98 research outputs found

    Soft and hard tissue assessment of immediate implant placement: a case series

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    Objectives : The aim of this prospective study was to evaluate clinically and radiographically the success and esthetic result of immediate implant placement at the time of extraction. Material and methods : Twelve patients with 14 titanium screw-shaped implants (13–16 mm length and 4.3 or 5 mm diameters) were placed in the extraction sockets. Defects after implant placement were recorded, and then filled up with deproteinized bovine bone mineral, bioabsorbable collagen membrane, and absorbable pins. The defect was again re-evaluated at second-stage surgery. Clinical and radiographic parameters of the peri-implant conditions were assessed at the moment of prosthesis placement and at 1-year follow-up. Results : The cumulative implant survival and success rate was 100% after a 1-year observation period. Analysis of the esthetic result showed that the mean pink esthetic score (PES) was 11.1 (SD 1.35) at 1-year follow-up. At 1 year, 64.3% papillae had a score of 2 and the remaining 35.7% score 3 according to the Jemt (1997) papillary index. Optimal value of width of the keratinized mucosa was recorded in 13 (92.9%) implant cases in both periods of follow-up. At 1-year follow-up, the linear distance between implant-shoulder to the bone peaks remains stable with a mean of 2.62±0.2 mm at the mesial and 2.9±0.58 mm at the distal aspect. Conclusion : Careful evaluation of potential extraction sites before immediate implant installation promotes optimal implant esthetics. To cite this article: Juodzbalys G, Wang H-L. Soft and hard tissue assessment of immediate implant placement: a case series. Clin. Oral Impl. Res. 18 , 2007; 237–243 doi:10.1111/j.1600-0501.2006.01312.xPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74957/1/j.1600-0501.2006.01312.x.pd

    Exploring the sensitivity of coastal inundation modelling to DEM vertical error

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    © 2018 Informa UK Limited, trading as Taylor & Francis Group. As sea level is projected to rise throughout the twenty-first century due to climate change, there is a need to ensure that sea level rise (SLR) models accurately and defensibly represent future flood inundation levels to allow for effective coastal zone management. Digital elevation models (DEMs) are integral to SLR modelling, but are subject to error, including in their vertical resolution. Error in DEMs leads to uncertainty in the output of SLR inundation models, which if not considered, may result in poor coastal management decisions. However, DEM error is not usually described in detail by DEM suppliers; commonly only the RMSE is reported. This research explores the impact of stated vertical error in delineating zones of inundation in two locations along the Devon, United Kingdom, coastline (Exe and Otter Estuaries). We explore the consequences of needing to make assumptions about the distribution of error in the absence of detailed error data using a 1 m, publically available composite DEM with a maximum RMSE of 0.15 m, typical of recent LiDAR-derived DEMs. We compare uncertainty using two methods (i) the NOAA inundation uncertainty mapping method which assumes a normal distribution of error and (ii) a hydrologically correct bathtub method where the DEM is uniformly perturbed between the upper and lower bounds of a 95% linear error in 500 Monte Carlo Simulations (HBM+MCS). The NOAA method produced a broader zone of uncertainty (an increase of 134.9% on the HBM+MCS method), which is particularly evident in the flatter topography of the upper estuaries. The HBM+MCS method generates a narrower band of uncertainty for these flatter areas, but very similar extents where shorelines are steeper. The differences in inundation extents produced by the methods relate to a number of underpinning assumptions, and particularly, how the stated RMSE is interpreted and used to represent error in a practical sense. Unlike the NOAA method, the HBM+MCS model is computationally intensive, depending on the areas under consideration and the number of iterations. We therefore used the HBM+ MCS method to derive a regression relationship between elevation and inundation probability for the Exe Estuary. We then apply this to the adjacent Otter Estuary and show that it can defensibly reproduce zones of inundation uncertainty, avoiding the computationally intensive step of the HBM+MCS. The equation-derived zone of uncertainty was 112.1% larger than the HBM+MCS method, compared to the NOAA method which produced an uncertain area 423.9% larger. Each approach has advantages and disadvantages and requires value judgements to be made. Their use underscores the need for transparency in assumptions and communications of outputs. We urge DEM publishers to move beyond provision of a generalised RMSE and provide more detailed estimates of spatial error and complete metadata, including locations of ground control points and associated land cover

    Repositioning of the global epicentre of non-optimal cholesterol

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    High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.</p

    Rising rural body-mass index is the main driver of the global obesity epidemic in adults

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    Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

    Repositioning of the global epicentre of non-optimal cholesterol

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    High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol�which is a marker of cardiovascular risk�changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95 credible interval 3.7 million�4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world. © 2020, The Author(s), under exclusive licence to Springer Nature Limited

    Phosphite concentration: its effect on phytotoxicity symptoms and colonisation by Phytophthora cinnamomi in three understorey species of Eucalyptus marginata forest

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    Pre-treatment of plants with foliar sprays of 0.2, 0.5 and 2% phosphite restricted colonisation by Phytophthora cinnamomi in inoculated stems of Adenanthos barbiger and Daviesia decurrens, and led to a reduction in the isolation of P. cinnamomi from these stems in comparison with unsprayed plants. In plants treated with 2% phosphite,P. cinnamomi was not isolated from D. decurrens but was isolated from 22% of the stems of A. barbiger. InXanthorrhoea preissii, colonisation by, and isolation of,P. cinnamomi from inoculated roots was not significantly affected by pre-treatment of the foliage with 0.2, 0.5 and 2% phosphite. Very low concentrations of phosphite were detected in the roots of X. preissii (maximum mean of 2.2 g/g dry weight), in comparison with the phosphite concentrations measured in the foliage of A. barbiger and D. decurrens plants treated with phosphite (maximum means of 80 and 871 g/g dry weight, respectively). Treatment with 0.2% phosphite resulted in minimal phytotoxicity in each of the three species, whereas treatment with 2% phosphite led to the development of severe phytotoxicity symptoms. This study indicates that phosphite has potential for the management of P. cinnamomi in native plant communities

    Phosphite: its phytotoxicity and effectiveness in the protection of Eucalyptus marginata forest from Phytophthora cinnamomi

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    Recent trials conducted by the Western Australian Department of Conservation and Land Management have shown that phosphite protects trees in E. marginata forest from P. cinnamomi. However, phytotoxicity has been observed in some plant species, and phytotoxic concentrations of phosphite have increased the susceptibility of Banksia coccinea to P. cinnamomi. The aim of this project was to examine the effect of phosphite concentration on phytotoxicity and on colonisation by P. cinnamomi in three understorey species of the E. marginata forest

    Phosphite does not stimulate a wounding response in Eucalyptus marginata seedlings

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    Phosphite is used to protect plants from the soilborne plant pathogen, Phytophthora cinnamomi. While several studies have reported a stimulation of defence mechanisms in response to the infection of plants treated with phosphite, the effect of phosphite on abiotic wound repair is unknown. The aim of this histological study was to detail the effects of phosphite on previously undescribed wound repair in Eucalyptus marginata, an important forest tree of south-western Australia, which responds to phosphite treatment. Clonal lines of young plants of E. marginata without a periderm, considered resistant and susceptible to P. cinnamomi, were sprayed with phosphite and the green stems were wounded with liquid nitrogen, where a small area of the vascular cambium was damaged. Transverse hand sections showed phosphite had no effect and there was no genotypic difference on wound responses in E. marginata. Wound periderm and a ligno-suberised boundary zone formed within 7 days. The generation of new phellogen derivatives occurred and by 14 days the vascular cambium was almost fully restored with wound wood formed by 21 days. In the absence of a pathogen, phosphite did not interfere with the quality and speed of wound repair in the E. marginata clones suggesting that wound repair will not be affected when phosphite is used as a prophylactic treatment
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