354 research outputs found

    In vitro simulation of dental implant bridges removal: Influence of luting agent and abutments geometry on retrievability

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    Implant fixed dental prostheses are widely used for the treatment of edentulism, often preferred over the screw-retained ones. However, one of the main features of an implant-supported prosthesis is retrievability, which could be necessary in the case of implant complications. In this study, the retrievability of implant-fixed dental prostheses was investigated considering two of the main factors dental practitioners have to deal with: the abutments geometry and the luting agent. Impulsive forces were applied to dental bridge models to simulate crowns’ retrievability in clinical conditions. The number of impulses and the impulsive force delivered during each test were recorded and used as retrievability indexes. One-hundred-and-five tests were conducted on 21 combinations of bridges and luting agents, and a Kruskal-Wallis test was performed on the results. The abutment geometry significantly influenced the number of impulses needed for retrieval (p < 0.05), and a cement-dependent trend was observed as well. On the other hand, the forces measured during tests showed no clear correlation with bridge retrievability. The best retrievability was obtained with long, slightly tapered abutments and a temporary luting agent

    BCR-ABL1 doubling-times and halving-times may predict CML response to tyrosine kinase inhibitors

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    In Chronic Myeloid Leukemia (CML), successful treatment requires accurate molecular monitoring to evaluate disease response and provide timely interventions for patients failing to achieve the desired outcomes. We wanted to determine whether measuring BCR-ABL1 mRNA doubling-times (DTs) could distinguish inconsequential rises in the oncogene’s expression from resistance to tyrosine kinase inhibitors (TKIs). Thus, we retrospectively examined BCR-ABL1 evolution in 305 chronic-phase CML patients receiving imatinib mesylate (IM) as a first line treatment. Patients were subdivided in two groups: those with a confirmed rise in BCR-ABL1 transcripts without MR3.0 loss and those failing IM. We found that the DTs of the former patients were significantly longer than those of patients developing IM resistance (57.80 vs. 41.45 days, p = 0.0114). Interestingly, the DT values of individuals failing second-generation (2G) TKIs after developing IM resistance were considerably shorter than those observed at the time of IM failure (27.20 vs. 41.45 days; p = 0.0035). We next wanted to establish if decreases in BCR-ABL1 transcripts would identify subjects likely to obtain deep molecular responses. We therefore analyzed the BCR-ABL1 halving-times (HTs) of a different cohort comprising 174 individuals receiving IM in first line and observed that, regardless of the time point selected for our analyses (6, 12, or 18 months), HTs were significantly shorter in subjects achieving superior molecular responses (p = 0.002 at 6 months; p &lt; 0.001 at 12 months; p = 0.0099 at 18 months). Moreover, 50 patients receiving 2G TKIs as first line therapy and obtaining an MR3.0 (after 6 months; p = 0.003) or an MR4.0 (after 12 months; p = 0.019) displayed significantly shorter HTs than individuals lacking these molecular responses. Our findings suggest that BCR-ABL1 DTs and HTs are reliable tools to, respectively, identify subjects in MR3.0 that are failing their assigned TKI or to recognize patients likely to achieve deep molecular responses that should be considered for treatment discontinuation

    In vitro impact testing to simulate implant-supported prosthesis retrievability in clinical practice: Influence of cement and abutment geometry

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    Cement-retained implant-supported prosthetics are gaining popularity compared to the alternative screw-retained type, a rise that serves to highlight the importance of retrievability. The aim of the present investigation is to determine the influence of luting agent, abutment height and taper angle on the retrievability of abutment-coping cementations. Abutments with different heights and tapers were screwed onto an implant and their cobalt-chrome copings were cemented on the abutments using three different luting agents. The removals were performed by means of CoronaflexÂź. The number of impulses and the forces were recorded and analyzed with a Kruskal-Wallis test. Harvard cement needed the highest number of impulses for retrieval, followed by Telio CS and Temp Bond. However, abutment height and taper showed a greater influence on the cap's retrievability (p < 0.05). Long and tapered abutments provided the highest percentage of good retrievability. The influence of the luting agent and the abutment geometry on the cap's retrieval performed by CoronaflexÂź reflects data from literature about the influence of the same factor on the maximum force reached during uniaxial tensile tests. The impulse force was slightly affected by the same factors

    Slope stability models for rainfall-induced lahars during long-lasting eruptions

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    In this study we analyse the spatial distribution of potential lahar sources during long-lasting eruptions using two slope stability models (SHALSTAB and TRIGRS). The analysis is based on observed deposit grain-size and thickness, rainfall data and slope angle of the lahar events, in the area surrounding the Cordón Caulle volcano, Chile, that occurred during the 2011 eruption. The main phase of the eruption (4–7 June) was characterized by eruptive plumes from 7 to 11 km high which dispersed most of the tephra eastward toward Argentina, with a total estimated volume of about 1 km3. Tephra-fallout blanketed the region from ESE to ENE of the volcano with the thickness of the tephra-fallout layers between approximately 1 m (15 km from vent) and 0.06 m (240 km from the vent). On 10 June 2011, a major lahar occurred close to the Argentina-Chile border that reached the National road 231 (28 km from the vent). Three field campaigns were undertaken to collect samples and data from tephra-fallout deposits and triggering mechanisms in the lahar source area. Model input parameters were obtained from geotechnical tests and field measurements. Several metrics were used for model evaluation and best fit to the data were obtained for simulations considering non-cohesive ash layers for SHALSTAB and a cohesion of 0.5 kPa for TRIGRS. Both models are sensitive to the physical properties of the tephra-fallout deposit and the hydraulic and materiel strength properties of the study area. They both also show good agreement with field data but provide different information: TRIGRS provides an estimate of the timing (based on a storm event) and location of a potentially unstable area, while SHALSTAB simulations result in landslide susceptibility classes based on critical rainfall value. These outcomes provide fundamental insights into lahar triggering during long-lasting volcanic eruptions and are crucial to the compilation of lahar hazard maps and emergency management plans in the South Andes volcanic region

    Clinical implications of discordant early molecular responses in CML patients treated with imatinib

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    A reduction in BCR-ABL1/ABL1IS transcript levels to &lt;10% after 3 months or &lt;1% after 6 months of tyrosine kinase inhibitor therapy are associated with superior clinical outcomes in chronic myeloid leukemia (CML) patients. In this study, we investigated the reliability of multiple BCR-ABL1 thresholds in predicting treatment outcomes for 184 subjects diagnosed with CML and treated with standard-dose imatinib mesylate (IM). With a median follow-up of 61 months, patients with concordant BCR-ABL1/ABL1IS transcripts below the defined thresholds (10% at 3 months and 1% at 6 months) displayed significantly superior rates of event-free survival (86.1% vs. 26.6%) and deep molecular response (≄ MR4; 71.5% vs. 16.1%) compared to individuals with BCR-ABL1/ABL1IS levels above these defined thresholds. We then analyzed the outcomes of subjects displaying discordant molecular transcripts at 3-and 6-month time points. Among these patients, those with BCR-ABL1/ABL1IS values &gt;10% at 3 months but &lt;1% at 6 months fared significantly better than individuals with BCR-ABL1/ABL1IS &lt;10% at 3 months but &gt;1% at 6 months (event-free survival 68.2% vs. 32.7%; p &lt; 0.001). Likewise, subjects with BCR-ABL1/ABL1IS at 3 months &gt;10% but &lt;1% at 6 months showed a higher cumulative incidence of MR4 compared to patients with BCR-ABL1/ABL1IS &lt;10% at 3 months but &gt;1% at 6 months (75% vs. 18.2%; p &lt; 0.001). Finally, lower BCR-ABL1/GUSIS transcripts at diagnosis were associated with BCR-ABL1/ABL1IS values &lt;1% at 6 months (p &lt; 0.001). Our data suggest that when assessing early molecular responses to therapy, the 6-month BCR-ABL1/ABL1IS level displays a superior prognostic value compared to the 3-month measurement in patients with discordant oncogenic transcripts at these two pivotal time points

    Sailing for Science: on board experiences for transferring knowledge on Historical Oceanography for Future Innovation

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    Smart, sustainable and inclusive Blue Growth means also knowing past technology and the paths followed by ancients in order to understand and monitor marine environments. In general, history of Science is a matter that is not enough explored and explained or promoted in high schools or university official programmes, and, usually, scientist do not consider it as an important part of their curricula. However, bad or good ideas, abandoned or forgotten beliefs, concepts, opinions, do still have a great potential for inspiring present and future scientists, no matter in which historical period they may have been formulated: they should be always be taken into consideration, critically examined and observed by a very close point of view, not just as part of the intellectual framework of some obsolete ‘Cabinet of Curiosities’ with limited access except for the chosen few. Moreover, history of Science should be transmitted in a more practical way, with hands-on labs showing the limits and challenges that prior generations of ocean explorers, investigators and seafarers had to face in order to answer to crucial questions as self-orientation in open sea, understanding main currents and waves, predicting meteorological conditions for a safe navigation. Oceanography is a relatively young branch of science, and still needs further approvals and knowledge (National Science Foundation, 2000). The Scientific Dissemination Group (SDG) “La Spezia Gulf of Science” – made up by Research Centres, Schools and Cultural associations located in La Spezia (Liguria, Italy) - has a decadal experience in initiatives aimed at people and groups of people of all ages, who are keen on science or who can be guided in any case to take an interest in scientific matters (Locritani et al., 2015). Amongst the SDG activities, the tight relationship with the Historical Oceanography Society, the Italian Navy and the Naval Technical Museum (that collects a rich heritage of civilization, technology and culture witnesses, related to the naval history of seamanship from the origins up to nowadays), allowed the creation of a special educational format based on Historical Oceanography, for university and high school students as an integration for their curriculum. The Historical Oceanography Society has provided the major knowledges included in the ancient volumes of its archive, thanks to the availability of its members that also held theoretical and practical lessons during the course. The present paper will describe the one-week special course (about 60 hours of theory and practice with technical visits to Research centres and Museums) that has been planned to be carried out on board of the Italian Training Navy Ship (A. Vespucci) and has been organized in order to give the hints about on board life, as well as theoretical lessons on modern and historical oceanography, hands-on labs on oceanographic instruments from public and private collections, physiology of diving techniques and astronomy. The general aim of this course has been, hence, to give to excellent students all those technological but also creative and imaginative features of our past.PublishedVienna1TM. Formazion

    Comparative analysis of anti-polyglutamine Fab crystals grown on Earth and in microgravity

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    Huntington's disease is one of nine neurodegenerative diseases caused by a polyglutamine (polyQ)-repeat expansion. An anti-polyQ antigen-binding fragment, MW1 Fab, was crystallized both on Earth and on the International Space Station, a microgravity environment where convection is limited. Once the crystals returned to Earth, the number, size and morphology of all crystals were recorded, and X-ray data were collected from representative crystals. The results generally agreed with previous microgravity crystallization studies. On average, microgravity-grown crystals were 20% larger than control crystals grown on Earth, and microgravity-grown crystals had a slightly improved mosaicity (decreased by 0.03°) and diffraction resolution (decreased by 0.2 Å) compared with control crystals grown on Earth. However, the highest resolution and lowest mosaicity crystals were formed on Earth, and the highest-quality crystal overall was formed on Earth after return from microgravity
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