Implant insertion torque value in immediate loading : a retrospective study

The aim of this study is to verify if the Insertion Torque Value (ITV) of 32 Ncm for immediate loading protocol (ILP), as indicated by literature, is still, with the advance in implant research, a real significant cut-off for long-term implant survival. In this retrospective study, data from 224 patients that during three years of clinical practice, were submitted to the insertion of 322 implants with immediate loading protocol, have been recorded, pooled and analyzed. Data were organized based on Insertion Torque Value (ITV): > 32 Ncm (CG) and 32 Ncm are still characterized by a lower crestal bone resorption, there are no statistically significant differences among the two groups for what concerning the failure rate during the 2 years of follow-up and OR. These results permit us to suppose that the cut-off of ITV >32 Ncm for immediate loading implants, could be reduced to inferior values. However further studies are necessary to indicate precise clinical guidelines

Use of Aloe vera as an Organic Coagulant for Improving Drinking Water Quality

The coagulation–flocculation–sedimentation process is widely used for removal of suspended solids and water turbidity reduction. The most common coagulants used to conduct this process are aluminum sulfate and ferric sulfate. In this paper, the use of Aloe vera as a natural-based coagulant for drinking water treatment was tested. The bio-coagulant was used in two different forms: powder as well as liquid; the latter was extracted with distilled water used as a solvent. The obtained results showed that the use of the natural coagulant (Aloe vera) in both powder (AV-Powder) and liquid (AV-H2O) forms reduced the water turbidity at natural pH by 28.23% and 87.84%, respectively. Moreover, it was found that the use of the two previous forms of bio-coagulant for drinking water treatment had no significant influence on the following three parameters: pH, alkalinity, and hardness. The study of the effect of pH on the process performance using Aloe vera as a bio-coagulant demonstrated that the maximum turbidity removal efficiency accounted for 53.53% and 88.23% using AV-Powder and AV-H2O, respectively, at optimal pH 6

The Adsorptive Removal of Bengal Rose by Artichoke Leaves: Optimization by Full Factorials Design

Currently, the dye industry is increasing its production as a consequence of the growing need for their products in different manufacturing sectors, such as textiles, plastics, food, paper, etc... Thereafter, these industries generate very large volumes of effluents contaminated by these dyes, which require proper removal treatment before final discharge of the effluents into the environment. In this study, artichoke leaves were used as an economical and eco-friendly bio-adsorbent for Bengal Rose (BR) dye removal. Bio-adsorbent obtained from artichoke leaves was ground to powder size. The resulting powder was characterized by different methods, such as Brunauer-Emmett-Teller (BET) surface area analysis, scanning electron microscopy(SEM), X-ray Diffraction (XRD), Fourier transfer infrared (FTIR), pH at point of zero charge (pHpzc), equilibrium pH, iodine number, methylene blue number, phenol number, density, Energy dispersive X-ray spectroscopy (EDX) and Thermo-gravimetric analysis (TGA). Thereafter, the bio-adsorbent was used to study its capability for removing BR dye by testing contact time, initial concentration of dye and temperature. The results show that the saturation of bio-sorbent was reached after 40 min and the removal rate of BR dye by artichoke leaves powder (ALP) was 4.07 mg/g, which corresponds to a removal efficiency of 80.1%. A design of experiences (DOE) based on a two-level full factorial design (23) was used to study the effects of different parameters, such as pH, temperature and bio-adsorbent dosage on BR dye removal efficiency. The obtained results show that the highest removal efficiency was 86.5% for the optimized values of pH (4), temperature (80 °C) and bio-adsorbent dosage (8 g/L). Furthermore, a satisfying accordance between experimental and predicted data was observed. The kinetic and isotherm studies show that the pseudo-second order model simulated adequately the obtained data and it was found that Langmuir and Temkin isotherm models are liable and suitable for evaluating the adsorption process performance. Free energy change of adsorption (ΔG°), enthalpy change (ΔH°) and entropy change (ΔS°) were furthermore calculated to predict the nature of the adsorption process

Effects of an high-fat diet enriched in lard or in fish oil on the hypothalamic amp-activated protein kinase and inflammatory mediators

The high fat diet (HFD) rich in lard induces obesity, inflammation and oxidative stress, and the deregulation of hypothalamic nuclei plays an important role in this mechanism. One important factor involved in the food intake and inflammation is adenosine monophosphate-dependent kinase (AMPK), a serine/threonine kinase activated by phosphorylation. Omega (&)3-polyunsaturated fatty acids (PUFA) are dietary compounds known to attenuate the obesity-related diseases, although the molecular mechanisms underlying their actions in the hypothalamus are not completely understood. We hypothesized that the beneficial effects of PUFA may be mediated by AMPK in the hypothalamus. To this aim, rats were fed a control diet (CD), or isocaloric HFD containing either fish oil (FD; rich in &3-PUFA) or lard (LD) for 6 weeks, and the activation of AMPK, inflammatory state (IKKb, TNF-a) and oxidative stress were analyzed in the hypothalamus. In addition, we also studied serum lipid profile, homeostatic model assessment (HOMA) index, and pro-inflammatory parameters. Our results showed, at the hypothalamic level of LD-fed rats, an increase of AMPK activation, inflammation and oxidative stress, while no modifications were detected in FD-fed animals compared to CD. In addition body weight gain, serum lipid profile, pro-inflammatory parameters and insulin resistance were reduced in FD animals compared to LD. In conclusion, our data indicate that the substitution of saturated by unsaturated fatty acids in the diet has beneficial effects on modulation of hypothalamic inflammation and function in obesity, underlying, at hypothalamic level, the interaction among insulin and/or leptin resistance, AMPK activation and hyperphagia

Effects of an high-fat diet enriched in lard or in fish oil on the hypothalamic amp-activated protein kinase and inflammatory mediators.

The high fat diet (HFD) rich in lard induces obesity, inflammation and oxidative stress, and the deregulation of hypothalamic nuclei plays an important role in this mechanism. One important factor involved in the food intake and inflammation is adenosine monophosphate-dependent kinase (AMPK), a serine/threonine kinase activated by phosphorylation. Omega (ω)3-polyunsaturated fatty acids (PUFA) are dietary compounds known to attenuate the obesity-related diseases, although the molecular mechanisms underlying their actions in the hypothalamus are not completely understood. We hypothesized that the beneficial effects of PUFA may be mediated by AMPK in the hypothalamus. To this aim, rats were fed a control diet (CD), or isocaloric HFD containing either fish oil (FD; rich in ω3-PUFA) or lard for 6 weeks, and the activation of AMPK, inflammatory state (IKKβ, TNF-α) and oxidative stress were analyzed in the hypothalamus. In addition, we also studied serum lipid profile, homeostatic model assessment (HOMA) index, and pro-inflammatory parameters. Our results showed, at the hypothalamic level of LD-fed rats, an increase of AMPK activation, inflammation and oxidative stress, while no modifications were detected in FD-fed animals compared to CD. In addition body weight gain, serum lipid profile, pro-inflammatory parameters and insulin resistance were reduced in FD animals compared to LD. In conclusion, our data indicate that the substitution of saturated by unsaturated fatty acids in the diet has beneficial effects on modulation of hypothalamic inflammation and function in obesity, underlying, at hypothalamic level, the interaction among insulin and/or leptin resistance, AMPK activation and hyperphagia

Low Laser Therapy Plus Non-surgical Periodontal Treatment Reduces Interleukin-1 Beta Serum Levels

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Morphologically and immunohistochemically undifferentiated gastric neoplasia in a patient with multiple metastatic malignant melanomas: a case report

Introduction: Malignant melanoma is a neoplasia which frequently involves the gastrointestinal tract (GIT). GIT metastases are difficult to diagnose because they often recur many years after treatment of the primary cutaneous lesion and also manifest clinically at an advanced stage of the neoplasia. Furthermore, GIT metastases can appear in various morphological forms, and therefore immunohistochemistry is often useful in distinguishing between a malignant melanoma and other malignancies. Case presentation: We report the case of a 60-year-old man with a multiple metastatic melanoma who underwent an upper endoscopy to clarify the possible involvement of the gastric wall with a mass localized in the upper abdomen involving the pancreas and various lymph nodes, which was previously described with computed tomography. Clinically, the patient reported a progressive loss of appetite, nausea and vomiting. The upper endoscopy and histological examination revealed a gastric location of an undifferentiated neoplasm with an absence of immunohistochemical characteristics referable to the skin malignant melanoma that was removed previously. Conclusion: The present case report shows the difficulty in diagnosing a metastatic melanoma in the GIT and therefore, it seems worthwhile to consider metastatic malignant melanoma in the differential diagnosis of undifferentiated neoplasia. © 2008 Alghisi et al; licensee BioMed Central Ltd

Effectiveness and safety of vedolizumab in a matched cohort of elderly and nonelderly patients with inflammatory bowel disease: the IG-IBD LIVE study

Background Vedolizumab registration trials were the first to include elderly patients with moderate-to-severe ulcerative colitis (UC) or Crohn's disease (CD), but few real-life data have been reported in this population. Aims We investigated the effectiveness and safety of vedolizumab in matched cohorts of elderly and nonelderly UC and CD patients. Methods The Long-term Italian Vedolizumab Effectiveness (LIVE) study is a retrospective-prospective study including UC and CD patients who started vedolizumab from April 2016 to June 2017. Elderly patients (>= 65 years) were matched clinically 1:2 to nonelderly patients (18-64 years); the 2 groups were followed until drug discontinuation or June 2019. Results The study included 198 elderly (108 UC, 90 CD) and 396 matched nonelderly patients (205 UC, 191 CD). Nonelderly UC patients had a significantly higher persistence on vedolizumab compared to elderly patients (67.6% vs. 51.4%, p = 0.02). No significant difference in effectiveness was observed between elderly and nonelderly CD patients (59.4% vs. 52.4%, p = 0.32). Age >= 65 years was associated with lower persistence in UC; for CD, previous exposure to anti-TNF-alpha agents, Charlson comorbidity index >2 and moderate-to-severe clinical activity at baseline were associated with lower persistence. There were recorded 130 adverse events, with comparable rates between the two groups. A Charlson comorbidity index >2 was associated with an increased risk of adverse events. Conclusion Vedolizumab can be considered a safe option in elderly IBD patients. Its effectiveness in elderly UC patients may be reduced, while no age-dependent effect on effectiveness was observed in CD