Effectiveness of oral bromelain on third molar surgery patients: A systematic review of systematic reviews

Purpose: This review aimed to evaluate the current evidence on the effectiveness of bromelain in controlling postoperative pain, swelling, and trismus associated with third the molar surgery. Results: The search strategy produced 26 articles. After reading the abstracts, 8 articles were excluded and the full-text articles in English of the remaining 18 studies were separately examined for eligibility by 2 authors, with 12 studies being excluded because they did not fit the inclusion criteria. Finally, 6 systematic reviews satisfied the criteria for inclusion and were processed for critical evaluation, with all the included studies reporting high quality evidence according to the Grading of Recommendations, Assessment, Development, and Evaluation system. Conclusions: Oral Bromelain has been shown to reduce postoperative pain, improve a patient's quality of life and reduce the need for postoperative analgesics after third molar surgery. However, oral bromelain have no effect in reducing postoperative trismus and oedema

Occurrence of selected zoonotic food-borne parasites and first molecular identification of Alaria alata in wild boars (Sus scrofa) in Italy

Wild boar is a source of human infections with zoonotic pathogens, including food-borne parasites. With the aim of a characterization of the human exposure risk, a survey on wild boars intended for human consumption was planned, selecting three pathogens, Toxoplasma gondii, Alaria alata, and Trichinella spp., as markers of meat infection. Diaphragm muscle samples from 100 wild boars hunted in Piedmont region (Northern Italy) in two hunting seasons (2015-2016) were collected. Concerning T. gondii, a combined approach of antibody detection and molecular techniques with genotyping was performed. For the detection of A. alata and Trichinella spp., the larva migration technique and the magnetic stirrer method were employed, respectively; in addition, molecular confirmation of the morphological identification of the recovered specimen was performed. Anti-T. gondii antibodies were found in meat juice samples (43.3%) and T. gondii DNA (type II) was detected in three animals (7.1%) out of 42 seropositive examined. In none of the sampled wild boars (0%), Trichinella spp. larvae were found, whereas one animal (1%) scored positive to A. alata mesocercariae. The molecular diagnosis proved the morphological identification of the trematode. This is the first finding of A. alata in Italian wild boar population. The present study confirmed the role of wild boars as a source of parasitic zoonotic diseases and thus the risk derived for humans posed by the consumption of game meat. Considering the zoonotic implications, the results underline the importance of monitoring and surveillance of zoonotic parasites in Italian wild boar populations

Witnessing in crisis: Photo-reportage of terror attacks in Boston and London

The importance of bearing witness to what is transpiring in harrowing circumstances is a lynchpin of war and conflict reporting. More often than not in recent years, however, the person first on the scene with a camera has been an ordinary citizen, if not one of the combatants themselves. Accordingly, this article explores a number of pressing questions confronting news photographers – both professionals of the craft and bystanders offering improvised contributions to newsmaking – committed to relaying what they see unfolding before them, however disturbing it may be. More specifically, the discussion focuses on two crisis events recurrently characterised as ‘terror attacks’ in the US and British press: the bombing of the Boston marathon in April 2013, and the killing of a British soldier in Woolwich, southeast London, the following month. Drawing on a visual analysis of the photo-reportage of these attacks, the author examines diverse forms of citizen witnessing and their potential to reinvigorate photojournalism’s social contract to document conflicting truths

Definitions and Epidemiology of Endodontic Infections

Purpose of Review: This review describes the recent findings from epidemiological studies on endodontic infections. The recent literature was screened for studies on the prevalence of primary apical periodontitis and posttreatment apical periodontitis in various populations. Recent Findings: Twenty-nine articles reporting data on the prevalence of primary or posttreatment apical periodontitis from all over the world were included. The prevalence of apical periodontitis varied between 7 and 86%, while that of posttreatment apical periodontitis varied between 10 and 62%. The quality of the coronal restoration and the root filling appears to be the major predictors of apical periodontitis. Summary: The recent findings from epidemiological studies on the prevalence of primary and posttreatment apical periodontitis in various populations are not substantially different from those from earlier years. It appears that the health of periapical tissues has not majorly improved in the general population