http://ift.tt/2Aeouzb
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
Ετικέτες
Τρίτη 28 Νοεμβρίου 2017
A Switch and Wave of Neuronal Activity in the Cerebral Cortex During the First Second of Conscious Perception
http://ift.tt/2Aeouzb
Association of urinary concentrations of four chlorophenol pesticides with cardiometabolic risk factors and obesity in children and adolescents
Abstract
This study was undertaken to determine the association of four chlorophenol pesticides with cardiometabolic risk factors and obesity in children and adolescents. This cross-sectional study was conducted in 2016 on 242 children and adolescents, aged 6 to 18 years. The concentrations of 2,4-dichlorophenol (2,4-DCP), 2,5-dichlorophenol (2,5-DCP), 2,4,5-trichlorophenol (2,4,5-TCP), and 2,4,6-trichlorophenol (2,4,6-TCP) in the urine were examined and their association with indices of obesity and cardiometabolic risk factors was determined. Multivariate linear regression and multinomial logistic regression analyses were applied. Overall, 242 participants with mean (SD) ages of 11.3 (2.5) years completed the survey. After adjustment for confounders, a significant positive association was found between body mass index (BMI) z-score and waist circumference (WC) with 2,5-DCP (0.07 (95% CI 0.04, 0.1)) and 0.79 (95% CI 0.54, 1.03), respectively. A significant association of 2,4,5-TCP was only found with WC (0.23 (95% CI 0.0, 0.46), but the relationship with 2,4-DCP was not significant. 2,5-DCP had a significant relationship only with obesity (1.09 (95% CI 1.1, 1.19)), while 2,4-DCP and 2,4,5-TCP showed no significant correlation with overweight or obesity. 2,4-DCP showed a significant positive relationship with high density lipoprotein-cholesterol (HDL-C). Moreover, 2,5-DCP showed a significant negative relationship only with systolic blood pressure and 2,4,5-TCP had a statistically significant inverse association with total cholesterol and HDL-C (−0.71 (95% CI −0.98, −0.45)). This study suggests potential associations of chlorophenol pesticides with overweight, obesity, lipid profile, and blood pressure in children and adolescents. Longitudinal studies are necessary to assess the clinical impact of these findings.
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Observed differentials in the levels of selected environmental contaminants among Mexican and other Hispanic American children, adolescents, adults, and senior citizens
Abstract
Starting with the 2007–2008 cycle, the National Health and Nutrition Examination Survey (NHANES) also oversampled Hispanics other than Mexicans (OHISP) making it possible to treat OHISP as a separate demographic group along with Mexican Americans (MAs), non-Hispanic whites (NHWs), and non-Hispanic blacks (NHBs). Yet, more often than not, OHISP have been merged with MA to form an all-Hispanic demographic group (HISP) thus limiting comparisons between NHW, NHB, and HISP. Consequently, for the first time, this study was undertaken to evaluate differences in the observed levels of selected environmental contaminants between MA and OHISP from five groups of environmental contaminants, namely, polycyclic aromatic hydrocarbons (PAHs), iodine uptake inhibitors (IUIs), environmental phenols (EPHs), priority pesticides (PPs), and perfluoroalkyl acids (PFAAs). Data for 2007–2010 from NHANES were used to conduct this study. OHISP children born in USA had higher levels of selected PAH metabolites than USA-born MA, and Mexican-born MA adolescents had higher levels of selected PAH metabolites than USA-born MA adolescents. USA-born adolescent MA had higher levels of selected parabens than USA-born adolescent OHISP, and OHISP adults born in another Spanish-speaking country had higher levels of selected parabens than USA-born OHISP adults. USA-born MA adults and seniors had higher levels of selected dichlorophenols than Mexico-born MA adults and seniors, respectively. Females had higher levels of selected PAH metabolites, EPHs, and PPs than males among children, adolescents, adults, and seniors, but the reverse was true for the levels of selected IUIs and PFAAs among adolescents and seniors. Smokers had higher levels of almost all PAH metabolites than non-smokers for adolescents, adults, and seniors. The same was true for urinary thiocynate for adolescents, adults, and seniors. OHISP is a multiracial multiethnic demographic group substantially different from MA with possibly different smoking behavior and with possibly differential levels of exposure to certain environmental contaminants and as such should be treated as a demographic group by itself.
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Trace elements in PM2.5 in Shandong Province: Source identification and health risk assessment
Publication date: 15 April 2018
Source:Science of The Total Environment, Volume 621
Author(s): Jingzhu Zhang, Xuehua Zhou, Zhe Wang, Lingxiao Yang, Jing Wang, Wenxing Wang
The chemical compositions in PM2.5 in metropolitan areas have obtained lots of attentions, of which concerns of airborne trace elements are relatively lacking. Here, PM2.5 samples were collected simultaneously in one year at four urban sites (Zibo (ZB), Zaozhuang (ZZ), Qingdao (QD) and Jinan (JN (Shandong University)), and a rural site (JN (Miaopu)) in Shandong province. 25 elements (Al, Na, Cl, Mg, Si, S, K, Ca, Sc, Ti, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Se, Br, Sr, Cd, Ba and Pb) in PM2.5 were measured by wavelength dispersive X-ray fluorescence spectrometer (WDXRF). Most trace elements (Al, Na, Cl, Mg, Si, Ca, Ti, Mn, Fe, Co, Ni, As, Se, Br, Cd, Ba and Pb) exhibited the highest levels at ZB and the lowest at QD. Meanwhile, they presented obvious seasonal variations with the highest concentrations in winter or spring and the lowest in summer. S and K were the most abundant elements in the area. In the non-crustal trace metal elements, Zn, Pb and Mn presented the highest concentrations. Positive matrix factorization (PMF) modeling revealed that secondary formation, coal combustion and industry emissions were the main sources in the region. The health risk assessments suggested that at the five sites Cd (diet) for adults, Pb and Co for children, and Mn (diet) for both adults and children (at ZB and SDU sites) had non-carcinogenic risks. As and Pb for adults and children existed carcinogenic risks, especially Pb for children. The sources of these elements with health risks were further explored. Notably, Cd, As and Pb should be paid special attention in the area due to their high concentrations in aerosol water exceeding the acceptable health risks, especially Pb.
Graphical abstract
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Elemental and isotopic behaviour of Zn in Deccan basalt weathering profiles: Chemical weathering from bedrock to laterite and links to Zn deficiency in tropical soils
Publication date: 1 April 2018
Source:Science of The Total Environment, Volumes 619–620
Author(s): Nils Suhr, Ronny Schoenberg, David Chew, Carolina Rosca, Mike Widdowson, Balz S. Kamber
Zinc (Zn) is a micronutrient for organisms and essential for plant growth, therefore knowledge of its elemental cycling in the surface environment is important regarding wider aspects of human nutrition and health. To explore the nature of Zn cycling, we compared its weathering behaviour in a sub-recent regolith versus an ancient laterite profile of the Deccan Traps, India – an area of known soil Zn deficiency. We demonstrate that progressive breakdown of primary minerals and the associated formation of phyllosilicates and iron oxides leads to a depletion in Zn, ultimately resulting in a loss of 80% in lateritic residues. This residue is mainly composed of resistant iron oxides and hydroxides ultimately delivering insufficient amounts of bio-available Zn. Moreover, (sub)-tropical weathering in regions experiencing extended tectonic quiescence (e.g., cratons) further enhance the development of old and deep soil profiles that become deficient in Zn. This situation is clearly revealed by the spatial correlation of the global distribution of laterites, cratons (Africa, India, South America and Australia) and known regions of Zn deficient soils that result in health problems for humans whose diet is derived from such land.We also investigate whether this elemental depletion of Zn is accompanied by isotope fractionation. In the saprolitic horizons of both weathering profiles, compositions of δ66ZnJMC-Lyon lie within the "crustal average" of +0.27±0.07‰ δ66ZnJMC-Lyon. By contrast, soil horizons enriched in secondary oxides show lighter isotope compositions. The isotopic signature of Zn (Δ66Znsample-protolith up to ~ −0.65‰) during the formation of the ferruginous-lateritic weathering profile likely resulted from a combination of biotically- and kinetically-controlled sorption reactions on Fe-oxyhydroxides. Our findings suggest that oxide rich soil types/horizons in (sub)-tropical regions likely exert a control on riverine Zn isotope compositions such that these become heavier than the crustal average. This isotopic behaviour invites a broader study of global soils to test whether light isotope composition alone could serve as an indicator for reduced bioavailability of Zn.
Graphical abstract
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On the interest of ambipolar materials for gas sensing
Publication date: 1 April 2018
Source:Sensors and Actuators B: Chemical, Volume 258
Author(s): Amélie Wannebroucq, Seydou Ouedraogo, Rita Meunier-Prest, Jean-Moïse Suisse, Mabinty Bayo, Marcel Bouvet
Based on the electrochemical properties of a series of metallophthalocyanines this article shows that the phthalocyanine bearing four alkoxy groups and twelve fluorine atoms behaves approximately as those with eight fluorine atoms. This indicates that the electron-donating effect of one alkoxy group balances the electro-withdrawing effect of one fluorine atom. We engaged three metallophthalocyanines, namely the octafluoro copper phthalocyanine, Cu(F8Pc), an octaester metallophthalocyanine and a phthalocyanine bearing four alkoxy groups and twelve fluorine atoms, Zn(T4F12Pc), in building original conductometric transducers that are Molecular Semiconductor – Doped Insulator heterojunctions (MSDIs) in association with the highly conductive lutetium bisphthalocyanine, LuPc2. Whereas the octaester derivative and Zn(T4F12Pc) exhibited a negative response to ammonia, as expected for p-type materials, Cu(F8Pc) exhibited a particular behavior. At low humidity levels, 30 and 10% rh, the current of the Cu(F8Pc)/LuPc2 MSDI decreases, similarly to p-type devices, but at higher relative humidity values, 70% rh, the current increases under ammonia, which is the signature of a n-type behavior. This ambipolar behavior is unique amongst semiconducting sensing materials. This work opens the way to the study of ambipolar materials as sensing materials for the development of a new type of conductometric gas sensors.
Graphical abstract
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In-situ growth of ZnO nanowire arrays on the sensing electrode via a facile hydrothermal route for high-performance NO2 sensor
Publication date: 30 March 2018
Source:Applied Surface Science, Volume 435
Author(s): Xiangxiang Chen, Yanbai Shen, Wei Zhang, Jin Zhang, Dezhou Wei, Rui Lu, Lijia Zhu, Hansen Li, Yansong Shen
ZnO nanowire (ZNW) arrays were in-situ grown on the sensing electrode via a facile hydrothermal route for NO2 sensing application. ZNW arrays were prepared by a seed layer deposition on the surface of the sensing electrode using a dipping process in a Zn(CH3COO)2·2H2O ethanol solution followed by a seed growth using a hydrothermal route in the Zn(NO3)2·6H2O-HMTA (C6H12N4) system. The microstructural characterizations of the ZNW arrays by means of XRD, FESEM, TEM, FTIR and XPS showed that ZnO nanowires with the diameters of 80–90 nm and the lengths of 0.6–1 μm had a single crystal hexagonal wurtzite structure. Gas sensing properties demonstrated the response of the sensor based on the ZNW arrays was linearly proportional to the NO2 concentration in the range of 1–30 ppm with good reproducibility and selectivity. The maximum sensor response to NO2 was obtained at an operating temperature of 250 °C. The response and recovery times reduced rapidly with increasing the operating temperature. The growth mechanism and sensing mechanism of the ZNW arrays were discussed in accordance with the deposition of the seed layer and the modulation of the depletion layer, respectively.
Graphical abstract
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Surgical treatment options following chemotherapy plus cetuximab or bevacizumab in metastatic colorectal cancer—central evaluation of FIRE-3
Source:European Journal of Cancer, Volume 88
Author(s): D.P. Modest, T. Denecke, J. Pratschke, I. Ricard, H. Lang, M. Bemelmans, T. Becker, M. Rentsch, D. Seehofer, C.J. Bruns, B. Gebauer, H.I. Modest, S. Held, G. Folprecht, V. Heinemann, U.P. Neumann
BackgroundThe FIRE-3 trial investigated combination chemotherapy plus either cetuximab or bevacizumab in patients with untreated metastatic colorectal cancer (mCRC) not scheduled for upfront surgery. We aimed to determine the number of patients who present with potentially resectable disease during systemic first-line therapy and to compare the findings with study reports concerning resections and outcome.Patients and methodsThis evaluation of 448 patients was performed as central review blinded for treatment, other reviewers' evaluations and conducted interventions. Resectability was defined if at least 50% of the reviewers recommended surgical-based intervention. Overall survival was assessed by Kaplan–Meier method.ResultsResectability increased from 22% (97/448) at baseline before treatment to 53% (238/448) at best response (P < 0.001), compared with an actual secondary resection rate for metastases of 16% (72/448). At baseline (23% versus 20%) and best response (53% versus 53%), potential resectability of metastases in this molecular unselected population was similar in cetuximab-treated patients versus bevacizumab-treated patients and not limited to patients with one-organ disease. The actual resection rate of metastases was significantly associated with treatment setting (P = 0.02; university hospital versus hospital/practice). Overall survival was 51.3 months (95% confidence interval [CI] 35.9–66.7) in patients with resectable disease who received surgery, 30.8 months (95% CI 26.6–34.9) in patients with resectable disease without surgery and 18.6 months (95% CI 15.8–21.3) in patients with unresectable disease (P < 0.001).ConclusionsOur findings illustrate the potential for conversion to resectability in mCRC, certain reluctance towards metastatic resections in clinical practice and the need for pre-planned and continuous evaluation for metastatic resection in high-volume centres.ClinicalTrials.gov-identifierNCT00433927.
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Learning and memory are impaired in the object recognition task during metestrus/diestrus and after sleep deprivation
Source:Behavioural Brain Research, Volume 339
Author(s): Joshua Cordeira, Sai Saroja Kolluru, Heather Rosenblatt, Jenny Kry, Robert E. Strecker, Robert W. McCarley
Females are an under-represented research model and the mechanisms through which sleep loss impairs cognition are not clear. Since levels of reproductive hormones and the estrous cycle are sensitive to sleep loss and necessary for learning and memory, we hypothesized that sleep deprivation impacts learning and memory in female mice by interfering with the estrous cycle. We used the object recognition task to assess learning and memory in female mice during separate phases of the estrous cycle and after sleep loss. Mice in metestrus/diestrus attended to sample objects less than mice in proestrus/estrus during object acquisition, the first phase of the object recognition task. Subsequently, during the recognition phase of the task, only mice in proestrus/estrus displayed a preference for the novel object. Sleep deprivation for 12h immediately before the object recognition task reduced time attending to sample objects and novel object preference for mice in proestrus/estrus, without changing length of the estrous cycle. These results show that sleep deprived mice in proestrus/estrus had learning deficits and memory impairments, like mice in metestrus/diestrus. Since sleep deprivation did not disrupt the estrous cycle, however, results did not support the hypothesis. Cognitive impairments due to acute sleep loss were not due to alterations to the estrous cycle.
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Suppressive and enhancing effects of nicotine on food-seeking behavior
Source:Behavioural Brain Research, Volume 339
Author(s): Korinna Romero, Carter W. Daniels, Cassandra D. Gipson, Federico Sanabria
The present study examined how systemic low doses of nicotine affect the microstructure of reinforced food-seeking behavior in rats. Rats were first given an acute saline or nicotine treatment (0.1–0.6mg/kg, with an inter-injection interval of at least 48h), and then a chronic saline or nicotine treatment (0.3mg/kg/day for 10 consecutive days). Immediately after each injection, rats were required to press a lever five times to obtain food that was available at unpredictable times (on average every 80s) with constant probability. Acute nicotine dose-dependently suppressed behavior prior to the delivery of the first reinforcer, but enhanced food-reinforced behavior afterwards. These effects were primarily observed in the time it took rats to initiate food-seeking behavior. Enhancing effects were also observed in the microstructure of food-seeking behavior, with lower nicotine doses (0.1–0.3mg/kg) increasing the rate at which response bouts were initiated, and higher doses (0.3–0.6mg/kg) increasing within-bout response rates. A pre-feeding control suggests that changes in appetite alone cannot explain these effects. Over the course of chronic nicotine exposure, tolerance developed to the suppressive, but not to the enhancing effects of nicotine on food-seeking behavior. These results suggest that (a) lower doses of nicotine enhance the reward value of food and/or food-associated stimuli, (b) higher doses of nicotine enhance motoric activity, and (c) ostensive sensitization effects of nicotine on behavior partially reflect a tolerance to its transient suppressive motoric effects.
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NAD-biosynthetic enzyme NMNAT1 reduces early behavioral impairment in the htau mouse model of tauopathy
Source:Behavioural Brain Research, Volume 339
Author(s): Francesca Rossi, Philippine C. Geiszler, Weina Meng, Matthew R. Barron, Malcolm Prior, Anna Herd-Smith, Andrea Loreto, Maria Yanez Lopez, Henryk Faas, Marie-Christine Pardon, Laura Conforti
NAD metabolism and the NAD biosynthetic enzymes nicotinamide nucleotide adenylyltransferases (NMNATs) are thought to play a key neuroprotective role in tauopathies, including Alzheimer's disease. Here, we investigated whether modulating the expression of the NMNAT nuclear isoform NMNAT1, which is important for neuronal maintenance, influences the development of behavioral and neuropathological abnormalities in htau mice, which express non-mutant human tau isoforms and represent a model of tauopathy relevant to Alzheimer's disease. Prior to the development of cognitive symptoms, htau mice exhibit tau hyperphosphorylation associated with a selective deficit in food burrowing, a behavior reminiscent to activities of daily living which are impaired early in Alzheimer's disease. We crossed htau mice with Nmnat1 transgenic and knockout mice and tested the resulting offspring until the age of 6 months. We show that overexpression of NMNAT1 ameliorates the early deficit in food burrowing characteristic of htau mice. At 6 months of age, htau mice did not show neurodegenerative changes in both the cortex and hippocampus, and these were not induced by downregulating NMNAT1 levels. Modulating NMNAT1 levels produced a corresponding effect on NMNAT enzymatic activity but did not alter NAD levels in htau mice. Although changes in local NAD levels and subsequent modulation of NAD-dependent enzymes cannot be ruled out, this suggests that the effects seen on behavior may be due to changes in tau phosphorylation. Our results suggest that increasing NMNAT1 levels can slow the progression of symptoms and neuropathological features of tauopathy, but the underlying mechanisms remain to be established.
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Alpha-Synuclein transgenic mice, h-α-SynL62, display α-Syn aggregation and a dopaminergic phenotype reminiscent of Parkinson’s disease
Source:Behavioural Brain Research, Volume 339
Author(s): Silke Frahm, Valeria Melis, David Horsley, Janet E. Rickard, Gernot Riedel, Paula Fadda, Maria Scherma, Charles R. Harrington, Claude M. Wischik, Franz Theuring, Karima Schwab
Alpha-Synuclein (α-Syn) accumulation is considered a major risk factor for the development of synucleinopathies such as Parkinson's disease (PD) and dementia with Lewy bodies. We have generated mice overexpressing full-length human α-Syn fused to a membrane-targeting signal sequence under the control of the mouse Thy1-promotor. Three separate lines (L56, L58 and L62) with similar gene expression levels, but considerably heightened protein accumulation in L58 and L62, were established. In L62, there was widespread labelling of α-Syn immunoreactivity in brain including spinal cord, basal forebrain, cortex and striatum. Interestingly, there was no detectable α-Syn expression in dopaminergic neurones of the substantia nigra, but strong human α-Syn reactivity in glutamatergic synapses. The human α-Syn accumulated during aging and formed PK-resistant, thioflavin-binding aggregates. Mice displayed early onset bradykinesia and age progressive motor deficits. Functional alterations within the striatum were confirmed: L62 showed normal basal dopamine levels, but impaired dopamine release (upon amphetamine challenge) in the dorsal striatum measured by in vivo brain dialysis at 9 months of age. This impairment was coincident with a reduced response to amphetamine in the activity test. L62 further displayed greater sensitivity to low doses of the dopamine receptor 1 (D1) agonist SKF81297 but reacted normally to the D2 agonist quinpirole in the open field. Since accumulation of α-Syn aggregates in neurones and synapses and alterations in the dopaminergic tone are characteristics of PD, phenotypes reported for L62 present a good opportunity to further our understanding of motor dysfunction in PD and Lewy body dementia.
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Ethanol traces in natural waters checked using a new DMFC enzymatic device
Abstract
The use of fuels with strong percentage of ethanol that is done in countries such as Brazil and Australia causes a more and more relevant presence of traces of ethanol in natural waters. The ethanol present in these fuels seems to contribute to increase, through various mechanisms, the concentration of hydrocarbons in the same waters and soil. The ethanol content in natural waters must therefore be monitored frequently. It was therefore proposed a very simple innovative method, based on a catalytic fuel cell with the alcohol dehydrogenase enzyme immobilized in the anodic compartment of the device. The analytical performances of this new device were then evaluated by checking traces of alcohol in different types of natural waters (rain, river, and groundwater), with a good degree of precision and with an acceptable level of accuracy.
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Correction to: Community reporting of ambient air polychlorinated biphenyl concentrations near a Superfund site
Abstract
The original version of this article unfortunately contains a mistake. The correct Author names should be Staci M. Rubin and Keri C. Hornbuckle.
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Induction of DNA double-strand breaks in human gingival fibroblasts by eluates from titanium dioxide modified glass ionomer cements
Source:Dental Materials
Author(s): Arunee Laiteerapong, Franz-Xaver Reichl, Yang Yang, Reinhard Hickel, Christof HÖgg
Objectives(1) To investigate the genotoxicity of a glass ionomer cement (GIC) and GIC incorporated with titanium dioxide nanopoarticle (TiO2NPs) and with microparticle (TiO2MPs) on DNA double-strand breaks of human gingival fibroblast cells (HGFs). (2) To compare the genotoxic differences between GIC and two modified cements.MethodsTiO2NPsGIC and TiO2MPsGIC were prepared by adding 10% w/w of TiO2NPs and TiO2MPs to the GIC powder and hand-mixed followed the manufacturer instruction. Dulbecco's Minimum Essential Medium (DMEM) was used as a culture medium for HGFs and eluate preparation. Eluates from all groups were collected for XTT cell viability assay to obtain EC50 values. γ-H2AX immunofluorescence assay was performed to detect DNA double-strand breaks (DSBs) of HGFs.ResultsEC50 values were from 38% to 60% and eluate concentrations at 20% and 5% were selected for γ-H2AX immunofluorescence assay. At both concentrations, HGFs exposed to eluates from all cements groups had fewer mean foci per cell and higher percentage of free foci cells than H2O2 (p<0.05). At 20% concentration, cells exposed to eluates from both TiO2NPsGIC and TiO2MPsGIC groups had fewer mean foci per cell and higher percentage of free foci cell than GIC and culture medium (p<0.05).SignificanceNeither GIC nor 10% TiO2-modified GICs had a genotoxic effect on HGFs. Both TiO2NPsGIC and TiO2MPsGIC demonstrated less genotoxic effect than GIC. When comparing between the two modified cements, there was no genotoxic difference between the modified cements from different particle sizes (nanoparticle and micro-particle) of TiO2.
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Bisphenol A release from an orthodontic resin composite: A GC/MS and LC/MS study
Source:Dental Materials
Author(s): Marc Deviot, Isabelle Lachaise, Christof Högg, Jürgen Durner, Franz-Xaver Reichl, Jean-Pierre Attal, Elisabeth Dursun
ObjectivesFirst, to analyse the in vitro release of BPA and Bis-GMA from an orthodontic resin composite (Transbond XT, 3M Unitek), stored in various conditions, by gas chromatography/mass spectrometry (GC/MS) and liquid chromatography/mass spectrometry (LC/MS); then to extrapolate the data to the clinical situation. Secondly, to explore the thermal stability of Bis-GMA.MethodsCylinders of resin composite were prepared and stored according to 3 different protocols: (1) they were light-cured 20s, then placed in artificial saliva; (2) they were light-cured 2s, then placed in acetonitrile; (3) they were light-cured 2s, then placed in methanol. For each group, BPA and Bis-GMA release were determined with GC/MS and/or LC/MS at least after one week. Besides, 120 brackets (10 of each type) were bonded over metal teeth, then debonded, and the weight and the surface of resin composite residues were measured. BPA and Bis-GMA release of adhesive residues were extrapolated from the data obtained with the cylinders. Besides, BPA release from a heated Bis-GMA solution was measured.ResultsWith GC/MC, BPA was detected in all samples. With LC/MS, BPA was detected only from samples immersed in MeOH; Bis-GMA was detected, in varying amount according to the extraction media and the light-curing time. BPA was found after heating of the Bis-GMA solution.SignificanceContamination risk and the heat applied in GC/MS may overestimate the BPA release from resin composite. Based on the LC/MS results, the risk of BPA release after orthodontic bonding would be more than 42000 times lower than the TDI for a 30-kg child.
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Using glass-graded zirconia to increase delamination growth resistance in porcelain/zirconia dental structures
Source:Dental Materials
Author(s): Herzl Chai, Adam J. Mieleszko, Stephen J. Chu, Yu Zhang
ObjectivePorcelain fused to zirconia (PFZ) restorations are widely used in prosthetic dentistry. However, their tendency to delaminate along the P/Z interface remains a practical problem so that assessing and improving the interfacial strength are important design aspects. This work examines the effect of modifying the zirconia veneering surface with an in-house felspathic glass on the interfacial fracture resistance of fused P/Z.MethodsThree material systems are studied: porcelain fused to zirconia (control) and porcelain fused to glass-graded zirconia with and without the presence of a glass interlayer. The specimens were loaded in a four-point-bend fixture with the porcelain veneer in tension. The evolution of damage is followed with the aid of a video camera. The interfacial fracture energy GC was determined with the aid of a FEA, taking into account the stress shielding effects due to the presence of adjacent channel cracks.ResultsSimilarly to a previous study on PFZ specimens, the fracture sequence consisted of unstable growth of channel cracks in the veneer followed by stable cracking along the P/Z interface. However, the value of GC for the graded zirconia was approximately 3 times that of the control zirconia, which is due to the good adhesion between porcelain and the glass network structure on the zirconia surface.SignificanceCombined with its improved bonding to resin-based cements, increased resistance to surface damage and good esthetic quality, graded zirconia emerges as a viable material concept for dental restorations.
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Effects of different sterilization methods on surface characteristics and biofilm formation on zirconia in vitro
Source:Dental Materials
Author(s): Aifang Han, James K.H. Tsoi, Jukka P. Matinlinna, Yu Zhang, Zhuofan Chen
ObjectiveThe current laboratory study was to investigate the effect of different sterilization treatments on surface characteristics of zirconia, and biofilm formation on zirconia surface after exposure to these sterilization treatments.MethodsCommercially available zirconia discs (Cerconbase, Degu-Dent, Hanau, Germany) were prepared and polished to the same value of surface roughness. The discs were treated with one of the following sterilization methods steam autoclave sterilization, dry heat sterilization, ultraviolet C (UVC) irradiation, and gamma (γ) ray irradiation. The characteristics of zirconia surfaces were evaluated by scanning electron microscopy (SEM), surface roughness, surface free energy (SFE), X-ray photoelectron spectroscopy (XPS), and X-ray diffraction (XRD) measurements. Then, Staphylococcus aureus (S.a.) and Porphyromonas gingivalis (P.g.) bacteria were used and cultured on the respective sterilized zirconia surfaces. The amount of biofilm formation on zirconia surface was quantified by colony forming unit (CFU) counts.ResultsSignificant modifications were detected on the colour and SFE of zirconia. The colour of zirconia samples after UVC irradiation became light yellow whilst dark brown colour was observed after gamma ray irradiation. Moreover, UVC and gamma ray irradiation increased the hydrophilicity of zirconia surface. Overall, dry heat sterilized samples showed the significantly lowest amount of bacteria growth on zirconia, while UVC and gamma ray irradiation resulted in the highest.SignificanceIt is evident that various sterilization methods could change the surface which contribute to different biofilm formation and colour on zirconia.
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Effect of tribochemical treatments and silane reactivity on resin bonding to zirconia
Source:Dental Materials
Author(s): Raphael Pilo, Maria Dimitriadi, Anna Palaghia, George Eliades
ObjectiveThe aim of the study was to assess the roughness, structure and bond strength with zirconia of four grit-blasting treatments combined with three silane types, the reactivity of which was evaluated, as well.MethodsThe grit-blasted treatments performed on zirconia (Lava) were alumina (ALU), CoJet (COJ), SilJet (SLJ) and SilJet Plus (SJP, with silica-encapsulated silane). The other two silanes selected were the S-Bond (SB, prehydrolyzed) and Clearfil Ceramic Primer Plus (CP, prehydrolyzed with 10-MDP). The activity of the silanols in the silanes was evaluated by FTIR spectroscopy. Optical profilometry and Raman microspectroscopy were used for the assessment of roughness (Sa, Sz, Sdr parameters) and structure (monoclinic volume-Vm) of zirconia, before (REF) and after grit-blasting, and a shear bond strength (SBS) with a flowable resin composite, for the investigation of the bonding capacity of the treatments.ResultsOnly SB demonstrated reactive silanols. CP and the SJP silanes were mostly in a polymerized siloxane state. Roughness was increased after grit-blasting as follows: ALU>SLJ,SJP>COJ>REF (Sa,Sz) and ALU>SLJ,COJ,SJP>REF (Sdr). ALU demonstrated the highest Vm (7.52%) from all other treatments (4.16–4.81%) and the REF (0%). COJ and SLJ showed the highest SBS (14–15.94MPa) regardless of the silane type used. SJP showed no significant differences from SLJ-SB and COJ-SB. Weibull analysis showed a reliability (β) ranking of COJ, SJP, SLJ, ALU-CP>ALU-SB>REF and a characteristic life (η) ranking of COJ, SLJ, ≥SLJ-SB, SJP, ALU≥ALU-SB,REF-CP>REF-SB.SignificanceThe reactivity of the silanes used showed great variations to support a predictable effect in all treatments. CP with deactivated silanols demonstrated a) the most reliable and strongest treatment with a silica-rich powder (COJ), despite the lowest Sa,Sz substrate values and b) high strength with a low-silica powder (SLJ) with higher Sa,Sz substrate values. Therefore, it may be concluded that 10-MDP greatly contributes to the bonding mechanism of the silane containing primers.
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The effect of chewing simulation on surface roughness of resin composite when opposed by zirconia ceramic and lithium disilicate ceramic
Source:Dental Materials
Author(s): Ting Khee Ho, Julian D. Satterthwaite, Nikolaos Silikas
ObjectiveTo assess the change in surface roughness of nanohybrid resin composite (Tetric EvoCeram) after antagonist wear against monolithic zirconia and lithium disilicate ceramics through a simulated chewing test using a three-dimensional (3D) profilometer.MethodsA total of 40 Tetric EvoCeram™ resin composite specimens against either a Lava™ Plus zirconia antagonist (n=20) or IPS e.max Press lithium disilicate antagonist (n=20) were prepared for the study. The surface roughness profiles of each resin composite before and after an in-vitro simulated chewing test were analysed using a 3D profilometer and Talymap software. After the simulated chewing, the surface profiles of representative Tetric EvoCeram specimens from each group were analysed using scanning electron microscopy. Independent t-test and paired t-test were used for statistical analysis.ResultsFor both lithium disilicate and zirconia groups, all surface roughness parameters (Ra, Rt, Sa, Sq,) of Tetric EvoCeram were significantly higher post-chewing compared to pre-chewing (p<0.05); the post-chewing surface roughness parameters of Tetric EvoCeram for the lithium disilicate group were significantly higher (p<0.05) than in the zirconia group.SignificanceThis chewing simulation test showed that Tetric EvoCeram composites exhibited a rougher surface when opposing lithium disilicate ceramic compared to opposing zirconia ceramic.
http://ift.tt/2zxrNhR
Dentin bonding systems: From dentin collagen structure to bond preservation and clinical applications
Source:Dental Materials
Author(s): Lorenzo Breschi, Tatjana Maravic, Sandra Ribeiro Cunha, Allegra Comba, Milena Cadenaro, Leo Tjäderhane, David H. Pashley, Franklin R. Tay, Annalisa Mazzoni
ObjectivesEfforts towards achieving durable resin–dentin bonds have been made for decades, including the understanding of the mechanisms underlying hybrid layer (HL) degradation, manufacturing of improved adhesive systems, as well as developing strategies for the preservation of the HL.MethodsThis study critically discusses the available peer-reviewed research concerning the formation and preservation of the HL, the mechanisms that lead to the degradation of the HL as well as the strategies to prevent it.ResultsThe degradation of the HL occurs through two main mechanisms: the enzymatic degradation of its collagen fibrils, and the leaching of the resin from the HL. They are enabled by residual unbound water between the denuded collagen fibrils, trapped at the bottom of the HL. Consequently, endogenous dentinal enzymes, such as the matrix metalloproteinases (MMPs) and cysteine cathepsins are activated and can degrade the denuded collagen matrix. Strategies for the preservation of the HL over time have been developed, and they entail the removal of the unbound water from the gaps between the collagen fibrils as well as different modes of silencing endogenous enzymatic activity.SignificanceAlthough there are many more hurdles to be crossed in the field of adhesive dentistry, impressive progress has been achieved so far, and the vast amount of available research on the topic is an indicator of the importance of this matter and of the great efforts of researchers and dental material companies to reach a new level in the quality and longevity of resin–dentin bonds.
http://ift.tt/2ncz3hC
Effect of titania content and biomimetic coating on the mechanical properties of the Y-TZP/TiO2 composite
Source:Dental Materials
Author(s): Ranulfo Benedito de Paula Miranda, Walter Gomes Miranda, Dolores Ribeiro Ricci Lazar, Valter Ussui, Juliana Marchi, Paulo Francisco Cesar
ObjectiveTo investigate the effect of titania addition (0, 10 and 30mol%) on the microstructure, relative density, Young's modulus (E), Poisson's ratio (υ), mechanical properties (flexural strength, σf, and Weibull modulus, m) of a Y-TZP/TiO2 composite. The effect of the presence of a biomimetic coating on the microstructure and mechanical properties was also evaluated.MethodsY-TZP (3mol% of yttria) and Y-TZP/TiO2 composite (10 or 30mol% of titania) were synthesized by co-precipitation. The powders were pressed and sintered at 1400°C/2h. The surfaces, with and without biomimetic coating, were characterized by X-ray diffraction analysis and scanning electron microscopy. The relative density was measured by the Archimedes' principle. E and υ were measured by ultrasonic pulse-echo method. For the mechanical properties the specimens (n=30 for each group) were tested in a universal testing machine.ResultsTitania addition increased the grain size of the composite and caused a significant decrease in the flexural strength (in MPa, control 815.4a; T10 455.7b and T30 336.0c), E (in GPa, control 213.4a; T10 155.8b and T30 134.0c) and relative density (control 99.0%a; T10 94.4%c and T30 96.3%b) of the Y-TZP/TiO2 composite. The presence of 30% titania caused substantial increase in m and υ. Biomimetic coating did not affect the mechanical properties of the composite.SignificanceThe Y-TZP/TiO2 composite coated with a layer of CaP has great potential to be used as implant material. Although addition of titania affected the properties of the composite, the application of a biomimetic coating did not jeopardize its reliability.
http://ift.tt/2zxrJ1B
Cross-linking effect on dentin bond strength and MMPs activity
Source:Dental Materials
Author(s): Annalisa Mazzoni, Valeria Angeloni, Allegra Comba, Tatjana Maravic, Milena Cadenaro, Arzu Tezvergil-Mutluay, David H. Pashley, Franklin R. Tay, Lorenzo Breschi
ObjectiveThe objectives of the study were to evaluate the ability of a 1-ethyl-3 (3-dimethylaminopropyl) carbodiimide (EDC)-containing primer to improve immediate bond strength of either self-etch or etch-and-rinse adhesive systems and to stabilize the adhesive interfaces over time. A further objective was to investigate the effect of EDC on the dentinal MMPs activity using zymographic analysis.MethodsFreshly extracted molars (n=80, 20 for each group) were selected to conduct microtensile bond strength tests. The following groups were tested, immediately or after 1-year aging in artificial saliva: G1: Clearfil SE (CSE) primer applied on unetched dentin, pretreated with 0.3M EDC water-solution for 1min and bonded with CSE Bond; G2: as G1 but without EDC pre-treatment; G3: acid-etched (35% phosphoric-acid for 15s) dentin pretreated with 0.3M EDC, then bonded with XP Bond (XPB); Group 4 (G4): as G3 without EDC pre-treatment. Further, gelatinase activity in dentin powder treated with CSE and XPB with and without EDC pre-treatment, was analyzed using gelatin zymography.ResultsThe use of 0.3M EDC-containing conditioner did not affect the immediate bond strength of XPB or CSE adhesive systems (p>0.05), while it improved the bond strength after 1year of aging (p<0.05). Pre-treatment with EDC followed by the application of CSE resulted in an incomplete MMPs inactivation, while EDC pretreatment followed by the application of XPB resulted in an almost complete inactivation of dentinal gelatinases.SignificanceThe μTBS and zymography results support the efficacy of EDC over time and reveal that changes within the dentin matrix promoted by EDC are not adhesive-system-dependent.
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An interproximal model to determine the erosion-protective effect of calcium silicate, sodium phosphate, fluoride formulations
Source:Dental Materials
Author(s): Natalie J. Wood, Siân Bodfel Jones, Nick Chapman, Andrew Joiner, Carole J. Philpotts, Nicola X. West
ObjectivesPrevious work has shown the effectiveness of a newly developed interproximal model to differentiate between the amount of remineralization caused by toothpastes used with or without a dual-phase gel treatment system containing calcium silicate, sodium phosphate salts and fluoride to repair acid-softened enamel. The aim of this study was to utilize the same interproximal model to identify how effective calcium silicate phosphate toothpastes are at reducing surface softening in the early stages of erosion. The model was also used to identify the effect of increasing the frequency of acid exposure on the reduction in surface hardness.MethodsHuman enamel specimens were prepared and mounted in an interproximal face-to-face arrangement and exposed to a cycling regime of whole human saliva, treatment, artificial saliva and 1% citric acid pH 3.75. Specimens were measured by surface microhardness at baseline and after three and seven days. The frequency of acid exposure was increased from 2 to 4 cycles a day for the second part of the study.ResultsThe results showed that specimens treated with the calcium silicate phosphate toothpastes softened less than those treated with control fluoridated or non-fluoride toothpastes at each time point and following an increase in the frequency of acid exposure.SignificanceThis work has demonstrated how an interproximal model can also be successfully used to determine differences in the erosion protection of various treatments as well as determining how they perform when the frequency of acid exposure is increased.
http://ift.tt/2zxrELl
Mechanism of bioactive molecular extraction from mineralized dentin by calcium hydroxide and tricalcium silicate cement
Source:Dental Materials
Author(s): Xue-qing Huang, John Camba, Li-sha Gu, Brian E. Bergeron, Domenico Ricucci, David H. Pashley, Franklin R. Tay, Li-na Niu
ObjectivesThe objective of the present study was to elucidate the mechanism of bioactive molecule extraction from mineralized dentin by calcium hydroxide (Ca(OH)2) and tricalcium silicate cements (TSC).Methods and resultsTransmission electron microscopy was used to provide evidence for collagen degradation in dentin surfaces covered with Ca(OH)2 or a set, hydrated TSC for 1–3 months. A one micron thick collagen degradation zone was observed on the dentin surface. Fourier transform-infrared spectroscopy was used to identify increases in apatite/collagen ratio in dentin exposed to Ca(OH)2. Using three-point bending, dentin exposed to Ca(OH)2 exhibited significant reduction in flexural strength. Using size exclusion chromatography, it was found that the small size of the hydroxyl ions derived from Ca(OH)2 enabled those ions to infiltrate the intrafibrillar compartment of mineralized collagen and degrade the collagen fibrils without affecting the apatite minerals. Using ELISA, TGF-β1 was found to be extracted from dentin covered with Ca(OH)2 for 3 months. Unlike acids that dissolve the mineral component of dentin to release bioactive molecules, alkaline materials such as Ca(OH)2 or TSC released growth factors such as TGF-β1 via collagen degradation.SignificanceThe bioactive molecule extraction capacities of Ca(OH)2 and TSC render these dental materials excellent for pulp capping and endodontic regeneration. These highly desirable properties, however, appear to be intertwined with the untoward effect of degradation of the collagen matrix within mineralized dentin, resulting in reduced flexural strength.
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Hierarchical microcrack model for materials exemplified at enamel
Source:Dental Materials
Author(s): H. Özcoban, E.D. Yilmaz, G.A. Schneider
ObjectiveThis article investigates the mechanical properties of a material with hierarchically arranged microcracks.MethodsHierarchically structured biomaterials such as enamel exhibit superior mechanical properties as being stiff and damage tolerant at the same time. The common mechanical explanation for this behavior is based on the hierarchically structured arrangement of hard minerals and soft organics and their cooperative deformation mechanisms. In situ mechanical experiments with mm-sized bovine enamel bending bars an scanning electron microscope reveal that enamel is able to withstand mechanical loading even if it contains microcracks on different lengths scales. To clarify this issue an analytical hierarchical microcrack model of non-interacting cracks is presented.Results and SignificanceThe model predicts a decrease of the elastic modulus and the fracture strength with increasing levels of hierarchy. The fracture strain on the other hand may decrease or increase with the number of hierarchical levels, depending on the microcrack density. This simple hierarchical microcrack model is able to explain already published experiments with focused ion beam prepared μm-sized enamel cantilevers on different hierarchical levels. In addition it is shown that microcracking during loading in hierarchical materials may lead to substantial pseudoplastic behavior.
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Light irradiance through novel CAD–CAM block materials and degree of conversion of composite cements
Source:Dental Materials
Author(s): Diogo Pedrollo Lise, Annelies Van Ende, Jan De Munck, Kumiko Yoshihara, Noriyuki Nagaoka, Luiz Clovis Cardoso Vieira, Bart Van Meerbeek
ObjectiveTo assess light irradiance (LI) delivered by two light-curing units (LCU's) and to measure the degree of conversion (DC) of three composite cements, when cured through different thicknesses of two novel CAD–CAM block materials.Methods100-μm-thick films of a dual-curable composite cement (G-CEM LinkAce, GC), a light-curable flowable resin-based composite (RBC) (G-ænial Universal Flo, GC) and a micro-hybrid RBC (G-ænial Posterior, GC) were investigated as luting agents. Two 'polymer–ceramic' CAD–CAM blocks (Cerasmart, GC; Enamic, Vita Zahnfabrik) were sectioned in slabs with different thicknesses (1, 3 and 5mm). LI at the bottom of the specimens was measured using a calibrated spectrometer, while being light-cured through the CAD–CAM block slabs for 40s with a low- (±500mW/cm2) or high- (±1,600mW/cm2) irradiance LCU (n=5). After light-curing, micro-Raman spectra of the composite films were acquired to determine DC at 5min, 10min, 1h and 24h. LI data were statistically analyzed by Kruskal–Wallis followed by post-hoc comparisons, while a linear mixed-effect model was applied for the DC analysis. In addition, the CAD–CAM blocks ultrastructure was characterized upon argon-ion slicing using scanning transmission electron microscopy (STEM). Finally, light transmission (LT) through each CAD–CAM block material was assessed using a spectrophotometer.ResultsCuring-light attenuation and DC were significantly influenced by thickness and type of the overlying material. LCU only had a significant effect on DC of the micro-hybrid RBC. DC significantly increased over time for all composite cements. CAD–CAM block structural analysis revealed a relatively small and homogenous filler configuration (mean filler size of 0.2–0.5μm) for Cerasmart, while Enamic contained ceramic grains varying in shape and size (1–10μm), which were interconnected by the polymer-based network. LT was much higher at a wavelength range of 300–800nm for Cerasmart than for Enamic.SignificanceLight-curable composite cements can be cured through a restoration up to 2.7-mm thickness, depending on the kind of CAD–CAM material. A high-irradiance LCU only has a limited effect on the maximum thickness of the polymer–ceramic CAD–CAM material that can be cured through.
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Human immune responses against Shigella and enterotoxigenic E. coli: Current advances and the path forward
Source:Vaccine, Volume 35, Issue 49, Part A
Author(s): Monica A. McArthur, Milton Maciel, Marcela F. Pasetti
Robust and well-established immunological assays and firm immune correlates of protection that can predict disease outcome and/or vaccine efficacy are essential to adequately assess human immune responses to infection and vaccination. The availability of reagents and calibrated controls is also critically important to standardize assays and generate comparable results among different laboratories. The workshop "Human Immune Responses against Shigella and ETEC: Current Advances and the Path Forward" held during the VASE meeting provided an opportunity to disseminate and discuss recent advances in the field of Shigella and ETEC immunology, identify research needs, and propose collaborative activities to advance the field. Four presentations featured current knowledge on humoral and cellular immune responses to Shigella and ETEC during infection and vaccination. A discussion followed on immunological methods relevant for clinical studies, immune parameters associated with protection, harmonization of assays among laboratories, and availability of reagents and standards. Specific recommendations proposed to facilitate "the path forward" included supporting communication among scientists, harmonization of assays and sharing of protocols, the creation of a repository of reagents and calibrated controls and distribution of such material to the research community, and expansion of exploratory studies to better understand the interactions between these pathogens and the human immune system and the ensuing responses.
http://ift.tt/2ij2AnY
Developing and utilizing controlled human models of infection
Publication date: 14 December 2017
Source:Vaccine, Volume 35, Issue 49, Part A
Author(s): Chad K. Porter, A. Louis Bourgeois, Robert W. Frenck, Michael Prouty, Nicole Maier, Mark S. Riddle
The controlled human infection model (CHIM) to assess the efficacy of vaccines against Shigella and enterotoxigenic Escherichia coli (ETEC) has several unique features that could significantly enhance the ability to test candidate vaccines. Despite increasing interest in these models, questions remain as to how to best incorporate them into vaccine development and how to maximize results. We designed a workshop focused on CHIM as part of the Vaccines Against Shigella and ETEC (VASE) Conference.The workshop, using the World Café method, focused on; clinical outcomes, nonclinical outcomes and model standardization. Researchers with a variety of expertise and experience rotated through each focus area and discussed relevant sub-topics. The results of these discussions were presented and questions posed to guide future workshops.Clinical endpoint discussions focused on the need for harmonized definitions; optimized attack rates; difficulties of sample collection and a need for non-stool based endpoints. Nonclinical discussions centered on evolving omics-based opportunities, host predictors of susceptibility and novel characterizations of the immune response. Model standardization focused on the value of shared procedures across institutions for clinical and non-clinical endpoints as well as for strain preparation and administration and subject selection.Participants agreed CHIMs for Shigella and ETEC vaccine development could accelerate vaccine development of a promising candidate; however, it was also appreciated that variability in the model and our limited understand of the host-pathogen interaction may yield results that could negatively impact a suitable candidate. Future workshops on CHIM are needed to ensure the optimal application of these models moving forward.
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Chronic consequences on human health induced by microbial pathogens: Growth faltering among children in developing countries
Source:Vaccine, Volume 35, Issue 49, Part A
Author(s): James P. Nataro, Richard L. Guerrant
Enteric infections continue to cause approximately 500,000 childhood deaths annually worldwide. In addition to the burden of diarrhea, there is emerging evidence that exposure to enteric pathogens may induce physiologic abnormalities that lead to linear growth faltering. This enteric disease, known as environmental enteric dysfunction (EED) remains cryptic with regard to its causes and features. In this workshop, experts in the field addressed the contribution of enteric pathogens to growth faltering in the absence of clinical diarrhea. Also addressed were the role of the intestinal microbiota in normal childhood growth among children in developing countries. The impact of pathogen exposure could represent direct epithelial injury or could be mediated by perturbations in the normal microbiota or combinations of both.
http://ift.tt/2ij2pJk
Editorial Board/Aims and Scope
Publication date: 14 December 2017
Source:Vaccine, Volume 35, Issue 49, Part A
http://ift.tt/2AgEaCx
Vaccines against Shigella and enterotoxigenic Escherichia coli: A summary of the 2016 VASE Conference
Source:Vaccine, Volume 35, Issue 49, Part A
Author(s): Richard I. Walker, Thomas F. Wierzba, Sachin Mani, A. Louis Bourgeois
PATH hosted the inaugural Vaccines Against Shigella and Enterotoxigenic Escherichia coli (VASE) Conference in Washington, DC in June 2016, bringing together experts from around the world for a highly collaborative forum to discuss progress in the development of new enteric vaccines. Diarrheal disease and long-term sequelae caused by infections with the bacterial pathogens Shigella and enterotoxigenic E. coli (ETEC) pose a significant public health burden in low-income communities. There are currently no licensed vaccines against these pathogens, and the global health community has recently prioritized their development. The 2016 VASE Conference aimed to accelerate communication and progress among those working in the enteric vaccine field to make Shigella and ETEC vaccines a reality as quickly as possible. Research presented in oral and poster presentations at the VASE Conference covered a range of topics, including: the global burden of disease and public health case for Shigella and ETEC vaccines; current vaccine candidates in development; immunology and host responses to the pathogens; and the rationale for and status of combined Shigella-ETEC vaccine candidates. This article reviews key points and highlighted research presented in each of the plenary conference sessions and poster presentations at the 2016 conference. Planning for the 2018 VASE Conference is underway and will likely provide an important platform for sharing the latest updates on Shigella and ETEC vaccine research efforts and maintaining the momentum for accelerating this work. It is also expected that the VASE Conference will continue to provide a unique opportunity for those in the enteric vaccine field to share ideas, make connections, and create workable plans to make Shigella and ETEC vaccines a reality. (Updates available at: http://ift.tt/2AhgCgO.)
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Challenges of vaccine presentation and delivery: How can we design vaccines to have optimal programmatic impact?
Source:Vaccine, Volume 35, Issue 49, Part A
Author(s): Birgitte K. Giersing, Anna-Lea Kahn, Courtney Jarrahian, Mercy Mvundura, Carmen Rodriguez, Hiromasa Okayasu, Darin Zehrung
Immunization program delivery strategies that enable high vaccine coverage, particularly in inaccessible and remote areas, are critical to achieving optimal vaccine impact. In addition to demonstration of safety and efficacy, there are many factors that influence whether a newly licensed vaccine will be introduced into a country's national immunization program, particularly in resource-constrained environments. This paper describes three case studies of novel approaches that represent the potential for improved programmatic impact by increasing vaccine accessibility in different ways. However, the pathway to regulatory approval, policy recommendation, and program introduction in low- and middle-income countries is complex, requiring engagement with multiple, diverse stakeholders. Consideration of aspects that affect uptake in low- and middle-income countries, during the product development stage, will help better position new or second-generation vaccine products for successful implementation to achieve public health impact.
http://ift.tt/2ihjnrC
Efficacy and safety of topical depigmenting agent in healthy human fair skin female volunteers: A single-arm study
Summary
Background
Skin hyperpigmentation is the darkening of skin due to the increased production of melanin in the body.
Objectives
To evaluate the efficacy and safety of a botanical-based Rosa E pigmentation serum in healthy fair skin female volunteers with wrinkles, skin tone, and pigmentation.
Methods
This was a single-arm, open label study conducted in healthy Indian females; 18 subjects aged 30-55, having fair Caucasian-like skin with at least 2 dark skin pigments with facial wrinkles diagnosed by dermatologist were selected. Rosa E pigmentation serum was applied twice a day for 84 days. Effect was evaluated by (i) instrumental technique (spectrophotometer® 2600D), (ii) clinically by dermatologist regarding product efficacy (skin tone, antiwrinkle, pigmentation), and (iii) volunteers self-evaluation.
Results
The L* value of spectrophotometer reading represents lightness in the skin pigment. Reduction in the pigment was reported from day 14, with significant reductions observed till day 84 compared with baseline. Significant (P < .0001) skin pigmentation lightening was seen on day 14 (1.11) vastly improving on day 84 (1.94) based on photographic assessments. The significant reduction in skin pigment was 76.85%, Felix von Luschan skin color score was 30.24% (P < .0001) with a 7.38-fold reduction in skin tone and 57% reduction in facial wrinkles at day 84 from baseline.
Conclusions
Rosa E pigmentation serum was found safe and effective in significant reduction in skin pigments, improvement of skin tone, and antiwrinkle properties instrumentally, clinically, and self-evaluation by volunteers. In these evaluations, best results were seen the longer the Rosa E was used.
http://ift.tt/2zBDwvX
How to Write a Research Proposal in Vascular Surgery: The Basics and Details Not to Forget
Publication date: Available online 28 November 2017
Source:European Journal of Vascular and Endovascular Surgery
Author(s): Rodrigo Rial, Francisco J. Serrano
http://ift.tt/2AflRxL
Assessment of three plant-based biodiesels using a Daphnia magna bioassay
Abstract
Biodiesel is an alternative fuel that is gradually replacing petroleum-based diesel use. Although biodiesel is considered friendlier to the environment, the potential toxic effects of biodiesel to aquatic organisms are still uncertain due to the wide range of feedstocks used to generate the fuel. The aquatic cladoceran Daphnia magna (D. magna) has been commonly used as a lethal and/or sub-lethal toxicological model organism in ecological risk assessments for contaminated water environments. In this work, we evaluated whether significant differences exist in the sensitivity of freshwater aquatic life to different biodiesels. The acute toxicity of three plant-based biodiesels was investigated using D. magna over a 96-h period. In addition, diesel fuel was tested as a reference. Increased immobility was observed as time progressed following exposure. Testing revealed of the four fuel products, diesel proved most toxic to D. magna, with half maximal effective concentration (EC50) values of 4.7 μg/mL (24 h) and 3.4 μg/mL (72 h). Among the biodiesels, safflower methyl biodiesel was most toxic, with EC50 values of 1026 μg/mL (24 h) and 71 μg/mL (48 h). Our data indicate that although not all biodiesels were toxic, the short-term exposure of D. magna to sub-lethal concentrations of biodiesels affects their mobility and thus decreases their reproductive potential. Overall, this research provides insights into the sub-lethal effects of biodiesels on an aquatic organism.
http://ift.tt/2zMLZAl
Nicotinamide and skin cancer chemoprevention: The jury is still out
Abstract
Following the publication of the results of a Phase III trial, the administration of oral nicotinamide has been widely advocated as effective in non-melanoma skin cancer chemoprevention in high-risk individuals. However, I performed a Bayesian analysis of the reported findings and show there is insufficient evidence to demonstrate its efficacy, highlighting the significant probability that the positive conclusions drawn will not be reproducible. Given the potential widespread use of oral nicotinamide, future position statements regarding its efficacy are likely to require higher standards of evidence.
http://ift.tt/2Bl4TL5
Cyclopeptide Dmt-[D-Lys-p-CF3-Phe-Phe-Asp]NH2; a novel G protein-biased agonist of the mu opioid receptor
Publication date: Available online 28 November 2017
Source:Peptides
Author(s): Justyna Piekielna-Ciesielska, Federica Ferrari, Girolamo Calo', Anna Janecka
Opioid peptides and alkaloid drugs such as morphine, mediate their analgesic effects, but also undesired side effects, mostly through activation of the mu opioid receptor which belongs to the G protein-coupled receptor (GPCR) family. A new important pharmacological concept in the field of GPCRs is biased agonism. Two mu receptor ligands, Dmt-c[D-Lys-Phe-Phe-Asp]NH2 (C-36) and Dmt-c[D-Lys-Phe-p-CF3-Phe-Asp]NH2 (F-81), were evaluated in terms of their ability to promote or block mu receptor/G protein and mu receptor/β-arrestin interactions. Using the bioluminescence resonance energy transfer (BRET) assay it was shown that C-36 activated both, G protein and β-arrestin pathways. Incorporation of trifluoromethyl group into the aromatic ring of phenylalanine in the sequence of F-81 led to activation of G-protein pathway rather than β-arrestin recruitment. Opioid cyclopeptide F-81 turned out to be a biased G protein mu receptor agonist. Such biased ligands are able to separate the biological actions of an activated receptor and have the potential to become more effective drug candidates with fewer side effects.
Graphical abstract
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Radium‐223 Safety, Efficacy, and Concurrent Use with Abiraterone or Enzalutamide: First U.S. Experience from an Expanded Access Program
AbstractBackground.In the phase III ALSYMPCA trial, metastatic castration‐resistant prostate cancer (mCRPC) patients had few prior life‐prolonging therapies. Following ALSYMPCA, which demonstrated radium‐223 survival benefit, and before radium‐223 U.S. commercial availability, an expanded access program (EAP) providing early‐access radium‐223 allowed life‐prolonging therapies in current use.Subjects, Materials, and Methods.This phase II, open‐label, single‐arm, multicenter U.S. EAP (NCT01516762) enrolled patients with symptomatic mCRPC, ≥2 bone metastases, and no lung, liver, or brain metastases. Patients received radium‐223 55 kBq/kg intravenously every 4 weeks × 6. Primary outcomes were acute and long‐term safety. Additional analyses were done by number of radium‐223 injections, and prior or concomitant abiraterone or enzalutamide use.Results.Of 252 patients, 184 received radium‐223: 165/184 (90%) had Eastern Cooperative Oncology Group (ECOG) performance status 0–1; 183 (99%) had prior systemic anticancer therapy. Treatment‐related adverse events occurred in 93/184 (51%) patients during treatment and 11 (6%) during follow‐up. Median overall survival was 17 months, with 134/184 (73%) patients censored because of short follow‐up due to radium‐223 approval. In post hoc analyses, patients with ≥3 prior anticancer medications, baseline ECOG performance status ≥2, and lower baseline hemoglobin were less likely to receive 5–6 radium‐223 injections and unlikely to benefit from radium‐223. Radium‐223 was well tolerated regardless of concurrent or prior abiraterone or enzalutamide.Conclusion.Radium‐223 was well tolerated, with no new safety concerns; safety was maintained with abiraterone or enzalutamide. Patients with more advanced disease were less likely to benefit from radium‐223. Clinicians should consider baseline characteristics and therapy sequence for greatest clinical value.Implications for Practice.In this phase II U.S. expanded access program, radium‐223 was well tolerated, with a median overall survival of 17 months in metastatic castration‐resistant prostate cancer patients. In post hoc analyses, radium‐223 was safe regardless of concurrent abiraterone or enzalutamide, and median overall survival appeared longer when radium‐223 was used earlier in patients with less prior treatment. Patients with more advanced disease were less likely to benefit from radium‐223. Clinicians should consider baseline clinical characteristics and therapy sequence to provide the greatest clinical value to patients.
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Chemical characterization of an Ayurvedic herbo-mineral formulation - Vasantakusumākara Rasa: A potential tool for quality assurance
Ancient Science of Life 2017 36(4):207-214
Background: Herbo-mineral formulations of Ayurveda contain specified metals or minerals as composition, which have their beneficial effects on biological systems. These metals or minerals are transformed into non-toxic forms through meticulous procedures explained in Ayurveda. Though literature is available on quality aspects of such herbo-mineral formulations; contemporary science is raising concerns at regular intervals on such formulations. Thus, it becomes mandate to develop quality profiles of all formulations that contain metals or minerals in their composition. Considering this, it is planned to evaluate analytical profile of Vasantakusumākara Rasa. Objective: To prepare Vasantakusumākara Rasa as per Standard operating Procedures (SoP) mentioned in classical text and to characterize it chemically using modern analytical techniques. Materials and Methods: The drug (Vasantakusumākara Rasa) in three batches was prepared in GMP certified pharmacy. Physico-chemical analysis, Assay of elements and HPTLC were carried out as per API. XRD was conducted using Rigaku Ultima-IV X-ray diffractometer. Results: The analysis shown the presence of Mercury, Tin, Gold, Silver, Iron, Zinc and Calcium etc., and HPTLC revealed presence of organic constituents from plant material. The XRD indicated the presence of cinnabar (mercury sulphide from Rasa Sindhura), cassiterite (tin oxide from Vaṅga Bhasma), massicot (lead oxide from Nāga bhasma) and Magnetite (di-iron oxide from Loha bhasma). Conclusion: The physico chemical analysis reveals that VKR prepared by following classical guidelines is very effective in converting the macro elements into therapeutically effective medicines in micro form. Well prepared herbo-mineral drugs offer many advantages over plant medicines due to their longer shelf life, lesser doses, easy storing facilities, better palatability etc. The inferences and the standards laid down in this study certainly can be utilized as baseline data of standardization and QC.
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Autoimmune bullous skin disease managed with ayurvedic treatment: A case report
Ancient Science of Life 2017 36(4):229-233
Autoimmune bullous diseases are a group of rare, acquired disorders characterized by overlapping features, resistance to treatment, and potential fatality. They need quick and proper management to avoid fatal complications. Ayurveda is found to provide better relief in some autoimmune disorders. Herein, we report a 40-year-old male of autoimmune bullous skin disorder (Visphoṭaka) who failed to respond to allopathic medicines and was subsequently treated with Ayurvedic medicines and achieved complete remission.
http://ift.tt/2zNa0rg
A metallurgical study of Nāga Bhasma
Ancient Science of Life 2017 36(4):182-186
Background: The metal Nāga (Lead) is being used by Indians since ancient times. Its external and internal uses have been described in Caraka, Suśruta and other Ayurvedic Saṃhitā. According to most of the Rasa texts, Nāga Bhasma and its formulations are used in many diseases such as Prameha, Jvara, Gulma, Śukrameha etc. Objectives: In the present study, Nāga Bhasma was prepared by the traditional Puṭa method (TPM) and by the electric muffle furnace Puṭa method (EMFPM) and standardized using Metallographic studies. Doing so helps in the study of the microstructure of Nāga Bhasma and also helps in the identification of the metal particles along with the nature of compound formed during the Māraṇa (Bhasmīkaraṇa) process. Setting and Design: Different samples from initial raw material to final product of Nāga Bhasma were collected during the pharmaceutical process (1st, 30th and 60th Puṭa) from both methods i.e. TPM and EMFPM. Samples from both methods were studied using metallographic examination. Materials and Methods: The processing of the Nāga Bhasma (ṣaṣṭipuṭa) was done according to Ānanda Kanda[9] Samples from the raw material i.e. Aśodhita Nāga (raw Lead) and that processed after 1st, 30th and 60th Puṭa from both methods i.e. traditional Puṭa method (using heat from burning of cow dung cakes) and electric muffle furnace Puṭa method were taken. They were mounted on self hardening acrylic base. After careful polishing to obtain scratch free surface of product, they were used for metallurgical study. Conclusion: This study shows that traditional Puṭa method may be better than electric muffle furnace Puṭa method because of more homogeneous distribution of Lead sulphide in the Nāga Bhasma which is prepared by traditional method.
http://ift.tt/2AJ8IgW
Determination of antimicrobial potential of five herbs used in ayurveda practices against Candida albicans, Candida parapsilosis and methicillin resistant Staphylococcus aureus
Ancient Science of Life 2017 36(4):187-190
Background: Medicinal plants are an important source of novel antimicrobial agents. Ayurvedic treatment involves the use of a variety of medicinal plants that merit investigation. Aims: To investigate the antimicrobial activity of bark of Pongamia pinnata (L.) Pierre, stem of Rubia cordifolia Linn, leaves of Jasminum officinale Linn, stem of Berberis ceylanica C.K. Schneid. and fruit of Garcina zeylanica Roxb. Subjects and Methods: Aqueous and ethanolic extracts of dried bark of Pongamia pinnata (Magul karanda), dried stem of Rubia cordifolia Linn (Welmadata), tender leaves of Jasminum officinale Linn (Jasmine) and dried stem of Berberis ceylanica (Dāruharidrā) were prepared according to standard protocols and tested for antimicrobial activity against five clinical isolates and one standard strain each of Candida albicans (ATCC 10231), Candida parapsilosis ( ATCC 22019) and six Methicillin Resistant Staphylococcus aureus (MRSA) clinical isolates using the well diffusion method. Experiments were done in triplicates using well diffusion method. The plant extracts which gave a zone of inhibition in the well diffusion assay were further tested for Minimum Inhibitory Concentrations (MIC). Results: Aqueous and ethanolic extracts of Berberis ceylanica and ethanolic extract of Rubia cordifolia had antimicrobial activity against Candida albicans and Candida parapsilosis. Aqueous and ethanolic extracts of Garcinia zeylanica, and the ethanolic extracts of Jasminum officinale, Rubia cordifolia and Pongamia pinnata had antimicrobial activity against MRSA. Conclusions: Berberis ceylanica and Rubia crodifolia had antimicrobial activity against Candida species while Garcinia zeylanica, Jasminum officinale, Rubia crodifolia and Pongamia pinnata had antimicrobial activity against MRSA.
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Call for perseverance and resources: The vital teeth of key to success in ayurveda research
Ancient Science of Life 2017 36(4):173-174
http://ift.tt/2zM4gxP
Traditional consumption of the fruit pulp of Chrysophyllum albidum (Sapotaceae) in pregnancy may be serving as an intermittent preventive therapy against malaria infection
Ancient Science of Life 2017 36(4):191-195
Background: The bark of Chrysophyllum albidum is reported to possess antimalarial property. The fruit pulp of C. albidum consumed by pregnant women of south eastern Nigeria may also possess antimalarial activity. The present preliminary study investigated the antimalarial potential of the pulp juice and seed of C. albidum. Methods: Schizonticidal activity was evaluated using the Peter's 4-day suppressive test. The prophylactic and curative antimalarial activities of the extracts were evaluated in Albino mice inoculated with Plasmodium berghei. Results: The oral acute toxic dose of the pulp extract is beyond 5000 mg/kg. The seed and pulp possess both suppressive and curative properties. The seed extract suppressed early infection by 72.97% and 97.30%, at 500 and 1000 mg/kg, respectively. The pulp juice recorded 72.97% and 81.08%, at 500 and 1000 mg/kg, respectively. At 500 mg/kg dose, the level of parasite control on Day 7 was the same (96.10%) for both seed and pulp. Conclusion: This study demonstrates the presence of antimalarial constituents in the chemically uncharacterized samples (fruit pulp and seed) of C. albidum. Its ethnomedicinal use may be valuable in pregnancy where it may possibly serve as an intermittent preventive therapy against malaria.
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Anti-anxiety and anti-depressant like effects of murraya koenigii in experimental models of anxiety and depression
Ancient Science of Life 2017 36(4):215-219
Background: Presence of free radical scavenging activity in Murraya koenigii, commonly known as Curry leaves, has been shown in previous studies. Oxidative stress plays an important role in the development of various neurobehavioral disorders including anxiety and depression. Aim: The present study aimed to evaluate the effects of Murraya koenigii in animal models of depression and anxiety. Materials and Methods: The effect of incremental doses of Murraya koenigii aqueous leaf extract was evaluated on spontaneous motor activity (SMA), open arm incursions in elevated plus maze, and despair behaviour in forced swim (FST) and tail suspension (TST) tests as compared to control groups in Swiss albino mice. Results: Murraya koenigii 300 mg/kg, p.o. (MK300) and 400 mg/kg, p.o. (MK400) reduced the SMA count from 754 ± 64.9 to 540 ± 29 and 295 ± 34 respectively, which was statistically significant. MK300 and MK400 reduced significantly the open arm count from 29 ± 8.6 to 16 ± 7 and 10 ± 3.9, respectively. On FST, MK400 reduced the duration of immobility from 145.5 ± 29 to 91 ± 17.3, which was statistically significant. On TST, MK produced a dose-dependent decrease in the duration of immobility; however, it was statistically significant only with MK400. Conclusion: Murraya koenigii aqueous leaf extract reduced the despair behavior in experimental animal models, suggesting an anti-depressant like activity. Murraya koenigii extract also reduced spontaneous locomotor activity in a dose-dependent manner suggesting a sedative and/or anxiolytic effect though there wasn't any anxiolytic effect in the elevated plus maze test.
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Effect of bhrāmarī Prāṇāyāma practice on pulmonary function in healthy adolescents: A randomized control study
Ancient Science of Life 2017 36(4):196-199
Context: Prāṇāyāma, the fourth limb of ancient aṣṭāṅga yoga consists of breathing techniques which produce various physiological and psychological effects. Though various types of prāṇāyāma and their effects have been scientifically established, Bhrāmarī prāṇāyāma (Bhr.P) is the one whose effects still remain understated. Aims: The present study was conducted to find the effects of Bhrāmarī prāṇāyāma practice on pulmonary function in healthy adolescents. Study Design: Randomized control trial. Subjects and Methods: 90 healthy adolescents including 32 females and 58 males participated in the study. They were randomly divided into Bhr.P group (n = 45) and Control group (n = 45) by a simple lottery method. Pulmonary function test was done at baseline and at end of 12th week using RMS Helios spirometry. Prāṇāyāma group students were trained to do Bhr.P as 3 to 4 breaths/min for 5 min followed by 2 min rest. This was one cycle and in this way, they were instructed to do five cycles each time for 45 minutes five days in a week. Control group students were not allowed to practice any kind of exercise throughout the study period. Statistical Analysis: Student paired and unpaired T tests were used to analyse the intra group and intergroup differences using R statistical software. Results: A significant (P < 0.05) improvement in all pulmonary function parameters; FVC, FEV1, FEV1/FVC ratio, FEF 25%-75% and PEFR was seen in the Bhr.P group than the control group adolescents. Slow vital capacity (SVC) and Maximum Voluntary Volume (MVV) also showed significant improvement in the prāṇāyāma group. Conclusions: Bhrāmarī Prāṇāyāma practice is effective in improving the pulmonary function among the adolescents which could be utilized for further clinical studies.
http://ift.tt/2AJ8pTk
A case study on successful ayurvedic management of a rare case of reiter's syndrome
Ancient Science of Life 2017 36(4):225-228
Reiter's syndrome is a clinical syndrome of arthritis, urethritis, conjunctivitis, and mucocutaneous lesions. Skin and mucosal involvement is observed in about 10% of the cases. A 34-year-old male was brought in severe condition. He had red colored foul smelling maculopapular skin lesions all over body, swollen and painful knee and shoulder joints. History revealed that he was suffering from Reiter's syndrome since 2003. He used to get admitted between the months of February and May every year due to aggravation of symptoms. Every time he was treated with systemic antibiotics, corticosteroids, immunosuppressants and non-steroidal anti-inflammatory drugs. He was successfully treated with external application and internal medication with tikta (bitter) and kaṣāya (astringent) drugs. He got significant relief in skin lesions as well as joint pain and his quality of life was markedly improved. This case study demonstrates that Reiter's syndrome can be well managed with Ayurvedic medicines.
http://ift.tt/2zPyCQ0
Protective effect of standardized extract of Passiflora incarnata flower in parkinson's and alzheimer's disease
Ancient Science of Life 2017 36(4):200-206
Background: Oxidative stress plays an important role in the pathogenesis of neurodegenerative diseases such as Alzheimer's and Parkinson's disease. Flavonoids exert their antioxidant effects by neutralizing all types of oxidizing radicals including the superoxide and hydroxyl radicals. Passiflora incarnata Linn. (Passifloraceae) is an important plant used in Ayurveda for the treatment of various disorders of the CNS and is a rich source of flavonoids. Aim: In the present study, we investigated the antioxidant, antiparkinsonian, and memory enhancing activity of flavonoid rich n-butanol extract of P. incarnata flowers (BEPIF). Materials and Methods: Antioxidant activity was assessed using DPPH and hydrogen peroxide scavenging assay. The antiparkinsonian activity was evaluated using haloperidol induced catalepsy and tacrine induced vacuous chewing movement and memory enhancing activity was assessed using elevated plus maze and object recognition test. Statistical Analysis: The results were analyzed by Analysis of Variance test followed by Dunnett's test. Results: Administration of BEPIF decreased transfer latency on day 2 and 9 significantly in elevated plus maze test and showed a significant increase in discrimination index in the object recognition test which is suggestive of its cognitive improvement action. Pretreatment with BEPIF showed a significant reduction in the haloperidol induced catalepsy and the tacrine induced jaw movements which are suggestive of its antiparkinsonian activity. In DPPH and H2O2scavenging assay, BEPIF exhibited significant free radical scavenging activity. Conclusions: It can be concluded that the butanolic extract of P. incarnata flowers has significant antiparkinsonian and cognition enhancing activity which may be associated with its antioxidant potential. Thus, P. incarnata flowers may be employed in treatment of dementia and parkinsonism.
http://ift.tt/2AJ8eYa
Knowledge and awareness of pharmacovigilance among ayurveda physicians in Himachal Pradesh
Ancient Science of Life 2017 36(4):234-235
http://ift.tt/2zOlhHU
Sensing of Cytoskeletal Forces by Asymmetric Adherens Junctions
Source:Trends in Cell Biology
Author(s): Tsveta S. Malinova, Stephan Huveneers
Within tissues, key cellular adaptations occur via mechanotransduction responses at cell–cell junctions. Adherens junctions (AJs) typically form between cells as a result of the binding of cadherin receptors of the same type (homotypic), and are linked to the force-propagating and -generating actomyosin cytoskeleton. Recent studies have found that AJs maintain monolayer integrity in dynamic tissues and drive collective cell behavior by converting into asymmetric remodeling entities. Here, we overview the molecular processes that may explain how asymmetric cell–cell junctions sense differences in cytoskeletal geometry between cells. We discuss the link between cadherin-complex dynamics and the actomyosin cytoskeleton at asymmetric cell–cell junctions. We then outline the role of Bin/Amphiphysin/Rvs (BAR) proteins, cytoplasmic regulators of endocytosis and cytoskeletal dynamics that sense force-induced membrane curvature, at AJs undergoing asymmetric remodeling. Lastly, we highlight the physiological importance of junctional asymmetry for epithelial and vascular tissue and discuss its potential role in disease.
http://ift.tt/2Af6Bkb
Lexical Tone is Perceived Relative to Locally Surrounding Context, Vowel Quality to Preceding Context.
http://ift.tt/2Agw8K8
Post-operative care of VRAM flaps for perineal reconstruction
Dear Editor,
http://www.jprasurg.com/article/S1748-6815(17)30475-8/fulltext?rss=yes
Aging of the bony orbit is a major cause of age-related intraorbital fat herniation
We evaluated the relationship between infraorbital fat herniation and age-related changes in the bony orbit and orbital fat density using computed tomography. Two hundred and sixty-five patients were enrolled (60 patients were evaluated for changes in the bony orbit and 205 for changes in orbital fat density). Five measurements using parasagittal sections and 1 measurement using three-dimensional images were obtained. Intraorbital fat herniation length was positively correlated with orbital rim inclination.
http://ift.tt/DuLdqq
A prospective, randomized-controlled pilot study comparing closed suction versus negative pressure drains for panniculectomy patients
Panniculectomy following massive weight loss has a reported complication rate of 31-76% with seroma formation 14-28%.(1) The authors performed a prospective, randomized study comparing seroma formation with standard bulb drains (BD) versus internal drains attached to continuous negative pressure (NP) following panniculectomy. NP drains were placed on continuous powered-suction at -125mmHg via Renasys*GO drain device (Smith&Nephew, Memphis,TN).
http://www.jprasurg.com/article/S1748-6815(17)30479-5/fulltext?rss=yes
Updated anatomy of the buccal space and its implications for plastic, reconstructive and aesthetic procedures
The buccal space an integral deep facial space which is involved in a variety of intra- and extra-oral pathologies and provides a good location for the harvest of the facial artery. The age-related anatomy of this space was investigated and compared to previous reports.
http://www.jprasurg.com/article/S1748-6815(17)30471-0/fulltext?rss=yes
Immediate nipple reconstruction during skin-sparing mastectomy utilising the nipple sharing technique and harvesting the nipple graft from the mastectomy specimen
Nipple reconstruction is an integral part of the breast reconstructive process. Studies have described the positive psychological impact of nipple reconstruction as part of post-mastectomy breast reconstruction. Timing of nipple reconstruction does make a difference; it was shown that a longer interval between mound and nipple reconstruction decreases patient satisfaction1. Losken et al.2 demonstrated that the average time to completion of reconstruction was 12.25 months but this was significantly influenced by type of reconstruction and risk factors such as postoperative chemotherapy and radiation therapy.
http://ift.tt/2AH7W3Z
Surgical-site infection following lymph node excision indicates susceptibility for lymphedema: a retrospective cohort study of malignant melanoma patients
Cancer-related lymphedema is a common complication following lymph node excision. Prevention of lymphedema is essential, as treatment options are limited. Known risk factors are firmly anchored to the cancer treatment itself; however potentially preventable factors such as seroma and surgical-site infection (SSI) have yet to be asserted.
http://www.jprasurg.com/article/S1748-6815(17)30492-8/fulltext?rss=yes
Serial excision with power-stretching of the skin in giant melanocytic nevi therapy
Giant Congenital Melanocytic Nevi (GCMN) are defined as being at least 20 centimetres in diameter in adulthood. Thus, for newborns, a GCMN is defined as being nine centimetres on the head and six centimetres on the trunk and extremities1. GCMN cause an aesthetic burden in affected children. Efficient treatment is controversial2. The main treatment options include serial resections, skin grafting/flaps or skin expander-techniques. Normally, they are used in children older than two years of age2. Because the skin of newborns and infants has a pronounced capacity to recover from trauma, we developed a surgical method that takes advantage of the high skin-elasticity and the small absolute size of GCMNs in very young children.
http://ift.tt/2AH7LWn
Free flap reconstruction for trauma in the early post-partum period
We present the case of a patient who suffered significant polytrauma, fracturing her pelvis, femur and tibia and requiring emergency caesarian section of her 36-week old foetus. Forty eight hours later she underwent free flap reconstruction of her open tibial fracture. The issues involved in performing free flap surgery in the early postpartum period and specific surgical and pharmacological measures taken to overcome the physiological hypercoagulable state of post-partum patients are described along with a summary of the literature.
http://www.jprasurg.com/article/S1748-6815(17)30491-6/fulltext?rss=yes
Split-sciatic Nerve surgery: a new microsurgical model in experimental nerve repair
Sciatic experimental surgery in rat often leads to hindlimb autophagy, with considerable ethical and research issues. In this work, the distal part of the sciatic nerve was split following the natural bifurcation between tibial and peroneal branches, before applying regenerative stem cells in a fibrin conduit on the peroneal segment.The new microsurgical model was tested in terms of animal morbidity and consistency of research outcomes, particularly comparing to the standard total sciatic axotomy procedure.
http://ift.tt/AGhnwo
Bleeding on the cutting edge; a systematic review of anticoagulant and antiplatelet continuation in minor cutaneous surgery
Anticoagulant and antiplatelet (AC/AP) use is common and practice surrounding AC/AP continuation or cessation peri-operatively for minor cutaneous surgery lacks evidence-based consensus.
http://www.jprasurg.com/article/S1748-6815(17)30490-4/fulltext?rss=yes
Robotic nipple-sparing mastectomy with immediate reconstruction by robotically harvested latissimus dorsi muscle in a single position: cadaveric study
Dear Editor,
http://www.jprasurg.com/article/S1748-6815(17)30489-8/fulltext?rss=yes
Refining the cross-finger flap: considerations of flap insetting, aesthetics and donor site morbidity
We described a laterally based cross-finger flap for reconstruction of soft tissue defects in the fingers. This modification enables coverage of volar or dorsal soft tissue defects at the distal, middle or proximal phalanx. From March 2015 to January 2017, a total of 12 patients (13 fingers) underwent soft tissue reconstruction of the fingers with a laterally based cross-finger flap. The flap dimensions ranged from 13 x 7 mm to 43 x 13 mm. Eleven of the 13 flaps survived completely. The two flap failures were attributed to injuries in the donor fingers, rendering the blood supply of the flaps unreliable.
http://ift.tt/2AFBNtH
Long-term functional outcome in case series of tibial osteomyelitis reconstruction with free tissue transfer
Dear Sir,
http://www.jprasurg.com/article/S1748-6815(17)30487-4/fulltext?rss=yes
Sentinel node biopsy in desmoplastic thin melanoma: histogenetic reccomandations
Dunne et al have performed a full systematic literature review of sentinel lymph node biopsy (SLNB) in patients affected by desmoplastic melanoma (DM). Sixteen studies were included in the review and 1519 patients with SLNB were identified with nodal positivity in 99 cases (65%). Instead, the number of SLNB in desmoplastic thin melanoma (DTM) has been not reported. The authors believe that further research should be undertaken to establish if all patients with DTM should be offered SLNB based on stratification using clinico-pathological features (1).
http://ift.tt/2AG3se0
The use of a ‘pocket’ printer to improve documentation and patient care
Photography provides an unsurpassed method of communicating accurate visual pathologies to both patients and colleagues1. It has become the standard of practice for documenting pre-operative, operative and post-operative clinical findings in a number of medical specialities, including Plastic and Reconstructive Surgery. In some areas of the World, electronic notes systems are commonly used to incorporate photographs and to create clinical letters, however in our experience this is not the norm. Digital technology has revolutionised photography, simplifying the process of capturing and recording images.
http://www.jprasurg.com/article/S1748-6815(17)30486-2/fulltext?rss=yes
Short correspondence: reverse lymphatic mapping without radioisotope in the surgical treatment of lymphedema
Lymphatic mapping of the extremity using lymphoscintigraphy incorporates injection of radioisotope (technetium) into the web space of the hand or foot to assess lymphatic transit and drainage pathways. Reverse lymphatic mapping (RLM), a technique originally described for selective axillary lymphadenectomy in cancer and subsequently adopted for vascularized lymph node transfer procedures, utilizes a dual tracer approach to delineate lymphatic drainage pathways from individual anatomic regions in order to reduce incidence of iatrogenic lymphedema (1-2).
http://ift.tt/2AFOGDT
Silicone lip implant for augmentation in cleft lip
Patients with a history of cleft lip repaired in childhood commonly present requesting upper lip revision to improve deficiency in the volume of the upper lip vermillion and disharmony with respect to the volume of the lower lip. There are a number of techniques available to address this issue, however some of these carry the risk of potential donor site morbidity and the longevity of the volume of enhancement achieved is often unpredictable. We describe six successful cleft lip augmentation cases using a silicone lip implant, a technique only previously reported in the aesthetic augmentation population, and show how in the right patient, this can be a rewarding reconstructive option.
http://www.jprasurg.com/article/S1748-6815(17)30485-0/fulltext?rss=yes
Analysis of the correlation between deformational plagiocephaly and neurodevelopment delay: methodological issues
Dear editors
http://ift.tt/2AH0w0v
Chest High-resolution Computed Tomography Findings in 601 Patients with Inflammatory Bowel Diseases
Source:Academic Radiology
Author(s): Haruka Sato, Fumito Okada, Shunro Matsumoto, Akira Sonoda, Kazunari Murakami, Tetsuya Ishida, Hajime Takaki, Masaki Wakisaka, Kouhei Tokuyama, Ryuichi Shimada, Hiromu Mori
Rationale and ObjectivesPulmonary involvement in inflammatory bowel disease may reflect the common embryonic origin of the gastrointestinal tract and the bronchial tree. No studies have compared pulmonary high-resolution computed tomography (HRCT) findings between ulcerative colitis (UC) and Crohn disease (CD). This study aimed to assess the relationship between pulmonary HRCT findings and inflammatory bowel disease activity and to compare HRCT findings between UC and CD.Materials and MethodsWe retrospectively identified 601 consecutive patients (350 with UC and 251 with CD) who had undergone chest HRCT examinations at our institutions between April 2004 and April 2016. Parenchymal abnormalities, enlarged lymph nodes, and pleural effusion were evaluated on HRCT.ResultsOne hundred sixty-seven patients (94 men, 73 women; aged 12–86 years, mean: 47.2 years) with UC and 93 patients (61 men, 32 women; aged 12–71 years, mean: 37.9 years) with CD had abnormal findings on chest HRCT. The HRCT findings of UC and CD mainly consisted of centrilobular nodules (in 49.1% and 45.2% of cases, respectively) and bronchial wall thickening (in 31.7% and 54.8%, respectively). There was no relationship between HRCT findings and disease activity. Bronchial wall thickening was significantly more frequent in patients with CD than in those with UC (P < .001).ConclusionThe main chest HRCT findings in UC and CD are centrilobular nodules and bronchial wall thickening. There are differences in HRCT findings between UC and CD.
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Normal Axillary Lymph Node Variability Between White and Black Women on Breast MRI
Source:Academic Radiology
Author(s): Lars J. Grimm, Neal K. Viradia, Karen S. Johnson
Rationale and ObjectivesThis study aimed to determine if there were differences in the imaging features of normal lymph nodes between white and black women using magnetic resonance imaging.Materials and MethodsFollowing institutional review board approval, we identified white and black women who underwent breast magnetic resonance imaging from November 1, 2008 to December 31, 2013 at our institution. To identify normal lymph nodes for measurement, patients with any benign or malignant causes for lymph node enlargement and patients with any subsequent breast cancer in the following 2 years were excluded. Black and white women were age matched at a 1:2 ratio. The largest lymph node in each axilla was measured for the long-axis length and maximal cortical thickness. Comparisons were made between white and black women using a conditional logistic regression to control for matching.ResultsThere were 55 black women and 110 white women for analysis. The mean lymph node long-axis length was 14.7 ± 5.3 mm for black women and 14.4 ± 6.4 mm for white women (P = .678). The mean maximum cortical thickness was 3.3 ± 1.6 mm for black women and 2.6 ± 1.4 mm for Caucasian women (P < .001). A significantly higher percentage of black than white women had cortical thicknesses greater than threshold values of 3, 4, 5, 6, and 7 mm (P < .01 for all).ConclusionsThe normal lymph node cortical thickness in black women is significantly greater than in white women, which should be considered when deciding to recommend a lymph node biopsy.
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Prevalence and Progression Rate of Diabetic Retinopathy in Type 2 Diabetes Patients in Correlation with the Duration of Diabetes
Exp Clin Endocrinol Diabetes
DOI: 10.1055/s-0043-120570
Aims We examined prevalence and progression of retinopathy in dependence on diabetes duration in order to estimate the probability of progression. Patients/Methods In a retrospective cohort-analysis from an academic outpatient department of endocrinology and metabolic diseases we analyzed 17461 consultations of 4513 patients with DM2 from 1987 to 2014. 50.3% of the patients (n=2272) had at least one documented result of funduscopy. Results 25.8% of the patients had retinopathy (20.2% non-proliferative, 4.7% proliferative, 0.7% were not classified, 0.1% blindness). The prevalence of retinopathy in dependence on diabetes duration was 1.1% at diagnosis, 6.6% after 0<5 years, 12% after 5<10 years, 24% after 10<15 years, 39.9% after 15<20 years, 52.7% after 20<25 years, 58.7% after 25<30 years and 63% after ≥30 years. In a subset of 586 (25.7%) patients with retinal photography of 3 consecutive years 7.0% showed deterioration after one and 12.2% after two years; 2.6% improved after one and 2.8% after two years. 201 (34.3%) of this group had<10 years diabetes and lower deterioration (4.5% worsened after one and 9.5% after two years). Their retinopathy mainly transformed from no retinopathy to non-proliferative. Four patients (2.0%) developed proliferative retinopathy. Conclusions/Interpretations Within the first 10 years of diabetes duration, the prevalence of retinopathy is low and the progression infrequent. Most patients have a non-proliferative form which can be reversible and rarely requires interventions. Patients with DM2 without retinopathy and good glycaemic control do not run into additional risk from expanding funduscopy intervals to biennial.
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© Georg Thieme Verlag KG Stuttgart · New York
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