Lipoma Intraóseo

Se comunica un caso clínico de Lipoma Intraóseo de tibia con diagnóstico anatomopatológico confirmado, que constituye en la revisión bibliográfica el número 35. Se realiza, a propósito de este caso clínico, el estudio de otras lesiones con las que es obligado establecer el diagnóstico diferencial.The authors describe a medical case of Intrabone Tibial Lypoma with anatomical-patology confirmed that constitutes in the bibliografical revision numbe r 35. They realize, abolit this clinic case the review of other lesions with which they must establish the differential diagnosis

Exploring the protonation properties of photosynthetic phycobiliprotein pigments from molecular modeling and spectral line shapes

In photosynthesis, specialized light harvesting pigment- protein complexes (PPCs) are used to capture incident sunlight and funnel its energy to the reaction center. In Cryptophyte algae these complexes are suspended in the lumen, where the pH ranges between ~5-7, depending on the prolongation of the incident sunlight. However, the pKa of the several kinds of bilin chromophores encountered in these complexes and the effect of its protonation state on the energy transfer process is still unknown. Here, we combine quantum chemical and continuum solvent calculations to estimate the intrinsic aqueous pKas of different bilin pigments. We then use Propka and APBS classical electrostatic calculations to estimate the change in protonation free energies when the bilins are embedded inside five different phycobiliproteins (PE545, PC577, PC612, PC630 and PC645), and critically asses our results by analysis of the changes in the absorption spectral line shapes measured within a pH range from 4.0 to 9.4. Our results suggest that each individual protein environment strongly impacts the intrinsic pKa of the different chomophores, being the final responsible of their protonation state

Biofilm formation on dental implant surface treated by implantoplasty : an in situ study

Peri-implantitis is a biofilm-related disease whose characteristics are peri-implant tissues inflammation and bone resorption. Some clinical trials report beneficial effects after implantoplasty, namely the surgical smoothening of the implant surface, but there is a lack of data about the development of the bacterial biofilm on those smoothened surfaces. The aim of this study is to evaluate how implantoplasty influences biofilm formation. Three implants with moderately rough surfaces (control) and three implants treated with implantoplasty (test) were set on a tray reproducing the supra- and sub-gingival environment. One volunteer wore this tray for five days. Every 24 h, plaque coverage was measured and, at the end of the period of observartion, the implant surfaces were analyzed using scanning electron microscopy and confocal laser scanning microscopy. The proportion of implant surface covered with plaque was 65% (SD = 7.07) of the control implants and 16% (SD = 0) of the test implants. Untreated surfaces showed mature, complex biofilm structures with wide morphological diversity, and treated surfaces did not show the formation of mature biofilm structures. This study supports the efficacy of implantoplasty in reducing plaque adhesion and influencing biofilm formation. These results can be considered a preliminary proof of concept, but they may encourage further studies about the effects of implantoplasty on biofilm formation

Influence of Diabetes on Implant Failure and Peri-Implant Diseases: A Retrospective Study

Diabetes is an important modifying factor of periodontitis, but its association with peri-implant diseases has not been fully explored and the existing literature reports controversial results. The aim of this retrospective study was to evaluate the influence of diabetes on peri-implantitis and implant failure. Smoking status, history of periodontal disease, presence of diabetes, diabetes type, therapy and glycaemia levels were collected in a total of 204 subjects treated with 929 implants, with a mean follow-up time of 5.7 \ub1 3.82 years after loading. Odds ratio (OR) for diabetes as a direct cause of peri-implantitis and implant failure were calculated, adjusted for smoking status and history of periodontitis. Nineteen patients were diabetic and most of them presented a good control of the disease at the time of surgery. The overall patient-level prevalence of peri-implantitis was 11.3%. Among diabetic patients, one developed peri-implantitis, whereas one experienced multiple implant failures. The calculated ORs, adjusted for smoking status and periodontitis, were not statistically significant. The results revealed no association between diabetes and peri-implantitis or implant failure coherently with the existing scientific literature. The actual influence of hyperglycemia on implant failure is still uncertain and new studies with larger cohorts of patients are needed

Rf interference analysis in aperture synthesis interferometric radiometers: application to l-band miras instrument

Current spaceborne radiometers do not achieve the required spatial resolution demanded by the scientific community due to antenna-size technological limitations. In recent years, several space agencies have been studying aperture synthesis interferometric radiometers as a way of overcoming these limitations, which are more evident at low microwave frequencies (e.g., at L-band), where sea surface salinity and soil moisture can be monitored. Interference is an important issue in any remote sensing instrument, but it is crucial in microwave radiometers, since the signal being measured is the spontaneous thermal noise emission. Interference analyses already exist for classic radiometers. The objective of this paper is the analysis of RF interference on interferometric radiometers. The study involves the analysis of possible interference sources that may affect the performance of such systems at L-band: (1) nearby emissions from radars, non-Geo-Stationary Orbit (GSO) and Mobile Satellite Services (GSO-MSS), (2) harmonics of lower frequency emissions, and (3) possible jamming.Peer ReviewedPostprint (published version

Thirteenth Intercomparison Campaign of the Regional Brewer Calibration Center Europe: Lichtklimatisches Observatorium, Arosa, Switzerland: 30 July–10 August 2018

Editado por Alberto Redondas y Stoyka NetchevaThis thirteenth campaign was a joint exercise of the Regional Brewer Calibration Center for Europe (RBCC-E) and the Regional Dobson Calibration Center (RDCC-E) with the support of MeteoSwiss and of the Global Atmosphere Watch (GAW) Programme of the World Meteorological Organization (WMO). The following operations were performed by the RBCC-E during the intercomparison: Ozone calibration against the RBCC-E travelling reference (B#185) ; Compilation of the calibration histories of the instruments ; Evaluation of the Level 2 Eubrewnet ozone data for the period between intercomparisons

CCNU, vinblastine, procarbazine and prednisone (CVPP) with extended-field radiotherapy in the treatment of early unfavorable Hodgkin's disease - A prospective study on behalf of the Gruppo Italiano per lo Studio dei Linfomi (GISL)

Purpose. To test the adequacy of the CVPP four-drug regimen as ancillary chemotherapy associated with extended-field radiotherapy in the treatment of early, unfavorable, clinically staged Hodgkin's disease. Patients and Methods. The population of this prospective, multicenter study consisted of 49 patients with stage I-II disease, associated with bulky involvement or unfavorable histology (lymphocyte-depleted nodular sclerosis or lymphocyte depletion), systemic symptoms or extranodal involvement, or presenting with stage III A favorable-histology disease, with or without extranodal involvement. Results. Complete remission was achieved in 39 patients, partial remission in 2, while 8 patients did not respond. Four patients have relapsed so far (median follow-up: 43 months), all of whom were subsequently rescued with different salvage treatments. Dose intensity (mean+/-SD: 0.83+/-0.12) and hematological toxicity (including 2 deaths from infection) were higher when RT followed CT than when it was interposed in the middle of the 6 cycles. No growth factors were used. Nonhematological toxicity was very low and fully tolerable. Conclusions. Results confirmed the mild neurological and gastroenteric side effects of CVPP that make it an interesting MOPP-variant regimen. This combination seems most indicated when a regimen devoid of cardiac and pulmonary toxicity is required for association with full-dosage mediastinal radiotherapy, as is often the case in early, unfavorable Hodgkin's disease. The optimal sequence consists of radiotherapy administered after completion of the chemotherapy program. The use of growth factors for correction (or prevention) of marked leukopenia seems appropriate

Multiple Klebsiella pneumoniae KPC Clones Contribute to an Extended Hospital Outbreak

The circulation of carbapenem-resistant Klebsiella pneumoniae (CRKP) is a significant problem worldwide. In this work we characterize the isolates and reconstruct the spread of a multi-clone epidemic event that occurred in an Intensive Care Unit in a hospital in Northern Italy. The event took place from August 2015 to May 2016 and involved 23 patients. Twelve of these patients were colonized by CRKP at the gastrointestinal level, while the other 11 were infected in various body districts. We retrospectively collected data on the inpatients and characterized a subset of the CRKP isolates using antibiotic resistance profiling and whole genome sequencing. A SNP-based phylogenetic approach was used to depict the evolutionary context of the obtained genomes, showing that 26 of the 32 isolates belong to three genome clusters, while the remaining six were classified as sporadic. The first genome cluster was composed of multi-resistant isolates of sequence type (ST) 512. Among those, two were resistant to colistin, one of which indicating the insurgence of resistance during an infection. One patient hospitalized in this period was colonized by two strains of CRKP, both carrying the blaKPC gene (variant KPC-3). The analysis of the genome contig containing the blaKPC locus indicates that the gene was not transmitted between the two isolates. The second infection cluster comprised four other genomes of ST512, while the third one (ST258) colonized 12 patients, causing five clinical infections and resulting in seven deaths. This cluster presented the highest level of antibiotic resistance, including colistin resistance in all 17 analyzed isolates. The three outbreaking clones did not present more virulence genes than the sporadic isolates and had different patterns of antibiotic resistance, however, were clearly distinct from the sporadic ones in terms of infection status, being the only ones causing overt infections