Syndemic and syndemogenesis of low back pain in Latin-American population: a network and cluster analysis

Clinical Rheumatology - Although low back pain (LBP) is a high-impact health condition, its burden has not been examined from the syndemic perspective. To compare and assess clinical,...     

Protective Effects of Cannabidiol Against Hippocampal Cell Death and Cognitive Impairment Induced by Bilateral Common Carotid Artery Occlusion in Mice

The present study investigated whether cannabidiol (CBD), a major non-psychoactive constituent of marijuana, protects against hippocampal neurodegeneration and cognitive deficits induced by brain ischemia in adult mice. Male Swiss mice were subjected to a 17 min of bilateral common carotid artery occlusion (BCCAO) and tested in the Morris water maze 7 days later. CBD (3, 10, and 30 mg/kg) was administered 30 min before and 3, 24, and 48 h after BCCAO. After behavioral testing, the brains were removed and processed to evaluate hippocampal cell survival and degeneration using Nissl staining and FluoroJade C histochemistry, respectively. Astroglial response was examined using immunohistochemistry for glial fibrillary acidic protein (GFAP). CBD (3–30 mg/kg) improved spatial learning performance in BCCAO mice. The Nissl and FJC staining results showed a decrease in hippocampal neurodegeneration after CBD (10 and 30 mg/kg) treatment. GFAP immunoreactivity was also decreased in ischemic mice treated with CBD (30 mg/kg). These findings suggest a protective effect of CBD on neuronal death induced by ischemia and indicate that CBD might exert beneficial therapeutic effects in brain ischemia. The mechanisms that underlie the neuroprotective effects of CBD in BCCAO mice might involve the inhibition of reactive astrogliosis.     

Intermittent Parathyroid Hormone Administration Improves Periodontal Healing in Rats

Background: Intermittent administration of parathyroid hormone (PTH) promotes new bone formation in patients with osteoporosis and bone fractures. It was shown previously that PTH also reduces periodontitis‐related bone loss. The aim of this study is to evaluate the effect of treatment with PTH on periodontal healing in rats. Methods: Fenestration defects were created at the buccal surface of the distal root of the mandibular first molars, and both periodontal ligament (PDL) and cementum were removed. Animals were then assigned to two groups (eight animals per group): group 1: control, placebo administration; and group 2: test, human PTH (hPTH) 1‐34 administration at a concentration of 40 μg/kg. For both groups, the animals were injected every 2 days, and the animals were sacrificed at 14 and 21 days after surgery. Specimens were harvested and processed for routine decalcified histologic sections. The following parameters were assessed: 1) remaining bone defect extension (RBDE); 2) newly formed bone density (NFBD); 3) total callus area (TCA); 4) osteoclast number (ON) in the callus region; and 5) newly formed dental cementum‐like tissue (NFC). Birefringence of root PDL reattachment was also evaluated. Results: Birefringence analysis showed root PDL reattachment for both groups 21 days after treatment. Intermittent hPTH 1‐34 administration decreased RBDE (P <0.01) and increased NFBD (P <0.01), TCA (P <0.01), area of NFC (P <0.01), and ON in the callus region (P <0.01). Conclusion: Within the limits of the present study, intermittent administration of hPTH 1‐34 led to an enhanced periodontal healing process compared with non‐treated animals.     

Morphological Analysis of the Flippers in the Franciscana Dolphin,Pontoporia blainvillei,Applying X‐Ray Technique

Pectoral flippers of cetaceans function to provide stability and maneuverability during locomotion. Directional asymmetry (DA) is a common feature among odontocete cetaceans, as well as sexual dimorphism (SD). For the first time DA, allometry, physical maturity, and SD of the flipper skeleton—by X‐ray technique—of Pontoporia blainvillei were analyzed. The number of carpals, metacarpals, phalanges, and morphometric characters from the humerus, radius, ulna, and digit two were studied in franciscana dolphins from Buenos Aires, Argentina. The number of visible epiphyses and their degree of fusion at the proximal and distal ends of the humerus, radius, and ulna were also analyzed. The flipper skeleton was symmetrical, showing a negative allometric trend, with similar growth patterns in both sexes with the exception of the width of the radius (P ≤ 0.01). SD was found on the number of phalanges of digit two (P ≤ 0.01), ulna and digit two lengths. Females showed a higher relative ulna length and shorter relative digit two length, and the opposite occurred in males (P ≤ 0.01). Epiphyseal fusion pattern proved to be a tool to determine dolphin's age; franciscana dolphins with a mature flipper were, at least, four years old. This study indicates that the flippers of franciscana dolphins are symmetrical; both sexes show a negative allometric trend; SD is observed in radius, ulna, and digit two; and flipper skeleton allows determine the age class of the dolphins. Anat Rec, 297:1181–1188, 2014. © 2014 Wiley Periodicals, Inc.     

Compressive Strength Assessment of Soil–Cement Blocks Incorporated with Waste Tire Steel Fiber

The rapid growth in waste tire disposal has become a severe environmental concern in recent decades. Recycling rubber and steel fibers from wasted tires as construction materials helps counteract this imminent environmental crisis, mainly improving the performance of cement-based materials. Consequently, the present article aims to evaluate the potential use of waste tire steel fibers (i.e., WTSF) incorporated in the manufacture of soil–cement blocks, considering their compressive resistance as a primary output variable of comparison. The experimental methodology applied in this study comprised the elaboration of threefold mixtures of soil–cement blocks, all of them with 10% by weight in Portland cement, but with different volumetric additions of WTSF (i.e., 0%, 0.75%, and 1.5%). The assessment’s outcomes revealed that the addition of 0.75% WTSF does not have a statistically significant influence on the compressive resistance of the samples. On the contrary, specimens with 1.5% WTSF displayed a 20% increase (on average) in their compressive strength. All the tested samples’ results exhibited good agreement with the minimum requirements of the different standards considered. The compressive resistance was evaluated in the first place because it is the primary provision demanded by the specifications for applying soil–cement materials in building constructions. However, further research on the physical and mechanical properties of WTSF soil–cement blocks is compulsory; an assessment of the durability of soil–cement blocks with WTSF should also be carried out.     

Alternatives to Warfarin for Thromboembolism Prophylaxis in Nonrheumatic Atrial Fibrillation

A 45-year-old male with a preexcited QRS consistent with WPW syndrome was hospitalized for syncope. ECG monitoring revealed episodes of advanced atrioventricular block. An electrophysiologic study demonstrated right anteroseptal preexcitation and revealed an intermittent block in the accessory pathway and AV complete block causing long periods of spontaneous asystole. A DDD pacemaker was implanted without ablation of the accessory pathway.     

Towards sustainable electrochemical energy storage: solution-based processing of polyquinone composites

Continuous adoption of renewable energy sources and the proliferation of electric transportation technologies push towards sustainable energy storage solutions. Consequently, a solution-based up-scalable synthesis approach is developed for polymeric quinone composites with graphene. Cellulose nanocrystals play a vital role in achieving greener processing and improving the composite electrochemical energy storage performance. The synthesis method emphasizes using aqueous reaction media, incorporates low-cost and biomass-derived feedstocks, avoids critical or scarce materials, and maintains temperatures below 200 °C. Stable aqueous graphene dispersions were obtained by hydrothermal reduction of electrochemically exfoliated graphene oxide in the presence of cellulose nanocrystals. Dispersions served as a reaction medium for quinone cationic polymerization, leading to core–shell type structures of polymer-covered mono-to-few layer graphene, thanks to the nanosheet restacking prevention effect provided by cellulose nanocrystal dispersions. A sample consisting of 5 wt% cellulose nanocrystals and 5 wt% graphene achieved storage metrics of 720.5 F g⁻¹ and 129.6 mA h g⁻¹ at 1 A g⁻¹, retaining over 70% of the performance after 1000 charge/discharge cycles.

A valid one-pot, low temperature and readily scalable aqueous processing route towards sustainable production of organic electrode-based battery/capacitive systems.     

Clinical differentiation of inflammatory bowel disease (IBD) in Latin America and the Caribbean

The aim of the present study was to describe the epidemiological and clinical characteristics of inflammatory bowel disease (IBD), including medical and surgical treatments, in several countries in Latin America and the Caribbean.IBD is recognized as a global health problem because its incidence and prevalence have increased significantly over the last few years.This multicenter retrospective cohort study included 4714 patients with IBD diagnosed from 9 countries in Latin America and the Caribbean: Colombia, Cuba, Dominican Republic, Ecuador, Mexico, Peru, Puerto Rico, Uruguay, and Venezuela.Crohn disease (CD) was more frequent in Puerto Rico (71.9%), the Dominican Republic (61.0%), and Peru (53.1%). Ulcerative colitis was more frequent in Colombia (78.6%), Venezuela (78.2%), Mexico (75.5%), Cuba (69.9%), Ecuador (64.1%), and Uruguay (60.9%). The following clinical characteristics were more frequent in the Caribbean: penetrating behavior in CD, steroid dependence, steroid resistance, intolerance to thiopurines, extraintestinal manifestations, surgeries, hospitalizations due to IBD, and family history of IBD. The factors associated with the use of biological therapy were pancolitis in ulcerative colitis, penetrating behavior in CD, steroid resistance and dependence, presence of extraintestinal manifestations, and the need for surgery.This study from Latin America and the Caribbean demonstrated the different epidemiological and clinical characteristics of IBD.