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1.
Parasitol Res ; 120(5): 1571-1582, 2021 May.
Article in English | MEDLINE | ID: mdl-33852067

ABSTRACT

Genus and species of phlebotomine sand flies have been recorded and described in caves in Brazil, but no study has provided the food source used by sand flies in these environments. Herein, we identified the blood source used by sand fly species in caves located at "Quadrilátero Ferrífero" (QF), Minas Gerais state. Specimens were manually collected near or on anurans inside ferruginous caves in Serra do Gandarela National Park and Serra do Rola Moça State Park. Males and females were placed in vials with 70% alcohol and stored at -10°C. Females engorged, after specific identification, had DNA extracted and followed for PCR amplification using specific primers. Sequencing was analyzed in the GenBank and Barcode of Life. A total of 198 specimens were collected (107 females and 91 males), all of them belonging to species Sciopemyia aff. microps (88.89%), Sciopemyia sordellii (10.61%), or Martinsmyia oliveirai (0.50%). When it comes to the females, 89 were S. aff. microps and 18 S. sordellii. Nineteen engorged females of S. aff. microps were analyzed and most of them (n=18) presented blood from Bokermannohyla martinsi and one contained blood from Scinax fuscovarius. The blood present in engorged females of S. sordellii (n=4) was from B. martinsi. Sciopemyia genus specimens are commonly found in collections carried out inside natural caves, but this was the first study to prove that females of this genus feed on cold-blooded animals in nature. HIGHLIGHTS: • Here we proved that sand flies feed in cold-blooded animals in in Brazilian caves. • Females of the Sciopemyia genus were for the first time found feeding in natural habitats. • Anurans of the family Hylidae were identified as source by molecular analyzes. • Insect bloodmeal identification can help assessing the fauna in several biomes. • This is the first record of S. aff. microps in caves of Brazil.


Subject(s)
Anura/parasitology , Phlebotomus/classification , Phlebotomus/physiology , Animals , Brazil , DNA/genetics , Feeding Behavior , Female , Food , Male , Parks, Recreational , Polymerase Chain Reaction
2.
Hum Exp Toxicol ; 40(1): 124-135, 2021 Jan.
Article in English | MEDLINE | ID: mdl-32762447

ABSTRACT

Talinum paniculatum (Jacq.) Gaertn. (Talinaceae), popularly known as "major gomes," is a Brazilian Cerrado plant used in traditional medicine and as a food source. Recent studies have demonstrated its diuretic effects. However, no studies have been performed on its effects on the reproductive system. Therefore, we aimed to investigate the effects of the ethanol-soluble fraction of T. paniculatum leaves (ESTP) on general toxicity and on the pubertal development of male and female Wistar rats. For this purpose, the uterotrophic and the pubertal assays were performed. In the uterotrophic test, female immature rats were treated for three consecutive days with 30, 100, or 300 mg/kg of ESTP. Uterus without luminal fluid was weighed and the relative weight calculated. For the pubertal assay, male and female immature rats were submitted to 30-day treatment with 30 or 300 mg/kg of ESTP. Clinical signs of toxicity, biochemical, and histopathological parameters were evaluated. ESTP treatment did not promote estrogenic effects in female rats. In the pubertal test, no daily signs of toxicity or weight loss were observed. Moreover, ESTP did not affect the onset of vaginal opening and preputial separation and did not cause significant changes in biochemical parameters as well as in organ weight and histopathological analyses of animals.


Subject(s)
Caryophyllales , Plant Extracts/toxicity , Sexual Maturation/drug effects , Animals , Biological Assay , Brazil , Estrogens , Female , Male , Organ Size , Rats , Rats, Wistar , Uterus
3.
The Academic Society ; 4(2): 131-143, Jun. 2020. ilustração, imagem, gráfico, tabela
Article in English | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1103679

ABSTRACT

Abstract. In the face of the coronavirus pandemic (COVID-19), in hospital and emergency units, there is low availability of mechanical respirator for patients in need of this support, greatly improving the survival rate. In these situations, there is a need for simpler equipment, easy access, low cost, and fast manufacturing. In this study, a 3D prototype transport respirator was developed using as a model the Takaoka 600 Mini Respirator, national technology from the 1950s. The influence of adjustable parameters of the respirator was evaluated to understand it is functioning: maximum and minimum lung pressure; respirator intake pressure; respiratory rate; inspiratory and expiratory time according to the sensitivity of the mini respirator; and pressure and flow of O2 line intake. The increase in sensitivity led to an increase in maximum and minimum pulmonary pressure, decreased inspiratory and expiratory time, with margins of 1/1, 1/2, 1/3 inspiratory/expiratory time ratio (I/E ratio). The intake flow of O2 varied proportionally with the pressure of air intake into the respirator, with its increase leading to an increase in respiratory rate, without major influences on lung pressure and the I/E ratio. The O2 line intake pressure without major influences on lung pressure, showing and I/E ratio >1 in values below 3.5 kPa x 100. In conclusion, it was possible to obtain a pulmonary ventilator-dependent only on positive O2 flow, compact and effective for patient transport, and in cases of emergencies with control of maximum pressure and respiratory rate offered to the patient. Among the parameters evaluated for this respirator, an line pressure of O2 from 3.5 kPa x 100, sensitivity between 3 and 5, a flow of 5 to 15 L/min is recommended.


Subject(s)
Ventilators, Mechanical , Coronavirus Infections , Interactive Ventilatory Support , Intensive Care Units
4.
Braz J Med Biol Res ; 52(9): e8224, 2019.
Article in English | MEDLINE | ID: mdl-31482975

ABSTRACT

Leishmaniasis is a neglected disease that affects a large part of the world population. Knowing the sand fly fauna of a region is of fundamental importance for guiding health surveillance actions related to the prevention and control of leishmaniasis. A total of 86 specimens of sand flies (60 females and 26 males) were collected. Using the classification proposed by Galati (2003), the following species were identified: Lutzomyia longipalpis (Lutz & Neiva, 1912), Migonemyia migonei (França, 1920), Evandromyia cortelezzi (Brethes, 1923), Ev. sallesi (Galvão & Coutinho, 1939), Nyssomyia whitmani (Atunes & Coutinho, 1939), Psathyromyia lutziana (Costa Lima, 1932), Ev. lenti (Mangabeira, 1938), Brumptomyia sp. (França and Parrot, 1921), and Pressatia sp. (Mangabeira, 1942). Using PCR with internal transcribed spacer target to identify infected sand flies, five Lu. longipalpis females were infected with Leishmania spp. Despite the small number of specimens collected, considerable species diversity was found in the study area.


Subject(s)
Insect Vectors/classification , Insect Vectors/parasitology , Leishmania/isolation & purification , Psychodidae/classification , Psychodidae/parasitology , Animals , Brazil , DNA, Ribosomal Spacer/genetics , Female , Leishmania/genetics , Leishmaniasis/transmission , Male , Polymerase Chain Reaction , RNA, Protozoan/genetics
5.
Hum Exp Toxicol ; 38(8): 899-913, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30995857

ABSTRACT

Cryptorchidism (CPT), the most common male congenital abnormality, is variably associated with other male reproductive tract problems. We evaluated if cryptorchid rats develop enhanced testicular susceptibility to dibutyl phthalate (DBP) or acrylamide (AA) after extended exposure. Three studies with rats were performed: (1) in utero and postnatal exposure to DBP or AA; (2) establishment of CPT and orchiopexy; and (3) in utero and postnatal exposures to DBP or AA associated with CPT/orchiopexy. Seminiferous tubules were histologically scored according to the severity of lesions: (1) Rats exposed to DBP (score 1.5) or AA (score 1.1) presented mostly preserved spermatogenesis. Some seminiferous tubules showed vacuolated germinative epithelium, germ cell apoptosis, and a Sertoli cell-only (SCO) pattern. (2) CPT (score 3.3) resulted in decreased absolute testes weights, degenerated and SCO tubules, and spermatogenesis arrest that were reversed by orchiopexy (score 1.1). (3) Exposure to DBP or AA with CPT/orchiopexy led to atrophic testes, spermatogenesis arrest, germ cell exfoliation/multinucleation, and SCO tubules (both chemicals score 2.5). Exposure to chemicals such as DBP or AA prevented the recovery of cryptorchid testes by orchiopexy. The possible role of environmental contaminants should be considered when looking for factors that modulate human testicular disorders associated with CPT.


Subject(s)
Acrylamide/toxicity , Cryptorchidism/surgery , Dibutyl Phthalate/toxicity , Testis/drug effects , Animals , Cryptorchidism/pathology , Disease Models, Animal , Female , Male , Maternal-Fetal Exchange , Orchiopexy , Pregnancy , Rats, Sprague-Dawley , Testis/pathology
6.
Braz. j. med. biol. res ; 52(9): e8224, 2019. tab, graf
Article in English | LILACS | ID: biblio-1019569

ABSTRACT

Leishmaniasis is a neglected disease that affects a large part of the world population. Knowing the sand fly fauna of a region is of fundamental importance for guiding health surveillance actions related to the prevention and control of leishmaniasis. A total of 86 specimens of sand flies (60 females and 26 males) were collected. Using the classification proposed by Galati (2003), the following species were identified: Lutzomyia longipalpis (Lutz & Neiva, 1912), Migonemyia migonei (França, 1920), Evandromyia cortelezzi (Brethes, 1923), Ev. sallesi (Galvão & Coutinho, 1939), Nyssomyia whitmani (Atunes & Coutinho, 1939), Psathyromyia lutziana (Costa Lima, 1932), Ev. lenti (Mangabeira, 1938), Brumptomyia sp. (França and Parrot, 1921), and Pressatia sp. (Mangabeira, 1942). Using PCR with internal transcribed spacer target to identify infected sand flies, five Lu. longipalpis females were infected with Leishmania spp. Despite the small number of specimens collected, considerable species diversity was found in the study area.


Subject(s)
Animals , Male , Female , Psychodidae/classification , Psychodidae/parasitology , RNA, Protozoan/genetics , Insect Vectors/classification , Insect Vectors/parasitology , Leishmania/isolation & purification , Brazil , Leishmaniasis/transmission , Polymerase Chain Reaction , DNA, Ribosomal Spacer/genetics , Leishmania/genetics
7.
Braz. j. biol ; 78(4): 679-685, Nov. 2018. graf
Article in English | LILACS | ID: biblio-951611

ABSTRACT

Abstract Landraces of the Solanum tuberosum Andigenum group are abundant and diverse. They are a valuable genetic resource possessing resistance to pests, diseases, and environmental stresses. In the Andean region, populations of the false root-knot nematode Nacobbus aberrans became specialized to infect native potatoes, being one of the major limiting factors affecting this crop. A better understanding of the host plant-parasite interactions is important in order to select tolerant or resistant plants to be included in management programs. Despite the close of association of N. aberrans with potato, and the great diversity of the S. tuberosum Andigenum group, few histopathological studies have been conducted. The aim of this work was to analyze histological alterations induced by different Argentine populations of the nematode in naturally infested roots of four Andean potato varieties (Collareja, Negra Imilla, Ojo de Señorita and Colorada). All the varieties showed hyperplastic tissue in the central zone of galls, where syncytia developed in close association with the nematode female. Syncytia were composed of modified hyperplastic tissue and parenchyma xylem cells. The results showed differences among varieties in their response to nematode populations, with Ojo de Señorita and Negra Imilla being the most susceptible ones. This study is the first describing histopathological alterations induced by N. aberrans in susceptible Andean potato landraces.


Resumo As variedades de Solanum tuberosum grupo Andigenum são abundantes e diversas, além de serem uma fonte importante de recursos genéticos antea resistência de pragas, doenças e estresse ambiental. Na região andina, populações de Nacobbus aberrans se especializaram em parasitar batatas nativas e representam o principal fator limitante que afeta a produção desse cultivo. Um melhor entendimento da interação hospedeiro-parasita é importante para a seleção de plantas tolerantes ou resistentes a serem incluídas nos programas de manejo. Apesar da íntima associação de N. aberrans com a batata e a grande diversidade de S. tuberosum grupo Andigenum, os estudos histopatológicos desenvolvidos são limitados. O objetivo do presente trabalho foi analisar as alterações histológicas de raízes de quatro variedades de batata andina (Collareja, Negra Imilla, Ojo de Señorita e Colorada) parasitadas naturalmente por distintas populações argentinas do nematóide. Em todas as variedades se observou tecido hiperplásico na zona central das galhas onde, também, se desenvolveram os sincícios em íntima relação com as fêmeas do nematóide. Os sincícios estavam constituídos por tecido hiperplásico modificado e por células parenquimáticas do xilema. Os resultados mostraram diferenças entre as variedades de batata frente às populações do nematóide, sendo Ojo de Señorita e Negra Imilla as que evidenciaram maior susceptibilidade. Este estudo constitui a primeira avaliação da histopalogia induzida por N. aberrans em variedades suscetíveis de batata andina.


Subject(s)
Animals , Solanum tuberosum/parasitology , Host-Parasite Interactions , Nematoda/pathogenicity , Solanum tuberosum/ultrastructure
8.
Braz J Biol ; 78(4): 679-685, 2018 Nov.
Article in English | MEDLINE | ID: mdl-29412248

ABSTRACT

Landraces of the Solanum tuberosum Andigenum group are abundant and diverse. They are a valuable genetic resource possessing resistance to pests, diseases, and environmental stresses. In the Andean region, populations of the false root-knot nematode Nacobbus aberrans became specialized to infect native potatoes, being one of the major limiting factors affecting this crop. A better understanding of the host plant-parasite interactions is important in order to select tolerant or resistant plants to be included in management programs. Despite the close of association of N. aberrans with potato, and the great diversity of the S. tuberosum Andigenum group, few histopathological studies have been conducted. The aim of this work was to analyze histological alterations induced by different Argentine populations of the nematode in naturally infested roots of four Andean potato varieties (Collareja, Negra Imilla, Ojo de Señorita and Colorada). All the varieties showed hyperplastic tissue in the central zone of galls, where syncytia developed in close association with the nematode female. Syncytia were composed of modified hyperplastic tissue and parenchyma xylem cells. The results showed differences among varieties in their response to nematode populations, with Ojo de Señorita and Negra Imilla being the most susceptible ones. This study is the first describing histopathological alterations induced by N. aberrans in susceptible Andean potato landraces.


Subject(s)
Host-Parasite Interactions , Nematoda/pathogenicity , Solanum tuberosum/parasitology , Animals , Solanum tuberosum/ultrastructure
9.
Med Vet Entomol ; 31(4): 373-380, 2017 12.
Article in English | MEDLINE | ID: mdl-28707301

ABSTRACT

The Lutzomyia subgenus (Diptera: Psychodidae) includes sibling species with morphologically indistinguishable females. The aims of this study were to analyse variations in the size and shape of wings of species within the Lutzomyia subgenus and to assess whether these analyses might be useful in their identification. Wings (n = 733) of 18 species deposited in Brazilian collections were analysed by geometric morphometrics, using other genera and subgenera as outgroups. Shape variation was summarized in multivariate analyses and differences in wing size among species were tested by analysis of variance. The results showed significant variation in the sizes and shapes of wings of different Lutzomyia species. Two clusters within the Lutzomyia subgenus were distinguished in analyses of both males and females. In Cluster 1 (Lutzomyia ischnacantha, Lutzomyia cavernicola, Lutzomyia almerioi, Lutzomyia forattinii, Lutzomyia renei and Lutzomyia battistinii), scores for correct reclassification were high (females, kappa = 0.91; males, kappa = 0.90), whereas in Cluster 2 (Lutzomyia alencari, Lutzomyia ischyracantha, Lutzomyia cruzi, Lutzomyia longipalpis, Lutzomyia gaminarai and Lutzomyia lichyi), scores for correct reclassification were low (females, kappa = 0.42; males, kappa = 0.48). Wing geometry was useful in the identification of some species of the Lutzomyia subgenus, but did not allow the identification of sibling species such as L. longipalpis and L. cruzi.


Subject(s)
Psychodidae/anatomy & histology , Psychodidae/classification , Wings, Animal/anatomy & histology , Animals , Brazil , Female , Male , Species Specificity
10.
Article in English | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1063455

ABSTRACT

It has been long and widely known that cardiovascular diseases (CVD) are among the leading causes of the death worldwide. Thecurrent treatments have come a long way to reduce mortality and improve life quality of those affected, but they still presentdrawbacks and limitations, and that is why cardiovascular tissue engineering is thought to be the great promise for the future.Fibrous scaffolds have been a trendy topic in tissue engineering (TE) for years now, and several techniques have been developed andoptimized to produce fibers of various biomaterials – a microstructure that is particularly important for valvular and vascular tissuesdue to their unique composition and organization. This review aims to explain the rationale behind the use of fibrous scaffolds incardiovascular TE, the main biomaterials and techniques that have been employed to produce such scaffolds and how close they areto clinical applications...


Subject(s)
Growth , Tissue Engineering , Blood Vessels
11.
BMJ Open Sport Exerc Med ; 2(1): e000082, 2016.
Article in English | MEDLINE | ID: mdl-27900161

ABSTRACT

INTRODUCTION: Hip arthroscopy is increasingly adopted for the treatment of intra-articular and extra-articular pathologies. Studies from USA demonstrate a 365% increase in the number of procedures performed between 2004 and 2009 and 250% increase between 2007 and 2011. There is limited evidence of long-term efficacy for this procedure and hip arthroscopy is not universally funded across England. The aim of this study is to describe temporal trends in the adoption of hip arthroscopy in England between 2002 and 2013 and to forecast trends for the next 10 years. METHODS: A search of the Hospital Episodes Database was performed for all codes describing arthroscopic hip procedures with patient age, sex and area of residence. RESULTS: 11 329 hip arthroscopies were performed in National Health Service hospitals in England between 2002 and 2013. The number of hip arthroscopies performed increased by 727% (p<0.0001) during this period and is forecast to increase by 1388% in 2023. Females represent 60% of all patients undergoing hip arthroscopy (p<0.001). Median age category is 40-44 for females and 35-39 for males and average age decreased during the study period (p<0.0001). There is significant regional variation in procedure incidence. In the final year of this study the highest incidence was in the Southwest (8.63/100 000 population) and lowest in East Midlands (1.29/100 000 population). CONCLUSIONS: The increase in number of hip arthroscopies performed in England reflects trends in USA and continued increases are forecast. Evidence from robust clinical trials is required to justify the increasing number of procedures performed and regional variation suggests potential inequality in the provision of this intervention.

12.
J Med Entomol ; 53(5): 1140-1147, 2016 Sep 01.
Article in English | MEDLINE | ID: mdl-27358041

ABSTRACT

Psathyromyia shannoni until recently presented several taxa: Phlebotomus limai, Ph. bigeniculatus, Ph. pifanoi, and Ph. microcephalus as its junior synonyms. In a previous study, the two former synonyms were resurrected and here a revision based on morphological characters of the taxonomic status of Ph. microcephalus and Ph. pifanoi is presented. Psathyromyia pifanoistat. rev.; comb. n. is resurrected from the synonymy of Pa. shannoni and its female is described. Phlebotomus microcephalus is removed from the synonymy of Pa. shannoni and proposed as a new synonym of Pa. bigeniculata. Lutzomyia cuzquenasyn. n., occurring in the Amazon region, is designated as a junior synonym of Pa. pifanoi. The geographical distributions of Pa. shannoni, Pa. bigeniculata, and Pa. pifanoi in the Americas are presented.

13.
Andrology ; 4(4): 585-93, 2016 07.
Article in English | MEDLINE | ID: mdl-27062102

ABSTRACT

Prior studies report that penile size and male anogenital distance (AGD), sensitive markers of androgen action in utero, may be shortened by prenatal exposure to certain phthalates, including diethylhexyl phthalate (DEHP), but no human study has investigated the importance of exposure timing in these associations. The aim of this study was to examine the significance of exposure timing on the action of prenatal phthalates in particular DEHP, on male infant penile size and AGD. In The Infant Development and the Environment Study (TIDES) we measured penile width (PW) as well as anoscrotal distance (AGDAS ) and anopenile distance (AGPAP ) in newborn males. We modeled these endpoints in relation to phthalate metabolite concentrations in maternal urine samples collected in each trimester (T1, T2, and T3) in a subset of TIDES mothers (N = 168). PW was inversely associated with T2 oxidized DEHP metabolites, mono-2-ethyl-5-oxohexyl (MEOHP, ß=-0.48; 95% confidence interval, -0.93, -0.02), MEHHP (-0.48; -0.92, -0.05), mono-2-ethyl-5-carboxypentyl (MECPP, -0.51; -1.01, -0.004), although no appreciable associations were seen between PW and T1 and T3 DEHP metabolite concentrations in this subset. Concentrations of DEHP metabolites in T1 urine samples were inversely related to male AGD. For example, in T1 samples in this subset of women mono-2-ethyl-5-hydroxyhexyl (MEHHP) was inversely associated with male AGDAP (ß = -1.73; 95% confidence interval, -3.45, 0.0004). However, no appreciable associations were seen between AGD measures and any DEHP metabolite in T2 and T3 samples. These data suggest that DEHP exposure is inversely associated with AGD and PW, with PW primarily associated with T2 exposure and AGD associations seen only for T1 exposure, but no associations were found between T3 DEHP metabolites and any of these genital endpoints. These findings are consistent with data on critical windows in rodent studies, supporting the biological plausibility of these associations in humans.


Subject(s)
Environmental Exposure , Genitalia, Male/drug effects , Maternal Exposure , Phthalic Acids/toxicity , Prenatal Exposure Delayed Effects , Anthropometry , Female , Genitalia, Male/abnormalities , Humans , Infant, Newborn , Male , Pregnancy , Time Factors
14.
J Med Entomol ; 53(1): 83-90, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26590192

ABSTRACT

The Shannoni complex consists of a group of sand fly species included in the subgenus Psathyromyia (Psathyromyia) Barretto, 1962, in which the females have banana-shaped spermathecae and the males have terminalia with digitiform parameres. The species included in the complex present morphological similarity, mainly among the females, and the males contribute most clearly to species differentiation. We describe a newspecies in the Shannoni complex, Psathyromyia baratai sp. n., on the basis of morphological and morphometric characters, a species which due to its great morphological similarity with Psathyromyia abonnenci, Psathyromyia limai, and Psathyromyia shannoni has been erroneously identified with one or other of them for >60 yr.


Subject(s)
Psychodidae/anatomy & histology , Psychodidae/classification , Animals , Biodiversity , Brazil , Female , Male
15.
Toxicol In Vitro ; 29(8): 2001-8, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26319029

ABSTRACT

Recent studies suggest that phthalates may have a role in the development of allergic diseases, probably due to an adjuvant effect. The present study aimed to investigate the possible adjuvant effect of dibutyl phthalate (DBP) in two in vitro models of contact-allergen induced cell activation, namely the NCTC 2544 IL-18 assay and the THP-1 activation assay. Results show no adjuvant effect in the human keratinocyte cell line NCTC 2544, indicated by lack of increase in interleukin 18 (IL-18) production after exposure to p-Phenylenediamine (PPD) in association with DBP. On the contrary, increased upregulation of CD86 and interleukin 8 (IL-8) production were observed in THP-1 cells exposed to combinations of citral (Cit) or imidazolidinyl urea (IMZ) with DBP, indicative of an adjuvant effect. Additionally, higher production of reactive oxygen species (ROS) in THP-1 cells treated with DBP associated to Cit supports that oxidative stress could be part of the molecular mechanism of the observed adjuvant effect. In conclusion, we demonstrate that DBP presents in vitro an adjuvant effect for immune stimulation in dendritic cells but not in keratinocytes. Future studies are necessary to elucidate the precise mechanism underlying the adjuvant effect of DBP in vitro and in vivo.


Subject(s)
Allergens/toxicity , Dibutyl Phthalate/toxicity , Animals , Cell Line , Cell Survival/drug effects , Cytokines/genetics , Cytokines/metabolism , Drug Synergism , Gene Expression Regulation/drug effects , Gene Expression Regulation/immunology , Mice , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reactive Oxygen Species
16.
Bone Joint J ; 97-B(1): 94-9, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25568420

ABSTRACT

National Institute of Clinical Excellence guidelines state that cemented stems with an Orthopaedic Data Evaluation Panel (ODEP) rating of > 3B should be used for hemiarthroplasty when treating an intracapsular fracture of the femoral neck. These recommendations are based on studies in which most, if not all stems, did not hold such a rating. This case-control study compared the outcome of hemiarthroplasty using a cemented (Exeter) or uncemented (Corail) femoral stem. These are the two prostheses most commonly used in hip arthroplasty in the UK. Data were obtained from two centres; most patients had undergone hemiarthroplasty using a cemented Exeter stem (n = 292/412). Patients were matched for all factors that have been shown to influence mortality after an intracapsular fracture of the neck of the femur. Outcome measures included: complications, re-operations and mortality rates at two, seven, 30 and 365 days post-operatively. Comparable outcomes for the two stems were seen. There were more intra-operative complications in the uncemented group (13% vs 0%), but the cemented group had a greater mortality in the early post-operative period (n = 6). There was no overall difference in the rate of re-operation (5%) or death (365 days: 26%) between the two groups at any time post-operatively. This study therefore supports the use of both cemented and uncemented stems of proven design, with an ODEP rating of 10A, in patients with an intracapsular fracture of the neck of the femur.


Subject(s)
Bone Cements/therapeutic use , Cementation/methods , Femoral Neck Fractures/surgery , Hemiarthroplasty/methods , Periprosthetic Fractures/epidemiology , Age Factors , Aged , Aged, 80 and over , Case-Control Studies , Cementation/adverse effects , Female , Femoral Neck Fractures/diagnostic imaging , Femoral Neck Fractures/mortality , Follow-Up Studies , Hemiarthroplasty/adverse effects , Hip Prosthesis , Humans , Linear Models , Male , Multivariate Analysis , Periprosthetic Fractures/diagnostic imaging , Postoperative Complications/epidemiology , Postoperative Complications/physiopathology , Radiography , Retrospective Studies , Risk Assessment , Sex Factors , Statistics, Nonparametric , Survival Rate , Treatment Outcome
17.
Bone Joint Res ; 3(11): 321-7, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25431439

ABSTRACT

AIMS: Femoroacetabular Junction Impingement (FAI) describes abnormalities in the shape of the femoral head-neck junction, or abnormalities in the orientation of the acetabulum. In the short term, FAI can give rise to pain and disability, and in the long-term it significantly increases the risk of developing osteoarthritis. The Femoroacetabular Impingement Trial (FAIT) aims to determine whether operative or non-operative intervention is more effective at improving symptoms and preventing the development and progression of osteoarthritis. METHODS: FAIT is a multicentre superiority parallel two-arm randomised controlled trial comparing physiotherapy and activity modification with arthroscopic surgery for the treatment of symptomatic FAI. Patients aged 18 to 60 with clinical and radiological evidence of FAI are eligible. Principal exclusion criteria include previous surgery to the index hip, established osteoarthritis (Kellgren-Lawrence ≥ 2), hip dysplasia (centre-edge angle < 20°), and completion of a physiotherapy programme targeting FAI within the previous 12 months. Recruitment will take place over 24 months and 120 patients will be randomised in a 1:1 ratio and followed up for three years. The two primary outcome measures are change in hip outcome score eight months post-randomisation (approximately six-months post-intervention initiation) and change in radiographic minimum joint space width 38 months post-randomisation. ClinicalTrials.gov: NCT01893034. Cite this article: Bone Joint Res 2014;3:321-7.

18.
J Med Entomol ; 51(2): 331-41, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24724281

ABSTRACT

The Shannoni complex, comprising sand flies belonging to the subgenus Psathyromyia (Psathyromyia) Barretto, consists of several species, of which the females have banana-shaped spermathecae and the males have digitiform parameres on the terminalia. Among these species, Psathyromyia shannoni (Dyar) and two taxa considered as its junior synonyms (Phlebotomus limai Fonseca and Phlebotomus bigeniculatus Floch & Abonnenc), Psathyromyia pestanai (Barretto & Coutinho), and a new species are the focus of this study. On the basis of morphological and morphometric characters, Psathyromyia bigeniculata (Floch and Abonnenc) stat. rev.; comb. n. and Psathyromyia limai (Fonseca) stat. rev.; comb. n. are resurrected from the synonymy of Pa. shannoni. Pa. pestanai is proposed as a new junior synonym of Pa. limai. Psathyromyia ribeirensis sp. n., occurring in the middle and upper Ribeira Valley in the state of São Paulo, Brazil is described. Pa. limai, described from the Serra da Cantareira (São Paulo municipality) and also found in the lower Ribeira Valley and on the adjacent coastal plain, is morphologically very close to the new species.


Subject(s)
Psychodidae/classification , Animals , Brazil , Female , Male , Psychodidae/anatomy & histology
19.
Hum Exp Toxicol ; 33(1): 54-63, 2014 Jan.
Article in English | MEDLINE | ID: mdl-23536518

ABSTRACT

It has been hypothesized that oils containing high levels of omega-3 polyunsaturated fatty acids, such as canola and fish oil, could counteract some of the adverse effects induced by phthalates. In the present study, the influence of different oily vehicles on di-butyl phthalate (DBP)-induced testicular toxicity and lipid profile was investigated. Pregnant Wistar rats were treated by oral gavage from gestation days 13 to 20 with DBP (500 mg/kg/day) diluted in three different vehicles: corn, canola or fish oil. Male fetuses were analyzed on gestation day 20. DBP exposure lowered intratesticular testosterone levels and anogenital distance, regardless of the vehicle used. The percentage of seminiferous cords containing multinucleated gonocytes and cord diameter was increased in DBP-exposed groups, compared with vehicle controls, with no difference between the three DBP-exposed groups. Clustering of Leydig cells was seen in all DBP groups. Lipid profile indicated that administration of canola and fish oil can increase the content of omega-3 fatty acids in rat testis. However, content of omega-3 was diminished in DBP-treated groups. Overall, our results indicate that different oily vehicles did not alter fetal rat testicular toxicity induced by a high DBP dose.


Subject(s)
Dibutyl Phthalate/toxicity , Endocrine Disruptors/toxicity , Fatty Acids, Omega-3/metabolism , Lipid Metabolism/drug effects , Maternal Exposure/adverse effects , Pharmaceutical Vehicles/metabolism , Testis/drug effects , Animals , Corn Oil/chemistry , Corn Oil/metabolism , Dibutyl Phthalate/administration & dosage , Endocrine Disruptors/administration & dosage , Environmental Pollutants/administration & dosage , Environmental Pollutants/toxicity , Fatty Acids, Monounsaturated/chemistry , Fatty Acids, Monounsaturated/metabolism , Fatty Acids, Omega-3/chemistry , Female , Fetal Development/drug effects , Fish Oils/chemistry , Fish Oils/metabolism , Male , Pharmaceutical Vehicles/chemistry , Plasticizers/administration & dosage , Plasticizers/toxicity , Pregnancy , Rapeseed Oil , Rats , Sex Determination Processes/drug effects , Testis/embryology , Testis/metabolism , Testosterone/metabolism
20.
Bone Joint J ; 95-B(11): 1538-43, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24151276

ABSTRACT

The National Institute for Health and Clinical Excellence (NICE) guidelines from 2011 recommend the use of cemented hemi-arthroplasty for appropriate patients with an intracapsular hip fracture. In our institution all patients who were admitted with an intracapsular hip fracture and were suitable for a hemi-arthroplasty between April 2010 and July 2012 received an uncemented prosthesis according to our established departmental routine practice. A retrospective analysis of outcome was performed to establish whether the continued use of an uncemented stem was justified. Patient, surgical and outcome data were collected on the National Hip Fracture database. A total of 306 patients received a Cathcart modular head on a Corail uncemented stem as a hemi-arthroplasty. The mean age of the patients was 83.3 years (SD 7.56; 46.6 to 94) and 216 (70.6%) were women. The mortality rate at 30 days was 5.8%. A total of 46.5% of patients returned to their own home by 30 days, which increased to 73.2% by 120 days. The implant used as a hemi-arthroplasty for intracapsular hip fracture provided satisfactory results, with a good rate of return to pre-injury place of residence and an acceptable mortality rate. Surgery should be performed by those who are familiar with the design of the stem and understand what is required for successful implantation.


Subject(s)
Bone Cements/therapeutic use , Hemiarthroplasty/methods , Hip Fractures/surgery , Hip Joint/surgery , Hip Prosthesis/statistics & numerical data , Joint Capsule/injuries , Aged , Aged, 80 and over , Female , Hemiarthroplasty/mortality , Hip Fractures/mortality , Humans , Joint Capsule/surgery , Male , Middle Aged , Recovery of Function , Survival Rate , Treatment Outcome , United Kingdom
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