Impact of rheumatoid arthritis in oral surgery and implantology treatment based on literature.

Rheumatoid arthritis (RA) is an autoimmune disease that results in a chronic, systemic inflammatory disorder that principally attacks synovial joints. The pathology of the disease process often leads to the destruction of articular cartilage and the bone. Normal bone remodeling cycle requires the balance between bone resorption and bone deposition which is determined by the activities of two principle cell types, namely, osteoclasts and osteoblasts. Osteoblasts and osteoclasts, coupled together via cytokine mediated cell signaling. The dominance of pro-inflammatory cytokines in bone homeostasis leads to osteolysis. Many articles have been published about the pathobiochemical similarity between rheumatoid arthritis and periodontitis, whereas the role of the disease in bone regeneration and osseointegration is less proven. According to the international literature in rheumatoid arthritis, due to frequent periodontitis, decreased salivary secretion, medication, as well as a decrease in bone regenerative potential, rheumatoid arthritis is considered as relative contraindication in implantology. In daily practice, we face more frequently with rheumatoid arthritis which makes the topic so important in oral surgery and implantology. It can be said that adequate preoperative preparation (healthy periodontal status, antibiotic protection, consultation with the rheumatologist to modify medication) interventions can be done more safely. The risk of failure is higher in patients suffering from rheumatoid arthritis of the underlying disease which fact is important to be communicated before surgical intervention.

Promoting the elemental profile of sorghum grain: Driving factors affecting nutritional properties under nitrogen fertilizer conditions.

Monitoring nitrogen utilization is crucial in agricultural practices, emphasizing the interrelationship between soil health, nutrient management, and human health. The study was conducted to evaluate the impact of N fertilizer on the nutritional characteristics of diverse S. bicolor varieties, namely Alföldi 1, ES Föehn (Lidea Seeds) with a red pericarp, ES Albanus, Albita, and Farmsugro 180 (all white varieties), the study was conducted in sorghum-producing areas where the crop is non-native. Specifically, the study investigated two soil types: loam clay and sandy soil. Furthermore, the respective varieties were grown under N (27% N CAN) fertilizer conditions, involving 60 kg/ha-1 and 120 kg/ha-1 of the treatment rates applied at each experiment site. We measured the specific element concentration in each sample using the Inductively Coupled Plasma Optical Emission Spectroscopy (ICP-OES) technology. Certainly, the results demonstrated that the different S. bicolor varieties had unique nutritional characteristics attributed to several factors such as soil type, variety, and treatment, which showed a significance value of (P < 0.05). The findings demonstrated that the treatments had distinct impacts as stimulators and inhibitors for certain elements. Specifically, the application of 120 kg/ha-1 negatively affected the levels of particular elements, such as Ca mg/kg-1, in loam clay and sandy soil. The statistical analysis of trace microelement variance did not show a significance value (P > 0.05) when considering the year factor, which supported the data analysis's reliability and accuracy. In summary, to enhance the nutritional value of sorghum grain and supply nutrient-rich food choices for individuals, consider factors such as fertilizer response, nutrient uptake by grain, element mineral accumulation, and advisory variety. Additional research could enhance the nutritional properties of sorghum to provide the required dietary stuff, such as grain processing, which can render sorghum a proper addition to a healthy and balanced human diet.

Complete Remission of Vocal Cord Cancer Treated With Low-Dose Ipilimumab Plus Nivolumab Combined With Interleukin-2 and Hyperthermia.

We present a 44-year-old male patient, exposed to tobacco smoke and alcohol, with a locally advanced, multiple recurrent squamous cell carcinoma (SCC) of the vocal cord who had undergone resection four times. The patient rejected the mutilating surgery or radiation therapy due to the expected severe lifelong consequences. Instead, the patient opted for complex immunotherapy combining low doses of checkpoint inhibitors ipilimumab-nivolumab (0.3 and 0.5 mg/kg, respectively) with fever-inducing interleukin-2 (IL-2) and hyperthermia, which induced complete remission (CR). Restaging with MRI and laryngoscopy demonstrated lasting remission ongoing now for two years. The fact that this patient is free of any cancer-related signs or symptoms raises the possibility of a long-lasting remission even after the fourth recurrence of a locally advanced squamous cell vocal cord cancer by the induction of therapeutic fever combined with a safe low-dose ipilimumab plus nivolumab therapy to endorse T-cell function.

The effect of new LED lighting systems on the colour of modern paints.

This research focuses on the investigation of the effect of a new light emitting diode (LED)-lighting system which reproduces indoor museum conditions, on some self-made art paint colours (acrylic-, alkyd-, and linseed oil-based paints) often used in modern-contemporary art. A halogen lamp representing a traditional light source for museum lighting was also considered. Lighting-set-up and lighting optimization parameters were considered while Ultraviolet/Visible/Near Infrared (UV/Vis/NIR) spectrophotometry was used for investigating the colour change of the paint samples. Univariate analyses allowed determining the highest effect of the lighting systems on the linseed oil binder and ultramarine blue PB29 mixture upon ageing, according to the highest total colour change ΔE*ab. In a more specific and detailed way, variance analyses not only demonstrated the strong correlation between the type of binder and pigment used for the paint samples with the colour variation, but also showed that the short-wavelength blue LEDs influenced the change along the yellow-blue b* axis of the yellow and blue samples, whereas the halogen lamp mostly had an impact towards the red-green a* axis of mostly the green specimens.

Investigation of the hemodynamic flow conditions and blood-induced stresses inside an abdominal aortic aneurysm by means of a SPH numerical model.

The estimation of blood flow-induced loads occurring on the artery wall is affected by uncertainties hidden in the complex interaction of the pulsatile flow, the mechanical parameters of the artery, and the external support conditions. To circumvent these difficulties, a specific tool is developed by combining the aorta displacements measured by an electrocardiogram-gated-computed tomography angiography, with the blood velocity field computed by a smoothed particle hydrodynamics (SPH) numerical model. In the present work, the SPH model has been specifically adapted to the solution of the 3D Navier-Stokes equations inside a domain with boundaries of prescribed motion. Images of the abdominal aorta aneurysm (AAA) of a 44-year-old female patient were acquired during a stabilized cardiac cycle by electrocardiogram-gated-computed tomography angiography. The in vivo kinematic field inside the pulsating arterial wall was estimated by using recent technology, which makes it possible to follow the shape of the arterial wall during a cardiac cycle. We compare the flow conditions and the blood-induced loads, computed by the numerical model under the assumption of a moving arterial wall, with the corresponding results obtained assuming three rigid wall geometries of the vessel during the cardiac cycle. Significant differences were found for the wall shear stress distribution.

Rapid, Bioassay-Guided Process for the Detection and Identification of Antibacterial Neem Oil Compounds.

Bioassay guidance was used along the whole process including method development, isolation and identification of antibacterial neem (Azadirachta indica) oil compounds. The biomonitoring was performed by direct bioautography (DB), a combination of thin-layer chromatography (TLC) and antimicrobial detection. DB of neem oil showed one antibacterial zone that was not UV-active; therefore, the TLC separation was improved under DB control. The chromatographic zone that exhibited activity against Bacillus subtilis, Xanthomonas euvesicatoria, Aliivibrio fischeri, Staphylococcus aureus and methicillin-resistant Staphylococcus aureus was characterized by TLC reagents, indicating a lipophilic, fatty acid-like chemical feature. Two compounds were found and identified in the active zone by high-performance liquid chromatography-electrospray ionization mass spectrometry as linoleic and oleic acids. Both fatty acids inhibited B. subtilis, but A. fischeri was sensitive only against linoleic acid.

Non-invasive in vivo time-dependent strain measurement method in human abdominal aortic aneurysms: Towards a novel approach to rupture risk estimation.

We aim to introduce a novel, inverse method for in vivo material parameter identification of human abdominal aortic aneurysms (AAA), which could overcome one of the greatest sources of uncertainty in patient-specific simulations, and could also serve as a rapid, patient-calibrated, novel measure of aneurysm rupture risk. As an initial step, the determination of the kinematic fields is presented here. Images of the AAA lumen, acquired in 10 discrete time-steps through a stabilized cardiac cycle by electrocardiogram-gated computer tomography angiography, are used to approximate the in vivo, time dependent kinematic fields of the arterial wall using a novel, incompressible Kirchhoff-Love shell element implemented into the isogeometric analysis framework. Defining a smoothing parametric surface via 2D bicubic spline fitting in the spatial, and by harmonic regression in the temporal domain, we are able to adequately mitigate the measurement inaccuracy. The ill-posedness of the problem requires certain assumptions on the displacement. In our case, based on numerical fluid structure interaction simulation observations, we hypothesized the incremental displacement vector of the reference surface to coincide with its corrected normal; hence the periodic movement was assured. Finally, we present two examples: an AAA and an undilated calcificated aorta. Strains in the diseased part were compared to those in a healthy arterial section of the same patient and found to have significant differences in both specimens. In the case of AAAs, high spatial gradients surrounding the dilated part indicate abrupt changes in material properties, a phenomenon less significant for the atherosclerotic case.

Glutamatergic and GABAergic innervation of human gonadotropin-releasing hormone-I neurons.

Amino acid (aa) neurotransmitters in synaptic afferents to hypothalamic GnRH-I neurons are critically involved in the neuroendocrine control of reproduction. Although in rodents the major aa neurotransmitter in these afferents is γ-aminobutyric acid (GABA), glutamatergic axons also innervate GnRH neurons directly. Our aim with the present study was to address the relative contribution of GABAergic and glutamatergic axons to the afferent control of human GnRH neurons. Formalin-fixed hypothalamic samples were obtained from adult male individuals (n = 8) at autopsies, and their coronal sections processed for dual-label immunohistochemical studies. GABAergic axons were labeled with vesicular inhibitory aa transporter antibodies, whereas glutamatergic axons were detected with antisera against the major vesicular glutamate transporter (VGLUT) isoforms, VGLUT1 and VGLUT2. The relative incidences of GABAergic and glutamatergic axonal appositions to GnRH-immunoreactive neurons were compared quantitatively in two regions, the infundibular and paraventricular nuclei. Results showed that GABAergic axons established the most frequently encountered type of axo-somatic apposition. Glutamatergic contacts occurred in significantly lower numbers, with similar contributions by their VGLUT1 and VGLUT2 subclasses. The innervation pattern was different on GnRH dendrites where the combined incidence of glutamatergic (VGLUT1 + VGLUT2) contacts slightly exceeded that of the GABAergic appositions. We conclude that GABA represents the major aa neurotransmitter in axo-somatic afferents to human GnRH neurons, whereas glutamatergic inputs occur somewhat more frequently than GABAergic inputs on GnRH dendrites. Unlike in rats, the GnRH system of the human receives innervation from the VGLUT1, in addition to the VGLUT2, subclass of glutamatergic neurons.

The earthquake hazard and small business

This paper presents our current understanding of earthquake risk reduction and small business, with special reference to the easterm and Central United states, where is the potential for strong, but infrequent earthquakes, It is based on a literature review and our own research, still in progress. Three topics are emphasized: (1) alternative approaches to earthquake hazard risk reduction, (2) insurance as a loss reduction measure, and (3)unanswered questions requiring further research. Our research is oriented toward developing practical policy advice for businesses and for local, state, and national governments (AU)

Chapter 5 : Earthquake risk reduction and small business

This chapter represents our current understanding of earthquake risk reduction and small business, with special reference on the Eastern and Central United States, where there is the potential for infrequent strong and potentially damaging earthquakes. It is based on a literature review and ongoing research. Three topics are emphasized: (1) alternative approaches to earthquake risk reduction, (2) insurance as a loss reduction measure, and (3) unanswered questions requiring further research. Our research is oriented toward developing practical policy advice for businesses and for local, State, and national governments. It is multidisciplinary, embracing finance, decision theory, risk assessment, systems design, and systems management. A typology is developed for basic small business hazard mitigation goals. Financial models are developed so that the aggregate consequences of earthquakes on small businesses can be assessed, with and without benefit of earthquake insurance. Examining the financial consequences of potential earthquakes will enable us to derive conclusions pertaining to improvements in public policies for small business risk reduction. The characteristics affecting the vulnerability small business to earthquakes are identified and examined on the basis of hypotheses about organizational, financial, and market effects. Research on these hypothesized relationships is expected to result in cost-effective loss reduction measures for small business that are not dependent on structural mitigation measures or insurance.(AU)