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Digestion and absorption describe the breakdown of food into small particles and their movement from the gastrointestinal (GI) lumen into the body. The main groups of nutrients absorbed from food are carbohydrates, proteins, and lipids. Water, minerals, and vitamins are also absorbed by the GI tract along with orally administered drugs. Carbohydrates are enzymatically broken down into monosaccharides, which are absorbed across the small intestinal epithelium by passive (fructose) and active (glucose and galactose) mechanisms. Similarly, proteins are broken down from polypeptide chains into individual amino acids or dipeptides and tripeptides. Their absorption depends on their chemical properties and occurs via passive and active processes that utilize a variety of membrane transporters. Lipids and lipid-soluble vitamins require bile salts for emulsification to aid absorption. Water follows osmotic gradients generated by the absorption of nutrients. Since the processes of digestion and absorption require mechanical and chemical processes that can damage the mucosa, the GI tract has evolved several defence mechanisms, including a mucous barrier and regular renewal of the epithelial lining. [ABSTRACT FROM AUTHOR]

In modern dentistry, impact of dental prostheses on the tissues of the oral cavity is a crucial consideration and actual. The treatment of patients with partial absence of teeth should be comprehensive, taking into account the patient's state of health, the presence of general diseases, the bone tissue structure, the microcirculatory channel, the degree of mobility of supporting teeth, bite, bone tissue atrophy. In this regard, the direct influence of orthopedic structures made of various materials on the homeostasis of the oral cavity, as well as the importance of changes in the of the oral cavity's homeostasis on adaptation to dental prostheses, is of great interest. As a result of the use of prostheses, chronic pathological processes of the mucous membrane can occur, acting as an entrance gate for both microorganisms and components of the manufactured orthopedic product. During the analysis of literary sources, the relationships between the properties of the materials from which the prosthesis is made and the mucous membrane of the prosthetic bed were revealed, and a direct dependence of the quality of the construction, the terms of using, and the level of oral hygiene was determined. This issue remains highly urgent, and despite considerable resources being expended on its resolution, an optimal way to enhance not only the functionality and durability but also the safety of removable prosthetics in orthopedic practice has yet to be found. [ABSTRACT FROM AUTHOR]

Background: Despite combined antiretroviral therapy (cART), total cure of immunodeficiency virus type 1 (HIV-1) infection remains elusive. Chronic periodontitis (CP) is strongly associated with HIV-1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted of immune cells which in turn may be a valuable source of HIV-1 reactivation. This study aimed to determine if gingival tissue could act as a reservoir for HIV-1.Methods: Twelve patients with HIV-1 and CP and 12 controls (no HIV-1-infection and no CP) were evaluated in a cross-sectional study. RNA viral load and interleukin (IL) levels were determined in blood plasma and saliva. Histological sections of gingival tissue were stained with fluorescent antibodies against p24 antigen and different cellular biomarkers.Results: In six of the 12 patients, HIV RNA load was detected, despite cART; in three of them, expression of viral RNA was also detected in saliva. The levels of IL-2, IL-6, and IL-12 were higher in blood and saliva of patients with HIVand CP than controls. HIV-1 p24 antigen was detected by immunostaining in gingival biopsies of 10 of the 12 patients but in no controls. Immune markers for T cells and antigen-presenting cells were also identified in most patients and some controls.Conclusion: These preliminary data showing the detection of HIV-1 p24 antigen in the gingival biopsies of a significant part of patients with HIV-1 and CP under cART together with the presence of immune cells, plead for the existence of a HIV-1 reservoir in the gingival tissue of this population. [ABSTRACT FROM AUTHOR]

The human body has acquired mechanisms to support life against the continual onslaught of pathogenic, physical and chemical threats. The first defences are the physical barriers of the skin and mucosae, both of which have unique adaptations to protect these vulnerable ports of entry. Our second line of defence is held by the innate immune system, a network of antigen non-specific phagocytes, antimicrobial peptides, natural killer cells and inflammatory mediators. Finally, our third line of defence is formed by our adaptive acquired immunity which provides antigen-tailored responses and the formation of immunologic memory. [ABSTRACT FROM AUTHOR]

The biological surface structure comprising fish scales and a mucous membrane exhibits good turbulent drag reduction ability. Based on this structure, a bionic frictional drag reduction model composed of a grooved structure and mucous membrane was established herein, and its efficacy in reducing the resistance of a turbulent boundary layer was analyzed. Accordingly, the drag reduction performance of the bionic structure was investigated through large eddy simulations. The results revealed that the mucous membrane was evenly distributed on the groove wall through secretion, and effectively improved the drag reduction rate of the groove wall. The bionic grooves and mucous membrane structure successfully inhibited the turbulent kinetic energy, turbulence intensity, and Reynolds stress. The grooved structure improved the shape of the Λ vortex structure and the mucous membrane reduced the number of three-dimensional (3D) vortex structures. Furthermore, the streak structure near the bionic structure wall was reduced and its shape was regularized, which intuitively demonstrates the turbulence suppression ability of the proposed bionic structure. This paper presents the results of a hydrodynamic analysis of the frictional drag reduction characteristics of a bionic structure consisting of grooves and viscous membranes acting on the turbulent boundary layer of a wall. [ABSTRACT FROM AUTHOR]

The purpose of this article is to study of the processes accompanying osseointegration of the dental implants using various plate prostheses as temporary constructions, as well as to compare the dynamics of changes in the state of the jaw alveolar processes. The effect of dentures on the condition of the alveolar processes was studied in all patients according to the technique developed by L. Chulak on the 7th, 14th, 30th day and in 3, 6 months. To verify the results, the degree of atrophy of the alveolar processes was also determined by the second method the authors have chosen at the same time as indicated above. The measurement results confirm linear changes in the height of the alveolar processes of the jaws with a decrease in the tissues of the prosthetic area. Throughout the duration of the examination, atrophy of the tissues of the alveolar processes is observed. Judging by the results obtained during the patients' study, it can be concluded that when applied as a temporary prosthesis with a dental delayed implantation of a partial denture made of polypropylene, the results of the state of the hard tissues of the mandible alveolar process show a better adaptation of the mucous membrane and slowing of atrophy of the jaw alveolar processes with this type of prosthetics. [ABSTRACT FROM AUTHOR]

Copyright of Revista de la Asociación Colombiana de Dermatología y Cirugía Dermatológica is the property of Asociacion Colombiana de Dermatologia y Cirugia Dermatologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The mucous membrane on the fish surface has excellent drag reduction performance. The mucous membrane can be regarded as the viscoelastic fluid, and a bionic friction drag reduction model is proposed with the consideration of a Carreau viscoelastic model-based mucus secretion process. Then, the drag reduction effect of the mucous membrane on the classical wall turbulence boundary layer is investigated by large-eddy simulations. Results show that the bionic mucous membrane is conducive to reducing the turbulence, and can achieve a drag reduction rate of about 14%. This study provides a hydrodynamics understanding of the drag reduction characteristics of the bionic mucous membrane. [ABSTRACT FROM AUTHOR]

We aimed to investigate the incidence rate and risk factors of medical device-related pressure injuries (MDRPIs) among patients undergoing prone position spine surgery. This was a prospective observational study of 147 patients who underwent spine surgery in an orthopaedic hospital in Korea. The incidence of MDRPI according to intrinsic and extrinsic factors was assessed using the independent t-, χ2 -, or Fisher's exact tests. A logistic regression analysis was performed exclusively for MDRPI areas with an incidence rate >5%. The mean incidence rate of overall MDRPI was 27.4%, while that of MDRPI by Wilson frame, bi-spectral index, and endotracheal tube (ETT) was 56.5%, 52.4%, and 9.5%, respectively. The risk factors under Wilson frame were operation time and body mass index classification. Compared to their normal weight counterparts, those who were underweight, overweight, and obese had a 46.57(95% CI: 6.37–340.26), 3.96 (95% CI: 1.13–13.86), and 5.60 times (95% CI: 1.62–19.28) higher risk of developing MDRPI, respectively. The risk factors by bi-spectral index were sex, operation time, and the American Society of Anaesthesiologists classification. Compared to ETT intubation of <2 h, the risk of MDRPI increased by 7.16 times (95% CI: 1.35–38.00) and 7.93 times (95% CI: 1.45–43.27) for<3 and ≥3 h' duration, respectively. The difficulty of device repositioning can increase the incidence of MDRPI, and prolonged surgery was a significant risk factor. Thus, appropriate planning and correct equipment utilization is needed during prone position spine surgeries. • The most significant risk factor for MDRPIs was operation time. • Among devices, the Wilson frame is associated with the highest risk for MDRPI. • Advanced MDRPIs in the oral mucosa occur earlier than those in the skin. [ABSTRACT FROM AUTHOR]

Oral-mucosal pressure injury (PI) is the most commonly encountered medical device-related PIs. This study was performed to identify risk factors and construct a risk prediction model for oral-mucosal PI development in intubated patients in the intensive care unit. The study design was prospective, observational with medical record review. The inclusion criteria stipulated that 1) participants should be > 18 years of age, 2) there should be ETT use with holding methods including adhesive tape, gauze tying, and commercial devices. Data of 194 patient-days were analysed. The identification and validation of risk model development was performed using SPSS and the SciKit learn platform. The risk prediction logistic models were composed of three factors (bite-block/airway, commercial ETT holder, and corticosteroid use) for lower oral-mucosal PI development and four factors (commercial ETT holder, vasopressor use, haematocrit, and serum albumin level) for upper oral-mucosal PI development among 10 significant input variables. The sensitivity and specificity for lower oral-mucosal PI development were 85.2% and 76.0%, respectively, and those for upper oral-mucosal PI development were 60.0% and 89.1%, respectively. Based on the results of the machine learning, the upper oral-mucosal PI development model had an accuracy of 79%, F1 score of 88%, precision of 86%, and recall of 91%. The development of lower oral-mucosal PIs is affected by immobility-related factors and corticosteroid use, and that of upper oral-mucosal PIs by undernutrition-related factors and ETT holder use. The high sensitivities of the two logit models comprise important minimum data for positively predicting oral-mucosal PIs. • For lower oral-mucosal PI development, bite-block/airway and commercial ETT holder use, and steroid use were risk factors. • For upper oral-mucosal PI development, commercial ETT holder use and undernutrition-related factors were risk factors. • The high sensitivities of the two logit models comprise important minimum data for positively predicting oral-mucosal PIs. [ABSTRACT FROM AUTHOR]

The aim of this research was to study pathomorphological alterations in the internal organs of rabbits through experimental reproduction of colibacillosis. The studies were conducted on 10 clinically healthy rabbits at the age of 3 months from a private farm. Animals were infected by intraperitoneal injection of a suspension of a pure culture of Escherichia coli isolated from a sand lizard. The disease of infected rabbits was accompanied by cachexia, dehydration and fever. The pathological process in the organism of infected animals was characterized by the violation of hemodynamics, the protein dystrophy of the parenchyma of liver, kidneys, myocardium and the formation of specific granulomas in the lungs and liver. The edema of reticular tissue and the hyperplasia of lymph nodes were observed in the organs of the immune system. The expressive edema of mucous membrane and submucosa, as well as alterative and necrotic processes were detected in the intestine. [ABSTRACT FROM AUTHOR]

The aim of this research was to study pathomorphological alterations in the internal organs of rabbits through experimental reproduction of colibacillosis. The studies were conducted on 10 clinically healthy rabbits at the age of 3 months from a private farm. Animals were infected by intraperitoneal injection of a suspension of a pure culture of Escherichia coli isolated from a sand lizard. The disease of infected rabbits was accompanied by cachexia, dehydration and fever. The pathological process in the organism of infected animals was characterized by the violation of hemodynamics, the protein dystrophy of the parenchyma of liver, kidneys, myocardium and the formation of specific granulomas in the lungs and liver. The edema of reticular tissue and the hyperplasia of lymph nodes were observed in the organs of the immune system. The expressive edema of mucous membrane and submucosa, as well as alterative and necrotic processes were detected in the intestine. [ABSTRACT FROM AUTHOR]

Head and neck mucosal melanoma (HNMM) is a rare tumor with a poor outcome. The objective of this study was to assess outcome and prognostic factors for a cohort of patients treated in a head and neck cancer center. In addition, a case series on sentinel lymph node biopsy (SLNB) was included to evaluate it as a method for staging the node-negative neck. A retrospective study design was chosen, and 50 patients who were treated from 1973 to 2015 in our institution for primary HNMM were included. The Kaplan–Meier method was used to estimate survival rates. Uni- and multivariate analyses were used to study the influence of possible risk factors on the patients' outcome. These risk factors included patient demographics, tumor characteristics, and treatment modalities. All patients were treated surgically and 50% received adjuvant treatment. The median disease specific survival (DSS) was 38 months, with a 5-year survival rate of 44%. Positive surgical margin (p = 0.004) and distant failure (p = 0.005) were associated with a worse DSS. The median disease-free survival (DFS) was 27 months, with a 5-year disease-free rate of 12%. Only tumor depth >5 mm (p = 0.002) was associated with a worse DFS. Five clinically node-negative patients received SLNB and only the two SLN-positive individuals suffered from distant failure. Radiotherapy, chemotherapy, and AJCC/UICC stage had no influence on any outcome measure. Positive surgical margin and distant failure are the only independent prognostic factors for DSS. Tumor depth can predict distant failure. SLNB may be a valuable staging tool for the node-negative neck. [ABSTRACT FROM AUTHOR]

Abstract Purpose: This study examined the incidence of oral mucosa pressure ulcers (PUs) in intensive care unit (ICU) patients and the relationship between biomechanical and physiological variables in onset of PUs. Methods: A prospective observational descriptive study design was used. We recruited patients over 18 years of age with endotracheal tube (ETT) insertion in three ICUs in a tertiary hospital in Korea. We analysed 113 patient-days of data. Patient assessments and medical record reviews were conducted to gather biomechanical and physiological data. Fisher's exact tests and χ2 test and Spearman's rank correlations were used to compare data. Results: The highest incidence of oral mucosa PUs occurred in lower oral mucosa (36.3%). There was a significant relationship between lower oral mucosa PU stage and bite-block or airway use (r =.20, p =.036), commercial ETT holder use (r = 0.19, p =.048), sedative use (r = −0.22, p =.022), and plasma protein (r = 0.20, p =.033). Upper oral mucosa PU stage was related to commercial ETT holder use (r = 0.19, p =.044), haemoglobin(r = 0.24, p =.011), haematocrit (r = 0.27, p =.004), and serum albumin (r = −0.24, p =.012). Stage was related to commercial ETT holder use in both sites (r = 0.28, p =.003), haematocrit (r = 0.19, p =.039), and serum albumin (r = −0.23, p =.015). Conclusion: Oral mucosa PUs developed more frequently and healed more quickly than general skin PUs. Taken together, these data indicate that biomechanical and haematological variables are risk factors associated with PU incidence should be considered in intensive care patients. Highlights • Oral mucosa PUs occur more frequently at multiple sites, and they may develop and heal repeatedly and overlap. • This study has shown the necessity of oral mucosa PU classification by stages to estimate more precise incidence rates. • Biomechanical factors, such as non-commercial and commercial ETT holders; and physiological variables, such as sedative use, haemoglobin, haematocrit, and serum albumin, are associated with oral mucosa PU incidence. [ABSTRACT FROM AUTHOR]

Digestion and absorption describe the breakdown of food into small particles and their movement from the gastrointestinal lumen into the body. The main groups of nutrients absorbed from food are carbohydrates, proteins and lipids. Water, minerals and vitamins are also absorbed by the gastrointestinal (GI) tract. Carbohydrates are enzymatically broken down into monosaccharides, which are absorbed across the small intestinal epithelium by passive (fructose) and active (glucose and galactose) mechanisms. Similarly, proteins are broken down from polypeptide chains into individual amino acids or dipeptides and tripeptides. Their absorption depends on their chemical properties and also occurs via passive and active processes that utilize a variety of membrane transporters. Lipids and lipid-soluble vitamins require bile salts for emulsification to aid absorption. Water follows osmotic gradients generated by the absorption of nutrients. Since the processes of digestion and absorption require mechanical and chemical processes that can damage the mucosa, the GI tract has evolved a number of defence mechanisms, including a mucous barrier and regular renewal of the epithelial lining. [ABSTRACT FROM AUTHOR]

Purpose We investigated the neurohumoral modulation of the contractility of bladder muscularis mucosae (mucosa) compared with that of detrusor smooth muscle. Materials and Methods Changes in the contractility of mucosal and detrusor bundles from guinea pig bladders were measured using isometric tension recording. The morphological relationship between the muscularis mucosae and blood vessels, and their sensory innervation was examined by fluorescence immunohistochemistry. Results Meshworks of muscularis mucosae with numerous branches and anastomosis preferentially ran parallel with suburothelial blood vessels. Although PTHrPRs (parathyroid hormone-related peptide receptors) were expressed in detrusor and mucosa, the endogenous detrusor relaxant PTHrP (parathyroid hormone-related peptide) (1 nM) suppressed spontaneous contractions in detrusor but not in mucosa. A higher concentration of PTHrP (10 nM) was required to inhibit mucosal contractility. Capsaicin (1 μM) abolished spontaneous contractions in mucosa but had an excitatory action on detrusor contractility. hCGRP (human calcitonin gene-related peptide) (1 nM) attenuated spontaneous mucosal contractions. Pretreatment with the CGRP (calcitonin gene-related peptide) antagonist hCGRP 8-37 (2 μM) inhibited CGRP or capsaicin induced suppression of spontaneous contractions. Consistently, CGRP immunoreactive primary afferent nerves were abundant in muscularis mucosae. Conclusions Co-localization of muscularis mucosae with the suburothelial microvasculature suggests that spontaneous contractions of mucosa might function to prevent microvasculature stretching upon bladder wall distension during the storage phase. It is likely that PTHrP selectively suppresses spontaneous contractions in detrusor but not in mucosa. Thus, endogenous PTHrP may well increase bladder compliance without an associated distension induced deformation of mucosal elements. Excessive stimulations of sensory nerves may suppress mucosal contractility by releasing CGRP. [ABSTRACT FROM AUTHOR]

Purpose Alternative grafts are needed for patients who are not suitable candidates for oral mucosa graft harvest or who have a paucity of oral mucosa graft available for reconstruction. Circumferential colonic mucosal grafts have demonstrated feasibility for urethral reconstruction, although sigmoid resection has been required for graft retrieval. We report the feasibility and short-term outcomes of urethral reconstruction using a rectal mucosa graft harvested by a novel, minimally invasive, transanal endoscopic microsurgical technique. Materials and Methods We retrospectively reviewed the records of all patients who underwent transanal endoscopic microsurgical rectal mucosa graft harvest and onlay urethroplasty since the technique was first implemented in 2013. Graft failure was defined as inability to pass a 16Fr cystoscope in the grafted urethra. Results All 4 strictures were bulbopendulous with a median length of 13.5 cm (range 10 to 21). Median followup was 18 months (range 12 to 28). Stricture etiology was lichen sclerosus in 3 patients and failed hypospadias interventions in 1. Three patients had undergone at least 1 prior urethroplasty. In 1 patient stricture recurred in the graft 10 months following reconstruction. There were no colorectal complications. Conclusions To our knowledge this is the first study demonstrating urethral reconstruction using a rectal mucosa graft harvested by the transanal endoscopic microsurgical technique. Initial data revealed that this technique is feasible and safe, and minimizes graft harvest morbidity. Transanal endoscopic microsurgical harvest of a rectal mucosa graft may provide an alternative graft material for patients with long segment urethral strictures who are not candidates for oral mucosa graft harvest. Further experience and longer followup are needed to validate these findings. [ABSTRACT FROM AUTHOR]

Copyright of Acta Stomatologica Croatica is the property of Acta Stomatologica Croatica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: A fundamental issue limiting the efficacy of surgical approaches designed to correct periodontal mucogingival defects is that new tissues rely on limited sources of blood supply from the adjacent recipient bed. Accordingly, therapies based on tissue engineering that leverage local self-healing potential may represent promising alternatives for the treatment of mucogingival defects by inducing local vascularization. The aim of this study is to evaluate the effect of commercially available living cellular sheets (LCS) on the angiogenic potential of neonatal dermal human microvascular endothelial cells (HMVEC-dNeo). Methods: The effect of LCS on HMVEC-dNeo proliferation, migration, capillary tube formation, gene expression, and production of angiogenic factors was evaluated over time. Results: LCS positively influenced HMVEC-dNeo proliferation and migration. Moreover, HMVEC-dNeo incubated with LCS showed transcriptional profiles different from those of untreated cells. Whereas increased expression of angiogenic genes predominated early on in response to LCS, late-phase responses were characterized by up- and downregulation of angiostatic and angiogenic genes. However, this trend was not confirmed at the protein level, as LCS induced increased production of most of the angiogenic factors tested (i.e., epidermal growth factor [EGF], heparin-binding EGF-like growth factor, interleukin 6, angiopoietin, platelet-derived growth factor-BB, placental growth factor, and vascular endothelial growth factor) throughout the investigational period. Finally, although LCS induced HMVEC-dNeo proliferation, migration, and expression of angiogenic factors, additional factors and environmental pressures are likely to be required to promote the development of complex, mesh-like vascular structures. Conclusion: LCS favor initial mechanisms that govern angiogenesis but failed to enhance or accelerate HMVEC-dNeo morphologic transition to complex vascular structures. [ABSTRACT FROM AUTHOR]

Malignant melanoma is a neoplasm of melanocytes or a neoplasm of the cells that develop from melanocytes. Primary mucosal melanomas of the head and neck are very uncommon as it only represents less than two percent out of all melanomas. Surgery remained as a definitive treatment for early-stage melanoma, with medical management generally reserved for adjuvant treatment of advanced melanoma. Here we report a very rare case of a malignant melanoma of the middle ear mucosa with no other primary site. [ABSTRACT FROM AUTHOR]

Purpose There is increasing evidence for an important role of the lamina propria in bladder physiology and interstitial cells seem to have a key role in this area. Interstitial cells in the upper lamina propria have been studied most frequently. We characterized interstitial cells in the deeper lamina propria and hypothesized that the 2 interstitial cell populations have different phenotypes based on their ultrastructural and immunohistochemical properties. Materials and Methods Tissue samples were obtained from macroscopically and microscopically normal areas of radical cystectomy specimens. A panel of immunohistochemical markers was used to characterize lamina propria interstitial cells. Single/double immunohistochemistry/immunofluorescence was performed. At a second phase electron microscopy was used to compare upper and deeper lamina propria interstitial cells. Results Overall the phenotype of upper lamina propria interstitial cells was vimentin, α-smooth muscle actin, caveolin-1 and 2, PDGFRα, and nonphosphorylated and phosphorylated connexin 43 positive, and CD34 and c-kit negative. The overall phenotype of deeper lamina propria interstitial cells was vimentin, CD34 and nonphosphorylated connexin 43 positive, and α-smooth actin, caveolin-1 and 2, PDGFRα, phosphorylated connexin 43 and c-kit negative. Based on ultrastructural findings upper lamina propria interstitial cells were fibroblasts with myoid features and sparse myofibroblasts while deeper lamina propria interstitial cells were interstitial cell of Cajal-like cells. Conclusions To our knowledge this is the first study of 2 main interstitial cell populations in the upper and deeper lamina propria of the human bladder with distinct ultrastructural and immunohistochemical phenotypes. Future research is needed to elucidate whether these morphological findings reflect different roles for upper and deeper lamina propria interstitial cells in bladder physiology. [ABSTRACT FROM AUTHOR]

Purpose: We developed an experimental ex vivo organoid bladder mucosal model that can be used for experimental research purposes to create alternatives to current animal models. Materials and Methods: We developed an ex vivo organoid bladder mucosal model by immobilizing a type I collagen scaffold on the bottom of a Transwell® insert, creating a 2-compartment system. Mucosal biopsies from porcine bladders were placed on top of the scaffold and cultured in different mediums. We evaluated the morphological aspects of biopsy tissue. Cultured samples were assessed by scanning electron microscopy, and immunohistochemical and histochemical staining for cell identification, proliferation and morphology. Results: Cells remained viable in Dulbecco's modified Eagle's medium/F-12 and smooth muscle cell medium for up to 3 weeks. The mucosa retained normal morphological characteristics for up to 1 week. Cells (mostly urothelial cells) proliferated and fully covered the scaffold surface within 3 weeks. Conclusions: We developed an experimental ex vivo organoid model of bladder mucosa for preclinical experimental research. This model could be used for high volume screening for pharmacology and toxicology experiments. It has the potential to replace currently used animal models. [Copyright &y& Elsevier]

Purpose: Predictive factors of T1 nonmuscle invasive bladder cancer evolution that could guide treatment decision making are lacking. We assessed the prognostic value of muscularis mucosa invasion in nonmuscle invasive bladder cancer. Materials and Methods: In a national multicenter study patients with primary T1 nonmuscle invasive bladder cancer were recruited from 6 French hospitals. All patients had undergone transurethral resection of bladder tumor. All T1 tumors were substaged according to muscularis mucosa invasion as T1a—no invasion beyond the muscularis mucosa or T1b—invasion beyond the muscularis mucosa with muscle preservation. Subsequent central pathology review was then done by a single referent uropathologist. Muscularis mucosa invasion was tested as a prognostic factor for survival on univariate and multivariate analysis. Results: A total of 587 patients were enrolled in the study, including 388 (66%) with T1a and 199 (34%) with T1b tumors. Median followup after transurethral resection of bladder tumor was 35 months (IQR 14-54). There was no significant difference between groups T1a and T1b except high tumor grade in T1b cases (p <0.0001). After central review, initial pathological substaging was confirmed in 84% of cases. On multivariate analysis muscularis mucosa invasion (T1b substage) was significantly associated with recurrence-free (p = 0.03), progression-free (p = 0.0002) and cancer specific (p = 0.02) survival. The main study limitation was absent systematic subsequent transurethral resection of bladder tumor. Conclusions: Muscularis mucosa invasion appears to be highly predictive of T1 nonmuscle invasive bladder cancer behavior. Consequently, systematic T1a vs T1b discrimination should be highly advocated by urologists and pathologists. We believe that it could aid in crucial decision making when choosing between conservative management and radical cystectomy remains a moot point. [ABSTRACT FROM AUTHOR]

White sponge nevus (WSN) is a rare, benign, autosomal dominant disorder of the mucous membranes. Typical oral lesions are white or gray, diffuse and irregular plaques with a spongy texture involving the buccal mucosa, ventral tongue, labial mucosa, and floor of the mouth. This clinical report describes the prosthetic rehabilitation of two oral WSN cases with implant-supported metal-ceramic fixed prostheses and the treatment outcomes regarding osseointegration, preservation of the alveolar bone, and soft tissue health over a period of 4 years. Relevance of treatment planning and associated complications of surgical and prosthetic procedures in such a rare oral mucosal lesion are emphasized. [ABSTRACT FROM AUTHOR]

Purpose: We investigated the long-term outcome of urethral reconstruction using colonic mucosa grafts for long segment, complex urethral strictures. Another aim was to identify clinical factors impacting long-term outcomes. Materials and Methods: We retrospectively reviewed the records of 36 consecutive patients with a mean age of 39.8 years (range 17 to 70) who underwent colonic mucosal graft urethroplasty for long segment, complex urethral stricture from October 2000 to November 2006. Patients were evaluated postoperatively at scheduled office visits at our institution and/or by telephone interview. Successful repair was defined as normal voiding without any postoperative procedure such as dilation. Results: Urethral reconstruction with done with colonic mucosa grafts 10 to 20 cm long (mean 15.1). One patient was lost to followup. Mean followup in the remaining cases was 53.6 months (range 26 to 94). Outcomes were successful in 30 of 35 patients (85.7%). Complications, specifically meatal stenosis, bulbar or bulbomembranous urethral stenosis and proximal anastomotic site stricture, developed in 5 patients (13.3%). Conclusions: Colonic mucosa graft urethroplasty is a feasible procedure for complex urethral strictures. The most common complications are meatal stenosis and stenosis at the anastomosis. [Copyright &y& Elsevier]

The article presents a study to evaluate an effort of conservative treatment in chosen cases of endometrial carcinoma Stage I A/type I in young women. The study composed of five young nulliparous women with distinct type I endometrial carcinoma Stage I A/GI. The endometrial pattern was free from cancer cells after six months six months of therapy and follow-up histopathological examinations for two years.

Purpose: Normal urinary Tamm-Horsfall protein shows a urothelial cytoprotective effect against potentially toxic compounds in urine that may injure the urothelium and cause bladder disease. One such disease is interstitial cystitis. In patients with interstitial cystitis this protective effect is decreased. We hypothesized that a difference in Tamm-Horsfall protein in patients with interstitial cystitis exists that may be involved in disease pathogenesis. Materials and Methods: Using enzyme-linked immunosorbent assay the urinary Tamm-Horsfall protein concentration was determined in patients with interstitial cystitis and control subjects. Sialic acid content was measured by high performance liquid chromatography based assay. The structure of the protein glycosylation chains was analyzed using matrix assisted laser desorption/ionization-time of flight mass spectrometry. Results: The mean Tamm-Horsfall protein concentration was not significantly different in patients with interstitial cystitis and controls (28.8 vs 28.2 mg/l urine and 36.8 vs 36.7 μg/mg creatinine, respectively, p = 0.6). The total mean sialic acid content of Tamm-Horsfall protein was almost 2-fold lower in 22 patients with interstitial cystitis compared with that in 20 controls (46.3 ± 4.3 vs 75.3 ± 4.1 nmol sialic acid per mg Tamm-Horsfall protein, respectively, p <0.0001). On matrix assisted laser desorption/ionization-time of flight mass spectrometry N-glycans released from Tamm-Horsfall protein revealed lower molecular weight di-antennary N-glycan structures and a resulting decrease in the number of terminal sialic acid residues in 10 patients with interstitial cystitis relative to those in 10 controls. Conclusions: Tamm-Horsfall protein is qualitatively different in patients with interstitial cystitis compared to controls. These data suggest that altered Tamm-Horsfall protein may be involved in interstitial cystitis pathogenesis and it may be useful for clinical diagnosis. [Copyright &y& Elsevier]

Purpose: Urethroplasty with a buccal mucosal graft provides excellent clinical results but it may also cause oral complications in some cases. The mucosa covering the lateral and under surface of the tongue is identical in structure with that lining the rest of the oral cavity. We evaluated LMGs for urethroplasty. Materials and Methods: From January 2001 to September 2004, 8 men 34 to 65 years old (mean age 46.1) with urethral strictures 1.5 to 4.5 cm long were selected for 1-stage dorsal onlay urethroplasty. The site of the harvest graft was the lateral mucosal lining of the tongue. Postoperatively all patients were followed with urethrography, uroflowmetry, cystourethrography and flexible urethroscopy after 3 and 12 months. Successful reconstruction criteria were peak flow rate greater than 15 ml per second and no need for postoperative urethral dilation. Results: Median followup was 18 months (mean 22.1, range 3 to 47). Seven cases were successful. One patient had a partial urethral stricture. In successful cases cystourethrography revealed no significant graft contractures or sacculations and at flexible urethroscopy LMG was almost indistinguishable from native urethra. There were no pain, esthetic or functional complications at the donor site. Conclusions: Harvesting the LMG is feasible and easy to perform. Compared with the buccal mucosal graft the LMG seems to be associated with less postoperative pain and a minor risk of donor site complications. These preliminary functional and esthetic data are satisfactory. [Copyright &y& Elsevier]

Background: Mucous membrane pemphigoid (MMP) includes a range of variants frequently having oral, particularly gingival, lesions. It has been suggested that MMP exclusively involving the oral cavity could be a distinct subset, but the immunological status of patients with predominantly oral lesions has received little attention. Methods: Indirect immunofluorescence (IIF) on normal human skin and normal human salt-split skin (SSS) as a substrate and immunoblotting on extracts of human keratinocyte cultures and normal human skin were carried out in 28 consecutive patients with MMP predominantly affecting the gingiva. Results: There was no significant difference between frequency of positive SSS-IIF among patients with exclusive oral lesions (42%) and with MMP not restricted to the oral cavity (78%) (P = 0.114). By immunoblotting, IgG of 13 sera (46%) reacted with the 180 kD bullous pemphigoid antigen (BPAg2), six (21%) reacted with the 230 kD bullous pemphigoid antigen (BPAg1), and two (7%) reacted with an antigen of 200 kD. IgA of three sera (11%) reacted with BPAg2 and three (11%) reacted with BPAg1. There was no significant difference between frequency of positive immunoblotting among patients with exclusive oral lesions (68%) and with MMP not restricted to the oral cavity (67%) (P = 1.00). Conclusions: Most of the MMP sera contain IgG and IgA antibodies to the two major bullous pemphigoid antigens, independent of clinical presentation. Thus, in the majority of cases, patients with exclusively gingival pemphigoid lesions do not appear to have a distinct variety of mucous membrane pemphigoid. [ABSTRACT FROM AUTHOR]

The article focuses on measuring the membrane thickness of the lower alveolar crest and different areas of membrane as classified by prosthodontics. It mentions the 31 individuals with mandibular free-end wherein their oral mucous membrane was measured at the four regions with Schleimhaut-Dicken-Meb (SDM). Further, it notes that measurements were also taken by palpation in the fixed, movable, hard-fixed, and flabby areas of membrane as classified by prosthodontists.

Fomites can transmit some infectious diseases. Human touch behaviors are known to affect virus transmission in buildings. Using video cameras in a graduate student office, we collected more than 98,000 touch actions from 14 h of high-resolution video data of surfaces touched by fingers, palms, and backs of hands. Based on the collected data, we simulated infection spread via the fomite route. 90% of touches to mucous membranes are by fingers (70% by fingers of the nondominant hand; 20% by fingers of the dominant hand). 3% of the virus released into the atmosphere by those infected was transmitted to other students' hands, personal-use surfaces, and public surfaces. Public surfaces are responsible for 53% of virus transmission due to surface touch to susceptible students. 65% of the virus transmitted to the mucous membranes, is by nondominant hands. 93% of virus intake via mucous membranes of the susceptible was from fingers. Door handles and mobile phones transferred the most viral loads to hands of the susceptible. Total virus exposure due to touching has no significant relationship with the duration of being indoors, but human behavior does. Behavior-related intervention strategies are much more efficient than other strategies such as public surface disinfection. If we never touch other's personal surfaces, we would reduce our exposure to the virus by 80%. • Students spent their approaching 97% of indoor time on surface touch. • Fingers play a key role in the fomite route of infection spread for office workers. • The non-dominant hand influences the health more than the dominant hand. • Half of virus intake via fomite route is from public surfaces. • Behavior-related interventions are much more efficient than other strategies. [ABSTRACT FROM AUTHOR]

Periodontitis and autoimmune bullous diseases, including pemphigus vulgaris and mucous membrane pemphigoid, are immunoinflammatory disorders leading to microbial plaque- and autoantibody-elicited tissue injury of the oral cavity, respectively. Evidence indicates that these autoimmune conditions may represent a risk factor for periodontitis, but no systematic evaluation exists to corroborate this assumption. A systematic literature review of periodontal status in pemphigus and pemphigoid was conducted. Electronic searches using PubMed from inception to July 2016 identified 10 studies meeting predetermined inclusion and exclusion criteria. Most reported some correlation between poor periodontal health and both oral pemphigus vulgaris and mucous membrane pemphigoid. Some demonstrated beneficial effects of oral hygiene procedures on periodontal parameters and clinical disease severity of the established blistering diseases. Inconsistent results were found between studies and within analyzed patient cohorts, likely because of methodological shortcomings. This review preliminarily suggests that patients with oral pemphigus vulgaris and mucous membrane pemphigoid appear somewhat more susceptible to periodontitis, which in turn may potentially trigger the bullous disorders. These patients should be encouraged by dermatologists to pursue collaborative professional periodontal follow-up with dentists. The true relationship and mutual interaction between both diseases needs to be more comprehensively addressed in well-designed prospective studies. [ABSTRACT FROM AUTHOR]