions. Estas propriedades podem ser alteradas empregando-se métodos enzimáticos, químicos e físicos. Métodos enzimáticos e químicos requerem solventes e condições específicas que inviabilizam sua utilização. Assim, o emprego dos métodos físicos, tais como micronização e extrusão, tornam-se alternativas promissoras para alterar as propriedades físico-químicas da fibra alimentar. Desta forma, este trabalho visa abordar informações relevantes sobre o uso dos processos físicos, especificamente micronização e extrusão para essa finalidade. Além disso, aspectos conceituais como definição, classificação e propriedades da fibra alimentar e as principais características dos processos de micronização e extrusão são relatados. Micronização e extrusão baseiam-se na diminuição do tamanho de partícula para microescala e na combinação de alta temperatura, pressão e força de cisalhamento, respectivamente. Aplicando-se estes métodos, modificações na matriz alimentícia ocorrem pelo aumento da área superficial e rompimento das ligações glicosídicas da matriz alimentar. Consequentemente, são observadas alterações nas propriedades físico-químicas da fibra alimentar, as quais predizem o efeito fisiológico associado ao seu consumo, como diminuição dos níveis de colesterol e glicose sanguíneos e a melhora do trânsito intestinal. Ademais, essas alterações aumentam a bioacessibilidade dos compostos bioativos presentes na matéria-prima alimentícia e melhoram a capacidade antioxidante dos produtos obtidos.

Variations in shoulder loading due to differences in the site of stepping foot contact during baseball pitching - Comparison between flat ground and mound conditions - / 体力科学

This study examined variations in shoulder loading due to differences in the site of stepping foot contact during baseball pitching, while comparing flat ground and mound conditions. Measurement was performed, involving 10 right-handed pitchers who belonged to university baseball clubs, under original flat ground and mound conditions. Pitching movements were classified into 3 categories: [normal], [narrow], and [outside]. Through 3-dimensional motion analysis using a motion capture system, the following results were obtained: 1. The pitching velocity was significantly higher in the [normal] compared with [narrow] and [outside] conditions and under the mound compared with flat ground condition. 2. The peak torque of the shoulder internal rotation was markedly lower in the [narrow] compared with [normal] condition. There were no significant differences between the [normal] and [outside] conditions or between the flat ground and mound conditions. 3. The posterior, superior, and inferior shearing forces, as well as the proximal traction force, which influence the humeral head of the shoulder, were markedly greater in the [normal] compared with [narrow] and [outside] conditions. The anterior and posterior shearing forces and proximal traction force were significantly greater under the mound compared with flat ground conditions. Based on the results, the internal rotation torque of the shoulder, as well as the shearing and traction forces influencing the humeral head of the shoulder, may vary due to differences in the site of stepping foot contact during baseball pitching and between flat ground and mound conditions. The former may also be useful to prevent pitching-related shoulder injuries.

Formation and stability of hesperidin nanoemulsion / 中草药

Objective: To prepare a new hesperidin nanoemulsion (HDN-NE) with glycyrrhizic acid as emulsifier, by which could develop a “new green nano-pharmaceutics” of hesperidin. Methods HDN-NE was prepared by high-speed shearing and high-pressure homogenization. The prescription of HDN-NE was optimized with particle size, PDI, and appearance as indexes. The physicochemical property and stability of HDN-NE prepared by the optimal prescription were studied. Results: The optimal prescription of HDN-NE was as follow: The content of hesperidin, glycyrrhizic acid, and oil phase were 0.1%, 0.3%, and 5%, respectively. The shear rate was 13 000 r/min, the cutting time was 2 min, the homogeneous pressure and times were 100 MPa and 6, severally. The result showed that the prepared HDN-NE had the mean size of (262.7 ± 3.1) nm, PDI of 0.234 ± 0.009, Zeta potential of (-35.42 ± 0.72) mV, and solubility of (460.3 ± 2.1) μg/mL. The physicochemical property study showed that the conductivity was (116.4 ± 1.7) μs/cm, the pH was 6.820 ± 0.008, and the turbidity was 451 cm-1 (n = 3). It was identified as O/W emulsion by dyeing method. The droplets were spherical and uniform by transmission electron microscopy. The stability study showed that HDN-NE had good stability. Conclusion: HDN-NE with glycyrrhizic acid as an emulsifier can significantly improve the solubility and stability of hesperidin, which is a new potential nano-drug with safety.

Microscopic sperm head damage and abnormalities as heat stress indicators in Australian Merino rams (Ovis aries) in Northern Patagonia, Argentina / Danos e anormalidades microscópicas das cabeças espermáticas como indicadores de estresse por calor em carneiros Merino Australiano (Ovis aries) da Patagônia Norte, Argentina

In Northern Patagonia, the mating season starts on March 15th, when rams are submitted to summer temperatures. Exposure of rams to heat stress increases the prevalence of microscopic damage to spermatozoa, morphological abnormalities, and reductions in fertility. This study assesses the adaptive capabilities of six unshorn and six shorn Australian Merino rams, half of which were treated in a heat chamber for eight hours for five days, gradually reaching a temperature of up to 40 °C. Microscopic damage, abnormalities and ultramicroscopic alterations of the plasma membrane and the acrosome of sperm head were analysed. There were significant differences in the percentage of tailless spermatozoa and proximal cytoplasmic droplets between post-treatment periods. Temperature primarily affected the shorn rams and the sperm heads during spermiogenesis. Submicroscopic alterations were observed when the plasma membrane was present in the anterior segment. These alterations can be intact, waved, or dilated. When the plasma membrane was absent, the acrosome might be intact, dilated, and waved. In addition, the outer acrosomal membrane may completely lose its contents or have a nude nucleus. The plasma membrane assumes a waved shape as a result of the effect of temperature on the epididymis. According to this study, the tailless head, proximal cytoplasmic droplets, and the ultramicroscopic categories studied were robust indicators of semen heat stress. After ten weeks, the sperm head recovered its normal shape. Unshorn rams are better adapted to summer heat stress than shorn ones. Microscopy and transmission electron microscopy alterations have been shown to be excellent indicators of thermal stress in Australian Merino rams and may be useful tools to help sheep farmers choose when to begin the mating season, which will vary depending on the environmental conditions of the summer.(AU)

Na Patagônia Norte, os ovinos têm sua estação de acasalamento iniciada em 15 de março, portanto, ficam sujeitos às temperaturas do verão. A exposição de carneiros a estresse térmico aumenta a prevalência de danos microscópicos e anomalias morfológicas nos espermatozoides, que implica uma redução na fertilidade. Este trabalho avaliou a capacidade adaptativa de carneiros Merino Australiano com lã (N = 6) e tosquiados (N = 6): metade ficou ao ar livre e outra metade foi mantida em uma câmara climática por oito horas, durante cinco dias, chegando gradualmente a uma temperatura máxima de 40 °C. Foram analisados danos microscópicos, anormalidades e alterações ultramicroscópicas da membrana plasmática e do acrossoma da cabeça dos espermatozoides. Os resultados microscópicos confirmaram a existência de diferença significativa na porcentagem de espermatozoides sem cauda e com gota citoplasmática proximal, entre os ejaculados pós-tratamento. A temperatura afetou os carneiros tosquiados, principalmente a cabeça de seus espermatozoides, durante a espermatogênese. Alterações submicroscópicas foram observados na membrana plasmática quando ela estava presente no segmento anterior: quando não intacta, ficava ondulada ou dilatada. Quando a membrana plasmática estava ausente, o acrossoma podia se apresentar ondulado ou dilatado. Além disso, sob efeito do calor, a membrana acrossomal externa pode perder completamente seu conteúdo ou apresentar núcleo desnudo. A membrana plasmática assume uma forma ondulada pelo efeito da temperatura no epidídimo. Depois de dez semanas, a cabeça dos espermatozoides recuperou sua forma normal. Como demonstrado neste estudo, a cabeça sem cauda, as gotas citoplasmáticas proximais e as categorias ultramicroscópicas estudadas são indicadores do efeito do estresse térmico no sêmen, e os carneiros com maior cobertura de lã se adaptam melhor ao estresse por calor. Alterações de microscopia e de microscopia eletrônica de transmissão têm se mostrado excelentes indicadores de estresse por calor em carneiros Merino Australiano e podem ser ferramentas úteis para ajudar criadores de ovelhas a escolher quando começar a época de acasalamento, o que irá variar de acordo com as condições ambientais do verão.(AU)

Resistencia al cizallamiento utilizando adhesivo de grabado total y autograbante con y sin hipoclorito de sodio en dentina / Shear strength using total and self etching adhesive with and without sodium hypochlorite in dentin

Es un estudio de investigación cuantitativo donde el objetivo fue determinar la resistencia al cizallamiento utilizando adhesivo de grabado total y autograbante, introduciendo la desproteinización con NaOCl al 5.25 por ciento en dentina y comparar sus valores de resistencia. El estudio se realizó en 31 molares seccionados mesiodistalmente y vestibulo lingual, obteniendo 124 especímenes, se suspendieron en acrílico, pulieron y colocaron en refrigeración a 36 oC durante 48 horas; fueron clasificados en grupos A: Prime & Bond NT, B: NaOCl + Prime & Bond NT, C: NaOCl + Xeno® IV y D: Xeno® IV; se fotoactivó un cilindro de resina compuesta ESTHET-X HD de Dentsply, se mantuvo por 24 horas en horno Felisa con 100 por ciento de humedad, finalmente se probaron en la máquina INSTRON a una velocidad de 1 m/min. Se obtuvieron los siguientes promedios, grupos: A: 6.26, B: 7.71, C: 12.03 y D: 15.06 MPa. Para el grupo C y D que pertenecen al grupo autograbante, fueron estadísticamente significativos para el sustrato dentinal. NaOCl no mostró significancia entre los grupos.

It is a quantitative research where the objective was to determinethe shear strength using total and self etching adhesive, introducing de proteinization with 5.25% NaOCl in dentin and comparing its resistance values. The study was performed on 31 mesiodistally andbuccololingual sectioned molars, obtaining 124 specimens, suspended in acrylic, polished and placed in refrigeration at 36 oC for 48 hours;Were classified into groups A: Prime & Bond NT, B: NaOCl + Prime& Bond NT, C: NaOCl + Xeno® IV and D: Xeno® IV; A: DentsplyESTHET-X HD composite resin cylinder was photoactivated, kept for24 hours in a Felisa oven with 100% humidity, finally tested on theINSTRON machine at a speed of 1 mm/min. The following averageswere obtained, groups: A: 6.26, B: 7.71, C: 12.03 and D: 15.06 MPa.For group C and D belonging to the self-etching group, they werestatistically significant for the dentinal substrate. NaOCl, showed nosignificance between the groups.

Investigation of Universal Drug Information in a Hospital in Japan / 医薬品情報学

<b>Objective: </b>We aimed to integrate drug information (DI) documents universally necessary in most hospitals in Japan and share the DI documents nationwide.  For this purpose, we planned to collect details (e.g., types of document, contents, sources of information used for preparing documents) regarding the DI documents prepared by the DI service section of each hospital.<br><b>Methods: </b>(1) Preliminary research: We searched Ichushi-Web (from January 1977 to December 2015) for cases in which DI documents were prepared by the DI service section of each hospital.  (2) Questionnaire survey: We conducted the survey in DI section of 300 hospitals in Japan that were selected randomly.  We asked the types of DI documents they have, sources of information used for preparing documents, and time needed for preparing documents.<br><b>Results: </b>(1) Forty titles, including those related to preoperative medication management, simple suspension methods of tablets, and list of dosing with renal impairment, were found.  (2) In total, 148 hospitals (49.3%) responded to the survey.  The main contents were as follows: preoperative medication management (130), the influence of a tube and a filter give to stability of injection medicine (67), list of high-risk medicines (54), suspension or porphyrization information on tablets (37), and others.  The source of information used for preparing these documents was common in several hospitals.<br><b>Conclusion: </b>It was confirmed that similar DI documents are prepared by several DI sections of hospitals and some sources of drug information are common.

Finite element analysis on mechanical properties of anti-shearing force Ni-Ti shape memory alloy patella claw / 医用生物力学

Objective To establish a 3D finite element model of an anti-shearing force Ni-Ti memory shape alloy patella claw for fixing patellar fracture, and analyze its mechanical performance. Methods The internal fixation model of transverse patellar fracture by patella claw was established by Pro/E 5.0, and then imported it into ABAQUS 10.1 for finite element analysis on its mechanical properties. The mechanical performance and deformation of the patella claw under two different patella femoral joint forces FQ at the knee flexion angle of 30°, 60°, 90° were analyzed, respectively. Results Under the same boundary condition, with the respective FQ as 367.5 N and 3 675 N, the maximum displacements of deformation were different at different flexion angles. As compared to fixation by tension band, using patella claw was preferable, with stronger resistance to tension and more stable anti-shearing force. Conclusions Deformation and displacement of the patella claw are in accordance with the biomechanical results needed in clinic, and its stability can satisfy clinical requirements for functional exercise as early as possible.

Diferença entre orelha real e acoplador: importância na amplificação pediátrica / Real-ear to coupler difference: importance on the pediatric amplification / Diferencia entre oído real y acoplador: importancia en la amplificación pediátrica

Introdução:As características acústicas específicas da orelha de bebês e crianças pequenas fazem com que seja necessário o uso de transformadores acústicos no processo de adaptação do aparelho de amplificação sonora individual (AASI) na população pediátrica. Nesta revisão da literatura é descrita a ?Diferença entre Orelha Real e Acoplador (RECD)?. Descrição: A RECD é a medida da diferença do nível de pressão sonora (NPS) gerado no conduto auditivo externo e o NPS gerado no acoplador de 2cc, frente a um mesmo sinal de entrada, sendo utilizada em diferentes estágios do processo de seleção e verificação do AASI na população pediátrica. O fone de inserção é o transdutor geralmente utilizado para a obtenção desta medida sendo acoplado à oliva ou ao molde auricular personalizado ? os resultados obtidos com estes tipos de acoplamento são diferentes. Em crianças com orelha externa e média normais, a RECD apresentará valores positivos em todas as frequências. Dadas as mesmas condições anátomo-fisiológicas e do sistema de acoplamento, não há diferença significativa da RECD entre orelha esquerda e direita. Há grande variabilidade da RECD entre sujeitos denotando a importância das mensurações individuais. A aplicação clínica da RECD é apresentada em um exemplo. Considerações Finais: Embora seja uma medida objetiva, a interpretação da validade dos resultados da RECD é subjetiva, devendo o profissional estar devidamente treinado para tal. Recomenda-se que a RECD seja obtida com o fone de inserção e molde personalizado da criança, sendo a reavaliação feita a cada troca do molde auricular.

INTRODUCTION: The specific acoustic characteristics of the ear of babies and infants make it necessary to use acoustic transforms in pediatric hearing aid (HA) selection and fitting process. In this review of literature the ?Real Ear to Coupler Difference (RECD)? is described. DESCRIPTION: The RECD is the measure of the difference in sound pressure level (SPL) generated in the external ear canal and the SPL generated in the 2cc coupler, given the same input signal and is used at different stages of the HA selection verification in the pediatric population. The insert earphone transducer is commonly used to obtain this measure, being coupled to a foam tip or custom ear mold ? these coupling systems yield different results. In children with normal external and middle ears, the RECD presents positive values at all frequencies. Given the same anatomical and physiological conditions and the same coupling system, there is no significant difference between the RECD for left and right ears. There are great RECD values between subjects, denoting the importance of the individual measurements. An example of the clinical application of RECD is presented. FINAL CONSIDERATIONS: While it is an objective measure, the interpretation of the validity of the results of the RECD is subjective, and the professional must be properly trained to do so. It is recommended that the RECD is obtained with the insert earphone and custom ear mold, and the reassessment made at each ear mold change.

INTRODUCCIÓN: Las características acústicas especificas del oído de los bebés y niños jovens hacen que sea necesaria la utilización de transformadores acústicos en el proceso de adaptación de aparatos de amplificación sonora individual (AASI) en la población pediátrica. En esta revisión no sistemática la literatura se describe la Diferencia entre Oído Real y Acoplador (RECD). DESCRIPCIÓN: La RECD es la medida de la diferencia entre el nivel de presión sonora (NPS) generado en el canal auditivo externo y el NPS generados en acoplador de 2 cc, delante de una misma señal de entrada, utilizado en diferentes etapas del proceso de selección y verificación del AASI en bebés y niños pequeños. El auricular de inserción es el transductor generalmente utilizado para obtener la RECD siendo acoplado a la oreja con una oliva o molde auricular personalizado. Los resultados obtenidos con estos tipos de acoplamiento son diferentes. En los niños con oído externo y medio normal la RECD presentará valores positivos en todas las frecuencias. Dadas las mismas condiciones anatómicas y fisiológicas del oído externo y medio, la RECD del oído derecho e izquierdo son casi idénticos. La grande variabilidad de la RECD entre sujetos muestra la importancia de mediciones individuales. Se presenta un ejemplo de la aplicación clínica de la RECD. CONSIDERACIONES FINALES: Si bien es una medida objetiva, la interpretación de la validez de los resultados de la RECD es subjetiva, debiendo encontrarse el profesional debidamente entrenado para ello. Se recomienda que la RECD sea obtenida con el auricular de inserción y con molde personalizado del niño, reiterándose su evaluación con cada cambio del molde.

Efeito da tosquia na temperatura corpórea e outros parâmetros clínicos em ovinos / Effect of shearing on the skin temperature and other clinical parameters in sheep

Os objetivos deste estudo foram determinar a variação da temperatura após a tosquia de ovinos em condição ambiental quente e seca e comparar as mudanças de temperatura com variações de frequências cardíaca e respiratória, movimentos ruminais e estado de hidratação. Vinte ovelhas Suffolk não tosquiadas foram estudadas. O exame físico foi realizado em todos os animais três vezes ao dia às 7:00, 1:00 PM e 7:00 PM, durante 42 dias (22 dias antes do corte e 20 dias após o corte). A temperatura da superfície corporal foi medida pelo termómetro de infravermelho sobre vários pontos. Os dados foram submetidos à análise de variância, para comparações entre os grupos (tosquiado x não tosquiado) em cada tempo, e a diferença significativa foi avaliada em nível de P<0,05 pelo teste de Tukey. A frequência respiratória foi estatisticamente significativa em todos os horários de cólera (P<0,05). Quando a umidade do ar estava alta, as freqüências respiratórias foram baixas (P= -1). O estresse térmico foi claro em ovinos deste estudo, refletindo mudanças acentuadas nas frequências cardíaca e respiratória e temperatura retal. A frequência respiratória foi o parâmetro mais confiável para estabelecer um quadro de estresse térmico em ovelhas não tosquiadas, com valores em média de três vezes maior do que os relatados na literatura. A correlação entre as temperaturas de superfície corpórea com a temperatura ambiente e umidade do ar foi negativa, explicado pelo efeito de isolamento de lã, ou seja, mesmo com um aumento da temperatura ambiente e umidade, a temperatura do corpo tende a manter um equilíbrio de compensação. Nos animais tosquiados, a correlação entre a temperatura da pele com a temperatura ambiente e umidade do ar mostraram que a temperatura da pele aumenta quando aumenta a temperatura ambiente. O aumento da temperatura ambiente não afeta a temperatura do corpo dos animais não tosquiados devido ao efeito isolante da lã. No entanto, quando a temperatura ambiente sobe, a presença da lã começa a afetar o conforto térmico, já que a presença desta dificulta a perda de calor pela sudação. Neste estudo, os melhores indicadores de estresse térmico foram a frequência respiratória e temperaturas retais e da pele. As temperaturas da pele medidas na face interna da coxa, axilas e períneo foram consideradas as mais confiáveis.

The aim of this study was to determine the variation of the temperature after shearing in sheep under dry and hot environment conditions and to compare the temperature changes with variation in cardiac and respiratory frequencies, ruminal movements and hydration status. Twenty Suffolk unshorn ewes were studied. Physical examination was performed in all animals three times a day at 7:00 AM, 1:00 PM and 7:00 PM, during 42 days (22 days before shearing and 20 days after shearing). The skin temperature was measured by infrared thermometer over several surfaces of the body. Data were submitted to analysis of variance, for comparisons between groups (shorn versus unshorn) at each time, and the significant difference was evaluated at level of P<0.05 by Tukey test. The respiratory frequency was statistically significant at all times. When air humidity was high, the respiratory frequencies were low. The thermal stress was clear in sheep of this study, reflecting marked changes in cardiac and respiratory frequencies and rectal temperature. The respiratory frequency was the parameter more reliable to establish a framework of thermal stress in the unshorn sheep, with values on average three times higher than those reported in the literature. The heart rate monitors the thermal variation of the environment and is also an indicator of heat stress. This variation shows the Suffolk breed is well adapted to hot climates. The correlation between the body surface temperatures with environment temperature and air humidity was negative, as explained by the effect of wool insulation, i.e. even with an increase in environment temperature and humidity, the body temperature tends to maintain a compensating balance. In the shorn animals, the correlation between skin temperature with environment temperature and air humidity showed that the skin temperature increases when the environment temperature increases. The increase in the environment temperature does not affect the body temperature of unshorn animals due the insulating effect of the wool. However, when environment temperature rises, the presence of the wool starts to affect the thermal comfort as the heat absorption is larger than the capacity of heat loss. In this study, the best thermal stress indicators were the respiratory frequency and rectal and skin temperatures. The temperatures of the skin measured at the perineum, axillae and inner thigh were considered the most reliable.

Preparation and evaluation of lipid microbubbles ultrasound contrast agent / 中国药学杂志

OBJECTIVE: To prepare lipid microbubbles as well as to evaluate their characteristics and efficacy. METHODS: Octafluoropropane-containing lipid microbubbles were prepared by high speed shearing method. Orthogonal experimental design was used to optimize the prescription. The resultant microbubbles were characterized, in terms of morphology, concentration, size, distribution and the octafluoropropane content. Moreover, the contrast effect of the microbubbles in New Zealand rabbit's kidney and liver was studied. RESULTS: The average concentration of microbubbles was (2.99±0.19)×109 their average size was (2.46±0.05) μm, and 97% of them were smaller than 7 μm. Octafluoropropane content was (387.81±35.28) μg·mL-1. With the help of the lipid microbubbles, satisfactory ultrasound contrast images of rabbit's kidney and liver were got. CONCLUSION: The microbubbles prepared by high speed shearing method have regular morphology, and their size distribution is small and even. It can be used as an excellent ultrasound contrast agent which can enhance significantly the yield of ultrasound examination and thus allow better imaging. Copyright 2012 by the Chinese Pharmaceutical Association.

Effects of fluid shearing force on type Ⅱ collagen synthesis by human chondrocytes in vitro / 中华物理医学与康复杂志

Objective To detect type Ⅱ collagen synthesis by cultured human chondrocytes under the influence of different intermittent fluid shearing forces.Methods Second passage human monolayer chondrocytes were divided into low-speed (20 rpm/min), mid-speed (40 rpm/min) and high-speed (60 rpm/min) groups according to the rotation speed of the rocking bed. The expression of type Ⅱ collagen was analyzed using immunohistochemistry and RT-PCRs.Results The absorbance of the mid-speed and high-speed groups was significantly greater than that of the low-speed group and a control group. The average optical density of type Ⅱ collagen by RT-PCR was significantly higher in all three sheared groups than in the control group.Conclusions Intermittent shearing can enhance cellular proliferation and the metabolism of human chondrocytes in vitro and promote the expression of type Ⅱ collagen.

Ewes shorn and unshorn during pregnancy in South Brazil: effects on body condition score and lamb birth weight / Ovelhas esquiladas e não esquiladas durante a gestação no Sul do Brasil: efeito na condição corporal e no peso ao nascer dos cordeiros

In this work the effects of pre-lamb shearing on the ewe body condition scores (BCS) and lamb birth weights and growth rates were examined. A flock of 64, three year old Border Leicester x Texel ewes (49-54 kg), exposed to rams in March were divided, on day 74 of pregnancy, into two groups each of 32 ewes. The ewes grazed together, on natural pampas grass, at a stoking rate of five ewes/ha and a pasture availability of approximately 800 kg DM/ha. One group was shorn (S), at day 74 of pregnancy (P74) and the other was left unshorn (US). The BCS of the S and US ewes were assessed at the beginning of the experiment (P74), P108 and P135, as well as at lactation (L) on days L15 and L24. The lamb birth weights, and weights at 2 and 3 weeks of life were also recorded. Both groups of ewes showed a marked reduction of BCS during gestation and lactation periods. The S group experienced a significantly (P < 0.05) more severe reduction of BCS. This dropped from 3.3 score units at P74 to 1.79 and 1.22 at P135 and L24. The BCS of the US group were 3.11, 2.19 and 1.21 score units respectively at these times. Shearing pre-lambing increased mean lamb birth weight by 0.71 kg and this was statistically significant (P < 0.05). There were no effects on the lamb weight gain measured at two and three weeks of life. The increase in lamb birth weight produced by shearing ewes during pregnancy, described in this paper, could reduce the lamb perinatal mortality, especially in years with a low forage supply, leading to a critical BCS during gestation. The results suggested also that close attention should be given to the BCS of the ewe flock during pregnancy, a practice that is not common in the southern areas of Brazil.

No presente trabalho, foi testado o efeito da esquila pré-parto na condição corporal (BCS), no peso de cordeiros ao nascer e no seu desenvolvimento. O grupo experimental foi constituído de 64 ovelhas com 3 anos, cruzas Border Leicester x Texel (49-54 kg), encarneiradas em março, foram divididas, aos 74 dias de gestação, em dois grupos de 32 cada. As ovelhas foram mantidas em campo nativo, 5 ovelhas/ha, com disponibilidade aproximada de 800 kg/ha. Aos 74 dias de gestação, um grupo foi esquilado (S) e o outro foi mantido não esquilado (US). A BCS dos dois grupos foi avaliada no início do experimento (P74), P108 e P135 dias de gestação e aos 15 e 24 dias da lactação. Foi também coletado o peso dos cordeiros ao nascer e a duas e três semanas da lactação. Observou-se uma redução na BCS média das ovelhas, de ambos os grupos, durante a gestação e lactação. O grupo S experimentou uma redução significativamente mais severa (P < 0,05) na BCS. A BCS média desse grupo decresceu de 3,3 no dia P74 para 1,79 e 1,22 nos dias P135 e L24. No mesmo período, os valores da BCS média do grupo US foram de 3,11, 2,19 e 1,21. Ao nascer, o peso dos cordeiros, de ovelhas S foi 0,71 kg maior (P < 0,05) do que o dos cordeiros de ovelhas do grupo US. Não houve diferença entre o ganho de peso dos cordeiros dos dois grupos medido a duas e três semanas de vida. O aumento no peso ao nascer dos cordeiros produzido pela esquila das ovelhas durante a gestação, descrito nesse trabalho, poderá reduzir a mortalidade perinatal de cordeiros, especialmente em anos com escassez de pastagem que pode resultar em uma BCS crítica durante a gestação. Os resultados sugerem também que atenção especial deverá ser dada a BCS das ovelhas durante a gestação, prática que não é comum no Sul do Brasil.

Staged Surgery for Severe Soft Tissue and Bone Loss of the Knee

A 20 year old female student was involved in a motor vehicle accident. She sustained a severe friction injury to the left knee that resulted in considerable soft tissue and bone loss. There was also damage to the knee extensor mechanism, tibialis anterior muscle, femoral trochlea, the anterior half of the tibial plateau extending distally to the proximal tibia and skin. However, there was no crushing of the limb or resultant neurovascular deficit but cancellous bone and the remainder of the joint were exp

Coesão e atrito interno associados aos teores de carbono orgânico e de água de um solo franco arenoso / Cohesion and angle of internal friction associated with soil organic carbon and water content in Hapludult

Alterações na densidade, na estrutura e no teor de carbono orgânico do solo, produzidas pelo sistema de manejo, afetam os parâmetros da resistência ao cisalhamento. O presente estudo foi proposto com o objetivo de avaliar os efeitos do acúmulo de carbono orgânico (CO) sobre a resistência ao cisalhamento de um Argissolo Vermelho Amarelo arênico. Amostras da camada superficial (0-0,02m) do solo, com teor de CO variando entre 6,5 e 18,8g kg-1 e umidade equilibrada nas tensões de 6, 100 e 500kPa, foram submetidas ao ensaio de cisalhamento direto, empregando-se tensões normais variando de 13,6 a 443,0kPa, determinando-se os valores de coesão e do ângulo de atrito interno. Além dos teores de CO, determinaram-se também a umidade gravimétrica, o grau de saturação de água e a densidade do solo das amostras. O ângulo de atrito interno médio do solo foi de 32,5, 34,9 e 35,4 graus, enquanto que a coesão foi de 0,00, 1,06 e 7,95kPa, respectivamente, para amostras com umidade equilibrada nas tensões de 6, 100 e 500kPa. Nas amostras mais secas (500kPa), o ângulo de atrito interno decresceu com o aumento do conteúdo de CO do solo. A coesão determinada pelo ensaio de cisalhamento direto mostrou-se independente do teor de carbono orgânico e decresceu com o aumento do teor de água do solo.

Changes in soil structure, bulk density and organic carbon content, caused by tillage systems, affect shear strength parameters. The present study was proposed with the objective of evaluating the effects of increased in soil organic carbon (SOC) content on the shear strength of an Hapludult (Argissolo Vermelho Amarelo arênico, Brazil System). Soil surface samples (0-0.02 m), with SOC content varying from 6.5 to 18.8g kg-1 and soil moisture equilibrated at tensions of 6, 100 and 500kPa, were submitted to the direct shear tests with normal tensions varying from 13.6 to 443.0kPa. Cohesion and angle of internal friction values were determined. Besides SOC content, the water content, the saturation degree and the soil bulk density of the samples were determined. The angle of internal friction was of 32.5, 34.9 and 35.4 degrees, while the cohesion was of 0.00, 1.06 and 7.95kPa, respectively for the samples with moisture at 6, 100 and 500 kPa tension. In the driest samples (500kPa), the angle of internal attrition decreased with the increase of the SOC content. The cohesion determined in the direct shear tests was independent of the SOC content. However, the cohesion decreased with the increase of the soil water content.