Apical ballooning syndrome (Takotsubo Syndrome): Case report

Introduction. The apical ballooning syndrome (ABS) is a single reversible cardiomyopathy often triggered by a stressful event. We aimed to present a case report regarding this disorder. Case presentation. Here we present the case of a 77-year-old female hypertensive patient, sedentary and non-smoker, diagnosed with apical ballooning syndrome. We describe the clinical signs and symptoms, changes in markers of myocardial necrosis and changes in the electrocardiogram and coronary angiography. Conclusion: The course of events patient showed clinical improvement with treatment and support was not necessary to administer specific medications or interventions to reverse the situation. After hemodynamic stabilization coronary angiography showed no obstructive lesions and left ventricle with akinesia of the apex and the middle portion of the left ventricle. © 2013 do Nascimento et al.; licensee BioMed Central Ltd.

Efficacy of four irrigation needles in cleaning the apical third of root canals

This study aimed to evaluate the influence of irrigation needle gauge and design, and the final root canal diameter on the apical cleaning efficacy. Twelve human mandibular incisors were used. At different stages of root canal widening (sizes 20, 30 and 40 K-files), root canals were filled with radiopaque contrast medium. Four different needles were evaluated: 23G with side opening, 22G with apical opening, 30G with side opening and 30G with apical opening. Irrigation was carried out with 2 mL distilled water. The same tooth was radiographed with a digital system several times to assess the four types of needle in those three stages of canal widening. Pre-irrigation (canals filled with contrast) and post-irrigation (canals with remaining contrast) images were submitted to digital subtraction using the Adobe Photoshop CS4 program. Pre-irrigation (filled with contrast) and subtracted (cleaned by irrigation) areas were outlined by a trained and blinded operator using the Image Tool 3.0 software. Their ratio was calculated to express the percentage of apical cleaning in each stage of canal widening (sizes 20, 30 and 40 K-files) with each of the four needles. Data obtained were subjected to one-way ANOVA and Tukey's tests. The 30G needles with side and apical opening promoted better apical cleaning at all stages of root canal widening (p<0.05). In conclusion, smaller diameter needles were more efficacious in cleaning the apical third of the root canals, regardless of their design.

Flexibility, torque and kick performance in soccer: Effect of dominance

Aim: The aim of this study was to evaluate the knee flexor and extensor torques in isometric contractions, comparing the H:Q ratios, flexibility and maximal kick between dominant (DL) and non-dominant (NDL) limb of soccer players (SG) and active people (AG)Methods: Subjects performed maximal instep kicks with each limb, flexibility tests and maximal isometric voluntary contractions of the knee flexion and extension at 45° and 90° to determine peak torque of the DL and NDLKnee flexion torque was divided by the knee extension torque to calculate torque ratios (H:Q ratio)Results: The flexibility and maximal kick in SG was significantly higher than in AG for both the DL and NDL (P<0.05)The maximal kick of DL was significantly higher than in NDL in SG (P<0.01)Knee flexion torque in SG was significantly higher than in AG in the DL (P<0.05), and the H:Q ratio was similar between AG and SGConclusion: Dominance related differences were evident in the flexor torque and maximal kick for SG, probably related to the asymmetric demand in trainings, which present no effect on the flexibility© 2013 Elsevier Masson SAS.

Leaf anatomical traits are correlated with tree dominance in a Neotropical deciduous forest

Deciduous forests from the neotropics are one of the most endangered forest types in the world due to the exploitation of their natural resources by mankind. Many aspects of these ecosystems have been studied; however, there is a lack of information about leaf structure and the effects of tree dominance on their structural leaf patterns. In this article, we examine leaf anatomy and specific leaf areas (SLA) in 13 tree species differing in their dominance in a Dry Forest site in Central Brazil, relating leaf anatomical traits with phytosociological aspects. Leaf anatomical traits differed according to tree dominance: greater leaf thickness (achieved through greater thickness of the mesophyll), low values of SLA and bigger stomata were found for the most dominant species, whereas the less dominant species showed thinner leaves with high SLA, as well as numerous and small stomata. These responses suggest that tree dominance is an important indirect effect associated with vertical light availability in the forest. These strategies are probably related to the accomplishment of a high performance in carbon gain and water economy, given the distinction in irradiance that the leaves of different species are subject to in the dry forest. © 2013 Copyright The Royal Society of New Zealand.

Histologic Characterization of Engineered Tissues in the Canal Space of Closed-apex Teeth with Apical Periodontitis

Introduction: The aim of this study was to investigate the capacity of endodontic regenerative procedures combining an induced blood clot, platelet-rich plasma (PRP), and bone marrow aspirate (BMA) to regenerate dental pulp in canine closed-apex necrotic teeth. Methods: Apical periodontitis was induced in 20 upper and lower premolars of 2 dogs. After biomechanical preparation, enlargement to a #60 file, and disinfection with a triantibiotic paste for 28 days, the roots were randomly assigned to 4 treatment groups: blood clot (BC), BC + PRP gel, BC + BMA gel, and BC + BMA/PRP gel. Negative controls were also included. After a 3-month follow-up period, the animals were killed. Results: Histologic analysis showed the presence of newly formed vital tissues (connective, cement-like, and bone-like tissue) in 23 of the 32 treated roots (71.87%). There was no statistically significant difference between the treatment groups. Conclusions: New vital tissues were formed and characterized as connective, cementum-like, or bone-like, but not as pulp-like tissue; PRP and/or BMA did not improve the tissue ingrowth. © 2013 American Association of Endodontists.

Reimplante dentário após obturação do canal com pasta de hidróxido de cálcio associado ao plug apical de MTA: estudo histomorfométrico em ratos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Ação de medicações intracanal sobre biofilme microbiano localizado em áreas de reabsorção apical de dentes humanos extraídos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Sistema adesivo na obturação de canais radiculares: biocompatibilidade e infiltração coronária (reparação apical e periapical em dentes de cães)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Influência dos corantes Azul de Metileno a 2% e Rodamina B a 2% na determinação da capacidade seladora apical de diferentes cimentos endodônticos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da infiltração bacteriana corono-apical de canais radiculares obturados com diferentes tipos de cimentos endodônticos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação microbiológica do canal radicular e da reparação apical e periapical após tratamento endodôntico de dentes de cães com vitalidade pulpar e sem vitalidade pulpar com ou sem reação periapical crônica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da infiltração apical, pós tratamento de canais radiculares, utilizando 4 diferentes técnicas combinadas de instrumentação rotatória e obturação por termoplastificação. Estudo in vitro

Pós-graduação em Odontologia - FOAR

Polimorfismos do gene HLA-DRB1 associados à resposta imune humoral contra o antígeno-1 de membrana apical das variantes de Plasmodium vivax (VK210, VK247 e P. vivax-like)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da reabsorção radicular apical em incisivos submetidos à retração anterior

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Doses e épocas de adubação nitrogenada e poda apical na produção e qualidade das sementes de quiabeiro

Pós-graduação em Agronomia - FEIS