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INTRODUÇÃO: O Pseudoaneurisma do ventrículo esquerdo (PSAVE), aneurisma de ventrículo esquerdo (VE) e trombo mural são ocorrências incomuns no infarto agudo do miocárdio (IAM), sendo o PSAVE uma complicação ainda mais rara, correspondendo a menos de 0,1% dos pacientes com diagnóstico de IAM e com alta letalidade. Decorrem de ruptura miocárdica por necrose e o tratamento definitivo cirúrgico modifica o curso natural da doença. RELATO DE CASO: Paciente masculino, 70 anos, com hipertensão e diabetes apresentou IAM com supradesnivelamento de ST (IAMCSST) de parede anterior, sem reperfusão e foi submetido à estratificação invasiva em outro serviço após 72 horas. Foi tratado com implante de Stent farmacológico na artéria descendente anterior. Procurou assistência médica após 2 meses devido a quadro de insuficiência cardíaca (IC). Realizado ecocardiograma transtorácico que evidenciou PSAVE, recebendo alta com orientação de procurar esta instituição. Nova ecocardiografia evidenciou fração de ejeção do VE de 22% e grande aneurisma da região apical do VE, trombo mural e PSAVE na região ínfero-apical. Recebeu manejo com inotrópico intravenoso e após melhora clínica foi encaminhado para aneurismectomia com reconstrução do VE roto e trombectomia. Recebeu alta da UTI com18 dias de pós-operatório. DISCUSSÃO: Complicações mecânicas decorrentes da rotura por necrose miocárdica estão associadas à elevada mortalidade e as apresentações tardias após o evento agudo são relatos de seleção natural e achados incidentais. São associadas à necessidade de tratamento cirúrgico, especialmente em casos agudos, quando a ruptura pode ser fatal em até 45% dos casos. Na fase crônica, os sintomas por vezes são inespecíficos, podendo se apresentar com IC, insuficiência mitral, embolia sistêmica e arritmias cardíacas. CONCLUSÃO: Até o presente momento, este representa o primeiro relato de caso de tripla ocorrência de complicações associadas à grande massa miocárdica necrótica na era contemporânea da intervenção coronária percutânea no Brasil. Reiteramos a relevância dos casos com IAMCSST serem tratados com reperfusão precoce, fator independente para redução de mortalidade e salvamento miocárdico, portanto com menor risco desenvolvimento dessas complicações em pacientes tratados com implante de stent coronario após IAM, porém associada à elevada morbimortalidade na fase aguda. Sua suspeição, diagnóstico precoce e tratamento cirúrgico são essenciais para um desfecho clínico favorável.

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OBJECTIVE: To determine the effect of airborne particle abrasion (APA) on micro-tensile bond strength (µTBS) to dentin using different air-abrasion/polishing powders. METHODS: The bonding effectiveness of G2 Bond Universal (G2B), used in etch-and-rinse (E&R) and self-etch mode (SE), was tested on bur-cut dentin and dentin air abraded/polished using six different powders (aluminum oxide 29 µm (AO29) and 53 µm (AO53), aluminum trihydroxide (AT), sodium bicarbonate (SB), sodium bicarbonate soft (SBsoft) and bioactive glass (BG); Velopex). Adhesive-composite resin specimens were immersed in distilled water at 37 °C for one week and cut into microspecimens. Half of the specimens were subjected to 50,000 thermocycles (aged). Immediate and aged µTBS to dentin were measured. Statistical analysis was performed using linear mixed-effects (LME) modeling (p < 0.05). RESULTS: Comparing the aged bond strengths to air-abraded/polished dentin with bur-cut dentin, pretreatment with SB and SBsoft in combination with G2B used in E&R mode, and BG air polishing in combination with both application modes (E&R, SE), resulted in a significantly higher bond strength. Dentin bond strength was only significantly lower when air abraded with AO29 and using G2B in SE mode. Aging did not significantly influence bond strength for both application modes (E&R, SE), except for AO29 and AT-treated dentin, where bond strengths decrea sed significantly using G2B in SE mode. In general, G2B reached significantly higher bond strengths on air-abraded/polished dentin in E&R mode than in SE mode. CONCLUSION: Air-abrasion/polishing did not impair dentin bond strength using G2B, except when dentin was air abraded with AO29 and using G2B in SE mode. Air polishing positively influenced the bond strength to dentin in specific groups. CLINICAL SIGNIFICANCE: APA is safe concerning bonding to dentin. The E&R application mode is preferred using G2B as adhesive on air-abraded/polished dentin. Air polishing with BG positively influenced dentin bond strength for both application methods.

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The scale mealybug, Diaspis echinocacti (Bouché, 1833) (Hemiptera: Diaspididae), is one of the main pests of the cactus pear in Brazil. The objective was to study biological aspects of D. echinocacti at the constant temperatures of 25, 28, 30, 33 and 35 °C with relative humidity of 60 ± 10% and photoperiod of 12 hours in the laboratory on the cactus pear cultivar, "Orelha de Elefante Mexicana", Opuntia stricta [Haw.] Haw. The development period (22 to 35 days) and survival in the egg (92 to 100%) and nymph (21.8 to 100%) stages and of the egg-adult cycle (20 to 100%), longevity (34.1 to 59.6 days) and fecundity (33 to 112 eggs) of D. echinocacti females with the different temperature and absence of males at the highest temperatures (> 30°C), indicated that the range between 25 °C and 30°C is the most favorable for this scale mealybug. This information may help to improve integrated management programs for D. echinocacti, in areas subject to seasonal temperature changes in the Brazilian regions where cactus pear is cultivated.

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Introduction: Microbial systems, such as Escherichia coli, as host recombinant expression is the most versatile and the cheapest system for protein production, however, several obstacles still remain, such as recovery of soluble and functional proteins from inclusion bodies, elimination of lipopolysaccharides (LPS) contamination, incomplete synthesis, degradation by proteases, and the lack of post-translational modifications, which becomes even more complex when comes to membrane proteins, because they are difficult not only to produce but also to keep in solution in its active state. T-cell Immunoglobulin and Mucin domain 3 (TIM-3) is a type I transmembrane protein that is predominantly expressed on the surface of T lymphocytes, natural killer (NK) cells, dendritic cells, and macrophages, playing a role as a negative immune checkpoint receptor. TIM-3 comprises a single ectodomain for interaction with immune system soluble and cellular components, a transmembrane domain, and a cytoplasmic tail, responsible for the binding of signaling and scaffolding molecules. TIM-3 pathway holds potential as a therapeutic target for immunotherapy against tumors, autoimmunity, chronic virus infections, and various malignancies, however, many aspects of the biology of this receptor are still incompletely understood, especially regarding its ligands. Methods: Here we overcome, for the first time, the challenge of the production of active immune checkpoint protein recovered from bacterial cytoplasmic inclusion bodies, being able to obtain an active, and non-glycosylated TIM-3 ectodomain (TIM-3-ECD), which can be used as a tool to better understand the interactions and roles of this immune checkpoint. The TIM-3 refolding was obtained by the association of high pressure and alkaline pH. Results: The purified TIM-3-ECD showed the correct secondary structure and was recognized from anti-TIM-3 structural-dependent antibodies likewise commercial TIM-3-ECD was produced by a mammal cells system. Furthermore, immunofluorescence showed the ability of TIM-3-ECD to bind to the surface of lung cancer A549 cells and to provide an additional boost for the expression of the lymphocyte activation marker CD69 in anti-CD3/CD28 activated human PBMC. Discussion: Taken together these results validated a methodology able to obtain active checkpoint proteins from bacterial inclusion bodies, which will be helpful to further investigate the interactions of this and others not yet explored immune checkpoints.

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Sea turtles are endangered animals that present cosmopolitan distribution. Anthropic actions have been considered important causes for the reduction of sea turtle population, but natural aspects such as parasitism may also contribute to their decline. This study aimed to report the occurrence of parasites in stranded dead sea turtles found in an area known as Potiguar Basin, northeastern Brazil, from 2010 to 2019. They were identified and classified according to the carapace length. At post-mortem analyses all organs were examined, parasites collected and morphologically identified. Ecological parasitic indexes as prevalence (P), mean intensity (MI) and mean abundance (MA) were calculated. A total of 80 Chelonia mydas and 5 Eretmochelys imbricata were assessed. Neoctangium travassosi was detected in both species presenting P = 20%, MI = 4.19 and MA = 0.84 for C. mydas and P = 60%, MI = 1.67 and MA = 1.0 for E. imbricata. This is the first report of N. travassosi parasitizing E. imbricata in South America. Finally, the retrieval of these parasites is a warning regarding the need for further studies to assess the impact of this parasitism on the health and conservation of sea turtles.

As tartarugas marinhas são animais ameaçados de extinção que apresentam distribuição cosmopolita. Ações antrópicas têm sido consideradas causas importantes para a redução da população de tartarugas marinhas, mas aspectos naturais, como o parasitismo, também, podem contribuir para o seu declínio. Este estudo objetivou relatar a ocorrência de parasitos em tartarugas marinhas, encalhadas mortas, encontradas em uma área conhecida como Bacia Potiguar, nordeste do Brasil, de 2010 a 2019. Essas foram identificadas e classificadas de acordo com o comprimento da carapaça. Nas análises post mortem, todos os órgãos foram examinados, e os parasitos coletados e identificados morfologicamente. Foram calculados índices parasitários ecológicos, como prevalência (P), intensidade média (IM) e abundância média (AM). Um total de 80 Chelonia mydas e cinco Eretmochelys imbricata foi estudado. Neoctangium travassosi foi detectado em ambas as espécies, apresentando P = 20%, MI = 4,19 e MA = 0,84 para C. mydas e P = 60%, IM = 1,67 e AM = 1,0 para E. imbricata. Este é o primeiro relato de N. travassossi parasitando E. imbricata na América do Sul. Conclui-se que a recuperação desses parasitos soa como um alerta para a necessidade de mais estudos para avaliar o impacto desse parasitismo na saúde e na conservação das tartarugas marinhas.

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This study aimed to compare the fracture toughness of molars with wide mesio-occlusal-distal (MOD) cavities restored with regular and flowable bulk-fill resin composite and a conventional resin composite after 250,000 mechanical cycles of chewing simulation. Thirty-two extracted mandibular third molars were selected and class II MOD cavities involving 2/3 of the intercuspal width and 4 mm depth were prepared. Teeth were divided into four groups based on resin composite type and insertion technique (n=8): (1) CT, unprepared teeth (control); (2) CV, conventional resin composite (Tetric N-Ceram, Ivoclar Vivadent) with incremental technique; (3) R-BF, regular bulk-fill resin composite (Tetric N-Ceram Bulk Fill, Ivoclar Vivadent) with a single increment; and (4) F-BF, flowable bulk-fill resin composite (Tetric N-Flow Bulk Fill, Ivoclar Vivadent) with a single increment, except for a 1-mm-thick layer at the occlusal surface, restored with conventional resin composite (Tetric N-Ceram). All specimens were evaluated to detect the presence and propagation of enamel cracks using a LED transilluminator before and after 250,000 mechanical cycles (SD Mechatronic GmbH). After a chewing simulation, they were subjected to a compressive force in a universal testing machine (DL-2000, EMIC) until fracture. The maximum fracture load of the specimens was measured (N) and the fracture patterns were classified based on the fracture site (above or below the cementoenamel junction [CEJ]). Data were statistically analyzed with one-way ANOVA. All specimens survived after 250,000 mechanical cycles, and no statistically significant differences among groups were observed regarding the fracture toughness (p<0.05). The fracture analysis demonstrated that failures below the CEJ were more common in CV (75%), while CT, R-BF, and F-BF showed this type of failure in 38%, 63%, and 63% of the specimens, respectively. The results of the crack analysis showed that the occurrence of new cracks and crack propagation was also higher in CV (33.3%), followed by R-BF, F-BF, and CT (14%, 14%, and 11% of the specimens, respectively). Teeth restored with regular and flowable bulk-fill composites showed similar fracture toughness after the chewing simulation compared to those restored with the conventional resin composite and unprepared teeth. Furthermore, teeth restored with both regular and flowable bulk-fill composites showed a lower incidence of enamel cracks and fractures below the CEJ compared to those restored with the conventional resin composite.

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In this work nanocomposites based on alginate (Alg) and halloysite as a nanotubular clay (Hy) were developed. Characterization techniques reveal that Hy/Alg nanocomposites are cation exchangers with predominantly negative charge density and good thermal stability. The adsorption equilibrium of Cd(II) in aqueous solution onto Hy/Alg nanocomposites revealed that by increasing the mass of halloysite in the nanocomposite, the adsorption capacity diminished significantly due to the halloysite-alginate interactions. Maximum adsorption capacities of 8, 65, 88, and 132 mg/g of Cd(II) were obtained for samples Hy, Hy/Alg 50%, Hy/Alg 95%, and Alg, respectively. In addition, the adsorption equilibrium of Cd(II) on the Hy/Alg bionanocomposites was affected by the pH and temperature of the solution, demonstrating the presence of electrostatic interactions during adsorption and that this is an exothermic process. The controlling mechanism of adsorption was cation exchange influenced by electrostatic forces. The Cd(II) adsorption rate studies were interpreted by the diffusion-permeation model and reveal that the presence of Hy in the structure of the nanocomposites enhances the permeation coefficient, that is, the adsorption rate was increased. The values of the permeation coefficient varied from 1.95 × 10-7 to 8.50 × 10-7 cm2/s for Hy/Alg 50% and from 1.70 × 10-7 to 3.55 × 10-7 cm2/s for Hy/Alg 95%.

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The scale mealybug, Diaspis echinocacti (Bouché, 1833) (Hemiptera: Diaspididae), is one of the main pests of the cactus pear in Brazil. The objective was to study biological aspects of D. echinocacti at the constant temperatures of 25, 28, 30, 33 and 35 °C with relative humidity of 60 ± 10% and photoperiod of 12 hours in the laboratory on the cactus pear cultivar, "Orelha de Elefante Mexicana", Opuntia stricta [Haw.] Haw. The development period (22 to 35 days) and survival in the egg (92 to 100%) and nymph (21.8 to 100%) stages and of the egg-adult cycle (20 to 100%), longevity (34.1 to 59.6 days) and fecundity (33 to 112 eggs) of D. echinocacti females with the different temperature and absence of males at the highest temperatures (> 30°C), indicated that the range between 25 °C and 30°C is the most favorable for this scale mealybug. This information may help to improve integrated management programs for D. echinocacti, in areas subject to seasonal temperature changes in the Brazilian regions where cactus pear is cultivated.

A cochonilha-escama, Diaspis echinocacti (Bouché, 1833) (Hemiptera: Diaspididae), é uma das principais pragas da palma forrageira no Brasil. O objetivo foi estudar aspectos biológicos de D. echinocacti nas temperaturas constantes de 25, 28, 30, 33 e 35 °C, umidade relativa de 60 ± 10% e fotoperíodo de 12 horas em laboratório na cultivar de palma forrageira, "Orelha de Elefante Mexicana", Opuntia stricta [Haw.] Haw. O período de desenvolvimento (22 a 35 dias) e a sobrevivência nas fases de ovo (92 a 100%) e ninfa (21,8 a 100%) e o ciclo ovo-adulto (20 a 100%), longevidade (34,1 a 59,6 dias) e fecundidade (33 a 112 ovos) de fêmeas de D. echinocacti nas diferentes temperaturas e ausência de machos nas maiores (> 30°C) indicam ser a faixa entre 25°C e 30°C a mais favorável para esta cochonilha de escama. Essas informações podem auxiliar no aprimoramento de programas de manejo integrado de D. echinocacti em áreas sujeitas a variações sazonais de temperatura nas regiões brasileiras onde a palma forrageira é cultivada.

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Introduction: Microbial systems, such as Escherichia coli, as host recombinant expression is the most versatile and the cheapest system for protein production, however, several obstacles still remain, such as recovery of soluble and functional proteins from inclusion bodies, elimination of lipopolysaccharides (LPS) contamination, incomplete synthesis, degradation by proteases, and the lack of post-translational modifications, which becomes even more complex when comes to membrane proteins, because they are difficult not only to produce but also to keep in solution in its active state. T-cell Immunoglobulin and Mucin domain 3 (TIM-3) is a type I transmembrane protein that is predominantly expressed on the surface of T lymphocytes, natural killer (NK) cells, dendritic cells, and macrophages, playing a role as a negative immune checkpoint receptor. TIM-3 comprises a single ectodomain for interaction with immune system soluble and cellular components, a transmembrane domain, and a cytoplasmic tail, responsible for the binding of signaling and scaffolding molecules. TIM-3 pathway holds potential as a therapeutic target for immunotherapy against tumors, autoimmunity, chronic virus infections, and various malignancies, however, many aspects of the biology of this receptor are still incompletely understood, especially regarding its ligands. Methods: Here we overcome, for the first time, the challenge of the production of active immune checkpoint protein recovered from bacterial cytoplasmic inclusion bodies, being able to obtain an active, and non-glycosylated TIM-3 ectodomain (TIM-3-ECD), which can be used as a tool to better understand the interactions and roles of this immune checkpoint. The TIM-3 refolding was obtained by the association of high pressure and alkaline pH. Results: The purified TIM-3-ECD showed the correct secondary structure and was recognized from anti-TIM-3 structural-dependent antibodies likewise commercial TIM-3-ECD was produced by a mammal cells system. Furthermore, immunofluorescence showed the ability of TIM-3-ECD to bind to the surface of lung cancer A549 cells and to provide an additional boost for the expression of the lymphocyte activation marker CD69 in anti-CD3/CD28 activated human PBMC. Discussion: Taken together these results validated a methodology able to obtain active checkpoint proteins from bacterial inclusion bodies, which will be helpful to further investigate the interactions of this and others not yet explored immune checkpoints.

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Reports of deaths caused by alligators or crocodiles are rare in the literature. These deaths may be related to sharp force trauma caused by the teeth of these animals, with or without mutilation, or even drowning after seizure and submersion of the victim. It is difficult to forensically identify bodies in cases of mutilation of the upper limbs during the attack or when the corpse is in an advanced stage of skeletonization. Smile photographs are an important source of ante-mortem references for comparison. We report a human identification based on a photograph of a victim, with the absence of limbs caused by an alligator attack and the advanced skeletonization stage due to scavenger fish action in the Amazon within only 36 hours after his disappearance. The description of alligator attacks and the marks observed on the victim's body are essential to help medical and forensic professionals diagnose the injuries found and, consequently, define the cause of death.

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