Oral health status and periodontitis in Alzheimer's disease patients: A case control Study in a Sicilian rural community

Aim. Dementia is a common disorder among the elderly. Alzheimer’s disease (AD) is the most common cause of dementia. In addition to known risk factors (e.g. age and familiarity) of AD, recently it has been suggested a possible promoting role for chronic inflammatory infective diseases. Periodontal disease (PD) is a frequent chronic multi-bacterial infection involving the tissues supporting the teeth; in addition to promoting inflammation locally, the periodontal pathogens possess mechanisms able to influence the systemic balance of inflammatory mediators. Similarly to other systemic diseases (e.g. cardiovascular disease, diabetes, renal diseases and low birth weight), a possible link has been proposed between PD and the development and progression of AD. Aim of the present study was to evaluate the oral health status and the prevalence/severity of PD in a group of patients affected by AD compared to a control group of healthy subjects. Materials and methods. A case-controlled clinical trial was designed to compare patients with AD (Test group - T; n = 16; M: 8; F: 8, range age 64-93 yrs) with healthy controls (Control group - C; n = 16; M: 8; F:8; range age 64-92 yrs). The population study was named ZAP (Zabut Aging Project) and all participants, enrolled in a Sicilian rural community (Sambuca di Sicilia, AG, Italy), were matched for age and sex. Following variables were recorded: smoking and drinking habits, number of teeth, Decayed Missed Filled Teeth scoring (DMFT), measurement of the probing depth (CPI and PSR index). The association between AD and PD, socio-demographic and behavioural-clinical variables was assessed using the χ2 test or Fisher’s exact test, as appropriate. To measure the association level, crude OR and the 95% Confidence Interval (CI) were calculated. Statistical significance of the difference in the average DMFT between cases and controls was assessed using the Student’s t-test. A p value ≤0.05 was considered statistically significant. Results. One patient of T group was a smoker versus four of C group; four T patients were drinker versus two of C group. Seven of T group (43.7%) were totally edentulous, conversely only 2 (12.5%) of controls have the same condition (p=0.04). With respect to oral status, DMFT index was 23.7 ±9.0 in T patients versus 25.2±7.8 in controls (p=0.633). There were no significant differences between T and C groups regarding periodontal index: high PSR and CPI scores (>3) were recorded in 77.8% of AD patients and 46.1% of health cases (p >0.05). A similar distribution among two groups was observed regarding the other investigated variables (e.g. smoking and drinking habits). Conclusions. In this rural Sicilian adult/elderly community, poor oral health is frequent with a DMFT score higher than general population. The obtained data do not support the hypothesis of a major prevalence and severity of PD among AD patients. However, to confirm these preliminary results the recruitment of a wider sample size and further data, regarding proteomic salivary profiles and RT PCR-based microbiological investigation on sub-gingival plaque samples, still need in order to better clarify the role of PD and periodontal pathogens in the AD natural history

Progress with the LOFAR Imaging Pipeline

One of the science drivers of the new Low Frequency Array (LOFAR) is large-area surveys of the low-frequency radio sky. Realizing this goal requires automated processing of the interferometric data, such that fully calibrated images are produced by the system during survey operations. The LOFAR Imaging Pipeline is the tool intended for this purpose, and is now undergoing significant commissioning work. The pipeline is now functional as an automated processing chain. Here we present several recent LOFAR images that have been produced during the still ongoing commissioning period. These early LOFAR images are representative of some of the science goals of the commissioning team members.Comment: 11 pages, 6 figures. Accepted for publication in proceedings of "ISKAF2010 Science Meeting", PoS(ISKAF2010)05

Statistical methods for the analysis of rotation measure grids in large scale structures in the SKA era

To better understand the origin and properties of cosmological magnetic fields, a detailed knowledge of magnetic fields in the large-scale structure of the Universe (galaxy clusters, filaments) is crucial. We propose a new statistical approach to study magnetic fields on large scales with the rotation measure grid data that will be obtained with the new generation of radio interferometers.Comment: 9 pages; to appear as part of 'Cosmic Magnetism' in Proceedings 'Advancing Astrophysics with the SKA (AASKA14)', PoS(AASKA14)11

Análise do perfil do estilo de vida de policiais militares do estado do paraná

The present study had the objective of analyzing the lifestyle profile of military policemen of the state of Paraná, male and female. A cross-sectional study of 144 military police officers. As a tool, the “Lifestyle Profile” questionnaire assesses lifestyle components through the Welfare Pentacle (nutrition, physical activity, preventive behavior, relationships, and stress management). The results showed that women presented better lifestyle in the components of nutrition, physical activity, relationships and stress control compared to men. There were also positive correlations of physical activity with nutrition and stress control for both sexes. It is concluded that women have a healthier lifestyle compared to men, besides the importance of physical activity for both sexes, since this component was related to nutrition and stress control.O presente estudo teve como objetivo analisar o perfil do estilo de vida de policiais militares do estado do Paraná. Estudo transversal, realizado com 144 policiais militares, de ambos os sexos. Como instrumento foi utilizado o questionário “Perfil do Estilo de Vida”. Para análise dos dados utilizou-se o teste Kolmogorov-Smirnov, Anova de Medidas Repetidas, “U” de Mann-Whitney e correlação de Spearman (p < 0,05). Ao correlacionar os componentes, destaca-se correlações positivas entre atividade física com nutrição e controle do estresse para ambos os sexos. Conclui-se que os policiais militares avaliados apresentaram melhor percepção em relação aos aspectos de comportamento preventivo e relacionamentos sociais, sendo que as mulheres apresentaram percepção de estilo de vida mais saudável em comparação aos homens.

The treatment paradigm of right-sided metastatic colon cancer: harboring BRAF mutation makes the difference

Purpose: BRAF mutations represent the main negative prognostic factor for metastatic colorectal cancer and a supposed negative predictive factor of response to standard chemotherapy. We have explored survival difference in right-sided colon cancer (RCC) patients according to BRAF mutations, with the aim to identify any predictive factors of response to targeted-based therapy. Methods: A retrospective study of RCC patients, with BRAF known mutation status, treated with chemotherapy (CT) from October 2008 to June 2019 in 5 Italian centers, was conducted. Results: We identified 207 advanced RCC patients: 20.3% BRAF mutant and 79.7% BRAF wild type (wt). BRAF-mutant cancers were more likely to be pT4 (50.0% v 25.7%, p = 0.016), undifferentiated (71.4% v 44.0%, p = 0.004), KRAS wt (90.5% v 38.2%, p &lt; 0.001), and MSI-H (41.7% v 16.2%, p = 0.019) tumors, with synchronous (52.4% v 31.5%, p = 0.018) and peritoneal metastases (38.1% v 22.4%, p = 0.003). Median overall survival (OS) was 16 v 27&nbsp;months in BRAF mutant and BRAF wt (P = 0.020). In first-line setting, BRAF-mutant showed a 2ys OS of 80% in clinical trials, 32% in anti-VEGF, 14% in epidermial growth factor receptor (EGFR), and 0% in chemotherapy alone regimens (P = 0.009). BRAF-mutant patients demonstrated worse survival, regardless of targeted therapy administered. However, survival difference was statistically significant in the anti-EGFR-treated subgroup (16 v 28&nbsp;months, P = 0.005 in BRAF mutant v BRAF wt, respectively). Conclusions: Our study demonstrated that BRAF status makes the difference in treatment’s outcome. Therefore, the anti-EGFR should not be excluded in all advanced RCC but considered on a case-by-case basis