326 research outputs found

    Efficacy of swm appliance in the expression of first-, second- and third-order information in Class I and Class II

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    To assess the efficacy of a multibracket appliance?Straight-wire Mirabella (SWM) prescription?in terms of achieving the ideal first-, second- and third-order values proposed by Andrews. A total sample of 46 Caucasian subjects was divided into two groups: 23 with class I malocclusion (Group 1), and 23 with class II malocclusion (Group 2). The treatment protocol involved fixed multibracket appliances?SWM prescription?for both groups, with the addition of class II elastics for Group 2. Values for ?U1-PP, ?IMPA, in-out, tip and torque were measured on digital scans, and the results obtained were compared with the ideal values proposed by Andrews. Statistically significant differences were revealed between the entire sample and Andrews? values for: in-out on upper lateral incisors and upper canines; tip on the upper first premolars, upper second premolars, upper first molars and upper canines; and torque on the lower central incisors, lower lateral incisors, lower canines and lower first premolars. However, comparison of Groups 1 and 2 revealed statistically significant differences only at the lower lateral incisors. The use of class II elastics influenced ?IMPA values, but not ?U1-PP. The efficacy of the multibracket appliance?SWM prescription?in expressing first- second- and, to a lesser extent, third-order information was demonstrated in both class I and class II malocclusions. Class II elastics only influenced the third-order expression on the lower lateral incisors and the ?IMPA

    Evaluation of Erythrocytes, Platelets, and Serum Iron Profile in Dogs with Chronic Enteropathy

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    The aim of this study is to evaluate iron status, erythrocyte, and platelet modifications in dogs with chronic enteropathy (CE). Dogs were grouped as food-responsive diarrhea (FRD, n = 11), antibiotic-responsive diarrhea (ARD, n = 5), and steroid-responsive diarrhea (SRD, n = 6) relating to therapeutic-response. Clinical and haematological findings, evidence of gastrointestinal blood loss, and iron metabolism were evaluated before and after treatment. A mild normocytic or microcytic anemia and thrombocytosis were identified, respectively in 18.0% and 31.8% of CE dogs. No significant differences between pre- and posttreatment of hematocrit, haemoglobin, and mean corpuscular volume, platelet count and mean platelet volume were found. Statistical analysis pointed out significant differences between pre- and posttreatment in serum iron (P < .03) and unsaturated iron binding capacity (UIBC) (P < .01). No significant correlations were found between these parameters and canine Inflammatory Bowel Disease activity index and pattern of CE as well

    Dentoskeletal effects of the bitejumping appliance and the twin-block appliance in the treatment of skeletal class ii malocclusion: A retrospective controlled clinical trial

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    The current retrospective controlled trial aimed to compare the dentoskeletal effects of the Bite-Jumping (BJ) and the Twin- Block Appliance (TB) in the treatment of skeletal Class II malocclusion. The sample was screened for eligibility criteria including skeletal and dental Class II malocclusion; Cervical Vertebral Maturation at Stage 3 at treatment start, and Func- tional orthopedic treatment with either a TB or BJ appliances. Twenty-three patients treated with TB, and twenty-three treated with BJ were included. Cephalometric data were compared with a control group of 15 untreated subjects retrieved from the American Association of Orthodontists Foundation Craniofacial Growth Legacy Collection. Baseline character- istics were similar between groups. A significant increase for the AO-BO dimension, and a significant decrease in the over- jet, were registered for both study groups respect to controls. TB was more effective than BJ in increasing the mandibu- lar length (Co-Gn), in reducing the ANB angle and changing the SNB angle. The resulting differences between the two groups could be attributed to the different appliances. In conclusion, both appliances demonstrated a clinical efficacy in treating Class II. TB seems therefore better indicated, respect to BJ, in Class II cases with a predominant component of mandibular hypoplasia

    Improved diastolic function in type 2 diabetes after a six month liraglutide treatment

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    AbstractAimsTo investigate whether liraglutide improves diastolic function in type 2 diabetes.MethodsThirty-seven patients with type 2 diabetes who began liraglutide therapy between June 2013 and May 2014 were enrolled in this observational, prospective study. 26 patients received liraglutide therapy for at least 6months. The remaining 11 patients withdrew from liraglutide therapy during the first month, were started on other hypoglycaemic therapies and formed the control group. Anthropometric, metabolic and echocardiographic parameters including pulsed wave tissue Doppler imaging were evaluated at baseline and at 6months.ResultsIn the liraglutide group the early diastolic mitral annulus velocity on the lateral (e-lat) and medial (e-med) sides of the mitral annulus increased from 9.2±3.4 to 11.6±4.7cm/s (p<0.001) and from 6.9±1.7 to 8.4±2.6cm/s (p<0.003), respectively. The ratio of early-to-late velocities on the lateral and medial sides of the mitral annulus increased from 0.7±0.3 to 0.9±0.4 (p<0.001) and from 0.5±0.1 to 0.6±0.1 (p<0.02), respectively. The ratio of early diastolic mitral inflow velocity to early diastolic myocardial relaxation velocity decreased from 10.7±4.3 to 8.5±2.5 (p<0.005). No improvements in diastolic function was detected in the control group. Glucose control improved similarly in both groups: HA1bc −1.5% (−17mmol/mol) vs −1.3% (−14mmol/mol), p=0.67.ConclusionsIn patients with type 2 diabetes, 6months liraglutide treatment was associated with a significant improvement in diastolic function

    Anomaly detection in laser-guided vehicles' batteries: a case study

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    Detecting anomalous data within time series is a very relevant task in pattern recognition and machine learning, with many possible applications that range from disease prevention in medicine, e.g., detecting early alterations of the health status before it can clearly be defined as "illness" up to monitoring industrial plants. Regarding this latter application, detecting anomalies in an industrial plant's status firstly prevents serious damages that would require a long interruption of the production process. Secondly, it permits optimal scheduling of maintenance interventions by limiting them to urgent situations. At the same time, they typically follow a fixed prudential schedule according to which components are substituted well before the end of their expected lifetime. This paper describes a case study regarding the monitoring of the status of Laser-guided Vehicles (LGVs) batteries, on which we worked as our contribution to project SUPER (Supercomputing Unified Platform, Emilia Romagna) aimed at establishing and demonstrating a regional High-Performance Computing platform that is going to represent the main Italian supercomputing environment for both computing power and data volume.Comment: This paper contains a report on the research work carried out as a collaboration between the Department of Engineering and Architecture of the University of Parma and Elettric80 spa within project SUPER (Supercomputing Unified Platform Emilia Romagna

    Fine-Grained Agent-Based Modeling to Predict Covid-19 Spreading and Effect of Policies in Large-Scale Scenarios

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    Modeling and forecasting the spread of COVID-19 remains an open problem for several reasons. One of these concerns the difficulty to model a complex system at a high resolution (fine-grained) level at which the spread can be simulated by taking into account individual features such as the social structure, the effects of the governments’ policies, age sensitivity to Covid-19, maskwearing habits and geographical distribution of susceptible people. Agent-based modeling usually needs to find an optimal trade-off between the resolution of the simulation and the population size. Indeed, modeling single individuals usually leads to simulations of smaller populations or the use of meta-populations. In this article, we propose a solution to efficiently model the Covid-19 spread in Lombardy, the most populated Italian region with about ten million people. In particular, the model described in this paper is, to the best of our knowledge, the first attempt in literature to model a large population at the single-individual level. To achieve this goal, we propose a framework that implements: i. a scale-free model of the social contacts combining a sociability rate, demographic information, and geographical assumptions; ii. a multi-agent system relying on the actor model and the High-Performance Computing technology to efficiently implement ten million concurrent agents. We simulated the epidemic scenario from January to April 2020 and from August to December 2020, modeling the government’s lockdown policies and people’s maskwearing habits. The social modeling approach we propose could be rapidly adapted for modeling future epidemics at their early stage in scenarios where little prior knowledge is available

    Case Report: An Unusual Case of Biventricular Thrombosis in a COVID-19 Patient With Ischemic Dilated Cardiomyopathy Assessment of Mass Mobility and Embolic Risk by Tissue Doppler Imaging

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    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein binds to angiotensin-converting enzyme 2 (ACE2) receptor on vascular cells. As a consequence, patients with COVID-19 have an increased incidence of thromboembolic complications of the SARS-CoV-2 infection and subsequent endothelial cell damage with consequence of development of systemic vasculitis and diffuse intravascular coagulation. The present case describes a COVID-19 female patient with ischemic dilated cardiomyopathy, who presented with congestive heart failure and echocardiographic evidence of biventricular apical thrombi. The peak antegrade longitudinal velocity (Va) of each thrombotic mass was measured by pulsed wave tissue Doppler imaging (PW-TDI). Both left ventricular and right ventricular apical thrombi were found with a TDI-derived mass peak Va &lt; 10 cm/s. There was no clinical evidence of neither systemic nor pulmonary embolization, probably due to the hypomobility of both left and right ventricular masses

    Preliminary Evidence for IL-10-Induced ACE2 mRNA Expression in Lung-Derived and Endothelial Cells: Implications for SARS-Cov-2 ARDS Pathogenesis

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    Angiotensin-converting enzyme 2 (ACE2) is a receptor for the spike protein of SARS-COV-2 that allows viral binding and entry and is expressed on the surface of several pulmonary and non-pulmonary cell types, with induction of a \u201ccytokine storm\u201d upon binding. Other cell types present the receptor and can be infected, including cardiac, renal, intestinal, and endothelial cells. High ACE2 levels protect from inflammation. Despite the relevance of ACE2 levels in COVID-19 pathogenesis, experimental studies to comprehensively address the question of ACE2 regulations are still limited. A relevant observation from the clinic is that, besides the pro-inflammatory cytokines, such as IL-6 and IL-1\u3b2, the anti-inflammatory cytokine IL-10 is also elevated in worse prognosis patients. This could represent somehow a \u201cdanger signal\u201d, an alarmin from the host organism, given the immuno-regulatory properties of the cytokine. Here, we investigated whether IL-10 could increase ACE2 expression in the lung-derived Calu-3 cell line. We provided preliminary evidence of ACE2 mRNA increase in cells of lung origin in vitro, following IL-10 treatment. Endothelial cell infection by SARS-COV-2 is associated with vasculitis, thromboembolism, and disseminated intravascular coagulation. We confirmed ACE2 expression enhancement by IL-10 treatment also on endothelial cells. The sartans (olmesartan and losartan) showed non-statistically significant ACE2 modulation in Calu-3 and endothelial cells, as compared to untreated control cells. We observed that the antidiabetic biguanide metformin, a putative anti-inflammatory agent, also upregulates ACE2 expression in Calu-3 and endothelial cells. We hypothesized that IL-10 could be a danger signal, and its elevation could possibly represent a feedback mechanism fighting inflammation. Although further confirmatory studies are required, inducing IL-10 upregulation could be clinically relevant in COVID-19-associated acute respiratory distress syndrome (ARDS) and vasculitis, by reinforcing ACE2 levels
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