Effects of Erbium-Doped: Yttrium Aluminum Garnet (Er: YAG) Laser on Bacteremia due to Scaling and Root Planing

INTRODUCTION: The aims of the present study were: [1] to evaluate whether Erbium-Doped: Yttrium, Aluminum and Garnet (Er: YAG) laser could be a prophylactic methods against transient bacteremia during scaling and root planing (SRP) [2] to confirm the efficacies of SRP with Er: YAG laser by clinical and microbiologic evaluations.METHODS: Twenty chronic periodontitis subjects were randomly treated for quadrant SRP with either conventional hand instrument (n=10) or Er: YAG laser (n=10) monotherapy. Peripheral blood samples were drawn at baseline and 6 minutes after initiation of SRP, and were cultured for the analysis of bacteremia. Clinical measurements of full mouth plaque control record (PCR), probing pocket depth (PPD), clinical attachment level (CAL) and bleeding on probing (BOP) were made at baseline and 1 month after SRP. In addition, microbiologic analyses of subgingival samples were also performed at baseline and 1 month after SRP using the polymerase chain reaction Invader method.RESULTS: The incidence of bacteremia during SRP was 0% (0/10) in the Er: YAG laser group and 80% (8/10) in the hand instrument group, which was significantly different (P = 0.0003). All isolates from blood were facultative or obligate anaerobes and more than half of the microorganisms were species of streptococci. Intragroup comparison revealed that the mean PPD and CAL significantly decreased compared to baseline in both groups (P < 0.05). However, the percentage of BOP positive significantly decreased only in Er: YAG laser group (P = 0.005). In addition, the reductions of the subgingival bacterial counts between baseline and 1 month after SRP were also comparable between the two groups.CONCLUSION: The present study demonstrated that SRP with Er: YAG laser could not only be an alternative treatment for improvement of clinical and microorganisms situations but also a novel prophylactic method against transient bacteremia

The Influence of Acupressure at Extra 1 Acupuncture Point on the Spectral Entropy of the EEG and the LF/HF Ratio of Heart Rate Variability

Acupressure applied on the Extra 1 acupuncture point results in sedation, thereby reducing bispectral index (BIS) values. Mental status and hypnotic agents influence the autonomic nervous system. We hypothesized that acupressure at the Extra 1 point would induce sedation and change sympatho-parasympathetic nerve balance. We investigated the effect of acupressure at the Extra 1 point on the EEG spectral entropy values and heart rate variability (HRV). Forty-eight volunteers (24 males and 24 females) were randomly assigned to the control or Extra 1 group. The control group received acupressure at a sham point and the Extra 1 group received acupressure at the Extra 1 point. Acupressure was applied for 5 min. The record of the EEG spectral entropy values and HRV started 5 min before acupressure and stopped 5 min after acupressure. Acupressure significantly reduced the EEG spectral entropy values in both groups, but the values of the Extra 1 group were significantly smaller than those of the control group (P < .01). Acupressure significantly decreased the LF/HF ratio of HRV in both groups (P < .05). When divided upon gender, although acupressure tended to decrease the LF/HF ratio, the ratio significantly decreased during and after acupressure only in females of the Extra 1 group (P < .05). We concluded that acupressure on the Extra 1 point significantly reduced the EEG spectral entropy in both the genders, but affected the LF/HF ratio of HRV only in females

Beat-to-beat alterations of acoustic intensity and frequency at the maximum power of heart sounds are associated with NT-proBNP levels

BackgroundAuscultatory features of heart sounds (HS) in patients with heart failure (HF) have been studied intensively. Recent developments in digital and electrical devices for auscultation provided easy listening chances to recognize peculiar sounds related to diastolic HS such as S3 or S4. This study aimed to quantitatively assess HS by acoustic measures of intensity (dB) and audio frequency (Hz).MethodsForty consecutive patients aged between 46 and 87 years (mean age, 74 years) with chronic cardiovascular disease (CVD) were enrolled in the present study after providing written informed consent during their visits to the Kitasato University Outpatient Clinic. HS were recorded at the fourth intercostal space along the left sternal border using a highly sensitive digital device. Two consecutive heartbeats were quantified on sound intensity (dB) and audio frequency (Hz) at the peak power of each spectrogram of S1–S4 using audio editing and recording application software. The participants were classified into three groups, namely, the absence of HF (n = 27), HF (n = 8), and high-risk HF (n = 5), based on the levels of NT-proBNP &lt; 300, ≥300, and ≥900 pg/ml, respectively, and also the levels of ejection fraction (EF), such as preserved EF (n = 22), mildly reduced EF (n = 12), and reduced EF (n = 6).ResultsThe intensities of four components of HS (S1–S4) decreased linearly (p &lt; 0.02–0.001) with levels of body mass index (BMI) (range, 16.2–33.0 kg/m2). Differences in S1 intensity (ΔS1) and its frequency (ΔfS1) between two consecutive beats were non-audible level and were larger in patients with HF than those in patients without HF (ΔS1, r = 0.356, p = 0.024; ΔfS1, r = 0.356, p = 0.024). The cutoff values of ΔS1 and ΔfS1 for discriminating the presence of high-risk HF were 4.0 dB and 5.0 Hz, respectively.ConclusionsDespite significant attenuations of all four components of HS by BMI, beat-to-beat alterations of both intensity and frequency of S1 were associated with the severity of HF. Acoustic quantification of HS enabled analyses of sounds below the audible level, suggesting that sound analysis might provide an early sign of HF

Suzaku Observation of Abell 1689: Anisotropic Temperature and Entropy Distributions Associated with the Large-Scale Structure

(Abridged) We present results of Suzaku observations of the intracluster medium (ICM) in Abell 1689, combined with complementary analysis of the SDSS data and weak and strong lensing analysis of Subaru/Suprime-Cam and HST/ACS observations. Faint X-ray emission from the ICM around the virial radius is detected at 4.0 sigma significance. We find anisotropic gas temperature and entropy distributions in cluster outskirts correlated with large-scale structure of galaxies. The high temperature and entropy region in the northeastern (NE) outskirts is connected to an overdense filamentary structure. The outskirt regions in contact with low density void environments have low gas temperatures and entropies, deviating from hydrostatic equilibrium. These results suggest that thermalization of the ICM occurs faster along the filamentary structures than the void regions. A joint X-ray and lensing analysis shows that the hydrostatic mass is $\sim60-90$ of spherical lensing one but comparable to a triaxial halo mass within errors in 0.6r_{2500} \simlt r \simlt 0.8r_{500}, and that it is significantly biased as low as \simlt60% within $0.4r_{2500}$, irrespective of mass models. The thermal gas pressure within $r_{500}$ is, at most, $\sim50$--60% of the total pressure to balance fully the gravity of the spherical lensing mass, and $\sim30$--40% around the virial radius. Although these constitute lower limits when one considers the possible halo triaxiality, these small relative contributions of thermal pressure would require additional sources of pressure, such as bulk and/or turbulent motions.Comment: 24 pages, 15 figures, 9 tables. Accepted for publication in Ap

Gas Motion Study of Lya Emitters at z~2 Using UV and Optical Spectral Lines

We present the results of Magellan/MMIRS and Keck/NIRSPEC spectroscopy for five Lya emitters (LAEs) at z=2.2 for which high-resolution FUV spectra from Magellan/MagE are available. We detect nebular emission lines including Ha on the individual basis and low-ionization interstellar (LIS) absorption lines in a stacked FUV spectrum, and measure average offset velocities of the Lya line, Delta_v_Lya, and LIS absorption lines, Delta_v_abs, with respect to the systemic velocity defined by the nebular lines. For a sample of eight z~2-3 LAEs without AGN from our study and the literature, we obtain Delta_v_Lya = 175+/-35 km s^{-1}, which is significantly smaller than that of Lyman-break Galaxies (LBGs), Delta_v_Lya=400 km s^{-1}. The stacked FUV spectrum gives Delta_v_abs = -179 +/- 73 km s^{-1}, comparable to that of LBGs. These positive Delta_v_Lya and negative Delta_v_abs suggest that LAEs also have outflows. In contrast to LBGs, however, the LAEs' Delta_v_Lya is as small as |Delta_v_abs|, suggesting low neutral hydrogen column densities. Such a low column density with a small number of resonant scattering may cause the observed strong Lya emission of LAEs. We find an anti-correlation between Lya equivalent width (EW) and Delta_v_Lya in a compilation of LAE and LBG samples. Although its physical origin is not clear, this anti-correlation result appears to challenge the hypothesis that a strong outflow, by means of a reduced number of resonant scattering, produces a large EW. If LAEs at z>6 have similarly small Delta_v_Lya values, constraints on the reionization history derived from the Lya transmissivity may need to be revised.Comment: 15 pages, 13 figures, 7 tables. Accepted for publication in Ap