Abstract We prospectively investigated in adults the decompression of dentigerous cysts associated with impacted third molars at high risk of iatrogenic damage during extraction. The computerised ...calculated volumetric postoperative reductions measured by cone-beam computed tomography at four and eight months were correlated with the duration of treatment, initial volume, and patient’s age. We prospectively monitored 14 adult patients with 14 dentigerous cysts that were associated with impacted third molars, for eight months after decompression. The mean (SD) reduction in volume during the first eight months was 71 (14) % (51% after the first four months and 20% after the second four months), with a monthly reduction rate of 9%. Both the total decrease in volume (a) and the monthly rate of reduction (b) were significantly associated (p < 0.01) and linearly correlated with the duration of decompression r (a) = −0.89, r (b) = −0.61 and initial volume r (a) = r (b) = 0.92, but not with the patient’s age (p = 0.49) r (a) = r (b) = 0.04. The trend towards reduction in volume within a period of eight months of treatment allowed us to better understand the duration of decompression required.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
Purpose
The aim of this randomized study was to examine the efficacy of two high intensity educational programs: the conversation maps-based (CM™) education and the individual education (IE), ...compared to usual care (UC) in a cohort of type 2 diabetic (T2DM) patients.
Methods
Ninety T2DM outpatients (30 per group) were randomized and 79 finished the study and were analyzed. The CM™ and IE groups received four educational sessions at 0, 4, 8 and 12 weeks, while the UC group received two brief individual sessions at 0 and 12 weeks. We evaluated glycemic control (HbA1c), diabetes treatment, body mass index (BMI) and carried out a questionnaire survey at three time points (before intervention, at 12 and at 32 weeks) to assess patients’ satisfaction, attitudes toward diabetes and dietary knowledge.
Results
All the three groups showed a significant and comparable reduction of both HbA1c and BMI. Diabetes therapy needed to be reinforced in a higher percentage of cases (39.3%) among UC patients compared to the IE (14.8%;
p
= 0.04) and the CM™ (8.3%;
p
= 0.01) groups. At 32 weeks Diabetes Treatment Satisfaction (DTSQ Q1 + Q4–8) significantly improved in the CM™ group (25.8 ± 4.5 vs. 22.4 ± 6.0;
p
< 0.01) and attitudes toward diabetes (ATT19) significantly improved in the IE group (58.0 ± 4.7 vs. 55.3 ± 5.1;
p
= 0.02).
Conclusions
Our trial provides preliminary data regarding the efficacy of structured group and individual education on achieving better glyco-metabolic control without drug therapy reinforcement and with positive effects on patients’ attitude and treatment satisfaction.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Wound healing is a complex process that often becomes problematic in complicated patients. When abnormal wound healing occurs, there are many possible ways to intervene. One intervention is through ...the use of dressings and topical agents. This article is a review of the latest dressings and topical agents available in the United States. Recommendations for use are made based on the most current data in the medical literature.
Necrobiosis lipoidica (NL) is a degenerative disease of dermal connective tissue of unknown etiology characterized by erythematous plaques preferentially localized to distal extremities. Skin lesions ...show a chronic relapsing nature. NL is often associated with diabetes mellitus and satisfactory treatment options are lacking. We describe the spontaneous healing of NL lesions after pancreas and kidney transplantation in a Type 1 diabetic patient with chronic NL recalcitrant to a variety of standard treatments. The 31-yr-old male patient had experienced NL lesions for more than 15 yr; despite various systemic and topical treatments, the skin lesions had pregressively enlarged. Because of end-stage renal disease, a simultaneous pancreas and kidney transplantation was performed and immunosuppressive therapy with tacrolimus (TAC), mycophenolate mofetil (MMF), and prednisone was started. Pancreatic transplantation maintained satisfactory metabolic control with no need of exogenous insulin. After transplantation, skin lesions slowly healed without any specific treatment, leaving residual areas of fibrotic scars. A skin biopsy confirmed the absence of typical NL lymphocytic and histiocytic inflammatory response. Clinical remission of NL lesions may probably be explained by the concomitant effect of multiple-drug regimen for immunosuppression (TAC, MMF, and prednisone) and improved skin microcirculation secondary to the good metabolic control provided by pancreas transplantation.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
For two strains, the green alga Pleurococcus CVB4 and the cyanobacterium Lyngbya CCB2, isolated from the pioneering algal biocoenosis present on a marble statue, we determined the optimum range of ...growth in selective cultural media in relation to pH, light intensity, and temperature, together with the ability of these organisms to colonize stone surfaces that differed either in the structure-texture or in the physico-chemical composition of the various lithotypes. The results showed a higher capacity of the green alga to withstand environmental factor changes. For both organisms the preferential colonization of the stone surface was correlated primarily, together with the environmental factors (pH, temperature, irradiance), to the physical characteristics (roughness and porosity) and secondarily to the chemical composition of the assayed lithotypes.
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BFBNIB, NMLJ, NUK, PNG, SAZU, UL, UM, UPUK
The effect of Nostoc spp. (Cyanobacteria) inoculation on soil structure was studied in two clay soils (Calanco and Biancana) originating by erosion processes from Pliocenic marine sediments of ...central Tuscany (Italy). Two axenic Nostoc strains, AfS49 and KaS35, selected for their soil colonization and exopolysaccharide (EPS) production capacities, were inoculated in Petri dishes on the two clay soils sterilized by autoclaving. The soils, inoculated with an amount of cyanobacterial biomass corresponding to 1.0 g dry wt. m-2, were incubated under continuous light at 27 degrees C for 3 months and periodically wetted using a pipette. The two strains showed different growth rates and EPS production on both soils: KaS35 produced more biomass, while AfS49 produced more EPS. This different behavior was also documented by scanning electron microscope (SEM) observations. The effect of cyanobacterial inoculation on soil structure resulted in the protection of soil porosity by reducing the damaging effect of water addition. Indeed, the incidence of transmission pores in the inoculated soils (about 30%) was higher with respect to the control soils (about 5%). Data also showed the beginning of a primary aggregation as a consequence of interaction between the secreted EPS and the morphological units of the fine soil fraction. However, no significant differences in water soil structure stability were measured between inoculated and non-inoculated soils. In this paper the interactions between the EPS produced by the two strains and the clay aggregates are discussed in order to understand the role of cyanobacterial inoculation in maintaining soil structure.
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