Mineral content in French type bread with sodium replacement using fluorescence spectrometry X-rays by energy dispersive

The present study aimed to determine the mineral composition of the French type bread with partial replacement of sodium chloride by potassium chloride using the technique of X-ray fluorescence energy dispersive. The excitation energy used was 50 keV and detector operation at -176°C. The detected variations were from 10.16 to 613.69 mg 100 g-1 for sodium and from 211.58 to 958.96 mg 100 g-1 for potassium. The concentrations of iron, magnesium, phosphorus and calcium ranged from 10.62 to 21.45, 16.59 to 30.78, 92.53 to 125.77 and from 16.54 to 100.88 mg 100 g-1, respectively. The use of this simple technique proved to be reliable on detecting the variations imposed on the French type bread formulation. The results of this study indicate that, at the levels studied, the addition of potassium chloride assisted in getting French type bread with lower levels of sodium and proved the technological feasibility of producing French type bread with 43% salt reduction (1.0% in the commercial formulation) with 0.5% potassium chloride, which provide bread with the amount of sodium proposed to meet the set limits (174.09 mg.50 g-1), related to the salt standard formulation of 1.88% (306.5 mg.50 g-1).Key words: French bread, replacement, sodium chloride, potassium chloride, food analysis, minerals, energy dispersive

Symptom-based stratification of patients with primary Sjögren's syndrome: multi-dimensional characterisation of international observational cohorts and reanalyses of randomised clinical trials

Background Heterogeneity is a major obstacle to developing effective treatments for patients with primary Sjögren's syndrome. We aimed to develop a robust method for stratification, exploiting heterogeneity in patient-reported symptoms, and to relate these differences to pathobiology and therapeutic response. Methods We did hierarchical cluster analysis using five common symptoms associated with primary Sjögren's syndrome (pain, fatigue, dryness, anxiety, and depression), followed by multinomial logistic regression to identify subgroups in the UK Primary Sjögren's Syndrome Registry (UKPSSR). We assessed clinical and biological differences between these subgroups, including transcriptional differences in peripheral blood. Patients from two independent validation cohorts in Norway and France were used to confirm patient stratification. Data from two phase 3 clinical trials were similarly stratified to assess the differences between subgroups in treatment response to hydroxychloroquine and rituximab. Findings In the UKPSSR cohort (n=608), we identified four subgroups: Low symptom burden (LSB), high symptom burden (HSB), dryness dominant with fatigue (DDF), and pain dominant with fatigue (PDF). Significant differences in peripheral blood lymphocyte counts, anti-SSA and anti-SSB antibody positivity, as well as serum IgG, κ-free light chain, β2-microglobulin, and CXCL13 concentrations were observed between these subgroups, along with differentially expressed transcriptomic modules in peripheral blood. Similar findings were observed in the independent validation cohorts (n=396). Reanalysis of trial data stratifying patients into these subgroups suggested a treatment effect with hydroxychloroquine in the HSB subgroup and with rituximab in the DDF subgroup compared with placebo. Interpretation Stratification on the basis of patient-reported symptoms of patients with primary Sjögren's syndrome revealed distinct pathobiological endotypes with distinct responses to immunomodulatory treatments. Our data have important implications for clinical management, trial design, and therapeutic development. Similar stratification approaches might be useful for patients with other chronic immune-mediated diseases. Funding UK Medical Research Council, British Sjogren's Syndrome Association, French Ministry of Health, Arthritis Research UK, Foundation for Research in Rheumatology

PLACA ATEROMATOSA CALCIFICADA EN RADIOGRAFÍA PANORÁMICA: ASPECTOS RADIOGRÁFICOS Y DIAGNÓSTICOS DIFERENCIALES

Las placas de ateroma son conformadas por depósitos de lípidos en las camadas más profundas de las arterias y que siendo estructuras calcificadas pueden ser vistas en radiografías panorámicas. Su aspecto radiográfico debe ser diferenciado de las imágenes que pertenecen a diversas estructuras anatómicas y patológicas radiopacas, puesto que en dicho examen es posible observar asimismo otros hallazgos radiográficos en región cervical. Calcificaciones más a menudo descriptas en la literatura y que consisten en diagnóstico diferencial para las placas ateromatosas son el hueso hioides, cartílago tritícea, el cuerno superior de calcificación del cartílago tiroides calcificada, la epiglotis, los ganglios linfáticos calcificados, los flebolitos, los submaxilares de glándulas salivales y los tonsiolitos. Este estudio tiene como objetivo realizar una revisión de la literatura relativa a las placas ateromatosas y su diferencial diagnóstico con el fin de orientar mejor al dentista en la interpretación de estas imágenes. De esta manera, permite el reenvío de la paciente a un tratamiento preventivo, contribuyendo al desarrollo de la salud pública