Meta-analysis of the efficacy of invisible orthodontic appliances for maxillary molar distalization in adult patients / 口腔疾病防治

Objective@#To evaluate the clinical efficacy of invisible orthodontic appliances without brackets for the distal movement of maxillary molars to improve the ability of orthodontists to predict treatment outcomes.@*Methods@#Web of Science, Cochrane Library, Embase, PubMed, Wanfang Database, CNKI Database, and VIP Database were searched for studies investigating the efficacy of invisible orthodontic appliances for distal movement of maxillary molars in adult patients and published from database inception to August 1, 2023. A total of three researchers screened the studies and evaluated their quality and conducted a meta-analysis of those that met quality standards.@*Results@#This study included 13 pre- and postcontrol trials with a total sample size of 281 patients. The meta-analysis revealed no significant differences in the sagittal or vertical parameters of the jawbone after treatment when compared with those before treatment (P>0.05). The displacement of the first molar was MD=-2.34, 95% CI (-2.83, -1.85); the displacement was MD=-0.95, 95% CI (-1.34, -0.56); and the inclination was MD=-2.51, 95% CI (-3.56, -1.46). There was a statistically significant difference in the change in sagittal, vertical, and axial tilt of the first molar before and after treatment. After treatment, the average adduction distance of the incisors was MD=-0.82, 95% CI (-1.54, -0.09), and the decrease in lip inclination was MD=-1.61, 95% CI (-2.86, -0.36); these values were significantly different from those before treatment (P<0.05).@*Conclusion@#Invisible orthodontic appliances can effectively move the upper molars in a distal direction and control the vertical position of the molars. When the molars move further away, there is some degree of compression and distal tilt movement, which is beneficial for patients with high angles. The sagittal movement of incisors is beneficial for improving the patient's profile.

Formulation and evaluation of Buccal mucoadhesive tablets of diclofenac sodium using 23 factorial designs

Buccal tablets

Diclofenac sodium

Drug release

Mucoadhesion

Mucoadhesive tablets

Release kinetics

Parotid gland comparative microscopic anatomy / Histología comparada de la glándula parótida

The frequent use of animal models in biomedical research means that the anatomy or histology of the animals is constantly analyzed so the results obtained can be extrapolated to human tissues; therefore, knowledge of the structures studied is truly important. This study compares the human parotid gland to that of three animal species from a histological point of view. Five parotid gland samples from each animal species were used: Sprague Dawley rats (Rattus norvegicus), C57BL/6 mice (Mus musculus) and male rabbits (Oryctolagus cuniculus). The samples were stained using H/E, Masson trichrome and van Gieson's techniques. The anatomical relations of the parotid glands in the three species were the facial nerve, master muscle and mandibular ramus among other anatomical elements. Histologically, the duct system in the three species is comprised of intercalated, striated, excretory ducts and main excretory ducts. Human, rodent and rabbit parotid glands are made of purely serous adenomeres. The intercalated and striated ducts are prominent. The human parotid gland is well characterized by intralobular adipose tissue, as is observed in rabbit, whereas the adipocytes are not prominent in the parotid gland in rats and mice. The tissue of the rat parotid gland contained a large number of serous acini that included a large area of gland tissue and few ducts, as observed in the rabbit and human. The glands studied present considerable morphological similarities with the human one that make them reliable candidates as experimental models of parotid tissue.

El frecuente uso de modelo animal en investigación biomédica, hace que constantemente sea analizada la anatomía o histología de dichos animales, donde los resultados obtenidos deben ser extrapolables a tejidos humanos, por lo cual el conocimiento de las estructuras estudiadas, es realmente importante. El presente trabajo compara a la glándula parótida humana con las de tres especies desde un punto de vista histológico. Se utilizaron muestras de glándula parótida de ratas Sprague Dawley (Rattus norvegicus) (n=5), ratones (Mus musculus) cepa C57BL/6 (n=5) y conejos (Oryctolagus cuniculus) (n=5) machos, las cuales fueron teñidas con técnicas de H/E, Tricrómico de Masson y van Gieson. Las glándulas parótidas analizadas se relacionaron anatómicamente en todas las especies con elementos tales como nervio facial, músculo masetero, rama mandibular entre otros. Con respecto a la histología, el sistema de conductos de roedores así como de conejo se compone de conductos intercalados (ID), estriado (SD), excretor (ED) y conductos excretores principales. Las glándulas parótidas humanas, de roedores y conejos están compuestas de adenómeros serosos puros. La ID y SD son prominentes. La glándula parótida humana está bien caracterizada por tejido adiposo intralobular, al igual a lo encontrado en el conejo, mientras que los adipocitos no son prominentes en la glándula parótida en ratas y ratones. El tejido de la glándula parótida de la rata se observaron gran cantidad de acinos serosos que comprenden una gran área del tejido de la glándula y unos pocos conductos, al igual que el conejo y humano. Las glándulas estudiadas presentan semejanzas morfológicas considerables con la humana que las hacen candidatas confiables al momento de su elección como modelos experimentales del tejido parotídeo.

Morfología y morfometría comparada entre los huesecillos auditivos del cerdo común (Sus scrofa domestica) y el Humano (Homo sapiens sapiens) / Comparative study of the morphology between the ossicles of the common pig (Sus scrofa domestica) and human (Homo sapiens sapiens)

El cerdo doméstico (Sus scrofa domestica) ha sido utilizado como modelo para estudiar métodos de implante en el oído medio previo a estudios clínicos humanos. Diferentes investigaciones han destacado la utilidad en este ámbito, como también su alta comparabilidad morfológica en relación con los humanos. Sin embargo, las descripciones anatómicas sobre sus huesecillos auditivos son insuficientes, al igual que las comparaciones en relación con el humano. Por ello, con el objetivo de realizar una descripción detallada de la anatomía de dichos huesecillos comparados con los del humano, se procedió a disecar seis cabezas de cerdo, de las cuales se extrajeron sus huesecillos para observar su morfología. Los resultados preliminares demostraron que la cadena de huesecillos del Cerdo comparte la presencia de las mismas formaciones anatómicas que se pueden identificar en los huesecillos del hombre, pero aún así existen diferencias descriptivas y morfométricas en la morfología de ellas. Los resultados permitieron concluir que existe alta comparabilidad morfológica entre ambas cadenas de huesecillos debido a sus diferencias y similitudes, lo cual lo hace ser un buen modelo didáctico para el estudio y la enseñanza de la morfología auditiva en distintos niveles educacionales.

The domestic Pig (Sus scrofa domestica)has been used as a model to study implants methods in clinical cases of the human middle ear. Different studies have highlighted the usefulness in this area, as well as its high morphological comparability with regard to humans. However, the anatomical descriptions about its ear bones are scarce, as comparisons in relation to the human. Therefore, in order to make a detailed description of the anatomy of these bones compared to human, it was necessary to dissect six pig heads of which its ossicles were removed to observe its morphology. Preliminary results showed that the pig'sossicles share the same anatomical formations that can be identified in the human ones, but there are some descriptive and morphometric differences in its morphology. The results concluded that there is high comparability between both morphological ossicular chains due to their differences and similarities, which makes it a great teaching model for the study and teaching of auditory morphology at different educational levels.

Avaliacao comparativa entre os metodos objetivo e subjetivo em laminas coradas pela imuno-histoquimica / Comparative assessment between objective and subjective methods in slides stained by immunohistochemistry

Métodos objetivos de avaliação são frequentemente cobrados em estudos científicos. Exames histológicos com coloração imuno-histoquímica podem ser avaliados por meio de fotometria. OBJETIVO: Comparar este método objetivo com a avaliação subjetiva realizada por três observadores independentes, utilizando lâminas de colesteatoma adquirido da orelha média. MÉTODO: Foram selecionadas um total de 54 imagens de colesteatomas imuno-histoquimicamente coradas pelos anticorpos anti-TNF-R2 (32 lâminas) e anti-TGF-α; (22 lâminas). O anticorpo secundário utilizado nos dois grupos foi o Max Polimer Detection System (Kit Novo Link, Novocastra®, UK). As amostras foram processadas por um scanner digital de lâminas (modelo ScanScope - Aperio). As áreas selecionadas foram submetidas à análise por fotometria. RESULTADOS: A avaliação objetiva por fotometria foi comparada com a avaliação subjetiva por três observadores e submetidas à análise estatística. A análise estatística revelou reprodutibilidade moderada (K valores entre 0,41 e 0,60) para os dois grupos. CONCLUSÃO: O presente estudo demonstrou que as características irregulares das lâminas de colesteatoma da orelha média coradas pela imuno-histoquímica impossibilita a sua adequada avaliação objetiva, enquanto a avaliação subjetiva por observadores experientes se mostrou mais confiável. .

Objective methods of assessment are often required in scientific studies. Histological tests with immunohistochemical staining can be assessed by photometry. OBJECTIVE: To compare this objective method with the subjective evaluation performed by three independent examiners, using slides of acquired middle ear cholesteatomas. METHOD: We selected a total of 54 cholesteatoma images, immunohistochemically stained by anti-TNF-R2 (32 slides) and anti-TGF-α, (22 slides). The secondary antibody used in the two groups was the Max Polymer Detection System (Novo Link Kit, Novocastra®, UK). The samples were processed by a digital slide scanner (ScanScope - Aperio). The selected sites were analyzed by photometry. RESULTS: The objective assessment by photometry was compared with the subjective evaluation by three examiners and subjected to statistical analysis. The Statistical analysis revealed moderate reproducibility (K values between 0.41 and 0.60) for both groups. CONCLUSION: Our study showed that the irregular characteristics of middle ear cholesteatoma slides stained by immunohistochemistry prevents its proper objective evaluation, while the subjective assessment by experienced examiners was more reliable. .

Morfologia e biometria do timo em araras dos gêneros Ara e Anodorhynchus / Morphology and biometry of the thymus gland in macaw of Ara and Anodorhynchus genera

Foram utilizados 12 exemplares de Ara ararauna - seis fêmeas e seis machos -, cinco exemplares de Ara chloropterus (uma fêmea e quatro machos) e dois exemplares de Anodorhynchus hyacinthinus - uma fêmea e um macho -, todos adultos, doados por criadouro particular, após óbito natural. Os lobos foram dissecados e medidos com paquímetro - comprimento x largura x espessura - e analisados quanto ao peso, à topografia e à morfologia individual. Independentemente do gênero, foram identificados, em 17 casos (89,5%), lobos tímicos nos antímeros cervicais esquerdo e direito, e em oito casos (42,1%), lobos na cavidade celomática. Os lobos apresentaram formatos alongados - 52,6% -, arredondados - 21,1% - ou ovalados - 15,8% -, posicionados preferencialmente ventromedialmente ao longo do plexo vasculoneural do pescoço, com número médio de cinco lobos por antímero, tamanho médio de 0,49cm de comprimento, 0,12cm de largura e 0,05cm de espessura e peso médio de 0,076g.

Twelve samples of Ara ararauna - six females and six males -, five samples of Ara chloropterus (one female and four males) and two samples of Anodorhynchus hyacinthinus (one female and one male), all adults from a Breeding Park, were used after natural death. The lobes were dissected and measured with electronic calliper (length x width x thickness) and analyzed taking their weight, topography and individual morphology into account. Regardless of gender, 89.5% of the cases presented timic lobes in the left and right cervical antimere, and 42.1% of the cases presented lobes in the celomatic cavity. The lobes were shown in shapes - long (52.6%), round (21.1%) or oval (15.8%), positioned mostly ventromedially, along the neurovascular plexus of the neck, with an average of five lobes per antimere, and an average size of 0.49cm length, 0.12cm width, and 0.05cm thick and average weight of 0.076g.

Placenta: Anatomía e Histología Comparada / Placenta: Compared Anatomy and Histology

La placenta, anexo embrionario propio de los mamíferos placentados, imprescindible para la supervivencia embriofetal, está formada por la zona más superficial del endometrio y el corion, asociado con el saco vitelino o el alantoides, dependiendo de la especie. La placenta provee el intercambio gaseoso y nutricio entre la madre y el feto, secreta hormonas y posee propiedades inmunosupresoras. Existen diferentes criterios para clasificar la placenta; de acuerdo a la distribución de las vellosidades coriales de la placenta: difusa, cotiledonaria, zonaria y discoidal; de acuerdo a las características histológicas de la placenta: epiteliocorial, sindesmocorial, endoteliocorial y hemocorial.

The placenta is an extraembryonic membrane of placental mammals, essential for embryo survival. It is formed by the most superficial zone of the endometrium and the chorion, associated with the yolk sac or allantois, depending on the species. The placenta provides gas and nutrient exchange between mother and fetus, secretes hormones and has immunosuppressive properties. There are different criteria to classify the placenta; i. e. according to the distribution of the chorionic villi of the placenta: diffuse, cotyledonary, zonaria and discoidal; according to the histological characteristics of the placenta: epitheliochorial, syndesmochorial, endotheliochorial and hemocorial.

Comparison of Surgical Outcomes between Robotic and Laparoscopic Gastrectomy for Gastric Cancer: The Learning Curve of Robotic Surgery

PURPOSE: Laparoscopic gastrectomy is a widely accepted surgical technique. Recently, robotic gastrectomy has been developed, as an alternative minimally invasive surgical technique. This study aimed to evaluate the question of whether robotic gastrectomy is feasible and safe for the treatment of gastric cancer, due to its learning curve. MATERIALS AND METHODS: We retrospectively reviewed the prospectively collected data of 100 consecutive robotic gastrectomy patients, from November 2008 to March 2011, and compared them to 282 conventional laparoscopy patients during the same period. The robotic gastrectomy patients were divided into 20 initial cases; and all subsequent cases; and we compared the clinicopathological features, operating times, and surgical outcomes between the three groups. RESULTS: The initial 20 robotic gastrectomy cases were defined as the initial group, due to the learning curve. The initial group had a longer average operating time (242.25+/-74.54 minutes vs. 192.56+/-39.56 minutes, P>0.001), and hospital stay (14.40+/-24.93 days vs. 8.66+/-5.39 days, P=0.001) than the experienced group. The length of hospital stay was no different between the experienced group, and the laproscopic gastrectomy group (8.66+/-5.39 days vs. 8.11+/-4.10 days, P=0.001). The average blood loss was significantly less for the robotic gastrectomy groups, than for the laparoscopic gastrectomy group (93.25+/-84.59 ml vs. 173.45+/-145.19 ml, P<0.001), but the complication rates were no different. CONCLUSIONS: Our study shows that robotic gastrectomy is a safe and feasible procedure, especially after the 20 initial cases, and provides a satisfactory postoperative outcome.

Experiencias de Blog: Placenta Comparada / Blog Experiences: Compared Placenta

Las Tics son hoy en día la metodología de vanguardia utilizada en todos los niveles de la enseñanza, por ello diseñamos un blogspot sobre Placenta Comparada. Los visitantes encontraron contenidos e imágenes originales en las diferentes etapas del desarrollo. Se utilizaron 10 placentas humanas y 14 de animales para las imágenes y material educativo del blog, éstas se fotografiaron macroscópica y mesoscópicamente, posteriormente se procesaron mediante técnicas histológicas. Para la evaluación de las visitas al blogs se utilizaron parámetros estadísticos pertenecientes al formato blogs, entre los meses de mayo a diciembre de 2010 y una encuesta de opinión en relación a los item: fotografía, diseño del blog y video de alumbramiento. La estadística del blog mostró: un número de 9057 visitas, que en su totalidad fue público hispanohablante. El tema más buscado fue características macroscópicas de placenta humana; entre las palabras clave, placenta humana, de ratón y conejo entre otras. El sistema operativo más utilizado fue Windows y el buscador preferido, Explorer. La encuesta aplicada arrojó los siguientes resultados: los encuestados fueron mayoritariamente mujeres del área de la obstetricia, el acceso al blog fue a través de docentes. El blog cumplió en un 80,6 por ciento la expectativa del visitante, al 62 por ciento le pareció atractivo, ordenado y didáctico. El 57,4 por ciento consideró las imágenes explicativas, de fácil comprensión, novedosas y el 27,8 por ciento requería de conocimiento previo para el contenido del blog. De los aspectos microscópicos el 59,2 por ciento las valoró como explicativas, de fácil comprensión, novedosas; igual calificación recibió en un 50 por ciento el video de alumbramiento y en un 36 por ciento anexos embrionarios y variaciones de placenta humana. Placenta comparada fue calificada como novedosa en un 27,8 por ciento y en un 34,3 por ciento requería conocimiento previo. Los resultados mostraron que la metodología blog es valorada para el aprendizaje, en lo clínico, en el autoaprendizaje como material original de apoyo, e incluso para el público no experto es novedoso y sorprendente.

Nowadays, Tics are state of the art methodology used at all educational levels. Therefore, we designed a blog spot about Compared Placenta. Visitors found original content and pictures of different development stages. Ten human and 14 mammal placentas were used for pictures and educational material of the blog; macroscopic and mesoscopic photographs were taken and were subsequently processed by histological techniques. For evaluation of blog visits, statistics parameters pertaining to blog format were used between May and December 2010, as well as an opinion survey, related to the items: photographs, blog design and video delivery. Blog statistics showed a number of 9057 visitors, all Spanish speakers. The most searched topic was macroscopic characteristics of human placenta; among them , key words, human, rat and rabbit placenta. The operating system used was Windows and the preferred browser, Explorer. The survey showed the following results: respondents were mostly women of the obstetrics area; blog access was through teachers. The blog met the expectations of visitors by 80.6 percent, while 62 percent found it attractive, tidy and didactic; 57.4 percent considered images explicative, easy to understand with novel pictures; 27.8 percent required prior knowledge for blog content. About microscopic aspects 59.2 percent rated them explanatory, easy to understand and novel; the delivery video received 50 percent equal rating and embryonic annexes and variations of human placenta received a 36 percent rating. Compared placenta was qualified as novel by 27.8 percent and in 34.3 percent required prior knowledge. Results showed that blog methodology is valued in: learning, clinical aspect, as original material support for autolearning, and furthermore considered innovative and surprising even for the lay public.

A escola como atração urbana: as encenações de espetáculos educacionais no Rio de Janeiro e em Buenos Aires nos anos 1920 / The school as an urban attraction: the staging of educational spectacles in Rio de Janeiro and Buenos Aires in the 1920's

O artigo dialoga com as pesquisas que têm procurado perscrutar a circulação de modelos e práticas de escolarização entre o Brasil e a Argentina. Este conjunto de reflexões vem se esforçando para aclarar os cuidados que devem acompanhar os interesses investigativos daqueles que se dispõem a aceitar o desafio de construir um exercício comparativo. Dentre estes cuidados, talvez o maior seja aquele referente à preocupação em realçar não apenas as proximidades, mas fundamentalmente, as singularidades históricas das circunstâncias analisadas. Alicerçado nessa perspectiva teórico-metodológica, foram problematizados aproximações e distanciamentos entre as encenações dos espetáculos educacionais protagonizadas pelas crianças no decurso dos anos 1920 no Rio de Janeiro e em Buenos Aires. Nesse sentido, estiveram em atenção as motivações que concorreram para que, tanto naquela cidade quanto nesta, tais ocasiões fossem empregadas para a disseminação de preceitos educativos pelos ambientes urbanos.

This article dialogues with the researches that have been trying to peer the circulation and practices of schooling in Brazil and Argentina. This group of reflections has been striving to clarify the necessary care that must follow the investigative interests of the ones who are willing to accept the challenge of building a comparative exercise. Among theses cares, the biggest one may be the one regarding the preoccupation in highlighting, not only the proximities, but, fundamentally, the historical singularities of the analyzed circumstances. Anchored in this theoretical-methodological perspective, approximations and detachments between the staging of educational spectacles featured by children along the 1920's in Rio de Janeiro and Buenos Aires were questioned. In that sense, the motivations that played a role in both cities were in the focus so that such occasions were employed for the dissemination of educational precepts by urban environments.

Effect of Multiple Interventions for Ketogenic Diet on Intractable Epilepsy in Children / 中国康复理论与实践

@#https://www.cjrtponline.com/CN/abstract/abstract1669.shtml

O impacto dos mecanismos de urgência no sucesso presidencial: uma análise do caso argentino à luz da experiência brasileira / The impact of urgency mechanisms on presidential success: an analysis of the Argentinean case in the light of Brazilian experience

The purpose of the article is to measure, in the light of the Brazilian experience, the influence of the micro institutions regulating the Executive's governmental capacity in Argentine. The empirical basis informing the argumentation is the processing of the statutes approved by the Argentinean Legislative between 1983 and 1998. The empirical evidences showed that the proposed bills originated from the Executive do not have a special course in the Legislative, what reduces their chances of approval even in a context of disciplined parties, contrary to the expected by a substantial part of the compared literature in the area.

Dans cet article, on cherche à mesurer l'influence des micro-institutions qui règlent le processus décisionnel, sur la capacité de gouverner du pouvoir exécutif en Argentine à la lumière de l'expérience brésilienne. La base empirique de nos arguments est le type d'acheminement des projets approuvés par le pouvoir législatif argentin entre 1983 et 1998. Les résultats empiriques révèlent que les projets issus du pouvoir exécutif ne disposent pas d'un acheminement particulier, ce qui réduit leurs chances d'être approuvés même là où les partis sont disciplinés. Ces résultats contrarient ce qu'on trouve dans la plupart de la littérature comparée.

Protective effects of propofol on renal injury during liver ischemia-reperfusion / 中国康复理论与实践

@#ObjectiveTo investigate the remote renal injury after liver ischemia-reperfusion(I/R) and the renal protection afforded by propofol.Methods 72 male SD rats were randomly divided into three groups:normol control group, I/R group and propofol group .The animals were killed after 60 minutes ischemia of liver followed by reperfusion for 4 h,2 h. Blood urea nitrogen (BUN) and creatinine (Cr) were detected,and renal histopathologic lesion were observed.ResultsIn I/R group,the serum level of BUN and Cr increased significantly compared with the baseline before liver I/R,while propofol could decrease the serum level of BUN and Cr significantly.ConclusionPropofol can reduce the renal injury during liver I/R.

Study on compared proteomics of focal cerebral ischemia in rats / 中国药理学通报

Aim To establish a model of focal cerebral ischemic tissue of rat brain and explore the injury mechanism of focal cerebral ischemia reperfusion in whole level of proteins.Method The model was established with suture method by reperfusion 24 h after ischemic 2 h according to Koizumi′s method,total brain tissue proteins were extracted with Lysis buffer,proteins were separated by two-dimensional electrophoresis(2-DE),stained by Coomassie brilliant blue,the patterns were gotten,differential proteins were found out,PMS was obtained by MALDI-TOF-MS,and related information of proteins was gained by MS-Fit database.Results A comparative proteomic study of model and normal group was performed.Compared with model group,the normal group gained 23 differential protein spots,13 spots expressed lowly,and 10 spots high,6 protein spots were identified,the relative cerebral ischemic proteins such as Leukotriene A-4 hydrolase,Thyrotropin-releasing hormone-degrading ectoenzyme etc were found out.Conclusions Establishing a 2-DE technology is applied to protein analysis of brain tissue,and the relative proteins of cerebral ischemia are found from proteome aspect.This will contribute to the research on the injury mechanism of cerebral ischemic tissues.