Magister Scientiae Dentium - MSc(Dent) / Ossifying fibroma (OF) is the most frequent of the three fibro-osseous lesions of the jaws. It occurs mostly in patients between the age of 20 and 40 years. Females are more commonly affected than males. Clinically, OF usually presents as a painless expansive intra-bony mass. Swelling and pain may be present in some cases while some lesions are discovered incidentally. Radiographically, OF is usually well-defined and unilocular or multilocular. Early lesions present as well-defined radiolucency that are small in size. Over time, the lesions tend to enlarge in size and become mixed radiolucent-radiopaque and finally become completely radiopaque. The aim of this study was to determine the clinical and radiological features of ossifying fibroma presenting at the Departments of Maxillo-Facial and Oral Surgery and Diagnostics and Radiology, University of the Western Cape Oral Health Centre as well as to assess its management and recurrence patterns. A retrospective case series analysis was performed of all histopathologically diagnosed ossifying fibroma cases available at the Departments of Maxillo-Facial and Oral Surgery and Diagnostics and Radiology at the Faculty of Dentistry, University of the Western Cape from 1976-2014. Patient's age, gender and ethnicity were recorded. The clinical presentation of the lesion as well as the history was analyzed. Radiographic features including density, size, shape, location, locularity and its effect on adjacent structures was noted. Management of each case and follow-up was also documented. A total 61 cases were included in the study. The majority of patients were females (63.9%) and below 40 years of age (73.9%). Few cases were symptomatic (29.5%) with an average period 22 months from first symptoms to presentation. The mandibular posterior region was most affected (55.5%) while larger lesions occurred more frequently in younger patients. Majority of lesions were radiopaque (49.2%) and had well-defined margins (93.6%). Most cases were managed by surgical curettage (68.2%). Following an average follow-up period of 20 months only one case recurred (recurrence rate =6.7%). In conclusion, the majority of the clinical and radiographic findings of ossifying fibroma were similar in South African patients as those of other populations. Differences include that the lesions in this population were more radio-opaque and larger in size than in the reported literature. Surgical curettage is an acceptable management protocol with low rate of recurrence.

Chromatography units, used in the production of pharmaceuticals, degrade with use and need to be changed or repackaged. This study investigates the effectiveness of two statistical methods, principal component analysis and simple and one-point multiparameter technique, for determining degradation in the Fibro chromatography unit. The methods have been shown to be effective on resin chromatography columns but not before tested on the relatively new Fibro chromatography unit. The statistical methods are implemented in an unreleased version of the monitoring and control software Unicorn. This implementation aims to be a proof of concept for including more complex methods for monitoring runs directly in the software, easing the workflow of operators by removing the need to export measurements to a third-party program. The methods were tested on measurements of absorbance, conductivity, and pressure from two series of chromatograms performed on two Fibro chromatography units. One of the units was defective and broke down halfway through the series. Principle component analysis could clearly visualize a difference between early and late runs on the defective unit. The same could only be achieved for the non-defective unit by excluding measurements of pressure. Simple and one-point multiparameter technique visualized trends from early to late in the series which were much clearer for the defective unit. Both methods showed signs of predicting degradation in a Fibro chromatograpy unit but require validation on chromatogram series with more direct measurements of performance and a wider range of failure causes.

As lesões fibro-ósseas da região maxilomandibular constituem um grupo heterogêneo de patologias que incluem lesões de desenvolvimento, reativas (displásicas) e neoplásicas, sendo que as duas principais entidades incluídas neste grupo são a displasia fibrosa e o fibroma ossificante. Devido a grande similaridade histológica entre estas patologias a avaliação das características clínicas e imaginológicas, juntamente com os aspectos histopatológicos, são o principal método de diagnóstico diferencial, porém devido a presença de diferentes níveis de maturidade destas patologias, em diversos casos os componentes histológicos assim como seu ordenamento são muito semelhantes. A busca por um processo de diagnóstico histológico mais fundamentado, hoje inexistente, é justificada pela diferença do curso clínico assim como pela eleição do tratamento entre a displasia fibrosa e o fibroma ossificante. Desta forma o propósito deste trabalho foi realizar uma análise retrospectiva descritiva das características clínico-demográficas e histopatológicas, e estabelecer um critério de diagnóstico diferencial que associe algumas características histopatológicas padronizadas juntamente com uma análise imunoistoquímica dos fatores de atividade de remodelação óssea destas lesões. Desta forma foram aplicados diferentes marcadores proteicos e moleculares em casos previamente diagnosticados de displasia fibrosa e fibroma ossificante, objetivando direcionar um critério de diagnóstico mais preciso. Nesse estudo retrospectivo foram avaliados 54 casos, sendo 30 casos de displasia fibrosa e 24 casos de fibroma ossificante, definidos após uma revisão nas análises das lâminas seguindo um padrão com algumas particularidades histomorfológicas para o diagnóstico diferencial. As características histológicas utilizadas para essa diferenciação, baseadas na revisão da literatura, foram: 1- limite entre a lesão e o tecido ósseo adjacente; 2- depósitos esféricos basofílicos (calcificações cementóides); 3- espaços negativos limítrofes entre o tecido ósseo e o tecido conjuntivo; 4- intensidade da celularidade do estroma e; 5- paralelismo das trabéculas ósseas lesionais. Após a reavaliação das lâminas seguindo a padronização de diferenciação com os cinco critérios histológicos mencionados anteriormente, foram reconsiderados os diagnósticos de 7 lâminas, ou seja 12,96% das amostras apresentaram alteração no diagnóstico anatomopatológico inicial. Posteriormente foram utilizados os seguintes imunomarcadores proteicos e moleculares do metabolismo ósseo em 9 lâminas de fibroma ossificante e em 7 lâminas de displasia fibrosa: interleucina 6 (IL-6), osteoprotegerina (OPG), osteocalcina (OCN) e o ligante do receptor do ativador do fator nuclear Kappa B (RANKL). A imunoexpressão destes marcadores foi observada nos seguintes locais: osteócitos, osteoblastos, osteoclastos e no estroma. Apenas a osteoprotegerina apresentou significância estatística nos osteócitos, osteoblastos e osteoclastos. A osteoprotegerina no estroma e os demais marcadores não apresentaram significância estatística em nenhum dos locais. / The fibro-osseous lesions of the maxillomandibular region constitute a heterogeneous group of pathologies that include developmental, reactive (dysplastic) and neoplastic lesions, and the two main entities included in this group are fibrous dysplasia and ossifying fibroma. Due to the great histological similarity between these pathologies the evaluation of the clinical and imaging characteristics, together with the histopathological aspects, are the main method of differential diagnosis, however due to the presence of different levels of maturity of these pathologies, in several cases the histological components as well as their arrangement are very similar. The search for a more substantiated histological diagnosis process, which does not exist today, is justified by the difference in the clinical course as well as by the choice of treatment between fibrous dysplasia and ossifying fibroma. Therefore, the purpose of this study was to perform a descriptive retrospective analysis of the clinical-demographic and histopathological characteristics and to establish a differential diagnosis criterion that associates some standard histopathological characteristics together with an immunohistochemical analysis of the bone remodeling activity factors of these lesions. In this way different molecular and protein markers were applied in previously diagnosed cases of fibrous dysplasia and ossifying fibroma, aiming at directing a more precise diagnosis criterion. In this retrospective study, 54 cases were evaluated, 30 cases of fibrous dysplasia and 24 cases of ossifying fibroma, defined after a review in the analysis of the slides following a pattern with some histomorphological peculiarities for the differential diagnosis. The histological characteristics used for this differentiation, based on the literature review, were: 1- border between the lesion and the adjacent bone tissue; 2- basophilic spherical deposits (cementoid calcifications); 3 - borderline negative spaces between the bone tissue and connective tissue; 4- intensity of stroma cellularity; 5- parallelism of lesionous trabeculae. After the reassessment of the slides following the standardization of differentiation with the five histological criteria mentioned above, the diagnoses of 7 slides were reconsidered, that is, 12.96% of the samples presented alterations in the initial anatomopathological diagnosis. Subsequently, the following protein and molecular biomarkers of bone metabolism were used on 9 ossifying fibrous slides and on 7 fibrous dysplasia slides: interleukin 6 (IL-6), osteoprotegerin (OPG), osteocalcin (OCN) and the activator receptor ligand Of nuclear factor Kappa B (RANKL). Immunoexpression of these markers was observed at the following sites: osteocytes, osteoblasts, osteoclasts and in the stroma. Only osteoprotegerin presented statistical significance in osteocytes, osteoblasts and osteoclasts. The osteoprotegerin in the stroma and the other markers did not present statistical significance in any of the sites.

As lesões fibro-ósseas da região maxilomandibular constituem um grupo heterogêneo de patologias que incluem lesões de desenvolvimento, reativas (displásicas) e neoplásicas, sendo que as duas principais entidades incluídas neste grupo são a displasia fibrosa e o fibroma ossificante. Devido a grande similaridade histológica entre estas patologias a avaliação das características clínicas e imaginológicas, juntamente com os aspectos histopatológicos, são o principal método de diagnóstico diferencial, porém devido a presença de diferentes níveis de maturidade destas patologias, em diversos casos os componentes histológicos assim como seu ordenamento são muito semelhantes. A busca por um processo de diagnóstico histológico mais fundamentado, hoje inexistente, é justificada pela diferença do curso clínico assim como pela eleição do tratamento entre a displasia fibrosa e o fibroma ossificante. Desta forma o propósito deste trabalho foi realizar uma análise retrospectiva descritiva das características clínico-demográficas e histopatológicas, e estabelecer um critério de diagnóstico diferencial que associe algumas características histopatológicas padronizadas juntamente com uma análise imunoistoquímica dos fatores de atividade de remodelação óssea destas lesões. Desta forma foram aplicados diferentes marcadores proteicos e moleculares em casos previamente diagnosticados de displasia fibrosa e fibroma ossificante, objetivando direcionar um critério de diagnóstico mais preciso. Nesse estudo retrospectivo foram avaliados 54 casos, sendo 30 casos de displasia fibrosa e 24 casos de fibroma ossificante, definidos após uma revisão nas análises das lâminas seguindo um padrão com algumas particularidades histomorfológicas para o diagnóstico diferencial. As características histológicas utilizadas para essa diferenciação, baseadas na revisão da literatura, foram: 1- limite entre a lesão e o tecido ósseo adjacente; 2- depósitos esféricos basofílicos (calcificações cementóides); 3- espaços negativos limítrofes entre o tecido ósseo e o tecido conjuntivo; 4- intensidade da celularidade do estroma e; 5- paralelismo das trabéculas ósseas lesionais. Após a reavaliação das lâminas seguindo a padronização de diferenciação com os cinco critérios histológicos mencionados anteriormente, foram reconsiderados os diagnósticos de 7 lâminas, ou seja 12,96% das amostras apresentaram alteração no diagnóstico anatomopatológico inicial. Posteriormente foram utilizados os seguintes imunomarcadores proteicos e moleculares do metabolismo ósseo em 9 lâminas de fibroma ossificante e em 7 lâminas de displasia fibrosa: interleucina 6 (IL-6), osteoprotegerina (OPG), osteocalcina (OCN) e o ligante do receptor do ativador do fator nuclear Kappa B (RANKL). A imunoexpressão destes marcadores foi observada nos seguintes locais: osteócitos, osteoblastos, osteoclastos e no estroma. Apenas a osteoprotegerina apresentou significância estatística nos osteócitos, osteoblastos e osteoclastos. A osteoprotegerina no estroma e os demais marcadores não apresentaram significância estatística em nenhum dos locais. / The fibro-osseous lesions of the maxillomandibular region constitute a heterogeneous group of pathologies that include developmental, reactive (dysplastic) and neoplastic lesions, and the two main entities included in this group are fibrous dysplasia and ossifying fibroma. Due to the great histological similarity between these pathologies the evaluation of the clinical and imaging characteristics, together with the histopathological aspects, are the main method of differential diagnosis, however due to the presence of different levels of maturity of these pathologies, in several cases the histological components as well as their arrangement are very similar. The search for a more substantiated histological diagnosis process, which does not exist today, is justified by the difference in the clinical course as well as by the choice of treatment between fibrous dysplasia and ossifying fibroma. Therefore, the purpose of this study was to perform a descriptive retrospective analysis of the clinical-demographic and histopathological characteristics and to establish a differential diagnosis criterion that associates some standard histopathological characteristics together with an immunohistochemical analysis of the bone remodeling activity factors of these lesions. In this way different molecular and protein markers were applied in previously diagnosed cases of fibrous dysplasia and ossifying fibroma, aiming at directing a more precise diagnosis criterion. In this retrospective study, 54 cases were evaluated, 30 cases of fibrous dysplasia and 24 cases of ossifying fibroma, defined after a review in the analysis of the slides following a pattern with some histomorphological peculiarities for the differential diagnosis. The histological characteristics used for this differentiation, based on the literature review, were: 1- border between the lesion and the adjacent bone tissue; 2- basophilic spherical deposits (cementoid calcifications); 3 - borderline negative spaces between the bone tissue and connective tissue; 4- intensity of stroma cellularity; 5- parallelism of lesionous trabeculae. After the reassessment of the slides following the standardization of differentiation with the five histological criteria mentioned above, the diagnoses of 7 slides were reconsidered, that is, 12.96% of the samples presented alterations in the initial anatomopathological diagnosis. Subsequently, the following protein and molecular biomarkers of bone metabolism were used on 9 ossifying fibrous slides and on 7 fibrous dysplasia slides: interleukin 6 (IL-6), osteoprotegerin (OPG), osteocalcin (OCN) and the activator receptor ligand Of nuclear factor Kappa B (RANKL). Immunoexpression of these markers was observed at the following sites: osteocytes, osteoblasts, osteoclasts and in the stroma. Only osteoprotegerin presented statistical significance in osteocytes, osteoblasts and osteoclasts. The osteoprotegerin in the stroma and the other markers did not present statistical significance in any of the sites.

Le muscle strié squelettique est un tissu fascinant qui permet d’assurer les fonctions essentielles à notre existence : se mouvoir, maintenir sa posture, se nourrir, communiquer ou tout simplement respirer. De nombreuses situations, engendrant principalement une hypoactivité, peuvent provoquer un déconditionnement musculaire caractérisé par une perte de masse et de force ainsi qu’un développement d’infiltrations graisseuses (IMAT), altérant ainsi la fonction musculaire. Le développement d’IMAT est également observé lorsque les processus de régénération musculaire sont altérés. Les fibro-adipogenic progenitors (FAPs) représentent la population de cellules souches principalement impliquée dans le développement d’IMAT. L’interaction entre FAPs et cellules satellites/immunitaires semble être un trio indispensable pour une régénération optimale, sans développement d’IMAT. Au regard de la littérature scientifique, une modulation du niveau d’activité contractile permet de faire varier le niveau d’expression de nombreuses cytokines impliquées dans la modulation des FAPs et donc dans l’apparition d’IMAT. Nos travaux ont contribué à l’accroissement des connaissances scientifiques relatives à la thématique des infiltrations graisseuses et à leurs exacerbations dans des situations d’hypoactivité ou de régénération musculaire. Nous avons montré que 3 jours d’hypoactivité chez l’homme, induite par le modèle novateur de dry immersion, suffisent à augmenter le contenu musculaire en IMAT. Dans un contexte de régénération musculaire, induite par le modèle glycérol chez la souris, nous avons démontré une inhibition de l’apparition des IMAT en diminuant les contraintes mécaniques appliquées au muscle lésé. Nous avons également précisé le rôle de l’axe TNFα/TGF-β1, et donc celui des processus inflammatoires nécessaires dans l’apoptose des FAPs afin de limiter le développement des IMAT dans ce modèle. Ces trois études ouvrent de nombreuses perspectives, afin i) de préciser le rôle des IMAT dans la dysfonction musculaire, ii) de définir les mécanismes de régulation qui contrôlent le développement et l’accumulation d’IMAT. / Skeletal muscle is a fascinating tissue that ensures core functions: moving, maintaining postures, feeding, communicating or just breathing. Many situations, associated with hypoactivity, are able to involve muscle deconditioning defined by a loss of mass and strength, as well as fat infiltration development (IMAT), altogether impairing muscle function. IMAT development occurs also with disrupted regeneration processes. Fibro-adipogenic progenitors (FAPs) appear as the main stem cell population involved in IMAT development. The interaction between FAPs and satellite/immune cells seems to be a crucial trio for an efficient regeneration, without IMAT development. According to the literature, the degree of contractile activity is able to affect the expression levels of different cytokines involved in FAPs fate, and therefore in IMAT accumulation. Our work contributed to increase scientific knowledge on muscle fatty infiltrations and their exacerbations in hypoactivity or regeneration situations. We showed that 3 days of hypoactivity in human, induced by the innovative model of dry immersion, are sufficient to promote an increase in IMAT content. In a context of muscle regeneration, induced by the mouse glycerol model, we highlighted an almost complete inhibition of IMAT accumulation by decreasing mechanical constraints applied to the injured muscle. We also investigated the role of the TNFα/TGF-β1 axis, and therefore the potential role of the inflammatory stage in FAPs apoptosis and inhibition of IMAT development. Our work open up new prospects 1°) clarifying the role of IMAT in muscle dysfunction, and 2°) defining the underlying mechanisms controlling IMAT development and accumulation.

La régénération musculaire implique des interactions fonctionnelles entre différents types de cellules mononucléées. Parmi elles, citons les progéniteurs myogéniques (MPs), qui fusionnent pour générer de nouvelles myofibres en réponse à une blessure, et les cellules immunitaires qui envahissent les muscles endommagés. Des dépôts transitoires fibrotiques et d’adipocytes sont observés dans les muscles en régénération qui cependant persistent dans la dystrophie musculaire de Duchenne (DMD) et au cours du vieillissement. Nous avons démontré que les progéniteurs fibro-adipogéniques (FAPs) exprimant le marqueur de surface PDGFRα, contribueraient au développement des dépôts non myogéniques dans les muscles sains. En effet, ces progéniteurs se différencient en adipocytes blancs fonctionnels, bien qu’étant insensibles à l’insuline, et génèrent des myofibroblastes. Quant à la fibrose des muscles DMD, elle se formerait à partir de la différenciation à la fois des MPs et des FAPs. Dans les muscles sains, les FAPs stimulent la myogenèse des MPs au cours de la régénération, alors que les myotubes et les macrophages pro-inflammatoires inhibent l’adipogenèse et la fibrogenèse des FAPs. Pour les progéniteurs âgés ou dystrophiques, les interactions cellulaires entre les FAPs et les MPs sont perturbées. De manière intéressante, la régulation des FAPs DMD ou âgés peut être restaurée en remplaçant les MPs DMD ou âgés par des MPs jeunes et sains. Nos résultats montrent que les muscles humains contiennent des progéniteurs fibro-adipogéniques qui jouent un rôle central dans la régulation de l’homéostasie musculaire en interagissant avec les progéniteurs myogéniques et les macrophages / Muscle regeneration involves functional interactions between different types of mononuclear cells including myogenic progenitors (MPs) and macrophages. Following injury, damaged muscles are invaded by immune cells and MPs fuse to generate new myofibres. Transient fibrotic and adipocyte deposits are observed in regenerating muscles, which however persist in Duchenne muscular dystrophy (DMD) and during aging. We demonstrated that fibro-adipogenic progenitors (FAPs) expressing the PDGFRα surface marker would contribute to the development of non-myogenic deposits in healthy muscles. Indeed, these progenitors differentiate into functional white adipocytes that have the feature to be insulino-resistant, and give rise to myofibroblastes. Intramuscular fibrosis in DMD patients could be formed from both FAPs and MPs differentiation. In healthy muscles, FAPs stimulate myogenesis of MPs during regeneration, while myotubes and pro-inflammatory macrophages inhibit the adipogenesis and fibrogenesis of FAPs. Cellular interactions between FAPs and MPs are disrupted for DMD or aged progenitors. Interestingly, they are restored if aged or DMD FAPs are replaced by healthy and young MPs. Our results show that the human muscles contain fibro-adipogenic progenitors that play a crucial role in the control of muscle homeostasis by interacting with myogenic progenitors and macrophages

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O propósito desse trabalho foi verificar a retenção de pinos fibro resinosos cimentados em canais radiculares alargados simulando raízes extensamente comprometidas, fabricados por duas técnicas usadas para diminuir sua desadaptação; comparando-as ao pino fixado somente com cimento. Foram utilizados vinte e quatro raízes de dentes humanos unirradiculares, padronizadas com 15.0 mm de comprimento e 5.0 0.3 mm de diâmetro. As raízes foram incluídas em resina acrílica e divididas em grupos de acordo com a técnica usada: grupo I - pino DC White Post no2 cimentado com sistema adesivo quimicamente ativado e com cimento resinoso dual; grupo II mesmo pino reanatomizado com resina composta para copiar a anatomia do canal radicular, cimentado da mesma forma; e grupo III mesmo pino associado a três pinos acessórios, cimentados do mesmo modo. O canal radicular teve seu diâmetro padronizado pela broca no2 para o pino DC em uma profundidade de 12.0 mm e alargado com uma broca tronco cônica em uma profundidade de 10.0 mm. As oito raízes de cada grupo foram seccionadas transversalmente em três discos de 3.0 mm, a partir da cervical para a execução de um ensaio de extrusão, descartando-se os últimos 2.0 mm, que serviram somente para centralizar o pino. Os valores de retenção foram registrados e tratados estatisticamente por ANOVA e pelo teste SNK (p<0.05). Diferenças significativas foram observadas entre três porções radiculares investigadas em todos os grupos, com os valores de retenção diminuindo da cervical para apical. A retenção na porção apical do grupo com pinos customizado com resina foi estatisticamente maior que na mesma região dos demais grupos. Nenhuma diferença foi encontrada entre o grupo com pinos acessórios e o grupo somente com pino e cimento nessa parte da raiz. Nenhuma diferença foi observada comparando as porções cervical e média dos diferentes grupos. Os tipos de falha após o teste de extrusão foram observados em microscópio eletrônico de varredura com aumento de 200, 600 e 1000 vezes. Elas ocorreram exclusivamente entre o pino e o cimento ou a resina composta. A camada de adesão (camada híbrida) foi mais facilmente observada nas porções cervical e média de todos os grupos. Isso sugere que a retenção nas porções apicais da raiz é predominantemente friccional. Uma vez que pinos acessórios somente alcançam até a porção média do canal radicular, a retenção do pino não é aumentada com essa técnica. / The aim of this study was to evaluate the retention of fiber posts cemented in enlarged root canals simulating compromised roots, fabricated with to two techniques used to minimize your desadptation; comparing it to posts fixed only with ciment. Twenty four single root human teeth standardized in 15.0mm length and 5.0 0.3mm diameter were used. The roots were imbibed in acrylic resin and divided in groups according to the technique used: group I - DC White Post no2 cemented with quimically cured adhesive system and a dual cured resin cement; group II the same post customized with composite resin to copy the root canal anatomy, cemented the same way; and group III the same post associated with three accessory posts, cemented the same way. The root canals had their diameter standardized using a no2 DC post burs 12.0 mm deep and enlarged with a chamfer bur 10.0 mm deep. The eight roots of each group were transversely sectioned in three 3.0 mm diameter discs, starting from cervical to make the push out test, discarding the last 2.0mm used only to centralize the post. The retention values were registered and statistically treated with ANOVA and SNK tests (p<0.05). Significant differences were observed when comparing the three root portions of all groups investigated, with retention values decreasing from cervical to apical. The retention in apical portion of customized posts was statistically greater than the same parts of other groups. No differences were found between the group with accessory posts and only cemented posts in this root portion. No differences was observed comparing cervical e middle portions of different groups. The failure types after the push out test were observed in MEV with 200, 600 e 1000x magnification. They occurred exclusively between the post and the resin cement or the composite resin. A hybrid layer was more easily observed in the cervical and middle portions of the roots in all groups. This suggests that the retention in the apical portions of roots is mostly frictional. Since accessory posts only eventually can reach the middle portion of root canal the post retention is not increased with this technique.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O propósito desse trabalho foi verificar a retenção de pinos fibro resinosos cimentados em canais radiculares alargados simulando raízes extensamente comprometidas, fabricados por duas técnicas usadas para diminuir sua desadaptação; comparando-as ao pino fixado somente com cimento. Foram utilizados vinte e quatro raízes de dentes humanos unirradiculares, padronizadas com 15.0 mm de comprimento e 5.0 0.3 mm de diâmetro. As raízes foram incluídas em resina acrílica e divididas em grupos de acordo com a técnica usada: grupo I - pino DC White Post no2 cimentado com sistema adesivo quimicamente ativado e com cimento resinoso dual; grupo II mesmo pino reanatomizado com resina composta para copiar a anatomia do canal radicular, cimentado da mesma forma; e grupo III mesmo pino associado a três pinos acessórios, cimentados do mesmo modo. O canal radicular teve seu diâmetro padronizado pela broca no2 para o pino DC em uma profundidade de 12.0 mm e alargado com uma broca tronco cônica em uma profundidade de 10.0 mm. As oito raízes de cada grupo foram seccionadas transversalmente em três discos de 3.0 mm, a partir da cervical para a execução de um ensaio de extrusão, descartando-se os últimos 2.0 mm, que serviram somente para centralizar o pino. Os valores de retenção foram registrados e tratados estatisticamente por ANOVA e pelo teste SNK (p<0.05). Diferenças significativas foram observadas entre três porções radiculares investigadas em todos os grupos, com os valores de retenção diminuindo da cervical para apical. A retenção na porção apical do grupo com pinos customizado com resina foi estatisticamente maior que na mesma região dos demais grupos. Nenhuma diferença foi encontrada entre o grupo com pinos acessórios e o grupo somente com pino e cimento nessa parte da raiz. Nenhuma diferença foi observada comparando as porções cervical e média dos diferentes grupos. Os tipos de falha após o teste de extrusão foram observados em microscópio eletrônico de varredura com aumento de 200, 600 e 1000 vezes. Elas ocorreram exclusivamente entre o pino e o cimento ou a resina composta. A camada de adesão (camada híbrida) foi mais facilmente observada nas porções cervical e média de todos os grupos. Isso sugere que a retenção nas porções apicais da raiz é predominantemente friccional. Uma vez que pinos acessórios somente alcançam até a porção média do canal radicular, a retenção do pino não é aumentada com essa técnica. / The aim of this study was to evaluate the retention of fiber posts cemented in enlarged root canals simulating compromised roots, fabricated with to two techniques used to minimize your desadptation; comparing it to posts fixed only with ciment. Twenty four single root human teeth standardized in 15.0mm length and 5.0 0.3mm diameter were used. The roots were imbibed in acrylic resin and divided in groups according to the technique used: group I - DC White Post no2 cemented with quimically cured adhesive system and a dual cured resin cement; group II the same post customized with composite resin to copy the root canal anatomy, cemented the same way; and group III the same post associated with three accessory posts, cemented the same way. The root canals had their diameter standardized using a no2 DC post burs 12.0 mm deep and enlarged with a chamfer bur 10.0 mm deep. The eight roots of each group were transversely sectioned in three 3.0 mm diameter discs, starting from cervical to make the push out test, discarding the last 2.0mm used only to centralize the post. The retention values were registered and statistically treated with ANOVA and SNK tests (p<0.05). Significant differences were observed when comparing the three root portions of all groups investigated, with retention values decreasing from cervical to apical. The retention in apical portion of customized posts was statistically greater than the same parts of other groups. No differences were found between the group with accessory posts and only cemented posts in this root portion. No differences was observed comparing cervical e middle portions of different groups. The failure types after the push out test were observed in MEV with 200, 600 e 1000x magnification. They occurred exclusively between the post and the resin cement or the composite resin. A hybrid layer was more easily observed in the cervical and middle portions of the roots in all groups. This suggests that the retention in the apical portions of roots is mostly frictional. Since accessory posts only eventually can reach the middle portion of root canal the post retention is not increased with this technique.

En el campo de la Ingeniería Civil, existe una búsqueda permanente de mejorar las características de materiales de matrices cementicias así como la aplicación de distintos tipos de fibras para su refuerzo, particularmente desde que se prohibió el empleo de amianto. La aplicación de fibras sintéticas es parte de estas continuas investigaciones existiendo algunas cuyo resultado ha sido aprobado y su uso comercial se encuentra establecido como es el caso del polipropileno, por ejemplo. Paralelamente, el destino final de residuos sigue siendo un tema preocupante tanto por el incremento en su generación como por los recursos físicos y económicos que se requieren para tal fin. En el presente trabajo se realiza el estudio de la valorización de fibras sintéticas obtenidas de residuos post-consumo cuando son empleadas como refuerzo de matrices cementicias. Se emplean fibras elaboradas a partir de envases post-consumo de polietileno tereftalato (PET) y polietileno de alta densidad (HDPE), hebras mono y multi-filamentos producidas en la elaboración de escobas, así como las obtenidas de los residuos generados en la instalación y sustitución del cableado de Sistemas de Telecomunicaciones (fibra óptica). Se realiza la caracterización física y mecánica de estos materiales residuales, así como el estudio de su durabilidad al estar inmersos en medios alcalinos y, particularmente, en matrices cementicias. Para la elaboración de muestras de mortero reforzado con fibras provenientes de estos residuos se emplearon probetas prismáticas a las cuales se les realizaron los ensayos de flexión y compresión. Estos ensayos permitieron relacionar los valores obtenidos de los morteros fibrorreforzados (FRM) con los de un mortero de iguales características sin refuerzo de fibras. Estos ensayos permitieron obtener las curvas esfuerzo/deformación y tensión/deformación específica que sirvieron para determinar los módulos elásticos, tenacidad e índices de tenacidad para cada una delas muestras elaboradas. Finalmente se profundizó el estudio en la valorización de residuos plásticos de envases post-consumo, particularmente polietileno tereftalato (PET), empleándolos como refuerzo de morteros de matriz cementicia. Luego de continuarse con la caracterización del PET empleado, profundizado en su durabilidad y aplicados procedimientos sencillos de producción, se han elaborado fibras de 1 x 18 mm2 , con corte de cizalla, y 4 x 18 mm2 , 4 x 35 mm2 y 4 x 50 mm2 cortadas mediante destructoras de documentos. Con estas fibras se han elaborado muestras laminares que se sometieron a ensayo de flexión de 3 y 4 puntos. Estos ensayos permitieron obtener las curvas esfuerzo/deformación y tensión/deformación específica para determinar su capacidad resistente así como los módulos elásticos a flexión, tenacidad e impacto en cada una de las muestras. Los resultados obtenidos muestran que estas fibras pueden ser una opción de refuerzo, sobre todo orientadas a la producción de FRM en países en vías de desarrollo, debiéndose adecuar tanto su forma de producción como las dimensiones de las probetas al elemento constructivo que se pretenda desarrollar. / Fernández Iglesias, ME. (2013). Refuerzo de Matrices Cementicias mediante la Valorización de Fibras Sintéticas provenientes de Residuos Post-Consumo [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/27551 / TESIS

Background: Rhabdomyosarcoma (RMS) is a soft tissue malignancy of the skeletal muscle that occurs primarily in pediatric populations. The prevailing treatment for RMS is a combination of chemoradiation therapy and surgery which has contributed to its 5-year survival rate of 75%. However, the combination of RMS and chemoradiation therapy can lead to impaired muscle growth and development which results in life-long skeletal muscle atrophy and weakness for RMS survivors. Skeletal muscle is a highly plastic tissue due, in part, to dynamic interactions between muscle-resident stem and progenitor cells (i.e., satellite cells (SCs) and fibro/adipogenic progenitors (FAPs)), which are necessary for muscle maintenance, growth, and adaptation to anabolic stimuli such as resistance exercise training. There is a clear gap in research investigating whether resistance endurance training (RET) stimulates muscle growth and preserves muscle function after juvenile chemoradiation therapy. Purpose: To determine the extent to which RET ameliorates the skeletal muscle defects in a preclinical model of RMS survivorship. Hypothesis: RET will improve physical performance, muscle cross-sectional area (CSA), and stem/progenitor cell populations compared to sedentary mice following RMS and chemoradiation therapy. Methods: RMS (M3-9-M cells) was injected into a single hindlimb of juvenile (4 week) C57Bl/6 mice that underwent systemic chemotherapy followed by targeted, fractionated radiation therapy to the RMS-injected limb. Following therapy, mice underwent RET (RET; n=10) or remained sedentary (SED; n=10) for 8 weeks. Body composition and performance tests were completed pre- and post-therapy and throughout the exercise intervention. Fibre typing, cross-sectional area, myonuclear characteristics and trichrome staining were evaluated following muscle harvest and progenitor cell populations were assessed using flow cytometry. Results: RET led to increased endurance performance (p<0.0001) as well as a reduction in body fat percentage (p=0.0004). RET rescued atrophy induced by RMS+therapy as evidenced by a significant increase in gastrocnemius/soleus to body weight ratio for the RET group compared to the SED group (p=0.0303), despite the decrease in muscle weight observed in the treated limb compared to the control limb (p=0.015). A distinct increase in intramuscular fibrosis was noted in the treated limb compared to the control limb in both groups (p=0.0283). Furthermore, RET resulted in larger myofibre cross-sectional area (p<0.05) and a shift from Type IIX to IIA fibres (p<0.05). We also noted a greater Type IIA myonuclear domain in the RET group compared to the SED group (p=0.0015) and an overall decrease in myonuclear domain (the cytoplasmic volume controlled by each myonucleus) for the treated limb compared to the control limb (p<0.05). Interestingly, we noticed overall cell death and an increase in immune cells in the RMS treated limb, while exercise resulted in increased endothelial and mesenchymal stromal cells. Significance: These preclinical findings will provide the rationale for further investigation of the mechanisms responsible for the beneficial effects of RET as well as optimizing the RET protocol in this juvenile cancer survivorship model.