Miracle-dz/UniFAR-FTUs huggingface dataset:
Restoring biological width after autotransplantation of an impacted endodontically treated third molar

Whenever unrestorable teeth need to be extracted or tooth agenesis is evident, other treatment alternatives, such as tooth transplantation, should be considered, instead of immediately replacing teeth with fixed, removable, or implant-supported prostheses. Supernumerary and impacted teeth should be considered as a reservoir for transplants. Transplanted tooth should be managed carefully during transplantation and endodontic treatment. This present case report discusses an autotransplantation of an impacted third molar into an unrestorable second molar.
Cis-trans isomerism in a square-planar platinum(II) complex bearing bulky fluorinated phosphane ligands.

Transition-metal complexes bearing fluorinated phosphane and thiolate ligands has been an area of study in recent years and the chemical context of the current work is related to the metal-assisted functionalization of fluorinated derivatives. The cis and trans isomers of the square-planar complex bis[(pentafluorophenyl)diphenylphosphane-κP]bis(2,3,5,6-tetrafluorobenzenethiolato-κS)platinum(II), [Pt(C6HF4S)2{P(C6H5)2(C6F5)}2], have been crystallized from a single chromatographic fraction and characterized by X-ray diffraction analysis. The stabilization of the cis isomer results from weak intramolecular π-stacking interactions and possibly from the formation of a C-F.Pt contact, characterized by an F.Pt separation of 2.957 (6) Å. The natural bond orbital analysis (NBO) for this isomer confirms that the corresponding F → Pt charge transfer accounts for 6.92 kcal mol(-1) in the isomer stabilization. Such interactions are not present in the centrosymmetric trans isomer.
Gel‐based and gel‐free proteomic analysis of Nicotiana tabacum trichomes identifies proteins involved in secondary metabolism and in the (a)biotic stress response

Nicotiana tabacum leaves are covered by trichomes involved in the secretion of large amounts of secondary metabolites, some of which play a major role in plant defense. However, little is known about the metabolic pathways that operate in these structures. We undertook a proteomic analysis of N. tabacum trichomes in order to identify their protein complement. Efficient trichome isolation was obtained by abrading frozen leaves. After homogenization, soluble proteins and a microsomal fraction were prepared by centrifugation. Gel‐based and gel‐free proteomic analyses were then performed. 2‐DE analysis of soluble proteins led to the identification of 1373 protein spots, which were digested and analyzed by MS/MS, leading to 680 unique identifications. Both soluble proteins and microsomal fraction were analyzed by LC MALDI‐MS/MS after trypsin digestion, leading to 858 identifications, many of which had not been identified after 2‐DE, indicating that the two methods complement each other. Many enzymes putatively involved in secondary metabolism were identified, including enzymes involved in the synthesis of terpenoid precursors and in acyl sugar production. Several transporters were also identified, some of which might be involved in secondary metabolite transport. Various (a)biotic stress response proteins were also detected, supporting the role of trichomes in plant defense.
Mass spectrometric analysis of GABAA receptor subtypes and phosphorylations from mouse hippocampus

The brain GABAA receptor (GABAAR) is a key element of signaling and neural transmission in health and disease. Recently, complete sequence analysis of the recombinant GABAAR has been reported, separation and mass spectrometrical (MS) characterisation from tissue, however, has not been published so far. Hippocampi were homogenised, put on a sucrose gradient 10–69% and the layer from 10 to 20% was used for extraction of membrane proteins by a solution of Triton X‐100, 1.5 M aminocaproic acid in the presence of 0.3 M Bis‐Tris. This mixture was subsequently loaded onto blue native PAGE (BN‐PAGE) with subsequent analysis on denaturing gel systems. Spots from the 3‐DE electrophoretic run were stained with Colloidal Coomassie Brilliant Blue, and spots with an apparent molecular weight between 40 and 60 kDa were picked and in‐gel digested with trypsin, chymotrypsin and subtilisin. The resulting peptides were analysed by nano‐LC‐ESI‐MS/MS (ion trap) and protein identification was carried out using MASCOT searches. In addition, known GABAAR‐specific MS information taken from own previous studies was used for searches of GABAAR subunits. β‐1, β‐2 and β‐3, θ and ρ‐1 subunits were detected and six novel phosphorylation sites were observed and verified by phosphatase treatment. The method used herein enables identification of several GABAAR subunits from mouse hippocampus along with phosphorylations of β‐1 (T227, Y230), β‐2 (Y215, T439) and β‐3 (T282, S406) subunits. The procedure forms the basis for GABAAR studies at the protein chemical rather than at the immunochemical level in health and disease.
Effect of progressive normobaric hypoxia on dynamic cerebral autoregulation

What is the central question of this study? Acute hypoxia reduces dynamic cerebral autoregulation (dCA); however, it is unclear what level of hypoxia is necessary to exert this effect. We sought to investigate whether dCA would be reduced during progressive periods of normobaric hypoxia using a duplex Doppler ultrasound technique to evaluate the volumetric blood flow. What is the main finding and its importance? We showed that dCA decreased linearly as inspired O2 decreased from 21 to 12%. Additionally, symptoms of acute mountain sickness were related to changes in dCA. Our results may provide a sensitive and clinically relevant test to evaluate the risk of acute mountain sickness.
Intestinal complications of strangulated hernia

LITTLE is known of the fate of a loop of small intestine replaced within the abdominal cavity at a n operation for strangulated hernia, for commonly recovery is uncomplicated. Less commonly a degree of partial intestinal obstruction appears to persist, and a few days pass before function is normal. Rarely a late complication arises and a n opportunity is afforded for further examination of the bowel at a second operation or at autopsy. In the first group it is probable that the cedematous, congested loop and its mesentery return rapidly to a normal condition, and peristalsis is promptly resumed. In those that remain partially obstructed there is a paralytic ileus in the involved segment. In some of these certain elements of the loopserosa, muscle, submucosa, mucosa, or mesenteric vessels-may have been damaged so extensively that healing is by fibrosis, and the late complications of adhesive obstruction or stenosis arise. Such patients with partial or intermittent obstruction may eventually develop macrocytic anaemia. In still others the wall of the replaced bowel is frankly gangrenous and soon becomes perforated. Six patients in whom such late complications occurred are here described, since they illustrate certain points in the diagnosis and management of these lesions. That 5 of the 6 patients in whom such late complications occurred came within the personal experience of the author within three years suggests that such lesions are not rare. All of these 6 patients were between 60 and 80 years of age, all except one were female, and all except one had a right femoral hernia. CASE REPORTS
A concise synthesis of a highly substituted 6-(1H-benzimidazol-1-yl)-5-nitrosopyrimidin-2-amine: synthetic sequence and the molecular and supramolecular structures of one product and two intermediates.

A concise and efficient synthesis of 6-benzimidazolyl-5-nitrosopyrimidines has been developed using Schiff base-type intermediates derived from N4-(2-aminophenyl)-6-methoxy-5-nitrosopyrimidine-2,4-diamine. 6-Methoxy-N4-{2-[(4-methylbenzylidene)amino]phenyl}-5-nitrosopyrimidine-2,4-diamine, (I), and N4-{2-[(ethoxymethylidene)amino]phenyl}-6-methoxy-5-nitrosopyrimidine-2,4-diamine, (III), both crystallize from dimethyl sulfoxide solution as the 1:1 solvates C19H18N6O2·C2H6OS, (Ia), and C14H16N6O3·C2H6OS, (IIIa), respectively. The interatomic distances in these intermediates indicate significant electronic polarization within the substituted pyrimidine system. In each of (Ia) and (IIIa), intermolecular N-H.O hydrogen bonds generate centrosymmetric four-molecule aggregates. Oxidative ring closure of intermediate (I), effected using ammonium hexanitratocerate(IV), produced 4-methoxy-6-[2-(4-methylphenyl-1H-benzimidazol-1-yl]-5-nitrosopyrimidin-2-amine, C19H16N6O2, (II) [Cobo et al. (2018). Private communication (CCDC 1830889). CCDC, Cambridge, England], where the extent of electronic polarization is much less than in (Ia) and (IIIa). A combination of N-H.N and C-H.O hydrogen bonds links the molecules of (II) into complex sheets.
PHARMACOKINETICS OF PROPOFOL INFUSIONS IN PATIENTS WITH CIRRHOSIS

We have compared the pharmacokinetics of propofol as an infusion in 10 control and 10 patients with cirrhosis. Anaesthesia was induced within 3–4 min during administration of an infusion of propofol 21 mg kg−1 h−1. After 5 min, the infusion was decreased in a stepwise manner to 12 mg kg−1 h−1 and subsequently 6 mg kg−1 h−1. The mean recovery time after discontinuation of the infusion was significantly longer in the cirrhotic group; however, when patients opened their eyes, blood concentrations of propofol were similar in both groups (1 μg ml−1). Pharmacokinetic analysis was performed from the beginning of infusion to 8 h after termination. Total body clearance was not reduced significantly in cirrhotic (1.56 (SD 0.48) litre min−1) compared with control (1.75 (0.32) litre min−1) patients. The volume of distribution at steady state was significantly greater in patients with cirrhosis than in control patients (202 (82) litre vs 121 (49) litre). However, this difference did not change terminal elimination half-life. The pharmacokinetics of propofol given by infusion to maintain general anaesthesia were not affected markedly by moderate cirrhosis.
Proteomic changes related to “bewildered” circulating platelets in the acute coronary syndrome

Acute coronary syndromes (ACS) are associated with platelet activation. The aim of the present study was to study the protein expression level associated with glycolysis, oxidative stress, cytoskeleton and cell survival in platelets obtained during an ACS. Platelets from 42 coronary ischemic patients, divided into patients admitted within 24 h after the onset of chest pain (ACS group; n=16) and patients with stable coronary ischemic disease (CAD, n=26), were analyzed using proteomics. The expression levels of proteins involved in cellular cytoskeleton (F‐actin capping, β‐tubulin, α‐tubulin isotypes 1 and 2, vinculin, vimentin and two Ras‐related protein Rab‐7b isotypes), glycolysis pathway (glyceraldehyde‐3‐phosphate dehydrogenase, lactate dehydrogenase and two pyruvate kinase isotypes) and cellular‐related antioxidant system (manganese superoxide dismutase) and even the expression and activity of glutathione‐S‐transferase were significantly reduced in platelets from ACS patients compared to CAD patients. Moreover, reduction in the expression of proteins associated with cell survival such as proteasome subunit β type 1 was also observed in ACS platelets compared with CAD platelets. Principal component and logistic regression analysis suggested the existence of factors (proteins) expressed in the platelets inversely associated with acute coronary ischemia. In summary, these results suggest the existence of circulating antioxidant, cytoskeleton and glycolytic‐“bewildered” platelets during the acute phase of a coronary event.
Acute Bacterial Meningitis in Children

Despite advances in recent decades in management, including new and effective antimicrobials, children with bacterial meningitis still incur significant morbidity and mortality. Pathophysiologic processes including colonization and migration of the bacteria to blood, seeding of the meninges, and meningeal and brain inflammation have been largely elucidated, but more specific knowledge could lead to new effective therapies. Outside of the neonatal period, the most common causative organisms have been Haemophilus influenzae, Streptococcus pneumoniae, and Neisseria meningitidis. However, conjugate vaccines, especially the H influenzae type b preparation, have contributed significantly to steep declines in the incidence of meningitis. Optimal management consists of rapid diagnosis and administration of bactericidal antibiotics with properties allowing adequate penetration of the inflamed blood-brain barrier. Recently, development of microbial resistance has resulted in changes to recommended empiric antibiotic regimens. Novel therapies are under investigation; however, until controlled trials can be conducted, these therapies cannot be recommended.
Basic Human Neuroanatomy

by Helen Singer Kaplan, 352 pp., ill. , New York, Brunner/Mazel, 1995, $39.95. Twenty-five years ago, Masters and Johnson invented sex therapy by presenting an innovative method backed with follow-up results. [1] Since then, we have realized that sex is more complex than we initially believed, that there are organic causes for some problems and that medical interventions can be effective. Despite its periodic renewal by seminal clinical observations, sex therapy has failed to go beyond concept building …
Psychological aspects of gynaecological outpatients

Two hundred and forty-eight women who were first attenders at a gynaecological outpatient clinic were assessed psychologically and categorised according to gynaecological complaint.The study sought to elucidate predictors for psychological distress and psychiatric diagnosis in this particular group.The presence of a psychiatric history, frequent attendance at the GP for nerves together with a younger age and single or separated/divorced status were associated with the measures used. Secondary amenorrhoea/oligomenorrhoea was specifically associated with depression. Complaints of dysmenorrhoea were associated with the presence of any psychiatric diagnosis (as assessed by questionnaires). The presence or absence of pathology was unrelated to any psychological or psychiatric measure. This report forms part of a prospective study investigating the relationship between psychological and gynaecological symptoms.
Improvement of NASH with two-year treatment with oral polyenephosphatidylcholine

A 46-year-old female patient with non-alcoholic steatohepatitis (NASH) was administered nateglinide, an insulin secretagogue, for 7 months, and then polyenephosphatidylcholine, an anti-oxidant medication, in accordance with the two-step hypothesis of NASH, with insulin resistance as the initial pathogenesis and oxidative stress as the second. HOMA-R, an index of insulin resistance, improved, and hepatic marker levels improved markedly by four weeks after initiation of polyenephosphatidylcholine. The beneficial effects of treatment continued over the 24 months of the study. A liver biopsy evaluated using Brunt's criteria showed improvement from stage 2 to stage 0 after 9 months. These findings suggest the therapeutic efficacy of step by step treatment of NASH in accordance with the two-stage hypothesis.
Weanling piglet cerebellum: a surrogate for tolerance to MRT (microbeam radiation therapy) in pediatric neuro-oncology

The cerebellum of the weanling piglet (Yorkshire) was used as a surrogate for the radiosensitive human infant cerebellum in a Swiss-led program of experimental microbeam radiation therapy (MRT) at the ESRF. Five weanlings in a 47 day old litter of seven, and eight weanlings in a 40 day old litter of eleven were irradiated in November, 1999 and June, 2000, respectively. A 1.5 cm-wide x 1.5 xm-high array of equally space approximately equals 20-30 micrometers wide, upright microbeams spaced at 210 micrometers intervals was propagated horizontally, left to right, through the cerebella of the prone, anesthetized piglets. Skin-entrance intra-microbeam peak adsorbed doses were uniform, either 150, 300, 425, or 600 gray (Gy). Peak and inter-microbeam (valley) absorbed doses in the cerebellum were computed with the PSI version of the Monte Carlo code GEANT and benchmarked using Gafchromic and radiochromic film microdosimetry. For approximately equals 66 weeks [first litter; until euthanasia], or approximately equals 57 weeks [second litter; until July 30, 2001] after irradiation, the littermates were developmentally, behaviorally, neurologically and radiologically normal as observed and tested by experienced farmers and veterinary scientists unaware of which piglets were irradiated or sham-irradiated. Morever, MRT implemented at the ESRF with a similar array of microbeams and a uniform skin-entrance peak dose of 625 Gy, followed by immunoprophylaxis, was shown to be palliative or curative in young adult rats bearing intracerebral gliosarcomas. These observations give further credence to MRT's potential as an adjunct therapy for brain tumors in infancy, when seamless therapeutic irradiation of the brain is hazardous.
SENSITIVITY PATTERN OF GRAM NEGATIVE BACILLI TO THREE β-LACTAM/β-LACTAMASE INHIBITOR COMBINATIONS USING THE AUTOMATED API SYSTEM

Purpose : To evaluate the spectrum of activity of three β-lactamase inhibitors such as amoxicillin/ clavulanic acid, ticarcillin/ clavulanic acid and piperacillin/ tazobactam in comparison to cephalosporins against gram negative bacilli. Methods : Gram-negative bacilli isolated from the clinical specimens received in the laboratory were included in the study. Using the API system (bioMιrieux) during a one-year period, a total of 1,252 Enterobacteriaceae and 385 non-fermenters were evaluated. Results : The percentage resistance of the Enterobacteriaceae isolates was 82.92% to amoxicillin/ clavulanic acid, 58.22% to ticarcillin/clavulanic acid and 22.44% to piperacillin/tazobactam respectively. Pseudomonas aeruginosa showed resistance of 96% to ticarcillin/ clavulanic acid and 61% to piperacillin/ tazobactam and Acinetobacter baumannii showed 49% resistance to ticarcillin/ clavulanic acid and 77% resistance to piperacillin/ tazobactam respectively. The isolates exhibited high resistance to all the generations of cephalosporins and the other groups of antibiotics except carbapenems. Conclusions : Piperacillin/tazobactam was found to be the most active combination of the three against Enterobacteriaceae and Pseudomonas spp. and ticarcillin/clavulanic acid against Acinetobacter spp. and Stenotrophomonas maltophilia .
Regulation of cerebral blood flow in mammals during chronic hypoxia: a matter of balance

Respiratory‐induced changes in the partial pressures of arterial carbon dioxide and oxygen play a major role in cerebral blood flow (CBF) regulation. Elevations in (hypercapnia) lead to vasodilatation and increases in CBF, whereas reductions in (hypocapnia) lead to vasoconstriction and decreases in CBF. A fall in (hypoxia) below a certain threshold (<40–45 mmHg) also produces cerebral vasodilatation. Upon initial exposure to hypoxia, CBF is elevated via a greater relative degree of hypoxia compared with hypocapnia. At this point, hypoxia‐induced elevations in blood pressure and loss of cerebral autoregulation, stimulation of neuronal pathways, angiogenesis, release of adenosine, endothelium‐derived NO and a variety of autocoids and cytokines are additional factors acting to increase CBF. Following 2–3 days, however, the process of ventilatory acclimatization results in a progressive rise in ventilation, which increases and reduces , collectively acting to attenuate the initial rise in CBF. Other factors acting to lower CBF include elevations in haematocrit, sympathetic nerve activity and local and endothelium‐derived vasoconstrictors. Hypoxia‐induced alterations of cerebrovascular reactivity, autoregulation and pulmonary vascular tone may also affect CBF. Thus, the extent of change in CBF during exposure to hypoxia is dependent on the balance between the myriad of vasodilators and constrictors derived from the endothelium, neuronal innervations and perfusion pressure. This review examines the extent and mechanisms by which hypoxia regulates CBF. Particular focus will be given to the marked influence of hypoxia associated with exposure to high altitude and chronic lung disease. The associated implications of these hypoxia‐induced integrative alterations for the regulation of CBF are discussed, and future avenues for research are proposed.
Differential adaptations to eccentric versus conventional resistance training in older humans

We hypothesized that training with eccentric contractions only (therefore using higher loads) would yield greater muscle structural and strength gains compared with conventional resistance training. Nine older adults (mean ±s.d. age, 74 ± 3 years) were assigned to a conventional (CONV) resistance training group performing both concentric and eccentric contractions and 10 (age, 67 ± 2 years) to an eccentric‐only (ECC) resistance training group. Both groups trained three times per week for 14 weeks at 80% of the five‐repetition maximum, specific to each training mode. Maximal knee extensor torque was assessed during isometric, concentric and eccentric contractions across a range of angular velocities (0–3.49 rad s−1). Vastus lateralis muscle architecture (fascicle length, pennation angle and muscle thickness) was assessed in vivo at rest using ultrasonography. Training increased fascicle length in both groups, but the increase was significantly greater in the ECC (20% increase) than the CONV group (8% increase). Conversely, pennation angle significantly increased in the CONV (35% increase) but not in the ECC group (5% increase). Muscle thickness increased to a similar extent in both groups (∼12% increase). In the ECC group, eccentric knee extensor torque increased by 9–17% across velocities, but concentric torque was unchanged. Conversely, in the CONV group, concentric torque increased by 22–37% across velocities, but eccentric torque was unchanged. Instead, isometric torque increased to a similar extent in both groups (∼8% increase). Thus, the two training regimens resulted in differential adaptations in muscle architecture and strength. These results suggest that the stimulus for adding sarcomeres in‐series and in‐parallel may be different, which implies that different myogenic responses were induced by the two different training methods.
Úlcera de perna: um estudo de casos em Juiz de Fora-MG (Brasil) e região

BACKGROUND: Leg ulcers are characterized as tissue loss in the lower extremities, generally caused by vascular dysfunction. OBJECTIVES: Verify the clinical and epidemiological profiles of the population sample with leg ulcers treated at the health centers of Juiz de Fora (Brazil). MATERIAL AND METHODS: 124 leg-wound patients were evaluated between January 1999 and August 2001 and submitted to a clinical protocol. RESULTS: The mean age was 64 years, with females in the majority (65.3%). The mean family composition was 3.7 persons, and family income was around US$200.00 (86.8%). Venous insufficiency (90.3%), systemic arterial hypertension (54%), obesity (20.2%) and diabetes mellitus (16.1%) were the most frequent events associated with the ulcers. An association of venous insufficiency and arterial hypertension was frequent in 43.7% of the sample, and significant (p<0.01) to predisposition to the ulcers. These were classified as venous (79%), hypertensive (15.4%), mixed and other (5.6%). The ulcers were generally localized in the distal third of legs (90%) and considered large (5 cm) in about 90% of the sample, with means of 8.7 cm and 9.6 cm to vertical and horizontal axes, respectively. The ulcers were accompanied mainly by hyperpigmentation (92.7%), lipodermatosclerosis (68.5%) and varicose veins (66.9%), with a mean duration of 94.2 months and 50% of them recurrent. CONCLUSIONS: The data suggested that leg ulcer is an important chronic disease in the elderly and poor population of Juiz de Fora and region.