Κυριακή 4 Δεκεμβρίου 2022

Higher SARS‐CoV‐2 shedding in exhaled aerosol probably contributed to the enhanced transmissibility of Omicron BA.5 subvariant

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Abstract

The global pandemic of the BA.5 subvariant had moved from prediction to reality. In this study, we compared SARS-CoV-2 aerosol emissions from patients with BA.2 or BA.5 subvariant infection. First, patients with BA.2 subvariant infection had higher upper respiratory viral loads than patients with BA.5 subvariant infection. However, the average breath emission rate (BER) of patients with BA.5 subvariant infection, which represented the concentration of exhaled SARS-CoV-2 aerosols, was nearly 40 times higher than that of patients with BA.2 subvariant. Second, aerosols exhaled by patients with BA.5 subvariant infection exhibited SARS-CoV-2 RNA detection positive rate than patients with BA.1 or BA.2 subvariant infection. Meanwhile, for BA.5 subvariant infection, patients that exhaled infectious SARS-CoV-2 aerosols accounted for 14.8% of all patients. Third, since the onset of COVID-19, the SARS-CoV-2 RNA detection signals of throat swabs showed a gradual decline trend, although the de cline process was accompanied by fluctuations. Overall, the monitoring of infectious SARS-CoV-2 aerosols may provide the data support for the transmissibility evaluation of the Omicron BA.5 subvariant.

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High incidence of virus among respiratory pathogens in children with lower respiratory tract infection

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Abstract

Background

Lower respiratory tract infection (LRTI) is one of the major reasons for the childhood mortality that threaten the health of the public. We aimed to investigate the epidemiological pathogens and their infection analysis among children with LRTI.

Methods

Sputum specimens were collected for PCR detection and microbiological tests to identify the viral infection and bacterial infection. The serological specimens were separated from venous blood using for Mycoplasma pneumoniae (MP) and Chlamydia pneumoniae (CP) detection.

Results

Virus was confirmed in 86.2% of the children. Human Rhinovirus (HRV, 38.3%), Respiratory Syncytial virus (RSV, 32.1%) and Parainfluenza Virus type 3 (PIV3, 27.2%) were the most frequently identified pathogens. Patients with viral and bacterial co-infection showed younger age (P=0.032), higher propotion of wheezing rales (P=0.032), three depressions sign (P=0.028) and tachypnea (P=0.038), and more likely associated with sever pneumonia (P=0.035). Additionally, older children were more susceptible with viral-atypical bacterial co-infection (P=0.032). Vomiting (P=0.011) and fever (P=0.003) were more likely to occur in children with viral-atypical bacterial co-infection.

Conclusions

Attention should be paid on the virus infection of LRTI, viral-bacterial co-infection and viral-atypical bacterial co-infection may have detrimental impact on the gravity of LTRI.

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Necrotic facial ulceration caused by cowpox virus

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Abstract

A 56-year-old Caucasian lady presented to the maxillofacial department with a lesion on her left cheek with associated lethargy and fevers

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Tideglusib enhances odontogenic differentiation in human dental pulp stem cells in vitro

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Abstract

Aim

Tideglusib is a small molecule agonist of the canonical Wnt pathway. The present study investigated the influence of Tideglusib on human dental pulp stem cell (hDPSC) proliferation, apoptosis, migration, and odonto/osteogenic differentiation.

Methodology

hDPSCs were treated with 50 nM, 100 nM, or 200 nM Tideglusib. β-catenin accumulation was detected by immunofluorescence staining. Colony forming unit ability was assessed by staining with Coomassie blue. Cell cycle progression and cell apoptosis were investigated using flow cytometry. Cell migration was examined using an in vitro wound healing assay. Osteogenic differentiation was examined using alkaline phosphatase (ALP) staining, alizarin red s staining, and osteogenic-related gene expression. The gene expression profile was examined using a high throughput RNA sequencing technique. All experiments were repeated using cells derived from at least four different donors (n = 4). The Mann Whitney U test was used to identify significant differences for two independent group comparisons. For three or more group comparison, statistical differences were assessed using the Kruskal Wallis test followed by a pairwise comparison. The significance level was set at 5% (p< /i> < 0.05).

Results

Tideglusib activated the Wnt signaling pathway in hDPSCs as demonstrated by an increase in cytoplasmic β-catenin accumulation and nuclear translocation. Tideglusib did not affect hDPSC proliferation, cell cycle progression, cell apoptosis, or cell migration. In contrast, 50 nM and 100 nM Tideglusib significantly enhanced mineralisation and osteogenic marker gene expression (RUNX2, ALP, BMP2, and DSPP) (p < 0.05).

Conclusions

Tideglusib enhanced the odonto/osteogenic differentiation of hDPSCs. Therefore, incorporating this bioactive molecule in a pulp capping material could be a promising strategy to promote dentine repair.

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Comparison of quality of life and psychological distress in patients with tongue cancer undergoing a total/subtotal glossectomy or extended hemiglossectomy and free flap transfer: a prospective evaluation

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The aim of this study was to assess changes in the quality of life and psychological distress of patients with tongue cancer undergoing total/subtotal glossectomy (TG) or extended hemiglossectomy (HG) and free flap transfer. Differences between the two groups were compared using the Short Form 8-Item Health Survey (SF-8) and Hospital Anxiety and Depression Scale (HADS). Of the 43 patients with tongue cancer, 24 (56%) underwent TG and 19 (44%) underwent HG. The general health and social functioning scores in the SF-8 and depression in the HADS were significantly worse in the TG group than in the HG group at 12 months after surgery, indicating that patients in the TG group may experience social isolation and psychological distress, and have difficulty in employability even 12 months after su...
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Fenestration and dehiscence defects in maxillary anterior teeth using two classification systems

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Abstract

Background

The primary objective of the study was to assess the buccal bone thickness (BT), evaluate and compare the prevalence of bone fenestration and dehiscence in anterior maxillary teeth using cone-beam computed tomography (CBCT).

Methods

Images of 300 maxillary anterior teeth were investigated. The BT was measured at the bone crest, 3,6,9 mm from the bone crest, and apical. Fenestration and dehiscence were recorded according to Yang and Pan's classification. Student's t-test and one-way ANOVA were performed for statistical analysis.

Results

Fenestration and dehiscence rates were 35.66% and 20%, respectively. Type-III fenestration was higher in group 3(>65 years) (P=0.028). Type-I and IV fenestration and CII DII dehiscence were more common in canines (P>0.05). Fenestration involving 2/3 (46.76%) and 1/3 (44.84%) of the root length was more common. Fenestrations involving the entire root was 8.4%. Most of the dehiscence (63.3%) involved 1/3 of the root length. Dehiscence involving 2/3 of the root length and the entire root were 5% and 9.95%, respectively. The coexistence of fenestration and dehiscence was 8.3%. Dehiscence on the palatal aspect was detected in 1.65% of the anterior maxilla.

Conclusions

The rate of BT ≤1 mm was 80.08%, and ≥2 mm was 3.66%. Fenestration was most common in canines. Fenestration was mostly located in the apical third, while dehiscence was mostly located in the coronal third. © 2022 Australian Dental Association.

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The Management of Salivary Fistulas

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Semin Plast Surg
DOI: 10.1055/s-0042-1759561

Postoperative salivary fistula is an especially undesirable complication because it can be difficult to address, may delay postoperative radiation, and always delays enteral nutrition. Patients who are malnourished, have already undergone radiotherapy, or are hypothyroid are at higher risk of developing this problem. Conservative measures work in most patients, but a significant percentage of patients require intervention beyond pr essure dressings and tincture of time. Medications, hyperbaric oxygen therapy, and surgical intervention may be required when fistulas do not heal in a timely manner. Decisions about the approach and timing of more aggressive interventions are part of the art of medicine since definitive scientific protocols are lacking.
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