26 research outputs found

    Efficacy of AZM therapy in patients with gingival overgrowth induced by Cyclosporine A: a systematic review

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    <p>Abstract</p> <p>Background</p> <p>In daily clinical practice of a dental department it's common to find gingival overgrowth (GO) in periodontal patients under treatment with Cyclosporine A (CsA). The pathogenesis of GO and the mechanism of action of Azithromycin (AZM) are unclear. A systematic review was conducted in order to evaluate the efficacy of Azithromycin in patients with gingival overgrowth induced by assumption of Cyclosporine A.</p> <p>Methods</p> <p>A bibliographic search was performed using the online databases MEDLINE, EMBASE and Cochrane Central of Register Controlled Trials (CENTRAL) in the time period between 1966 and September 2008.</p> <p>Results</p> <p>The literature search retrieved 24 articles; only 5 were Randomised Controlled Trials (RCTs), published in English, fulfilled the inclusion criteria. A great heterogeneity between proposed treatments and outcomes was found, and this did not allow to conduct a quantitative meta-analysis. The systematic review revealed that a 5-day course of Azithromycin with Scaling and Root Planing reduces the degree of gingival overgrowth, while a 7-day course of metronidazole is only effective on concomitant bacterial over-infection.</p> <p>Conclusion</p> <p>Few RCTs on the efficacy of systemic antibiotic therapy in case of GO were found in the literature review. A systemic antibiotic therapy without plaque and calculus removal is not able to reduce gingival overgrowth. The great heterogeneity of diagnostic data and outcomes is due to the lack of precise diagnostic methods and protocols about GO. Future studies need to improve both diagnostic methods and tools and adequate classification aimed to determine a correct prognosis and an appropriate therapy for gingival overgrowth.</p

    Topical antibiotics as a major contextual hazard toward bacteremia within selective digestive decontamination studies: a meta-analysis

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    A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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    Isolation and Characterisation of 1-Alkyl-3- Methylimidazolium Chloride Ionic Liquid-Tolerant and Biodegrading Marine Bacteria

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    The aim of this study was to isolate and identify marine-derived bacteria which exhibited high tolerance to, and an ability to biodegrade, 1-alkyl-3-methylimidazolium chloride ionic liquids. The salinity and hydrocarbon load of some marine environments may induce selective pressures which enhance the ability of microbes to grow in the presence of these liquid salts. The isolates obtained in this study generally showed a greater ability to grow in the presence of the selected ionic liquids compared to microorganisms described previously, with two marine-derived bacteria, Rhodococcus erythropolis and Brevibacterium sanguinis growing in concentrations exceeding 1 M 1-ethyl-3-methylimidazolium chloride. The ability of these bacteria to degrade the selected ionic liquids was assessed using High Performance Liquid Chromatography (HPLC), and three were shown to degrade the selected ionic liquids by up to 59% over a 63-day test period. These bacterial isolates represent excellent candidates for further potential applications in the bioremediation of ionic liquid-containing waste or following accidental environmental exposure

    A survey on static and quasi-static finite element models of the human cervical spine

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    Finite element analyses are an important source of information on the biomechanical behaviour of the cervical spine; as well as an important tool in the design and evaluation of spinal instrumentation. This article presents a comprehensive survey of the finite element models of the cervical spine that have been used to study its pathological/nonpathological biomechanics under static/quasi-static loading conditions. Publications that met the inclusion criteria were analysed to extract parameters relative to model identification (e.g., spine segment, population, utility, limitations), model structure (e.g., loading/boundary conditions, anatomical structures, constitutive representation), simulation structure (e.g., software), verification (e.g., convergence) and validation (e.g., validated procedure/output, assumptions). Besides summarizing different modelling approaches with their associated parameters, this article outlines generalities and issues related to the obtainment of such models. The survey shows that authors often fail to report parameters that are critical for the reproducibility of results and that, even with fully reported parameters, these models are inherently difficult to replicate because they generally are patient-specific with their geometry based on data from in-house specimens/subjects. Overall, while the survey contributes to an understanding of the implications of following different modelling approaches and allows to take advantage of previously developed models, further research is required to improve the accuracy and utility of these models. © 2017, Springer-Verlag France SAS, part of Springer Nature
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