Resumo Fundamento: O uso de dispositivos cardíacos eletrônicos implantáveis (DCEI) como o cardiodesfibrilador (CDI) e terapia de ressincronização cardíaca (TRC) - é cada vez maior. O número de eletrodos de estimulação e desfibrilação varia de acordo com o dispositivo. A colocação do eletrodo no ventrículo esquerdo aumenta o tempo cirúrgico podendo associar-se a maior morbidade no acompanhamento após alta hospitalar, evento muitas vezes confundível com a gravidade da patologia base. Objetivo: Avaliar a taxa de internação não programada na emergência e óbito após cirurgia de dispositivos implantáveis estratificados pelo tipo de aparelho. Métodos: Estudo de coorte prospectivo analisando 199 pacientes submetidos à implante de dispositivos cardíacos. Os grupos foram divididos de acordo com o tipo de dispositivo: CDI (n = 124) e TRC (n = 75). Estimativas de probabilidades foram analisadas pelo método de Kaplan-Meier de acordo com o desfecho. Valor de p < 0,05 foi considerado significativo nas análises estatísticas. Resultados: A maioria da amostra era do sexo masculino (71,9%) - idade média de 61,1 ± 14,2. A fração de ejeção do ventrículo esquerdo foi similar entre os grupos (TRC 37,4 ± 18,1 vs. CDI 39,1 ± 17,0; p = 0,532). A taxa de visita não programada na emergência relacionada ao dispositivo foi de 4,8% no grupo CDI e de 10,6% no grupo TRC (p = 0,20). A probabilidade de sobrevida relacionada ao dispositivo da variável “óbito” mostrou-se diferente entre os grupos (p = 0,008). Conclusões: Paciente após o implante de TRC apresenta maior probabilidade de mortalidade após o procedimento cirúrgico no seguimento menor que 1 ano. A taxa de visita hospitalar não programada, relacionadas ou não ao implante, não difere entre os grupos.

Abstract Background: The use of Cardiovascular Implantable Electronic Devices (CIED), such as the Implantable Cardioverter Defibrillator (ICD) and Cardiac Resynchronization Therapy (CRT), is increasing. The number of leads may vary according to the device. Lead placement in the left ventricle increases surgical time and may be associated with greater morbidity after hospital discharge, an event that is often confused with the underlying disease severity. Objective: To evaluate the rate of unscheduled emergency hospitalizations and death after implantable device surgery stratified by the type of device. Methods: Prospective cohort study of 199 patients submitted to cardiac device implantation. The groups were stratified according to the type of device: ICD group (n = 124) and CRT group (n = 75). Probability estimates were analyzed by the Kaplan-Meier method according to the outcome. A value of p < 0.05 was considered significant in the statistical analyses. Results: Most of the sample comprised male patients (71.9%), with a mean age of 61.1 ± 14.2. Left ventricular ejection fraction was similar between the groups (CRT 37.4 ± 18.1 vs. ICD 39.1 ± 17.0, p = 0.532). The rate of unscheduled visits to the emergency unit related to the device was 4.8% in the ICD group and 10.6% in the CRT group (p = 0.20). The probability of device-related survival of the variable “death” was different between the groups (p = 0.008). Conclusions: Patients after CRT implantation show a higher probability of mortality after surgery at a follow-up of less than 1 year. The rate of unscheduled hospital visits, related or not to the implant, does not differ between the groups.

Recently, various calcium silicate-based sealers have been introduced for use in root canal filling. The MTA Fillapex is one of these sealers, but some of its physicochemical properties are not in accordance with the ISO requirements. Objective: The aim of this study was to evaluate the flowability, pH level and calcium release of pure MTA Fillapex (MTAF) or containing 5% (MTAF5) or 10% (MTAF10) calcium hydroxide (CH), in weight, in comparison with AH Plus sealer. Material and Methods: The flowability test was performed according to the ISO 6876:2001 requirements. For the pH level and calcium ion release analyses, the sealers were placed individually (n=10) in plastic tubes and immersed in deionized water. After 24 hours, 7 and 14 days, the water in which each specimen had been immersed was evaluated to determine the pH level changes and calcium released. Flowability, pH level and calcium release data were analyzed statistically by the ANOVA test (α=5%). Results: In relation to flowability: MTAF>AH Plus>MTAF5>MTAF10. In relation to the pH level, for 24 h: MTAF5=MTAF10=MTAF>AH Plus; for 7 and 14 days: MTAF5=MTAF10>MTAF>AH Plus. For the calcium release, for all periods: MTAF>MTAF5=MTAF10>AH Plus. Conclusions: The addition of 5% CH to the MTA Fillapex (in weight) is an alternative to reduce the high flowability presented by the sealer, without interfering in its alkalization potential.

Avaliou-se o potencial prognóstico de parâmetros microscópicos de folhas assintomáticas de . Clusia hilariana Schltdl. expostas à deposição particulada de ferro (2.14 mg cm² dia-1), por 45 dias consecutivos. Amostras de folhas jovens e expandidas sem sintomas foram coletadas e submetidas a técnicas usuais em microscopia de luz e eletrônica de varredura. Foram mensurados a altura das células epidérmicas de ambas as faces da folha e a espessura da hipoderme, do parênquima clorofiliano e da lâmina foliar. Danos micromorfológicos ocorreram na superfície abaxial de folhas jovens e em ambas as faces de folhas expandidas. Erosão da cera epicuticular e ruptura cuticular foram frequentes na face adaxial, enquanto na face abaxial, de ambas as folhas, houve perda da sinuosidade da parede anticlinal das células epidérmicas, deformação e obstrução estomática. Alterações micromorfométricas foram observadas em todos os tecidos foliares, exceto na altura das células epidérmicas em razão, provavelmente, da espessa cutícula e flanges cuticulares proeminentes. A maior diferença na espessura da lâmina foliar foi verificada nas folhas jovens de plantas expostas à SPM Fe, indicando maior sensibilidade ao ferro particulado em comparação com as folhas expandidas. As alterações micromorfológicas e micromorfométricas observadas na lâmina foliar de . Clusia hilariana Schltdl. demonstraram o potencial prognóstico dessas ferramentas na avaliação de impactos causados pela deposição de particulados, em especial na vegetação natural de restinga, onde a exposição é crescente diante da expansão de usinas mineradoras implantadas em sua vizinhança.

This study aims to evaluate the prognostic value of microscopic parameters of asymptomatic leaves of Clusia hilariana Schltdl. subjected to particulate deposition of iron (2.14 mg cm-2 day-1) for 45 consecutive days. Samples of young and expanded leaves without symptoms were collected and subjected to light and scanning electron microscopy techniques. The height of the epidermal cells on both surfaces of the leaf and the thickness of the hypodermis, the chlorophyll parenchyma, and the leaf blade were measured. Micromorphological injury occurred in the abaxial surface of young leaves and on both surfaces of expanded leaves. Erosion of the epicuticular wax and cuticle rupture were frequent on the adaxial surface, while on the abaxial surface of both leaves there was a loss of sinuosity on the anticlinal wall of the epidermal cells, stomatal deformity and obstruction. Micromorphometric alterations were seen in all leaf tissues except in the height of epidermic cells, probably due to the thick cuticle and prominent cuticular flanges. The highest difference in thickness of the leaf blade was seen in young leaves of plants subjected to SPMFe, indicating greater sensibility to particulate iron in comparison to the expanded leaves. The micromorphological and micromorphometric alterations in the leaf blade of Clusia hilariana Schltdl. showed the prognostic potential of these tools on the evaluation of impacts caused by the deposition of particulate matter, especially in the 'Restinga' natural vegetation, where the exposure is increasing due to the presence of iron ore industry in their surroundings.

Tamoxifen (TXF) is currently the only hormonal agent used for treatment of breast cancer. Although very effective, TXF presents low solubility in water, which affects its absorption and bioavailability. A common strategy to overcome this barrier is the formulation of a drug delivery system (DDS) in order to increase the drug stability and improve the treatment effectiveness. Reversible addition-fragmentation chain transfer (RAFT) polymerization is the most versatile method of controlled/living radical polymerization (CLRP), allowing for synthesis of well-defined polymers and being adapted to a wide range of polymerization systems. Miniemulsion polymerization is a dispersed system that is commonly used to prepare nanoparticles (NP) with 50 to 500 nm of diameter. The aim of this work was to evaluate the effect of the in situ incorporation of TXF during miniemulsion conventional and RAFT polymerizations, using methyl methacrylate (MMA) as monomer. Although the in situ addition of TXF promoted a slight reduction of the reaction rate, it did not affect the final particle size distribution of the latex or the molecular weight control exerted by the RAFT agent. The obtained results suggest that in situ incorporation of TXF during the synthesis of polymer NP via RAFT polymerization allows for production of a polymer DDS for different uses, such as the breast cancer treatment.

The aim of the present study was to evaluate the effect of calcium hydroxide dressing on the bond strength of three commercially available endodontic sealers (MTA Fillapex, Sealapex, and AH Plus) to root canal dentin. Sixty slices of extracted human canines were obtained from cervical, middle, and apical root thirds. Root canals were standardized and specimens were filled and divided into six groups (n = 10): G1, MTA Fillapex; G2, Sealapex; and G3, AH Plus, with prior application of calcium hydroxide dressing; and G4, G5 and G6, without prior application of intracanal dressing. After 7 days, specimens were submitted to a push-out test. The data obtained were analyzed using the ANOVA and Tukey tests (a = 5%). Fracture modes were classified as adhesive, cohesive or mixed. The results of sealer bond strength to root canal dentin varied according to the sealer, root third and prior dressing application. Overall, calcium hydroxide dressing reduced bond strength in all root thirds, but the reduction was significant only for AH Plus, at the cervical (3.25 ± 1.69) and apical (4.43 ± 1.65) thirds (p < 0.05). AH Plus showed the highest bond strength for all root thirds (p < 0.05) compared to the other groups. G1, G2, G4 and G5 showed similar bond strength values for all root thirds (p > 0.05). In conclusion, the calcium hydroxide dressing only had a negative effect on the bond strength of AH Plus, at the cervical and apical thirds. On the other hand, the bond strength values for MTA Fillapex and Sealapex were lower than those for AH Plus and, whereas the mixed failure mode predominated for AH Plus, the adhesive failure mode predominated for MTA Fillapex and Sealapex.

Realizamos este estudo com o objetivo de comparar a densidade neuronal evidenciada nas regiões antimesocólica e intermediária do colo de ratos. Utilizamos o colo ascendente de 10 ratos Wistar com 7 meses de idade. Encontramos com o método de Giemsa 29046 neurônios/cm² na região antimesocólica e 30968 neurônios/ cm² nas regiões intermediárias. Com a técnica histoquímica da NADH-diaforase encontramos 12308 neurônios/ cm² na região antimesocólica e 8798 neurônios/cm² nas regiões intermediárias. O número de neurônios NADH-diaforase positivos é significantemente menor que o número de neurônios corados com o método de Giemsa, sendo que esta diferença se acentua nas regiões intermediárias da circunferência intestinal. Portanto, para comparar o número de neurônios de um segmento intestinal de uma mesma espécie e numa mesma idade, é necessário levar em consideração a técnica empregada e a região da circunferência intestinal em que se obteve a amostra.

We carried out this study with the purpose of comparing the neuronal density in antimesocolic and intermediate regions of the colon of rats. We used the ascending colon of ten seven-months old Wistar rats. With the Giemsa method we found 29046 neurons/cm² on the antimesocolic region and 30968 neurons/cm² on the intermediate regions. With the NADH-diaphorase technique 12308 neurons/cm² on the antimesocolic regions and 8798 neurons/cm² on the intermediate regions were evidenced. The number of NADH-diaphorase positive neurons is significantly less than the number of Giemsa-stained neurons, and that this difference is enhanced on the intermediate regions of the intestinal circumference. Therefore, to compare the number of neurons of an intestinal segment of a same species at the same age, it is necessary to take into consideration the technique employed and the region of the intestinal circumference from where the sample was obtained.