Nasal pathologies in patients with obstructive sleep apnoea

Nasal obstruction is a frequent condition in patients with obstructive sleep apnoea (OSA). Nasal obstruction leads to mouth breathing, which is thought to destabilise the upper airway to aggravate the condition. Three conditions could be considered as the cause of the nasal breathing obstruction: anatomical conditions of the nose (septum deviation, hypertrophy of the inferior turbinates), chronic rhinosinusitis (CRS) and chronic nasal inflammation caused by allergic rhinitis or non-allergic cellular rhinitis. In this prospective study, we present an evaluation of all these possible rhino-sinusal aspects in OSA patients to correlate different nasal pathologies with nasal obstruction. Fifty patients with a diagnosis of OSA were enrolled in the study. In 70% of OSA patients, nasal obstruction was confirmed by clinical evaluation and rhinomanometry testing. Normal rhino-sinus aspects were present in only 20% of OSAS patients, whereas one or more pathological rhino-sinus conditions were present in the remaining 80%. The percentage of OSA patients with a diagnosis of allergic rhinitis and non-allergic rhinitis was 18% and 26% respectively. Non-allergic rhinitis with neutrophils (NARNE) was the most frequent type of cellular rhinitis diagnosed in OSA patients (20% of cases). The results of the present study support and extend the observation that rhinitis is present in OSA patients. Mucosal inflammation caused by these conditions could be the cause of upper airway patency impairment inducing nasal mucosa swellin

Recognition and treatment of peri-implant mucositis: Do we have the right perception? A structured review

Peri-implant mucositis is a common inflammatory lesion of the soft tissues surrounding endosseous implants, with no loss of the supporting bone. Its prevention or early diagnosis are vital for dental implant success.The aim of this review was to investigate knowledge strengths and gaps in clinicians' perceptions of periimplant mucositis prevalence and evidence for successful treatment.A literature search for articles published until 2020, reporting on the prevalence of peri-implant mucositis and its treatment was performed in standard online databases. The inclusion criteria were as follows: studies in English; studies with an available abstract; studies on humans with at least 1 dental implant; and studies reporting on the prevalence and/or treatment of peri-implant mucositis. Sixty-five studies fulfilled the inclusion criteria. The included papers were analyzed to identify data on the prevalence and treatment of peri-implant mucositis. The prevalence statistics for peri-implant mucositis had wide ranges in both the patient-based (PB) analysis and the implant-based (IB) analysis; the possible reasons for these wide ranges are discussed. Treatment methods for peri-implant mucositis were analyzed individually and compared to the management of gingivitis.It was determined that the currently available information on the prevalence rates and the standardized therapeutic protocols for peri-implant mucositis are insufficient. Since the mean gingivitis and peri-implant mucositis prevalence rates in the PB analysis were similar, it is possible that peri-implant mucositis is underestimated due to variables related to implant rehabilitation itself

Micromixing and microchannel design: Vortex shape and entropy

This paper was presented at the 2nd Micro and Nano Flows Conference (MNF2009), which was held at Brunel University, West London, UK. The conference was organised by Brunel University and supported by the Institution of Mechanical Engineers, IPEM, the Italian Union of Thermofluid dynamics, the Process Intensification Network, HEXAG - the Heat Exchange Action Group and the Institute of Mathematics and its Applications.In very recent years microdevices, due to their potency in replacing large-scale conventional laboratory instrumentation, are becoming a fast and low cost technology for the treatment of several chemical and biological processes. In particular microfluidics has been massively investigated, aiming at improving the performance of chemical reactors. This is because of the fact that reaction is often an interface phenomenon where the greater the surface to volume ratio, the higher the reaction speed, and microscale mixing increases the interfacial area (in terms of mixing-induced-by-vortices generation). However, microfluidic systems suffer from the limitation that they are characterized mostly by very low Reynolds numbers, with the consequence that (i) they cannot take advantage from the turbulence mixing support, and (ii) viscosity hampers proper vortex detection. Therefore, the proper design of micro-channels (MCs) becomes essential. In this framework, several geometries have been proposed to induce mixing vortices in MCs. However a quantitative comparison between proposed geometries in terms of their passive mixing potency can be done only after proper definition of vortex formation (topology, size) and mixing performance. The objective of this study is to test the ability of different fluid dynamic metrics in vortex detection and mixing effectiveness in micromixers. This is done numerically solving different conditions for the flow in a classic passive mixer, a ring shaped MC. We speculate that MCs design could take advantage from fluidic metrics able to rank properly flow related mixing

Fishing in the Dark: A Pursuit-Diving Seabird Modifies Foraging Behaviour in Response to Nocturnal Light Levels

Visual predators tend not to hunt during periods when efficiency is compromised by low light levels. Yet common murres, a species considered a diurnal visual predator, frequently dive at night. To study foraging of murres under different light conditions, we used a combination of archival tagging methods and astronomical models to assess relationships between diving behaviour and light availability. During diurnal and crepuscular periods, murres used a wide range of the water column (2–177 m), foraging across light intensities that spanned several orders of magnitude (103–10−10 Wm−2). Through these periods, they readily dived under conditions equivalent to ambient moonlight (∼10−4 Wm−2) but rarely under conditions equivalent to starlight (∼10−8 Wm−2). At night, murres readily foraged during both moonlit and starlit periods, and diving depth and efficiency increased with nocturnal light intensity, suggesting that night diving is at least partially visually guided. Whether visually guided foraging is possible during starlit periods is less clear. Given the dense prey landscape available, random-walk simulations suggest that murres could benefit from random prey encounters. We hypothesise that murres foraging through starlit periods rely either on close-range visual or possibly nonvisual cues to acquire randomly encountered prey. This research highlights the flexibility of breeding common murres and raises questions about the strategies and mechanisms birds use to find prey under very low light conditions

Physico-chemical and sensory characterization of a fruit beer obtained with the addition of cv. Lambrusco grapes must

In 2015, Italian Grape Ale (IGA) beers have been included as a new provisional sub-category of special-type fruit beers by the Beer Judge Certification Program, including those products whose brewing process is carried out in presence of determined quantities of grape must. However, information on the effects of these additions on the composition of final beers are still scarce. This work is hence focused on the chromatic, volatile, phenolic and sensory characterization of IGA beers obtained with the addition of grape musts during brewing process. To this aim, different amounts of must (5, 10 and 20%) from cv. Lambrusco red grapes were added to a lager wort before primary fermentation. Beers were then characterized by HPLC-MS, GC-MS and sensory analysis in order to determine phenolic and aroma compounds along with their sensory attributes. Results confirmed the addition of must from cv. Lambrusco grapes capable to enrich beers in color, acids, phenolic (up to 7-folded increased) and volatile compounds, while giving complexity to beers. These results, which were confirmed by a trained sensory panel, are among the very first insights on the impact of red grape must in brewing, both from a compositional and sensory point of view

Effect of black soldier fly larvae protein on the texture of meat analogues

Black soldier fly larvae are considered an alternative source of protein due to their high protein content and low environmental impact of farming. The effect of incorporation of black soldier fly larvae protein (87.6 ± 2.4 g/100 g content) on meat analogues textural characteristics was determined and compared with those of meat analogues prepared with other alternative sources of protein such as soy protein isolate and vital wheat gluten, while beef round, chicken breast, and a commercial plant-based meat analogue were used as reference matrices. Textural characteristics of the experimental meat analogues were used as response variables in robust regression models (R2 > 0.96) built to determine the main effects and interactions of proteins. Black soldier fly larvae protein decreased the textural characteristics of meat analogues as its amount in the formulation increased. The interaction of black soldier fly larvae protein with soy protein affected the hardness and chewiness of meat analogues, whereas the interaction with wheat gluten only affected their cohesiveness. Black soldier fly larvae protein can partially replace traditional proteins in meat analogues. The optimal incorporations of black soldier fly larvae protein in meat analogues which mimics textural characteristics of chicken breast and plant-based meat analogues were 6.7 g/100 g and 21.5 g/100 g, respectively

Preparation and Characterization of Simvastatin Loaded PLGA Microparticles forTissue Engineering Applications

Simvastatin has been reported to promote osteoblastic activity and inhibit osteoclastic activity. The successful use of simvastatin to promote in vivo bone formation depends on the local concentration, and there have been continuous efforts to find an appropriate delivery system for local delivery. Controlled drug delivery approaches based on microparticles could be a promising approach for sustained-localized delivery of simvastatin. In this study, simvastatin-loaded PLGA microparticles were prepared by using a modified single emulsion-solvent evaporation method. Uniform, spherical simvastatin loaded PLGA microparticles of size below 10μm were produced by adopting three different drug polymer ratios such as 1:40, 1:20 and 1:10 with encapsulation efficiency above 85%w/w irrespective to the drug polymer ratio and maximum simvastatin loading within PLGA microparticles was observed at drug polymer ratio of 1:10. Two stage release of simvastatin from microparticles was observed for 45 days, illustrating a controlled release. Simvastatin loaded PLGA microparticles are compatible with hFOB cells and induced in vitro bio-mineralization during 11 days treatment. These studies illustrate the feasibility of achieving local delivery of simvastatin to induce in vivo bone formation activity by suitably engrafting simvastatin loaded microparticles within porous scaffolds

Superconducting properties of mesoscopic cylinders with enhanced surface superconductivity

The superconducting state of an infinitely long superconducting cylinder surrounded by a medium which enhances its superconductivity near the boundary is studied within the nonlinear Ginzburg-Landau theory. This enhancement can be due to the proximity of another superconductor or due to surface treatment. Quantities like the free energy, the magnetization and the Cooper-pair density are calculated. Phase diagrams are obtained to investigate how the critical field and the critical temperature depend on this surface enhancement for different values of the Ginzburg-Landau parameter \kappa. Increasing the superconductivity near the surface leads to higher critical fields and critical temperatures. For small cylinder diameters only giant vortex states nucleate, while for larger cylinders multivortices can nucleate. The stability of these multivortex states also depends on the surface enhancement. For type-I superconductors we found the remarkable result that for a range of values of the surface extrapolation length the superconductor can transit from the Meissner state into superconducting states with vorticity L > 1. Such a behaviour is not found for the case of large \kappa, i.e. type-II superconductivity.Comment: submitted to Phys. Rev.

Miniaturized data loggers and computer programming improve seabird risk and damage assessments for marine oil spills in Atlantic Canada

Obtaining useful information on marine birds that can aid in oil spill (and other hydrocarbon release) risk and damage assessments in offshore environments is challenging. Technological innovations in miniaturization have allowed archival data loggers to be deployed successfully on marine birds vulnerable to hydrocarbons on water. A number of species, including murres (both Common, Uria aalge, and Thick-billed, U. lomvia) have been tracked using geolocation devices in eastern Canada, increasing our knowledge of the seasonality and colony-specific nature of their susceptibility to oil on water in offshore hydrocarbon production areas and major shipping lanes. Archival data tags are starting to resolve questions around behaviour of vulnerable seabirds at small spatial scales relevant to oil spill impact modelling, specifically to determine the duration and frequency at which birds fly at sea. Advances in data capture methods using voice activated software have eased the burden on seabird observers who are collecting increasingly more detailed information on seabirds during ship-board and aerial transects. Computer programs that integrate seabird density and bird behaviour have been constructed, all with a goal of creating more credible seabird oil spill risk and damage assessments. In this paper, we discuss how each of these technological and computing innovations can help define critical inputs into seabird risk and damage assessments, and when combined, can provide a more realistic understanding of the impacts to seabirds from any hydrocarbon release

Different renal phenotypes in related adult males with Fabry disease with the same classic genotype

BACKGROUND: Fabry disease related patients with classical mutation usually exhibit similar severe phenotype especially concerning renal manifestation. METHODS: A dry blood spot screening (DBS) and the DNA analysis has been performed in a 48-year-old man (Patient 1) because of paresthesia. RESULTS: The DBS revealed absent leukocyte \u3b1-Gal A enzyme activity while DNA analysis identified the I354K mutation. Serum creatinine and e-GFR were in normal range and also albuminuria and proteinuria were absent. The brain MRI showed ischemic lesions and a diffuse focus of gliosis in the white matter, while the echocardiogram showed a left ventricular hypertrophy. The renal biopsy performed in the case index showed a massive deposition of zebra bodies. By a familiar investigation, it was recognized that his brother (Patient 2) died 2 years before from sudden death syndrome at the age of 49. He had suffered sporadic and undiagnosed pain at the extremities, a prior cataract, bilateral neurosensorial hearing loss and left ventricular hypertrophy on Echocardiogram. His previous laboratory examinations revealed a normal serum creatinine and the absence of proteinuria. Pedigree analysis of the brothers revealed a high disease burden among family members, with an affected cousin (Patient 3) who progressed early to end-stage renal disease (ESRD) that required renal transplantation. CONCLUSIONS: Here we describe the clinical history of three adult male members of the same family with the same genotype who manifested different presentation and progression of the disease, particularly concerning the renal involvement