Development of a bilayered system for periodontal regeneration using tissue engineering approaches

Periodontitis is a prevalent gram negative infection disease that causes the destruction of the tooth supportive tissues. Effective treatment of periodontal disease is important, since periodontal disease is correlated with several systemic diseases. However, adult periodontal tissues have a low potential of self-renewing and regeneration. Concerted efforts have been made to accelerate periodontal tissue regeneration, using a plethora of techniques including grafting materials, signalling molecules and cell-based tissue engineering. Nevertheless, a strategy for predictable reconstruction of normal structure and functionality of periodontal damaged tissue is still missing. In this work, we propose the development of a bilayered system for the regeneration of alveolar bone and periodontal ligament. This system consists of a bilayered composite made of calcium phosphate (CaP) cement incorporating hyaluronic acid microspheres loaded with Platelet Lysates (PL) and a hydrogel layer based on PL, harbouring mesenchymal stem cells (MSCs). The advantage of this strategy lies in the ability to develop a system that can be easily injected and which provides adequate mechanical support, both initially and during new tissue ingrowth. After the degradation of the HA microspheres incorporated in the CaP cement, a fully interconnected network can be created, which leads to rapid penetration of bone-forming cells into the CaP cement. Additionally, the distinct degradation rates of the components of the bilayered system allow a controlled release of the entrapped growth factors and further accelerate the periodontal tissues remodelling process, mimicking the physiologic wound healing process. The data collected suggests that it is possible to fabricate the cement composite layer incorporating PL from which a number of growth factors are released in a controlled manner. Moreover, the cement composites incorporating HA microspheres loaded with PL show low cytotoxic values and induce the expression of early markers of osteogenic differentiation in human adipose-derived stem cells (hACS)

Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna

Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009–2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion

Blood derivatives awaken in regenerative medicine strategies to modulate wound healing

Blood components play key roles in the modulation of the wound healing process and, together with the provisional fibrin matrix ability to selectively bind bioactive molecules and control its spatial-temporal presentation, define the complex microenvironment that characterize this biological process. As a biomimetic approach, the use of blood derivatives in regenerative strategies has awakened as a source of multiple therapeutic biomolecules. Nevertheless, and despite their clinical relevance, blood derivatives have been showing inconsistent therapeutic results due to several factors, including proper control over their delivery mechanisms. Herein, we highlight recent trends on the use biomaterials to protect, sequester and deliver these pools of biomolecules in tissue engineering and regenerative medicine approaches. Particular emphasis is given to strategies that enable to control their spatiotemporal delivery and improve the selectivity of presentation profiles of the biomolecules derived from blood derivatives rich in platelets. Finally, we discussed possible directions for biomaterials design to potentiate the aimed regenerative effects of blood derivatives and achieve efficient therapies.BBM acknowledges the financial support from FCT/MCTES (Fundação para a Ciência e a Tecnologia/Ministério da Ciência, Tecnologia, e Ensino Superior) and the Fundo Social Europeu através do Programa Operacional do Capital Humano (FSE/POCH), PD/59/2013 for PD/BD/113807/2015. MGF acknowledges European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 706996 (PrinTendon). PB acknowledges RECOGNIZE and NORTE2020 (UTAP-ICDT/CTM-BIO/0023/2014). RMD acknowledges SFRH/BPD/112459/2015.info:eu-repo/semantics/publishedVersio

STRUKTUR KOMUNITAS MANGROVE DI DESA BONE BARU, KECAMATAN BANGGAI UTARA, KABUPATEN BANGGAI LAUT, SULAWESI TENGAH

Mangrove is one of plants that can grow well on the coast which are affected by tides.Bone Baru village is located in North Banggai District, Banggai Laut Regency, Central Sulawesi Province which has area that about 840 ha and has mangrove area reaching 16.56 ha. This research was conducted from February to April 2020. The purpose of this research are to identify the types of mangroves and analyzing the structure of the mangrove community which include density, relative density, frequency, relative frequency, coverarge, relative coverage, importance value index, and diversity index. The data were analyzed using Microsoft Excel. Based on the results this study obtained 4 types of mangroves consisting of Bruguiera gymnorrhiza, B. cylindrica, Rhizophora mucronata, and Lumnitzera littorea. The highest relative density was 0.13 ind / m2 and the relative density was 91.83% the highest frequency type and the frequency relative value were 5 ind / m2 and 52.63%respectively. The highest mangrove cover was 3.79 m2 with relative cover of 52.21%. The highest important value index was 227.72% . The highest diversity index was found at station 2 with an average value (H ') of 0.69.Keywords: mangrove, community structure, habitat, BanggaiABSTRAKMangrove merupakan kelompok tumbuhan yang dapat tumbuh dengan baik di pesisir pantai yang dipengaruhi oleh pasang surut air laut. Penelitian ini dilakukan di desa Bone Baru, Kecamatan Banggai Utara, Kabupaten Banggai Laut, Provinsi Sulawesi Tengah yang memiliki luas wilayah mencapai 840 ha dan memiliki luas area mangrove mencapai 16,56 ha. Penelitian ini dilakukan dari bulan Februari-April 2020 dengan menggunakan metode Line Transect. Tujuan dari penelitian ini adalah mengidentifikasi jenis-jenis mangrove dan menganalisa struktur komunitas mangrove Data yang diambil meliputi kerapatan jenis, kerapatan relatif jenis, frekuensi jenis, frekuensi relatif jenis, penutupan jenis, penutupan relatif jenis, indeks nilai penting, dan indeks keanekaragaman yang kemudian di analisa dengan bantuan program komputer Microsoft Excel. Berdasarkan hasil penelitian ditemukan 4 jenis mangrove yaitu Bruguiera gymnorrhiza, Rhizophora mucronata, Lumnitzera littorea dan Bruguiera cylindrica. Kerapatan jenis tertinggi 0,13 ind/m2 dan kerapatan relatifnya 91,83%. Frekuensi jenis tertinggi dengan nilai 5 ind/m2 relatifnya 52,63%, penutupan jenis tertinggi dengan nilai 3,79 m2 dan relatfnya 52,21%, indeks nilai penting tertinggi dengan nilai 227,72% dan Nilai indeks keanekaragaman tertinggi ditemukan pada stasiun 2 dengan nilai ratarata (H’) 0,69.Kata kunci: mangrove, strukture komunitas, habitat, Bangga

Supercritical fluid technology as a tool to prepare gradient multifunctional architectures towards regeneration of osteochondral injuries

Platelet lysates (PLs) are a natural source of growth factors (GFs) known for its stimulatory role on stem cells which can be obtained after activation of platelets from blood plasma. The possibility to use PLs as growth factor source for tissue healing and regeneration has been pursued following different strategies. Platelet lysates are an enriched pool of growth factors which can be used as either a GFs source or as a three-dimensional (3D) hydrogel. However, most of current PLs-based hydrogels lack stability, exhibiting significant shrinking behavior. This chapter focuses on the application of supercritical fluid technology to develop three-dimensional architectures of PL constructs, crosslinked with genipin. The proposed technology allows in a single step operation the development of mechanically stable porous structures, through chemical crosslinking of the growth factors present in the PL pool, followed by supercritical drying of the samples. Furthermore gradient structures of PL-based structures with bioactive glass are also presented and are described as an interesting approach to the treatment of osteochondral defects.info:eu-repo/semantics/publishedVersio

Differences and similarities between spontaneous dissections of the internal carotid artery and the vertebral artery

Background and Purpose—To compare potential risk factors, clinical symptoms, diagnostic delay, and 3-month outcome between spontaneous internal carotid artery dissection (sICAD) and spontaneous vertebral artery dissection (sVAD). Methods—We compared patients with sICAD (n=668) and sVAD (n=302) treated in 3 university hospitals. Results—Patients with sICAD were older (46.3±9.6 versus 42.0±10.2 years; P<0.001), more often men (62.7% versus 53.0%; P=0.004), and presented more frequently with tinnitus (10.9% versus 3.4%; P<0.001) and more severe ischemic strokes (median National Institutes of Health Stroke Scale, 10±7.1 versus 5±5.9; P<0.001). Patients with sVAD had more often bilateral dissections (15.2% versus 7.6%; P<0.001) and were more often smokers (36.0% versus 28.7%; P=0.007). Thunderclap headache (9.2% versus 3.6%; P=0.001) and neck pain were more common (65.8% versus 33.5%; P<0.001) in sVAD. Subarachnoid hemorrhage (6.0% versus 0.6%; P<0.001) and ischemic stroke (69.5% versus 52.2%; P<0.001) were more frequent in sVAD. After multivariate analysis, sex difference lost its significance (P=0.21), and all other variables remained significant. Time to diagnosis was similar in sICAD and sVAD and improved between 2001 and 2012 compared with the previous 10-year period (8.0±10.5 days versus 10.7±13.2 days; P=0.004). In sVAD, favorable outcome 3 months after ischemic stroke (modified Rankin Scale, 0–2: 88.8% versus 58.4%; P<0.001), recurrent transient ischemic attack (4.8% versus 1.1%; P=0.001), and recurrent ischemic stroke (2.8% versus 0.7%; P=0.02) within 3 months were more frequent. Conclusions—sICAD and sVAD patients differ in many aspects. Future studies should perform separate analyses of these 2 entities

Correction: Pulsed moxifloxacin for the prevention of exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial

BACKGROUND: Acute exacerbations contribute to the morbidity and mortality associated with chronic obstructive pulmonary disease (COPD). This proof-of-concept study evaluates whether intermittent pulsed moxifloxacin treatment could reduce the frequency of these exacerbations. METHODS: Stable patients with COPD were randomized in a double-blind, placebo-controlled trial to receive moxifloxacin 400 mg PO once daily (N = 573) or placebo (N = 584) once a day for 5 days. Treatment was repeated every 8 weeks for a total of six courses. Patients were repeatedly assessed clinically and microbiologically during the 48-week treatment period, and for a further 24 weeks' follow-up. RESULTS: At 48 weeks the odds ratio (OR) for suffering an exacerbation favoured moxifloxacin: per-protocol (PP) population (N = 738, OR 0.75, 95% confidence interval (CI) 0.565-0.994, p = 0.046), intent-to-treat (ITT) population (N = 1149, OR 0.81, 95% CI 0.645-1.008, p = 0.059), and a post-hoc analysis of per-protocol (PP) patients with purulent/mucopurulent sputum production at baseline (N = 323, OR 0.55, 95% CI 0.36-0.84, p = 0.006).There were no significant differences between moxifloxacin and placebo in any pre-specified efficacy subgroup analyses or in hospitalization rates, mortality rates, lung function or changes in St George's Respiratory Questionnaire (SGRQ) total scores. There was, however, a significant difference in favour of moxifloxacin in the SGRQ symptom domain (ITT: -8.2 vs -3.8, p = 0.009; PP: -8.8 vs -4.4, p = 0.006). Moxifloxacin treatment was not associated with consistent changes in moxifloxacin susceptibility. There were more treatment-emergent, drug related adverse events with moxifloxacin vs placebo (p < 0.001) largely due to gastrointestinal events (4.7% vs 0.7%). CONCLUSIONS: Intermittent pulsed therapy with moxifloxacin reduced the odds of exacerbation by 20% in the ITT population, by 25% among the PP population and by 45% in PP patients with purulent/mucopurulent sputum at baseline. There were no unexpected adverse events and there was no evidence of resistance development. TRIAL REGISTRATION: ClinicalTrials.gov number, NCT00473460 (ClincalTrials.gov)

Roflumilast in moderate-to-severe chronic obstructive pulmonary disease treated with longacting bronchodilators: two randomised clinical trials

Background Patients with chronic obstructive pulmonary disease (COPD) have few options for treatment. The efficacy and safety of the phosphodiesterase-4 inhibitor roflumilast have been investigated in studies of patients with moderate-to-severe COPD, but not in those concomitantly treated with longacting inhaled bronchodilators. The effect of roflumilast on lung function in patients with COPD that is moderate to severe who are already being treated with salmeterol or tiotropium was investigated. Methods In two double-blind, multicentre studies done in an outpatient setting, after a 4-week run-in, patients older than 40 years with moderate-to-severe COPD were randomly assigned to oral roflumilast 500 mu g or placebo once a day for 24 weeks, in addition to salmeterol (M2-127 study) or tiotropium (M2-128 study). The primary endpoint was change in prebronchodilator forced expiratory volume in 1s (FEV(1)). Analysis was by intention to treat. The studies are registered with ClinicalTrials.gov, number NCT00313209 for M2-127, and NCT00424268 for M2-128. Findings In the salmeterol plus roflumilast trial, 466 patients were assigned to and treated with roflumilast and 467 with placebo; in the tiotropium plus roflumilast trial, 371 patients were assigned to and treated with roflumilast and 372 with placebo. Compared with placebo, roflumilast consistently improved mean prebronchodilator FEV(1) by 49 mL (p<0.0001) in patients treated with salmeterol, and 80 mL (p<0.0001) in those treated with tiotropium. Similar improvement in postbronchodilator FEV(1) was noted in both groups. Furthermore, roflumilast had beneficial effects on other lung function measurements and on selected patient-reported outcomes in both groups. Nausea, diarrhoea, weight loss, and, to a lesser extent, headache were more frequent in patients in the roflumilast groups. These adverse events were associated with increased patient withdrawal. Interpretation Roflumilast improves lung function in patients with COPD treated with salmeterol or tiotropium, and could become an important treatment for these patients