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PurposeThis study used cone-beam computed tomography (CBCT) to characterize mandibular molar root and canal morphology and its variability in Belgian and Chilean population samples.Materials and MethodsWe analyzed the CBCT images of 515 mandibular molars (257 from Belgium and 258 from Chile). Molars meeting the inclusion criteria were analyzed to determine (1) the number of roots; (2) the root canal configuration; (3) the presence of a curved canal in the cross-sectional image of the distal root in the mandibular first molar and (4) the presence of a C-shaped canal in the second mandibular molar. A descriptive analysis was performed. The association between national origin and the presence of a curved or C-shaped canal was evaluated using the chi-squared test.ResultsThe most common configurations in the mesial root of both molars were type V and type III. In the distal root, type I canal configuration was the most common. Curvature in the cross-sectional image was found in 25% of the distal canals of the mandibular first molars in the Belgian population, compared to 11% in the Chilean population. The prevalence of C-shaped canals was 10% or less in both populations.ConclusionIn cases of unclear or complex root and canal morphology in the mandibular molars, CBCT imaging might assist endodontic specialists in making an accurate diagnosis and in treatment planning.

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TUSG is a safe and feasible procedure using the described technique. The insertion of a 5-mm assistance trocar simplifies the procedure, allowing the use of rigid instruments.

Purpose Climate change and variability are both a developmental and an environmental issue. Adaptation to climate change and variability has gained a prominent place on global and local policy agendas, evolving from mainly climate risks impacts and vulnerability assessments to mainly adaptation action, imposing new defies to higher education (HE). The purpose of this paper is to introduce the Climate Vulnerability, Impact, and Adaptation (VIA) Network (CliVIA-Net), a South American university-based coalition aimed at achieving a science for/of adaptation. Design/methodology/approach CliVIA-Net is a collaborative effort by academic groups from across the spectrum of the natural, social and health sciences focused on improving climate VIA on education, research and practice. In consonance with international literature and practices, the network shifted from a discipline-oriented approach to an interdisciplinary and Earth System Science (ESS)-oriented one. It seeks to advance fundamental understanding and participatory practice-oriented research and to develop a problem orientation question/solving answering methodology. A set of cases studies illustrates how CliVIA-Net faces adaptation and sustainability challenges in the twenty-first century. Findings Focusing on interdisciplinary graduate education, practice-oriented research and problem orientation practice on climate threats which are already threatening the environment, population’s well-being and sustainability, allows for the co-production of knowledge and solutions, as well stakeholders’ buy-in and commitment. Originality/value CliVIA-Net draws upon the results of evolving interdisciplinary approaches on global change and VIA education, the research partnership with stakeholders and decision-makers to develop environmental and health outcomes, e.g. vulnerability indicators and scenario planning.

SILSG is a safe and feasible procedure when performed with the technique described herein. This technique allows for the use of conventional laparoscopic instruments and reasonable operative times. The main benefit of the procedure is an excellent cosmetic result with virtually no visible scars.

Single-port laparoscopic surgery has undergone significant development over the past 5 years. Single port is used in various procedures, including bariatric surgery. The aim of this paper is to describe a surgical technique for gastric bypass with a transumbilical approach (transumbilical gastric bypass-TUGB) with hand-sewn gastrojejunostomy, in selected patients who may be benefited by a better cosmetic result. The procedure begins with a transumbilical vertical incision. We use the GelPOINT single-port device and a 5-mm assistant trocar in the left flank (in the first two cases, a 2-mm subxiphoid liver retractor was used). A gastric pouch is made and calibrated with a 36-Fr bougie. The gastrojejunal anastomosis is performed by hand-sewing in two layers. A Roux-en-Y with a biliary limb of 50 cm and an alimentary limb of 120 cm is performed with a stapler. Three women were subjected to TUGB. The women were aged 28, 31, and 42 years; they had body mass indexes of 40.3, 33, and 38.2; and the operating times were 150, 200, and 150 min, respectively. The first two women underwent a Roux-en-Y gastric bypass (RYGB), and the last woman underwent a RYGB with a resection of the stomach remnant. There were no conversions to open or multitrocar techniques. No complications or deaths occurred. The three patients were satisfied with the cosmetic result. The technique described for TUGB is a feasible procedure for surgeons who have previous experience with the transumbilical approach.