Cranial nerve injuries in Le Fort I osteotomy: a systematic review.

The aim of this systematic review was to describe the anatomical and surgical factors related to cranial nerve injuries in Le Fort I osteotomy. The protocol of this systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO). Two independent reviewers performed an unrestricted electronic database search in the MEDLINE/PubMed, LILACS, Scopus, Web of Science, and Cochrane databases up to and including August 2018. Thirty-two articles were selected for data extraction and synthesis: 30 studies were identified in the main search and two by a manual search. The level of agreement between the reviewers was considered excellent (κ=0.779 for study selection and κ=0.767 for study eligibility). This study revealed that the main nerve affected was the trigeminal nerve, followed by the oculomotor, abducens, optic, facial, and vagus and accessory nerves. Cleft lip and palate patients presented the highest incidence of cranial nerve damage. Cranial nerve damage after Le Fort I osteotomy is not rare. Anatomical and structural knowledge of the patient are necessary in order to minimize the risks of cranial nerve injury in Le Fort I osteotomy.

A genomic study on mammary gland acclimatization to tropical environment in the Holstein cattle.

This study aims at identifying mammary gland genes expressed in Brazilian Holstein cattle produced under tropical conditions, as compared to the Portuguese Holstein cattle produced in a temperate region. For this purpose, cDNA microarrays and real-time (RT) PCR transcriptomic techniques were utilized in 12 Holstein cows from the same lactating phase and management systems divided into two groups: Holstein Brazil (HB) originated from Brazil and Holstein Portugal (HP) from Portugal. The genomic results show that from a total of 4608 genes available from the microarray slide (Bovine Long Oligo (BLO) library), 65 transcripts were identified as differentially expressed in mammary glands. The genes associated with mammary gland development and heat stress responses showed greater expression in HB animals. In the HP group, upregulated genes related with apoptosis and vascular development and downregulated genes related with resistance to heat stress were observed. Validation of microarray results was done using RT-PCR. HB animals had higher blood levels of growth hormone than HP animals. Blood levels of prolactin and T3 were similar for both groups and GH levels were increased in the HB group. The results suggest a gene change towards long-term acclimatization of Brazilian Holstein cattle to cope with tropical heat stress conditions.

A new species of the leopard pleco genus Pseudacanthicus (Siluriformes: Loricariidae) from the Rio Xingu, Brazil.

The genus Pseudacanthicus comprises six valid species distributed in the Amazon basin and Caribbean coastal drainages from Guyana to French Guiana: P. serratus, P. fordii, P. histrix, P. spinosus, P. leopardus and P. pitanga. A new species of Pseudacanthicus is described from the Rio Xingu Basin, distinguished from its congeners by the following combination of characters: presence of anastomose dark blotches forming continuous zigzag bands alongside longitudinal keels; presence of dark blotches on ventral surface of body and head; all fins with orange to red colour on unbranched rays and sometimes subsequent branched rays. Brief comments on ornamental fisheries and conservation of the new species are also provided.

Two new species of Hyphessobrycon (Characiformes: Characidae) from the headwaters of the Tapajós and Xingu River basins, Pará, Brazil.

Two new species of Hyphessobrycon are described from the headwaters of the Tapajós and Xingu River basins, Pará, Brazil. Both new species can be distinguished from congeners by the presence of a vertically elongate humeral blotch, a conspicuous round to vertically oblong caudal-peduncle blotch not extending onto the distal portions of the middle caudal-fin rays, a conspicuous blotch on the central portion of the third infraorbital immediately ventral to the eye, the lack of a conspicuous longitudinal stripe and the lack of sexual dimorphism in the extension of the caudal-peduncle blotch. Hyphessobrycon delimai n. sp. can be distinguished from Hyphessobrycon krenakore n. sp. by the extent of the caudal-peduncle blotch which extends across most of the caudal-peduncle depth (v. restricted to the middle portion of the caudal peduncle), the presence of dark chromatophores uniformly scattered along the length of the interradial membranes of the dorsal, anal and caudal fins (v. concentrated on the distal one-half or one-fourth of the interradial membranes) and the absence of small bony processes on the pelvic and anal fins of mature males (v. small bony processes present).

Treatment with eCG decreases the vascular density and increases the glandular density of the bovine uterus.

The uterus plays an essential role in mammalian reproduction and is a target of several hormonal protocols used to improve fertility in cattle. Many studies highlighted the importance of eCG treatment following fixed-time artificial insemination in improving follicular growth, ovulation and pregnancy rates in cattle. Moreover, eCG has been implicated in angiogenesis, leading to important changes in uterine blood flow and vascularisation. However, there is still a lack of information regarding the specific alterations induced by eCG upon glandular and vascular characteristics of bovine uterus. To investigate the influence of eCG on: uterine thickness and area; uterine artery diameter and area; uterine vascular and gland density; and the expression of the VEGFA-system, the uteri of crossbred beef cows were collected. All cows were submitted to follicular wave emergence synchronization. On day four of protocol, cows submitted to superovulation (n = 6) received 2000 IU eCG, on day eight, after expected follicular deviation, cows submitted to stimulatory treatment (n = 5) received 400 IU eCG. Control cows (n = 5) did not receive eCG. On day five po cows were subjected to ultrassonographic evaluation and slaughtered for uterine tissue sampling on day six po. Uterine vessels and glands were quantified by the counting point stereological method. The VEGFA-system was localized in different cellular types, showing no qualitative or quantitative differences in the site of expression or the intensity of the positive signal among the groups. Vascular density was decreased in the endometrium of stimulated and myometrium of superovulated cows compared with the control ones, which showed higher vascular density in the myometrium and endometrium of the ipsilateral uterine horn. The uterine gland density was higher in superovulated compared with stimulated and control cows. Thus, we can infer that stimulatory or superovulatory treatments with eCG influence the vascular density in the endometrium and myometrium in cattle.

A new species of Rhinopetitia Géry 1964 (Ostariophysi: Characiformes: Characidae) from the Rio Teles Pires, Rio Tapajós basin, Brazil.

A new species of Rhinopetitia is described from the Rio Teles Pires, a major tributary of the Rio Tapajós. The new taxon is distinguished from its only congener, Rhinopetitia myersi, by having all premaxillary teeth in both rows with seven to nine cusps, maxillary teeth with seven or eight cusps, a distinct dark midlateral stripe on the body and a round humeral blotch (v. outer series of premaxillary teeth with three cusps and inner series of premaxillary teeth with three to five cusps, maxillary teeth with three to five cusps, the absence of a dark midlateral stripe and humeral blotch). Putative characters suggesting a close relationship between Rhinopetitia, Bryconacidnus, Ceratobranchia, Monotocheirodon, Odontostoechus, Othonocheirodus and Rhinobrycon are presented. This putative clade is included in the Stevardiinae, a monophyletic group within the Characidae.

Neutrophils have a protective role during early stages of Leishmania amazonensis infection in BALB/c mice.

Neutrophils are involved in the early stages of immune responses to pathogens. Here, we investigated the role of neutrophils during the establishment of Leishmania amazonensis infection in BALB/c and C57BL/6 mice. First, we showed an accumulation of neutrophils between 6 and 24 h post-infection, followed by a reduction in neutrophil numbers after 72 h. Next, we depleted neutrophils prior to infection using RB6-8C5 or 1A8 mAb. Neutrophil depletion led to faster lesion development, increased parasite numbers and higher arginase activity during the first week of infection in BALB/c mice, but not in C57BL/6 mice. Increased susceptibility was accompanied by augmented levels of anti-L. amazonensis IgG and increased production of IL-10 and IL-17. Because IL-10 is a mediator of susceptibility to Leishmania infection, we blocked IL-10 signalling in neutrophil-depleted mice using anti-IL-10R. Interestingly, inhibition of IL-10 signalling abrogated the increase in parasite loads observed in neutrophil-depleted mice, suggesting that parasite proliferation is at least partially mediated by IL-10. Additionally, we tested the effect of IL-17 in inflammatory macrophages and observed that IL-17 increased arginase activity and favoured parasite growth. Taken together, our data indicate that neutrophils control parasite numbers and limit lesion development during the first week of infection in BALB/c mice.

Vascular endothelial growth factor A (VEGFA) modulates bovine placenta steroidogenesis in vitro.

Our objectives were to investigate the possible role of VEGFA in bovine placenta steroid synthesis and to determine whether cloned derived placental cells present similar responses as non-cloned ones. Placental cells from cloned (term) and non-cloned (days 90, 150, 210 and term) pregnancies were isolated and treated with VEGFA (50 ng/ml) for 24, 48 or 96 h. Progesterone (P(4)) and estrone sulfate (E(1)S) were assessed by RIA, while aromatase P450-positive cells were quantified using the point counting test. The percentages of steroidogenic and non-steroidogenic populations were determined by flow cytometry. VEGFA augmented or decreased P(4) and E(1)S concentrations as well as aromatase P450-positive cell density, depending on gestational age and time in culture. The percentage of steroidogenic cells was lower than that of non-steroidogenic ones for each culture time (P < 0.05). VEGFA treatment did not change the proportion of steroidogenic and non-steroidogenic cells. Placental cells derived from cloned pregnancies presented higher concentrations of E(1)S and P4 than the non-cloned group. However, aromatase P450-positive cells were similar between groups (P > 0.05). VEGFA treatment altered P(4) and E(1)S levels in placental cells depending on type of gestation. These results suggest that VEGFA acts locally in the bovine placenta to modulate steroidogenesis during gestation, but in a different pattern between cloned and non-cloned derived placental cells at term. Therefore, this factor can be considered an important regulator of placental development and function.

The role of iNOS and PHOX in periapical bone resorption.

Nitric oxide (NO) and reactive oxygen species (ROS) are key molecules in resistance to pathogens. Little is known about their role in pathogenesis of periapical lesions. To address this issue, we induced periapical lesions in mice lacking nitric oxide synthase (iNOS(-/-)) or phagocyte oxidase (PHOX(-/-)). iNOS(-/-) mice expressed higher levels of IL-1ß, TNF-α, RANK, RANKL, and MCP-1 than C57BL/6 and PHOX(-/-). Apical thickening of the periodontal ligament was also greater in iNOS(-/-) compared with other groups. Interestingly, ROS production did not interfere in periapical lesion progression, but seemed to be essential for the appearance of multinucleated TRAP-positive cells. Thus, periapical lesion progression in iNOS(-/-) was associated with an imbalance of pro-inflammatory cytokines (IL-1ß and TNF-α), bone-resorptive modulators (RANK and RANKL), and MCP-1. We conclude that NO, but not ROS, controls progression of bone resorption in a murine experimental model of apical periodontitis.

Papel de la hipertensión arterial en la comorbilidad de la cefalea crónica / Resistance to pharmacological prophylaxis in hypertensive headache patients

Introducción. La literatura que hace referencia a la asociación entre cefalea e hipertensión arterial es bastante escasa, principalmente la anterior a la clasificación actual de la IHS, y se basa en métodos muy diversos, resultando por lo tanto difícil de interpretar. Objetivos. Analizar la asociación entre hipertensión arterial y los dos tipos de cefaleas crónicas y determinar cómo la hipertensión arterial puede afectar al resultado de la terapia profiláctica para el tratamiento de las cefaleas crónicas. Pacientes y métodos. Se analizaron retrospectivamente 64 historiales de pacientes externos con cefalea; los historiales fueron elegidos al azar, entre los pacientes que padecían migraña o cefalea de tipo tensional (CTT). Los pacientes se consideraron hipertensos si la presión sanguínea era superior a la normal en varias ocasiones, sin que se presentara una crisis aguda. La resistencia al tratamiento se definió como la falta de mejora en relación con el número o la intensidad de las crisis. Resultados. La edad varió entre los 18 y los 80 años, siendo la media de edad de 42,9 (DE 13,86) años. El 86 por ciento de los pacientes eran mujeres. Veinticinco pacientes sufrían CTT y 35 migraña. La prevalencia de la hipertensión fue del 35,9 por ciento entre todos los pacientes, 28,5 por ciento entre los pacientes con migraña y 44,8 por ciento entre los pacientes con CTT. La prevalencia de la resistencia al tratamiento fue del 39,8, 34,3 y del 41,3 por ciento, respectivamente. En cuanto a los pacientes resistentes al tratamiento, el 60 por ciento eran hipertensos y el 62,5 por ciento de los pacientes hipertensos ofrecieron resistencia a la terapia. Conclusiones. La hipertensión arterial fue más prevalente en la muestra estudiada de lo que se cabría esperar en una muestra equivalente de la población general. La hipertensión fue significativamente más prevalente entre los pacientes resistentes a la terapia, como la resistencia al tratamiento entre los pacientes hipertensos. Por lo tanto, nuestra conclusión es que existe una comorbilidad importante entre la cefalea crónica y la hipertensión y que la hipertensión arterial complica el control de las cefaleas crónicas (AU)

Phytate from an alternative dietary supplement has no effect on the calcium, iron and zinc status in undernourished rats.

A mixture of cereal bran, eggshells and cassava leaf powder, known as multimixture (MM), has been widely used in developing countries as a dietary supplement to combat malnutrition in children. The introduction of phytate from cereal bran in infant diets has generated serious controversy about MM due to the mineral chelating effect of phytate. This paper reports on a study to investigate the bioavailability of calcium, iron and zinc in rats fed with a deficient diet supplemented with MM. Undernourished rats were treated with a deficient diet (DD) to which MM containing different phytate and mineral concentrations was added. Body weight gains, Ca, Fe, Zn and phytate balances, blood hemoglobin concentration and the mineral content of tissue were determined. DD supplemented with 5% and 25% of MM increased the rats' hemoglobin blood concentration, fur regrowth, Ca concentration in the femur and promoted body weight gain 40 times higher than did the DD. Extra calcium, iron and zinc added to the diet with 25% of MM did not increase the rats' growth rates. Both the addition of NaCl, KF and KI in MM and the use of dephytinized bran in the MM composition led to a significant increase in the rats' growth (P < 0.0001); however, these changes failed to increase Ca, Fe and Zn bioavailability. Our findings suggest that the Ca, Fe and Zn bioavailability was not affected by the MM phytate content or by the concentrations of NaCl, KF and KI in the diet.

Consideraciones anatómicas sobre la fusión renal: relato de un caso / Anatomic considerations on the renal fusion: a case report

Considerando la importancia clínica y quirúrgica de la fusión renal, presentamos y discutimos un caso de esta malformación, encontrada durante el transcurso de disecciones de rutina en la disciplina de Anatomía Humana de la Universidad Federal de Alagoas, Brasil. Esta unión anormal de los riñones debe ser bien conocida por los profesionales de la salud, evitando así, errores de diagnóstico en la región abdomino-pelviana