Rib Bone Research Articles

Mandibular Condylar Head Regeneration Owing to Remodeling of the Costochondral Graft After Condylectomy for Odontogenic Myxoma.

Odontogenic myxoma of the mandibular condyle is a rare tumor that requires complete surgical resection because of the tendency for recurrence. The right mandibular condyle was resected to remove the myxoma. The author performed immediate condylar reconstruction using a costochondral graft (CCG), and stable temporomandibular joint (TMJ) function and occlusion were achieved. During follow-up, the grafted CCG healed well, and a favorable bony union with the mandibular ramus was observed. Furthermore, unexpected bony remodeling was observed in the CCG; growth of the cartilaginous part resulted in the formation of a structure similar to the condylar head, and the body of the rib bone thickened similar to the mandibular subcondylar region. In conclusion, the author reported the successful removal of an odontogenic myxoma from the right mandibular condyle via condylectomy, condylar reconstruction using a CCG, and condylar head regeneration owing to CCG remodeling.

The Inca child of the Quehuar volcano: Stable isotopes clue to geographic origin and seasonal diet, with putative seaweed consumption

The Incas occupied the west coast of South America between 1438 and 1532 CE. Among the many rites they practised was the Capacocha, which involved the offering of children. Here we studied the mummy of a child found on the Quehuar volcano, Salta, Argentina. In order to determine the geographical origin of the child and to understand the living habits prior to its presentation as an offering, we incrementally measured the δ13C, δ15N, δ34S and δ2H values of keratin from a hair strand and the δ18O value of apatite phosphate from a rib bone. Although the origin of the child remains uncertain, the oxygen isotope composition of the drinking water deduced from the rib composition argues for an origin between 2,500 and 3,000 m.a.s.l. bordering the Andes. Furthermore, the sinusoidal δ2H signal measured in hair is compatible with the recording of local seasonal precipitation variations. The results indicate that the child did not move or moved only briefly prior to death. This offering may have occurred at the onset of the wet season (summer), as suggested by the hair δ2H values. By combining δ13C, δ15N and δ34S measurements in hair, we also proposed as the most parsimonious hypothesis that seaweed constituted a proportion (16.2 ± 12.9 %) of the diet, with a peak of consumption during the wet season (summer).

A critical assessment of the diatom test of rib bone marrow as a supporting procedure in the case of drowning

Diatoms (Bacillariophyta), being single-celled photosynthetic organisms, are widely distributed in aquatic ecosystems around the globe. Their exoskeletons are resistant to most environmental factors as well as chemical reagents in laboratory settings. Moreover, the ornamentation featured on exoskeletons can be used to identify individual diatomaceous species. As a result, the detection of diatoms in the internal organs, and especially rib marrow, of corpses found in water can serve as an important tool for diagnosing drowning as the cause of death as long as passive postmortem penetration of diatoms into those organs is excluded. In the environmental experiments described in this paper, diatoms were detected in rib marrow only when contamination resulted from a mechanical breach of bone integrity and structure, irrespective of the residence time of bone material in the aquatic environment. Our research suggests that the presence of diatom in the rib marrow may be the gold standard in the diagnosis of drowning in the future. Our animal model research dispels one of the doubts, such as the possibility of passive penetration of diatoms into the bone marrow, which is still under discussion in the forensic medicine community.

The Use of Autogenous Rib Graft in Craniofacial Reconstruction: Case Series Study

Background: Hard tissue defects in the maxillofacial region due to trauma or ablative surgery result in functional and cosmetic problems. The method of choice in the treatment of facial defects is autogenous bone grafts. Objectives: To evaluate the use of rib grafts in the reconstruction of craniofacial deformities. Methods: This prospective study was presented for the reconstruction of craniofacial deformity using a rib bone graft. These cases were collected from the Maxillofacial Surgery Unit from October 2011 to November 2020. The sample consisted of 16 patients (14 males and 2 females, with a mean age of 34 years). The patients were divided according to the site of the defect. In all cases, a single rib was harvested. The fifth rib was taken. Bone graft fixation by bone plate, direct screws, and transosseous wiring. The success of the bone grafting was assessed by clinical and radiological examination. Results: The overall success rate in this study was 87.5%, while we had bone graft resorption in two cases (12.5%) of mandibular reconstruction. Only one case experienced donor site complications, a pleural tear, which successfully underwent suturing and chest tube insertion. Conclusions: Free autogenous rib was successfully used to reconstruct defects in the maxillofacial regions. It gives the best result when minimum loading is needed. Stabilization of the graft by rigid internal fixation and good adaptation to the recipient site helped to minimize complications.

A Comparison of Different Implant Site Preparation Techniques in Low-Density Bone: An Ex-Vivo Study.

Osseointegration is considered a prerequisite for the long-term success of dental implants, and many researchers have considered the stability of the implant when placed in the bone. Many techniques include undersized drilling, densifying burs, magnetic mallets, and expanders. These methods have led to higher initial insertion torque values. The present study aims to evaluate the effectiveness of expanders, densifying burs, and magnetic mallet methods for preparing the implant site in low-density bone and compare them in terms of achieving good initial implant stability. The present study was conducted in an ex vivo animal model using bovine rib bones. This study was performed on 20 bovine ribs; each rib had four implant site preparations divided into four groups according to the drilling method: a control group of the conventional technique (n=20), the expanders group (n=20), the densification burs group (n=20), and the magnetic mallet group (n=20). The measured values were Primary Insertion Torque and Implant Stability Quotient (ISQ). The highest average insertion torque was in the magnetic Mallet group, where the average was 43.75 N/cm2, followed by the burs group, where the average was 43.00 N/cm2, then the expanders group with an average of 32.80 N/cm2, then the conventional preparation group with 19.30 N/cm2as the lowest average among the study groups. The highest ISQ mean was in the burs group, where the mean was 80.30, followed by the magnetic Mallet group, where the mean was 80.20, then the expanders group with a mean of 68.90, then the conventional preparation group with 50.10 as the lowest mean among the study groups. Within the limitation of this study, we conclude that all methods used were better than conventional preparation in both ISQ and insertion torque, with the magnetic mallet group outperforming the insertion torque and the Densah burs outperforming the ISQ.

Chest computed tomography manifestations in neonates with chronic granulomatous disease

To study chest computed tomography (CT) manifestations in neonates with chronic granulomatous disease (CGD) to provide clues for early diagnosis of this disease. A retrospective analysis was conducted on the clinical data and chest CT scan results of neonates diagnosed with CGD from January 2015 to December 2022 at Anhui Provincial Children's Hospital. Nine neonates with CGD were included, with eight presenting respiratory symptoms as the initial sign. Chest CT findings included: consolidation in all 9 cases; nodules in all 9 cases, characterized by multiple, variably sized scattered nodules in both lungs; masses in 4 cases; cavities in 3 cases; abscesses in 6 cases; bronchial stenosis in 2 cases; pleural effusion, interstitial changes, and mediastinal lymphadenopathy each in 1 case. CT enhancement scans showed nodules and masses with uneven or ring-shaped enhancement; no signs of pulmonary emphysema, lung calcification, halo signs, crescent signs, bronchiectasis, or scar lesions were observed. There was no evidence of rib or vertebral bone destruction. Fungal infections were present in 8 of the 9 cases, including 6 with Aspergillus infections; three of these involved mixed infections with Aspergillus, with masses most commonly associated with mixed Aspergillus infections (3/4). The primary manifestations of neonatal CGD on chest CT are consolidation, nodules, and/or masses, with Aspergillus as a common pathogen. These features can serve as early diagnostic clues for neonatal CGD.

Autologous rib grafts for craniocervical junction surgery in children: a clinical application

ObjectiveAutologous iliac bone is commonly used as a bone graft material to achieve solid fusion in craniocervical junction (CVJ) surgery. However, the developing iliac bone of children is less than ideal as a bone graft material. The matured rib bone of children presents a potential substitute material for iliac bone. The aim of this study was to evaluate the efficacy of autologous rib grafts for craniocervical junction surgery in children.MethodsThe outcomes of 10 children with abnormalities of the craniocervical junction who underwent craniocervical junction surgery between January 2020 and December 2022 were retrospectively reviewed. All patients underwent posterior fusion and internal fixation surgery with autologous rib grafts. Pre- and post-operative images were obtained and clinical follow-ups were conducted to evaluate neurological function, pain level, donor site complications, and bone fusion rates.ResultsAll surgeries were successful. During the 8- to 24-month follow-up period, all patients achieved satisfactory clinical results. Computed tomography at 3–6 months confirmed successful bone fusion and regeneration of the rib defect in all patients with no neurological or donor site complications.ConclusionAutologous rib bone is a safe and effective material for bone grafting in craniocervical junction fusion surgery for children that can reduce the risks of donor site complications and increase the amount of bone graft, thereby achieving a higher bone fusion rate.

Micro-PIXE imaging of the rib bones of rats

The ribs are bones that constitute the ribcage and consist of three regions: cartilage, costochondral junction with growth plate structures, and hard bone. In this study, frozen sections of rat ribs were prepared, and the distributions of calcium (Ca), phosphorus (P), potassium (K), and sulfur (S) were examined using particle-induced X-ray emission with microprobe (micro-PIXE) analysis. Areas with high Ca and P accumulation were observed in the interior of the rib cartilage. Histograms comparing the Ca accumulation in the three rib regions showed that the mode of accumulation of Ca in the cartilage are similar to that of the costochondral junction but distinct from that of the hard bone. The cartilage section did not possess an alkaline phosphatase-concentrated area that reflects the hard bone mineralization and is enriched in the costochondral junction. These data indicate differences in the mineralization process between cartilage and hard bones.

Developing Rib Bone Surrogates for High Dynamic Impact Assessment with Additive Manufacturing and Post-mortem Human Subjects (PMHS)-Based Evaluation

The conception of ballistic personal protective equipment requires a comprehensive understanding of the human body’s response to dynamic loads. The objective of this study is to develop rib bone surrogates enhancing new anthropomorphic test devices for personal protective equipment evaluation at high dynamic impacts. These are fabricated with additive manufacturing and compared to post-mortem human subjects (PMHS) data from literature. The 5th rib of the finite element Global Human Body Model Consortium (GHBMC) male 50th percentile (M50) model was extracted and transferred to a CAD model. This CAD model was divided into 30 sections with specific cortical bone thicknesses in all directions (caudal, cranial, cutaneous and pleural) from an equivalent rib of an M50 PMHS. Three different additive manufacturing technologies (direct metal laser melting, fused filament fabrication and multi jet modeling) were used to reproduce the M50 PMHS 5th rib surrogate. A total of 57 specimens were dynamically (500 mm/s) loaded to failure in a bending scenario imitating a frontal thoracic impact. Force, displacement, stiffness, and energy at failure were determined. Also, the strain distribution using 3D digital image correlation was recorded and compared to PMHS data from literature. The rib surrogates show deviations from the PMHS characteristic values. Nevertheless, there are also common characteristics in key variables to certain age groups of the PMHS data, which will facilitate the further development and improvement of adequate surrogates for a more realistic representation of the human body’s response to high dynamic loads.

Oldest record of Machimosaurini (Thalattosuchia, Teleosauroidea): teeth and scavenging traces from the Middle Jurassic (Bajocian) of Switzerland.

The Jurassic period was a time of major diversification for Mesozoic marine reptiles, including Ichthyosauria, Plesiosauria and thalattosuchian Crocodylomorpha. The latter originated in the Early Jurassic and thrived during the Late Jurassic. Unfortunately, the Middle Jurassic, a crucial time in their evolution, has a poor fossil record. Here, we document the first evidence of macrophagous/durophagous Machimosaurini-tribe teleosauroid thalattosuchians from the late Bajocian (ca 169 Ma) in the form of three robust tooth crowns with conical blunt shapes and anastomosed pattern of thick enamel ridges towards the apex, associated with the skeleton of a large ichthyosaur lacking preserved tooth crowns. The tooth crowns were found on the posterior section of the lower jaw (left angular), a lacrimal and the axis neural arch of the ichthyosaur. In addition, some of the distal sections of the posterior dorsal ribs of the ichthyosaur skeleton exhibit rounded bite marks and some elongated furrows that fit in size and shape with the Machimosaurini teeth. These marks, together with the absence of healing in the rib bone are interpreted here as the indicators of peri- to post-mortem scavenging by a Machimosaurini teleosauroid after the large ichthyosaur carcass settled on the floor of a shallow ocean.

A Folsom Foreshaft from the Blackwater Draw Site

AbstractThis article describes a bison rib bone foreshaft from the Blackwater Draw site, New Mexico. The object was recovered by James Hester in 1963, during the excavation of locality 4, and it was subsequently cataloged as a modified bone tool but not recognized as a hafting element. It is currently held in the Blackwater Draw Museum collections. This analysis provides a detailed description of the artifact's features and establishes its provenience from a Folsom context. A survey of known Paleoindigenous hafting implements and a discussion of theoretical Folsom foreshaft designs serve to reinforce the classification of the tool as a component of the Folsom weapon delivery system. The tool was likely broken during use and later recycled as a pressure flaker or as a polishing instrument. With the help of 3D imagery, a reconstructed model was printed and fitted with large and small Folsom points to test ideas borrowed from the theoretical literature on Folsom foreshaft design.

Comparing pulmonary ultrasound findings when viewing lung pleura beneath costal cartilage compared to costal bones

ObjectiveUltrasound is one modality to quickly diagnose pneumothoraces in critically ill patients. The bones of the chest wall often produce shadowing that can make it difficult to visualize the lung pleura. We aim to compare the ease of identifying lung sliding when viewing the pleura beneath rib cartilage located closer to the sternum versus rib bone more laterally. MethodsOn five healthy models, bilateral lung ultrasounds were performed adjacent to the sternum over rib cartilage and laterally over rib bone. The linear transducer was placed in 3 locations at each rib level. Forty-five participants were enrolled into this study to report their level of confidence in identifying lung sliding using a five-point Likert scale. The Wilcoxon signed rank test was used for statistical calculations. ResultsThe composite scores of lung sliding clarity were greater for images performed medially over costal cartilage compared to laterally over bone (3.5 vs 3.3, p = 0.02). When stratified by the location of cartilage or bone within the ultrasound image, lung sliding demonstrated greater clarity when the image was centered directly over cartilage versus bone (3.0 vs. 2.4, p < 0.01) and partially over cartilage versus bone, (3.4 vs 3.1, p < 0.01). No statistical difference was found when viewing images of lung sliding between cartilage versus bone (3.7 vs 3.7. p = 0.26). ConclusionAssessing lung sliding demonstrated greater clarity when performed medially over the rib cartilage versus laterally over rib bone when ribs were within the field of view. Clinicians should consider performing ultrasounds over rib cartilage when evaluating lung sliding pathology.

Abstract 1273: Tumor progression and tumor microenvironment of pancreas cancer ascites revealed by scRNA-seq and spatial transcriptomics

Abstract Peritoneal metastasis of pancreas cancer is one of the ultimate modes of spread in the cancer. Little is known about how cancer cells spread into abdominal cavity and what is different from hematogenous metastasis. It is also not well characterized how tumor microenvironment prevent cancer cells from spreading in abdominal cavity. We performed single-cell RNA-seq analysis and special transcriptomic analysis to clarify the progression and environment of the cancer. We collected and processed ascites samples of 20 PDAC samples from 19 patients. Sixteen ascites samples were obtained from abdominal paracentesis and two cases in the postmortem period. For one patient ascites was collected both pre and postmortem. All but one patient received chemotherapy prior to ascites collection. Routine clinical cytology evaluation of ascites samples from 17 patients indicated it was malignant in 11 patients and nonmalignant in six patients. All ascites samples were purified by gradient centrifuge using Ficoll-Paque Plus to remove erythrocytes and necrotic debris. For the platform, we adopted the 10x Genomics Chromium Single Cell Gene Expression platform for single-cell RNA-seq library preparation. Spatial transcriptomics was performed for eight FFPE samples from the two autopsy patients with paired cancer ascites using 10x Visium. The CytAssist was used to transfer transcripts of pre-sectioned and pre-stained tissues with 11 × 11 mm Visium Capture Area slides. The sample locations were metastatic tumors to bowel wall, rib bone, mesentery, iliac nerve, diaphragm, peritoneum, pelvis, and primary pancreas tumor. A total of 248,263 cells were analyzed in single-cell RNA-seq. Cell population in pancreas cancer ascites consisted of macrophages, lymphocytes, dendritic cells, plasma cells, plasmacytoid dendritic cells, mesothelial cells, and cancer cells. Cancer cells were detected in twelve samples whereas no cancer cells were detected in eight samples. Gene ontology and gene set enrichment analyses showed macrophages in ascites with cancer cells involved neutrophil activation while those in ascites without cancer cells retained antigen presentation capacity and inducing interferon gamma pathway. Mesothelial cells in ascites with cancer cells showed more apoptosis and lymphocyte proliferation while those in ascites without cancers cells triggered fibrosis and mitosis. These data suggest that macrophage and mesothelial cells could be categorized into anti-tumor cells and tumor associated cells. Ongoing investigations are exploring ligand-receptor relationships. We are going to compare the expression profile of tumor cells in ascites fluid and in tissue from various organs by integrating single cell RNA-seq data and special transcriptomics data. Citation Format: Shigeaki Umeda, Elias-Ramzey Karnoub, Fiyinfolu Balogun, Alejandro Jiménez-Sánchez, Christine A. Iacobuzio-Donahue. Tumor progression and tumor microenvironment of pancreas cancer ascites revealed by scRNA-seq and spatial transcriptomics [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 1273.

Diving dinosaurs? Caveats on the use of bone compactness and pFDA for inferring lifestyle.

The lifestyle of spinosaurid dinosaurs has been a topic of lively debate ever since the unveiling of important new skeletal parts for Spinosaurus aegyptiacus in 2014 and 2020. Disparate lifestyles for this taxon have been proposed in the literature; some have argued that it was semiaquatic to varying degrees, hunting fish from the margins of water bodies, or perhaps while wading or swimming on the surface; others suggest that it was a fully aquatic underwater pursuit predator. The various proposals are based on equally disparate lines of evidence. A recent study by Fabbri and coworkers sought to resolve this matter by applying the statistical method of phylogenetic flexible discriminant analysis to femur and rib bone diameters and a bone microanatomy metric called global bone compactness. From their statistical analyses of datasets based on a wide range of extant and extinct taxa, they concluded that two spinosaurid dinosaurs (S. aegyptiacus, Baryonyx walkeri) were fully submerged "subaqueous foragers," whereas a third spinosaurid (Suchomimus tenerensis) remained a terrestrial predator. We performed a thorough reexamination of the datasets, analyses, and methodological assumptions on which those conclusions were based, which reveals substantial problems in each of these areas. In the datasets of exemplar taxa, we found unsupported categorization of taxon lifestyle, inconsistent inclusion and exclusion of taxa, and inappropriate choice of taxa and independent variables. We also explored the effects of uncontrolled sources of variation in estimates of bone compactness that arise from biological factors and measurement error. We found that the ability to draw quantitative conclusions is limited when taxa are represented by single data points with potentially large intrinsic variability. The results of our analysis of the statistical method show that it has low accuracy when applied to these datasets and that the data distributions do not meet fundamental assumptions of the method. These findings not only invalidate the conclusions of the particular analysis of Fabbri et al. but also have important implications for future quantitative uses of bone compactness and discriminant analysis in paleontology.

Prevalence of drifting osteons distinguishes human bone.

The histological, or microscopic, appearance of bone tissue has long been studied to identify species-specific traits. There are several known histological characteristics to discriminate animal bone from human, but currently no histological characteristic that has been consistently identified in human bone exclusive to other mammals. The drifting osteon is a rare morphotype found in human long bones and observationally is typically absent from common mammalian domesticates. We surveyed previously prepared undecalcified histological sections from 25 species (human n = 221; nonhuman primate n = 24; nonprimate n = 169) to see if 1) drifting osteons were indeed more common in humans and 2) this could be a discriminating factor to identify human bone histologically. We conclude that drifting osteons are indeed more prevalent in human and nonhuman primate bone relative to nonprimate mammalian bone. Two criteria identify a rib or long bone fragment as human, assuming the fragment is unlikely to be from a nonhuman primate given the archaeological context: 1) at least two drifting osteons are present in the cross-section and 2) a drifting osteon prevalence (or as a percentage of total secondary osteons) of ≥ 1%. We present a quantitative histological method that can positively discriminate human bone from nonprimate mammalian bone in archaeological contexts.

Piezo1 expression in chondrocytes controls endochondral ossification and osteoarthritis development

Piezo proteins are mechanically activated ion channels, which are required for mechanosensing functions in a variety of cell types. While we and others have previously demonstrated that the expression of Piezo1 in osteoblast lineage cells is essential for bone-anabolic processes, there was only suggestive evidence indicating a role of Piezo1 and/or Piezo2 in cartilage. Here we addressed the question if and how chondrocyte expression of the mechanosensitive proteins Piezo1 or Piezo2 controls physiological endochondral ossification and pathological osteoarthritis (OA) development. Mice with chondrocyte-specific inactivation of Piezo1 (Piezo1Col2a1Cre), but not of Piezo2, developed a near absence of trabecular bone below the chondrogenic growth plate postnatally. Moreover, all Piezo1Col2a1Cre animals displayed multiple fractures of rib bones at 7 days of age, which were located close to the growth plates. While skeletal growth was only mildly affected in these mice, OA pathologies were markedly less pronounced compared to littermate controls at 60 weeks of age. Likewise, when OA was induced by anterior cruciate ligament transection, only the chondrocyte inactivation of Piezo1, not of Piezo2, resulted in attenuated articular cartilage degeneration. Importantly, osteophyte formation and maturation were also reduced in Piezo1Col2a1Cre mice. We further observed increased Piezo1 protein abundance in cartilaginous zones of human osteophytes. Finally, we identified Ptgs2 and Ccn2 as potentially relevant Piezo1 downstream genes in chondrocytes. Collectively, our data do not only demonstrate that Piezo1 is a critical regulator of physiological and pathological endochondral ossification processes, but also suggest that Piezo1 antagonists may be established as a novel approach to limit osteophyte formation in OA.

Turkish Nephrology on the Centenary of the Republic

After the establishment of the Turkish Republic on October 29, 1923, the main targets in the field of health were determined as combating contagious diseases, increasing the number of physicians and healthcare personnel, improving the interregional distribution of physicians, giving women the right to receive medical education, and granting only Turkish citizens the right to practice medicine (except formerly working foreign physicians and those working in hospitals established by foreign states). Modern medical education was introduced in the Ottoman Empire with the “Tıphane ve Cerrahhane-i Amire (Mekteb-i Tıbbiye-i Şahane)” school opened on March 14, 1827. After the implementation of the University reform in Turkey in 1933, Istanbul University Faculty of Medicine became one of the most important centres in Europe with the contributions of well-known foreign scholars and Turkish faculty members. After World War II, the first medical school of the republican era was opened in Ankara in 1945. This article provides a chronological review of the developments in Turkish nephrology during the Republican period.

The Effect of Sex on the Chemical and Mineral Composition of the Meat, Bone and Liver of Giraffe (Giraffa giraffa angolensis)

Consumers tend to buy meat based on visual physical characteristics, which are affected by the chemical composition of the meat, and there is very little known about the chemical composition of the meat of giraffe. This study therefore aims to broaden the knowledge base on the chemical composition of giraffe meat, rib bone and liver. Eight different muscles from 15 giraffes were analyzed to determine the chemical composition, yielding an average moisture of 77.2 ± 0.09 g/100 g meat, an average protein of 20.8 ± 0.09 g/100 g meat, an average intramuscular fat (IMF) of 1.4 ± 0.03 g/100 g meat and an average ash of 1.1 ± 0.01 g/100 g meat. There was a significant interaction between sex and muscle for the moisture, protein and ash contents, while only muscle had an effect on the fat content. The mineral content of the bone, liver and Longissimus thoracis et lumborum muscle was also analyzed, and bone was found to be a rich source of calcium (highest concentration), whilst the liver had the highest concentration of iron. The chemical composition of the giraffe meat was such that it could be classified as lean meat.

Effect of bone and analytical method on assessment of bone mineralization in response to dietary phosphorus, phytase, and vitamin D in finishing pigs.

A total of 882 pigs (PIC TR4 × [Fast LW × PIC L02]; initially 33.2 ± 0.31kg) were used in a 112-d study to evaluate the effects of different bones and analytical methods on the assessment of bone mineralization response to changes in dietary P, phytase, and vitamin D in growing pigs. Pens of pigs (20 pigs per pen) were randomized to one of five dietary treatments with nine pens per treatment. Dietary treatments were designed to create differences in bone mineralization and included: 1) P at 80% of NRC (2012) standardized total tract digestible (STTD) P requirement, 2) NRC STTD P with no phytase, 3) NRC STTD P with phytase providing an assumed release of 0.14% STTD P from 2,000 FYT/kg, 4) high STTD P (128% of the NRC P) using monocalcium phosphate and phytase, and 5) diet 4 with additional vitamin D3 from 25(OH)D3. On day 112, one pig per pen was euthanized for bone, blood, and urine analysis. Additionally, 11 pigs identified as having poor body condition which indicated a history of low feed intake (unhealthy) were sampled. There were no differences between treatments for final body weight, average daily gain, average daily feed intake, gain to feed, or bone ash measurements (treatment × bone interaction) regardless of bone ash method. The response to treatment for bone density and bone mineral content was dependent upon the bone sampled (density interaction, P = 0.053; mineral interaction, P = 0.078). For 10th rib bone density, pigs fed high levels of P had increased (P < 0.05) bone density compared with pigs fed NRC levels with phytase, with pigs fed deficient P, NRC levels of P with no phytase, and high STTD P with extra 25(OH)D3 intermediate, with no differences for metacarpals, fibulas, or 2nd ribs. Pigs fed extra vitamin D from 25(OH)D3 had increased (P < 0.05) 10th rib bone mineral content compared with pigs fed deficient P and NRC levels of P with phytase, with pigs fed industry P and vitamin D, and NRC P with monocalcium intermediate. Healthy pigs had greater (P < 0.05) serum Ca, P, vitamin D concentrations, and defatted bone ash than those unhealthy, with no difference between the two health statuses for non-defatted bone ash. In summary, differences between bone ash procedures were more apparent than differences between diets. Differences in bone density and mineral content in response to dietary P and vitamin D were most apparent with 10th ribs.

Análise térmica da interface músculo-osso em corpos de prova após utilização de ultrassom terapêutico

Abstract Introduction Ultrasound used in diathermic therapies aims to achieve temperatures between 40 and 45 °C, since temperatures above 45 °C are known to cause tissue necrosis and burns. Many studies have been conducted to investigate the effect of therapeutic ultrasound in the presence of metallic implants, using phantoms (test samples) and in vivo and ex vivo animal models. In most of these studies, the ultrasound probe is fixed in one area, while in clinical practice, it is recommended that it be moved to avoid possible local overheating. Objective To analyze the thermal field at the muscle-bone interface in phantoms in the presence or absence of metallic implants after the application of therapeutic ultrasound. Methods Phantoms composed of layers simulating fat and muscle, and a layer of beef rib bone, with and without a titanium metallic implant, were prepared. The experiment involved different intensities (1.0, 1.5, and 2.0 W/cm2) and exposure times (5 and 10 minutes), common in clinics, with linear scanning of the probe. Results The experiments indicated that the muscle/implant interface heated less than the muscle/bone interface, especially at intensities of 1.5 and 2.0 W/cm2, after 5 and 10 minutes of treatment. Conclusion The results suggest the possibility of using therapeutic ultrasound in patients with metallic implants, encouraging future research to develop evidence-based protocols and safe recommendations in physiotherapy.