In 2005, large sections of southwestern Amazonia experienced one of the most intense droughts of the last hundred years. The drought severely affected human population along the main channel of the Amazon River and its western and southwestern tributaries, the Solimões (also known as the Amazon River in the other Amazon countries) and the Madeira Rivers, respectively. The river levels fell to historic low levels and navigation along these rivers had to be suspended. The drought did not affect central or eastern Amazonia, a pattern different from the El Niño-related droughts in 1926, 1983, and 1998. The choice of rainfall data used influenced the detection of the drought. While most datasets (station or gridded data) showed negative departures from mean rainfall, one dataset exhibited above-normal rainfall in western Amazonia.The causes of the drought were not related to El Niño but to (i) the anomalously warm tropical North Atlantic, (ii) the reduced intensity in northeast trade wind moisture transport into southern Amazonia during the peak summertime season, and (iii) the weakened upward motion over this section of Amazonia, resulting in reduced convective development and rainfall. The drought conditions were intensified during the dry season into September 2005 when humidity was lower than normal and air temperatures were 3°-5°C warmer than normal. Because of the extended dry season in the region, forest fires affected part of southwestern Amazonia.
Both methods using bone marrow stromal cells contributed to enhancing bone healing, especially that using the bone marrow mononuclear fraction. The use of a barrier membrane seemed to have a synergistic effect.
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Objective. The aim of this study was to evaluate the bone healing after the usage of a scaffold enriched with bone marrow. Study Design. Ten rabbits were divided into 2 groups of 5 animals. Bilateral 12 mm diameter defects were created in the parietal bones. In control group Bio-Oss were inserted in both defects and, in experimental group, Bio-Oss enriched with autologous bone marrow were inserted in both defects. In these two groups, one of the calvarial defects was covered with Bio-Gide. The rabbits were sacrified 8 weeks after surgery and both CT and histomorphometric analysis were done. Results. The CT showed a lower remaining defect area in the experimental group covered with Bio-Gide when compared with control group, with and without Bio-Gide. The histomorphometrics showed no difference between groups regarding the non-vital mineralized tissue area. For vital mineralized tissue area, the experimental group covered with Bio-Gide obtained a higher percentage area when compared with control group, with and without Bio-Gide. For non-mineralized tissue area, the experimental group covered with Bio-Gide obtained a lower percentage area when compared with control group, with and without Bio-Gide. Conclusion. Both autologous bone marrow and membrane can contribute to the enhancement of bone healing.
Background: Some authors consider acute appendicitis as the main cause of acute surgical abdomen. Incident in all ages, contemporary literature suggests that is more frequent in children and young adults, male predominantly. This study aims to test the hypothesis that the disease in question is no longer prevalent in young adults (excluding children) in the surveyed region.Methods: 1150 cases of emergency surgery were performed and prospectively analyzed. 300 cases of appendicitis in adults were selected and variables studied. Patients under 13 years old were excluded.Results: 190 patients older than 60 years had a diagnosis of acute appendicitis confirmed by biopsy. There is a predominance of males. The elderly population takes less time to seek medical assistance and has fewer complications, despite being more often admitted to the ICU due to other comorbidities.
Conclusions:A trend regarding acute appendicitis epidemiology may exist. In the specific studied region acute appendicitis is no longer a disease prevalent in young adults. Surgeons and emergency physicians must be aware that acute appendicitis may no longer be predominantly common in young adults in their own specific region. Multicenter studies are needed to determine whether these data are reproduced in a geographical area of greater extent.
Aim:The aim of this study was to analyze and follow-up implants placed in the posterior maxillary regions previously grafted with homologous bone.Materials and Methods:Forty-one grafts with homologous bone blocks were performed in maxillary sinuses, and 121 implants were placed in premolar and molar regions approximately 6 months after the grafts. Patients were followed up for periods varying from 12 to 124 months after rehabilitation.Results:The results showed two implant failures, for a 98.3% success rate during the follow-up period.Discussion:The implants placed had an average torque of 40 N-cm, regardless of the, design, diameter, and length of the implants used.Conclusion:After following up on the implants placed in this study, we concluded that those placed in regions of the maxillary sinuses previously grafted with homologous bone blocks had high long-term success rates and met the functional masticatory requirements.
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