Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model

ABSTRACT Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. Methods: Cannulae from two manufacturers were selected considering their design and outer and inner diameters. Cannula performance was evaluated in terms of pressure drop vs. flow during simulated cardiopulmonary bypass conditions. The experimental circuits consisted of a Jostra HL-20 roller pump, a Quadrox-i pediatric oxygenator (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set. The circuit was primed with lactated Ringer's solution only (first condition) and with human packed red blood cells added (second condition) to achieve a hematocrit of 30%. Cannula sizes 8 to 16 Fr were inserted into the cardiopulmonary bypass circuit with a "Y" connector. The flow was adjusted in 100 ml/min increments within typical flow ranges for each cannula. Pre-cannula and post-cannula pressures were measured to calculate the pressure drop. Results: Utilizing a pressure drop limit of 100 mmHg, our results suggest a recommended flow limit of 500, 900, 1400, 2600, and 3100 mL/min for Braile arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, respectively. For Medtronic DLP arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, the recommended flow limit is 600, 1100, 1700, 2700, and 3300 mL/min, respectively. Conclusion: This study reinforces discrepancies in pressure drop between cannulae of the same diameter supplied by different manufacturers and the importance of independent translational research to evaluate components' performance.

Porungo cheese whey: a new substrate to produce ß-galactosidase.

The bioconversion of porungo cheese whey to produce ß-galactosidase in batch system was studied. The whey released after curd cutting and precipitation during porungo cheese production was collected in borosilicate flasks. Two strains of Kluyveromyces marxianus, CCT 4086 and CBS 6556, and whey supplementation with different nitrogen sources were evaluated. Different temperatures (30 °C and 37 °C) and pH values (5.0 to 7.0) were investigated to establish the best conditions for enzyme production. The highest enzymatic activity was obtained by K. marxianus CCT 4086 in porungo cheese whey supplemented with yeast extract (16.73 U mL-1). K. marxianus CCT 4086 produced superior ß-galactosidase activity when compared to CBS 6556 for all media tested (ranging from 11.69 to 14.40 U mL-1). Highest ß-galactosidase activity was reached under conditions of pH 7.0 and 30 °C using K. marxianus CCT 4086 in the better media composition. The lowest enzymatic activity was observed at 37 °C for all pH values tested (10.69 U mL-1 to 13.94 U mL-1) and a highest ß-galactosidase activity was reached in pH 7.0 for both two temperatures (11.42 to 15.93 U mL-1). Porungo cheese whey shows potential for industrial ß-galactosidase production by microbial fermentation.

Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model.

OBJECTIVE: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. METHODS: Cannulae from two manufacturers were selected considering their design and outer and inner diameters. Cannula performance was evaluated in terms of pressure drop vs. flow during simulated cardiopulmonary bypass conditions. The experimental circuits consisted of a Jostra HL-20 roller pump, a Quadrox-i pediatric oxygenator (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set. The circuit was primed with lactated Ringer's solution only (first condition) and with human packed red blood cells added (second condition) to achieve a hematocrit of 30%. Cannula sizes 8 to 16 Fr were inserted into the cardiopulmonary bypass circuit with a "Y" connector. The flow was adjusted in 100 ml/min increments within typical flow ranges for each cannula. Pre-cannula and post-cannula pressures were measured to calculate the pressure drop. RESULTS: Utilizing a pressure drop limit of 100 mmHg, our results suggest a recommended flow limit of 500, 900, 1400, 2600, and 3100 mL/min for Braile arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, respectively. For Medtronic DLP arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, the recommended flow limit is 600, 1100, 1700, 2700, and 3300 mL/min, respectively. CONCLUSION: This study reinforces discrepancies in pressure drop between cannulae of the same diameter supplied by different manufacturers and the importance of independent translational research to evaluate components' performance.

Effects of hypertonic solutions on two species of human intestinal parasites during fecal examination.

Aim: Ova and parasite examination by flotation requires hypertonic solutions, which can damage the egg and cyst membranes, leading to false negatives. The authors investigated the harmful effects of ZnSO4 and C12H22O11 solutions on the ova and parasite examination. Materials & methods: The authors processed samples using the Three Fecal Test technique. Aliquots were floated in different pH levels, temperatures and solution densities. Results: Densities above 1.12 g/ml led structures to collapse after 6-10 min. pH neutralization of the ZnSO4 solution did not prevent the parasites from changing. Conclusion: All structures were altered when standard methods were performed. To delay collapse, the parasite floating under 5 °C is highly desirable.

Fecal exams require solutions that can damage the intestinal parasite's shape. This is bad for diagnosis. The authors investigated the harmful effects of these solutions on fecal exams. The authors processed samples using a technique called the Three Fecal Test. Fecal samples were floated in different conditions, including neutral and acidic solutions, high and low temperatures and varying densities of chemical solutions. Densities above 1.12 g/ml altered the structures of parasites. Neutral solutions did not prevent the structures from changing. The structures of all parasites were altered when the usual techniques were performed. Thus, the techniques for diagnosing intestinal parasites in feces must be improved. Temperatures under 5 °C are the best for preventing the destruction of parasite membranes.

Oxidative Stress Inhibition Via Apocynin Prevents Medullary Respiratory Neurodegeneration and Respiratory Pattern Dysfunction in a 6-Hydroxydopamine Animal Model of Parkinson's Disease.

Parkinson's Disease (PD) is a neurogenerative disorder characterized by the death of dopaminergic neurons in the Substantia Nigra pars compacta (SNpc), leading to motor, cognitive, learning, and respiratory dysfunctions. New evidence revealed that breathing impairment in PD mainly results from oxidative stress (OS) that initiates apoptotic signaling in respiratory neurons. Here, we investigated the role of OS inhibition using apocynin (non-specific NADPH oxidase inhibitor) in a 6-OHDA PD animal model in the neural control of breathing. The PD model was confirmed with a 70% reduction in TH-expressing neurons within the SNpc. After 20 and 40 days of PD induction, no differences were observed in superoxide anion levels in any respiratory nuclei. At 30 days after PD induction, 6-OHDA animals presented OS that was prevented in all respiratory nuclei by adding apocynin to the drinking water for 10 days. Forty days after PD animal model induction, impaired motor and breathing function, reduced Phox2b and NK1 receptors-expressing neurons in the medullary respiratory areas; decreased latency to fall in the rotarod motor test; and attenuated respiratory frequency and minute ventilation parameters at rest and under hypercapnia conditions were observed. After 20 days of apocynin treatment, neurodegeneration of respiratory nuclei and breathing dysfunction in 6-OHDA animals were prevented. Thus, OS contributes to respiratory neuron death, consequently leading to breathing dysfunction in the 6-OHDA PD animal model. Furthermore, these results present a new perspective for preventing the onset and progression of PD-related respiratory impairments.

Actualizaciones en el abordaje terapéutico en el síndrome de dolor regional complejo / Therapeutic approach in patients with complex regional pain syndrome: an update

Introducción: El síndrome de dolor regional complejo abarca una sintomatología que puede ser autolimitada o terriblemente limitante. Pese al enorme interés que despierta en la comunidad científica, no tenemos claro qué determina su evolución. Actualmente, parece claro que hay que ajustar el tratamiento en base a los mecanismos fisiopatológicos predominantes en cada paciente en función de su estadio evolutivo. Fisiopatología: Se produce a causa de una compleja combinación de diferentes factores que se inician en el momento del traumatismo y que consisten en sensibilización del sistema nervioso, disfunción del sistema autónomo y cambios inflamatorios. Hay, además, un indudable componente inmunológico, con presencia de autoinmunización, una implicación genética y la constatación de que determinados estados psicológicos parecen influir en la progresión de la enfermedad. Prevención: Se recomienda la administración de la vitamina C tras traumatismos o cirugías sobre miembros, sobre todo cuando existen factores de riesgo (fracturas distales de radio). Asimismo, hay que incentivar la movilización precoz y tratar los altos niveles de ansiedad para prevenir su desarrollo. Tratamiento: El tratamiento debe ser precoz, multimodal y coordinado, con el objetivo fundamental no solo de aliviar el dolor, sino de recuperar funcionalmente el miembro afecto. La pieza angular del tratamiento es la rehabilitación. Se debe acompañar de farmacoterapia y de tratamiento psicológico. Dentro de la farmacoterapia, tienen especial relevancia los corticoides (en las fases más agudas), los bifosfonatos y los "free-radical scavengers". En fases avanzadas de la enfermedad, la ketamina intravenosa se plantea como una opción terapéutica.(AU)

Introduction: Complex Regional Pain Syndrome encompasses a symptomatology that can be self-limiting or terribly limiting. Despite the enormous interest it arouses in the scientific community, it is not clear what determines its evolution. Currently, it seems clear that treatment must be adjusted based on the predominant pathophysiological mechanisms in each patient according to its evolutionary stage. Physiopathology: It is caused by a complex combination of different factors that start at the time of the trauma and consist of sensitization of the nervous system, dysfunction of the autonomic system and inflammatory changes. There is also an undoubted immunological component, with the presence of autoimmunization, genetic involvement and the finding that certain psychological states seem to influence the progression of the disease. Prevention: The administration of vitamin C is recommended after trauma or surgery on limbs, especially when there are risk factors (distal radius fractures). Also, early mobilization should be encouraged and high levels of anxiety should be treated to prevent its development. Treatment: Treatment should be early, multimodal and coordinated, with the fundamental objective not only of relieving pain, but also of functionally recovering the affected limb. The cornerstone of treatment is rehabilitation. It should be accompanied by pharmacotherapy and psychological treatment. Within the pharmacotherapy, corticoids (in the most acute phases), bisphosphonates and free-radical scavengers are of special relevance. In advanced stages of the disease, intravenous ketamine is considered as a therapeutic option. Interventional treatments should be considered when the evolution of the syndrome is not optimal, especially sympathetic blocks, in case of predominant sympathetic dysfunction, or neuromodulation, which is the treatment modality with the most scientific evidence.(AU)

Single and Serial Carbohydrate Mouth Rinsing Do Not Improve Yo-Yo Intermittent Recovery Test Performance in Soccer Players.

Carbohydrate (CHO) mouth rinsing seems to improve performance in exercises lasting 30-60 min. However, its effects on intermittent exercise are unclear. It is also unknown whether serial CHO mouth rinses can promote additional ergogenic effects when compared with a single mouth rinse. The aim of this study was to evaluate the effect of single and serial CHO mouth rinses on Yo-Yo Intermittent Recovery Test Level 1 (Yo-Yo IR1) performance in soccer players. In a randomized, crossover, double-blind, placebo-controlled design, 12 male (18.9 ± 0.5 years) soccer players performed eight serial mouth rinses under three different conditions: placebo solution only (noncaloric juice), seven placebo mouth rinses plus a single CHO mouth rinse (8% maltodextrin), or eight CHO mouth rinses (8-CHO). Following the final mouth rinse, individuals performed the Yo-Yo IR1 test to evaluate the maximal aerobic endurance performance measured via total distance covered. There were no differences in Yo-Yo IR1 performance between sessions (p = .32; single CHO mouth rinse (8% maltodextrin): 1,198 ± 289 m, eight CHO mouth rinses: 1,256 ± 253 m, placebo: 1,086 ± 284 m). In conclusion, single and serial CHO mouth rinsing did not improve performance during the Yo-Yo IR1 for soccer players. These data suggest that CHO mouth rinsing is not an effective ergogenic strategy for intermittent exercise performance irrespective of the number of rinses.

The Effect of Diabetes and Prediabetes on Antituberculosis Treatment Outcomes: A Multicenter Prospective Cohort Study.

BACKGROUND: It is unclear whether diabetes or prediabetes affects unfavorable treatment outcomes and death in people with tuberculosis (PWTB). METHODS: Culture-confirmed, drug-susceptible PWTB, enrolled in the Regional Prospective Observational Research in Tuberculosis (RePORT)-Brazil cohort between 2015 and 2019 (N = 643) were stratified based on glycemic status according to baseline glycated hemoglobin. Unfavorable tuberculosis (TB) outcome was defined as treatment failure or modification, recurrence, or death; favorable outcome was cure or treatment completion. We corroborated the findings using data from PWTB reported to the Brazilian National System of Diseases Notification (SINAN) during 2015-2019 (N = 20 989). Logistic regression models evaluated associations between glycemic status and outcomes. RESULTS: In both cohorts, in univariate analysis, unfavorable outcomes were more frequently associated with smoking, illicit drug use, and human immunodeficiency virus infection. Diabetes, but not prediabetes, was associated with unfavorable outcomes in the RePORT-Brazil (adjusted relative risk [aRR], 2.45; P < .001) and SINAN (aRR, 1.76; P < .001) cohorts. Furthermore, diabetes was associated with high risk of death (during TB treatment) in both RePORT-Brazil (aRR, 2.16; P = .040) and SINAN (aRR, 1.93; P = .001). CONCLUSIONS: Diabetes was associated with an increased risk of unfavorable outcomes and mortality in Brazilian PWTB. Interventions to improve TB treatment outcomes in persons with diabetes are needed.

Impact of Vacuum-Assisted Venous Drainage on Forward Flow in Simulated Pediatric Cardiopulmonary Bypass Circuits Utilizing a Centrifugal Arterial Pump Head.

OBJECTIVE: To analyze the impact of vacuum-assisted venous drainage (VAVD) on arterial pump flow in a simulated pediatric cardiopulmonary bypass circuit utilizing a centrifugal pump (CP) with an external arterial filter. METHODS: The simulation circuit consisted of a Quadrox-I Pediatric oxygenator, a Rotaflow CP (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set primed with Lactated Ringer's solution and packed red blood cells. Venous line pressure, reservoir pressure, and arterial flow were measured with VAVD turned off to record baseline values. Four other conditions were tested with progressively higher vacuum pressures (-20, -40, -60, and -80 mmHg) applied to the baseline cardiotomy pressure. An arterial filter was placed into the circuit and arterial flow was measured with the purge line in both open and closed positions. These trials were repeated at set arterial flow rates of 1500, 2000, and 2500 mL/min. RESULTS: The use of progressively higher vacuum caused a reduction in effective arterial flow from 1490±0.00 to 590±0.00, from 2020±0.01 to 1220±0.00, and from 2490±0.0 to 1830±0.01 mL/min. Effective forward flow decreased with increased levels of VAVD. CONCLUSION: The use of VAVD reduces arterial flow when a CP is used as the main arterial pump. The reduction in the forward arterial flow increases as the vacuum level increases. The loss of forward flow is further reduced when the arterial filter purge line is kept in the recommended open position.An independent flow probe is essential to monitor pump flow during cardiopulmonary bypass.

Impact of vacuum-assisted venous drainage on forward flow in simulated pediatric cardiopulmonary bypass circuits utilizing a centrifugal arterial pump head

Abstract Objective: To analyze the impact of vacuum-assisted venous drainage (VAVD) on arterial pump flow in a simulated pediatric cardiopulmonary bypass circuit utilizing a centrifugal pump (CP) with an external arterial filter. Methods: The simulation circuit consisted of a Quadrox-I Pediatric oxygenator, a Rotaflow CP (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set primed with Lactated Ringer's solution and packed red blood cells. Venous line pressure, reservoir pressure, and arterial flow were measured with VAVD turned off to record baseline values. Four other conditions were tested with progressively higher vacuum pressures (-20, -40, -60, and -80 mmHg) applied to the baseline cardiotomy pressure. An arterial filter was placed into the circuit and arterial flow was measured with the purge line in both open and closed positions. These trials were repeated at set arterial flow rates of 1500, 2000, and 2500 mL/min. Results: The use of progressively higher vacuum caused a reduction in effective arterial flow from 1490±0.00 to 590±0.00, from 2020±0.01 to 1220±0.00, and from 2490±0.0 to 1830±0.01 mL/min. Effective forward flow decreased with increased levels of VAVD. Conclusion: The use of VAVD reduces arterial flow when a CP is used as the main arterial pump. The reduction in the forward arterial flow increases as the vacuum level increases. The loss of forward flow is further reduced when the arterial filter purge line is kept in the recommended open position. An independent flow probe is essential to monitor pump flow during cardiopulmonary bypass.

Localización de la membrana cricotiroidea en varones: influencia de las características morfológicas del cuello / Locating the cricothyroid membrane in males: Influence of the morphological characteristics of the neck

Introducción: La cricotirotomía es una técnica que forma parte de los algoritmos de manejo de vía aérea difícil. Para su adecuada realización se precisa una correcta localización de la membrana cricotiroidea (MCT). Diversos estudios han encontrado una alta tasa de error en la localización por palpación, lo que condiciona un fracaso en el resultado de la técnica. Objetivos: El propósito del estudio fue determinar si las características morfológicas del cuello del paciente influyen en la correcta localización de la MCT y en el tiempo empleado. Materiales y métodos: Estudio observacional donde participaron voluntariamente anestesiólogos e intensivistas en una simulación consistente en un escenario de «cannot intubate, cannot oxygenate» donde tenían que localizar en el menor tiempo posible la MCT en 2 varones seleccionados con diferentes características morfológicas de cuello. Se cronometró el tiempo empleado desde que el sujeto comenzaba a localizar la MCT hasta que la marcaba con un rotulador. Resultados y conclusiones: Se encontró que el modelo con mayor índice de masa corporal y mayor perímetro cervical tenía una tasa de fracaso en la localización de un 70%, empleando, además, mayor tiempo, comparado con el modelo de características estándares

Introduction: Cricothyrotomy is a recommended technique to restore oxygenation in most of guidelines for difficult airway management. A correct location of the cricothyroid membrane (CTM) is fundamental for a proper performance of the technique. Several studies have shown poor accuracy with the identification the CTM by palpation, resulting in a high failure rate of the technique. Objective: The aim of this study was to determine the impact of the patient's neck morphology on the accurate location of the CTM and on the time employed. Materials and method: Observational study in which anaesthesiologists and intensivists voluntarily participated in a simulation that consisted of a «cannot intubate, cannot oxygenate» scenario, where they had to locate the CTM, as soon as possible, in 2 selected male patients with different morphological characteristics of the neck. The time was measured from the beginning of CTM palpation to locating it with a marker. Results and Conclusions: A higher body mass index and a higher neck circumference correlated with a 70% location failure rate and with a longer time as compared with a standard model

Locating the cricothyroid membrane in males: Influence of the morphological characteristics of the neck. / Localización de la membrana cricotiroidea en varones: influencia de las características morfológicas del cuello.

INTRODUCTION: Cricothyrotomy is a recommended technique to restore oxygenation in most of guidelines for difficult airway management. A correct location of the cricothyroid membrane (CTM) is fundamental for a proper performance of the technique. Several studies have shown poor accuracy with the identification the CTM by palpation, resulting in a high failure rate of the technique. OBJECTIVE: The aim of this study was to determine the impact of the patient's neck morphology on the accurate location of the CTM and on the time employed. MATERIALS AND METHOD: Observational study in which anaesthesiologists and intensivists voluntarily participated in a simulation that consisted of a «cannot intubate, cannot oxygenate¼ scenario, where they had to locate the CTM, as soon as possible, in 2 selected male patients with different morphological characteristics of the neck. The time was measured from the beginning of CTM palpation to locating it with a marker. RESULTS AND CONCLUSIONS: A higher body mass index and a higher neck circumference correlated with a 70% location failure rate and with a longer time as compared with a standard model.

Efficacy of Culicinomyces spp. against Aedes aegypti eggs, larvae and adults.

The aquatic fungal genus Culicinomyces attacks dipteran larvae but little is known about its efficacy against Aedes aegypti. Here we report on the activity of both described species-Culicinomyces clavisporus and Culicinomyces bisporalis-on larvae, eggs and adults, and on trans-stadial transmission. Ten C. clavisporus isolates (ARSEF 372, 582, 644, 706, 964, 1260, 2471, 2478, 2479 and 2480) and C. bisporalis ARSEF 1948 were screened against larvae of this important vector of viral diseases. ARSEF 644, 964 and 2479 had the lowest LC50 (≤3.6 × 105 conidia/ml) after a 3-day exposure and shortest LT50 (≤1.3 days) at 106 conidia/ml against larvae; none of these isolates affected either eggs or adults treated topically with conidia. However, adults fed on a conidial (106 conidia/ml) suspension in 10% sucrose died (≤26.6 ±â€¯3.3% mortality, 5 days after feeding) but no fungal development was detected on dead adults. No pupae or adults obtained following treatment of fourth instar larvae with 105 or 106 conidia/ml showed any indication of fungal presence. C. clavisporus-especially ARSEF 644, 964 and 2479-is the first choice for control of A. aegypti and has high potential in control strategies targeting aquatic larvae.

Magnetic biocatalysts of pectinase and cellulase: Synthesis and characterization of two preparations for application in grape juice clarification.

In the present study, we prepared two different magnetic biocatalysts of pectinase and cellulase: carrier-free magnetic CLEAs (CLEA-MP*) and immobilization on glutaraldehyde-activated magnetite (Enz-Glu-MP*). The biocatalysts were compared to their magnetic properties, immobilization parameters, stability and grape juice clarification. Enz-Glu-MP* presented higher magnetic properties than CLEA-MP*, whereas this presented higher surface area and pore volume. The KM of the enzyme immobilized on Enz-Glu-MP* was 25.65mM, lower in comparison to the CLEA-MP* (33.83mM). On the other hand, CLEA-MP* was the most active and stable biocatalyst, presenting higher recovered activity (33.4% of cellulase), higher thermal stability (2.39 stabilization factor) and improved reusability (8cycles). The integration of magnetic technology with enzymatic immobilization emerges as a possibility to increase the recover and reuse of biocatalysts for application in juice technology.

MicroRNA-16 feedback loop with p53 and Wip1 can regulate cell fate determination between apoptosis and senescence in DNA damage response.

Cell fate regulation is an open problem whose comprehension impacts several areas of the biosciences. DNA damage induces cell cycle checkpoints that activate the p53 pathway to regulate cell fate mechanisms such as apoptosis or senescence. Experiments with different cell types show that the p53 pathway regulates cell fate through a switch behavior in its dynamics. For low DNA damage the pathway presents an oscillatory pattern associated with intense DNA damage repair while for high damage there are no oscillations and either p53 concentration increases inducing apoptosis or the cell enters a senescence state. Apoptosis and senescence phenotypes seem to have compensatory functions in tissues and the microRNA 16-1 (miR-16) is involved in the regulation of the fate between both phenotypes in cancer cells. To investigate the regulation of cell fate we developed a logical model of the G1/S checkpoint in DNA damage response that takes into account different levels of damage and contemplates the influence of miR-16 through its positive feedback loop formed with p53 and Wip1. The model reproduces the observed cellular phenotypes in experiments: oscillatory (for low DNA damage) regulated by negative feedback loops involving mainly p53 and Mdm2 and apoptotic or senescent (for high DNA damage) regulated by the positive p53/Wip1/miR-16 feedback loop. We find good agreement between the level of DNA damage and the probability of the phenotype produced according to experiments. We also find that this positive feedback makes senescent and apoptotic phenotypes to be determined stochastically (bistable), however controlling the expression level of miR-16 allows the control of fate determination as observed experimentally.

Alpha-l-iduronidase and arylsulfatase B in dried blood spots on filter paper: Biochemical parameters and time stability.

BACKGROUND: The goal of this study was to assess the biochemical parameters of the enzymes α-l-iduronidase (IDUA) and arylsulfatase B (ASB), which are deficient in mucopolysaccharidosis (MPS) I and VI, respectively, in dried blood spot (DBS) samples impregnated on filter paper. METHODS AND RESULTS: The optimal pH, Km, and Vmax of IDUA and ASB in DBS are hereby presented. After these analyses, the reference values for the activities of these enzymes in DBS with cutoff of 3.65nmol/h/mL for IDUA and 6.80nmol/h/mL for ASB were established. The research also showed that the stability (21days) of the IDUA activity is lower than ASB, which maintained its enzymatic activity stable up until 60days of analysis, after impregnating the filter paper with blood. CONCLUSION: Currently, DBS ensures important advantages in handling storage and transportation of samples with respect to neonatal screening programs. This study contributes to characterizing and differentiating the biochemistry of deficient enzymes in MPSs I and VI of DBS samples.

Evaluation of the roughness of composite resins submitted to different surface treatments.

The aim of this study was to evaluate the surface roughness of restorative composite resins after polishing with aluminum oxide discs and applying an adhesive layer The following composite resins were used: Filtek Z250 (hybrid, 3MESPE, A2) and Filtek Supreme XT (nanofilled, 3M ESPE, A2E). Thirty specimens of each composite were made using a condensation silicone mold (5.0 x 2.0 mm) into which the composites were inserted and submitted to light pressure. After polymerization using the halogen light source Curing Light 2500 (3M) for 40 seconds, the specimens were assigned to the following groups: G1-Z250/CO- control, did not receive any treatment; G2-Z250/SL--the specimens underwent finishing and polishing with Sof-Lex discs; G3-Z250/ADE, application of an adhesive layer on the top of the specimen and light curing for 20 seconds. Groups G4, G5 and G6 followed the same treatment sequence, but using Filtek Supreme XT The specimens were stored in deionized water at 37 degrees C for 24 h. Three readings of surface roughness were made for each specimen. The results were submitted to variance analysis by Two-Way ANOVA Test and Tukey HSD Test. The mean values obtained were: G3 (0.2325 +/- 0.1484 microm) and G6 (0.2266 +/- 0.0463 microm), which were higher than the other groups and did not differ statistically from each other. Groups G1 (0.1023 +/- 0.0464 microm), G4 (0.1083 +/- 0.0241 microm), G5 (0.1160 +/- 0.0252 microm) and G2 (0.1360 +/- 0.0131 microm) had the lowest average roughness and did not differ statistically among each other. It was concluded that the Sof-Lex discs performed better for the surface treatment of the composites resins tested, producing similar values of surface roughness for both composites. Covering with dentin adhesive increased the surface roughness in both composites.

Evaluation of the roughness of composite resins submitted to different surface treatments / Evaluación de la rugosidad de resinas compuestas después de diferentes tratamientos de superficie

El propósito del presente estudio fue evaluar la rugosidad superficial de resinas compuestas después de ser pulidas con discos de óxido de aluminio y de aplicar una capa de adhesivo. Se utilizó resina Filtek Z250 y Filtek Supreme XT. Se fabricaron treinta especímenes de cada resina utilizando una matriz de silicona (5,0 x 2,0 mm). Después de su polimerización por 40 segundos, se formaron los siguientes grupos: G1-Z250/CO – control, que no recibió ningún tratamiento; G2-Z250/SL – los especímenes fueronacabados y pulidos con discos Sof-Lex; G3-Z250/ADE – se aplicó una capa de adhesivo en la parte superficial de los especímenes polimerizada por 20 segundos. Los grupos G4, G5 y G6 siguieron el mismo patrón, utilizando resina Filtek Supreme XT. Tres lecturasde rugosidad superficial fueron hechas en cada especímen. Se evaluaron mediante la pruebas de ANOVA Two-Way y Tukey HDS (p = 0,05), obteniendo los siguientes valores: G3 (0.2325 ± 0.1484 μm) y G6 (0.2266 ± 0.0463 μm) obtuvieron valores superiores a los otros grupos sin diferencia estadística. G1 (0.1023 ± 0.0464 μm), G4 (0.1083 ± 0.0241 μm), G5 (0.1160 ± 0.0252 μm) y G2(0.1360 ± 0.0131 μm) obtuvieron los menores valores de rugosidadsuperficial sin diferencia estadística. Se concluyó que los discos Sof-Lex presentaron un mejor desempeño para el tratamiento superficial de las resinas compuestas, siendo capaces de producirvalores similares de rugosidad de la superficie de ambos compuestos.La aplicación de una capa hidrofóbica de monómeros en las resinas produjo una elevada rugosidad superficial.

Evaluation of the roughness of composite resins submitted to different surface treatments / Evaluación de la rugosidad de resinas compuestas después de diferentes tratamientos de superficie

El propósito del presente estudio fue evaluar la rugosidad superficial de resinas compuestas después de ser pulidas con discos de óxido de aluminio y de aplicar una capa de adhesivo. Se utilizó resina Filtek Z250 y Filtek Supreme XT. Se fabricaron treinta especímenes de cada resina utilizando una matriz de silicona (5,0 x 2,0 mm). Después de su polimerización por 40 segundos, se formaron los siguientes grupos: G1-Z250/CO û control, que no recibió ningún tratamiento; G2-Z250/SL û los especímenes fueronacabados y pulidos con discos Sof-Lex; G3-Z250/ADE û se aplicó una capa de adhesivo en la parte superficial de los especímenes polimerizada por 20 segundos. Los grupos G4, G5 y G6 siguieron el mismo patrón, utilizando resina Filtek Supreme XT. Tres lecturasde rugosidad superficial fueron hechas en cada especímen. Se evaluaron mediante la pruebas de ANOVA Two-Way y Tukey HDS (p = 0,05), obteniendo los siguientes valores: G3 (0.2325 ± 0.1484 μm) y G6 (0.2266 ± 0.0463 μm) obtuvieron valores superiores a los otros grupos sin diferencia estadística. G1 (0.1023 ± 0.0464 μm), G4 (0.1083 ± 0.0241 μm), G5 (0.1160 ± 0.0252 μm) y G2(0.1360 ± 0.0131 μm) obtuvieron los menores valores de rugosidadsuperficial sin diferencia estadística. Se concluyó que los discos Sof-Lex presentaron un mejor desempeño para el tratamiento superficial de las resinas compuestas, siendo capaces de producirvalores similares de rugosidad de la superficie de ambos compuestos.La aplicación de una capa hidrofóbica de monómeros en las resinas produjo una elevada rugosidad superficial.(AU)

Associação da pressão positiva expiratória ao final da expiração ao nebulizador ultrassônico: efeito na deposição de aerossol no pulmão / Association of positive end expiratory pressure to ultrassonic nebulizer: effect on aerosol deposition into lungs

Este estudo visou comparar deposição de aerossol no pulmão mediante o uso de nebulizador ultra-sônico (US), sem e com utilização de válvula de pressão positiva expiratória final (PEEP), comparando ainda duas pressões da válvula, de 5 cmH2O e de 10cmH2O. Para analisar a deposição de aerossol, foram delimitadas regiões de interesse...

This study aimed comparing aerosol deposition into lungs using an ultrasonic (US) nebulizer, with and without using a positive end expiratory pressure (PEEP) valve, also comparing two valve pressures, 5 cmH2O and 10cmH2O. Twelve young healthy volunteers were submitted to Tc99m radioaerosol inhalation generated by nebulizer in three stages: