The anatomy of a horizontally impacted maxillary wisdom tooth

A completely horizontally impacted upper third molar was revealed after routine dissection of a 62-year-old human cadaver of a Caucasian male. The molar was penetrating into the maxillary sinus and there was antral dehiscence of its bony alveolus. The bony alveolus was immediately in front of the greater palatine canal contents, and the bottom of the alveolus was dehiscent towards the greater palatine foramen. Within the greater palatine canal and foramen the greater palatine artery was duplicated and the nerve was found. Such antral relations of an impacted upper third molar predispose to oroantral communications if extraction is performed, while the close neurovascular relations represent a risk factor for postextractional haemorrhage and neurosensory disturbances and must be borne in mind when deciding on or performing the extraction. (Folia Morphol 2008: 67: 154–156

A comparative study of rehabilitation methods of patients with edentulous arches associated with insufficient bone volume

Ilarion Postolachi Department of Prosthodontics, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaBackground: The rehabilitation of patients with insufficient bone support may be difficult because of multiple disturbances from stomatognathic system and the necessity to reestablish the lost bone volume. Material and methods: In this study were included 24 patients who were treated with conventional prosthesis (15 patients) and fixed implanting supported prosthesis (9 patients). Results: Implant-prosthetic rehabilitation with preliminary bone augmentation has esthetic, functional and biomechanical advantages over conventional prosthesis but it is more costly, traumatic and requires a long rehabilitation period with multiple surgical procedures. However, because of their disadvantages and hard conditions these prostheses are not always functional may not fully restore the lost functions of stomatognathic system. The necessity of additional surgical procedures, a higher cost and a longer rehabilitation time limit the applicability of this method. Conclusions: Implant supported prostheses provide a psychological comfort and prevent the progression of bone atrophy. Rehabilitation with conventional prostheses permits to restore the lost soft and hard tissue volume and patients’ integration into the society. Bone grafting allows restoring of lost soft and hard tissue volume which allows inserting of implants of standard size and manufacture of functional and aesthetical restorations. The questionnaire analysis has shown that patients that wore conventional prostheses for many years are usually unsatisfied by their performance and require implant prosthetic rehabilitation with fixed restorations. The last ones are well tolerated by patients and provide a psychological comfort that cannot be achieved with conventional prostheses

CERTAIN ENVIRONMENT, ECONOMIC AND SOCIAL ASPECTS OF THE HIGH NATURAL VALUE (HNV) FARMING: ROMANIAN’S STATE OF THE ART

HNV farming is a new concept that describes those farming systems in Europe that have the widest biodiversity. It brings an alternative and complementary approach to the typology that has become conventional by nature conservation. The paper presents the role of the HNV farming system for the conservation of rare and threatened species and habitats in protected areas as well as preservation of biodiversity inEurope, which largely depends on the continuation of traditional agricultural practices in much wider areas of European rural space. Thus, one of the major problems in the implementation of agricultural policies in many European countries has been made aware: support for ,,nature” focuses on ,,designated areas” while support for ,,agriculture” flows abundantly towards large, intensive producers. This situation needs to be reconsidered because in the distribution of European funds there has been a recommendation on the major change towards environmentally beneficial land use

The original formula for predicting the survival of gastric cancer patients undergoing surgical treatment

The purpose of this work was to find ways to predict the survival of gastric cancer patients. The study included 221 patients who were radically operated in the abdominal department of the Odessa Regional Oncology Center from 2007 to 2013. The life expectancy of this group of patients was measured in months. From the factors given in the article, only the age of the patient, the presence and invasion in neighboring organs and the number of organs resected during the operation were those factors that had a significant impact on the prognosis. A formula was obtained for the formal evaluation of the duration of patients. The results are preliminary. Conclusions. As a result of the regression analysis, a polynomial (formula) was obtained, which can be used to predict the survival of patients who underwent surgery for gastric cancer. There is a need to create clearer gradations of survival dependencies of cancer patients from different clinical and morphological situations. A mathematical apparatus with many variables can be used to create similar models for the analysis of survival in other types of pathology

Lymph node dissection impact on long-term survival rate of gastric cancer patients in Ukraine

Over a period of 2007-2011 188 stomach cancer (SC) patients have been included in the research in abdominal oncosurgical department of Odessa oncological center. Volume of lymph node dissections differed by quantity of lymph nodes to be removed. All patients were divided into three groups. Patients with D1 or D1+ lymph node dissections have been performed, totally 90 patients are included in group of historical control. In all cases so-called lymph node dissections for principal reasons have been executed. The multifactorial analysis of patients survival is implemented depending on a type of a lymph node dissections, a stage of the cancer, number of involved lymph nodes, involvement of the tumoral microcirculatory net (ly is carried out, v) signs of a perinevral invasion (Nev), availability of residual tumoral tissue (R), degree of a differentiation (G). Regardless of a disease stage, SC at 60 % of patients, represented with initially hematologicaly disseminated disease. 40 % of SC`s had no signs of intratumoral microcirculatory net involvement even in case of more than 15 regional lymph nodes are involved

In-stent restenosis in the drug eluting stent assayed by optical coherence tomography

Hospital of Holy Pope Giovanni XXIII, Bergamo, Italy, Department of Interventional Cardiology, Institute of Cardiology, Chisinau, the Republic of MoldovaBackground: In order to study the mechanisms and morphological aspects of the in-stent restenosis (ISR) have been evaluated restenosis lesions referred to drug eluting stent (DES) of the first generation using optical coherence tomography technique (OCT). Material and methods: The study underwent 39 patients with ISR induced recurrent angina or acute coronary syndrome including 66 stents from which were: 44 stents (28 patients) of the first generation of DES (19 – Cypher TM and 23 – Taxus®), and 22 stents (11 patients) of the second DES generation (9 Xience TM 2 Promus TM), 10 ZES (Resolute TM), and one stent Nobori TM. Has been made quantitative and morphological analysis of tissue pattern of ISR using the following OCT criteria: 1) morphologically homogenous neointima; 2)morphologically heterogeneous neointima; and 3) neoatherosclerosis. Results: It has been established that in the first generation of DES morphological homogenous pattern was present in both ISR developed after 1 year and later. However, the optical aspect with heterogeneous presentation had a prevalence decline in dynamics. The heterogeneous model had a higher prevalence in actual generation of DES in both incipient (< 1 year) and late presentation. Conclusions: The phenomenon of neoatherosclerosis has presented a significantly less frequency in the late restenosis of actual generation of DES. Our results suggest that restenosis phenomenon in actual generation of DES has a different morphological and evolution pattern in time in comparison with ISR of the first generation of DES

Intracoronary optical coherence tomography

The cardiovascular departments of the hospital of Holy Pope Giovanni XXIII in Bergamo, Italy and of the Institute of Cardiology in Chisinau, the Republic of Moldova have a fruitful history of collaboration in the field of interventional cardiology and intracoronary imaging in particular. We have recently expanded our collaboration by adding the method of Optical Coherence Tomography (OCT) into the armamentarium of imaging in the catheterization laboratory. OCT is an innovative, real time, tomographic imaging modality able to visualize tissues at microstructure level. It delivers the rays of near-infrared light through the wall of the coronary artery using small diameter optical fibres. The light that illuminates the vessel is absorbed and backscattered or reflected by the structures of the tissues with different degrees of density, thus creating an image with an axial resolution of 10-20 µm. This technology allows acquiring high definition images of long segments of coronaries for a few seconds. For the time being, OCT is mainly used in the researches, providing insights into the pathophysiology of the atherosclerotic plaque and the vascular response to stenting. It also has a potential for clinical application, such as pre-interventional evaluation of coronary arteries, procedures guidance and follow-up assessment of vascular healing after the stent implantation. A joined database has been created by the two institutions in an effort to study in vivo the morphology of the coronary arteries in different pathologies. This review is focused on the potential fields of application of OCT in different clinical and scientific institutions

TITANIUM FUNCTIONALIZING AND DERIVATIZING FOR IMPLANTABLE MATERIALS OSSEOINTEGRATION PROPERTIES ENHANCING

The article focuses on titanium functionalizing and derivatizing reactions for implantable materials osseointegration properties enhancing. Thus, the titanium dioxide was activated to the titanium hydroxide (functionalization), being further immobilized on the titanium surface by ethanolamine covalent reactions and (3-aminopropyl)triethoxysilane (APTS) for the osseointegration membranes reactive coating. The derivatizing was based on ether forming reactions between hydroxyl group from the titanium hydroxide surface and the ethanolamine hydroxyl groups and hydrolyzed APTS respectively. The obtained materials were characterized by scanning electron microscopy, FT-IR infrared spectroscopy, contact angle and X-Ray fluorescence

Approximate Controllability for Linear Stochastic Differential Equations in Infinite Dimensions

The objective of the paper is to investigate the approximate controllability property of a linear stochastic control system with values in a separable real Hilbert space. In a first step we prove the existence and uniqueness for the solution of the dual linear backward stochastic differential equation. This equation has the particularity that in addition to an unbounded operator acting on the Y-component of the solution there is still another one acting on the Z-component. With the help of this dual equation we then deduce the duality between approximate controllability and observability. Finally, under the assumption that the unbounded operator acting on the state process of the forward equation is an infinitesimal generator of an exponentially stable semigroup, we show that the generalized Hautus test provides a necessary condition for the approximate controllability. The paper generalizes former results by Buckdahn, Quincampoix and Tessitore (2006) and Goreac (2007) from the finite dimensional to the infinite dimensional case.Comment: 31 pages, submitted to AM

Co-Package Technology Platform for Low-Power and Low-Cost Data Centers

We report recent advances in photonic–electronic integration developed in the European research project L3MATRIX. The aim of the project was to demonstrate the basic building blocks of a co-packaged optical system. Two-dimensional silicon photonics arrays with 64 modulators were fabricated. Novel modulation schemes based on slow light modulation were developed to assist in achieving an efficient performance of the module. Integration of DFB laser sources within each cell in the matrix was demonstrated as well using wafer bonding between the InP and SOI wafers. Improved semiconductor quantum dot MBE growth, characterization and gain stack designs were developed. Packaging of these 2D photonic arrays in a chiplet configuration was demonstrated using a vertical integration approach in which the optical interconnect matrix was flip-chip assembled on top of a CMOS mimic chip with 2D vertical fiber coupling. The optical chiplet was further assembled on a substrate to facilitate integration with the multi-chip module of the co-packaged system with a switch surrounded by several such optical chiplets. We summarize the features of the L3MATRIX co-package technology platform and its holistic toolbox of technologies to address the next generation of computing challenges