Nevin Manimala

Dent Mater. 2022 Apr 14:S0109-5641(22)00093-8. doi: 10.1016/j.dental.2022.04.001. Online ahead of print.

ABSTRACT

OBJECTIVE: Implant-supported frameworks constructed from high-performance polymer CAD/CAM composites are exposed to liquids from the oral environment and routine care maintenance. Therefore, this study investigated the effect of food-simulating liquids (FSLs) on surface properties of three CAD/CAM polymer composite blocks.

METHODS: The composites investigated were (i) a carbon fibre-reinforced composite (CarboCAD 3D dream frame; CC), (ii) a glass fibre-reinforced composite (TRINIA; TR), and (iii) a reinforced PEEK (DentoKeep; PK). The filler contents were determined by thermo-gravimetry. The surface properties were roughness, Vickers hardness (HV), properties measured by Martens force/depth indentation, namely: hardness (HM), modulus (E_IT) and creep (C_IT). Property measurements were made at baseline on polished specimens and then, where possible, after 1- and 7-days storage at 37 ℃ in three different media: water, 70% ethanol/water and MEK (methyl ethyl ketone). Specimens were selected for light and scanning electron microscopy. Statistical analysis was performed by two-way repeated measures ANOVA, one-way ANOVA, and multiple comparison tests (α = 0.05).

RESULTS: The baseline roughness and hardness (HV, HM) and modulus (E_IT) correlated approximately with filler content (wt%), with the fibre-reinforced composites being rougher, harder and stiffer than PK. At baseline, roughness (Sa) ranged from 0.202 to 0.268 µm; HV from 23.1 to 36.9; HM from 224.5 to 330.6 N/mm²; E_IT: from 6 to 9.8 GPa. After ageing in 70% ethanol and MEK, more pronounced roughness and hardness changes were observed than in water. MEK caused greater deterioration for the FRC than 70% ethanol, while PK specimens showed slight changes in 70% ethanol.

SIGNIFICANCE: Storage media adversely affected the surface and mechanical properties of each CAD/CAM composite. However, during ageing, the reinforced PEEK showed greater relative stability in these properties. Nevertheless, the deterioration may indicate the need for full protection by a veneer material on each surface of an implant-supported framework.

PMID:35431089 | DOI:10.1016/j.dental.2022.04.001

Dent Mater. 2022 Apr 14:S0109-5641(22)00097-5. doi: 10.1016/j.dental.2022.04.007. Online ahead of print.

ABSTRACT

OBJECTIVE: The objective of this study is to develop novel CaF₂/SiO₂ nanoclusters (NCs) fillers, which can endow the dental resin composites (DRCs) with excellent mechanical properties, stable and sustained fluoride ion release, and good antibacterial activity.

METHODS: The CaF₂/SiO₂ NCs were efficiently fabricated by assembling CaF₂/SiO₂ nanoparticles (NPs) as building blocks with a spray-drying technology. CaF₂/SiO₂ NCs with different SiO₂ coating amounts (20 wt%, 50 wt% and 80 wt%) were incorporated into the DRCs at the filler content of 55 wt% for the measurement of mechanical properties including flexural strength, flexural modulus, compressive strength, and hardness. The effect of the filling amount of CaF₂/50SiO₂ NCs (50 represents 50 wt% SiO₂ coating amount) in the DRCs was investigated, while CaF₂/50SiO₂ NPs were adopted as comparison group. The fluoride ion release and antibacterial activity of the DRCs with the optimal mechanical performances were evaluated. Furthermore, the statistical analyses were performed for mechanical properties.

RESULTS: Spherical CaF₂/50SiO₂ NCs with an average size of 2.4 µm were obtained at the feed rate of 7.4 mL/min and the CaF₂/50SiO₂ NPs solid content of 2 wt% in the suspension. The optimum comprehensive performances of the DRCs can be achieved by filling 55 wt% CaF₂/50SiO₂ NCs. Compared with CaF₂/50SiO₂ NPs, the filling amount of CaF₂/50SiO₂ NCs was increased by 5 wt% (50-55 wt%), and under the same filling amount of 50 wt%, the flexural strength, flexural modulus, compressive strength, and hardness of the DRCs containing CaF₂/50SiO₂ NCs were improved by 9.8%, 17.7%, 7.5% and 69.8%, respectively. Furthermore, the DRCs filled with 50 wt% CaF₂/50SiO₂ NCs exhibited more cumulative F-release by 126% and more stable F-release rate than the counterpart filled with 50 wt% CaF₂/50SiO₂ NPs after immersed for 1800 h. And 55 wt% CaF₂/50SiO₂ NCs filled DRCs could inhibit the growth of S. mutans, reaching an antibacterial ratio of 93%.

SIGNIFICANCE: The spray-dried CaF₂/50SiO₂ NCs are promising fillers for the development of high-performance multifunctional DRCs.

PMID:35431087 | DOI:10.1016/j.dental.2022.04.007

Vet Parasitol Reg Stud Reports. 2022 May;30:100708. doi: 10.1016/j.vprsr.2022.100708. Epub 2022 Feb 15.

ABSTRACT

Co-infection by two paramphistome species, Orthocoelium sp. and Paramphistomum epiclitum, is found in cattle in Thailand. The morphological features of these and other paramphistomes under a light microscope are similar, resulting in misidentification and misdiagnosis. We classified these paramphistomes into three morphological variation types, namely Orthocoelium sp., P. epiclitum MV1 (immature), and P. epiclitum MV2 (matured). Ten morphological characteristics were investigated, and the values were transformed into 25 ratio criteria for statistical investigation. Morphometric analysis can classify the variation of these specimens using differences in the bifurcal level, the vitellaria starting level, the starting level of the anterior testis, and the center level of the posterior testis positions by body length ratios. These ratios can separate the samples into three morphologically different groups, whereas molecular analysis based on the nuclear internal transcribed spacer 2 (ITS2) region and the mitochondrial cytochrome c oxidase subunit I (COI) gene could only distinguish two specific groups. In addition, the Orthocoelium specimen, related to O. dicranocoelium and O. parvipapillatum according to morphological and histological analysis, was monophyletic grouped via ITS2 analysis. Our study provides a scientific basis for the taxonomic classification and clustering of morphologically varying species, improving the identification, detection, and diagnosis of co-infecting paramphistomes.

PMID:35431066 | DOI:10.1016/j.vprsr.2022.100708

J Thorac Cardiovasc Surg. 2022 Mar 12:S0022-5223(22)00272-0. doi: 10.1016/j.jtcvs.2021.11.102. Online ahead of print.

ABSTRACT

OBJECTIVE: Isolated tricuspid valve surgery is perceived as high-risk. This perception is nurtured by patients who often present with substantial liver dysfunction, which is inappropriately reflected in current surgical risk scores (eg, the Society of Thoracic Surgeons [STS] score has no specific tricuspid model). The Model for End-Stage Liver Disease (MELD) has was developed as a measure for the severity of liver dysfunction. We report scores and outcomes for our patient population.

METHODS: We calculated STS, European System for Cardiac Operative Risk Evaluation (EuroSCORE) II (ESII), and MELD scores for all of our patients who received isolated tricuspid valve surgery between 2011 and 2020 (n = 157). We determined the MELD score, stratified patients into 3 groups (MELD <10: low, n = 53; 10 to <20: intermediate, n = 78; ≥20: high, n = 26) and describe associated outcomes.

RESULTS: Patients were 72 ± 10 years old and 43% were male. Mean STS score was 4.9 ± 3.5% and ESII was 7.2 ± 6.6%. Mortality was 8.9% at 30 days and 65% at latest follow-up (95% CI, 51%-76%). Median follow-up was 4.4 years (range, 0-9.7 years). Although ESII and STS score accurately predicted 30-day mortality at low MELD scores (observed to expected [O/E] for ESII score = 0.8 and O/E for STS score = 1.0) and intermediate MELD (O/E for ESII score = 0.7, O/E for STS score = 1.0), mortality was underestimated at high MELD (O/E for ESII score = 3.0, O/E for STS score = 4.7). This subgroup also had higher incidence of new-onset hemodialysis. Besides MELD category, recent congestive heart failure, endocarditis, and hemodialysis were also associated with 30-day mortality.

CONCLUSIONS: For isolated tricuspid valve regurgitation, classic surgical risk stratification with STS or ESII scores failed to predict perioperative mortality if there was evidence of severe liver dysfunction. Preoperative MELD assessment might be useful to assist in proper risk assessment for isolated tricuspid valve surgery.

PMID:35431033 | DOI:10.1016/j.jtcvs.2021.11.102

Compr Rev Food Sci Food Saf. 2022 Apr 17. doi: 10.1111/1541-4337.12943. Online ahead of print.

ABSTRACT

Camel milk consists of an essential macro/micronutrient for human nutrition in the arid and urban regions. This review study aimed to use meta-analysis statistical techniques for assessment and correction of publication bias, exploration of heterogeneity between studies, and detailed assessment of the effect of a comprehensive set of moderators including breed, season, country, year of publication, and the interaction between composition elements. This could provide a single synthesis of the camel milk composition to warrant strong generalizability of results, examine variability between available studies, and analyze differences in camel milk composition among different exposures. Such a finding will aid future researchers and health professionals in acquiring a more precise understanding of camel milk composition and drawing more clinical implications. Six searching databases and bibliographic were used including PubMed/MEDLINE, ScienceDirect, Springer, EBSCOhost, Scopus, and Web of Science from January 1980 to December 2021. The DerSimonian-Laird estimator was used to create the current random-effects meta-analysis. This systematic review and meta-analysis included a total of 7298 camel milk samples from 23 countries. This review comprises 79 studies published in the English language on or after 1980, including a subgroup of 117 analyses consisting of seasons, sub-breeds, and countries. The contents of macro/micronutrients in camel milk were identified as follows: protein, 3.17%; fat, 3.47%; lactose, 4.28%; ash, 0.78%; and total solids, 11.31%; calcium, 112.93 mg/100 g; iron, 0.45 mg/100 g; potassium, 116.13 mg/100 g; magnesium, 9.65 mg/100 g; sodium, 53.10 mg/100 g; zinc, 1.68 mg/100 g; vitamin C, 5.38 mg/100 g; vitamin A, 0.36 mg/100 g; vitamin B₁ ,0.05 mg/100 g; vitamin B₂ , 0.13 mg/100 g; vitamin B₃ , 0.51 mg/100 g; vitamin B₆ , 0.09 mg/100 g; and vitamin B₁₂ , 0.0039 mg/100 g. Our meta-regression analysis found that fat and total solids were statistically significant moderators of protein; moreover, total solids content is a statistically significant moderator of fat. Discrepancies observed in camel milk profiles are dependent upon several factors, including number of included studies, number of samples, different analytical techniques, feeding patterns, camel’s breeds, geographical locations, and seasonal variations.

PMID:35430763 | DOI:10.1111/1541-4337.12943

J Card Surg. 2022 Apr 17. doi: 10.1111/jocs.16511. Online ahead of print.

ABSTRACT

OBJECTIVES: To compare outcomes of complete transcatheter (TAVI plus PCI) versus complete surgical (SAVR plus CABG) approach to treat patients with aortic stenosis (AS) and concomitant coronary artery disease (CAD).

METHODS: Study-level meta-analysis with reconstructed time-to-event data including studies published by November 2021. The primary endpoints were 30-day mortality, overall survival, and major adverse cardiovascular and cerebrovascular events (MACCE). The secondary endpoints were 30-day stroke, myocardial infarction, and permanent pacemaker implantation (PPI); in-hospital major vascular events and acute kidney injury (AKI).

RESULTS: Eight studies met our eligibility criteria, including a total of 33,286 patients (3448 for TAVI plus PCI and 29,838 for SAVR plus CABG). The pooled risk of 30-day mortality was lower for TAVI plus PCI (OR 0.63; 95% CI 0.51-0.80; p < .001). Patients undergoing TAVI plus PCI had lower risk of in-hospital AKI (OR 0.49; 95% CI 0.28-0.85; p = .01), however, higher risk of major vascular events (OR 7.33; 95% CI 1.80-29.85; p = .005) and higher risk of PPI (OR 2.96; 95% CI 1.80-4.85; p < .001). No statistically significant difference was observed for myocardial infarction and stroke between the groups. In the follow-up analyses, we observed a higher risk of mortality (HR 1.64, 95% CI 1.36-1.96, p < .001) and MACCE with TAVI plus PCI (HR 1.35 (95% CI 1.08-1.69, p = .009).

CONCLUSION: Patients who undergo TAVI plus PCI (in comparison with SAVR plus CABG) initially experience lower rates of in-hospital death and AKI; however, they experience significantly lower survival rates and more MACCE at 5-year follow up. Structural heart surgeons and interventional cardiologists should consider these aspects when referring patients for one approach or the other.

PMID:35430755 | DOI:10.1111/jocs.16511

Dermatol Ther (Heidelb). 2022 Apr 17. doi: 10.1007/s13555-022-00720-2. Online ahead of print.

ABSTRACT

INTRODUCTION: Atopic dermatitis (AD) is one of the most common skin diseases, and it may be associated with skin cancer risk. However, there is a controversy pertaining to whether it implies a greater or decreased risk of skin cancers. We aimed to study the relationship between AD and skin cancer risk.

METHODS: PubMed and Embase databases from their inception to 4 August 2021 were systematically searched.

RESULTS: We evaluated 16 studies involving a total of 9,638,093 participants examining the contribution of AD to skin cancers. Random-effects model was applied to estimate the overall effect sizes. The pooled analysis of 16 studies indicated that AD was significantly associated with an overall increased risk of skin cancer. Subgroup pooled analyses showed that AD was statistically associated with an increased risk of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). With regard to cohort study, AD was statistically associated with an increased risk of nonmelanoma skin cancer (NMSC), BCC, and SCC, but not melanoma risk. Sensitivity analysis revealed that excluding each study in turn did not alter the overall combined results. No publication bias existed among the studies.

CONCLUSION: It can be concluded that AD is associated with risk of skin cancers; however, this association still needs to be verified in well-designed, worldwide trials (especially prospective, non-Western studies). The mechanism of AD leading to skin cancer is not clear, and further research is needed to explore the possibility of a potential pathogenesis.

PMID:35430723 | DOI:10.1007/s13555-022-00720-2

Ann Surg Oncol. 2022 Apr 16. doi: 10.1245/s10434-022-11744-5. Online ahead of print.

NO ABSTRACT

PMID:35430657 | DOI:10.1245/s10434-022-11744-5

Ann Surg Oncol. 2022 Apr 16. doi: 10.1245/s10434-022-11637-7. Online ahead of print.

NO ABSTRACT

PMID:35430654 | DOI:10.1245/s10434-022-11637-7

World J Surg. 2022 Apr 16. doi: 10.1007/s00268-022-06558-1. Online ahead of print.

ABSTRACT

BACKGROUND: This study aimed to investigate the consequences of repairing versus not repairing diaphragmatic injury caused by penetrating left thoracoabdominal stab wounds.

METHODS: Diagnostic laparoscopy was performed to evaluate the left diaphragm in patients with penetrating left thoracoabdominal stab wounds who did not have an indication for emergency laparotomy. Patients who did not consent to laparoscopy were discharged without undergoing surgery. Post-discharge radiological images of patients who underwent diaphragmatic repair and radiological images of patients who could not undergo laparoscopy, both during hospitalization and after discharge, were evaluated and compared.

RESULTS: Diagnostic laparoscopy was performed on 109 patients. Diaphragmatic injuries were detected and repaired in 32 (29.36%) of these patients. Seventeen patients were lost to follow-up. After a mean follow-up of 57.67 months, none of the remaining 15 patients developed a diaphragmatic hernia. On the other hand, 43 patients refused to undergo diagnostic laparoscopy. Twenty of them were lost from follow-up. The diaphragmatic injury was detected in seven of the remaining 23 patients (30.44%) during initial computed tomography (CT) examinations. In this group, the mean follow-up time was 42.57 months, and delayed diaphragmatic hernia developed in one patient (14.30%). Patients who underwent diaphragmatic repair were compared to patients who did not undergo diagnostic laparoscopy but had diaphragmatic injuries detected on their CT. No statistical differences were detected.

CONCLUSIONS: Diaphragmatic injuries caused by penetrating stab wounds can sometimes heal spontaneously. However, diagnostic laparoscopy is still relevant for revealing and repairing possible diaphragmatic injuries.

PMID:35430645 | DOI:10.1007/s00268-022-06558-1