Interrupting prolonged sitting with frequent short bouts of light-intensity activity in people with type 1 diabetes improves glycaemic control without increasing hypoglycaemia: The SIT-LESS randomised controlled trial

Aim To examine the impact of interrupting prolonged sitting with frequent short bouts of light-intensity activity on glycaemic control in people with type 1 diabetes (T1D). Materials and Methods In total, 32 inactive adults with T1D [aged 27.9 ± 4.7 years, 15 men, diabetes duration 16.0 ± 6.9 years and glycated haemoglobin 8.4 ± 1.4% (68 ± 2.3 mmol/mol)] underwent two 7-h experimental conditions in a randomised crossover fashion with >7-day washout consisting of: uninterrupted sitting (SIT), or, interrupted sitting with 3-min bouts of self-paced walking at 30-min intervals (SIT-LESS). Standardised mixed-macronutrient meals were administered 3.5 h apart during each condition. Blinded continuous glucose monitoring captured interstitial glucose responses during the 7-h experimental period and for a further 48-h under free-living conditions. Results SIT-LESS reduced total mean glucose (SIT 8.2 ± 2.6 vs. SIT-LESS 6.9 ± 1.7 mmol/L, p = .001) and increased time in range (3.9-10.0 mmol/L) by 13.7% (SIT 71.5 ± 9.5 vs. SIT-LESS 85.1 ± 7.1%, p = .002). Hyperglycaemia (>10.0 mmol/L) was reduced by 15.0% under SIT-LESS (SIT 24.2 ± 10.8 vs. SIT-LESS 9.2 ± 6.4%, p = .002), whereas hypoglycaemia exposure (<3.9 mmol/L) (SIT 4.6 ± 3.0 vs. SIT-LESS 6.0 ± 6.0%, p = .583) was comparable across conditions. SIT-LESS reduced glycaemic variability (coefficient of variation %) by 7.8% across the observation window (p = .021). These findings were consistent when assessing discrete time periods, with SIT-LESS improving experimental and free-living postprandial, whole-day and night-time glycaemic outcomes (p < .05). Conclusions Interrupting prolonged sitting with frequent short bouts of light-intensity activity improves acute postprandial and 48-h glycaemia in adults with T1D. This pragmatic strategy is an efficacious approach to reducing sedentariness and increasing physical activity levels without increasing risk of hypoglycaemia in T1D

Regenerative endodontics: a true paradigm shift or a bandwagon about to be derailed?

Aims: Regenerative endodontic techniques (RETs) have been hailed as a paradigm shift for the management of traumatised non-vital immature permanent anterior teeth. In this article the aim was to critically appraise the literature with regards to the outcome of regenerative endodontics on root development. Methods: Critical review of the literature where regenerative endodontic techniques have been used in the management of immature non-vital teeth with continuation of root development as the main outcome reported. Results: Most studies published were in the form of case reports and series with very few randomised controlled trials with a high risk of bias. Continuation of root development following the use of RET has been shown to be unpredictable at best with lower success in those teeth losing vitality as a result of dental trauma. Conclusions: Despite the high success of regenerative endodontics in terms of periodontal healing including resolution of clinical and radiographic signs and symptoms of infection, continuation of root development remains an unpredictable outcome. The use of a blood clot as a scaffold in regenerative endodontics should be reviewed carefully as that might offer an environment for repair rather than regeneration. In addition, preservation of structures, such as Hertwig’s epithelial root sheath, may have an important bearing on the success of this approach and should be further investigated

Endothelial progenitor cells and integrins: adhesive needs

In the last decade there have been multiple studies concerning the contribution of endothelial progenitor cells (EPCs) to new vessel formation in different physiological and pathological settings. The process by which EPCs contribute to new vessel formation in adults is termed postnatal vasculogenesis and occurs via four inter-related steps. They must respond to chemoattractant signals and mobilize from the bone marrow to the peripheral blood; home in on sites of new vessel formation; invade and migrate at the same sites; and differentiate into mature endothelial cells (ECs) and/or regulate pre-existing ECs via paracrine or juxtacrine signals. During these four steps, EPCs interact with different physiological compartments, namely bone marrow, peripheral blood, blood vessels and homing tissues. The success of each step depends on the ability of EPCs to interact, adapt and respond to multiple molecular cues. The present review summarizes the interactions between integrins expressed by EPCs and their ligands: extracellular matrix components and cell surface proteins present at sites of postnatal vasculogenesis. The data summarized here indicate that integrins represent a major molecular determinant of EPC function, with different integrin subunits regulating different steps of EPC biology. Specifically, integrin α4β1 is a key regulator of EPC retention and/or mobilization from the bone marrow, while integrins α5β1, α6β1, αvβ3 and αvβ5 are major determinants of EPC homing, invasion, differentiation and paracrine factor production. β2 integrins are the major regulators of EPC transendothelial migration. The relevance of integrins in EPC biology is also demonstrated by many studies that use extracellular matrix-based scaffolds as a clinical tool to improve the vasculogenic functions of EPCs. We propose that targeted and tissue-specific manipulation of EPC integrin-mediated interactions may be crucial to further improve the usage of this cell population as a relevant clinical agent

ICAR: endoscopic skull‐base surgery

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Use of YouTube as a Learning Modality for Clinical Procedures among Dental Students in Riyadh, Saudi Arabia—A Cross-Sectional Study

Social media like YouTube are increasingly used by students as a learning tool. The aim of this study was to examine the use of YouTube videos as a means of learning clinical procedures among dental students in Riyadh, Saudi Arabia. A cross-sectional observational study was conducted among dental students from six dental colleges in Riyadh, Saudi Arabia. Among the total of 331 dental students who responded to this survey, 93.9% (n = 308) reported that they had used YouTube for dental learning. A total of 65.30% (n = 201) of the respondents strongly agreed that they find videos of clinical procedures on YouTube helpful as a learning tool. A total of 54.40% (n = 180) agreed that they always refer to YouTube videos to prepare for a clinical procedure that they have never done before. A total of 75.3% (n = 232) reported that they most commonly watched clinical procedures related to restorative dentistry, 67.2% (n = 207) for fixed prosthodontics procedures, 65.3% (n = 201) for endodontic clinical procedures, and 62.3% (n = 192) for removable prosthodontics videos. A total of 50.60% (n = 156) strongly agreed that YouTube videos are helpful in relating theoretical knowledge with clinical knowledge. A total of 50.30% (n = 155) reported that it is important to have faculty guidance regarding useful YouTube videos on dental procedures. A total of 91.90% (n = 283) participants would like their dental school to post tutorials or videos for clinical procedures on YouTube. Even after increased availability of online videos, a majority of dental students felt that YouTube videos suggested by faculty were more valuable than videos identified through normal searching

Numerical investigation and comparison of coarse grain CFD – DEM and TFM in the case of a 1 MWth fluidized bed carbonator simulation

This work focuses on a comparison between the Euler-Euler Two Fluid Model (TFM) approach and the coupled coarse grain discrete element CFD-DEM numerical model for the simulation of a 1 MWth CFB carbonator reactor located at TU Darmstadt (TUD). The effect of the drag force formulation and its associated application in the numerical model for both approaches in terms of their numerical accuracy, compared to experimental data is investigated, by implementing either the conventional Gidaspow model or the advanced EMMS one. Moreover, for the coarse grain CFD – DEM model, the range of values for important numerical parameters as the particle per parcel and cell to parcel size ratios are investigated to shed light on the necessary resolution such a model should have in order to reproduce valid and not parameter dependent numerical results. An adequate cell length to parcel diameter ratio is found to be around 2.6 while as concerns the parcel to particle diameter ratio a value around 58.5 proved to be sufficient, at least for the range of parameters investigated in this paper (size of riser, flow rates and particles average diameter). The EMMS model improved the accuracy of results derived by the coarse grain CFD – DEM model, while further research on the appropriate drag models for the coarse grain CFD – DEM is a sine qua non for its successful implementation in similar studies. For instance it is of interest to answer whether the individual particles slip velocity instead of the particles cell averaged slip, should be used for the calculation of the momentum interexchange coefficient (β) as well as the treatment of different particle diameters in the EMMS equation scheme

A High Thermal Conductivity of MgO-H₂O Nanofluid Prepared by Two-Step Technique

In this paper, the main goal is to study the impact of nanopowder volume concentration and ultrasonication treatment time on the stability and thermophysical properties of MgO-DW nanofluid at room temperature. The co-precipitation method was utilized to prepare pure MgO nanoparticles with an average particle size of 33 nm. The prepared MgO nanopowder was characterized by using XRD, SEM, and EDX analyses. Then, MgO-DW nanofluid was obtained with different volume concentrations (i.e., 0.05, 0.1, 0.15, 0.2, and 0.25 vol.%) and different ultrasonication time periods (i.e., 45, 90, 135, and 180 min) by using a novel two-step technique. With volume concentration and ultrasonication time of 0.15 vol.% and 180 min, respectively, good stability was achieved, according to the zeta potential analysis. With increasing volume concentration and ultrasonication time period of the nanofluid samples, the thermal conductivity measurements showed significant increases. As a result, the maximum enhancement was found to be 25.08% at a concentration ratio of 0.25 vol.% and agitation time of 180 min. Dynamic viscosity measurements revealed two contrasting trends with volume concentration and ultrasonication time. The lowest value of relative viscosity was gained by 0.05 vol.% MgO-DW nanofluid. The chemical and physical interactions between MgO nanoparticles and DW molecules play an important function in determining the thermal conductivity and dynamic viscosity of MgO-DW nanofluid. These findings exhibit that MgO-DW nanofluid has the potential to be used as an advanced heat transfer fluid in cooling systems and heat exchangers

A High Thermal Conductivity of MgO-H₂O Nanofluid Prepared by Two-Step Technique

In this paper, the main goal is to study the impact of nanopowder volume concentration and ultrasonication treatment time on the stability and thermophysical properties of MgO-DW nanofluid at room temperature. The co-precipitation method was utilized to prepare pure MgO nanoparticles with an average particle size of 33 nm. The prepared MgO nanopowder was characterized by using XRD, SEM, and EDX analyses. Then, MgO-DW nanofluid was obtained with different volume concentrations (i.e., 0.05, 0.1, 0.15, 0.2, and 0.25 vol.%) and different ultrasonication time periods (i.e., 45, 90, 135, and 180 min) by using a novel two-step technique. With volume concentration and ultrasonication time of 0.15 vol.% and 180 min, respectively, good stability was achieved, according to the zeta potential analysis. With increasing volume concentration and ultrasonication time period of the nanofluid samples, the thermal conductivity measurements showed significant increases. As a result, the maximum enhancement was found to be 25.08% at a concentration ratio of 0.25 vol.% and agitation time of 180 min. Dynamic viscosity measurements revealed two contrasting trends with volume concentration and ultrasonication time. The lowest value of relative viscosity was gained by 0.05 vol.% MgO-DW nanofluid. The chemical and physical interactions between MgO nanoparticles and DW molecules play an important function in determining the thermal conductivity and dynamic viscosity of MgO-DW nanofluid. These findings exhibit that MgO-DW nanofluid has the potential to be used as an advanced heat transfer fluid in cooling systems and heat exchangers