INCIDENCE OF MULTIPLE SCLEROSIS IN URUGUAY. A PROSPECTIVE POPULATION-BASED STUDY.

Background The worldwide incidence of multiple sclerosis (MS) is estimated at 0.5-10 cases per 100,000 person-years and is probably increasing. In 2014, a previous study estimated the incidence of multiple sclerosis in Uruguay at 1.2 cases per 100.000 person-years. Objectives We conducted an observational, prospective, population-based study to determine MS incidence from diagnosis in Uruguay. Methods The population studied included people older than 18 years of age, who were living in Uruguay between July 1, 2019, and June 30, 2021. The diagnosis was based on 2017 McDonald criteria. Multiple data sources were employed including neurologists, magnetic resonance imaging centers, laboratories performing oligoclonal band testing, neurophysiology laboratories, neurorehabilitation centers, the institution Fondo Nacional de Recursos, and the MS Patients' Association of Uruguay (EMUR). The capture-recapture method was used to estimate incidence. Results 155 new MS cases were confirmed after review. The median age was 35 (range 18-62). Thirteen patients (8.38%) were diagnosed with late onset MS. The crude incidence rate was 2.89 cases per 100,000 person-years, 3.95 among female and 1.72 among male patients. The incidence rate estimated using the capture-recapture method was 3.18 (95% CI 3.02-3.34). Conclusions According to the Atlas of MS, Uruguay has a low incidence rate (2.0-3.99), even though it is one of the highest in Latin America. Our country aligns with the global trend of increasing incidence. Age and sex distribution were similar to other studies, with a high incidence of patients with late onset multiple sclerosis. The capture-recapture method confirms the exhaustivity of our investigation.

The Solvatomagnetism of ET(33) Betaine and of Its Phenolic Precursor.

The 1H and 13C NMR spectra of the N-(3,5-dichloro-4-hydroxyphenyl)- 2,4,6-triphenylpyridinium perchlorate and of its deprotonated betaine 4-(2,4,6-triphenylpyridinio)-2,6-dichlorophenolate (Wolfbeis's ET(33) dye) were recorded in various solvents and analyzed in search of solvent-dependent shifts that characterize their solvatomagnetism, which was compared with the well-known UV-vis spectral behavior of this important solvatochromic dye. Although the NMR spectra of ET(33) and its phenolic precursor in different solvents correlated only poorly with their UV-vis spectral responses, they provided valuable information on specific structural features and solute-solvent interactions that are not available from their UV-vis spectra.

Final irrigation protocols affect radicular dentin DMP1-CT expression, microhardness, and biochemical composition.

OBJECTIVE: To evaluate the effect of several final irrigation protocols on radicular dentin microhardness, biochemical composition, and DMP1-CT expression. MATERIALS AND METHODS: A total of 140 single-rooted human teeth were prepared with WaveOne Gold files and randomly distributed into 7 groups (n = 20) according to the final irrigation protocol: distilled water (DW); sodium hypochlorite-EDTA (NaOCl-EDTA); EDTA (EDTA); EDTA-NaOCl (EDTA-NaOCl); EDTA-chlorhexidine (EDTA-CHX); passive ultrasonic irrigation (PUI:NaOCl-EDTA); and PUI:NaOCl-EDTA-NaOCl. Dentin microhardness (n = 10) was evaluated in the root canal lumen using Vickers hardness tester. Immunohistochemical analysis (n = 5) was used to evaluate DMP1-CT expression. Dentin ultrastructure and biochemical composition were evaluated by using Raman and energy dispersive X-ray analysis (EDAX) (n = 5) with a scanning electron microscope (SEM). Analysis of variance (ANOVA) and Tukey test were performed (p˂0.05). RESULTS: Raman spectra of the organic content and DMP1-CT expression were lower at the lumen canal in EDTA-NaOCl, PUI:NaOCl-EDTA, and PUI:NaOCl-EDTA-NaOCl when compared to control (p < 0.05). EDAX showed reduced values for calcium and phosphorus in EDTA-NaOCl, PUI:NaOCl-EDTA, and PUI:NaOCl-EDTA-NaOCl. SEM microphotography's showed completely cleaned dentin, permeable tubules, and dentin erosion, mainly when PUI was used. NaOCl-EDTA presented significantly higher microhardness values than PUI:NaOCl-EDTA-NaOCl (p < 0.05). PUI:NaOCl-EDTA-NaOCl exhibited the lowest Vickers hardness values of all groups. CONCLUSION: The final irrigation protocols that used a final rinse with NaOCl and PUI showed a detrimental effect on radicular dentin DMP1-CT expression, biochemical composition, and microhardness. CLINICAL RELEVANCE: The adequate irrigation protocol could be advantageous to preserve the radicular dentin ultrastructure, promote adequate adhesion, and sustain favorable conditions for biomineralization and regeneration.

Effect of universal adhesives and self-etch ceramic primers on bond strength to glass ceramics: A systematic review and meta-analysis of in vitro studies.

STATEMENT OF PROBLEM: To simplify dental procedures, multicomponent products such as universal adhesives and self-etch ceramic primers have been recommended for glass-ceramic bonding; however, studies have shown a wide range of results. PURPOSE: The purpose of this systematic review and meta-analysis was to analyze the in vitro bond strength promoted by hydrofluoric acid+silane-containing universal adhesives and a self-etch ceramic primer to glass-ceramics and compare it with that of conventional treatments. MATERIAL AND METHODS: A systematic search was conducted in the PubMed/Medline, Scopus, LILACS, and ISI Web of Science databases up to April 2021. In vitro studies assessing the resin-mediated bond to glass-ceramics by using a self-etch ceramic primer and hydrofluoric acid+silane-containing universal adhesives and/or compared with traditional hydrofluoric acid+glass-ceramic primers were included. Selection of studies, data extraction, and risk-of-bias analysis were performed. Statistical analysis was performed by using a review management software program using a random effects model (α=.05). RESULTS: A total of 33 studies were included in the qualitative analysis and 26 studies in the quantitative analysis. Bond strength to lithium disilicate ceramic was higher when a hydrofluoric acid+glass-ceramic primer was used than when using a hydrofluoric acid+silane-containing universal adhesive (P<.05), except when 9% to 10% acid concentration was used in combination with static aging (P=.100). A self-etch ceramic primer promoted bond strength values to lithium disilicate that were similar to those of the hydrofluoric acid+glass-ceramic primer (P>.100). CONCLUSIONS: Hydrofluoric acid+silane-containing universal adhesive was not as effective as the hydrofluoric acid+glass-ceramic primer in promoting bond strength to glass-ceramic. Bond strength values generated by a self-etch ceramic primer to glass-ceramic were similar to those generated by the conventional treatment.

Effect of light absence or attenuation on biaxial flexural strength of dual-polymerized resin cements after short- and long-term storage.

OBJECTIVE: To evaluate whether biaxial flexural strength (BFS) of dual resin cements is affected by light absence or attenuation, storage time, or cements' chemical nature. MATERIALS AND METHODS: One hundred and twenty disk-shaped specimens were made from each cement (non-self-adhesive cement and self-adhesive cement) using Teflon molds on a controlled temperature surface (35°C). Specimens were polymerized as follows (N = 30): self-cured, directly light-cured, light-cured at a distance of 6 mm between the light tip and the specimen, and through a 6-mm thick composite resin barrier (indirectly light-cured). Each group was divided (N = 10) for storage purposes (15 minutes, 24 hours, and 6 months). Specimens were placed into a biaxial-flexure jig and a vertical load was applied until failure. The BFS values were subjected to generalized linear models statistical analysis and Weibull distributions (α = 0.05). RESULTS: After 15 minutes aging, neither material achieved enough polymerization to perform the BFS test when polymerized using the self-curing mode. The self-adhesive product demonstrated much lower variation in strength with storage time than did the non-self-curing cement. CONCLUSIONS: Attenuated/light-curing reduced BFS values only for 15-minutes storage period for both materials. Flexural strength of the self-adhesive cement was less affected by light absence/attenuation and storage time. CLINICAL SIGNIFICANCE: Biaxial flexural strength of a self-adhesive resin cement is less sensitive to variation in light application and storage time than is a non-self-adhesive cement.

Bonding effectiveness of tooth-colored materials to resin cement provided by self-etching silane primer after short- and long-term storage.

STATEMENT OF PROBLEM: Glass-ceramic materials are typically treated with hydrofluoric acid (HF) and silane to improve their bond to composite resin; however, HF may be harmful to human tissues and the integrity of the material, and its application is a technique-sensitive procedure. A novel self-etching ceramic primer has been introduced with the claim that it can solve those problems. However, independent scientific evidence regarding its performance is scarce. PURPOSE: The purpose of this in vitro study was to evaluate the effect of self-etching silane primer on glass-ceramic surface roughness and on long-term bonding between glass-ceramic and composite resin cement. MATERIAL AND METHODS: Plates of 3 materials (n=10), lithium disilicate glass-ceramic (LDC) (IPS e.max CAD), leucite-based glass-ceramic (LEU) (IPS Empress CAD), and resin-modified ceramic (PIC) (VITA ENAMIC), were treated in the following ways: no treatment (C), HF (5%) applied during the recommended time for each material (HF), and self-etching ceramic primer (Monobond Etch & Prime [MBEP]). Surface roughness (Sa) was analyzed with a laser 3D profiler. Ceramic sticks were subjected to (n=20) no treatment (C); treatment with hydrofluoric acid plus silane (HF+S); and treatment with self-etching ceramic primer (MBEP) bonded to prepolymerized composite resin sticks with composite resin cement (Variolink II) and stored for 24 hours and 1 year (n=10). The assemblies were submitted to microtensile bond strength testing (µTBS). Data were analyzed using ANOVA and the Tukey pairwise, post hoc test (α=.05). Failure pattern and surface and interface morphology were assessed using scanning electron microscopy. RESULTS: Only individual factors resulted in statistically significant differences for both variables (material: P<.001; surface treatment: P=.020), interaction (P=.570). HF group (0.49 ±0.11 µm) showed statistically higher roughness values (P≤.05) than control groups (0.44 ±0.97 µm), while MBEP (0.48 ±0.11 µm) was comparable with both. HF produced greater surface alterations than MBEP and C. PIC (0.60 ±0.051 µm) exhibited significantly higher roughness values (P≤.05) than LDC (0.37 ±0.07 µm) and LEU (0.45 ±0.04). Regarding µTBS, the general mean of PIC (24.6 ±10.1 MPa) was higher (P≤.05) than LEUs (14.7 ±6.7 MPa) and LDCs (13.1 ±4.8 MPa), while treatment groups HF+S (17.9 ±10.0 MPa) and MBEP (20.5 ±9.7 MPa) produced higher µTBS values than control groups (14.2 ±5.5 MPa). Adhesive failure was associated with low µTBS values and aged specimens, while cohesive failure within the composite resin-cement layer and mixed failures were associated with higher µTBS values. Interface debonding was detected in C groups for LDC and LEU. PIC exhibited better interface stability. CONCLUSIONS: MBEP produced smoother surfaces than HF. HF+S and MBEP significantly improved ceramic and composite resin cement bonding.

Depth of cure of bulk fill resin composites: A systematic review.

OBJECTIVE: To evaluate scientific evidence regarding depth of cure of bulk-fill resin composites (BFRCs) and related factors. MATERIAL AND METHODS: PubMed/Medline, Embase, Scopus, and ISI Web of Science databases were accessed from October 2016 to May 2017. Investigations published in English language, assessing depth of cure of BFRCs by microhardness test and/or degree of conversion (DC) were included. Studies using exclusively ISO 4049, employing specimens deepness less than 4 mm, as well as those not reporting exposure time and/or irradiance from light curing units (LCUs) were excluded. RESULTS: In total, 742 studies were found from which 33 were included. From 21 studies evaluating BFRCs microhardness, 10 showed acceptable bottom/top ratios (≥0.8) for all tested materials. However, material-dependent results and non-satisfactory bottom/top microhardness ratios (<0.8) were reported in 9 and 2 investigations, respectively. From 19 studies that assessed DC, 11 showed acceptable results (≥50%) for all tested BFRCs, while 8 studies reported material-dependent outcomes. Overall, irradiance from LCUs ranged from 650 to 1330 mW/cm2 and exposure time from 5 to 60 seconds. Favorable depth of cure results were observed with the use of LCUs emitting irradiance ≥1000 mW/cm2 and exposure times ≥20 seconds. CONCLUSIONS: High depth of cure rates by BFRCs, depends on some factors as material, irradiance and exposure time. Polywave LCUs were useful but not essential on polymerizing alternative photoinitiator-containing BFRC. CLINICAL SIGNIFICANCE: LED curing devices (polywave or monowave) displaying an irradiance ≥1000 mW/cm2 and 20 seconds of exposure time are imperative to accomplish successful polymerization of most BFRCs.

Effect of "fast"-crystallization and simultaneous glazing on physicochemical properties of lithium-disilicate CAD/CAM ceramic.

OBJECTIVE: Evaluate the impact of a "fast" crystallization and simultaneous-glazing on the physicochemical properties of lithium-disilicate CAD/CAM-ceramic. METHODS: Lithium-disilicate bars and crowns (IPS e.max CAD, Ivoclar-Vivadent) were divided into four groups (n = 30): WG/F (WG=with glaze/F=fast crystallization), NG/F (NG=no glaze), WG/C (C=conventional crystallization), and NG/C. A liquid/powder glaze system was used (IPS Ivocolor®, Ivoclar-Vivadent). Specimens were crystallized (Programat P310, Ivoclar-Vivadent) using the P161 program for C (approx. 20-25 min), and P165 for F (approx. 14-16 min). Bars (n = 30) underwent three-point bending tests (flexural strength-FS in MPa and modulus of elasticity-E in GPa) using a universal testing machine. Crowns were analyzed via scanning electron microscopy (SEM) after selective etching, and to Raman, FTIR-ATR, and X-ray diffraction (XRD) spectroscopies to assess chemical composition. RESULTS: For FS, both factors/interaction were statistically significant. C (427.48±42.41 MPa) showed significantly higher values than F (409.82±38.82 MPa). WG (398.32±29.80 MPa) exhibited significantly lower FS than NG (438.21±41.77 MPa). For E data, both factors/interaction were significant. NG (90.28±14.71 GPa) displayed higher E than WG (83.07±5.69 GPa), while C (90.08±12.98 GPa) exhibited higher E than F (83.46±9.40 GPa). NG/C showed the best results for both variables. F groups showed (SEM) porous surfaces and crack-like marks on crystals. FTIR, Raman and XRD spectra confirmed the typical composition of a lithium-disilicate glass ceramic, and some attenuated signals and structural variations (XRD) in WG. CONCLUSIONS: "Fast" crystallization and simultaneous-glazing produced weaker/less-rigid structures with irregular crystals and glassy phases. Simultaneous glazing may have hindered proper thermal distribution during crystallization. SIGNIFICANCE: "Fast" crystallization and simultaneous glazing with non-recommended systems, can adversely affect the final properties of lithium disilicate restorations.

Implications of dietary carbon incorporation in fish carbonates for the global carbon cycle.

Marine bony fish are important participants in Earth's carbon cycle through their contributions to the biological pump and the marine inorganic carbon cycle. However, uncertainties in the composition and magnitude of fish contributions preclude their integration into fully coupled carbon-climate models. Here, we consider recent upwards revisions to global fish biomass estimates (2.7-9.5×) and provide new stable carbon isotope measurements that show marine fish are prodigious producers of carbonate with unique composition. Assuming the median increase (4.17×) in fish biomass estimates is linearly reflected in fish carbonate (ichthyocarbonate) production rate, marine fish are estimated to produce between 1.43 and 3.99 Pg CaCO3 yr-1, but potentially as much as 9.03 Pg CaCO3 yr-1. Thus, marine fish carbonate production is equivalent to or potentially higher than contributions by coccolithophores or pelagic foraminifera. New stable carbon isotope analyses indicate that a significant proportion of ichthyocarbonate is derived from dietary carbon, rather than seawater dissolved inorganic carbon. Using a statistical mixing model to derive source contributions, we estimate ichthyocarbonate contains up to 81 % dietary carbon, with average compositions of 28-56 %, standing in contrast to contents <10 % in other biogenic carbonate minerals. Results also indicate ichthyocarbonate contains 5.5-40.4 % total organic carbon. When scaled to the median revised global production of ichthyocarbonate, an additional 0.08 to 1.61 Pg C yr-1 can potentially be added to estimates of fish contributions to the biological pump, significantly increasing marine fish contributions to total surface carbon export. Our integration of geochemical and physiological analyses identifies an overlooked link between carbonate production and the biological pump. Since ichthyocarbonate production is anticipated to increase with climate change scenarios, due to ocean warming and acidification, these results emphasize the importance of quantitative understanding of the multifaceted role of marine fish in the global carbon cycle.

A Natural deep eutectic solvent as an effective material for dual debridement and antibiofilm effects in chronic wound treatment.

In chronic wound treatment, the debridement of devitalized tissue and the eradication of the biofilm must balance aggressiveness with care to protect regenerating tissues. In this study, urea, a potent chaotropic molecule, was modulated through the formation of a Natural Deep Eutectic Solvent (NADES) with betaine to develop a new debriding material (BU) suitable for application into injured dermal tissues. To evaluate BU's debriding capacity, along with its antibiofilm effect and biocompatibility, pre-clinical to clinical methods were employed. In vitro determinations using artificial and clinical slough samples indicate that BU has a high debriding capacity. Additionally, BU's de-structuring effects lead to a strong antibiofilm capability, demonstrated by a reduced bacterial load compared to the antiseptic PHMB-Betaine or medical honey, evaluated in artificial slough and ex vivo human skin. Furthermore, BU's efficacy was evaluated in a murine model of diabetic wound, demonstrating significant effects on debriding and antibiofilm capacity, similar to those observed in PHMB-Betaine and medical honey-treated animals. Finally, BU was clinically evaluated in leg ulcers, showing superiority in reduction of bacterial load and wound area compared to honey, with no adverse effects. Thus, BU represents a simple and non-biocidal option that could contributes to chronic wound care.

Effect of non-covalent self-dimerization on the spectroscopic and electrochemical properties of mixed Cu(i) complexes.

A series of six new Cu(i) complexes with ([Cu(N-{4-R}pyridine-2-yl-methanimine)(PPh3)Br]) formulation, where R corresponds to a donor or acceptor p-substituent, have been synthesized and were used to study self-association effects on their structural and electrochemical properties. X-ray diffraction results showed that in all complexes the packing is organized from a dimer generated by supramolecular π stacking and hydrogen bonding. 1H-NMR experiments at several concentrations showed that all complexes undergo a fast-self-association monomer-dimer equilibrium in solution, while changes in resonance frequency towards the high or low field in specific protons of the imine ligand allow establishing that dimers have similar structures to those found in the crystal. The thermodynamic parameters for this self-association process were calculated from dimerization constants determined by VT-1H-NMR experiments for several concentrations at different temperatures. The values for K D (4.0 to 70.0 M-1 range), ΔH (-1.4 to -2.6 kcal mol-1 range), ΔS (-0.2 to 2.1 cal mol-1 K-1 range), and ΔG 298 (-0.8 to -2.0 kcal mol-1 range) are of the same order and indicate that the self-dimerization process is enthalpically driven for all complexes. The electrochemical profile of the complexes shows two redox Cu(ii)/Cu(i) processes whose relative intensities are sensitive to concentration changes, indicating that both species are in chemical equilibrium, with the monomer and the dimer having different electrochemical characteristics. We associate this behaviour with the structural lability of the Cu(i) centre that allows the monomeric molecules to reorder conformationally to achieve a more adequate assembly in the non-covalent dimer. As expected, structural properties in the solid and in solution, as well as their electrochemical properties, are not correlated with the electronic parameters usually used to evaluate R substituent effects. This confirms that the properties of the Cu(i) complexes are usually more influenced by steric effects than by the inductive effects of substituents of the ligands. In fact, the results obtained showed the importance of non-covalent intermolecular interactions in the structuring of the coordination geometry around the Cu centre and in the coordinative stability to avoid dissociative equilibria.

Correction: Effect of non-covalent self-dimerization on the spectroscopic and electrochemical properties of mixed Cu(i) complexes.

[This corrects the article DOI: 10.1039/D2RA05341A.].

Synthesis of Butyl-ß-D-Galactoside in the Ternary System: Acetone/1-Butanol/Aqueous Solution.

The enzymatic synthesis of short-tailed alkyl glucosides is generally carried out in an aqueous-organic biphasic reaction medium with a rather low fatty alcohol concentration in the aqueous phase (where the synthesis occurs). Thus, hydrolytic reactions have a significant impact on the synthesis performance. Given this background, the use of acetone as cosolvent was studied for the synthesis of butyl-ß-galactoside with Aspergillus oryzae ß-galactosidase. The liquid-liquid equilibrium of the reaction mixture components (acetone/1-butanol/aqueous solution) was determined and the single- and two-phase regions were defined at 30, 40, and 50°C. It was observed that the liquid-liquid equilibrium of the ternary system acetone/1-butanol/water differs significantly from the one obtained using an aqueous solution (50 mM McIlvaine buffer pH 4.5; 5 g L-1) instead of water. This is mainly because of the salting-out effect of the buffer; nevertheless, the presence of lactose also altered the equilibrium. Having this in mind, the effects of temperature (30 and 50°C) and reaction mixture composition were assessed. Three general conditions were evaluated: single-phase ternary system (30% acetone), two-phase ternary system (10% acetone) and two-phase binary system (0% acetone). Acetone had a deleterious effect on enzyme stability at 50°C, leading to low reaction yields. However, no enzyme deactivation was detected at 30°C. Moreover, a reaction yield of 0.98 mol mol-1 was attained in the 30/50/20% (w/w) mixture of acetone/1-butanol/aqueous solution. This very high yield can be explained by the huge increase in the concentration of 1-butanol and the reduction of water activity. The synthesis was carried out using also the ß-galactosidase immobilized in glyoxal-agarose and amino-glyoxal-agarose, and by aggregation and crosslinking. In the case of agarose-derived catalysts, two average particle diameters were assessed to evaluate the presence of internal mass transfer limitations. Best yield (0.88 mol mol-1) was obtained with glyoxal-agarose derivatives and the particle size had non-effect on yield. The chemical structure of butyl-ß-galactoside was determined by NMR and FT-IR.

Physicochemical and morphological characterization of a glass ceramic treated with different ceramic primers and post-silanization protocols.

OBJECTIVE: Evaluate the effect of different ceramic primers and post-silanization protocols on physicochemical and morphological characteristics of a lithium disilicate glass ceramic. METHODS: Lithium disilicate ceramic (IPS e-max CAD) plaques (6 × 10 × 2 mm) were divided into 3 groups according to the ceramic primer used: (1) Silane (RelyX Ceramic Primer-RL); (2) Silane + MDP (Clearfil Ceramic Primer Plus-CP); (3) Self-etching ceramic primer (Monobond Etch and Prime-MB). Specimens from each group were distributed into 5 sub-groups according to post-silanization protocols: (a) Treated as recommended by the manufacturer (MR), (b) MR + Additional drying with air at room temperature for 30 s (RTA), (c) MR + additional drying with hot air for 30 s (HT), (d) MR + Surface rinsing with water at room temperature for 10 s and drying with air at room temperature for 30 s (WT), and (e) Specimens were not silanized (NS). Surface free energy (SFE) was determined using static contact angles measurements with water and diiodomethane. SFE data were submitted to Friedman followed by Wilcoxon post-hoc test (α = 0.05). Morphology was analyzed using scanning electron microscopy. Elemental composition and chemical interactions were determined with X-ray photoelectron spectroscopy analysis. RESULTS: RL presented the highest SFE (62.4 mN/m) followed by CP (59.7 mN/m). Post-silanization protocols resulted in similar SFE, but WT and HT induced the highest water contact angles when using CP and RL. CP modified ceramics' surface morphology compared to the etched and RL treated groups. The presence of water was identified on CP treated specimen. All analyzed primers formed siloxane bonds with ceramic surface. SIGNIFICANCE: Ceramic primers resulted in different surface free energy and morphology, but siloxane bonds were identified for all tested solutions. HT and WT protocols should be used with RL and CP primers. MB was not influenced by the different silanization protocols.

Bond Strength of CAD/CAM Restorative Materials Treated with Different Surface Etching Protocols.

PURPOSE: To evaluate the effect of different surface treatments on the surface morphology of CAD/CAM ceramics and on their bond strength to cement. MATERIALS AND METHODS: Sixty cubic sections were cut from each of three materials (lithium disilicate glass-ceramic [DL], leucite-based glass-ceramic [LC], resin-matrix ceramic composite [RMCC]) and were treated as follows (n = 10): 1. no treatment (C); 2. 5% hydrofluoric acid applied for 20 s plus silane (HF5% 20 s); 3. 5% hydrofluoric acid applied for 60 s plus silane (HF5% 60 s); 4. 10% hydrofluoric acid applied for 20 s plus silane (HF10% 20 s); 5. 10% hydrofluoric acid applied for 60 s plus silane (HF10% 60 s); 6. Self-etching ceramic primer (MBEP). Ceramic cubes were bonded to pre-polymerized composite resin cubes with a composite cement. Each set was cut into stick-shaped specimens (1 ± 0.3 mm2). After 24-h water storage, microtensile bond strength (µTBS) was measured. Data were analyzed using two-way ANOVA and Tukey's test (α = 0.05). Failure pattern and surface morphology were assessed using scanning electron microscopy (SEM). RESULTS: Both factors significantly influenced µTBS, while no interaction between factors was found. RMCC presented statistically higher µTBS values than LC and DL, while the surface treatments HF5% 20 s, HF5% 60 s, HF10% 20 s, HF10% 60 s and MBEP, did not show statistical differences between them, although they resulted in statistically significantly higher bond strengths than did C groups. A high number of pre-test failures were detected in the control groups for all materials. MBEP produced less extensive surface alterations than did all HF treatments. CONCLUSION: All of the hydrofluoric acid treatments tested showed similar cement-ceramic bonding efficacy. The self-etching ceramic primer produced less surface alterations and comparable bonding efficacy compared to separate hydrofluoric acid/silane primer application.

ENSO-induced co-variability of Salinity, Plankton Biomass and Coastal Currents in the Northern Gulf of Mexico.

The northern Gulf of Mexico (GoM) is a region strongly influenced by river discharges of freshwater and nutrients, which promote a highly productive coastal ecosystem that host commercially valuable marine species. A variety of climate and weather processes could potentially influence the river discharges into the northern GoM. However, their impacts on the coastal ecosystem remain poorly described. By using a regional ocean-biogeochemical model, complemented with satellite and in situ observations, here we show that El Niño - Southern Oscillation (ENSO) is a main driver of the interannual variability in salinity and plankton biomass during winter and spring. Composite analysis of salinity and plankton biomass anomalies shows a strong asymmetry between El Niño and La Niña impacts, with much larger amplitude and broader areas affected during El Niño conditions. Further analysis of the model simulation reveals significant coastal circulation anomalies driven by changes in salinity and winds. The coastal circulation anomalies in turn largely determine the spatial extent and distribution of the ENSO-induced plankton biomass variability. These findings highlight that ENSO-induced changes in salinity, plankton biomass, and coastal circulation across the northern GoM are closely interlinked and may significantly impact the abundance and distribution of fish and invertebrates.

[Young adult groups' response to a depressive prototype narrative in Bucaramanga, Colombia]. / Narrativa Prototipo de la Depresión en un Grupo de Adultos Jóvenes de Bucaramanga, Colombia.

OBJECTIVE: The present study was aimed at establishing how a group of depressed young adults (diagnosed depressive by DSM-IV) identified with a depressive prototype narrative compared to a non-depressed equivalent group. MATERIALS AND METHODS: The sample had 100 participants in each group. Ages ranged from 18 to 47 (male and female), the subjects coming from socioeconomic groups two to four, irrespective of civil status but having reading and writing skills. No random method was used for choosing the participants who came form mental health centres in Bucaramanga. The survey used a cross-co-relational design; the procedure involved applying an SCID-I structured interview, Hamilton's Depression Scale and Maia's depressive prototype narrative. Data was processed using SPSS software (version 12.0). RESULTS: A Ji-square test was applied to confirm the hypothesis concerning depressive an d non-depressive participants identifying with a depressive prototype narrative. It gave 119.4 (with p<0.05 and 2 Gl), this being higher than expected. A Gamma test was also done d=-0.89, revealing a considerable inverse correlation and thereby indicating subjects' differences in identifying with the narrative in each group. CONCLUSION: Depressed subjects identified with a depressive prototype narrative in all groups, meaning that their emotional experience of depression was built on a discursive prototypical organisation regarding structure, content and process.

Characterization of poly-d-mannuronate and poly-l-guluronate block fractions from sodium alginate and preparation of hydrogels with poly(vinylalcohol).

Sodium salts of homopoly-d-mannuronic acid (MM) and of homopoly-l-guluronic acid (GG) from sodium alginates were characterized by NMR relaxometry. Determination of NMR spin-lattice and spin-spin relaxation times of water proton in homopolymeric block solutions and hydrogels indicated differences in homopolymeric blocks tertiary structure. Hydrogels of MM or GG blocks and poly(vinyl alcohol) (PVA) were prepared by freeze-thawing cycles method; their swelling properties and sensitivity to pH stimuli were assayed in control delivery of a model drug. MM/PVA hydrogels show better metformin release characteristics than GG/PVA hydrogels. It was found that release of the drug at pH 1.2 from hydrogels was minor to 5%. At the release equilibrium, 60 and 55% of the drug encapsulated were release from MM/PVA and GG/PVA hydrogels, respectively. Also, the release of metformin from hydrogels was studied by 1H NMR spectroscopy showing that 40 and 36% of drug were released after 4 h from MM/PVA and GG/PVA hydrogels, respectively.

Effect of acid etching on tridimensional microstructure of etchable CAD/CAM materials.

OBJECTIVE: Evaluate if etching protocols affect superficial/internal microstructural integrity of CAD/CAM ceramic materials. METHODS: Sixty blocks (3×3×3mm) of IPS/Empress-LEU, IPS/e.max-LDC (Ivoclar-Vivadent) and Enamic-PIC (VITA) were used. Lateral surfaces from each block were isolated with Teflon strip and petroleum jelly to keep them untouched. Specimens were distributed into 6 groups (n=10): 1. no treatment (C); 2. hydrofluoric acid (HF) 5%, 20s (HF5%20s); 3. HF5%60s; 4. HF10%20s; 5. HF10%60s; 6. Monobond Etch&Prime (MBEP). Surface roughness (Sa) and 3D profile were obtained using a confocal-laser-optical-microscope (LEXT OLS 4000, Olympus), while element ratios (Si/K for LEU and LDC; Si/C for PIC) were recorded using energy dispersive spectroscopy (EDS). Superior (treated) and lateral (non-treated) surfaces were analyzed using scanning electron microscopy (SEM) (JSM 5600 LV, JEOL). Etching depth was measured on lateral surfaces. Data were submitted to ANOVA-One-Way and Tukey test (α=0.05). RESULTS: For LEU, only HF10% treatments produced statistically different roughness values and Si/K ratios compared to C group. Regarding LDC and PIC, groups HF5%60s and HF10% showed higher roughness values than C group. In the case of PIC, all treatments (except MBEP) produced lower Si/C ratios than C group. All treatments (except MBEP) produced higher etching depth values than C group for all materials, being HF10%60s the highest (LEU:403.2±11.4µm; LDC:617.4±75.7; PIC:291.6±6.5µm). HF10% produced more aggressive etching morphology patterns on superior and lateral surfaces (SEM). Treatments MBEP and HF5%20s, produced the least aggressive structural alterations. Acid etching produces superficial and internal alterations on ceramics' structural configuration. SIGNIFICANCE: Aggressive etching protocols of glass-ceramics may cause internal material loss, consequently, milder etching is recommended to treat those materials before adhesion procedures.

In vitro release of metformin hydrochloride from sodium alginate/polyvinyl alcohol hydrogels.

Hydrogels, based on polysaccharides have found a number of applications as drug delivery carriers. In this work, hydrogels of full characterized sodium alginate (Mn 87,400g/mol) and commercial poly(vinyl alcohol) (PVA) sensitive to pH and temperature stimuli were obtained using a simple, controlled, green, low cost method based on freeze-thaw cycles. Stable hydrogels of sodium alginate/PVA with 0.5:1.5 and 1.0:1.0w/v concentrations showed very good swelling ratio values in distilled water (14 and 20g/g, respectively). Encapsulation and release of metformin hydrochloride in hydrogels of 1.0:1.0w/v sodium alginate/PVA was followed by UV spectroscopy. The hydrogel released a very low amount of metformin hydrochloride at pH 1.2; the highest release value (55%) was obtained after 6h at pH 8.0. Also, the release of metformin hydrochloride was studied by 1H NMR spectroscopy, the temporal evolution of methyl group signals of metformin showed 30% of drug release after 3h.