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1.
Chemosphere ; 346: 140520, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38303395

RESUMEN

This paper explores the feasibility of functionalizing mango stones with iron oxide magnetic nanoparticles (MS-Fe3O4) by coprecipitation in batch adsorption processes. The synthesized material was characterized and applied in chloroquine (CQN) and sertraline hydrochloride (SER) removal from contaminated waters. The biosorbent was subjected to a regenerative study and treatment using a synthetic mixture of contaminants to evaluate its applicability in real effluents. The biosorbent was analyzed by transmission electron microscopy images, scanning electron microscopy, dispersive X-ray spectroscopy, Fourier transform infrared spectra, and zeta potential to characterize its chemical and morphology properties. The techniques applied showed the effectiveness of the proposed modification. In the adsorption experiments, the optimal adsorbent dosage was 0.01 g for both contaminants. The pH strongly influenced the adsorption of the drugs on MS-Fe3O4, and the best results were obtained in the pH range of 5-6. Kinetic data showed a better fit to the pseudo-second-order model, and the equilibrium time was achieved in 16 h for CQN and 4 h for SER. Isotherm studies revealed maximum adsorptive capacities of 49.42 and 64.79 mg g-1, respectively, for CQN and SER, at 318 K, demonstrating that the increase in temperature is a favorable factor, and the Sips model better describes the process. The thermodynamic parameters indicate an endothermic (ΔH° >0), spontaneous (ΔG° <0), and reversible (ΔS° >0) nature of the adsorption. This process is essentially governed by physical forces, such as hydrogen and π-π bonds. However, it is also valid to consider the presence of electrostatic forces due to the ionizing nature of CQN and SER. The MS-Fe3O4 biosorbent showed good performance when evaluated in a synthetic mixture of four contaminants, with an overall removal efficiency of approximately 86% and the regenerative capacity of three reusing cycles.


Asunto(s)
Mangifera , Contaminantes Químicos del Agua , Adsorción , Concentración de Iones de Hidrógeno , Cinética , Mangifera/química , Espectroscopía Infrarroja por Transformada de Fourier , Temperatura , Termodinámica , Agua/química , Contaminantes Químicos del Agua/química
2.
Environ Technol ; 45(11): 2119-2131, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36597779

RESUMEN

The presence of sertraline hydrochloride (SER) has been detected in water bodies and wastewater, which encourages the search for alternative treatments for its control and removal. Agro-industrial residues are considered efficient adsorbents and functionalization with magnetic nanoparticles improve the adsorptive properties of these materials, in addition to facilitating their separation from a fluid by an external magnetic field. Thus, this study developed and characterized a new material via the functionalization of the banana peel with iron oxide nanoparticles (BANFunc) for the adsorption of SER in batch experiments. Physicochemical and spectroscopic techniques indicated that the BANFunc functionalization method was effective and improved the adsorption capacity (0.68 and 39.96 mg g-1 for BANPure and BANFunc, respectively). The adsorption studies revealed a maximum adsorptive capacity of 142.85 mg g-1 at 240 min and 318 K. Furthermore, the process presented spontaneous and endothermic behaviour, with a better fit to the pseudo-first-order and Langmuir models for the kinetic and isothermal, respectively. The reuse of the biosorbent was effective for five cycles, and even in the 3rd cycle, the adsorbent showed more than 80% SER removal. The adsorption process can be explained by hydrogen bonds and π-interactions. In the synthetic mixture treatment, the biosorbent demonstrated a satisfactory removal rate, of 86.91%, and individual removals of 83.23%, 89.36% and 88.15% for SER, safranine orange and chloroquine, respectively. Therefore, BANFunc is a promising material for large-scale applications, considering its sustainable character and high treatment efficiency.


Asunto(s)
Musa , Contaminantes Químicos del Agua , Aguas Residuales , Sertralina , Adsorción , Contaminantes Químicos del Agua/análisis , Cinética , Concentración de Iones de Hidrógeno , Termodinámica
3.
Surg Neurol Int ; 14: 160, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37292391

RESUMEN

Background: The silk + flow-diverter stent is increasingly used to treat complex intracranial aneurysms including wide-neck and fusiform aneurysms. Balloon angioplasty has been used to better appose the flow diverter (FD) to the vessel wall and, thus, improve aneurysm occlusion rates and decrease periprocedural complications. Sparse data are available concerning the results of this technique. We report our experience with silk + FD associated with balloon angioplasty for the treatment of intracranial aneurysms. Methods: A retrospective study was conducted on all patients treated by the silk + FD. Clinical charts, procedural data, and angiographic results were reviewed and compared between those treated with balloon angioplasty. A multivariate analysis was conducted to identify predictors of complications, occlusion, and outcome. Results: Between July 2014 and May 2016, we identified 209 patients with 223 intracranial aneurysms. There were 176 (84.2%) women and 33 (15.8%) men. The most common stent size used was 4.5 mm in 101 patients (46.1%), followed by 4 mm in 57 patients (26%). Univariate analysis observed that stent diameter was significantly related to aneurysm occlusion (P < 0.05). Patients with more than 1 aneurysm treated with silk + stent have a 9.07 times greater chance of having complications in the procedure than patients with only 01 aneurysm (OR = 9.07; P = 0.0008). Patients who had angioplasty without the use of a balloon have a 13.69-times-higher risk of complications (OR = 13.69; P = 0.0003). Older age, larger aneurysms, and the use of more than 1 FD device were predictors of recanalization. Conclusion: Endovascular treatment of intracranial aneurysms with the silk + FD associated with balloon angioplasty is a safe and effective therapeutic option. Balloon angioplasty in combination with FD lowers the risk of complications. Higher complication rates and worse outcomes are associated with older age and large aneurysms.

4.
Mar Pollut Bull ; 192: 114963, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37201345

RESUMEN

Marine litter is a global problem. Education has been acclaimed as a potential tool to tackle this issue, yet, integrative, student-centered, and over weeks studies to raise awareness on the theme that compares pre- with post-intervention results are limited in the literature. Furthermore, almost no studies rely on the basis of previous experience on the theme and local reality. This paper presents the design, implementation, and evaluation of an educational intervention to raise awareness and educate students (1st cycle to high-school) about marine litter. Different learning skills were fostered through theoretical, laboratorial, and hands-on activities and students participated in a beach clean-up to summarize the classroom's learnings in loco. Pre- and post-questionnaire results indicate that students' knowledge, perceptions, and behavioral intentions changed. Identification of marine litter estimated degradation times and observation of microplastics in local sand samples were activities highly appreciated by youngsters. This intervention positively impacted schoolchildren's literacy, contributing to advancing education in marine litter and can be further adapted to other educational areas.


Asunto(s)
Plásticos , Instituciones Académicas , Humanos , Niño , Estudiantes , Encuestas y Cuestionarios , Microplásticos
5.
Environ Technol ; : 1-14, 2022 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-36274643

RESUMEN

The presence of micropollutants, such as caffeine (CAF), has been detected throughout the world, since conventional treatment plants are not able to properly degrade them. CAF is a widely consumed stimulant, and has been demanding the development of efficient methodologies for its removal. Aiming at the agriculture waste valorization, a new hydrochar was developed based on chemical and thermal modification of peach stones (mod-PS) for CAF removal from water and from a synthetic mixture. The morphology, functional groups and surface electrical charge of the adsorbent were characterized by SEM, FTIR and zeta potential, respectively. Regarding CAF adsorption performance, the equilibrium time was reached at 480 min and the pseudo-second-order model presented the best fit for the experimental data. The maximum adsorption capacity was 68.39 mg g-1 (298 K) and the Langmuir model exhibited a better fit for the isothermal data. The thermodynamic properties confirmed that the process was exothermic, spontaneous and reversible. The main adsorption mechanisms were hydrogen bonds and π-interactions. The global removal efficiency was satisfactory in the synthetic mixture simulating real wastewater (67%). Therefore, the proposed new hydrochar has potential application as a low-cost adsorbent for CAF removal.

6.
Artículo en Inglés | MEDLINE | ID: mdl-36078611

RESUMEN

The Cyclic Alternating Pattern (CAP) is a periodic activity detected in the electroencephalogram (EEG) signals. This pattern was identified as a marker of unstable sleep with several possible clinical applications; however, there is a need to develop automatic methodologies to facilitate real-world applications based on CAP assessment. Therefore, a deep learning-based EEG channels' feature level fusion was proposed in this work and employed for the CAP A phase classification. Two optimization algorithms optimized the channel selection, fusion, and classification procedures. The developed methodologies were evaluated by fusing the information from multiple EEG channels for patients with nocturnal frontal lobe epilepsy and patients without neurological disorders. Results showed that both optimization algorithms selected a comparable structure with similar feature level fusion, consisting of three electroencephalogram channels (Fp2-F4, C4-A1, F4-C4), which is in line with the CAP protocol to ensure multiple channels' arousals for CAP detection. Moreover, the two optimized models reached an area under the receiver operating characteristic curve of 0.82, with average accuracy ranging from 77% to 79%, a result in the upper range of the specialist agreement and best state-of-the-art works, despite a challenging dataset. The proposed methodology also has the advantage of providing a fully automatic analysis without requiring any manual procedure. Ultimately, the models were revealed to be noise-resistant and resilient to multiple channel loss, being thus suitable for real-world application.


Asunto(s)
Electroencefalografía , Sueño , Algoritmos , Nivel de Alerta , Electroencefalografía/métodos , Humanos , Polisomnografía/métodos , Factores de Tiempo
7.
Entropy (Basel) ; 24(5)2022 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-35626571

RESUMEN

Methodologies for automatic non-rapid eye movement and cyclic alternating pattern analysis were proposed to examine the signal from one electroencephalogram monopolar derivation for the A phase, cyclic alternating pattern cycles, and cyclic alternating pattern rate assessments. A population composed of subjects free of neurological disorders and subjects diagnosed with sleep-disordered breathing was studied. Parallel classifications were performed for non-rapid eye movement and A phase estimations, examining a one-dimension convolutional neural network (fed with the electroencephalogram signal), a long short-term memory (fed with the electroencephalogram signal or with proposed features), and a feed-forward neural network (fed with proposed features), along with a finite state machine for the cyclic alternating pattern cycle scoring. Two hyper-parameter tuning algorithms were developed to optimize the classifiers. The model with long short-term memory fed with proposed features was found to be the best, with accuracy and area under the receiver operating characteristic curve of 83% and 0.88, respectively, for the A phase classification, while for the non-rapid eye movement estimation, the results were 88% and 0.95, respectively. The cyclic alternating pattern cycle classification accuracy was 79% for the same model, while the cyclic alternating pattern rate percentage error was 22%.

8.
Environ Sci Pollut Res Int ; 29(31): 46813-46829, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35171415

RESUMEN

Triclosan (TCS) is widely used in the production of antibacterial products, being often found in wastewater. Therefore, this study developed new materials via soybean hulls (SBHF) and açaí seeds (AÇSF) functionalization with iron oxide nanoparticles to be applied in the TCS adsorption. The characterization confirmed the functionalization of the materials. The adsorption results indicated that the equilibrium of the process occurred after 480 and 960 min for SBHF and AÇSF, respectively. The maximum adsorptive capacity values were 158.35 and 155.09 mg g-1 for SBHF and AÇSF, respectively, at 318 K. The kinetic and isothermal data better fitted to the pseudo-second-order and Langmuir models. Thermodynamics indicated that the processes had an endothermic, spontaneous, and reversible character. The main adsorption mechanisms were H-bond and π-interactions. The pH and ionic strength studies indicated that the adsorption efficiency has not been reduced pronouncedly. The biosorbents reuse was effective for five cycles. In the synthetic mixture, the removal rate was satisfactory (92.53% and 57.02%, respectively for SBHF and AÇSF). These results demonstrate the biosorbents high potential for large-scale application.


Asunto(s)
Nanopartículas de Magnetita , Triclosán , Contaminantes Químicos del Agua , Adsorción , Concentración de Iones de Hidrógeno , Cinética , Magnetismo , Nanopartículas de Magnetita/química , Termodinámica , Contaminantes Químicos del Agua/análisis
9.
Chemosphere ; 289: 133213, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34890614

RESUMEN

Currently, the COVID-19 pandemic has been increasing the consumption of some drugs, such as chloroquine (CQN) and dipyrone (DIP), which are continuously discharged into water resources through domestic sewage treatment systems. The presence of these drugs in water bodies is worrisome due to their high toxicity, which makes crucial their monitoring and removal, especially by means of advanced technologies. Given this scenario, a new adsorbent material was synthesized through the combination of babassu coconut activated carbon and graphene oxide (GAC-GO). This study was evaluated in batch adsorption processes, aiming at the treatment of water contaminated with CQN and DIP. Characterization analyzes using physicochemical and spectroscopic techniques indicated that the GAC-GO functionalization was successfully performed. The equilibrium time of the adsorption process was 18 and 12 h for CQN and DIP, respectively. Kinetic and isothermal data better fitted to pseudo-second-order and Langmuir models for both drugs. Thermodynamic parameters showed that the process is endothermic and the maximum adsorption capacities of CQN and DIP were 37.65 and 62.43 mg g-1, respectively, both at 318 K. The study of the effect of ionic strength, which simulates a real effluent, demonstrated that the synthesized adsorbent has potential application for the treatment of effluents. Furthermore, satisfactory removal rates were verified for the removal of other contaminants in both simple solutions and synthetic mixtures, evidencing the versatile profile of the adsorbent.


Asunto(s)
Tratamiento Farmacológico de COVID-19 , Grafito , Preparaciones Farmacéuticas , Contaminantes Químicos del Agua , Purificación del Agua , Adsorción , Carbón Orgánico , Humanos , Cinética , Pandemias , SARS-CoV-2 , Agua , Contaminantes Químicos del Agua/análisis
10.
Environ Technol ; 43(27): 4315-4329, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34151743

RESUMEN

Safranin orange (SO) is a cationic dye widely used in industrial sectors. It becomes a threat to the aquatic ecosystem once it reaches water resources, directly affecting photosynthetic activity and dissolved oxygen rate. In view of this scenario and considering the large production of agro-industrial waste, which provides significant disposal costs and environmental impacts, the agricultural by-products such as mandarin peels (MP) are being used as biosorbent materials. Thus, this work proposed the use of MP for SO adsorption. The material was characterized by SEM, zeta potential, and FTIR analysis, in which it was possible to verify heterogeneous porous morphology, predominantly negative surface, and organic functional groups that facilitate adsorption. The results were promising, wherein the maximum adsorption capacity was 464 mg g-1 (318 K), 0.4 g L-1 adsorbent concentration, 120 min equilibrium time and removal percentage of 84.75%. The experimental data showed a better fit to the Langmuir and pseudo-second order mathematical models. The thermodynamic analysis inferred spontaneous, endothermic, and reversible character for SO adsorption onto MP. The main proposed adsorptive mechanisms were hydrogen bonds, π-interactions, and electrostatic interactions. In addition, the reuse of MP showed good efficiency since the adsorption capacity was maintained above 50% after four cycles (from 77.90 to 41.55 mg g-1). Moreover, when evaluating the effect of pH and ionic strength, it verified that the adsorption efficiency was not reduced. Therefore, when compared with other materials, the versatility and potential applicability of MP as a low-cost adsorbent for wastewater treatment is notable.


Asunto(s)
Citrus , Contaminantes Químicos del Agua , Purificación del Agua , Ecosistema , Concentración de Iones de Hidrógeno , Purificación del Agua/métodos , Adsorción , Termodinámica , Cinética , Contaminantes Químicos del Agua/química
11.
Sci Total Environ ; 789: 147957, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34052486

RESUMEN

Graphene oxide (GO) is one of the most well-known graphene derivatives which, due to its outstanding chemical, electrical and optical properties as well as its high oxygen content, has been recently applied in several fields such as in the construction of sensors, as antimicrobial agent for biomedical applications, as well as nanofiller material for membranes applied in wastewater treatment. In this last-mentioned field, the synthesis and functionalization of membranes with GO has proven to improve the performance of membranes applied in the treatment of wastewater containing dyes, regarding antifouling behavior, selectivity and flux. In this review, an overview of water pollution caused by effluents containing synthetic dyes, the advantages and limitations of GO-based membranes and the latest research advances on the use of GO-based membranes for dyes removal, including its impact on membrane performance, are discussed in detail. The future panorama of the applicability of GO-based membranes for the treatment of water contaminated by dyes is also provided.


Asunto(s)
Grafito , Purificación del Agua , Colorantes , Aguas Residuales
12.
Environ Technol ; 42(15): 2372-2384, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31801431

RESUMEN

Nowadays, the occurrence of microcontaminants in water resources has become a worldwide concern. Among them, it can be mentioned Bisphenol A, a substance widely used in the chemical composition of plastic such as manufacture of packages, bottles, toiletries, among others. Its use may cause adverse effects on human health and the environment. Thus, a treatment is necessary to remove this compound and adsorption is an interesting alternative due to its low cost, operation and high efficiency. The objective of the present study was to evaluate the adsorption capacity of bisphenol in babassu activated carbon. The obtained results were satisfactory and the best experimental conditions were at 318 K temperature, 1 g L-1 adsorbent concentration and 720 min equilibrium time, resulting in the maximum adsorptive capacity of 49.61 mg g-1. The experimental data fit best with the pseudo-second order and Langmuir models for the kinetic and equilibrium studies, respectively. Thermodynamic parameters indicated endothermic, spontaneous and reversible process. The main adsorption mechanisms were hydrogen bonds and π-π interactions. In addition, the material regeneration study allowed to verify its possibility of reuse. Therefore, it was noticed that babassu activated carbon has high potential applicability in the treatment of contaminated water.


Asunto(s)
Contaminantes Químicos del Agua , Purificación del Agua , Adsorción , Carbón Orgánico , Cocos , Humanos , Concentración de Iones de Hidrógeno , Cinética , Temperatura , Termodinámica , Contaminantes Químicos del Agua/análisis
13.
Entropy (Basel) ; 22(3)2020 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-33286136

RESUMEN

The Particle Swarm Optimisation (PSO) algorithm was inspired by the social and biological behaviour of bird flocks searching for food sources. In this nature-based algorithm, individuals are referred to as particles and fly through the search space seeking for the global best position that minimises (or maximises) a given problem. Today, PSO is one of the most well-known and widely used swarm intelligence algorithms and metaheuristic techniques, because of its simplicity and ability to be used in a wide range of applications. However, in-depth studies of the algorithm have led to the detection and identification of a number of problems with it, especially convergence problems and performance issues. Consequently, a myriad of variants, enhancements and extensions to the original version of the algorithm, developed and introduced in the mid-1990s, have been proposed, especially in the last two decades. In this article, a systematic literature review about those variants and improvements is made, which also covers the hybridisation and parallelisation of the algorithm and its extensions to other classes of optimisation problems, taking into consideration the most important ones. These approaches and improvements are appropriately summarised, organised and presented, in order to allow and facilitate the identification of the most appropriate PSO variant for a particular application.

14.
Full dent. sci ; 10(39): 100-106, 2019. ilus
Artículo en Portugués | BBO - Odontología | ID: biblio-1024723

RESUMEN

As reabilitações orais sempre foram um grande desafio para a Odontologia e atualmente têm atingido grande destaque na Implantodontia, em especial quando se trata de elementos a serem repostos. Desse modo, é possível substituir cada elemento perdido com implante no respectivo espaço onde houve a perda dental ou até mesmo confecção de próteses totais fixas e sustentadas por implantes osseointegráveis por meio de protocolos reabilitadores. O planejamento reverso do tratamento reabilitador é fundamental para o sucesso do tratamento e tem por função a visualização, diagnóstico, prevenção e eliminação de problemas que possam comprometer a reabilitação final do paciente por meio de complicações estéticas e função das futuras restaurações implantossuportadas. Assim, o objetivo do presente trabalho foi relatar o plano de tratamento de uma paciente que necessita de reabilitação oral com prótese implantossuportada, seguindo técnicas e indicações baseadas na literatura, enfatizando a importância do planejamento reverso. Realizou-se uma cirurgia com implantes osseointegráveis seguindo os princípios de uma correta instalação, usando guias cirúrgicas, próteses diagnósticas para ampliar a previsibilidade de tratamento. Concluiu-se que o sucesso do tratamento reabilitador está diretamente relacionado com o planejamento inicial e correta abordagem clínica multidisciplinar (AU).


Oral rehabilitations have always been a great challenge for Dentistry and nowadays it has achieved great prominence in Implantology, especially in relation to elements replacement. Thus, it is possible to replace each lost element with implant in the respective space where there was dental loss or even the manufacture of prosthesis total fixed and supported by osseointegratable implants through rehabilitation protocols. The reverse planning of the rehabilitation treatment is essential to treatment success and has as its function the visualization, diagnosis, prevention, and elimination of problems that could impair patient final rehabilitation due to aesthetic and function complications of the future implant-supported restorations. Thus, the objective of the present study was to report the treatment plan of a patient who needs oral rehabilitation with implant-supported prosthesis, following techniques and indications based on the literature, emphasizing the importance of reverse planning. Osseointegrated implants surgery was performed following the principles of a correct installation, using surgical guides diagnostic prosthesis to increase treatment predictability. It was concluded that rehabilitation treatment success is directly related to the initial planning and correct multidisciplinary clinical approach (AU).


Asunto(s)
Humanos , Femenino , Adulto , Diseño de Prótesis Dental , Prótesis Dental de Soporte Implantado , Estética Dental , Rehabilitación Bucal/métodos , Brasil , Radiografía Dental/instrumentación , Tomografía Computarizada por Rayos X/instrumentación , Protocolos Clínicos/normas
15.
J Clin Exp Dent ; 10(11): e1135-e1139, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30607234

RESUMEN

The intraosseous mucoepidermoid carcinoma is a rare lesion that frequently affects the posterior region of the mandible. This case reports a multilocular osteolytic radiolucency with two years of evolution, that expanded and perforated the cortical bone, with irregular and indefinite margins, that extended from the mandibular angle to the ascendant ramus, with cutaneous ulceration, detected in a 51 years-old male. An incisional biopsy was performed and confirmed the diagnosis of low-grade intraosseous mucoepidermoid carcinoma. The patient was submitted to partial mandibulectomy, neck dissection and post-operative radiotherapy. In three years of follow-up, there was no evidence of tumor recurrence. This case report reinforces that even a low-grade intraosseous mandibular mucoepidermoid carcinoma tends to expand and to perforate the bone cortical, infiltrating to adjacent soft tissues, in long time of evolution. Key words:Intraosseous, mucoepidermoid carcinoma, mandible.

16.
Int J Surg Case Rep ; 39: 245-249, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28863377

RESUMEN

INTRODUCTION: The adenomatoid odontogenic tumor (AOT) associated with odontoma has been described as a new entity with overlapping features of adenomatoid-like structures and odontoma. Presentation of the case: We report the second case of AOT associated with odontoma in the posterior maxillary region. A 22-year-old patient presented expansion of the vestibular and palatine cortical wall of maxilla. Radiographic examination and computed tomography confirmed erosion of maxillary walls, root resorption, displacement of a neighboring tooth and radiopacities within the lesion. Histopathological analysis showed a cystic cavity lined by odontogenic epithelium, organized as duct like structures and tubular dentin. The diagnosis established was AOT associated with odontoma. DISCUSSION: As fewer cases have been described, the aim of this study is to report clinical behavior and evolution of adenomatoid odontogenic tumor associated with odontoma, as it have not yet been described and its origin is not completely established. The hamartomatous or neoplastic origin of this tumor is under debate. CONCLUSIONS: Therefore, it is necessary similar cases to be published to increase the knowledge about the clinical behavior and evolution of this tumor, to enable such lesions to be more clearly defined in the next classification of odontogenic tumors.

17.
J Neurointerv Surg ; 8(2): 168-72, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25628374

RESUMEN

INTRODUCTION: Intracranial saccular aneurysms, if untreated, carry a high risk of morbidity and mortality from intracranial bleeding. Embolization coils are the most common treatment. We describe the periprocedural safety and performance of the initial human experience with the next generation Medina Coil System. METHODS: The Medina Coil System is a layered three-dimensional coil made from a radiopaque, shape set core wire, and shape memory alloy outer coil filaments. Nine aneurysms in five patients were selected for treatment with the Medina Coil System. RESULTS: Nine aneurysms in five patients, ranging from 5 to 17 mm in size in various locations, were treated with the Medina Coil System. No procedural or periprocedural complications were encountered. Procedure times, number of coils used to treat the aneurysm, and use of adjunctive devices were much less than anticipated if conventional coil technology had been used. CONCLUSIONS: The Medina Coil System is a next generation coil that combines all of the familiar and expected procedural safety and technique concepts associated with conventional coils. We found improved circumferential aneurysm filling, which may lead to improved long term outcomes, with fewer devices and faster operating times.


Asunto(s)
Embolización Terapéutica/métodos , Diseño de Equipo , Aneurisma Intracraneal/diagnóstico por imagen , Aneurisma Intracraneal/terapia , Embolización Terapéutica/efectos adversos , Diseño de Equipo/instrumentación , Femenino , Estudios de Seguimiento , Humanos , Masculino
18.
J Strength Cond Res ; 29(12): 3399-404, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26595133

RESUMEN

The deadlift is a fundamental exercise used in the development of whole body strength and a common element in resistance training programs for all levels. However, many practitioners report the fatigue of forearm muscles and possibly a lack of grip strength as obstacles to exercise performance, which may lead to the use of ergogenic aids, such as lifting straps. The objective of this study was to evaluate kinematic variables during the execution of multiple sets of deadlift with (WS) and without (NS) lifting straps. Eleven subjects (25 ± 3.3 years) with an average of 4 ± 2.6 years of resistance training experience were enrolled in the study. After the 1 repetition maximum (1RM) test WS and NS, subjects performed separate trials of 3 sets to failure at 90% of 1RM in a counterbalanced fashion. With straps resulted in lower speed (0 to -25%) (-3 to -10%) and greater force (20-28%) and duration (concentric phase: 0-13%) when compared with NS. Therefore, it is concluded that the use of straps directly influences exercise performance that requires manual grip strength, increasing the amount of work performed by the target muscles.


Asunto(s)
Entrenamiento de Fuerza/instrumentación , Entrenamiento de Fuerza/métodos , Adulto , Fenómenos Biomecánicos/fisiología , Estudios Cruzados , Humanos , Cinética , Masculino , Fuerza Muscular/fisiología , Distribución Aleatoria
19.
J Int Oral Health ; 7(8): 134-7, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26464556

RESUMEN

Obtaining a good cosmetic and proper mastication in oral rehabilitation with dental implants are directly linked to the correct positioning of the implant in the alveolar bone. The malposition of the implant is a challenge in rehabilitation, which can often compromise the entire process. In cases of severely malpositioned implants, one has the option to remove it or leave it submerged under bone and gums. Another option is the modified segmental osteotomy that aims repositioning osseointegrated implant with the surrounding bone. The objective of this case report is to present a case where an implant was severely malpositioned after surgically assisted rapid maxillary expansion, requiring a modified segmental osteotomy technique to reposition it.

20.
Rev. bras. ortop ; 49(3): 313-316, May-June/2014. graf
Artículo en Inglés | LILACS | ID: lil-712776

RESUMEN

The aim was to report on a rare case of osteochondroma of the left ischium, which evolved with compression of the sciatic nerve, thus causing sciatic pain in the homolateral lower limb. The patient was female and presented sciatic pain that was treated clinically for one year. However, the pain evolved with increasing intensity and worsened with hip movement. This was associated with diminished motor force and paresthesia of the homolateral lower limb. Radiological investigation of the region showed a bone lesion in the external portion of the left ischium, in the path of the sciatic nerve. Tomographic reconstruction showed cortical continuity with the bone of origin, i.e., a pattern characteristic of osteochondroma. En-bloc resection of the lesion was performed using the Kocher-Langerbeck route, and the anatomopathological analysis proved that it was an osteochondroma. The patient's neurological symptoms improved and, after two months of follow-up, she remained asymptomatic and without any signs of recurrence. Since osteochondroma is the commonest benign bone tumor, it should be taken into consideration in the diagnostic investigation of compressive tumor lesions that could affect the sciatic nerve...


Relatar um caso raro de osteocondroma do ísqueo esquerdo, que evoluiu com compressão no nervo ciático e provocou ciatalgia no membro inferior homolateral. Paciente do sexo feminino apresentou ciatalgia e foi feito tratamento clínico por um ano. Porém a dor evoluiu, aumentou de intensidade e piorou com a movimentação do quadril, associada a diminuição da força motora e a parestesia do membro inferior homolateral. A investigação radiológica da região mostrou uma lesão óssea na porção externa do ísqueo esquerdo e no trajeto do nervo ciático. A reconstrução tomográfica evidenciou continuidade cortical com o osso de origem, padrão característico de osteocondroma. Fez-se a ressecção em bloco da lesão pela via de Kocher-Langerbeck e o estudo anatomopatológico provou ser um osteocondroma. Os sintomas neurológicos da paciente melhoraram e, após dois anos de acompanhamento, ela permanece assintomática e sem sinais de recorrência. Por ser o tumor ósseo benigno mais comum, o osteocondroma deve ser considerado na investigação diagnóstica de lesões tumorais compressivas, que podem acometer o nervo ciático...


Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Nervio Ciático/fisiopatología , Osteocondroma , Pelvis , Ciática
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