Magnetic Resonance Imaging Assessment of Articular Disc Position in Temporomandibular Disorder Subjects with various Bite Registrations

Objective: This study aimed to evaluate the validity and reliability of three bite registrations on articular disc position in temporomandibular disorder patients using magnetic resonance imaging (MRI). Materials and Methods: Fifteen clinically symptomatic and orthodontically untreated temporomandibular disorder patients within the age range of 17–40 years (mean age: 28.5 years) were examined. Each patient was subjected to three bite registrations, namely maximum intercuspation, initial contact bite and Roth power centric bite, and evaluated with MRI. Results: On the right side, the mean vertical and horizontal measurement values of the point in the most posterior aspect of the posterior band of the articular disc in relation to horizontal reference line (HRL) and vertical reference line (VRL) in the sagittal view in the Roth power centric bite were lesser (2.720 ± 1.239 mm and 2.380 ± 1.185 mm, respectively), in comparison with the other two bites, and on the left side too, it was lesser in the Roth power centric bite (2.293 ± 0.979 mm and 2.360 ± 1.078 mm, respectively), when compared to the other two bites. Statistical analysis also showed the significance of Roth power centric bite over the other two bites. Conclusions: Favourable articular disc positional changes were observed in the Roth power centric bite followed by the initial contact bite and that maximum disc recapture was observed in most patients with the Roth power centric bite rather than in initial contact bite and maximum intercuspation positions. The Roth power centric bite could be assumed to be the ideal method for articulation and fabrication of gnathological splints for treating patients with temporomandibular disorders.

Estabilidad: Análisis de la inclinación del incisivo inferior luego del tratamiento ortodóncico / Stability: Analysis of the inclination of the lower incisor after orthodontic treatment

Este trabajo de investigación tiene como finalidad comparar la inclinación del incisivo inferior pre y post-tratamiento en pacientes tratados ortodóncicamente con técnicas Roth y técnica Damon a los cuales no se les realizó exodoncias. El grupo de estudio estuvo conformado por 150 pacientes adultos con dentición permanente completa que han sido atendidos en el Círculo Argentino de Odontología. Para medir la inclinación se utilizó la fórmula de Tweed: ángulo IMPA, eje axial del incisivo inferior con el plano mandibular. Los valores tomados de los trazados pre y post-tratamiento fueron sometidos a un test de Student apareado utilizando el programa Infostat v 2010. Se encontró una diferencia significativa en la inclinación axial del incisivo inferior post tratamiento cualquiera sea la técnica utilizada, aumenta en ambos casos. No se realizó discriminación de torques (Roth ­ 1°, Damon torque estándar ­ 3°, Damon bajo torque - 11°) (AU)

This research work aims to compare the inclination of the lower incisor before and after treatment in patients treated orthodontically with Roth techniques and Damon technique to which no exodontics were performed. The study group consisted of 150 adult patients with complete permanent dentition who have been treated in Circulo Argentino de Odontología. To measure the inclination the Tweed formula was used: IMPA angle, axial axis of the lower incisor with the mandibular plane. The values taken from the pre and post-treatment plots were subjected to a Student test paired using the Infostat v 2010 program. A significant difference was found in the axial inclination of the lower incisor post treatment whatever the technique used, it increases in both cases. No torques discrimination was performed (Roth - 1 °, Damon standard torque - 3 °, Damon under torque - 11 °) (AU)

Roth Spots and Panuveitis in a Patient with Infectious Mononucleosis

PURPOSE: To report a case of Roth spots, panuveitis, and infectious mononucleosis in a healthy adult. CASE SUMMARY: An immunocompetent 30-year-old male visited our clinic complaining of reduced visual acuity and a floating sense in both eyes of 2 days. He had experienced flu-like symptoms including fever, sore throat, myalgia, and malaise for 10 days before visual acuity decreased. His best-corrected visual acuity was 20/25 in both eyes and inflammatory cells were found in both the anterior chambers and the vitreous. Funduscopy revealed multiple retinal hemorrhages and Roth spots in both eyes. We prescribed topical steroid eye drops. A peripheral blood test revealed mild leukocytosis with lymphocytosis (60%) consisted of atypical lymphocyte (7%). Serologic examinations were positive for cytomegalovirus (CMV) immunoglobulin M (IgM) Ab and Epstein-Barr virus IgM Ab. A polymerase chain reaction for blood CMV was positive. The presumptive clinical diagnosis was Roth spots and panuveitis associated with infectious mononucleosis. Three weeks later, no inflammatory cells were apparent in the anterior chamber or vitreous. Best-corrected visual acuity had recovered to 20/20 in both eyes, and the retinal hemorrhage had completely disappeared. CONCLUSIONS: Roth spots and panuveitis can be present in patients with infectious mononucleosis, which should thus be included in the differential diagnosis of Roth spots.

Poor Prognosis in Idiopathic Thrombocytopenic Purpura-associated Retinopathy

PURPOSE: To report a case of retinopathy in a patient with chronically resistant idiopathic thrombocytopenic purpura (ITP) associated with a poor prognosis. CASE SUMMARY: A 52-year-old female presented with a complaint of decreased visual acuity, which was 0.63 in both eyes. The patient had received a splenectomy, was receiving systemic treatment for chronic ITP, and had a history of diabetes mellitus and hypertension. Multiple retinal and subretinal hemorrhages and Roth spots were found on fundus examination. Fluorescein angiography revealed microaneurysms and hemorrhages in all four quadrants of the retina. The patient's platelet count was 38,000/µL. The patient was diagnosed with non-proliferative diabetic retinopathy and ITP-associated retinopathy, and underwent panretinal photocoagulation. Sudden visual loss was noted 4 months later, at which time the patient's visual acuity was 0.1 in both eyes, and her platelet count was 7,000/µL. For 2 years, the patient's platelet count was not controlled, and remained between 12,000–19,000/µL despite active medical treatment. Macular edema did not improve with intravitreal triamcinolone, dexamethasone, and bevacizumab. Retinal hemorrhages were not absorbed and visual acuity decreased to light perception in the right eye and counting fingers in the left eye. CONCLUSIONS: ITP-associated retinopathy was associated with a poor prognosis when the systemic disease was not controlled.

A new isomerism cassane diterpenes from seeds of Caesalpinia decapetala / 中草药

Objective: To study the chemical constituents from the medicinal herb of Caesalpinia decapetala. Methods: Silica gel and Sephadex LH-20 column chromatography techniques were used as pretreatments for ethanol extract of the seeds of C. decapetala, and then semi-preparative HPLC technique was used. Results: Eight cassane diterpenes were isolated from the chloroform extract of C. decapetala. According to NMR, ESI-MS, and CD spectrum data, they were identified as 1α,6α,7β-triacetoxy-14α-methoxy- vouacapen-5α-ol (1), caesalmin F (2), neocaaesalpin MP (3), 1-deacteoxy-1-oxocaesalmin C (4), neocaesalpin AA (5), bonducellpin C (6), bonducellpin E (7), and neocaaesalpin N (8). Conclusion: Compound 1 is a new compound and named as caediterpene A, compound 1-2 are a pair of epimeric diterpenes, and compounds 3-7 are obtained for the first time from the seeds of C. decapetala.

Inhibition Mechanism of Rohdea Rothon hypha formation by Candida albicans / 中国生化药物杂志

Objective To investigate the inhibition mechanism of rohdea roth on hyphae formation by Candida albicans.Methods MTT assay was used to detect the minimum inhibitory concentration(MIC)and minimum fungicidal concentration(MFC)of C.albicans.The inhibitory effect of fungicidal adherence was detected by MTT assay.Inverted fluorescence microscope was used to observe effect on hyphae formation.The influence on Efg1 and Hwp1gene expression were detected by RT-PCR method.ResultsMIC and MFC of C.albicans were 16 mg/mL and 32 mg/mL, respectively.The inhibitory effects of rohdea roth on C.albicans adherence and hyphae formation were significantly inhibited,and the concentration was dose-dependent.After the concentration of 16 mg/mL acted on C.albicans for 6 h, hyphae disappeared completely.The results of RT-PCR showed that the gene expression of Efg1 and Hwp1 could be inhibited by rohdea roth.Compared with the control group,the expression of Efg1 and Hwp1in the experimental groupwere reduced by 84.18% and 59.57%(P<0.01).Conclusion The inhibitory effect of rohdea roth on the adherence and hyphae formation of C.albicans is mainly through inhibiting the expression of Efg1 and Hwp1genes.

Study on diterpenes from the seeds of Caesalpinia decapetala / 中草药

Objective According to the folk application, the chemical constituents of the seeds of Caesalpinia decapetala were studied. Methods Silica gel and Sephadex LH-20 column chromatography techniques were used as pretreatments for ethanol extract of the seeds of C. decapetala, and then semi-preparative HPLC technique was used. Structures were identified by NMR and MS spectra. Results Five cassane-type diterpenes were isolated from the chloroform extract of C. decapetala. According to NMR and MS spectra data, the isolated compounds were identified as caesalmin F1 (1), α-caesalpin (2), caesalmin F (3), caesalmin C (4), and caesalmin E (5). Conclusion Compound 1 is a new compound, and compounds 1, 4 and 5 are isolated for the first time from C. decapetala. Compounds 1, 4 and 5 show moderate anti-tumor activity against HeLa cells with IC50 values of 64.3, 42.9, and 81.2 μmol/L, respectively.

Multiple Subretinal and Intraretinal Hemorrhages as a First Sign of Infective Endocarditis

PURPOSE: To report a patient with multiple subretinal and intraretinal hemorrhages in the absence of retinal/choroidal lesions, diagnosed with infective endocarditis (IE). CASE SUMMARY: We describe the case of a 44-year-old male with an acute decrease of vision in his right eye. Ophthalmic evaluation revealed multiple subretinal and intraretinal hemorrhages, but no choroidal or other retinal lesions. A systemic examination revealed a pansystolic murmur and blood cultures with echocardiography were suggestive of IE. CONCLUSIONS: Thorough systemic evaluations are important when patients present with subretinal and intraretinal hemorrhages in the absence of other retinal/choroidal lesions.

Indignação: entre o fim da ingenuidade e o prenúncio da tragédia / Indignation: between the end of naivety and the beginning of tragedy

O presente trabalho consiste num exercício psicanalítico inspirado na leitura do livro Indignação de Phillip Roth (2008). Seu principal objetivo é discutir, à luz da teoria do campo psicanalítico, a organização de um campo geracional crivado de conflitos que conduzem o herói do romance a um desfecho trágico. Inspirados na teoria do campo (Baranger & Baranger, 1961-62), os autores introduzem o tema proposto a partir de duas falas dos protagonistas da trama construída por Roth, como se estivessem se apresentando em uma sessão psicanalítica. No seguimento, apresentam algumas considerações sobre a obra e seu autor e sobre o campo criado entre o leitor e o processo de leitura. Por fim, buscam explorar, estimulados pela riqueza dramática da leitura do romance, alguns aspectos psicanalíticos sobre a trajetória do herói, cujo afastamento deliberado do convívio familiar é um disfarce inconsciente para a dificuldade de enfrentar o confronto geracional. As hipóteses psicanalíticas de filicídio e simbiose pai-filho são consideradas(AU)

This paper is a psychoanalytic exercise encouraged by the reading of the book Indignation by Philip Roth (2008). In light of the psychoanalytic field theory, the authors discuss the organization of a conflictual generational field that eventually leads the novel's hero to a tragic outcome. Inspired by field theory (Baranger & Baranger, 1961-62), they start by imagining how the two main characters of the book would talk about themselves to an analyst in a psychoanalytic session. Next, some thoughts about Phillip Roth and his work are presented, as well as the field that was created between the reader and the reading process. Finally, moved by the dramatic richness of the novel, the authors investigate some of the psychoanalytical aspects about the hero´s trajectory, whose deliberate departure from his family was an unconscious disguise for the difficulty in facing the generational confrontation. The hypotheses of filicide and father-son symbiosis are considered.(AU)

El presente trabajo consiste en un ejercicio psicoanalítico inspirado en la lectura del libro Indignación, de Phillip Roth (2008). Su principal objetivo es discutir, a la luz de la teoría del campo psicoanalítico, la organización de un campo generacional minado de conflictos que conducen al héroe de la novela a un desenlace trágico. Inspirados en la teoría del campo (Baranger & Baranger, 1961- 62), los autores introducen el tema propuesto a partir de dos intervenciones de los protagonistas del argumento construido por Roth como si estuvieran presentándose en una sesión psicoanalítica. Acto seguido, plantean algunas consideraciones sobre la obra y su autor y sobre el campo creado entre el lector y el proceso de lectura. Por último, buscan explorar, estimulados por la riqueza dramática de la lectura de la novela, algunos aspectos psicoanalíticos sobre la trayectoria del héroe, cuyo alejamiento deliberado de la convivencia familiar es un disfraz inconsciente de la dificultad de enfrentar el conflicto generacional. Las hipótesis de filicidio y simbiosis padre-hijo son manejadas

Spectrophotometric analysis of crown discoloration induced by MTA- and ZnOE-based sealers

Crown discoloration can be induced by root canal sealer remnants following root canal treatment. Objective: The aim of this study was to evaluate chromatic alterations in human tooth crowns induced by a Mineral Trioxide Aggregate-based sealer (MTA Fillapex®) and a commonly used ZnOE-based sealer (Roth-811). The tested null hypothesis was that the application of the materials did not induce clinically perceptible crown discoloration (Ho: CIE color difference ΔE<3.7). Material and Methods: Forty five fully developed, intact, mandibular third molars were sectioned 1 mm below the cemento-enamel junction. The pulp chambers were chemomechanically debrided via the cervical access. The specimens were randomly assigned into three groups Group 1: MTA Fillapex, Group 2: Roth 811, Group 3: Negative control (unfilled) and immersed in individually marked vials containing distilled water up to the cervix (37±1°C). The spectral reflectance lines were recorded by utilizing a UV-VIS spectrophotometer equipped with integration sphere in the visual spectrum at baseline, 1 week, 1 and 3 months after material placement. Data were transformed into values of the CIE L*a*b* color system and the corresponding ΔE values were calculated. Statistical analysis was performed using two-way mixed ANOVA models, at p=0.05 level of significance. Results: A statistically significant increase in a* and b* chromatic parameters of the MTA Fillapex Group was measured. However, ΔE values did not exceed the human eye perceptibility threshold (set at ΔE<3.7) during the experimental period (ΔEt3=2.88). In Roth-811 Group, a statistically significant decrease in L* and a statistically significant increase in a* and b* chromatic parameters was measured, during all observation periods. Resultant ΔE values exceeded the human eye perceptibility threshold after 1 week (ΔEt1=5.65). Conclusions: Application of MTA Fillapex in tooth crowns resulted in minimal color alterations, while Roth 811 induced severe discoloration, in vitro. It could be suggested that, in terms of aesthetics, the use of MTA Fillapex appears to be favorable.

Comparison of sagittal and vertical dental changes during first phase of orthodontic treatment with MBT vs ROTH prescription.

Objective: The present study was to evaluate and compare anchorage loss in sagittal, vertical dimension in incisal, molar segments and distal tipping of upper canine after first phase of orthodontic mechanotherapy utilizing MBT and ROTH philosophies. Materials and Methods: Thirty patients with class I dentoalveolar malocclusion requiring extraction of all first premolars were randomly assigned into group I and group II. Set of two lateral cephalograms (T1) and (T2) were obtained with appliance in place and after sufficient leveling and aligning respectively. Linear measurements were recorded on the tracings using Pancherz analysis. A Wilcoxon t-test was use to assess the linear changes. Results: In group I sample, upper and lower incisors retroclined during T1 - T2; by mean (SD) value of 2.267 (1.0032) mm, 2.4 (0.98) mm, respectively. Group II sample showed upper incisor proclination by -0.4 (1.404) and lower incisal retroclination by 0.06 (1.48). Upper and lower molars in group I remained stationary and group II upper and lower molars moved mesially by -1.133 (0.351) and -0.002 (0.005). In group I, upper and lower incisors extruded by -0.867 (0.611) and -0.67 (0.703), respectively, and group II the upper and lower incisors extruded by -0.9 (0.507) and -0.133 (0.639). Upper canine tipped distally during T1 - T2 in group I by -0.33° (2.609) and group II there was a change in distal tip of upper canine by -3° (3.184). Conclusion: Results from this random clinical trial showed that MBT technique effectively addressed perceived inadequacies of ROTH philosophy.

Plantas de cobertura no controle da erosão hídrica sob chuvas naturais / Cover plants in water erosion control under natural rainfall

As plantas de cobertura desempenham um conjunto de ações integradas que proporcionam benefícios aos sistemas agrícolas, com destaque para a redução da erosão hídrica que é a principal forma de degradação dos solos brasileiros. Assim, objetivou-se com este trabalho quantificar as perdas de solo, água e o potencial de arraste de sedimentos decorrentes da erosão hídrica, sob chuva natural. Neste experimento foram utilizadas quatro espécies de plantas de cobertura em dois sistemas: consórcio milheto (Pennisetum glaucum (L.) R.Brown) com crotalária (Crotalaria spectabilis Roth) e consórcio de milheto com feijão-guandu (Cajanus cajan (L.) Huth), além do cultivo solteiro do milheto, feijão-guandu, feijão-de-porco (Canavalia ensiformis (L.) DC) e crotalária. Para a quantificação das perdas de solo, água e potencial de arraste de sedimentos do solo utilizaram-se parcelas de 4 x 12 m. Observou-se que os maiores índices de cobertura foram obtidos pelas espécies feijão-de-porco (77,63%), feijão-guandu (64,55%) e pelo consórcio milheto + feijão-guandu (64,11%). As menores perdas de solo foram obtidas pelo cultivo do feijão-guandu (1,27 Mg ha-1), do milheto (1,47 Mg ha-1) e do feijão-de-porco (1,77 Mg ha-1), e as menores perdas de água foram obtidas pelo cultivo do feijão-guandu (37,90 mm), do consórcio milheto + crotalária (40,04 mm) e pelo feijão-de-porco (41,83 mm). Não é possível inferir sobre uma relação entre os índices fitotécnicos e a proteção do solo contra a erosão hídrica.

Cover crops play a set of integrated actions that provide benefits to agricultural systems, with emphasis on reducing water erosion that is the main form of land degradation in Brazil. Thus the aim of this work was to quantify the losses of soil, water and the potential for entrainment of sediment resulting from water erosion under natural rainfall. In this experiment we used four species of cover crops in two systems: intercropping sunn hemp with millet and intercropping millet with pigeon pea, and the cropping to millet, pigeon pea, jack bean and sunn hemp. To quantify the losses of soil, water and the potential for entrainment of soil sediment were used plots of 4 x 12 m. It was observed that the highest rates of coverage were obtained by species jack bean (77.63%), pigeon pea (64.55%) and the consortium millet + pigeon pea (64.11%). The lowest soil loss was obtained by cultivation of pigeon pea (1.27 Mg ha-1), millet (1.47 Mg ha-1) and jack bean (1.77 Mg ha-1), and lowest water loss was obtained by cultivation of pigeon pea (37.90 mm), in the consortium millet + sunn hemp (40.04 mm) and jack bean (41.83 mm). It is not possible to infer a relationship between the rates phytotechnical and protection against soil erosion.

Fistulopapilotomia por sobre balão transpapilar em pacientes com Billroth II: uma nova técnica / Fistulotomy over transpapillary balloon in patientes with Billroth II: a new technique

Introdução: A CPRE diagnóstica e terapêutica, em pacientes com gastrectomia à Billroth 11, é mais difícil devido às alterações anatômicas. Acessórios e técnicas têm sido desenvolvidos para minimizar estas adversidades. Objetivo: Nova técnica de acesso biliar em pacientes gastrectomizados à Billroth 11. Pacientes: No período de fevereiro de 2003 a agosto de 2007, foram realizadas 157 CPRE em pacientes gastrectomizados à Billroth 11, por coledocolitíase. Em 37 desses pacientes, não foi possível cateterização pela técnica convencional, sendo submetidos a nova técnica. Métodos: Após fistulopapilotomia para acessar via biliar principal, passava-se fio-guia de 0,035mm, seguido por balão dilatador de 8mm, que se mantinha transpapilar. Pelo canal de trabalho, passava-se o estilete; ao posicionar em frente à papila, procedia-se secção do esfíncter por sobre balão insuflado com contraste até desaparecimento da cintura na radioscopia. Resultados: Dos 37 pacientes submetidos ao novo procedimento, seis foram excluídos. Dezesseis pacientes (51,6%) eram do sexo feminino e quinze (48,4%) do masculino. A idade variou de 29 a 89 anos, com média de 62,3 anos. Todos tinham icterícia clínica e laboratorial. O tempo do procedimento variou de 18 a 48 minutos (30 minutos). O diâmetro da via biliar foi de 4,5 a 12,8mm (7,7mm), apresentando de um a quatro cálculos. Ocorreram seis (19,3%) complicações relacionadas ao procedimento, sendo três (9,7%) pancreatites, duas (6,4%) hemorragias e uma (3,2%) perfuração. Não houve óbitos relacionados ao procedimento. Conclusão: O sucesso desta técnica foi de 83,8% (31 dos 37 casos), sendo 88,6% (31 de 35 casos) se considerarmos apenas a canulação da via biliar, portanto método seguro e eficaz em pacientes com Billroth 11 e papila duodenal difícil.

A Case of White-centered Retinal Hemorrhage in Infective Endocarditis

PURPOSE: To report a case of white-centered retinal hemorrhage in infective endocarditis. CASE SUMMARY: A 45-year-old patient complained of acute visual loss. The patient had a history of epidural anesthesia for the relief of back pain. On the day of admission the patient showed no light perception and had a white-centered retinal hemorrhage and cotton wool spot in the left eye upon fundus examination. Other ocular manifestations were not specific and there were no specific findings on a brain MRI and visual evoked potential. The patient was diagnosed with pyogenic spondylitis and was treated by abscess drainage and systemic antibiotics therapy. The patient's near vision improved up to 0.4/0.5. He was diagnosed with infective endocarditis based on the echocardiogram with epidural and subarachnoid hemorrhage. CONCLUSIONS: Roth spot can occur in many diseases such as diabetes, leukemia, anemia, and trauma, but most commonly in sepsis due to infective endocarditis. Therefore, medical evaluation and an echocardiogram for patients with white-centered retinal hemorrhage should be considered.

Cerebral Malaria Associated with Retinal Hemorrhage on Macular Area

PURPOSE: Cerebral malaria is caused by Plasmodium falciparum. The reports about cerebral malaria are very rare because Korea is not endemic area of P. falciparum. Additionally, macular hemorrhage and decreased vision associated with cerebral malaria was not reported ever in Korea, we report one case of cerebral malaria associated with retinal hemorrhage on macular area and review of literature. METHODS: Ophthalmology was consulted with about 19-year-old woman in cerebral malaria, tropical endemic disease caused by Plasmodium falciparum, with decresed visual acuity. RESULTS: 1250 mg/day of Mefloquine was injected into patient for cerebral malaria for 18 days. After awareness, the patient complained of decreased visual acuity in left eye, then the best corrected visual acuity(BCVA) in left eye was 20/800, BCVA in right eye was 20/20, retinal hemorrhage and Roth's spot were found on fundus examination in left eye, and finding in fluorescein angiography was not specific. After 8 months, retinal hemorrhage in left eye was absorbed, but BCVA in left eye was not changed.