Temporomandibular disorders and oral features in idiopathic inflammatory myopathies (Iims) patients: An observational study

Aim: Inflammatory idiopathic myopathies (IIMs) are inflammatory processes affecting skeletal musculature and extramuscular organs. Temporomandibular disorders (TMD) involve jaw muscles and temporomandibular joint. The aim of this observational study was to investigate the prevalence of the main TMD symptoms and signs as well as oral implications in IIM patients. Methods: The study group included 54 patients (42 women and 12 men), 22 of whom affected by dermatomyositis (DM), 29 by polymyositis (PM) and 3 by inclusion body myositis (IBM). A group of 54 patients not affected by this disease, served as CG. Oral and TMD signs and symptoms were evaluated by means of a questionnaire and through clinical examination. Results: About oral symptoms, the study group complained more frequently dysgeusia, with loss of taste or unpleasant taste (p<0.0001) and feeling of burning mouth (9.4% versus 0 controls). Xerostomia was more prevalent in the study group respect to the CG (p<0.0001). Dysphagia was reported by 48.1% of IIM patients while was absent in CG (p<0.0001). About oral signs, cheilitis (p<0.05) and oral ulcers (p<0.05) were significantly more frequent in CG. As regard to TMD symptoms, arthralgia and tinnitus didn’t showed significant differences between the two groups, while neck/shoulders and masticatory muscle pain was significantly more referred in IIM patients than in the CG (p<0.05). About TMJ signs, sounds were overlapping in the two groups: click=11.1% in both IIM patients and CG (p<0.05), crepitation in 11.1% of IIM and 9.3% of controls (p>0.05). No significant difference was detected about deflection (9.3%, p>0.05), while deviation was wider in CG (p>0.05). Active opening and lateralities showed no significant differences, while endfeel was significantly increased in IIM group for a higher presence of muscular contracture. Bruxism was present only in CG. Conclusion: The data collected from this observational study seem to support the existence of a relationship between the prevalence of TMD symptoms and signs as well as oral features in patients with myositis. A remarkable reduction of salivary flow and dysphagia were more frequent and severe in IIM patients, as well as muscle contracture and myofacial pain evoked by palpation, this result being highly significant

Review on boiling heat transfer enhancement techniques

This is the final version. Available from MDPI via the DOI in this record. Boiling is considered an important mode of heat transfer (HT) enhancement and has several industrial cooling applications. Boiling has the potential to minimize energy losses from HT devices, compared with other convection or conduction modes of HT enhancement. The purpose of this review article was to analyze, discuss, and compare existing research on boiling heat transfer enhancement techniques from the last few decades. We sought to understand the effect of nucleation sites on plain and curved surfaces and on HT enhancement, to suggest future guidelines for researchers to consider. This would help both research and industry communities to determine the best surface structure and surface manufacturing technique for a particular fluid. We discuss pool boiling HT enhancement, and present conclusions and recommendations for future research

Six-minute walking test performance relates to neurocognitive abilities in preschoolers

This study investigated the relationship between six-minute walking test (6MWT) distance walked and preschool-aged children\u27s academic abilities, and behavioral and event-related potentials (ERP) indices of cognitive control. There were 59 children (25 females; age: 5.0 ± 0.6 years) who completed a 6MWT (mean distance: 449.6 ± 82.0 m) to estimate cardiorespiratory fitness. The Woodcock Johnson Early Cognitive and Academic Development Test evaluated academic abilities. A modified Eriksen flanker, hearts and flowers task, and auditory oddball task eliciting ERPs (N2, P3) assessed cognitive control. After adjusting for adiposity, diet, and demographics, linear regressions resulted in positive relationships between 6MWT distance and General Intellectual Ability (β = 0.25, Adj

Aloe vera silver nanoparticles addition in chitosan films: improvement of physicochemical properties for eco-friendly food packaging material

In recent times, the searches for alternative materials to plastic is a popular topic, due to the danger that synthetic materials cause to the environment and humans. Among the promising natural polymers, chitosan (CS) is certainly one of the most suitable since it it is edible, non-toxic and derives from crustacean waste.- However, it is necessary to improve its physical properties to be widely applied in food packaging, whose market is dominated by synthetic plastic. In this work we have synthesized silver nanoparticles (AgNPs) using hot-plate and microwaves-based techniques, using Aloe Vera leaves extracts. The synthetic process follows the principles of green chemistry, since no toxic substance is used to obtain nanomaterials. These NPs, having dimensions <20 nm, were characterized by TEM, zeta potential, UV-vis, FTIR, and then added to CS having low and medium molecular weight to develop thin films after its polymerization. These films were evaluated in terms of swelling ratio, optical properties, thermal stability, wettability, roughness, and friction coefficient, understanding that the physical properties of the films improved after the intercalation of the AgNPs, albeit differences were observed using the two NPs type. Subsequently, the release of silver ions from films using different pH as well as in vitro toxicity tests were carried out to evaluate their applicability. Largely, the excellent properties of new com- posite materials make them promising materials for packaging of different kinds of foods

CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair

Background Endoleaks represent the most common complication after EVAR. Some types are associated with ongoing risk of aneurysm rupture and necessitate long-term surveillance and secondary interventions. Purpose This document, as with all CIRSE Standards of Practice documents, will recommend a reasonable approach to best practices of managing endoleaks. This will include imaging diagnosis, surveillance, indications for intervention, endovascular treatments and their outcomes. Our purpose is to provide recommendations based on up-to-date evidence, updating the guidelines previously published on this topic in 2013. Methods The writing group was established by the CIRSE Standards of Practice Committee and consisted of clinicians with internationally recognised expertise in endoleak management. The writing group reviewed the existing literature performing a pragmatic evidence search using PubMed to select publications in English and relating to human subjects up to 2023. The final recommendations were formulated through consensus. Results Endoleaks may compromise durability of the aortic repair, and long-term imaging surveillance is necessary for early detection and correct classification to guide potential re-intervention. The majority of endoleaks that require treatment can be managed using endovascular techniques. This Standards of Practice document provides up-to-date recommendations for the safe management of endoleaks

Strongly enhanced light-matter coupling of a monolayer WS2 from a bound state in the continuum

Optical bound states in the continuum (BIC) allow to totally prevent a photonic mode from radiating into free space along a given spatial direction. Polariton excitations derived from the strong radiation-matter interaction of a BIC with an excitonic resonance inherit an ultralong radiative lifetime and significant nonlinearities due to their hybrid nature. However, maximizing the light-matter interaction in these structures remains challenging, especially with 2D semiconductors, thus preventing the observation of room temperature nonlinearities of BIC polaritons. Here we show a strong light-matter interaction enhancement at room temperature by coupling monolayer WS2 excitons to a BIC, while optimizing for the electric field strength at the monolayer position through Bloch surface wave confinement. By acting on the grating geometry, the coupling with the active material is maximized in an open and flexible architecture, allowing to achieve a 100 meV photonic bandgap with the BIC in a local energy minimum and a record 70 meV Rabi splitting. Our novel architecture provides large room temperature optical nonlinearities, thus paving the way to tunable BIC-based polariton devices with topologically-protected robustness to fabrication imperfections.Comment: 23 pages, 10 figur

Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values

<p>Abstract</p> <p>Background</p> <p>The aim of this paper was to determine the most common craniofacial changes in patients suffering Obstructive Sleep Apnea Syndrome (OSAS) with regards to the degree of obesity. Accordingly, cephalometric data reported in the literature was searched and analyzed.</p> <p>Methods</p> <p>After a careful analysis of the literature from 1990 to 2006, 5 papers with similar procedural criteria were selected. Inclusion criteria were: recruitment of Caucasian patients with an apnea-hypopnea index (AHI) >10 as grouped in non-obese (Body Mass Index – [BMI] < 30) <it>vs</it>. obese (BMI ≥ 30).</p> <p>Results</p> <p>A low position of the hyoid bone was present in both groups. In non-obese patients, an increased value of the ANB angle and a reduced dimension of the cranial base (S-N) were found to be the most common finding, whereas major skeletal divergence (ANS-PNS ^Go-Me) was evident among obese patients. No strict association was found between OSAS and length of the soft palate.</p> <p>Conclusion</p> <p>In both non-obese and obese OSAS patients, skeletal changes were often evident; with special emphasis of intermaxillary divergence in obese patients. Unexpectedly, in obese OSAS patients, alterations of oropharyngeal soft tissue were not always present and did not prevail.</p

Metal halide perovskites for energy applications

Exploring prospective materials for energy production and storage is one of the biggest challenges of this century. Solar energy is one of the most important renewable energy resources, due to its wide availability and low environmental impact. Metal halide perovskites have emerged as a class of semiconductor materials with unique properties, including tunable bandgap, high absorption coefficient, broad absorption spectrum, high charge carrier mobility and long charge diffusion lengths, which enable a broad range of photovoltaic and optoelectronic applications. Since the first embodiment of perovskite solar cells showing a power conversion efficiency of 3.8%, the device performance has been boosted up to a certified 22.1% within a few years. In this Perspective, we discuss differing forms of perovskite materials produced via various deposition procedures. We focus on their energy-related applications and discuss current challenges and possible solutions, with the aim of stimulating potential new applications