Fibrin biopolymer sealant and aquatic exercise association for calcaneal tendon repair

ABSTRACT Purpose The aim of this work was to analyze the effect of fibrin biopolymer sealant (FS) associated or not to aquatic exercise (AE) on the calcaneal tendon repair. Methods Forty-four female Wistar rats were randomly divided into four experimental groups: Lesion control (L), Lesion and FS (LS), Lesion and AE (LE) and Lesion and FS associated to AE (LSE). The edema volume (EV), collagen ratio, and histopathological analysis were evaluated after 7, 14, and 21 days of partial tendon transection. Results The EV was statistically reduced for all treatment groups after 7 and 21 days when compared to L group. The LS and LSE had the highest EV reduction after 21 days of treatment. The FS group didn't induce tissue necrosis or infections on the histopathological analysis. It was observed tenocytes proliferation, granulation tissue and collagen formation in the tendon partial transection area in the FS group. The LSE demonstrated higher amount of granulation tissue and increased the collagen deposition at the injury site. Conclusions Our data suggests that the therapeutic potential of the association of heterologous fibrin biopolymer sealant with aquatic exercise program should be further explored as it may stimulate the regeneration phase and optimize calcaneal tendon recovery.

Characterization and assessment of the genotoxicity and biocompatibility of poly (hydroxybutyrate) and norbixin membranes

Abstract Purpose To synthesize and characterize poly(hydroxybutyrate) (PHB) and norbixin membranes to evaluate them for genotoxicity in rats and wound healing in mice by histological staining. Methods For the evaluation of genotoxicity, male rats ( Rattus novegicus ) were divided into three groups (n= 5): 5% PHB/Norbixin membrane introduced into the peritoneum by laparotomy; B - negative control; C - positive control (intraperitoneal dose of cyclophosphamide 50 mg/kg). For the evaluation of biocompatibilty, a cutaneous wound was induced on the back of males mice ( Mus musculus ) divided into two experimental treatment groups: control and membrane that underwent euthanasia after 7 and 14 days treatment. Statistical analysis ware made by One Way Anova post hoc Tukey Test (p<0.05). Results Regarding the incidence of polychromatic erythrocytes, there was no difference between negative control and 5% PHB/Norbixin membrane; however, when compared to the positive control represented by cyclophosphamide, there was a significant difference (p <0.001). As for DNA damage, the changes induced in the first 4h were repaired in 24h. In addition, the membrane was effective in abbreviating the inflammatory process and served as a scaffold due to the stimulus to reepithelialization mainly on the 7 days of treatment. Conclusion The non-genotoxic PHB/Norbixin 5% membrane presented promising results that suggest its effectiveness as a guide for tissue regeneration given its biocompatibility.

Effect of norbixin-based poly(hydroxybutyrate) membranes on the tendon repair process after tenotomy in rats

Abstract Purpose: To determine the efficacy of norbixin-based poly(hydroxybutyrate) (PHB) membranes for Achilles tendon repair. Methods: Thirty rats were submitted to total tenotomy surgery of the right Achilles tendon and divided into two groups (control and membrane; n = 15 each), which were further subdivided into three subgroups (days 7, 14, and 21; n = 5 each). Samples were analyzed histologically. Results: Histological analysis showed a significant reduction in inflammatory infiltrates on days 7, 14 (p < 0.0001 for both), and 21 (p = 0.0004) in the membrane group compared to that in the control group. There was also a significant decrease in the number of fibroblasts in the control group on days 7, 14 (p < 0.0001), and 21 (p = 0.0032). Further, an increase in type I collagen deposition was observed in the membrane group compared to that in the control group on days 7 (p = 0.0133) and 14 (p = 0.0107). Conclusion: Treatment with norbixin-based PHB membranes reduces the inflammatory response, increases fibroblast proliferation, and improves collagen production in the tendon repair region, especially between days 7 and 14.

Effects of the application of the amniotic membrane in the healing process of skin wounds in rats

Abstract Purpose: To evaluate the efficacy of the application of the human amniotic membrane (HAM) on the inflammatory process, fibroblast proliferation, formation of collagenand reduction of skin wound areas in rats. Methods: Thirty six rats were submitted to a surgical injury induction and divided into two groups (n = 18): group C (control) and T (treated with the HAM). The macroscopic evolution in the wound area and the histological characteristics of the skin samples were evaluated. Results: The regression of the wound area was greater in group T. The histological analysis revealed a significant reduction (p < 0.05) in the inflammatory infiltrate in group T at all experimental periods compared with that in the control group. Furthermore, the group T presented a significant increase in the proliferation of fibroblasts at 14 and 21 days compared with group C (p < 0.05). Regarding the deposition of mature collagen fibers, there was an increase in the replacement of type III collagen by type I collagen in group T (p < 0.05). Conclusion: Treatment with the HAM reduced the healing time as well as the inflammatory responses, increased the proliferation of fibroblasts, and induced a higher concentration of mature collagen fibers.

Ação cicatrizante da nanopartícula de prata com norbixina em queimaduras / Healing action of silver nanoparticle with norbixin on burns

Introdução: A queimadura é uma injúria que altera a integridade da pele, decorrente de traumas térmicos. Dentre os compostos não convencionais utilizados na cicatrização de feridas estão a norbixina e as preparações com prata. Objetivo: avaliar a ação cicatrizante da nanopartícula de prata associada à norbixina em queimaduras de Mus musculus. Métodos: Inicialmente, preparou-se uma solução nanoprata/norbixina e a partir desta obteve-se o gel teste. Posteriormente dividiu-se os animais em 3 grupos, sendo negativo (sem tratamento), positivo (sulfadiazina de prata) e teste (gel teste). Nestes animais houve a indução das queimaduras. No 7º e 14º dia realizou-se a eutanásia e os tecidos lesionados foram coletados para análise microscópica. Resultado: Verificou-se potencial vantagem do grupo teste em relação ao negativo e igualdade comparada ao positivo. Conclusão: A nanopartícula de prata associada à norbixina representa uma fonte alternativa para a cicatrização de queimaduras. (AU)

Introduction: Burning is an injury that alters the integrity of the skin, due to thermal trauma. Among the non-conventional compounds used in wound healing are norbixin and silver preparations. Objective: to evaluate the cicatrizing action of silver nanoparticle associated with norbixina in Mus musculus burns. Methods: Initially, a nanoprata / norbixin solution was prepared and from this solution the test gel was obtained. Afterwards the animals were divided into 3 groups, being negative (without treatment), positive (silver sulfadiazine) and test (gel test). In these animals, there was the induction of burns. On the 7th and 14th day, euthanasia was performed and the injured tissues were collected for microscopic analysis. Result: There was a potential advantage of the test group in relation to negative and equality compared to positive. Conclusion: The silver nanoparticle associated with norbixin represents an alternative source for the healing of burns. (AU)

EFICÁCIA DA FONOFORESE COM XIMENIA AMERICANA L. NA INFLAMAÇÃO DE TENDÃO DE RATOS / PHONOPHORESIS EFFECTIVENESS WITH XIMENIA AMERICANA L. IN RATS TENDON INFLAMMATION / EFICACIA DE LA FONOFORESIS CON XIMENIA AMERICANA L. EN LA INFLAMACIÓN DE TENDÓN DE RATAS

RESUMO Introdução: Diversos recursos terapêuticos, como laser e ultrassom isolado, combinados com fármacos e fonoforese têm sido utilizados em casos de inflamação e reparo de tendão, sendo o ultrassom pulsado bastante eficaz em tendinites crônicas. Objetivo: Analisar a eficácia do uso da fonoforese com o extrato etanólico das cascas do caule da Ximenia americana L. na resolução do processo inflamatório crônico em Rattus norvegicus. Métodos: A amostra consistiu em 120 animais para análise da resposta inflamatória, utilizando-se como variáveis edema, força biomecânica, número de fibroblastos e análise histológica. Resultados: Nos 7° e no 14° dia, verificou-se diferença significativa entre o grupo ultrassom com gel do caule de Ximenia americana L. e o grupo ultrassom com placebo (p < 0,05) quanto à redução de edema, aumento da força máxima de ruptura, redução extremamente significativa da deformação máxima (p < 0,001), além de aumento dos fibroblastos. Na análise histológica, houve melhora do processo inflamatório inicial e aceleração do reparo tendíneo, com redução de células inflamatórias e com deposição de colágeno organizado com matriz extracelular densa. Conclusão: O ultrassom pulsado combinado com o gel do caule de Ximenia americana L. é uma forma terapêutica eficaz para a resolução do processo inflamatório crônico.

ABSTRACT Introduction: Several therapeutic resources such as laser and isolated ultrasound combined with drugs and phonophoresis have been used in cases of inflammation and tendon repair, and the pulsed ultrasound is quite effective in chronic tendinitis. Objective: To analyze the efficacy of phonophoresis with the ethanol extract of the stem bark of Ximenia americana L. to manage the chronic inflammatory process in Rattus norvegicus. Methods: The sample consisted of 120 animals for analysis of the inflammatory response using edema, biomechanical strength, number of fibroblasts and histological analysis as variables. Results: On the 7th and 14th day, there was a significant difference between the group ultrasound with Ximenia americana L. gel and the ultrasound with placebo group (p<0.05) for edema reduction, increased maximum rupture strength, highly significant reduction of the maximum deformation (p<0.001), in addition to an increase in fibroblasts. In the histological analysis, there was improvement in the inflammatory process and acceleration of tendon repair with reduction of inflammatory cells and deposition of organized collagen with dense extracellular matrix. Conclusion: The pulsed ultrasound combined with gel of Ximenia americana L. is an effective therapy to manage the chronic inflammatory process.

RESUMEN Introducción: Varios recursos terapéuticos, tales como láser y ultrasonido aislado, en combinación con fármacos y la fonoforesis se han utilizado en casos de inflamación y reparación del tendón, y el ultrasonido pulsado ha sido muy eficaz en la tendinitis crónica. Objetivo: Analizar la eficacia de la fonoforesis con el extracto de etanol de la corteza del tallo de Ximenia americana L. en la resolución del proceso inflamatorio crónico en Rattus norvegicus. Métodos: La muestra fue de 120 animales para analizar la respuesta inflamatoria, utilizando como variables el edema, la resistencia biomecánica, el número de fibroblastos y el análisis histológico. Resultados: En el 7° y en el 14° día, se observó una diferencia significativa entre el grupo de ultrasonido con gel de Ximenia americana L. y el grupo ultrasonido con placebo (p < 0,05) en la reducción del edema, el aumento de la resistencia máxima a la rotura, la reducción altamente significativa de la deformación máxima (p < 0,001), además del aumento de los fibroblastos. En el análisis histológico hubo una mejoría en el proceso inflamatorio y la aceleración de la reparación del tendón, con reducción de células inflamatorias y deposición de colágeno organizado con matriz extracelular densa. Conclusión: La eficacia del ultrasonido pulsado combinado con gel de Ximenia americana L. es una forma eficaz para la resolución del proceso inflamatorio crónico.

Action of AlGaInP laser and high frequency generator in cutaneous wound healing. A comparative study

ABSTRACT PURPOSE: To evaluate in a macroscopic, histological and histomorphometric manner the healing process of cutaneous wounds in mice. METHODS: The sample consisted of 40 male mice and was divided in four groups: 1st group (control, n=10), 2nd group (High Frequency Generator - HF, the maximum amplitude range, 120s, n=10), 3rd group (AlGaInP Laser 660 nm, 30mW power, 5 J/cm2, applying scan mode, 120s, n=10) and 4thgroup (AlGaInP Laser 660 nm, 30 mW power, 8 J/cm2, applying scan mode, n=10). The surgical incision was made with an 8 mm diameter punch perpendicularly to the back of the animal. The statistical analysis was achieved by the statistical test One Way Anova post hoc Tukey Test and significance at p<0.05 in GraphPad Prism program. RESULTS: It was observed that in the acute phase the AlGaInP Laser at 5 J/cm2 provided a greater stimulus to healing, and both lasers were effective in the remodeling phase. CONCLUSION: The AlGaInP lasers from 5 J/cm2 to 8 J/cm2 showed better biomodulatory results in the acute and remodeling phases respectively, however, the HF was less effective than the laser, providing significant benefits only in the acute phase of tissue repair.

Estudo da resistência cicatricial cutânea de ratos tratados com óleo de pequi (Caryocar brasiliense) / Study of skin scarring resistance of rats treated with pequi oil (Caryocar brasiliense)

Introdução: Existem vários estudos sobre a utilização do pequi (Caryocar brasiliense) no processo cicatricial; contudo, em poucos trabalhos desenvolvidos, avaliou-se resistência dos tecidos à tensão pós-tratamento. Objetivo: Analisar a tensão cicatricial em incisões cutâneas de ratos, após terapia com Caryocar brasiliense. Método: Vinte ratos Wistar, divididos em dois grupos (placebo/tratado), sofreram incisão cutânea no dorso. O grupo tratado recebeu doses diárias de óleo de Caryocar brasiliense, e o placebo aplicação de óleo mineral. Após sacrifício, em sete e quatorze dias pós-cirurgia, amostras de pele foram submetidas à análise tênsil-histológica. Resultados: Observou-se diferença significante intergrupos na força máxima de tração, assim como uma elevação da síntese de colágeno na área das lesões no grupo tratado com óleo Caryocar brasiliense. Conclusão: A terapia com óleo de Caryocar brasiliense aumenta a resistência tênsil da pele, melhorando a resposta reparacional, reduzindo riscos de deiscência e complicações pós-cirúrgicas.

Introduction: There are several studies on the use of Caryocar brasiliense in the scarring process; however, few studies have evaluated posttreatment skin tissue resistance to tension. Objective: To analyze the scar tension in skin incisions of rats after therapy Caryocar brasiliense. Method: Twenty Wistar rats were divided into two groups (placebo / rough) and suffered skin incision in dorso. The treatment group received daily dose of Caryocar brasiliense oil and the placebo group with application of mineral oil. After sacrifice, in seven fourteen days after surgery, skin samples were subjected to tensile-histological analysis. Results: There was a significant intergroup difference in the maximum strength of traction, as well as an increase in collagen synthesis in the area of lesions in the treated group. Conclusion: Treatment with oil from Caryocar brasiliense increases the tensile strength of the skin, improving the healing response and reducing the risks of dehiscence and postoperative complications.

Consumo de bebidas alcoólicas e prática do binge drinking entre acadêmicos de Odontologia de uma IES / Alcohol consumption and binge drinking among Dental students of a university

O objetivo deste estudo foi identificar a prevalência do consumo de álcool entre os acadêmicos de Odontologia e fatores associados ao binge drinking. Tratou-se de um estudo transversal, com amostra representativa, realizado numa faculdade privada de Teresina - PI. Utilizou-se um questionário estruturado com questões validadas para autopreenchimento. A associação entre variáveis foi aferida pelo teste qui-quadrado, assumindo-se o nível de significância de 5% (p < 0,05). Foram analisados 255 questionários. A prevalência do consumo de bebidas alcoólicas entre o grupo estudado foi de 50,2%, e a prática do binge drinking apresentou prevalência de 18,4%. Estes índices são significativamente altos e demandam estratégias específicas dos gestores e das instituições de ensino para o controle do problema.

The objective of this study was to identify the prevalence of alcohol consumption among dental college students and factors associated with binge drinking. This was a cross-sectional study with a representative sample, held on a private university Teresina - PI. A structured questionnaire with questions validated for self-assessment. The association between variables was assessed using the chi-square test, assuming a significance level of 5% (p <0.05). Two hundred fifty-five questionnaires were analyzed. The prevalence of alcohol consumption among the sample of the study was 50.2%, and the once of binge drinking had a prevalence of 18.4%. The difference of sex and villas presented with high significance (p < 0.01). These rates are significantly high and require specific strategies from managers and educational institutions to get this problem under control.

Análise da ação do gel da Bryophyllum calycinum Salisb (folha santa) associado ao ultrassom na cicatrização de feridas cutâneas / Analysis of the action of Bryophyllum calycinum Salisb (holy sheet) gel associated with ultrasound in skin wound healing

Introdução: A cicatrização é uma cascata de eventos celulares que interagem para que ocorra a reconstituição do tecido. Objetivo: Analisar a ação do gel da Bryophyllum calycinum Salisb, associado ao ultrassom pulsado, na cicatrização de feridas. Métodos: Vinte ratos foram feridos, divididos em quatro grupos, tratados e observados diariamente. O Grupo1 não recebeu nenhum tratamento; o 2 foi tratado com ultrassom (modo pulsado 10%, frequência de 1 MHz, intensidade de 0,5 W/cm2, método de acoplamento direto com movimentos oscilatórios numa ERA de 1 cm2, durante dois minutos) + gel da B. calycinum Salisb a 2%; o 3, com gel da B. calycinum Salisb a 2%; o 4, com ultrassom. Resultados: O Grupo 2 teve maior redução das áreas feridas, diminuição do colágeno tipo III e aumento do tipo I, quando comparado ao controle. Conclusões: O gel da folha santa associado ao ultrassom é capaz de acelerar o processo de cicatrização tecidual.

Introduction: Healing is a cascade of cellular events that interact to occur replenish the tissue. Objective: To analyze the action of the Bryophyllum calycinum Salisb gel associated with the pulsed ultrasound in wound healing. Methods: Twenty rats were wounded and divided into four groups. After this, they were treated and observed daily. Group 1 did not receive any treatment; Group 2 was treated with ultrasound (10% pulsed mode, frequency of 1 MHz intensity of 0.5 W / cm2, direct coupling method with an oscillatory motion was 1 cm2 for two minutes) + Gel B. calycinum Salisb 2%; Group 3, with B. calycinum Salisb gel 2%; and Group 4, with ultrasound. Results: Group 2 had a greater reduction in wound areas, a decrease of type III collagen and an increase of the type I when compared to the control group. Conclusions: The gel of the holy sheet associated with ultrasound is able to accelerate the wound healing process.

Evaluation of inorganic and organic bone components after application of an apatite-coated Al2O3 implants as scaffolds for bone repair

The aim of this work was to study the influence of uncoated and apatite-coated Al2O3 implants on bone regeneration after 30 days of surgery in New Zealand white rabbits. Twelve samples of Al2O3 implants were prepared and half of them (n = 6) were apatite-coated by the modified biomimetic method. Three experimental groups were tested as Group C - control, surgery procedure without cerami c implant, Group Ce - uncoated Al 2O3 implants (n = 6) and Group CeHA - apatite-coated Al2O3 implants (n = 6). The mineralization of the Al2O3 implants was analyzed in bone fragments using FT-Raman spectroscopy. Raman peaks at 959 cm-1 and 2940 cm-1 evaluated the inorganic and organic bone content, respectively. In vivo citotoxicity was analyzed using micronucleus test. Inorganic and organic content were higher in CeHA samples than in Ce and C (CeHA > Ce > C). FT-Raman spectroscopy showed that the higher the deposition of the organic matrix, more mineralization occurred. The micronucleus test showed that the uncoated and apatite-coated Al2O3 implants were non-cytotoxic and safe to in vivo applications.