Opioid-induced hyperalgesia after rapid titration with intravenous morphine: Switching and re-titration to intravenous methadone

Rapid titration with intravenous morphine (IV-MO) provides fast and efficient pain relief in cancer patients with severe-excruciating pain. However, some patients, after an initially favourable response, can develop an hyperexcitated state unrelieved or worsened by further dose increments

Counseling the Military Population: The Factor of Prior Military Exposure for Counselors-in-Training

Counselors must learn to ethically work with all cultures. This article explores how both counselors-in-training with prior military culture exposure and those with none can be trained to effectively counsel individuals from this culture. Additionally, the article highlights strategies for counselor educators on how to meet both groups’ learning needs

Counseling the Military Population: The Factor of Prior Military Exposure for Counselors-in-Training

Counselors must learn to ethically work with all cultures. This article explores how both counselors-in-training with prior military culture exposure and those with none can be trained to effectively counsel individuals from this culture. Additionally, the article highlights strategies for counselor educators on how to meet both groups’ learning needs

Oral health-related quality of life in partially edentulous patients before and after implant therapy: a 2-year longitudinal study

The aim of this study was to measure the Oral Health-Related Quality of Life (OHRQoL) before and after a prosthodontic implant therapy so to determine the physical and psychological impact of implant-supported fixed partial dentures (IFPD) rehabilitation among edentulous patients. Methods. 50 partially edentulous patients aged 40-70 years, treated with IFPD, completed the OHRQoL questionnaire before the implant surgery (Time 0) and 2 years after their whole implant-prosthetic rehabilitation (Time 1). The questionnaire was proposed in a short version of Oral Health Impact Profile (OHIP-14, range 0-56) and analyzed through the ‘additive method’. We evaluated statistical mean, standard deviation, median, variance and mode of all OHIP-14 domains and the statistical significance about oral changes at Time 0 and Time 1 using the Chi-square test (p-values 0.05). Patients with I and IV Kennedy’s class edentulism showed better improvement (p < 0.05). Preoperative and post-treatment assessments of OHRQoL exhibited significant differences. The IFPD treatment had a positive effect on the OHRQoL, which improved better in patients with I and IV Kennedy’s edentulous class

Atomic force microscopy of bacteria from periodontal subgingival biofilm: Preliminary study results

OBJECTIVE: Atomic force microscope (AFM) is a technology that allows analysis of the nanoscale morphology of bacteria within biofilm and provides details that may be better useful for understanding the role of bacterial interactions in the periodontal disease. MATERIAL AND METHODS: Five patients with periodontal ≥5 mm pockets diagnosed as generalized periodontitis and five patients with slight gingivitis were selected for the investigation. Bacteria biofilms were collected and morphologically investigated by AFM application. RESULTS: The investigation revealed how periodontitis bacteria are characterized by specific morphologic features of the cell wall. The major representative species of bacteria causing periodontal diseases have been reproduced by a three-dimensional reconstruction showing the bacteria surface details. CONCLUSIONS: The presence of complex glycocalyx structures, bacteriophage-like vesicles, spirochetes (classic and cystic morphology) and bacterial co-aggregation has been identified by the AFM analysis. The results suggest that AFM is a reliable technique for studying bacterial morphology and for examining microbial interactions in dental plaque

An Investigation into the Use of Mutation Analysis for Automated Program Repair

Research in Search-Based Automated Program Repair has demonstrated promising results, but has nevertheless been largely confined to small, single-edit patches using a limited set of mutation operators. Tackling a broader spectrum of bugs will require multiple edits and a larger set of operators, leading to a combinatorial explosion of the search space. This motivates the need for more efficient search techniques. We propose to use the test case results of candidate patches to localise suitable fix locations. We analysed the test suite results of single-edit patches, generated from a random walk across 28 bugs in 6 programs. Based on the findings of this analysis, we propose a number of mutation-based fault localisation techniques, which we subsequently evaluate by measuring how accurately they locate the statements at which the search was able to generate a solution. After demonstrating that these techniques fail to result in a significant improvement, we discuss why this may be the case, despite the successes of mutation-based fault localisation in previous studies

Hybrid Algorithms Based on Integer Programming for the Search of Prioritized Test Data in Software Product Lines

In Software Product Lines (SPLs) it is not possible, in general, to test all products of the family. The number of products denoted by a SPL is very high due to the combinatorial explosion of features. For this reason, some coverage criteria have been proposed which try to test at least all feature interactions without the necessity to test all products, e.g., all pairs of features (pairwise coverage). In addition, it is desirable to first test products composed by a set of priority features. This problem is known as the Prioritized Pairwise Test Data Generation Problem. In this work we propose two hybrid algorithms using Integer Programming (IP) to generate a prioritized test suite. The first one is based on an integer linear formulation and the second one is based on a integer quadratic (nonlinear) formulation. We compare these techniques with two state-of-the-art algorithms, the Parallel Prioritized Genetic Solver (PPGS) and a greedy algorithm called prioritized-ICPL. Our study reveals that our hybrid nonlinear approach is clearly the best in both, solution quality and computation time. Moreover, the nonlinear variant (the fastest one) is 27 and 42 times faster than PPGS in the two groups of instances analyzed in this work.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech. Partially funded by the Spanish Ministry of Economy and Competitiveness and FEDER under contract TIN2014-57341-R, the University of Málaga, Andalucía Tech and the Spanish Network TIN2015-71841-REDT (SEBASENet)

Increased expression of antimüllerian hormone and its receptor in endometriosis

To evaluate antimüllerian hormone (AMH) and AMH receptor II (AMHRII) mRNA and protein expression in endometrium and in ovarian or deep lesions of women with endometriosis

Uso de brometo de etídeo monoazida e PCR em tempo real para detecção de células viáveis de listeria monocytogenes.

A análise de PCR em Tempo Real está sendo cada vez mais utilizada para detecção e quantificação de patógenos em amostras de alimentos, uma vez que gera resultados mais rápidos e específicos. A restrição para um uso mais amplo desta técnia é que devido a sua alta sensibilidade, os teste identificam o DNA de células mortas, tornando-o inadequado para fins de diagnóstico. Para contornar este problema tem sido proposto o uso do corante Brometo de Etídeo Monoazida (EMA) para discriminar células viáveis de células mortas. Em estudos preliminares foi verificado que EMA inibe amplificação de células inviáveis de Listeria monocytogenes, por PCR convencional. O objetivo deste estudo foi padronizar a técnica EMA-PCR em Tempo Real para detecção de células viáveis de L. monocytogenes. Foram construídos primers e sonda TaqMan específicos para L. monocytogenes e o gene prfA foi utilizado como seqüência alvo. Foram avaliadas várias espécies de Listeria, sendo que houve amplificação apenas de L. monocytogenes indicando especificidade da amplificação e L. monocytogenes ATCC 7644 foi selecionada para os testes de EMA-PCR. Concentrações variadas de EMA foram adicionadas a microtubos com 108 células viáveis ou inviáveis de L. monocytogenes (tratamento térmico de 98 oC/20 minutos) e estes foram expostos à luz (650 W) por 15 minutos para ativação e fotólise do EMA. Em segida, foi realizada a extração de DNA e PCR em Tempo Real. O DNA foi extraído após tratamentos subseqëntes das células com proteases e fervura. A reação de amplificação foi preparada com TaqMan Universal Master Mix 1X (Applied Biosystem), 250 ng de DNA, 400 nM de cada primer e 400 nM de sonda. A concentração de 6 ug/mL de EMA foi necessária para inibir a amplificação de DNA de células inviáveis de L. monocytogenes sendo que nesta concentração não houve interferência na amplificação de DNA de células viáveis. Após a definição desta concentração, o tratamento das células com 6 ug/mL de EMA foi realizado novamente, porém os microtubos foram expostos à luz por diferentes períodos de tempo para otimização do tempo de exposição à luz. O tempo de 5 minutos foi necessário para a completa fotólise de EMA. A técnica EMA-PCR em Tempo Real apresenta-se como uma ferramenta eficiente na detecção de apenas células viáveis de L. monocytogenes presentes numa amostra