RESUMO
Drug abuse has become a public health concern. The misuse of ketamine, a psychedelic substance, has increased worldwide. In addition, the co-abuse with alcohol is frequently identified among misusers. Considering that ketamine and alcohol share several pharmacological targets, we hypothesize that the consumption of both psychoactive substances may synergically intensify the toxicological consequences, both under the effect of drugs available in body systems and during withdrawal. The aim of this review is to examine the toxicological mechanisms related to ketamine plus ethanol co-abuse, as well the consequences on cardiorespiratory, digestive, urinary, and central nervous systems. Furthermore, we provide a comprehensive discussion about the probable sites of shared molecular mechanisms that may elicit additional hazardous effects. Finally, we highlight the gaps of knowledge in this area, which deserves further research.
Assuntos
Ketamina , Transtornos Relacionados ao Uso de Substâncias , Etanol , Humanos , Ketamina/efeitos adversosRESUMO
PURPOSE: To evaluate the local effect of simvastatin (SVT) combined with deproteinized bovine bone (DBB) with hydroxyapatite/ß-tricalcium phosphate biphasic ceramics (HA/TCP) and with collagen sponge (CS) on bone repair in critical size defects (CSDs) in rat calvaria. METHODS: Forty-two 5-mm diameter CSDs were made bilaterally in the calvaria of 18 rats. The animals were allocated according to the type of biomaterial and associations used to fill the CSD. After 8 weeks, the animals were euthanized, and their calvaria were evaluated for repaired tissue composition using histologic and histometric analyses. RESULTS: In the histometric analysis, the use of SVT showed to increase bone formation in the CSDs when combined with all the bone substitutes tested in this study (p<0.05). Greater bone formation was observed in the groups with SVT compared to the groups without SVT. CONCLUSIONS: The use of SVT without the need for a vehicle and combined with a commercially available biomaterial may be a cheaper way to potentiate the formation of bone tissue without the need to produce new biomaterials. Therefore, SVT combined with DBB induced significantly greater new bone formation than did the other treatments.
Assuntos
Materiais Biocompatíveis/farmacologia , Substitutos Ósseos/farmacologia , Colágeno/farmacologia , Osteogênese/efeitos dos fármacos , Sinvastatina/farmacologia , Crânio/efeitos dos fármacos , Animais , Anticolesterolemiantes/farmacologia , Regeneração Óssea/efeitos dos fármacos , Transplante Ósseo/métodos , Bovinos , Modelos Animais de Doenças , Feminino , Ratos , Ratos Wistar , Crânio/cirurgiaRESUMO
Purpose To evaluate the local effect of simvastatin (SVT) combined with deproteinized bovine bone (DBB) with hydroxyapatite/β-tricalcium phosphate biphasic ceramics (HA/TCP) and with collagen sponge (CS) on bone repair in critical size defects (CSDs) in rat calvaria. Methods Forty-two 5-mm diameter CSDs were made bilaterally in the calvaria of 18 rats. The animals were allocated according to the type of biomaterial and associations used to fill the CSD. After 8 weeks, the animals were euthanized, and their calvaria were evaluated for repaired tissue composition using histologic and histometric analyses. Results In the histometric analysis, the use of SVT showed to increase bone formation in the CSDs when combined with all the bone substitutes tested in this study (p<0.05). Greater bone formation was observed in the groups with SVT compared to the groups without SVT. Conclusions The use of SVT without the need for a vehicle and combined with a commercially available biomaterial may be a cheaper way to potentiate the formation of bone tissue without the need to produce new biomaterials. Therefore, SVT combined with DBB induced significantly greater new bone formation than did the other treatments.(AU)
Assuntos
Animais , Ratos , Sinvastatina/administração & dosagem , Sinvastatina/uso terapêutico , Materiais Biocompatíveis , Colágeno , Regeneração ÓsseaRESUMO
PURPOSE: To investigate the effects of locally applied simvastatin plus biphasic calcium phosphate (BoneCeramic(r)) or collagen sponge on bone formation in critical-sized bone defects. METHODS: Thirty defects of 5mm in diameter were created bilaterally with a trephine bur in the calvariae of fifteen Wistar rats. The defects were divided into five groups: group 1 - control, no treatment; group 2 (BoneCeramic(r)); group 3 (BoneCeramic(r) + 0.1mg simvastatin); group 4 (collagen sponge); and group 5 (collagen sponge + 0.1mg simvastatin). After eight weeks the animals were euthanized and their calvariae were histologically processed. Hematoxylin and eosin-stained sections were subjected to histological and histomorphometrical analyses. The area of newly formed bone was calculated and compared between groups. RESULTS: The greater amount of a bone-like tissue was formed around the carrier in group 3 (BoneCeramic(r) + 0.1mg simvastatin) followed by group 2 (BoneCeramic(r)), and almost no bone was formed in the other groups. Group 3 was significantly different compared to group 2, and both groups were significantly different compared to the other groups. CONCLUSION: Simvastatin combined with BoneCeramic(r) induced significantly greater amounts of newly formed bone and has great potential for the healing of bone defects.
Assuntos
Anticolesterolemiantes/farmacologia , Hidroxiapatitas/farmacologia , Osteogênese/efeitos dos fármacos , Sinvastatina/farmacologia , Crânio/efeitos dos fármacos , Animais , Matriz Óssea/ultraestrutura , Colágeno/efeitos dos fármacos , Modelos Animais de Doenças , Feminino , Ratos Wistar , Crânio/lesões , Crânio/patologia , CicatrizaçãoRESUMO
ABSTRACT PURPOSE: To investigate the effects of locally applied simvastatin plus biphasic calcium phosphate (BoneCeramic(r)) or collagen sponge on bone formation in critical-sized bone defects. METHODS: Thirty defects of 5mm in diameter were created bilaterally with a trephine bur in the calvariae of fifteen Wistar rats. The defects were divided into five groups: group 1 - control, no treatment; group 2 (BoneCeramic(r)); group 3 (BoneCeramic(r) + 0.1mg simvastatin); group 4 (collagen sponge); and group 5 (collagen sponge + 0.1mg simvastatin). After eight weeks the animals were euthanized and their calvariae were histologically processed. Hematoxylin and eosin-stained sections were subjected to histological and histomorphometrical analyses. The area of newly formed bone was calculated and compared between groups. RESULTS: The greater amount of a bone-like tissue was formed around the carrier in group 3 (BoneCeramic(r) + 0.1mg simvastatin) followed by group 2 (BoneCeramic(r)), and almost no bone was formed in the other groups. Group 3 was significantly different compared to group 2, and both groups were significantly different compared to the other groups. CONCLUSION: Simvastatin combined with BoneCeramic(r) induced significantly greater amounts of newly formed bone and has great potential for the healing of bone defects.
Assuntos
Animais , Feminino , Osteogênese/efeitos dos fármacos , Crânio/efeitos dos fármacos , Sinvastatina/farmacologia , Hidroxiapatitas/farmacologia , Anticolesterolemiantes/farmacologia , Crânio/lesões , Crânio/patologia , Cicatrização , Matriz Óssea/ultraestrutura , Colágeno/efeitos dos fármacos , Ratos Wistar , Modelos Animais de DoençasRESUMO
PURPOSE:To investigate the effects of locally applied simvastatin plus biphasic calcium phosphate (BoneCeramic(r)) or collagen sponge on bone formation in critical-sized bone defects.METHODS:Thirty defects of 5mm in diameter were created bilaterally with a trephine bur in the calvariae of fifteen Wistar rats. The defects were divided into five groups: group 1 - control, no treatment; group 2 (BoneCeramic(r)); group 3 (BoneCeramic(r) + 0.1mg simvastatin); group 4 (collagen sponge); and group 5 (collagen sponge + 0.1mg simvastatin). After eight weeks the animals were euthanized and their calvariae were histologically processed. Hematoxylin and eosin-stained sections were subjected to histological and histomorphometrical analyses. The area of newly formed bone was calculated and compared between groups.RESULTS:The greater amount of a bone-like tissue was formed around the carrier in group 3 (BoneCeramic(r) + 0.1mg simvastatin) followed by group 2 (BoneCeramic(r)), and almost no bone was formed in the other groups. Group 3 was significantly different compared to group 2, and both groups were significantly different compared to the other groups.CONCLUSION:Simvastatin combined with BoneCeramic(r) induced significantly greater amounts of newly formed bone and has great potential for the healing of bone defects.(AU)
Assuntos
Animais , Ratos , Sinvastatina/efeitos adversos , Sinvastatina/análise , Fosfatos de Cálcio/análise , Osteogênese , Crânio/lesões , Regeneração Óssea , Ratos WistarRESUMO
Realizar uma revisão da literatura sobre a aplicação dométodo plasma-tromboplastina/trombina no preparo de cell blockde amostras citológicas para pesquisa de câncer no laboratório deAnatomia Patológica. Material e Métodos. Para a elaboração do estudoforam realizadas buscas na base de dados PubMed, SciELO e LILACSutilizando os descritores Cell block effusion, Cell block preparatione Cell block method. Resultados: O método plasma-tromboplastina/trombina tem sido descrito no preparo de diferentes tipos de amostrascitológicas: efusões (líquidos das cavidades pleural, peritoneal,pericárdica), lavado peritoneal, aspirados e amostras em meio líquido.A descrição da técnica não foi realizada em alguns estudos ou foirealizada apenas parcialmente e com variações entre eles com relaçãoà velocidade e tempo de centrifugação, quantidades de plasma,trombina e tromboplastina. Os estudos que comparam o métodoplasma-tromboplastina/trombina com outros métodos de preparo docell block, usando diferentes tipos de amostra, são escassos, emuitas vezes, com pequeno número de amostras e isto dificulta umaconclusão definitiva sobre suas vantagens sobre outras técnicas. Osmétodos mais usados no preparo do cell block são os que utilizamágar e plasma-tromboplastina/trombina. As vantagens do métodoplasma-tromboplastina em relação aos outros métodos são execuçãofácil, baixo custo, ausência de artefatos celulares relacionados aoaquecimento, melhor celularidade, melhor distribuição celular emelhores resultados da imunocitoquímica. Conclusão: O cell blockpreparado pelo método plasma-tromboplastina/trombina pode serconsiderado uma ferramenta diagnóstica complementar aocitocentrifugado e aplicável na rotina de laboratórios de AnatomiaPatológica públicos e privados para a pesquisa de câncer...
To perform a literature review on the application of theplasma-thromboplastin/thrombin method for cell block preparationof cytological samples in cancer research in pathological anatomylaboratories. Material and Methods: Bibliographical searches werecarried out in the databases PubMed, SciELO and LILACS using thedescriptors cell block effusion, cell block preparation and cellblock method. Results: The plasma-thromboplastin/thrombin methodhas been described for preparation of different types of cytologicalsamples, including effusions (liquids from the pleural, peritoneal andpericardial cavities), peritoneal lavage, aspirated samples, and samplesin liquid medium. The description of the technique was not reported insome studies or was performed just partially. Variations in the studieswere found with regard to centrifugation time and speed, as well as toquantity of plasma, thrombin and thromboplastin used. Only a fewstudies have compared the plasma-thromboplastin/thrombin methodwith other cell block preparation methods using different types ofsamples. The studies have frequently included a small sample size,which makes it difficult to establish a solid conclusion on theadvantages of this method over other approaches. The most commonlyused methods for cell block preparation include those using agar andthromboplastin/thrombin. The advantages of the plasma/thromboplastin method in relation to other methods are easiness toimplement, low cost, no cell artifacts related to heating, bettercellularity, better cellular distribution and better immunocytochemistryresults. Conclusion: Cell block preparation using the plasmathromboplastin/thrombin method can be considered a diagnostic tooladjunctive to the cytocentrifuged one that is applicable to the routineof public and private pathological anatomy laboratories for cancerresearch...
Assuntos
Humanos , Biologia Celular , Imuno-Histoquímica , NeoplasiasRESUMO
PURPOSE: To evaluate the effect of simvastatin on relapse of tooth movement in rats using microtomography (micro CT), as well as the correlation of bone density with the orthodontic relapse. METHODS: Twenty-five adult male Wistar rats, divided into two groups, had stainless steel springs installed on left maxillary first molar. The molars were moved for 18 days, and after removing the springs, were applied by oral gavage, 5mg/kg of simvastatin in the experimental group for 20 days. Tooth relapse was assessed with a micro CT scanner, and the images chosen through the Data Viewer software 1.5.0.0 had their measurement guides made and checked by the software Image ProR plus 5.1, and compared by Mann-Whitney test. After rats were sacrificed, bone mineral density was evaluated by micro CT through the software CT Analyzer 1.13 and compared by independent T-test, as well as by Spearman correlation test. RESULTS: Relapse and bone mineral density (BMD) was lower in the experimental group than in the control group, however without a statistically significant difference. CONCLUSION: Simvastatin did not inhibit the relapse of tooth movement in rats, and there was no correlation between bone density and orthodontic relapse.
Assuntos
Densidade Óssea/efeitos dos fármacos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Prevenção Secundária/métodos , Sinvastatina/uso terapêutico , Migração de Dente/prevenção & controle , Técnicas de Movimentação Dentária , Microtomografia por Raio-X/métodos , Animais , Remodelação Óssea/efeitos dos fármacos , Reabsorção Óssea/prevenção & controle , Densitometria , Inibidores de Hidroximetilglutaril-CoA Redutases/farmacologia , Masculino , Maxila/efeitos dos fármacos , Maxila/fisiopatologia , Ratos Wistar , Recidiva , Reprodutibilidade dos Testes , Sinvastatina/farmacologia , Fatores de Tempo , Migração de Dente/diagnóstico por imagem , Raiz Dentária/efeitos dos fármacos , Raiz Dentária/fisiopatologia , Resultado do TratamentoRESUMO
PURPOSE: To evaluate the effect of simvastatin on relapse of tooth movement in rats using microtomography (micro CT), as well as the correlation of bone density with the orthodontic relapse. METHODS: Twenty-five adult male Wistar rats, divided into two groups, had stainless steel springs installed on left maxillary first molar. The molars were moved for 18 days, and after removing the springs, were applied by oral gavage, 5mg/kg of simvastatin in the experimental group for 20 days. Tooth relapse was assessed with a micro CT scanner, and the images chosen through the Data Viewer software 1.5.0.0 had their measurement guides made and checked by the software Image ProR plus 5.1, and compared by Mann-Whitney test. After rats were sacrificed, bone mineral density was evaluated by micro CT through the software CT Analyzer 1.13 and compared by independent T-test, as well as by Spearman correlation test. RESULTS: Relapse and bone mineral density (BMD) was lower in the experimental group than in the control group, however without a statistically significant difference. CONCLUSION: Simvastatin did not inhibit the relapse of tooth movement in rats, and there was no correlation between bone density and orthodontic relapse. .
Assuntos
Animais , Masculino , Densidade Óssea/efeitos dos fármacos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Prevenção Secundária/métodos , Sinvastatina/uso terapêutico , Técnicas de Movimentação Dentária , Migração de Dente/prevenção & controle , Microtomografia por Raio-X/métodos , Remodelação Óssea/efeitos dos fármacos , Reabsorção Óssea/prevenção & controle , Densitometria , Inibidores de Hidroximetilglutaril-CoA Redutases/farmacologia , Maxila/efeitos dos fármacos , Maxila/fisiopatologia , Ratos Wistar , Recidiva , Reprodutibilidade dos Testes , Sinvastatina/farmacologia , Fatores de Tempo , Resultado do Tratamento , Migração de Dente , Raiz Dentária/efeitos dos fármacos , Raiz Dentária/fisiopatologiaRESUMO
PURPOSE: To evaluate the effect of simvastatin on relapse of tooth movement in rats using microtomography (micro CT), as well as the correlation of bone density with the orthodontic relapse.METHODS: Twenty-five adult male Wistar rats, divided into two groups, had stainless steel springs installed on left maxillary first molar. The molars were moved for 18 days, and after removing the springs, were applied by oral gavage, 5mg/kg of simvastatin in the experimental group for 20 days. Tooth relapse was assessed with a micro CT scanner, and the images chosen through the Data Viewer software 1.5.0.0 had their measurement guides made and checked by the software Image ProR plus 5.1, and compared by Mann-Whitney test. After rats were sacrificed, bone mineral density was evaluated by micro CT through the software CT Analyzer 1.13 and compared by independent T-test, as well as by Spearman correlation test.RESULTS: Relapse and bone mineral density (BMD) was lower in the experimental group than in the control group, however without a statistically significant difference.CONCLUSION: Simvastatin did not inhibit the relapse of tooth movement in rats, and there was no correlation between bone density and orthodontic relapse.(AU)
Assuntos
Animais , Masculino , Ratos , Sinvastatina/análise , Recidiva , Densidade Óssea , Microtomografia por Raio-X , Técnicas de Movimentação Dentária , Ratos WistarRESUMO
BACKGROUND: The aim of this study was to evaluate the expression of IMP3, an independent poor prognostic factor for many cancers, and its association with clinicopathological features and HER2 status. METHODS: Gastrectomy specimens from 106 patients were evaluated by immunohistochemistry and fluorescence in situ hybridization. RESULTS: HER2 overexpression was found in 4.71 % of the samples. A negative association was observed between HER2 overexpression and grade of differentiation. No association was observed between HER2 overexpression and status of surgical margins, vascular invasion, perineural invasion, nodal metastasis and depth of invasion. Among all specimens of gastric cancer, 67.92 % were positive for IMP3. Expression of IMP3 was significantly higher in specimens with vascular invasion, perineural invasion, nodal metastasis and higher depth of invasion. HER2 overexpression was detected in only 5.55 % of IMP3 positive specimens. CONCLUSIONS: IMP3 expression was frequently observed in gastric cancer and was associated with poor prognostic clinicopathological features. A survival benefit with HER2 therapy should be expected for the minority of patients with IMP3 positive specimens. Studies should be conducted to evaluate the response to HER2 therapy of gastric cancer expressing IMP3.
Assuntos
Proteínas de Ligação a RNA/análise , Receptor ErbB-2/análise , Neoplasias Gástricas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Prognóstico , Neoplasias Gástricas/química , Neoplasias Gástricas/mortalidadeRESUMO
INTRODUCTION: Metoclopramide is often used in the treatment of postoperative nausea and vomiting, but a literature review failed to find reports on the influence of this drug on the healing of bowel anastomoses in the setting of abdominal sepsis. The aim of this study was to evaluate the effects of metoclopramide on the healing of left colonic anastomoses in rats with induced abdominal sepsis. MATERIALS AND METHODS: Forty rats were divided into two groups of 20 animals each to receive either metoclopramide (experimental group: E) or saline (control group: C). Each group was further divided into subgroups of 10 animals each to be killed on the third (E3 and C3) or seventh postoperative day (E7 and C7). A segmental resection of the left colon was performed, followed by end-to-end anastomosis. Sepsis was induced by cecal ligation and puncture. On the day of reoperation, the total number of adhesions was assessed and the anastomosed bowel segment was removed for tensile strength testing, histopathological analysis, measurement of hydroxyproline levels, and histomorphometric evaluation of collagen. RESULTS: Intraoperative findings, number of intra-abdominal adhesions in the anastomosed area, and tensile strength before anastomosis rupture were similar among all subgroups at all assessments. On the third postoperative day, the anastomoses of animals treated with metoclopramide showed significantly lower hydroxyproline levels (p = 0.01) when compared with controls. Collagen content was similar among all subgroups. CONCLUSIONS: Metoclopramide does not have deleterious effects on the healing of bowel anastomoses in rats subjected to experimental abdominal sepsis.
Assuntos
Parede Abdominal/cirurgia , Anastomose Cirúrgica , Colo/cirurgia , Metoclopramida/farmacologia , Sepse/cirurgia , Cicatrização/efeitos dos fármacos , Animais , Ceco/cirurgia , Modelos Animais de Doenças , Hidroxiprolina/metabolismo , Ligadura , Masculino , Punções , Ratos , Ratos Wistar , Resistência à Tração , Aderências TeciduaisRESUMO
OBJETIVO: Avaliar os efeitos da bromoprida sobre a formação de aderências e a cicatrização de anastomoses de cólon esquerdo de ratos. MÉTODOS: Foram incluídos 40 ratos, divididos em dois grupos contendo 20 animais, para administração de bromoprida (grupo de estudo- E) ou solução fisiológica (grupo controle- C). Cada grupo foi dividido em subgrupos contendo 10 animais cada, para eutanásia no terceiro (E3 e C3) ou no sétimo dia (E7 e C7) de pós-operatório. Os ratos foram submetidos à secção do cólon esquerdo e anastomose término-terminal. No dia da relaparotomia, foi avaliada a quantidade total de aderências e removido um segmento colônico contendo a anastomose para análise histopatológica, da força de ruptura e da concentração de hidroxiprolina. RESULTADOS: Não houve diferença entre os grupos em relação à evolução clínica. Dois animais do grupo de estudo apresentaram deiscência de anastomose bloqueada. Os animais que receberam bromoprida apresentaram número de aderências intracavitárias e aderências à anastomose semelhantes ao grupo controle. As anastomoses dos animais do grupo E3 apresentaram menor resistência de ruptura do que as do grupo C3 (p=0,04). Este efeito não ocorreu no sétimo dia de pós-operatório (p=0,37). Não houve diferença significativa entre os grupos em relação à histopatologia ou concentração de hidroxiprolina das anastomoses. CONCLUSÃO: O uso da bromoprida está associado à diminuição da resistência tênsil de anastomoses do cólon esquerdo de ratos no terceiro dia de pós-operatório.
OBJECTIVE: To evaluate the effects of bromopride on the formation of adhesions and anastomotic healing in the left colon of rats. METHODS: We divided 40 rats into two groups of 20 animals, administration of bromopride (study group-E) or saline (control group-C). Each group was divided into subgroups containing 10 animals each for euthanasia in the third (C3 and E3) or the seventh (E7 and C7) postoperative days. The rats were submitted to section of the left colon and end-to-end anastomosis. On the day of reoperation, we evaluated the total amount of adhesions and removed a colonic segment containing the anastomosis for histopathological analysis, assessment of rupture strength and hydroxyproline concentration. RESULTS: There was no difference between groups in relation to clinical outcome. Two animals in the study group had blocked anastomotic leakage. The animals that received bromopride had the number of intracavitary adhesions and adhesions to the anastomosis similar to the control group. The anastomoses from the group E3 animals showed lower resistance to rupture the one from the C3 group (p = 0.04). This effect did not occur on the seventh postoperative day (p = 0.37). There was no significant difference between groups in relation to histopathology and hydroxyproline concentration in the anastomoses. CONCLUSION: The use of bromopride was associated with decreased tensile strength of left colon anastomosis in rats in the third postoperative day.
Assuntos
Animais , Masculino , Ratos , Colo/efeitos dos fármacos , Colo/cirurgia , Doenças do Colo/prevenção & controle , Metoclopramida/análogos & derivados , Cicatrização/efeitos dos fármacos , Anastomose Cirúrgica , Metoclopramida/farmacologia , Metoclopramida/uso terapêutico , Ratos Wistar , Aderências Teciduais/prevenção & controleRESUMO
PURPOSE: To evaluate the effects of abdominal sepsis on adhesion formation and colon anastomosis healing in rats. METHODS: Forty rats were distributed in two groups containing 20 rats each for left colon anastomosis in the presence (Group S) or absence (Group N) of induced sepsis by cecal ligation and puncture. Each group was divided into subgroups for euthanasia on the third (N3 and S3) or seventh (N7 or S7) post-operative day. The amount of adhesions was evaluated and a segment of the colon was removed for histopathologic analysis, bursting strength assessment, hydroxyproline and the determination of tissue collagen. RESULTS: The subjects which underwent cecal ligation and puncture presented a higher amount of intra-abdominal adherences in both third (p=0,00) and seventh (p=0,00) post-operatory days. Smaller bursting strengths were found in the S3 subgroup, and greater bursting strengths were found in the S7 subgroup. There was no difference in the variations on the concentrations of hydroxyproline, tissue collagen and histopathology. CONCLUSIONS: The peritoneal infection which was developed by cecal ligation and puncture raised the amount of intra-cavitary adhesions. There was a decrease in the amount of colonic anastomosis on the third post-operatory day with a following raise on the seventh without any effects on other healing parameters.
Assuntos
Colo/cirurgia , Doenças do Colo/etiologia , Sepse/complicações , Deiscência da Ferida Operatória/fisiopatologia , Cicatrização/fisiologia , Anastomose Cirúrgica , Animais , Colo/química , Doenças do Colo/fisiopatologia , Modelos Animais de Doenças , Ligadura , Masculino , Peritonite/etiologia , Distribuição Aleatória , Ratos , Ratos Wistar , Sepse/fisiopatologia , Deiscência da Ferida Operatória/etiologia , Resistência à Tração , Fatores de Tempo , Aderências Teciduais/etiologia , Aderências Teciduais/fisiopatologiaRESUMO
PURPOSE: To evaluate the effects of metoclopramide on the formation of adhesion and the healing of left colonic anastomoses in rats. METHODS: Forty rats underwent sectioning of the left colon and end-to-end anastomosis and were divided into two groups of 20 animals for the administration of metoclopramide (experimental group - E) or saline solution (control group - C). Each group was divided into subgroups of 10 animals each to be killed on the third (E3 and C3) or seventh postoperative day (E7 and C7). Adhesion was assessed, and a colonic segment containing the anastomosis was removed for analysis of breaking strength and hydroxyproline concentration. RESULTS: There were no deaths or dehiscence on the 3(rd) postoperative day. There was one death and one blocked anastomotic dehiscence in the E7 group. No significant differences between groups were found in the analysis of clinical outcome, intra-cavity adhesion, adhesion to the anastomosis or breaking strength on the 3(rd) and 7(th) postoperative day. Hydroxyproline concentration was higher in the control group on the 3(rd) (p=0.006) but not on the 7(th) postoperative day (p=0.241). CONCLUSION: Metoclopramide did not have harmful effects on the healing of intestinal anastomoses in rats.
Assuntos
Colo/cirurgia , Antagonistas de Dopamina/efeitos adversos , Metoclopramida/efeitos adversos , Cicatrização/efeitos dos fármacos , Anastomose Cirúrgica , Animais , Motilidade Gastrointestinal/efeitos dos fármacos , Hidroxiprolina/análise , Masculino , Período Pós-Operatório , Distribuição Aleatória , Ratos , Ratos Wistar , Resistência à Tração , Fatores de Tempo , Aderências TeciduaisRESUMO
PURPOSE: To evaluate the effects of metoclopramide on the formation of adhesion and the healing of left colonic anastomoses in rats. METHODS: Forty rats underwent sectioning of the left colon and end-to-end anastomosis and were divided into two groups of 20 animals for the administration of metoclopramide (experimental group - E) or saline solution (control group - C). Each group was divided into subgroups of 10 animals each to be killed on the third (E3 and C3) or seventh postoperative day (E7 and C7). Adhesion was assessed, and a colonic segment containing the anastomosis was removed for analysis of breaking strength and hydroxyproline concentration. RESULTS: There were no deaths or dehiscence on the 3rd postoperative day. There was one death and one blocked anastomotic dehiscence in the E7 group. No significant differences between groups were found in the analysis of clinical outcome, intra-cavity adhesion, adhesion to the anastomosis or breaking strength on the 3rd and 7th postoperative day. Hydroxyproline concentration was higher in the control group on the 3rd (p=0.006) but not on the 7th postoperative day (p=0.241). CONCLUSION: Metoclopramide did not have harmful effects on the healing of intestinal anastomoses in rats.(AU)
OBJETIVO: Avaliar os efeitos da metoclopramida sobre a formação de aderências e a cicatrização de anastomoses de cólon esquerdo de ratos. MÉTODOS: 40 ratos distribuídos em dois grupos contendo 20 animais, para administração de metoclopramida (grupo experimental - E) ou solução de NaCl 0,9% (grupo controle - C). Cada grupo foi dividido em subgrupos contendo 10 animais, para eutanásia no terceiro (E3 e C3) ou sétimo dia (E7 e C7) de pós-operatório. Os ratos foram submetidos à secção do cólon esquerdo e anastomose término-terminal. No dia da re-laparotomia foi avaliada a quantidade total de aderências e removido um segmento colônico contendo a anastomose para análise da força de ruptura e concentração de hidroxiprolina. RESULTADOS: Não houve mortes ou deiscências no 3º dia de pós-operatório. No grupo E7 ocorreram uma morte e uma deiscência de anastomose bloqueada. Não houve diferença significativa entre os grupos em relação à evolução clínica, quantidade de aderências intra-cavitárias ou à anastomose e resistência tênsil no 3º ou 7º pós-operatório. A concentração de hidroxiprolina foi maior no grupo metoclopramida no 3º (p=0,006) mas não no 7º dia de pós-operatório (p=0,241) CONCLUSÃO: A metoclopramida não apresenta efeito deletério sobre a cicatrização de anastomoses intestinais em ratos.(AU)
Assuntos
Ratos , Metoclopramida/farmacologia , Cicatrização , Anastomose Cirúrgica , Colo/anatomia & histologiaRESUMO
PURPOSE: To evaluate the effects of metoclopramide on the formation of adhesion and the healing of left colonic anastomoses in rats. METHODS: Forty rats underwent sectioning of the left colon and end-to-end anastomosis and were divided into two groups of 20 animals for the administration of metoclopramide (experimental group - E) or saline solution (control group - C). Each group was divided into subgroups of 10 animals each to be killed on the third (E3 and C3) or seventh postoperative day (E7 and C7). Adhesion was assessed, and a colonic segment containing the anastomosis was removed for analysis of breaking strength and hydroxyproline concentration. RESULTS: There were no deaths or dehiscence on the 3rd postoperative day. There was one death and one blocked anastomotic dehiscence in the E7 group. No significant differences between groups were found in the analysis of clinical outcome, intra-cavity adhesion, adhesion to the anastomosis or breaking strength on the 3rd and 7th postoperative day. Hydroxyproline concentration was higher in the control group on the 3rd (p=0.006) but not on the 7th postoperative day (p=0.241). CONCLUSION: Metoclopramide did not have harmful effects on the healing of intestinal anastomoses in rats.
OBJETIVO: Avaliar os efeitos da metoclopramida sobre a formação de aderências e a cicatrização de anastomoses de cólon esquerdo de ratos. MÉTODOS: 40 ratos distribuídos em dois grupos contendo 20 animais, para administração de metoclopramida (grupo experimental - E) ou solução de NaCl 0,9 por cento (grupo controle - C). Cada grupo foi dividido em subgrupos contendo 10 animais, para eutanásia no terceiro (E3 e C3) ou sétimo dia (E7 e C7) de pós-operatório. Os ratos foram submetidos à secção do cólon esquerdo e anastomose término-terminal. No dia da re-laparotomia foi avaliada a quantidade total de aderências e removido um segmento colônico contendo a anastomose para análise da força de ruptura e concentração de hidroxiprolina. RESULTADOS: Não houve mortes ou deiscências no 3º dia de pós-operatório. No grupo E7 ocorreram uma morte e uma deiscência de anastomose bloqueada. Não houve diferença significativa entre os grupos em relação à evolução clínica, quantidade de aderências intra-cavitárias ou à anastomose e resistência tênsil no 3º ou 7º pós-operatório. A concentração de hidroxiprolina foi maior no grupo metoclopramida no 3º (p=0,006) mas não no 7º dia de pós-operatório (p=0,241) CONCLUSÃO: A metoclopramida não apresenta efeito deletério sobre a cicatrização de anastomoses intestinais em ratos.
Assuntos
Animais , Masculino , Ratos , Colo/cirurgia , Antagonistas de Dopamina/efeitos adversos , Metoclopramida/efeitos adversos , Cicatrização/efeitos dos fármacos , Anastomose Cirúrgica , Motilidade Gastrointestinal/efeitos dos fármacos , Hidroxiprolina/análise , Período Pós-Operatório , Distribuição Aleatória , Ratos Wistar , Resistência à Tração , Fatores de Tempo , Aderências TeciduaisRESUMO
OBJECTIVE: To evaluate the effects of bromopride on the formation of adhesions and anastomotic healing in the left colon of rats. METHODS: We divided 40 rats into two groups of 20 animals, administration of bromopride (study group-E) or saline (control group-C). Each group was divided into subgroups containing 10 animals each for euthanasia in the third (C3 and E3) or the seventh (E7 and C7) postoperative days. The rats were submitted to section of the left colon and end-to-end anastomosis. On the day of reoperation, we evaluated the total amount of adhesions and removed a colonic segment containing the anastomosis for histopathological analysis, assessment of rupture strength and hydroxyproline concentration. RESULTS: There was no difference between groups in relation to clinical outcome. Two animals in the study group had blocked anastomotic leakage. The animals that received bromopride had the number of intracavitary adhesions and adhesions to the anastomosis similar to the control group. The anastomoses from the group E3 animals showed lower resistance to rupture the one from the C3 group (p = 0.04). This effect did not occur on the seventh postoperative day (p = 0.37). There was no significant difference between groups in relation to histopathology and hydroxyproline concentration in the anastomoses. CONCLUSION: The use of bromopride was associated with decreased tensile strength of left colon anastomosis in rats in the third postoperative day.
Assuntos
Colo/efeitos dos fármacos , Colo/cirurgia , Doenças do Colo/prevenção & controle , Metoclopramida/análogos & derivados , Cicatrização/efeitos dos fármacos , Anastomose Cirúrgica , Animais , Masculino , Metoclopramida/farmacologia , Metoclopramida/uso terapêutico , Ratos , Ratos Wistar , Aderências Teciduais/prevenção & controleRESUMO
PURPOSE: To evaluate the effects of abdominal sepsis on adhesion formation and colon anastomosis healing in rats. METHODS: Forty rats were distributed in two groups containing 20 rats each for left colon anastomosis in the presence (Group S) or absence (Group N) of induced sepsis by cecal ligation and puncture. Each group was divided into subgroups for euthanasia on the third (N3 and S3) or seventh (N7 or S7) post-operative day. The amount of adhesions was evaluated and a segment of the colon was removed for histopathologic analysis, bursting strength assessment, hydroxyproline and the determination of tissue collagen. RESULTS: The subjects which underwent cecal ligation and puncture presented a higher amount of intra-abdominal adherences in both third (p=0,00) and seventh (p=0,00) post-operatory days. Smaller bursting strengths were found in the S3 subgroup, and greater bursting strengths were found in the S7 subgroup. There was no difference in the variations on the concentrations of hydroxyproline, tissue collagen and histopathology. CONCLUSIONS: The peritoneal infection which was developed by cecal ligation and puncture raised the amount of intra-cavitary adhesions. There was a decrease in the amount of colonic anastomosis on the third post-operatory day with a following raise on the seventh without any effects on other healing parameters.(AU)
OBJETIVO: Avaliar os efeitos da sepse abdominal sobre a formação de aderências e a cicatrização de anastomoses colônicas em ratos. MÉTODOS: 40 ratos distribuídos em dois grupos contendo 20 animais, para anastomose do cólon esquerdo na presença (grupo S) ou ausência (grupo N) de indução de sepse por ligadura e punção do ceco (CLP). Cada grupo foi dividido em subgrupos para eutanásia no terceiro (N3 e S3) ou sétimo (N7 e S7) dia de pós-operatório (DPO). Foi avaliada a quantidade de aderências e removido um segmento colônico contendo a anastomose para análise histopatológica, força de ruptura, hidroxiprolina e conteúdo de colágeno tecidual. RESULTADOS: Os animais submetidos à CLP apresentaram maior quantidade de aderências intra-abdominais tanto no 3º DPO (p=0,00) quanto no 7º DPO (p=0,00). Tiveram menores valores de força de ruptura no 3º DPO (p=0,00), porém maiores valores no 7º DPO (p=0,00). Não houve diferença na variação da concentração de hidroxiprolina, conteúdo de colágeno e histopatologia. CONCLUSÕES: A infecção peritoneal desencadeada por CLP aumentou a quantidade de aderências intra-cavitárias. Houve diminuição da resistência de anastomoses cólicas no 3º DPO, com posterior aumento no 7º DPO, sem efeito sobre os outros parâmetros da cicatrização.(AU)
Assuntos
Ratos , Cicatrização/fisiologia , Colo/anatomia & histologia , Anastomose Cirúrgica/veterinária , Sepse , LigaduraRESUMO
Na Odontopediatria, a utilização dos meios farmacológicos e não-farmacológicospara manejo da dor é importante para uma abordagem completa e efetiva do fenômeno doloroso, sem que o mesmo represente um evento traumático para a criança, pois o estresse vivenciado pelopaciente amplia o seu medo e a sua percepção da dor, diminuindo a suacapacidade de colaborar com o tratamento. Nesse contexto, é imprescindível que o cirurgião-dentista utilize, de forma consistente, todos os recursos disponíveis para controle da dor infantil. Portanto, o objetivo desta revisão é enfatizar as condutas farmacológicas e não farmacológicas utilizadas para o controle de dor em crianças na Odontologia, através de uma revisão da literatura científica. O controle da dor de uma criança é o fator-chave imprescindível na conduta do profissional pediatra, visto que o tratamento adequado da dor, da ansiedade e do medo, gerados pela situação desconfortável dos sinais e sintomas, proporcionam maior probabilidade de sucesso nos procedimentos, em especial quando há necessidade de procedimentos invasivos. Dessa forma, o conhecimento da farmacologia das diversas categorias de drogas sedativas e analgésicas é obrigatório para qualquer pediatra e, da mesma forma, as condutaspsicológicas infantis se constituem elementos primordiais para o sucessoem todos os procedimentos adotados.
In pediatric dentistry, a complete and effective approach to avoid traumain children involves the use of pharmacologic and nonpharmacologictechniques for pain management. The stress experienced by the patient increases the fear and perception of pain, diminishing his ability to cooperatewith treatment. In this regard, the dentist must use all available resources for pain control. The goal of this review is to emphasize pharmacological and non-pharmacological procedures used in dentistry for pain control in children via a review of scientific literature. Pain controlis a key factor in the work of a pediatric professional, given that adequate treatment of pain, anxiety and fear generated by uncomfortable situations leads to greater probability of success in procedures. This is especially true for invasive procedures. Thus, pharmacology knowledgeof sedative and analgesic drugs is obligatory for every pediatric dentist;similarly, psychological care for children is a fundamental element for success in all procedures.