Orientador: Marcelo Coelho Goiato / Banca: Mitsuru Ogata / Banca: Stefan Fiúza de Carvalho Dekon / Banca: Mário Alexandre Coelho Sinhoreti / Banca: Humberto Gennari Filho / Resumo: O insucesso das próteses faciais é causado pelas limitações das propriedades dos materiais existentes, sendo as mais críticas a flexibilidade e a durabilidade. Uma prótese facial deve ser resistente e ter longa duração, mas se manter suave e flexível para acompanhar os movimentos faciais do paciente. Diante destas considerações, o objetivo desta pesquisa foi o de avaliar a deterioração marginal e a dureza SHORE A de dois silicones para uso em prótese facial - o Silastic 732 R.T.V. e o Silastic MDX4-4210, sob a influência do tempo de armazenagem, da desinfecção diária com clorexidina a 2% e de dois tipos de pigmentação, considerando que sempre houve a necessidade de um material que combinasse a flexibilidade natural da pele humana com durabilidade no seu uso. Foram confeccionados 30 corpos-de-prova para cada material, divididos em 3 grupos: controle (incolor), pigmentados com maquiagem e com óxido de ferro. A análise da deterioração marginal foi realizada em microscópio eletrônico de varredura e o teste de dureza dos materiais foi realizado em durômetro SHORE A, imediatamente, 6 meses e um ano após a confecção dos corpos-de-prova, seguindo as especificações da ASTM. Os dados da dureza foram submetidos à análise estatística, utilizando-se do teste de Tukey com nível de 99% de confiabilidade. Os dois silicones para uso facial apresentaram um aumento da sua dureza SHORE A com o passar do tempo. Entretanto, a dureza SHORE A manteve-se estável no período de 6 meses a 1 ano. Quando os silicones foram comparados entre si, o Silastic 732 R.T.V. mostrou-se estatisticamente mais flexível que o MDX4-4210. Após a análise visual das fotomicroscopias (aumento de 1000x) foi possível perceber que todos os grupos sofreram deterioração marginal e alteração de sua textura superficial com o passar do tempo...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Prosthetic failure can be attributed to the inherent problems of the properties of materials, such as flexibility and durability. The maxillofacial prosthesis must be strong and have durability, but must be soft and flexible enough to respond to the facial motions of the patient. The purpose of this study was to analyse the influence of time’s storage, chemical disinfection with 2% chlorhexidine-based solution and two distincts pigments about marginal deterioration and SHORE A hardness of two silicones for use in maxillofacial prosthesis - the Silastic 732 R.T.V. and the Silastic MDX4-4210. Thirty specimens were fabricated for each silicone using a matrix. Specimens were separated in three groups: control (colourless), pigmented with commercial cosmetic (makeup powders) and pigmented with iron oxid. The marginal deterioration analysis was realized in scanning electron microscope (SEM) and the hardness test was realized in a SHORE A durometer, according to ASTM, designation D 2240. The readings were realized after polymerization of the specimens (initial period), after 6 months and 1 year, with and without disinfection. The data of SHORE A hardness were submited to the statistic analysis, by the Tukey’s Test. Both silicones presented an increase of hardness over time. However, the hardness maintained stable at 6 months and 1 year periods. When both silicones were compared, the Silastic 732 R.T.V. showed statistically softer than MDX4-4210. After visual analysis of photomicrocopies (1000x), was possible note that all groups suffered marginal deterioration over time. The chemical disinfection also contributed to marginal deterioration of silicones, independent of time and pigmentation. Subject to the design, materials and methods used in this research, the following conclusions can be drawn:...(Complete abstract, click electronic address below) / Doutor

Essa pesquisa investigou e interpretou aspectos relevantes da desinfecção por radiação ultravioleta (UV) na inativação de microrganismos indicadores. O efluente sanitário foi proveniente de tratamento anaeróbio (Reator UASB), seguido de Biofiltro Aerado Submerso, em escala real. A pesquisa foi dividida em duas etapas, sendo que na primeira foi dado destaque ao estudo das características operacionais da unidade ultravioleta. Na segunda etapa da pesquisa objetivou-se o estudo da resistência de diferentes microrganismos indicadores à radiação ultravioleta e das possíveis correlações entre as variáveis testadas. Os resultados obtidos na primeira etapa da pesquisa forneceram indicativos de que a limpeza das lâmpadas emersas pode ser feita em períodos superiores a 2 meses, devendo-se levar em consideração também a fragilidade do sistema. A limpeza do canal de desinfecção não teve relação com a eficiência de desinfecção. A operação de unidades UV é relativamente simples desde que haja treinamento dos operadores e condições ergonômicas favoráveis ao trabalho dos mesmos. O custo operacional situou-se na faixa de 0,006 R$/\'M POT.3\' de esgoto desinfetado e o custo de energia elétrica foi de 0,07 R$/\'M POT.3\' de esgoto desinfetado. As eficiências máximas de desinfecção encontradas na segunda etapa da pesquisa foram de 100% para Colifagos, 99,999% para CF (Coliformes Fecais) e 99,993% para CT (Coliformes Totais), o que demonstra que a ordem decrescente de resistência desses organismos é CT > CF > Colifagos. Os resultados indicaram que houve pouca variação da eficiência de inativação para as três lâminas de esgoto testadas (3 cm, 4 cm e 5 cm) o que sugere que a unidade é capaz de atender aumentos moderados de vazão, confirmando os pressupostos adotados no seu dimensionamento. Os dados obtidos a partir do ensaio hidrodinâmico indicaram que o reator de desinfecção testado comporta-se como um sistema composto de um reator pistonado ideal com presença de curtos circuitos hidráulicos. / This research has investigated and interpreted relevant aspects of disinfection by ultraviolet radiation (UVR) in the inativation of indicator microorganisms\' inactivation. The sanitary effluent was provided by anaerobic treatment (UASB reactor), followed by aerated submerged biofilter (ASB), on a real scale. This research was divided into two stages, whereas in the first stage, operational characteristics of the ultraviolet unit studies were highlighted. The aim of the second stage of the research was the resistance of different indicator microorganisms to ultraviolet radiation study and the possible relation among variables tested. Results obtained in the first stage of the research have provided indication that the cleaning of submerged lamps may be done in periods longer than two months, however the fragility of the system must be considered. Disinfection channel cleaning should not be related to the disinfection efficiency. The operation of UV units is relatively simple, as long as the operators are trained and work under favorable ergonomic conditions. The operational cost was set at 0.006 R$/\'M POT.3\' of disinfected sewer system and the electrical energy cost was set at 0.07 R$/\'M POT.3\'. The maximum efficiency found on the disinfection of the research second stage were 100% for Coliphages, 99.999% for FC and 99.993% for TC, which demonstrates that the resistance decreasing order of these organisms is TC > FC > Coliphages. Results indicated that there was a low inactivation efficiency variation for the three tested sewer samples (3 cm, 4 cm and 5 cm), which suggests that the unit is capable of serving moderate increase of flow, confirming adopted predictions in its dimensioning. Information obtained from the hydrodynamic test indicated that the tested disinfection reactor behaves as a compound system of an ideal piston reactor with hydraulic short circuits.

Bibliography: leaves 263-270.

N-nitrosamines are considered as a group of emerging disinfection byproducts (DBPs) with potential carcinogenicity at ng/L level. The presence of nitrosamines in drinking water is most commonly associated with chloramination of amine-based precursors. This research investigates the potential of amine-based pharmaceuticals and personal care products (PPCPs) as nitrosamine precursors under practical drinking water disinfection conditions, as well as some critical factors that may affect the nitrosamine formation via PPCPs. All of the twenty selected PPCPs were able to form the corresponding nitrosamines upon chloramine disinfection, and eight of them rendered molar conversions higher than 1 % under practical disinfection conditions. Ranitidine had the highest N-nitrosodimethylamine (NDMA) molar conversion among the tested PPCPs. A three-parameter kinetic model was proposed to describe and predict the NDMA formation from pharmaceuticals during chloramination in various water matrices. The model accurately reflected all three significant characteristics of the NDMA formation curve, including an initial lag phase, followed by a fast increase in NDMA formation, and eventually reaching a plateau. In lab-grade water, the NDMA formation from pharmaceuticals was affected by the Cl2:NH4-N mass ratio, pH, and prechlorination. The NDMA formation increased with the Cl2:NH4-N mass ratio, indicating an enhancement effect of dichloramine. The pH affected both the ultimate NDMA conversion and the reaction rate. The reaction rate is mainly determined by the level of non-protonated amine species, and it increased consistently with increasing pH. The ultimate NDMA conversion is limited by the level of dichloramine, and the maximum NDMA formation occurred in the pH range of 7 to 8. The application of prechlorination may increase or reduce the NDMA conversion, depending on the chlorine reactivity towards the amine group and its surrounding structures. Water matrix components can slow down the initial NDMA formation from selected pharmaceuticals most likely due to the formation of natural organic matter (NOM)-pharmaceutical complexes, while they had less impact on the ultimate NDMA molar conversion. The application of prechlorination may enhance the initial reaction by destroying the NOM-pharmaceutical complexes, but prolonged prechlorination may further inhibit the NDMA formation due to the binding between pharmaceuticals and NOM breakdown products.

N-nitrosamines are considered as a group of emerging disinfection byproducts (DBPs) with potential carcinogenicity at ng/L level. The presence of nitrosamines in drinking water is most commonly associated with chloramination of amine-based precursors. This research investigates the potential of amine-based pharmaceuticals and personal care products (PPCPs) as nitrosamine precursors under practical drinking water disinfection conditions, as well as some critical factors that may affect the nitrosamine formation via PPCPs. All of the twenty selected PPCPs were able to form the corresponding nitrosamines upon chloramine disinfection, and eight of them rendered molar conversions higher than 1 % under practical disinfection conditions. Ranitidine had the highest N-nitrosodimethylamine (NDMA) molar conversion among the tested PPCPs. A three-parameter kinetic model was proposed to describe and predict the NDMA formation from pharmaceuticals during chloramination in various water matrices. The model accurately reflected all three significant characteristics of the NDMA formation curve, including an initial lag phase, followed by a fast increase in NDMA formation, and eventually reaching a plateau. In lab-grade water, the NDMA formation from pharmaceuticals was affected by the Cl2:NH4-N mass ratio, pH, and prechlorination. The NDMA formation increased with the Cl2:NH4-N mass ratio, indicating an enhancement effect of dichloramine. The pH affected both the ultimate NDMA conversion and the reaction rate. The reaction rate is mainly determined by the level of non-protonated amine species, and it increased consistently with increasing pH. The ultimate NDMA conversion is limited by the level of dichloramine, and the maximum NDMA formation occurred in the pH range of 7 to 8. The application of prechlorination may increase or reduce the NDMA conversion, depending on the chlorine reactivity towards the amine group and its surrounding structures. Water matrix components can slow down the initial NDMA formation from selected pharmaceuticals most likely due to the formation of natural organic matter (NOM)-pharmaceutical complexes, while they had less impact on the ultimate NDMA molar conversion. The application of prechlorination may enhance the initial reaction by destroying the NOM-pharmaceutical complexes, but prolonged prechlorination may further inhibit the NDMA formation due to the binding between pharmaceuticals and NOM breakdown products.

Introduction: Bacteria are the most common pathogens responsible for pulpal necrosis and periapical disease conditions. The importance of eradicating bacteria and their endotoxic by-products has been highlighted in numerous studies. Aim: The aim of this in vitro study was to establish the efficacy of six endodontic disinfection protocols in eradicating Enterococcus faecalis from single root canals of human teeth. Materials and Methods: Endodontic access cavities were prepared on 86, extracted, single rooted, human teeth. Root canal preparation was done using nickel titanium rotary files. Each tooth was sterilised, inoculated with E. faecalis and randomly allocated to one of seven groups (n = 12). The six disinfection protocols were 3% sodium hypochlorite solution (NaOCl), 2% chlorhexidine digluconate solution (CHX), Chlor-XTRA, 3% NaOCl combined with 2% CHX, 3% NaOCl followed by photo-activated disinfection (PAD) and PAD alone. The seventh group was irrigated with sterile water (control). The roots were fractured longitudinally. Dentine samples from coronal, middle and apical sections of one half of each root were plated onto brain heart infusion (BHI) plates. These were incubated anaerobically at 37⁰C for five days. The colony-forming units (cfu) were counted. The second half of each root was prepared for Scanning Electron Microscopy. The Pairwise Wilcoxon Rank Sum test and the Kruskal-Wallis test were used to compare the cfu counts of the seven groups to one another. Results: Two per cent CHX, Chlor-XTRA, combination of 3% NaOCl and 2% CHX and irrigation with 3% NaOCl followed by PAD were able to eradicate E. faecalis from the coronal levels of the root canals. A combination of 3% NaOCl and 2% CHX and irrigation with 3% NaOCl followed by PAD were able to eradicate E. faecalis from the middle levels of the root canals. None of the disinfection protocols were able to eradicate E. faecalis from the apical levels of all root canals. The regimen of 3% NaOCl followed by 2% CHX was slightly more efficient in eradicating E. faecalis from the root canals than the other disinfection regimens. Dentine erosion and precipitate formation were two incidental observations in some of the samples upon SEM examination. / Dissertation (MSc)--University of Pretoria, 2013. / Odontology / unrestricted

Disinfection by-products (DBPs) are a major group of water contaminants and their role in causing adverse health outcomes, including adverse pregnancy outcomes, endocrine disruption, respiratory related adverse health outcomes and cancer has been subject to extensive epidemiological and toxicological research and review. Determination of safe exposure to DBPs, particularly within drinking water supplies, has been a topic of extensive debate, with a wide range of acceptable levels set across the industrialized world. The focus of the research in this thesis was on two of the main health outcomes associated with DBP exposure, namely adverse pregnancy outcomes and asthma related symptoms. To assess adverse pregnancy outcomes in Perth, an extensive classification quantification of the major DBPs in Perth drinking water was conducted. A registrybased prevalence study was carried out to assess birth defects in relation to high, medium and low DBP areas (defined by the water sampling and analysis). It was found that women living in high THM areas are 22% (odds ratio (OR) 1.22, 95% confidence interval (95% CI) 1.01-1.48) more likely of having a baby with any birth defect. High exposure was also strongly associated with an increased risk of having a baby with a cardiovascular defect (62% increased risk). Low birth weight and prematurity were also assessed; however these outcomes were not associated with an increased risk through an increase in exposure. Following on from this analysis, a population risk assessment model was developed for DBPs in high exposure environments. This involved a three step process: (i) Firstly a questionnaire-based validation and reliability study was used to assess water consumption patterns of a population of pregnant women in Perth. (ii) Secondly a prediction model for teratogenic burden of DBPs in Perth was developed, related to the exposure patterns of the population of pregnant women involved in the validation and reliability study. (iii) Finally, combining the information collected in (i) and (ii), along with the regression slope estimates for birth weight from the prevalence study (defined in Section 2.2.1), a dose-response model for THMs and birth weight was developed. Predictive simulations for birth weights at given THM levels were then conducted. It was estimated that pregnant women in Perth are exposed to between 0.3 – 4.10 µg/day ingested TTHM, and of this, the more toxic brominated forms accounted for between 0.27 – 3.69 µg/day. Based on a dose-response model used, birthweights calculated for the ‘hypothetical’ exposures ranged from 3403.2g for the highest exposure to 3503.5g in the lowest exposure, which is a difference of over 100g. Although the resulting reduction in birth weight is not extreme, there is still a significant reduction in birth weight present as exposure to TTHMs increases. This is the first doseresponse model to be developed to assess an adverse pregnancy outcome based on pregnant women exposure data, and will be a useful tool for assessing varying exposures throughout not only Australia but also throughout the industrialised world, where DBP exposure is highly prevalent.

The validation of UV reactors is currently accomplished by biodosimetry, in which the reactor is treated as a "black-box" and hence cannot account for the dependence of the dose delivery on the complex hydrodynamics and the spatial variation in UV intensity. Alternative methods, such as fluorescent microspheres as non-biological surrogates and computational fluid dynamics (CFD) simulations, have been developed; however, each method has its shortcomings. In this study, a novel technique for the spatial and temporal assessment of the hydrodynamics and the UV dose delivered and the link between these two factors in a lab-scale UV reactor using three dimensional laser induced fluorescence (3DLIF) is developed. This tool can also be utilized for the optimization of UV reactors and to provide data for validation of CFD-based simulation techniques. Regions of optimization include areas around the UV lamp where short-circuiting occurred, a longer inlet approach section that enhances the performance of the reactor by reducing short circuiting paths and a longer outlet region to provide greater mixing. 3DLIF allows real time characterization of mixing and dose delivery in a single lamp UV reactor placed perpendicular to flow by capturing fluorescence images emitted from a laser dye, Rhodamine 6G, using a high speed CCD camera. In addition to three-dimensional mixing, the technique successfully visualized the two-dimensional, transient mixing behaviors such as the recirculation zone and the von Karman vortices and the fluence delivery within the reactor, which has not been possible with traditional tracer test techniques. Finally, a decomposition technique was applied to the flow and fluence delivery based concentration data to reveal similar structures that affect these phenomena. Based on this analysis, changing the flow in the reactor, i.e. the Reynolds number, will directly affect the fluence delivery.

Hydrodynamic behavior in reactors used for water treatment, particularly in ozone contactors with serpentine flow, is known to strongly affect the process efficiency. However, exact flow characteristics inside these reactors are not well understood, as traditional approach either considers these reactors as black box or relies on less accurate Reynolds-Averaged Navier-Stokes (RANS) simulation. In order to provide a deep understanding of the hydrodynamics and solute transport phenomena in these reactors, high resolution numerical studies using the Large Eddy Simulation (LES) method are performed. The reactor geometries investigated in this research are Constant Baffle Spacing Multi-Chamber (CBSMC) ozone contactors and a Variable Baffle Spacing ozone contactor Model (VBSM). The LES results in two multi-chamber ozone contactors (CBSMC -Normal-Width and -Half-Width) suggest that the flow through these reactors is characterized by the presence of extensive short-circuiting and large internal recirculation. The results also suggest that the flow is highly three dimensional with a pair of symmetric counter-rotating secondary vortices. LES studies based on VBSM, the baffle spacing of which varies between 0.5 times to 5 times the size of the base chamber; suggest that the width of the recirculation zone grows at about the same rate as the baffle spacing. Instantaneous turbulent eddies are prevalent in the chamber and increase turbulent mixing. The elevated levels of turbulence are found in the short-circuiting flow path. The tracer is dispersed along the short-circuiting path and strongly into the recirculation zone due to turbulent diffusion. Baffle spacing greater than the entrance gate height, but also smaller baffle spacing, worsens the disinfection efficiency. Finally, the turbulent Schmidt number of RANS simulation was investigated by employing the previously validated LES simulation. Due to the presence of very strong turbulent diffusion in the reactors, the turbulent Schmidt number is found out to be much less than the values commonly used, and is also specific to the baffle spacing.

Bacteriophages are viruses that specifically infect bacteria. The bactericidal nature of lytic bacteriophages has been exploited by scientists for decades with the hope to utilise them in the fight against bacterial infections and antibiotic resistant bacteria in medical settings. More recently, the potential applications of bacteriophages for biocontrol in the agrifood and environmental sectors have been investigated in an attempt to develop ‘natural’ antimicrobial products. Bacteriophages have a couple of decisive advantages over conventional methods of controlling pathogenic bacteria, such as high host specificity, the ability to self-replicate, and the ability to evolve with their hosts. However, more research is needed to optimise the parameters for phage applications, including the impact of environmental conditions on lysis efficiency, multiplicity of infection, and to significantly minimise the emergence of bacterial resistance to phages. Temperature plays a key role in every biological activity in nature. It is also assumed that temperature has an effect on phage lysis efficiency. A comprehensive study of it and how it affects both the host cells and their corresponding phages is crucial to ensure the efficient removal of bacterial pathogens. In this thesis, temperature (as selected parameter) was investigated to determine its influence on the lysis effectiveness of the three different phages belonging to the family of the Myoviridea that were isolated and purified from a single water sample taken from a brook receiving treated wastewater. We used the multiplicity of infection of 1 in all of our study in this project. Temperature was found to have a significant impact on phage-mediated lysis efficiency. Both the temperature of incubation of the phage-bacteria mixture (incubation temperature) and the temperature history of bacterial hosts were found to have profound effects on plaque sizes as well as plaque numbers. Plaque size and number decreased with increasing temperature. For the phages examined, bacterial lysis was more efficient at 20°C compared to 30 or 37°C. Phages were suggested to be well adapted to the environment where they were isolated from with general implications for use in biological disinfection. Furthermore, the temperature history of the bacteria (prior to phage encounter) was found to have a modulating effect on their susceptibility to lysis. A second part of this study compared the performance of the three phages in regard to bacterial resistance. The emergence of bacterial resistance is a major obstacle to the success of bacteriophages applications. The use of multiple phages is typically recommended and has proven better than the use of a single phage. However, the bestway to perform phage treatment is still very unclear. This study therefore compared simultaneous addition of multiple phages (in form of a cocktail) with the sequential addition of the individual phages at different time points in trying to delay the emergence of bacterial resistance. The data obtained from this work suggest that lysis effectiveness can be adjusted to optimize any treatment goal. For fast initial bacterial clearance the use of a single phage with short time maximal lysis efficiency proved most efficient, while the simultaneous addition of phages in the form of a cocktail was most successful strategy in our study. Addition of selected phages sequentially can be normalized in such a way that is just as effective as a cocktail. A third part of this thesis looked into the susceptibility of bacteria that had undergone sublethal disinfection. We addressed the question whether bacteria subjected to sublethal doses of chlorine and UV are still susceptible to phage-mediated lysis. The chlorine treatments indicated the development of a phage-insensitive phenotype for a critical chlorine dose in the transition zone between live and dead. The remaining live (and culturable) bacteria were shown insensitive to the selected phage. The lowest UV exposure at 2.8 mJ/cm2 eliminated bacteria susceptibility to the phages. This phage- resistant phenotype may have serious consequences for the application of phages on foods or water that have previously undergone a weak disinfection regime.