Evaluation in a dog model of three antimicrobial glassy coatings: Prevention of bone loss around implants and microbial assessments

This is an open access article distributed under the terms of the Creative Commons Attribution License.-- et al.[Objectives]: The aim of the present study is to evaluate, in a ligature-induced peri-implantitis model, the efficacy of three antimicrobial glassy coatings in the prevention of biofilm formation, intrasulcular bacterial growth and the resulting peri-implant bone loss. [Methods]: Mandibular premolars were bilaterally extracted from five beagle dogs. Four dental implants were inserted on each hemiarch. Eight weeks after, one control zirconia abutment and three with different bactericidal coatings (G1n-Ag, ZnO35, G3) were connected. After a plaque control period, bacterial accumulation was allowed and biofilm formation on abutments was observed by Scanning Electron Microscopy (SEM). Peri-implantitis was induced by cotton ligatures. Microbial samples and peri-implant crestal bone levels of all implant sites were obtained before, during and after the breakdown period. [Results]: During experimental induce peri-implantitis: colony forming units counts from intrasulcular microbial samples at implants with G1n-Ag coated abutment remained close to the basal inoculum; G3 and ZnO35 coatings showed similar low counts; and anaerobic bacterias counts at control abutments exhibited a logarithmic increase by more than 2. Bone loss during passive breakdown period was no statistically significant. Additional bone loss occurred during ligature-induce breakdown: 0.71 (SD 0.48) at G3 coating, 0.57 (SD 0.36) at ZnO35 coating, 0.74 (SD 0.47) at G1n-Ag coating, and 1.29 (SD 0.45) at control abutments; and statistically significant differences (p<0.001) were found. The lowest bone loss at the end of the experiment was exhibited by implants dressing G3 coated abutments (mean 2.1; SD 0.42). [Significance]: Antimicrobial glassy coatings could be a useful tool to ward off, diminish or delay periimplantitis progression.This work was supported by the Spanish Ministry of Science and Innovation (MICINN) and The Spanish National Research Council (CSIC) under the projects MAT2012-38645 and 201360E012 respectively. B. Cabal acknowledges financial support from JAE-Doc program (CSIC, cofounded by FSE).Peer Reviewe

Dose-response association between handgrip strength and hypertension: a longitudinal study of 76,503 european older adults

To examine the prospective dose-response association between handgrip strength and the incidence of hypertension in a representative sample of older European adults. We retrieved data from the Survey of Health, Ageing and Retirement in Europe (SHARE) waves 1, 2, 4, 5, 6, 7, and 8. Handgrip strength was measured and participants reported whether they had a medical diagnosis of hypertension. We assessed the longitudinal dose‐response associations of handgrip strength with hypertension using restricted cubic splines. During the follow-up, 27,149 (35.5%) were diagnosed with incident hypertension. At the fully adjusted model, the minimum and optimal dose of handgrip strength for a significant reduction in the risk of hypertension was 28 Kg (HR: 0.92; 95% CI: 0.89-0.96) and 54 Kg (HR: 0.83; 95% CI: 0.78-0.89), respectively. There exists an association between increased handgrip strength and reduced risk of developing hypertension in older European adults

Hematological and ventilatory responses to a 3900 m altitude sojourn in an elite wheelchair-marathoner.

This case study aimed to report blood markers and resting respiratory rate (RR) oscillations at sea level, during a 5-wk 3900 m altitude sojourn, and after returning to sea level in a 36-year-old professional wheelchair marathoner. Outcome measures plasma erythropoietin (EPO) concentration, hemoglobin, reticulocytes count, erythrocytes and hematocrit as well as RR were measured upon wakening 7-weeks pre-altitude, 7-days pre-altitude, 35 hours after arrival to altitude, on days 8, 15, 21, 28 and 35 at altitude, 6 and 16 days after returning to sea level. EPO increased up to 259 % (31.6 U l-1) 35 hours upon arrival at altitude and decreased below pre-altitude level (12.2 U l-1) on the 21st day of the camp (8.7 U l-1), reaching the lowest values 16 days after returning from altitude (1.9 U l-1). All blood parameters, except for reticulocytes, increased (range: +17.9 to +23.8%) after 35 days of altitude exposure. Compared to pre-altitude, RR increased during the first week of exposure to hypoxic conditions and remained elevated throughout the camp until the fifth week (5.1±0.4 vs. 9.1±1.6 and 6.6±0.8 breaths min-1; Cohen´s d = +3.4 and +2.4, respectively). A 5-wk high-altitude sojourn triggered polycythemia and elevations in RR (as indicators of effective hypoxic acclimatization) in a professional wheelchair-marathoner

Influence of Training Load on Mood Disturbance at Sea Level and 3900 m Altitude: A Case Study of a Wheelchair Athlete

The purpose of this case study was to investigate the influence of a training load (TL), oxygen saturation (SO2) and blood pressure (BP) on mood states in a wheelchair marathoner during (7 weeks at sea level (SL), 5 weeks at 3860 m altitude, 1 week returning to SL). TL was obtained with Foster's equation while mood states were obtained with the Profile of Mood States Questionnaire (POMS). Furthermore, SO2 and BP were assessed upon wakening. SO2 (%) decreased at altitude, compared to SL (88.31 ± 2.46 vs. 98.52 ± 0.11) and increased until the last week at altitude (92.64 ± 1.12). Systolic pressure (SP) increased at altitude compared to pre-altitude (126.0 ± 5.1 vs. 107.6 ± 4.4 mmhg), and was not different from the last week at altitude. Controlling for SO2 and SP, differences were also observed in fatigue (97.66 ± 18.92 vs. 17.39 ± 13.71) and vigor (73.23 ± 8.62 vs. 26.48 ± 11.89) as a function of altitude. Upon return to SL, fatigue, vigor, SO2 and SP returned to pre values. This case study demonstrated the POMS was sensitive to worsening patterns in fatigue and vigor at altitude through a practical survey approach combined with daily physiological assessment

Inhibitory effect on in vitro Streptococcus oralis biofilm of a soda-lime glass containing silver nanoparticles coating on titanium alloy

This is an open-access article.-- et al.This paper reports the effect of soda-lime-glass-nAg coating on the viability of an in vitro biofilm of Streptococcus oralis. Three strains (ATCC 35037 and two clinical isolates from periodontitis patients) were grown on coated with glass, glass containing silver nanoparticles, and uncoated titanium alloy disks. Two different methods were used to quantify biofilm formation abilities: crystal violet staining and determination of viable counts. The influence of the surface morphology on the cell attachment was studied. The surface morphology was characterized by scanning electron microscopy (SEM) and using a profilometer. SEM was also used to study the formation and the development of biofilm on the coated and uncoated disks. At least a >99.7% inocula reduction of biofilm respect to titanium disks and also to glass coated disks was observed in the glass-nAg coated disks for all the studied strains. A quantitative evaluation of the release of silver was conducted in vitro to test whether and to what extend the biocidal agent (silver) could leach from the coating. These findings suggest that the biofilm formation of S. oralis strains is highly inhibited by the glass-nAg and may be useful for materials which require durable antibacterial effect on their surfaces, as it is the case of dental implants. © 2012 Cabal et al.This work was supported by the Spanish Ministry of Science and Innovation under the project MAT2009-14542-C02-01.Peer Reviewe

Nanotechnology in joint replacement

El pdf del artículo es la versión post-print.This paper reviews the most relevant achievements and new developments in the field of nanomaterials and their possible impact on the fabrication of a new generation of reliable and longer lasting implants for joint replacement. Special emphasis is given to the role of nanocomposites with different microstructural designs: micro-nano composites, nano-nano composites, macro-micro-nano composites as well as bioinspired hierarchical composite materials. These nanostructured materials have opened up an exciting avenue in the design of non-metallic biocompatible, crack growth resistant, tough, and mechanically resistant implants with a lifespan close to the life expectancy of the patients. Copyright (c) 2009 John Wiley & Sons, Inc.Authors would like to acknowledge the European Commission for its financial support under contract IP Nanoker, Contract number NMP3-CT-2005-515784.Peer Reviewe

Determinación de los coeficientes de rozamiento en piezas de madera de castaño de procedencia española y su aplicación estructural

El presente estudio expone una nueva metodología para la determinación del coeficiente de rozamiento tanto estático como dinámico en madera de castaño (Castanea Sativa Mill.) de origen español así como la aplicación práctica de los resultados.El rozamiento en piezas de madera está presente en multitud de sistemas estructurales, desde un apoyo de una viga en un durmiente hasta el contacto entre tablones de una placa tensada, pasando por las uniones entre piezas de madera.La madera de frondosas está actualmente en auge para su empleo estructural, y dentro de ella la madera de castaño. Ni la normativa de cálculo ni otros estudios aportan valores para sus coeficientes de rozamiento, estando centrados principalmente en maderas de coníferas.La fricción se opone al inicio del deslizamiento entre dos cuerpos y al movimiento una vez iniciado, tendremos así un coeficiente de rozamiento estático, para el máximo valor justo antes del deslizamiento y, una vez producido, otro dinámico. En madera, los coeficientes de rozamiento dependen del contenido en humedad, de las propiedades anatómicas, de la dureza y del mecanizado de las superficies. Además, la anisotropía del material da lugar a que la orientación del plano estudiado respecto a la dirección de la fibra, origine distintas rugosidades.La normativa europea no recoge ningún método estandarizado para realizar ensayos de rozamiento por lo que para este trabajo se modificó una máquina convencional de ensayo de corte directo (CD). El procedimiento propuesto ayudaría a estandarizar el ensayo de rozamiento.Las superficies deben reflejar la rugosidad de la situación que se quiere conocer, por lo que el tallado de especímenes se realizó con una sierra con disco para madera, sin realizar ningún tipo de desbaste. Los planos considerados han sido los principales que define la ortotropía del material, que suelen coincidir con las caras en contacto en situaciones reales. El número total de ensayos realizados han sido 155 en 6 planos y direcciones de deslizamiento, entorno a 25 para cada dirección.Como valores medios se obtuvieron μs=0.45 para fricción estática y μk=0.32 para dinámica. Los mayores valores se producen para superficies de corte radiales y tangenciales con dirección de deslizamiento perpendicular a la fibra, seguidos de los obtenidos para secciones transversales. Los menores se corresponden a superficies de corte tangenciales con deslizamiento paralelo a la fibra. Esto muestra el importante efecto que tiene la anisotropía del material.Los valores obtenidos se han aplicado al diseño de una pasarela peatonal bajo el sistema de placa tensada, donde el rozamiento entre tablones resulta determinante en el cálculo de la misma. Este sistema estructural permite una solución de bajo coste y de sencilla ejecución para pasarelas de madera en cuyo tablero deba considerarse carga vehicular accidental

Indicadores de calidad en cardiología. Principales indicadores para medir la calidad de los resultados (indicadores de resultados) y parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): Declaración de posicionamiento de consenso de SEC/SECTCV

ResumenLa práctica clínica cardiológica requiere una organización compleja que influya en los resultados globales y puede diferir sustancialmente entre distintos hospitales y comunidades. El objetivo de este documento de consenso es definir indicadores de calidad en cardiología, incluidos los indicadores para medir la calidad de los resultados (indicadores de resultados) y los parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). El documento está destinado principalmente al sistema de asistencia sanitaria de España y puede servir de base para documentos similares en otros países.AbstractCardiology practice requires complex organization that impacts overall outcomes and may differ substantially among hospitals and communities. The aim of this consensus document is to define quality markers in cardiology, including markers to measure the quality of results (outcomes metrics) and quality measures related to better results in clinical practice (performance metrics). The document is mainly intended for the Spanish health care system and may serve as a basis for similar documents in othe rcountries

Actividad cardíaca vagal, volumen e intensidad de entrenamiento en una atleta de fondo keniata. [Cardiac vagal activity, training mileage, and intensity in a Kenyan female distance athlete].

El objetivo de este estudio fue analizar las oscilaciones de la actividad cardíaca parasimpática (ACP) en un mesociclo de una atleta keniata. La variabilidad de la frecuencia cardiaca (VFC) se midió durante tres semanas. En la primera semana (W1) el volumen de entrenamiento fue 120,55 km, en la segunda (W2) 96,71 km y en la tercera (W3) 79,45 km. Se analizó la media semanal de los intervalos (R-R), la expresión logarítmica (Ln) del cuadrado de la raíz media de la unión de los intervalos R-R adyacentes (LnrMSSD), la desviación estándar de los intervalos R-R (LnSDNN), la frecuencia cardíaca media (FC) de cada sesión y las fluctuaciones diarias de LnrMSSD (LnrMSSDCV). Se observaron incrementos signifcativos en LnrMSSD y LnSDNN de W1 a W3. El LnrMSSDCV fue mayor en W1 comparado a W2 y W3. Este estudio de caso demostró que tanto el volumen como la intensidad de entrenamiento afectaron la ACP de la atleta. Esta monitorización podría ser una valiosa herramienta para prevenir el sobreentrenamiento