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Gingival recession: how to choose the best surgical technique? 牙龈退缩:如何选择最佳手术技术?
Pub Date : 2024-02-22 DOI: 10.15406/mojbm.2024.09.00210
Fabiano Cunha, Giovanna Lima Costa Barcellos, Carlos Ruben Caramello, Juan José Verges, Maria Aparecida Gonçalves de Melo Cunha
Objective: to present the main decision -making criteria when choosing a surgery technique for the most variety forms of gingival recession. Data sources: A bibliographic review was carried out with a search in the database: VHL Odontologia, Scielo and Pubmed on the subject. Data synthesis: the fundamental criteria for determining the best surgery Technique I'm be used in the treatment of gingival recessions are: the classification of recessions , the location of the recession ( maxilla or mandible ), the fact that it is single or multiple , the presence or absence of keratinized apical or lateral gingiva _ the recession, the thickness characteristic of the periodontal (periodontal biotype) and the skill of the operator. Conclusions: the choice of surgery technique, with the objective of root coverage, must follow a careful assessment of clinical findings, diagnosis and operator skill. This increases the predictability of success of the surgery therapy I'm be used.
目的:介绍针对各种牙龈退缩选择手术技术时的主要决策标准。数据来源:在数据库中搜索文献综述:VHL Odontologia、Scielo 和 Pubmed。数据综合:确定治疗牙龈退缩的最佳手术技术的基本标准是:退缩的分类、退缩的位置(上颌或下颌)、是单发还是多发、有无角化的根尖或侧方牙龈_退缩、牙周的厚度特征(牙周生物型)以及操作者的技术。结论:选择以覆盖牙根为目标的手术技术时,必须仔细评估临床发现、诊断和操作者的技能。这样才能提高手术疗法成功的可预测性。
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引用次数: 0
Factors influencing drug stock-outs at health facilities – mocuba 影响医疗机构药品缺货的因素 - 莫库巴
Pub Date : 2024-02-14 DOI: 10.15406/mojbm.2024.09.00209
Manuel Paulo Mário Elobo
Introduction: Outage of Medicine Stocks is the unavailability of medicines needed by users in health units, pharmacies and medicine stores. In Mozambique, cases of drug stocks breaking in health units constitute a concern for the population of users, academics and the government in finding solutions to resolve this situation. The objective of the present study is to eliminate the factors that influence the rupture of medicine stocks in health units in the district of Mocuba. Methodology: The study was carried out in health units in the district of Mocuba, Province of Zambézia in the year 2023. This is an explanatory and retrospective research, with a quantitative approach. The instruments used were elaborate documents called medication lists, requisitions, delivery notes and data organization sheets relating to the study period. Observation and documentary research techniques were used to collect data. The comparative, statistical and inductive method was used. The sample size was 40 medicines in each month of the research period in the health units. The data was analyzed using the Microsoft Excel 2010 program. Results and discussion: 2400 pharmaceutical specialties from different pharmacological groups were studied, namely: ARVS, Antimalarials, Tuberculostatics, Antifungals, Contraceptives and Antibiotics. The percentage of medicines ordered and not received was 34.9 %. The data collected showed that 36.9 % of medications were received with a low level of satisfaction; The group of unordered medicines constitutes 28.2 % and the percentage of medicines diverted to the informal market was 0 %. Conclusions: The factors that influence the rupture of medicine stocks in health units in the district of Mocuba are: medicines ordered and not received, medicines received with a low level of satisfaction, medicines not ordered and in some situations the diversion of medicines to the informal market.
引言药品断货是指医疗单位、药房和药店无法提供用户所需的药品。在莫桑比克,医疗卫生单位的药品库存破裂是用户、学术界和政府共同关注的问题,他们希望找到解决这一问题的办法。本研究的目的是消除影响莫库巴区医疗单位药品库存破裂的因素。研究方法:本研究于 2023 年在赞比西亚省莫库巴地区的医疗单位进行。这是一项解释性和回顾性研究,采用定量方法。所使用的工具是与研究期间有关的称为药品清单、请购单、送货单和数据整理单的详细文件。研究采用了观察法和文献研究法来收集数据。采用了比较法、统计法和归纳法。样本量为研究期间各医疗单位每月 40 种药品。数据使用 Microsoft Excel 2010 程序进行分析。结果与讨论:研究了来自不同药学组的 2400 种药品,即抗逆转录病毒药物、抗疟药、抗结核药、抗真菌药、避孕药和抗生素。订购但未收到的药品比例为 34.9%。收集到的数据显示,36.9%的人对收到的药品满意度较低;未订购的药品占 28.2%,流入非正规市场的药品占 0%。结论影响莫库巴区医疗单位药品库存短缺的因素包括:订购的药品未收到、收到的药品满意度低、未订购药品以及在某些情况下药品流入非正规市场。
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引用次数: 0
Sustainable construction materials under ESG: a literature review and synthesis 环境、社会和治理下的可持续建筑材料:文献回顾与综述
Pub Date : 2024-01-24 DOI: 10.15406/mojbm.2024.09.00208
Chee Kong Yap, Chee Seng Leow, Barry Goh
This paper aims to review the literature on ‘Sustainable Construction Materials (SCMs)’ based on the Scopus database and synthesise the review. Three advantages of embracing ESG in sustainable construction materials are identified based on the literature reviewed. Firstly, this can significantly reduce the environmental impact of buildings and contribute to achieving the United Nations’ Sustainable Development Goals (UNSDGs). Secondly, by taking a comprehensive approach, decision-makers and practitioners can ensure that their choices align with environmental and financial sustainability and foster social well-being and equity. Thirdly, this can create healthier and more energy-efficient built environments for future generations. Fourthly, this will enable construction practitioners to make informed decisions that consider the holistic impacts of SCMs throughout their life cycle and promote greater transparency and accountability in their selection and use. On the challenge side, the triple bottom line of sustainability encompassing social, economic, and environmental aspects should be rigorously evaluated when considering sustainable construction materials. This integrated perspective is crucial for upholding the construction industry's commitment to UNSDGs and promoting a more responsible and green environment. Decision-makers and practitioners must prioritize implementing SCMs to positively impact the environment, society, and economy.
本文旨在以 Scopus 数据库为基础,对有关 "可持续建筑材料(SCMs)"的文献进行综述。根据所查阅的文献,确定了在可持续建筑材料中采用 ESG 的三个优势。首先,这可以大大减少建筑物对环境的影响,有助于实现联合国可持续发展目标(UNSDGs)。其次,通过采取综合方法,决策者和从业人员可以确保他们的选择符合环境和财务的可持续性,并促进社会福祉和公平。第三,这可以为子孙后代创造更健康、更节能的建筑环境。第四,这将使建筑从业人员能够做出明智的决定,考虑到单体材料在其整个生命周期中的整体影响,并提高其选择和使用的透明度和问责制。在挑战方面,在考虑可持续建筑材料时,应严格评估包含社会、经济和环境方面的可持续性三重底线。这种综合视角对于维护建筑行业对联合国可持续发展目标的承诺以及促进更负责任的绿色环境至关重要。决策者和从业人员必须优先实施可持续建筑材料,以对环境、社会和经济产生积极影响。
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引用次数: 0
Microplastics: toxicity and Bioacumulation at the first trophic levels of the food chain 微塑料:食物链第一营养级的毒性和生物积累
Pub Date : 2023-10-25 DOI: 10.15406/mojbm.2023.08.00203
Silvia Mara Haluch, Flavia Caroline Haluch
Microplastics are dispersed in nature in all planetary compartments, and can be found in the most remote places of the Ecosystem. They are currently indicated as markers of the Anthropocene, a geological era caused by human changes on the globe. Even though it is found in all environmental compartments, there are still gaps in scientific knowledge about its real impact on living cells and their dynamics, including in the human organism. Therefore, the objective of the study is to use an internationally standardized and standardized method in representative organisms of the ecosystem, thus using the acute and chronic ecotoxicity test with the microcrustacean Daphnia magna and for the algae Desmodesmus subspicatus, respectively, against polyethylene microspheres, a thermoplastic widely used as an exfoliation product and applied in various cosmetics and hygiene materials. They were tested in neonates according to the reference standards, but 30-day-old adult organisms were also exposed. The results obtained, for the crustaceans, show the Effective Concentration that causes effect in 50% of the organisms (EC50%), with 95% confidence of 0.07 g/L and a DSC – Observed effect concentration of 0.025 g/L for neonates. For the adult specimens, 0.025 g/L of EC50 and 0.0025 g/L of DSC were found, showing that the pups are 10x more resistant to plasticizers compared to the adults. For the algae test, the results showed a DSC of 0.05 g/L, inhibiting 20.12% of algae growth compared to the control. In the optical microscope of the crustaceans after exposure, it showed bioaccumulation of the polyethylene microsphere in the carapace and digestive tract of the bioindicator, showing that the impact of microplastics begins in the first trophic levels of the food chain.
微塑料在自然界中分散在所有的行星隔间中,在生态系统中最偏远的地方也能找到。它们目前被认为是人类世的标志,人类世是由人类在地球上的变化引起的地质时代。尽管它存在于所有的环境隔间中,但它对活细胞及其动力学的真正影响,包括对人体有机体的影响,在科学知识方面仍然存在差距。因此,本研究的目的是在生态系统的代表性生物中采用国际标准化和标准化的方法,分别对微甲壳类动物大水蚤(Daphnia magna)和藻类Desmodesmus subspicatus进行对聚乙烯微球的急性和慢性生态毒性试验。聚乙烯微球是一种广泛用作去皮产品的热塑性塑料,广泛应用于各种化妆品和卫生材料中。他们根据参考标准在新生儿中进行了测试,但也暴露了30天大的成年生物体。对于甲壳类动物,所获得的结果表明,有效浓度对50%的生物(EC50%)产生影响,95%置信度为0.07 g/L,对新生儿的DSC - Observed效应浓度为0.025 g/L。成虫EC50含量为0.025 g/L, DSC含量为0.0025 g/L,表明成虫对增塑剂的抵抗力是成虫的10倍。藻类试验结果显示,DSC为0.05 g/L,与对照相比,抑制藻类生长20.12%。在暴露后甲壳类动物的光学显微镜下,显示聚乙烯微球在生物指示剂的甲壳和消化道内的生物积累,表明微塑料的影响始于食物链的第一营养级。
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引用次数: 0
Application of epigenetic therapies in combination with cyclin dependent kinase inhibitors (CDKIs) in patients with metastatic breast cancer to reverse tumor resistance: two case reports 应用表观遗传疗法联合细胞周期蛋白依赖性激酶抑制剂(CDKIs)在转移性乳腺癌患者中逆转肿瘤耐药:两例报告
Pub Date : 2023-10-19 DOI: 10.15406/mojbm.2023.08.00202
M Amin Nezami, Steven Hager DO, Aryan Chaychian BS
CDKIs are widely used to treat breast cancer and recently suggested in treating manyother types of cancer, such as ovarian cancer, pancreatic cancer, and gliomas. Unfortunately however, resistance to such drugs develops in almost all cases after a few months to a year; thisgives the tumor selective advantage by allowing it access to other passenger promoter genes. Several mechanisms of resistance have been explored in the literature ranging from Rb1 mutations to epigenetic aberrancies as a result of using this class of drugs. Here we go over two cases of advanced stage four breast cancer treated with Palbociclib with initial response but eventual resistance. Patients were then started on epigenetic therapies to reverse resistance whichwas met with improved treatment response as evident by clinical and radiological measures. We conclude that the addition of multitargeted epigenetic therapies (MTET) to this class of drugs is clinically impactful by preventing/reversing tumor resistance and further providing possible synergistic effects of biological modifiers.
CDKIs被广泛用于治疗乳腺癌,最近也被建议用于治疗许多其他类型的癌症,如卵巢癌、胰腺癌和神经胶质瘤。然而,不幸的是,几乎所有病例在几个月到一年后都会对这些药物产生耐药性;这使肿瘤具有选择性优势,允许它接触到其他乘客启动子基因。文献中已经探讨了几种耐药机制,从Rb1突变到使用这类药物导致的表观遗传异常。在这里,我们回顾两例晚期四期乳腺癌,用帕博西尼治疗,最初有反应,但最终耐药。然后,患者开始接受表观遗传治疗以逆转耐药性,临床和放射学措施明显改善了治疗反应。我们得出结论,在这类药物中加入多靶向表观遗传疗法(MTET)通过预防/逆转肿瘤耐药并进一步提供生物调节剂可能的协同效应在临床上具有影响力。
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