Surveillance for Antimicrobial Resistance in Croatia

This study intended to verify, through microbiological techniques and TEM investigations, the killing of bacterial spores after treatment in steam autoclave, and to propose strictly morphological considerations about the target of this sterilisation process. Autoclave is the most common device for sterilising instruments in order to prevent cross infections in dental offices. The autoclave efficiency has been improved in the last years and part of this improvement is related to both a better and more correct use of the autoclave system and to the technological innovations introduced in the last generation of devices. However, associations as ADA or CDC suggest to regularly verify the process of 'autoclaving' through biological indicators (BI). The most commonly used BI are made of spores strips or suspensions of Bacillus Subtilis (pb 168) and Bacillus Stearothermophilus (ATCC 10149). They visually prove, changing colours on enzymatic base, the death of micro-organism and if the physical parameters, necessary for sterilisation, have been achieved. These two strains of endospore-forming bacteria were processed and prepared following two different techniques: Karnovsky fixed and epon embedded--phosphotungstic acid fixed for direct observation. The kind and the extent of analysed modifications are extremely various: from deep lacerations, which changed the spore structure, to little clefts which let the cytoplasm go out

Data-driven nonlinear aeroelastic models of morphing wings for control

Accurate and efficient aeroelastic models are critically important for enabling the optimization and control of highly flexible aerospace structures, which are expected to become pervasive in future transportation and energy systems. Advanced materials and morphing wing technologies are resulting in next-generation aeroelastic systems that are characterized by highly-coupled and nonlinear interactions between the aerodynamic and structural dynamics. In this work, we leverage emerging data-driven modeling techniques to develop highly accurate and tractable reduced-order aeroelastic models that are valid over a wide range of operating conditions and are suitable for control. In particular, we develop two extensions to the recent dynamic mode decomposition with control (DMDc) algorithm to make it suitable for flexible aeroelastic systems: 1) we introduce a formulation to handle algebraic equations, and 2) we develop an interpolation scheme to smoothly connect several linear DMDc models developed in different operating regimes. Thus, the innovation lies in accurately modeling the nonlinearities of the coupled aerostructural dynamics over multiple operating regimes, not restricting the validity of the model to a narrow region around a linearization point. We demonstrate this approach on a high-fidelity, three-dimensional numerical model of an airborne wind energy (AWE) system, although the methods are generally applicable to any highly coupled aeroelastic system or dynamical system operating over multiple operating regimes. Our proposed modeling framework results in real-time prediction of nonlinear unsteady aeroelastic responses of flexible aerospace structures, and we demonstrate the enhanced model performance for model predictive control. Thus, the proposed architecture may help enable the widespread adoption of next-generation morphing wing technologies

Ultrastructural aspects of two different mast cell populations in human healthy gingival tissue

The results of our recent microscopy studies clearly have demonstrated the constant presence of numerous metachromatic cells in healthy human gingival connective tissue. Despite the great number of studies on mast cell population in many human organs (lung, skin, uterus, and bowel), at the present time few are the studies regarding the morphostructural aspects of mast cells in the human gingiva. The aim of this study was to assess by transmission electron microscopy the presence of mast cells in the healthy human gingiva and to characterize the ultrastructural aspects of mast cells populations. 30 specimens of human gingival tissue were collected from 30 patients with informed consent. The samples were prepared for T.E.M. examination. In all the ultrathin sections observed we detected numerous and ubiquitarious mast cells. These exhibited several morphological types of cytoplasmic granules with characteristic subgranular architectural variety in shape and density. This allowed us to divide mast cells into two groups: cells with granules consisted of compact coiled scrolls, fine granular material and lattice - grating configuration, and cells containing granules with discrete scrolls formed by more concentric lamellae and particulate structure. The two ultrastructural aspects observed correspond to McTC and McT of the international literature. Therefore in the human gingival connective tissue, like in other organs, two types of mast cells are clearly present. Surprisingly, the human gingival tissue shows, like the lung, McT as the prevailing subpopulation, in contrast to the skin, uterus and gastrointestinal submucosa where McTC prevail. Dans le cadre d’une étude sur la population cellulaire du tissu conjonctif gingival humain nous avons constaté, en microscopie optique, la présence constante de nombreuses cellules metachromatiques. Pour définir la nature de telles cellules et pour en déterminer les aspects ultra-structuraux, nous avons étudié au microscope électronique à transmission 30 biopsies du tissu gingival humain, cliniquement sain. Dans tous les échantillons examinés nous avons observé de nombreux mastocytes dont le contenu granulaire nous est apparu caractérisé par un aspect « à particules » et « en rouleaux » ou bien, dans d’autres éléments cellulaires, par un aspect «en grillage». Les deux aspects ultrastructuraux décrits nous permettent de distinguer les mastocytes gingivaux en deux sous-populations, différentes comme l’ont confirmé plusieurs auteurs, selon la localisation anatomique, selon la structure intérieure et le contenu enzymatique des granules, et, enfin, selon la réaction à des substances sécrétagogues

Delusional themes across affective and non-affective psychoses

The current debate about the diagnostic significance of delusion revolves around two positions. The neurocognitive position conceives delusion as a non-specific, though polymorphic, symptom. The psychopathological position views features of delusion such as content and structure as having meaningful connections with diagnostic entities. This study aims at contributing to this debate by examining the association between delusional themes and diagnosis in a sample of 830 adult psychotic patients. All diagnoses were made by experienced psychiatrists according to DSM-IV or ICD-10 criteria, and in 348 patients were established with the SCID-I. All patients were administered the Brief Psychiatric Rating Scale (BPRS). In each patient, the presence of somatic delusions and delusions of guilt, grandiosity, and persecution was determined by examining the scores on relevant BPRS items. Delusions of guilt were almost pathognomonic for a psychotic depressive condition (psychotic major depression 40%; psychotic bipolar depression 30%; depressed schizoaffective disorder 8%; bipolar and schizoaffective mixed states 6 and 7%, respectively). Only 1% of patients with schizophrenia and no patient with delusional disorder or bipolar or schizoaffective manic state showed such delusions. The difference between unipolar and bipolar depression and the other diagnostic groups was highly significant. Delusions of grandiosity characterized mostly patients with manic symptoms (bipolar mania 20%; bipolar mixed states 19%; manic schizoaffective disorder 10%). They were observed significantly more often in bipolar mania than in schizophrenia (7%). Persecutory delusions were broadly distributed across diagnostic categories. However, they were significantly more frequent among patients with schizophrenia and delusional disorder compared with depressed and manic patients. Somatic delusions were also observed in all diagnostic groups, with no group standing out as distinct from the others in terms of an increased prevalence of somatic delusions. Our findings suggest a middle position in the debate between the neurocognitive and the psychopathological approaches. On the one hand, the widespread observation of persecutory delusions suggests the usefulness of searching for non-specific pathogenic mechanisms. On the other hand, the association between some delusional contents and psychiatric diagnosis suggests that a phenomenological analysis of the delusional experience may be a helpful tool for the clinician in the diagnostic process

Behaviour of adenylic and pyridinic compounds in gingival tissue after a short-term exposure to air

Biochemical variations of adenine and pyridine compounds in human gingival grafts during the period between excision and implantation have been studied. These groups of compounds are considered as «indicators» of the metabolic and energetic status of the living cells. Adenylic compounds such as ATP, ADP and AMP are involved in numerous metabolic processes as «modulators» of allosteric enzymes.NAD+ and NADP+ are involved in the carbohydrate metabolism as co-factors of many reactions of oxydoreduction. The exposure to air of the gingival tissue induces modifications in the energy state of the cells as well as in the ox-reox system. No variation is detectable in the intermediates of the pyridine compounds cycle.Dans des gencives humaines prélevées pour des greffes, ont été étudiées, à certains intervalles de temps entre le prélèvement et la greffe, les variations biochimiques des composés adényliques et pyridiniques, qui sont les «indicateurs» des conditions énergétiques et métaboliques du tissu. Des composés comme l’ATP, l’ADP et l’AMP participent à de nombreux processus métaboliques comme «modulateurs» des enzymes allostériques. NAD+ et NADP + participent au métabolisme des carbohydrates comme co-facteurs de nombreuses réactions d’oxydoréduction. Une brève exposition de la gencive à l’air provoque des changements dans le métabolisme des cellules et du système d’oxydoréduction. Il n’y a pas de variation notable dans les composés intermédiaires du cycle pyridinique

Les perles d’émail: aspects ultrastructuraux et hypothèses de morphogenèse

Five enamel pearls were examined by Scanning Electron Microscope. Some external pearls presented a bare enamel surface, others were covered by a thin layer of cementum.The enamel pearls showed irregular dystrofic enamel surface or a thin layer without structure, rows of irregular Tome’s processes pits, enamel caps and focal holes. Some enamel pearls revealed little areas of enamel surface resorption like-resorbing lacunae with, in some cases, areas of tissue repair.La perle d’émail est une masse circulaire de matériel calcifié qui apparait le plus souvent dans la bifurcation des molaires et est attachée à la surface externe de la dent. Elle peut aussi être interne mais nous en savons très peu à ce sujet à cause du manque de publications. Cinq perles externes ont été observées au microscope électronique à balayage.Tandis que certaines perles externes présentent une surface à nu, d’autres sont recouvertes d’une fine couche de cément qui les protège. La surface de la perle d’émail présente des zones irrégulières d’hypominéralisation ou une fine couche sans structure, des rangées de petits trous irréguliers des processus de Tome et des trous focaux et des cratères

Considérations sur des tests de biocompatibilité «in vivo» et «in vitro» de quelques ciments endodontiques

The major goal endodontic therapy has been achieved by condensing filling materials into the root canal. It’s not uncommon to find excess material into the periapical tissue. It therefore becomes obligatory to use fillings materials that have acceptable biocompatibility.The purpose of this investigation was to obtain a «toxicity profile» of some endodontics materials and to compare our observations to results present in literature.The gutta-percha and five endodontic filling cements were tested «in vivo» and «in vitro».The in vivo biocompatibility involved the placement of the test material in 10 mm. Teflon tubes with an outer diameter of 1.3 mm which were implanted subcutaneously into rats. The implants were left in situ for periods of 30 and 90 days. The «hemolysis test» is designed for «in vitro» evaluations.The istological examination showed different intensity and extent cellular responses. In some cases severe infiltration of inflammatory cell and areas with necrotis were seen.At conclusion, the endodontics material evaluated showed slight, moderate and severe reactions; therefore a different pattern in tissue response.Dans le domaine odontologique, ainsi que dans les autres branches de la médecine, l’exigence d’améliorer constamment la biocompatibilité des matériaux utilisés comme thérapeutique, surtout quand ces matériaux sont destinés à «cohabiter» longtemps avec l’organisme, est de plus en plus ressentie.Dans le cadre d’un vaste programme de recherche, les auteurs se sont proposé d’évaluer la biocompatibilité réelle de quelques matériaux endodontiques choisis parmi les plus courants en Italie: c’est dans ce but qu’ont été effectués des tests «in vitro» (test de l’émolyse d’hématies de lapin) et «in vivo» (selon la technique de Safavi et al. qui prévoit l’implantation du matériel à tester dans le tissu sous-cutané du rat).Les résultats des tests ont démontré la variabilité du grade de biocompatibilité des matériaux soumis à l’expérimentation. Certains matériaux n’ont provoqué en effet qu’une légère réaction des tissus, d’autres ont déterminé la formation d’importants infiltrats de cellules inflammatoires, de macrophages, de cellules géantes de corps étranger et de colliquation nécrotique tissulaire

Detecting depression in dyadic conversations with multimodal narratives and visualizations

Conversations contain a wide spectrum of multimodal information that gives us hints about the emotions and moods of the speaker. In this paper, we developed a system that supports humans to analyze conversations. Our main contribution is the identification of appropriate multimodal features and the integration of such features into verbatim conversation transcripts. We demonstrate the ability of our system to take in a wide range of multimodal information and automatically generated a prediction score for the depression state of the individual. Our experiments showed that this approach yielded better performance than the baseline model. Furthermore, the multimodal narrative approach makes it easy to integrate learnings from other disciplines, such as conversational analysis and psychology. Lastly, this interdisciplinary and automated approach is a step towards emulating how practitioners record the course of treatment as well as emulating how conversational analysts have been analyzing conversations by hand.Comment: 12 page

PERSISTANCE DE CARACTERES ONTOGÉNIQUES DANS LE MUSCLE MASSÉTER ADULTE

During embryonic and foetal development, the masseter is formed from two successive generations of muscle fibers in a manner which is very similar to that which has been previously described for other skeletal muscles. This phenotypeis characterised by the persisten ce of ontogenic myosin isoforms ( embryonic and foetal myosin heavy chains, embryonic light chain) and by the presence of two distinct populations of fibers : small diameter fibers which coexpress theembryonic, foetal and fast isoforms of the myosin heavy chains but never express the slow isoform; large diameter fibers which express the slow myosin heavy chain either exclusively or in variable associations with the other isoforms.These characteristics of the human masseter muscle probably correspond not only to its embryological origin and its special innervation, but also to the functional constraints to which it is submitted after birth.Le développement du masséter s'effectue pendaQt la vie embryo-fa:tale en deux générations de fibres suivant un schéma tres comparable a la plupart des a u tres muscles de l 'organisme. Apres la naissance, un phénotype particulier se caractérise par l'expression persistante d'isoformes ontogéniques de la myosine (isoformes embryonnaire et fa:tale des chaines lourdes, isoforme embryonnaire des chaines légeres) et par l'individualisation de deux populations de fibres: de petite taille coexprimant les isoformes embryonnaire, fa:tale et rapide des chaines lourdes de la myosine mais n'exprimant pas l'isoforme lente; de grande taille exprimant l'isoforme lente des chaines lourdes de la myosine seule ou diversement associée aux autres isoformes.II est vraisemblable que les spécificités du masséter humain traduisent non seulement son origine embryologique et son innervation particuliere mais également les contraintes fonctionnelles qu'il subit apres la naissance