Concentric left ventricular remodeling and aortic stiffness: A comparison of obesity and hypertension

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A meta-synthesis of qualitative data exploring the experience of living with temporomandibular disorders: The patients' voice

Objective: The aim of this review was to systematically review the qualitative evidence related to the experience of patients with temporomandibular disorder (TMD) and to explore the effect it has on their lives. Materials and methods: The following databases were searched systemically: Medline, Embase, PsycINFO, Web of Science, CINAHL Complete and the Cochrane database. Thematic synthesis was used to analyse and synthesise the data from the qualitative studies which explored the experience of adult patients with TMD. The Critical Appraisal Skills Programme (CASP) tool was used to critically appraise the quality of the included studies. Results: The search strategies yielded 3588 articles across all databases. A total of 20 articles were eventually included. Six themes were derived: TMD causes uncertainty and doubt, TMD had disruptive effects on life, TMD causes distress, understanding TMD—the illness and the causes, dealing with the pain and aims and hopes. Conclusion: The findings highlight the impact TMD could have on the quality of life and confirms the psychological and social challenges these patients experience

Obese Subjects Show Sex-Specific Differences in Right Ventricular Hypertrophy

As right ventricular (RV) remodeling in obesity remains underinvestigated, and the impact of left ventricular (LV) diastolic dysfunction on RV hypertrophy is unknown, we aimed to investigate whether (1) sex-specific patterns of RV remodeling exist in obesity and (2) LV diastolic dysfunction in obesity is related to RV hypertrophy.Seven hundred thirty-nine subjects (women, n=345; men, n=394) without identifiable cardiovascular risk factors (body mass index [BMI], 15.3-59.2 kg/m2) underwent cardiovascular magnetic resonance (1.5 T) to measure RV mass (g), RV end-diastolic volume (mL), RV mass/volume ratio, and LV diastolic peak filling rate (mL/s). All subjects were normotensive (average, 119±11/73±8 mm Hg), normoglycaemic (4.8±0.5 mmol/L), and normocholesterolaemic (4.8±0.9 mmol/L) at the time of scanning. Across both sexes, there was a moderately strong positive correlation between BMI and RV mass (men, +0.8 g per BMI point increase; women, +1.0 g per BMI point increase; both P<0.001). Whereas women exhibited RV cavity dilatation (RV end-diastolic volume, +1.0 mL per BMI point increase; P<0.001), BMI was not correlated with RV end-diastolic volume in men (R=0.04; P=0.51). Concentric RV remodeling was present in both sexes, with RV mass/volume ratio being positively correlated to BMI (men, R=0.41; women, R=0.51; both P<0.001). Irrespective of sex, the LV peak filling rate was negatively correlated with both RV mass (men, R=-0.43; women, R=-0.44; both P<0.001) and RV mass/volume ratio (men, R=-0.37; women, R=-0.35; both P<0.001).A sex difference in RV remodeling exists in obesity. Whereas men exhibit concentric RV remodeling, women exhibit a mixed pattern of eccentric and concentric remodeling. Regardless of sex, reduced LV diastolic function is associated with concentric RV remodeling

Nitrogen deposition does not enhance Sphagnum decomposition

Long-term additions of nitrogen (N) to peatlands have altered bryophyte growth, species dominance, N content in peat and peat water, and often resulted in enhanced Sphagnum decomposition rate. However, these results have mainly been derived from experiments in which N was applied as ammonium nitrate (NH4NO3), neglecting the fact that in polluted areas, wet deposition may be dominated either by NO3- or NH4+. We studied effects of elevated wet deposition of NO3- vs. NH4+ alone (8 or 56 kg N ha(-1) yr(-1) over and above the background of 8 kg N ha(-1) yr(-1) for 5 to 11 years) or combined with phosphorus (P) and potassium (K) on Sphagnum quality for decomposers, mass loss, and associated changes in hummock pore water in an ombrotrophic bog (Whim). Adding N, especially as NH4+, increased N concentration in Sphagnum, but did not enhance mass loss from Sphagnum. Mass loss seemed to depend mainly on moss species and climatic factors. Only high applications of N affected hummock pore water chemistry, which varied considerably over time. Overall, C and N cycling in this N treated bog appeared to be decoupled. We conclude that moss species, seasonal and annual variation in climatic factors, direct negative effects of N (NH4+ toxicity) on Sphagnum production, and indirect effects (increase in pH and changes in plant species dominance under elevated NO3- alone and with PK) drive Sphagnum decomposition and hummock C and N dynamics at Whim. (C) 2016 Elsevier B.V. All rights reserved.Peer reviewe

Seasonal evolution of supraglacial lakes on an East Antarctic outlet glacier

Supraglacial lakes are known to influence ice melt and ice flow on the Greenland ice sheet and potentially cause ice shelf disintegration on the Antarctic Peninsula. In East Antarctica, however, our understanding of their behavior and impact is more limited. Using >150 optical satellite images and meteorological records from 2000 to 2013, we provide the first multiyear analysis of lake evolution on Langhovde Glacier, Dronning Maud Land (69°11′S, 39°32′E). We mapped 7990 lakes and 855 surface channels up to 18.1 km inland (~670 m above sea level) from the grounding line and document three pathways of lake demise: (i) refreezing, (ii) drainage to the englacial/subglacial environment (on the floating ice), and (iii) overflow into surface channels (on both the floating and grounded ice). The parallels between these mechanisms, and those observed on Greenland and the Antarctic Peninsula, suggest that lakes may similarly affect rates and patterns of ice melt, ice flow, and ice shelf disintegration in East Antarctica

Butyric acid glycerides in the diet of broiler chickens: effects on gut histology and carcass composition

Aim of the study was to verify the effects of butyric acid glycerides, as a supplemental ingredient in the diet, on live performance of broiler chickens and on the morphology of their small intestine, since short chain fatty acids are known as selective protection factors against intestinal microbial parasites, potent growth promoters of the gut wall tissues, also in terms of immune modulation response. An experiment was carried out on 150 Ross 308 female chickens, allotted to 5 treatments, over a 35 d ays period: the control, with soybean oil as the energy supplement, and 4 treatments with increasing amounts (0.2, 0.35, 0.5, 1% mixed feed) of a mixture of butyric acid glycerides (mono-, di- and tri- glycerides). Treated animals showed a higher live weight at slaughtering (P<0.05) with a better feed conversion rate. The carcase characteristics were not influenced, but the small intestine wall resulted slightly modified with shorter villi, longer microvilli (P<0.01) and larger crypts depth in jejunum (P<0.01), only with lowest concentration of the supplement (0.2%). It is concluded that butyric acid glycerides are an efficient supplement to broilers' diets, deserving particular attention as a possible alternative to antimicrobial drugs, which have been banned in Europe

Butyric acid glycerides in the diet of broiler chickens: effect of gut histology and carcass composition

Aim of the study was to verify the effects of butyric acid glycerides, as a supplemental ingredient in the diet, on live performance of broiler chickens and on the morphology of their small intestine, since short chain fatty acids are known as selective protection factors against intestinal microbial parasites, potent growth promoters of the gut wall tissues, also in terms of immune modulation response. An experiment was carried out on 150 Ross 308 female chickens, allotted to 5 treatments, over a 35 days period: the control, with soybean oil as the energy supplement, and 4 treatments with increasing amounts (0.2, 0.35, 0.5, 1% mixed feed) of a mixture of butyric acid glycerides (mono-, di- and tri-glycerides). Treated animals showed a higher live weight at slaughtering (P<0.05) with a better feed conversion rate. The carcase characteristics were not influenced, but the small intestine wall resulted slightly modified with shorter villi, longer microvilli (P<0.01) and larger crypts depth in jejunum (P<0.01), only with lowest concentration of the supplement (0.2%

A proof of concept pilot trial of probiotics in symptomatic oral lichen planus (CABRIO)

OBJECTIVE: To preliminary evaluate the clinical effects of probiotics in individuals with symptomatic oral lichen planus and the possible mechanisms of action. SUBJECTS AND METHODS: A group of 30 individuals with symptomatic oral lichen planus were recruited in a randomised double-blind parallel group controlled (1:1) proof-of-concept pilot trial of probiotic VSL#3 vs placebo. Efficacy outcomes included changes in pain numeric rating scale, oral disease severity score and the chronic oral mucosal disease questionnaire. Adverse effects, home diary and withdrawals were assessed as feasibility outcomes. Mechanistic outcomes included changes in salivary and serum levels of CXCL10 and IFN-γ and in oral microbial composition. RESULTS: The probiotic VSL#3 was safe and well tolerated. We observed no statistically significant change in pain, disease activity, quality of life, serum/salivary CXCL10 or oral microbial composition with respect to placebo. Salivary IFN-γ levels demonstrate a trend for a reduced level in the active group (p = 0.082) after 30 days of probiotic consumption. CONCLUSIONS: The present proof-of-concept study provides some weak not convincing indication of biological and clinical effects of probiotic VSL#3 in individuals with painful oral lichen planus. Further research in this field is needed, with the current study providing useful information to the design of future clinical trials