Electroactive Nanostructured Membranes (ENM): Synthesis and Electrochemical Properties of Redox Mediator-Modified Gold Nanoparticles Using a Dendrimer Layer-by-Layer Approach

The layer-by-layer (LbL) self-assembly process has become an important tool in the fabrication of nanostructured devices for electrochemical applications, especially in those cases where control at the molecular level is required. In this paper we present a system based on electroactive nanostructured membranes (ENM) with ITO-PVS/PAMAM-Au LbL electrodes, in which a redox mediator (Me) is electrodeposited around the Au nanoparticles to form an ITO-PVS/PAMAM-Au@Me system. The redox mediators used were Co, Fe, Ni and Cu hexacyanoferrates. The 3-bilayer ITO-PVS/PAMAM-Au@Me system was characterized electrochemically by cyclic voltammetry and electrochemical impedance spectroscopy. All hexacyanoferrate modified electrodes showed electrocatalytic activity towards hydrogen peroxide, thus demonstrating that this new approach can be used in biosensors and nanodevices, where a redox mediator is required

Molecular testing for the clinical diagnosis of fibrolamellar carcinoma.

Fibrolamellar carcinoma has a distinctive morphology and immunophenotype, including cytokeratin 7 and CD68 co-expression. Despite the distinct findings, accurate diagnosis of fibrolamellar carcinoma continues to be a challenge. Recently, fibrolamellar carcinomas were found to harbor a characteristic somatic gene fusion, DNAJB1-PRKACA. A break-apart fluorescence in situ hybridization (FISH) assay was designed to detect this fusion event and to examine its diagnostic performance in a large, multicenter, multinational study. Cases initially classified as fibrolamellar carcinoma based on histological features were reviewed from 124 patients. Upon central review, 104 of the 124 cases were classified histologically as typical of fibrolamellar carcinoma, 12 cases as 'possible fibrolamellar carcinoma' and 8 cases as 'unlikely to be fibrolamellar carcinoma'. PRKACA FISH was positive for rearrangement in 102 of 103 (99%) typical fibrolamellar carcinomas, 9 of 12 'possible fibrolamellar carcinomas' and 0 of 8 cases 'unlikely to be fibrolamellar carcinomas'. Within the morphologically typical group of fibrolamellar carcinomas, two tumors with unusual FISH patterns were also identified. Both cases had the fusion gene DNAJB1-PRKACA, but one also had amplification of the fusion gene and one had heterozygous deletion of the normal PRKACA locus. In addition, 88 conventional hepatocellular carcinomas were evaluated with PRKACA FISH and all were negative. These findings demonstrate that FISH for the PRKACA rearrangement is a clinically useful tool to confirm the diagnosis of fibrolamellar carcinoma, with high sensitivity and specificity. A diagnosis of fibrolamellar carcinoma is more accurate when based on morphology plus confirmatory testing than when based on morphology alone

Peer victimization in Primary School. Gender difference

Purpose: The peer victimization is frequent phenomenon in the school. The aim of study was to investigate the gender distinction in the peer victimization, also considering the role that physical activity inside and outside school could have in this phenomenon. Methods: The study included 277 students (142 females; 134 males), between the ages of 8 and 10, attending the primary school. A questionnaire based on "Multi-dimensional Peer-Victimization Scale (MPVS)'' (Mynard et al., 2000), Italian version (Scarpa et al, 2010) and adapted to the age of the subjects, was given, to evaluate four areas of victimization (physical victimization, verbal victimization, social manipulation and attack on property). In addition, subjects were asked which physical activities they practiced in and out of school. Results: The results showed that the phenomenon victimization is present in a content way, and that males are more involved than females. Physical victimization falls more in the male gender (average value of 2±1.4 and 1.6±0.9 for the males and females, respectively), while the social manipulation in the women gender (average value of 1.9±1.2 and 1.7±1.1 for the females and males, respectively). The correlation between two or more macro-areas is there for the 74.32% of the cases and verbal victimization is the most widespread phenomenon in our sample (9.46%). The extra-school physical activity is performed by the majority of students (83.57%). Conclusions: The results confirm existing studies in the literature. The peer victimization includes not only being the obvious target of physical attacks but also includes more subtle forms of abuse, falling more in females behavior than in males

Pseudo-single crystal electrochemistry on polycrystalline electrodes : visualizing activity at grains and grain boundaries on platinum for the Fe2+/Fe3+ redox reaction

The influence of electrode surface structure on electrochemical reaction rates and mechanisms is a major theme in electrochemical research, especially as electrodes with inherent structural heterogeneities are used ubiquitously. Yet, probing local electrochemistry and surface structure at complex surfaces is challenging. In this paper, high spatial resolution scanning electrochemical cell microscopy (SECCM) complemented with electron backscatter diffraction (EBSD) is demonstrated as a means of performing ‘pseudo-single-crystal’ electrochemical measurements at individual grains of a polycrystalline platinum electrode, while also allowing grain boundaries to be probed. Using the Fe2+/3+ couple as an illustrative case, a strong correlation is found between local surface structure and electrochemical activity. Variations in electrochemical activity for individual high index grains, visualized in a weakly adsorbing perchlorate medium, show that there is higher activity on grains with a significant (101) orientation contribution, compared to those with (001) and (111) contribution, consistent with findings on single-crystal electrodes. Interestingly, for Fe2+ oxidation in a sulfate medium a different pattern of activity emerges. Here, SECCM reveals only minor variations in activity between individual grains, again consistent with single-crystal studies, with a greatly enhanced activity at grain boundaries. This suggests that these sites may contribute significantly to the overall electrochemical behavior measured on the macroscale

Clinical comparison of instrumentation systems for periodontal debridement: A randomized clinical trial

Objective: To compare clinical efficacy, chairside time and post-treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & Methods: Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split-mouth design. Quadrants were randomly divided into four treatment groups: Group A: Gracey curettes-Hu-Friedy®; Group B: piezoelectric ultrasonic (Satelec®) with No.1S insert; Group C: diamond burs 40 μm (Intensiv Perioset®); and Group D: piezosurgery ultrasonic (Mectron®) with PP1 insert. Clinical outcomes, chairside time and hypersensitivity were assessed at 1, 2, 4 and 8 weeks after treatment. The primary outcome variable was improvement in clinical attachment level. Results: At 8 weeks post-treatment, Gracey curettes, piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) were statistically more effective than diamond burs in increasing attachment level and reducing probing pocket depth. Comparison of piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) with the other instruments showed a statistical difference (p < 0.001) in chairside time. Regarding post-treatment hypersensitivity, no statistical differences were observed in any of the groups. Conclusions: Gracey curettes, piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) were clinically more effective than diamond burs 40 μm. The ultrasonic instruments showed a significant reduction in chairside time

Association Between Alzheimer’s Disease and Periodontal Inflammatory Parameters: a systematic review

The purpose of this systematic review was to analyze the current evidence of the potential correlation between periodontitis inflammatory parameters and Alzheimer’s Disease (AD).A systematic review was conducted in accordance with the PRISMA guidelines. Electronic literature searches in PubMed, Medline, EBSCO, Scopus (ELSEVIER), Cochrane Library (Wiley) and Grey Library were conducted to analyze relevant references. Eligibility was based on inclusion criteria which included cross-sectional studies published after 2012.The rationale for selecting this temporal framework was grounded in the availability of studies from this period that aligned with the objectives and parameters of the review Authors independently selected the studies and extracted the data. Quality assessment was conducted under the Newcastle-Ottawa scale. The outcome variables were objectives, demographics, risks factors, dental statement, Pathogens, and conclusions.The technique used was the comparison, pooling and study of different case studies (considered, or not, significant and/or representative). Out of 564 potentially eligible articles, 5 cross-sectional articles were included based on specific inclusion criteria such as being published after 2012, alignment with the study objectives, and focusing on Alzheimer’s disease and periodontal inflammatory parameters. All five studies highlight a higher prevalence of AD in women that increases in age. While four studies supported connection between AD and periodontal inflammatory parameters, one study found no plausible association. The quality assessment displayed a mean score of 10.8 (Range: 0 to 13), being the domain “selection” the highest ranked and the “comparability” the lowest.Despite some conflicting studies, most suggest a positive correlation between PD and AD, highlighting the necessity for further clinical and longitudinal research. Also, patients with AD exhibit poorer oral hygiene, which contributes to PD, emphasizing the need for comprehensive dental care. Factors such as genetics, lifestyle and age play a significant role in this association

Effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures: Consensus report of group 2 of the SEPA/DGI/OF workshop

OBJECTIVES: The aim of this study was to comprehensively assess the literature in terms of the effect of peri‐implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures to increase the mucosal thickness with autogenous grafts or soft tissue substitutes. MATERIAL AND METHODS: Two systematic reviews (SR) were performed prior to the consensus meeting to assess the following questions. Review 1, focused question: In systemically healthy patients with an implant‐supported fixed prosthesis, what is the influence of thin as compared to thick peri‐implant mucosa on esthetic outcomes? Review 2, focused question 1: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of connective tissue graft (CTG), as compared to absence of a soft tissue grafting procedure, in terms of gain in peri‐implant soft tissue thickness (STT) reported by randomized controlled clinical trials (RCTs) or controlled clinical trials (CCTs)? Review 2, focused question 2: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of CTG, as compared to soft tissue substitutes, in terms of gain in peri‐implant STT reported by RCTs or CCTs? The outcomes of the two SRs, the consensus statements, the clinical implications, and the research recommendations were discussed and subsequently approved at the consensus meeting during the group and plenary sessions. CONCLUSIONS: There was a tendency of superior esthetic outcomes in the presence of a thick mucosa. The connective tissue graft remains the standard of care in terms of increasing mucosa thickness

Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus

Despite emerging evidence and advances in the management of atopic dermatitis there a lack of consensus regarding the diagnostic criteria, therapeutic approach, method to assess severity, and patient follow-up for this condition. An expert consensus study was conducted to provide recommendations on the management of patients with moderate-to-severe atopic dermatitis. The study used Delphi-like methodology based on a literature review, a summary of the scientific evidence, and a 2-round survey. The agreement of 60 panellists on 21 statements was evaluated. Consensus was predefined as ≥ 80% agreement of all respondents. In the first round 6 statements reached consensus. Unanimous consensus was achieved regarding therapeutic goals and patient satisfaction (maintained in the long term and periodic goals reassessment recommended every 3–6 months). In the second round, half of the statements reached consensus, all related to patient follow-up, treatment goals, and atopic comorbidities. The statements that did not reach consensus were related to diagnosis (biomarkers, allergy, and food testing) and starting patients on conventional systemic treatment rather than advanced treatment. The study assessed expert opinion regarding a variety of topics related to the clinical approach to patients with moderate-to-severe atopic dermatitis, in order to provide guidance on the diagnosis and management of patients with atopic dermatitis.8 página

Patient-Reported Burden of Severe Alopecia Areata: First Results from the Multinational Alopecia Areata Unmet Need Survey

Anthony Bewley,1 Ignasi Figueras-Nart,2 Jainzhong Zhang,3 Mariana Guerreiro,4 Nicole Tietz,4 Sami Chtourou,4 Frederick Durand,4 Ulrike Blume-Peytavi5 1Department of Dermatology, The Royal London Hospital & Queen Mary University, London, UK; 2Department of Dermatology, University Hospital de Bellvitge, Barcelona, Spain; 3Department of Dermatology, Peking University People’s Hospital, Beijing, People’s Republic of China; 4Eli Lilly and Company Ltd, Indianapolis, IN, USA; 5Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Dermatology, Venereology and Allergology, Berlin, GermanyCorrespondence: Anthony Bewley, Department of Dermatology, The Royal London Hospital & Queen Mary University, London, UK, Tel +44 020 7767 3200, Email [email protected]: Alopecia areata (AA) is an autoimmune disease characterized by hair loss that has significant psychosocial implications. This study aims to describe the patient-reported burden of severe AA, coping mechanism and information needs using data from the multinational AA Patient Satisfaction and Unmet Need Survey.Patients and Methods: Participants with current or previous ≥ 50% scalp hair loss (n = 747) were recruited from 11 countries and completed a web-based survey that assessed demographics, clinical characteristics, disease burden and psychosocial impact. Data were stratified according to sex, current age, disease duration and current severity of scalp hair loss.Results: The mean (SD) age of participants was 43.8 (7.1) years, 55.3% were women, and 63.5% reported AA symptoms within 6 months of diagnosis. Most participants had black or brown hair (88.4%), reported a disease duration of 2 years or more (75.6%) and had current scalp hair loss of ≥ 50% (87.4%). Severe hair loss also extended to eyebrow (46.9%), eyelash (48.7), beard (61.5%) and body hair (73.2%). Participants commonly reported comorbidities such as anxiety (26.1%), depression (18.1%) and sleep problems (28.1%). The Dermatology Life Quality Index revealed a severe impact on quality of life; 86.2% of participants scored > 10. Mental health/mood was significantly affected; 55.8% of participants reported a substantial impact. Long-term effects included decreased self-esteem (32.9%), poor mental health (28.1%) and challenges in day-to-day activities (27.2%). Information needs were centered around treatment expectations, mental health, and available treatment options. More severe symptoms and a greater daily impact were reported by women and those with a longer disease duration.Conclusion: The study emphasizes the substantial burden, including impaired quality of life and psychological well-being, of severe AA on the lives of surveyed participants. The findings highlight the importance of comprehensive disease management strategies that address both physical and psychosocial aspects of AA.Plain language summary: Alopecia areata (AA) is a disease that results in hair loss and can greatly affect quality of life and well-being. The authors wanted to understand how this condition affects people’s lives and what they need to cope with it. A survey was completed by adults from 11 different countries who had current or past severe AA. The participants were asked about their demographics, their experiences with the condition and how it impacted their daily lives. The results showed that AA has a severe impact on their quality of life, including their mental health and daily activities. Participants also experienced decreased self-esteem and faced challenges in their relationships and daily routines, and many reported feeling anxious, depressed, and having trouble sleeping. Participants found different ways to cope with their condition and expressed a need for realistic expectations about treatment results, information about mental health, and treatment options. The study also found that women and those with a longer duration of AA tended to have more severe symptoms and the impact on their lives was greater. Overall, this study shows that current or previous episodes of severe AA had a significant impact on people’s lives, including their mental health and daily activities. It emphasizes the need for information about the condition and treatment options with realistic expectations. The findings help to better understand the experiences of people with AA and may aid the provision of appropriate support and information.Keywords: burden of disease, quality of life, disease managemen