2,037 research outputs found

    Mechanistic and Clinical Studies of Platelet Rich Plasma: A Simple Clinical Method for Enhancing Bone and Soft Tissue Healing

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    Platelet rich plasma (PRP) is a methodology of using a patient\u27s own platelets to enhance bone and soft tissue healing following oral surgical procedures. Whole blood is drawn from the patient by conventional phlebotomy techniques and then centrifuged with the formation of a distinct middle layer that contains platelets and white blood cells (WBCs). This layer of platelets and WBCs is then placed into the surgical site to enable faster and more predictable healing. This technique has also found use in general medical surgeries and is gaining in popularity. Platelets contain growth factors and other cytokines that are beneficial for healing following surgical trauma. This project uses both in vitro and in vivo studies to provide the mechanistic basis for the continued and possible expanded clinical use of PRP. A simple and inexpensive technique for acquiring PRP is examined and provides evidence that during the platelet harvesting steps the platelets are properly concentrated, not altered, and that growth factors (GFs) critical to bone formation are present. A retrospective clinical trial provides data that illustrate a significant decrease (p \u3c .0001) in the frequent complication of dry socket (alveolar osteitis, AO) formation following mandibular tooth extractions. The study reveals that not using PRP is a risk factor for AO formation. The project also utilizes a molecular study utilizing human mesenchymal stem cells (hMSCs) to provide a mechanistic basis for bone formation following PRP use. Enhanced proliferation and inducement of differentiation of hMSCs were found to the possible explanations for the clinical successes reported with PRP use. A prospective clinical study provides radiographic evidence for increased radiographic opacity (indicating bone formation) during the initial two weeks following placement of PRP at the time of mandibular third molar removal. This translational research offers scientific support for the use of PRP in osseous surgeries. The use of this simple and inexpensive PRP technique could help patients recover faster, with fewer complications and greater bone formation predictability following surgeries involving bone manipulation

    First record of phoresy of Dendrochernes cyrneus (L. Koch, 1873) (Pseudoscorpiones, Chernetidae) on Cerambyx cerdo Linnaeus, 1758 (Coleoptera, Cerambycidae) and their potential value as bioindicators

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    El primer registro de foresía de Dendrochernes cyrneus (L. Koch, 1873) (Pseudoscorpiones, Chernetidae) en Cerambyx cerdo Linnaeus, 1758 (Coleoptera, Cerambycidae) y su valor potencial como bioindicadores Se documenta la primera prueba de foresía de Dendrochernes cyrneus (L. Koch, 1873) en Cerambyx cerdo Linnaeus, 1758. También se presenta una revisión crítica de todos los informes científicos publicados sobre la foresía relacionados con D. cyrneus. Dos de estos informes guardan relación con la misma observación y son el resultado de la confusión sistemática existente en la familia Cerambycidae. Ambas especies se tratan como vestigios del bosque primigenio y sus aisladas poblaciones viven en las zonas residuales dispersas de los bosques antiguos que cubrían Europa en el pasado. Aportamos nueva información sobre las relaciones ecológicas de D. cyrneus con escarabajos saproxílicos y analizamos las preferencias ecológicas de las dos especies y su función como indicadores de la calidad del ambiente.El primer registro de foresía de Dendrochernes cyrneus (L. Koch, 1873) (Pseudoscorpiones, Chernetidae) en Cerambyx cerdo Linnaeus, 1758 (Coleoptera, Cerambycidae) y su valor potencial como bioindicadores Se documenta la primera prueba de foresía de Dendrochernes cyrneus (L. Koch, 1873) en Cerambyx cerdo Linnaeus, 1758. También se presenta una revisión crítica de todos los informes científicos publicados sobre la foresía relacionados con D. cyrneus. Dos de estos informes guardan relación con la misma observación y son el resultado de la confusión sistemática existente en la familia Cerambycidae. Ambas especies se tratan como vestigios del bosque primigenio y sus aisladas poblaciones viven en las zonas residuales dispersas de los bosques antiguos que cubrían Europa en el pasado. Aportamos nueva información sobre las relaciones ecológicas de D. cyrneus con escarabajos saproxílicos y analizamos las preferencias ecológicas de las dos especies y su función como indicadores de la calidad del ambiente.The first evidence of phoresy of Dendrochernes cyrneus (L. Koch, 1873) on Cerambyx cerdo Linnaeus, 1758 is documented. A critical review of all known literature reports of phoresy involving D. cyrneus is also presented. Two of these reports relate to the same observation and are the result of the systematic turmoil within the family Cerambycidae. Both species are treated as primeval forest relics and their isolated populations live in the scattered remains of the ancient forests that covered Europe in the past. We provide new information about the ecological relationships of D. cyrneus with saproxylic beetles, and discuss the ecological preferences of the two species and their role as indicators of the quality of the environment

    Pancreatic exocrine insufficiency after bariatric surgery

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    Morbid obesity is a lifelong disease, and all patients require complementary follow-up including nutritional surveillance by a multidisciplinary team after bariatric procedures. Pancreatic exocrine insufficiency (PEI) refers to an insufficient secretion of pancreatic enzymes and/or sodium bicarbonate. PEI is a known multifactorial complication after upper gastrointestinal surgery, and might constitute an important clinical problem due to the large number of bariatric surgical procedures in the world. Symptoms of PEI often overlap with sequelae of gastric bypass, making the diagnosis difficult. Steatorrhea, weight loss, maldigestion and malabsorption are pathognomonic for both clinical conditions. Altered anatomy after bypass surgery can make the diagnostic process even more difficult. Fecal elastase-1 (FE1) is a useful diagnostic test. PEI should be considered in all patients after bariatric surgery with prolonged gastrointestinal complaints that are suggestive of maldigestion and/or malabsorption. Appropriate pancreatic enzyme replacement therapy should be part of the treatment algorithm in patients with confirmed PEI or symptoms suggestive of this complication

    Masculinity, Moral Atmosphere, and Moral Functioning of High School Football Players

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    In order to identify factors associated with on-field moral functioning among student athletes within the unique context of football, we examined masculine gender role conflict, moral atmosphere, and athletic identity. Using structural equation modeling to assess survey data from 204 high school football players, results demonstrated that moral atmosphere (i.e., the influence of coaches and teammates) was significantly associated with participants’ process of on-field moral functioning across the levels of judgment, intention, and behavior. Neither masculine gender role conflict nor athletic identity significantly predicted moral functioning, but the results indicated that participants’ identification with the athlete role significantly predicted conflict with socialized gender roles. Results suggest that in the aggressive and violent sport of football, coaches can have a direct influence on players’ moral functioning process. Coaches can also have an indirect effect by influencing all the players so that a culture of ethical play can be cultivated among teammates and spread from the top down

    PCN83 COST-EFFECTIVENESS OF LENOGRASTYM ON NEUTROPENIA DURATION IN ADULTS RECEIVING CHEMOTHERAPY FOR SOLID TUMORS OR LYMPHOMAS

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    A Stimulated Raman Loss spectrometer for metrological studies of quadrupole lines of hydrogen isotopologues

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    We discuss layout and performance of a high-resolution Stimulated Raman Loss spectrometer that has been newly developed for accurate studies of spectral lineshapes and line center frequencies of hydrogen isotopologues and in general of Raman active transitions. Thanks to the frequency comb calibration of the detuning between pump and Stokes lasers and to an active alignment of the two beams, the frequency accuracy is well below 100 kHz. Over the vertical axis the spectrometer benefits from shot-noise limited detection, signal enhancement via multipass cell, active flattening of the spectral baseline and measurement times of few seconds over spectral spans larger than 10 GHz. Under these conditions an efficient averaging of Raman spectra is possible over long measurement times with minimal distortion of spectral lineshapes. By changing the pump laser, transitions can be covered in a very broad frequency span, from 50 to 5000 cm1\mathrm{cm^{-1}}, including both vibrational and rotational bands. The spectrometer has been developed for studies of fundamental and collisional physics of hydrogen isotopologues and has been recently applied to the metrology of the Q(1) 1-0 line of H2\mathrm{H_2}
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