Abstract Objective: to evaluate the effectiveness of triamcinolone Hexacetonide (TH) Intra-Articular Injection (IAI) in hand Interphalangeal Joints (IP) of Osteoarthritis (OA) patients to improve pain and joint swelling; improve function, goniometry, and grasping force, and assess IAI influence on radiographic evolution over 1-year. Methods: A randomized, double-blind study. 60 patients who underwent IAI at the most symptomatic IP joint were randomly assigned to receive TH+Lidocaine (LD) (TH/LD group) or just LD (LD group). Patients were assessed blindly for 1-year, at baseline and 1, 4, 8, 12, and 48 weeks. The following variables were assessed: articular pain and swelling, AUSCAN and COCHIN functional questionnaires, grip and pinch strength, goniometry, perception of improvement, acetaminophen consumption, and simple radiography. Repeated-measures ANOVA test was used to analyze the intervention response. Results: Sixty patients completed the follow-up. There were nine missed assessments. 97% were women; mean age of 61-years (SD = 8.2), and approximately 5-years of disease (SD = 3.6). Half of the patients present radiographic classification Kellgren and Lawrence (KL) grades I and II, and the other half grades III and IV. The two groups evolved similarly at 48-weeks. TH/LD group had a better evaluation in joint swelling and acetaminophen consumption (p = 0.04 and p < 0.001, respectively) at 48-weeks. Radiographically there was no statistical difference between groups (KL, p = 0.564; erosive OA, p = 0.999; worsening, p = 0.573). Conclusion: The IAI IP hands OA is effective for the improvement of joint swelling and decrease of analgesic consumption and does not influence the radiographic evolution of the injected joint.

A ativação farmacológica dos receptores 5-HT2C induz comportamentos de defesa em modelos animais. O estudo busca investigar se o bloqueio seletivo de receptores 5-HT2C no hipocampo ventral (HV) previne comportamentos defensivos induzidos por um agonista de receptor 5-HT2C administrado perifericamente em ratos expostos ao labirinto em cruz elevado (LCE). Quinze minutos após injeções intraperitoniais (IP, 1ml/kg) do agonista 5-HT2C WAY-161503, ratos foram microinjetados bilateralmente no HV com o antagonista seletivo de receptores 5-HT2C SB-242084 (0, 0,1, 0,5 ou 1.5μg). Dez minutos após, cada animal foi exposto ao LCE para o registro de categorias de ansiedade. Injeções sistêmicas do WAY-161503 reduziram seletivamente as explorações nos braços abertos e aumentaram padrões de avaliação de risco. Esse efeito foi atenuado de maneira dose-dependente pela microinjeção de SB-242084 no HV, confirmando a ação ansiogênica de agonistas 5-HT2C e sugerindo que esse perfil comportamental seja mediado, pelo menos em parte, por receptores 5-HT2C do HV.

Pharmacological 5-HT2C receptor activation induces defensive behaviors in several animal models of anxiety. The present study investigated whether the selective blockade of 5-HT2C receptors in the ventral hippocampus (VH) prevents defensive behaviors induced by a 5-HT2C agonist administered systemically in rats exposed to the elevated plus-maze (EPM). Fifteen minutes after intraperitonial (IP, 1ml/kg) injections of the selective 5-HT2C receptor agonist WAY-161503 (3 mg/kg), rats were bilaterally microinjected with the selective 5-HT2C antagonist SB-242084 (0, 0.1, 0.5 or 1.5μg) into the VH. Ten minutes after, each animal was exposed to the EPM for measuring classical and ethological anxiety measures. IP WAY-161503 injections selectively decreased open-arm exploration while increasing risk-assessment. This anxiogenic-like action was dose-dependently attenuated by intra-VH SB-242084 microinjections. These results not only further confirm the anxiogenic-like action of 5-HT2C agonists, but also suggest that this behavioral profile might be mediated at least in part by VH 5-HT2C receptors.

No presente estudo foi analisado o parasitismo do lagarto Tropidurus hispidus pelos ácaros Geckobiella sp. e larvas de Eutrombicula alfreddugesi em uma área na Chapada do Araripe (07° 16' S e 39° 26' W), região sul do Estado do Ceará, Brasil. Dos 56 lagartos coletados (26 fêmeas, 27 machos, e 3 juvenis), 40 (prevalência total de 71,42%) estavam infestados por ácaros. Entre os sites de infestação, as bolsas de ácaros foram os mais infestados pelas larvas de E. alfreddugesi, enquanto Geckobiella sp. foi encontrado distribuído uniformemente sob as escamas por todo o corpo dos hospedeiros. Os espécimes fêmeas de T. hispidus parasitados por E. alfreddugesi tinham uma infestação média de 8,57 ± 3,63, 1-27, enquanto os machos tinham uma média de infestação de 11,90 ± 2,63, 1-25. Os espécimes fêmeas parasitados por Geckobiella sp. tinham uma infestação média de 5,91 ± 2,28, 1-25, enquanto que os machos tinham uma infestação média de 5,43 ± 1,52, 1-23. Sete espécimes estavam também infestados por ovos e formas imaturas de ácaros não identificados (infestação média de 2,28 ± 0,89, 1-7). Não houve diferenças significativas entre a prevalência total de ácaros em machos (70,4%) e fêmeas (65,4%) adultas. As médias dos tamanhos corporais não influenciaram as taxas de infestação. A intensidade de infestação média por E. alfreddugesi (10,2 ± 8,7) foi significativamente maior do que a encontrada para Geckobiella sp. (5,9 ± 6,8). T. hispidus constitui um novo registro de hospedeiro para ácaros do gênero Geckobiella.

Parasitism of the lizard Tropidurus hispidus by Geckobiella sp. and by larvae of Eutrombicula alfreddugesi was examined in a mountainous area in Chapada do Araripe (07° 16' S and 39° 26' W), southern Ceará State, Brazil. Of the 56 lizards collected (26 females, 27 males, and 3 juveniles), 40 (total prevalence of 71.42%) were infested by mites. Mite-pockets were the sites most heavily infested by E. alfreddugesi larvae, while Geckobiella sp. was found uniformly distributed under scales over the host's entire body. The female specimens of T. hispidus parasitised by E. alfreddugesi had an average infestation rate of 8.57 ± 3.62, 1-27, while the males had an average infestation rate of 11.90 ± 2.63, 1-25. The female specimens parasitised by Geckobiella sp. had an average infestation rate of 5.91 ± 2.28, 1-25, while the males had an average infestation rate of 5.43 ± 1.52, 1-23. Seven specimens were also infested by eggs and immature forms of unidentified mites (average 2.28 ± 0.89, 1-7). There were no significant differences between the total prevalence of mites on adult male (70.4%) and adult female (65.4%) lizards. The body sizes of the hosts did not influence their infestation rates. The average infestation intensity by E. alfreddugesi (10.2 ± 8.7) was significantly greater than the average infestation intensity by Geckobiella sp. (5.9 ± 6.8). T. hispidus is the new host record to Geckobiella mites.

OBJETIVO: Analisar a densidade mineral óssea sistêmica (DMO) e a situação periodontal em mulheres na pós-menopausa, visando compreender o papel da osteoporose como um fator de risco à doença periodontal. MÉTODOS: A amostra da pesquisa foi constituída por 47 mulheres na pós-menopausa, que foram divididas em três grupos: 14 com osso normal (G1), 17 no grupo com osteopenia (G2) e 16 pacientes com osteoporose (G3), através da avaliação da densidade mineral óssea (DMO), aferida pela absormetria de dupla emissão com raios-X na área lombar (L1-L4). A condição periodontal foi avaliada pelo índice gengival (IG), índice da placa (IP) e o nível de inserção clínica (NIC). Os resultados tabulados foram analisados e submetidos ao tratamento estatístico, através do teste ANOVA a um critério (α=0,05) e o teste de correlação de Pearson (α=0,01). RESULTADOS: Verificou-se não haver diferenças significativas na situação periodontal em mulheres na pós-menopausa, através das variáveis IG, IP e NIC. Observou-se correlação significativa entre os parâmetros periodontais IG, IP e NIC entre si (p<0,001), contudo não foi detectada correlação significativa entre os parâmetros periodontais (IG, IP, NIC) e a condição sistêmica do osso das mulheres na pós-menopausa, avaliada através da DMO (p>0,01). CONCLUSÃO: A situação periodontal em mulheres na pós-menopausa não depende da massa óssea sistêmica, não havendo correlação significativa entre DMO e os parâmetros periodontais, sendo necessárias pesquisas longitudinais para considerar a osteoporose como um fator de risco à doença periodontal.

OBJECITVE: To assess the systemic bone mineral density (BMD) and the periodontal situation in postmenopausal women, to understand the possible role of osteoporosis as a risk factor for periodontal disease. METHODS: The sample was comprised of 47 postmenopausal women, divided into 3 groups: 14 patients with normal bones (G1), 17 with osteopenia (G2) and 16 patients with osteoporosis (G3). Data was obtained using bone mineral density (BMD), obtained by dual energy x-ray absorptiometry (DXA) in the lumbar area (L1-L4). Periodontal condition was evaluated by Gingival Index (GI), Plaque Index (PI) and Clinical Attachment Level (CAL). Results were analyzed and submitted to statistical treatment, through the One Way ANOVA: (α=0.05) test and the Pearson's Correlation test (α=0.01). RESULTS: GI, PI and CAL variables did not disclose a significant difference in the periodontal situation of postmenopausal women A significant correlation between periodontal parameters GI, PI and CAL (p<0,001) was observed, however no significant correlation was detected between periodontal parameters (GI, PI and CAL) and systemic bone condition of postmenopausal women, evaluated by BMD (p>0.01). CONCLUSION: The periodontal situation of postmenopausal women does not depend on the systemic bone mass and there is no significant correlation between BMD and periodontal parameters. However, further longitudinal surveys are required to understand osteoporosis as a risk factor of periodontal disease.