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Abstract Objective Patients with thromboembolic problems, prosthetic valves, or coagulation issues are commonly prescribed anticoagulants and antiplatelets. Anticoagulant and antiplatelet medication might constitute a challenge for dentists and dental hygienists since possible prolonged bleeding might interfere with dental procedures. The aim of the present study was to examine the bleeding durations associated with various anticoagulants and antiplatelets during professional dental hygiene sessions, utilizing a modified Ivy test adapted for the oral context. Materials and methods Ninety-three consecutive patients undergoing professional oral hygiene were recruited. Debridement during oral hygiene was performed using ultrasonic mechanical instrumentation, and bleeding sites were assessed and treated with gentle pressure using sterile gauzes. The time for bleeding cessation was recorded. Patients were categorized into six groups based on their drug intake, Control: no anticoagulants or antiplatelets DTI: direct thrombin inhibitors (dabigatran) AntiXa: directa factor Xa inhibitors (endoxaban, apixaban, rivaroxaban) VKA: vitamin K antagonists (warfarin, acenocoumarol) SAPT: single anti-platelet therapy (acetylsalicylic acid or clopidogrel) DAPT: dual anti-platelet therapy (acetylsalicylic acid and clopidogrel). Bleeding time was measured in seconds and mean values were assessed among the different groups. Differences between groups were investigated with Kruskal-Wallis test followed by Dunn’s post-hoc correction for multiple comparisons or two-way ANOVA followed by Dunnett post-hoc; Results Control patients presented the lowest bleeding time 50 s, followed by AntiXa (98), SAPT (105), DTI (120), DAPT (190) and VKA (203). A statistically significant difference was present among control and DTI (p = 0.004), VKA (p

Patients affected by glioma frequently experience epileptic discharges; however, the causes of brain tumor-related epilepsy (BTRE) are still not completely understood. We investigated the mechanisms underlying BTRE by analyzing the effects of exosomes released by U87 glioma cells and by patient-derived glioma cells. Rat hippocampal neurons incubated for 24 hours with these exosomes exhibited increased spontaneous firing, while their resting membrane potential shifted positively by 10-15 mV. Voltage clamp recordings demonstrated that the activation of the [Na.sup.+] current shifted toward more hyperpolarized voltages by 10-15 mV. To understand the factors inducing hyperexcitability, we focused on exosomal cytokines. Western blot and ELISAs showed that TNF-[alpha] was present inside glioma-derived exosomes. Remarkably, incubation with TNF-[alpha] fully mimicked the phenotype induced by exosomes, with neurons firing continuously, while their resting membrane potential shifted positively. Real-time PCR revealed that both exosomes and TNF-[alpha] induced overexpression of the voltage-gated [Na.sup.+] channel Nav1.6, a low-threshold [Na.sup.+] channel responsible for hyperexcitability. When neurons were preincubated with infliximab, a specific TNF-[alpha] inhibitor, the hyperexcitability induced by exosomes and TNF-[alpha] was drastically reduced. We propose that infliximab, an FDA-approved drug to treat rheumatoid arthritis, could ameliorate the conditions of glioma patients with BTRE., Introduction Patients with brain tumors develop symptoms ranging from headaches to epileptic discharges to impairment of specific cognitive functions (1-3). The mechanisms leading to brain tumor-related epilepsy (BTRE) are not [...]

Summary: During the induction of the body’s alert state, the sympathetic system modulates sensory modalities and fine-tunes peripheral organs for improved stimulus detection. We explored noradrenaline (NA)’s role in modulating signaling in vomeronasal sensory neurons (VSNs), responsible for detecting pheromones and other semiochemicals. In current-clamp recordings, NA increased the firing frequency in response to natural stimuli of responsive VSNs and induced spiking activity in previously unresponsive neurons. Current injections into VSNs showed an increase in firing frequency during NA application. Combining transcriptomic analysis, electrophysiology, Ca2+ imaging, and a pharmacological approach, we identified alpha 1 adrenergic receptors as crucial for NA-induced firing frequency increases in VSNs. Immunohistochemistry revealed catecholaminergic fibers in the vomeronasal sensory epithelium, suggesting localized NA release near VSNs. This study unveils NA as a key regulator of VSN signaling, shedding light on the intricate interplay between the sympathetic nervous system and chemosensory processing, advancing our understanding of sensory modulation.

ABSTRACT We discuss the importance of fern and lycophyte species in the Atlantic Forest ecosystem as well as the need for floristic inventories to understand their distribution and conservation status. We focus on the Serra do Papagaio region in southeastern Brazil, which is known for its high plant diversity but lacks comprehensive inventories of ferns and lycophytes. In this study, we conducted a floristic inventory of Serra do Papagaio and identified 172 fern and 29 lycophyte species. Our findings reveal 21 threatened species and two new records for Minas Gerais State. Additionally, we compared the floristic composition of Serra do Papagaio with that of other areas within the Atlantic Forest using non-metric multidimensional scaling (NMDS) and generalized dissimilarity modeling (GDM) analyses. The results highlight distinct clusters of areas based on elevation and geographic location. We emphasize the need for further sampling and conservation efforts in Serra do Papagaio as well as provide valuable insights into the drivers of fern and lycophyte diversity in the Atlantic Forest.

Abstract The same individuals can express very different emotions in online social media with respect to face-to-face interactions, partially because of intrinsic limitations of the digital environments and partially because of their algorithmic design, which is optimized to maximize engagement. Such differences become even more pronounced for topics concerning socially sensitive and polarizing issues, such as massive pharmaceutical interventions. Here, we investigate how online emotional responses change during the large-scale COVID-19 vaccination campaign with respect to a baseline in which no specific contentious topic dominates. We show that the online discussions during the pandemic generate a vast spectrum of emotional response compared to the baseline, especially when we take into account the characteristics of the users and the type of information shared in the online platform. Furthermore, we analyze the role of the political orientation of shared news, whose circulation seems to be driven not only by their actual informational content but also by the social need to strengthen one’s affiliation to, and positioning within, a specific online community by means of emotionally arousing posts. Our findings stress the importance of better understanding the emotional reactions to contentious topics at scale from digital signatures, while providing a more quantitative assessment of the ongoing online social dynamics to build a faithful picture of offline social implications.

Background: Tooth extraction techniques have been refined over the years in order to be less traumatic and to better preserve alveolar bone. A recently introduced extraction method involves the use of the Magnetic Mallet®, which allows clinicians to be more precise and perform extractions faster. Moreover, the instrument enables the procedure to be less traumatic for patients. The aim of the present study was to clinically evaluate whether extractions performed using the Magnetic Mallet® can lead to less buccolingual bone resorption. Methods: Between February 2023 and June 2023, nine patients with an average age of 62 years underwent 29 extractions using the Magnetic Mallet®. Sectorial CBCTs were performed in order to measure buccolingual bone thickness at time 0 (T0, before extraction) and 3 months after extraction (T3M). All the extractions were performed by two different expert operators exclusively using the Magnetic Mallet®. For statistical analysis, a two-sample t-test was performed to determine the difference between the measurements taken at T0 and those taken at T3M in the 29 dental elements and the difference in bone loss between the surgeries conducted by the two clinicians. Results: A total of 22 teeth were extracted in the upper jaw and 7 in the lower jaw. The average degree of mobility was 1. The average degree of force impressed by the instrument to extract the teeth was 2, while the average frequency of blows administered was 7. The average time taken for the extractions was 3½ min. After 3 months, the mean buccolingual bone resorption was 1.54 mm (SD: ±). The difference in buccolingual bone thickness between T0 and T3 was significant at an alpha significance level of 0.01. No difference in bone resorption was found between the surgeries conducted by the two clinicians. Conclusions: The use of the Magnetic Mallet® results in bone loss in the buccolingual direction comparable with existing data in the literature on healing the post-extraction socket. This tool seems to be predictable in producing the same results between different operators.

Abstract Epiphytes represent approximately 10% of vascular plants, or 25,000 species distributed across 84 families. Water deficit is the greatest challenge faced by epiphytes, resulting in anatomical strategies aimed at maximizing water usage and minimizing water loss. This study aimed to characterize the leaf blade anatomy of 40 species of vascular epiphytes occurring in a cloud forest of the Brazilian Atlantic Forest and assess how leaf anatomy is related to the epiphytic life form. Samples were collected, fixed, dehydrated with ethanol, and embedded in paraffin for sectioning using a microtome or freehand technique. Some samples were dissociated for epidermal observation. A clustering analysis (using UPGMA) was conducted using a presence/absence matrix of 16 anatomical characters. The results showed that species within this functional group exhibit different leaf blade anatomical characteristics, which may or may not be adaptive to epiphytism. However, despite the occurrence of some characteristics such as stomata at the same level as other epidermal cells, thick cuticle, fibers, hypodermis, and homogeneous chlorophyllous parenchyma in 50% or more of the species, there is no set of anatomical characteristics that can be used to define an epiphyte.

BackgroundCurrent guidelines for nonalcoholic fatty liver disease (NAFLD) recommend high volumes and/or intensities of physical activity (PA), the achievement of which generally requires participation in supervised exercise training programs that however are difficult to implement in routine clinical practice. Conversely, counselling interventions may be more suitable, but result in only modest increases in moderate-to-vigorous-intensity PA (MVPA). This study assessed whether a counseling intervention for increasing PA and decreasing sedentary time (SED-time) is effective in improving NAFLD markers in people with type 2 diabetes.MethodsThree-hundred physically inactive and sedentary patients were randomized 1:1 to receive one-month theoretical and practical counseling once-a-year (intervention group) or standard care (control group) for 3 years. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and γ-glutamyltranspeptidase (γGT) levels were measured and fatty liver index (FLI), hepatic steatosis index (HSI), and visceral adiposity index (VAI) were calculated. Total PA volume, light-intensity PA (LPA), moderate-to-vigorous-intensity PA (MVPA), and SED-time were objectively measured by an accelerometer.ResultsThroughout the 3-year period, NAFLD markers did not change in the control group, whereas ALT, γGT, FLI, and HSI decreased in the intervention group, with significant between-group differences, despite modest MVPA increases, which however were associated with larger decrements in SED-time and reciprocal increments in LPA. Mean changes in NAFLD markers varied according to quartiles of (and correlated with) changes in MVPA (all markers) and SED-time, LPA, and PA volume (ALT, γGT, and HSI). Mean changes in MVPA or PA volume were independent predictors of changes in NAFLD markers. When included in the models, change in cardiorespiratory fitness and lower body muscle strength were independently associated with some NAFLD markers.ConclusionA behavior change involving all domains of PA lifestyle, even if insufficient to achieve the recommended MVPA target, may provide beneficial effects on NAFLD markers in people with type 2 diabetes.

Abstract Transmembrane protein 16 F (TMEM16F) is a Ca2+-activated homodimer which functions as an ion channel and a phospholipid scramblase. Despite the availability of several TMEM16F cryogenic electron microscopy (cryo-EM) structures, the mechanism of activation and substrate translocation remains controversial, possibly due to restrictions in the accessible protein conformational space. In this study, we use atomic force microscopy under physiological conditions to reveal a range of structurally and mechanically diverse TMEM16F assemblies, characterized by variable inter-subunit dimerization interfaces and protomer orientations, which have escaped prior cryo-EM studies. Furthermore, we find that Ca2+-induced activation is associated to stepwise changes in the pore region that affect the mechanical properties of transmembrane helices TM3, TM4 and TM6. Our direct observation of membrane remodelling in response to Ca2+ binding along with additional electrophysiological analysis, relate this structural multiplicity of TMEM16F to lipid and ion permeation processes. These results thus demonstrate how conformational heterogeneity of TMEM16F directly contributes to its diverse physiological functions.

Abstract Deep-sea active hydrothermal vents are globally diverse, vulnerable, rare, remote, and isolated habitats, yet they face increasing threats from human activities, including deep-sea mining. To address the conservation challenges surrounding these habitats, we present a global assessment of the conservation status of deep-sea active vents. Our findings reveal that while 25% of the known deep active hydrothermal vents are currently under conservation interventions, only 8% benefit of full protection. These conservation interventions, consisting of area-based and regulation-based management measures, are implemented by 17 Sovereign States, three Regional Fisheries Management Organizations and one international treaty through 30 discrete interventions. However, our assessment and comparison of the specific measures for the 155 managed active hydrothermal vents reveal that the current conservation remain fragmented and discordant across jurisdictions and biogeographical provinces, resulting in overall insufficient protection, especially in Areas Beyond National Jurisdiction. Seizing the current momentum for ocean conservation, it is crucial to harmonize the management and protection of active deep-sea vents worldwide, taking into account their global biogeographic context and spatial distribution. This requires aligning current international initiatives that could improve baseline policies for the global protection of deep-sea hydrothermal vents.

The objective of the present retrospective multi-center study was to analyze the outcomes of bone-level (BL) implants and tissue-level (TL) implants in immediate-loading full-arch rehabilitations. Patients who were previously rehabilitated with full-arch immediate-loading rehabilitations with either BL or TL implants were considered. Data regarding implant survival rate, marginal bone loss (MBL), peri-implant probing depth (PPD), plaque index (PI), and bleeding on probing (BOP) were recorded, and the 1-year follow-up data were statistically analyzed between the two groups. In total, 38 patients were evaluated for a total implant number of 156 (n = 80 TL implants and n = 76 BL implants). An implant survival rate of 97.37% was recoded for the BL group while an implant survival rate of 100% was noted for the TL group. A total MBL of 1.324 ± 0.64 mm was recorded for BL implants, while a total MBL of 1.194 ± 0.30 mm was recorded for TL implants. A statistically significant difference was highlighted regarding MBL at the mesial aspect (p = 0.01552) of the implants, with BL implants presenting with higher MBL. Within the range of acceptable healthy values, a statistically significant difference was also highlighted regarding BOP (p < 0.00001), with TL implants presenting higher values. No statistically significant difference (p > 0.05) was recorded for any of the other variables analyzed. Within the limitations of the present retrospective study, both TL and BL implants seem to provide good clinical outcomes after a 12-month observational period when employed in immediate-loading full-arch rehabilitation.

Background: The aim of the present parallel clinical study is to evaluate the efficacy of 3D-printed biopolymers compounded with osteoconductive material (beta-tricalcium phosphate and hydroxyapatite) for soft tissue closure after tooth extraction. Materials and Methods: this study followed the CONSORT reporting guidelines; 39 patients were treated with socket preservation using 3D-printed biopolymers and randomly divided into 3 groups (Test 1, Test 2, and Control). All cases were treated without flap elevation, careful cleaning and debridement of the sites, and then randomly sealed as follows: In T1, with a 3D-printed disk of poli-D-lactic acid with 10% of hydroxyapatite; in T2, using a 3D-printed disk of poli-ε caprolactone with 20% of β-tricalcium phosphate; and in T3, the socket was left open to heal. At baseline (extraction time) and 6 weeks after extraction, the rate of exposure was evaluated and stratified according to the site (anterior, posterior). Results: No dropouts were observed during the 6 weeks follow-up. All sites underwent uneventful healing with no complications. For posterior teeth, Test 1 and Test 2 showed full healing of the soft tissues with a reduction of the exposed area from 46.5 ± 8.25 mm2 to 0.6 ± 0.84 mm2 and from 47.1 ± 8.67 mm2 to 0.6 ± 0.7 mm2, respectively. The Control group exhibited a reduction from 45.6 ± 7.25 mm2 to 1.2 ± 0.9 mm2. Both Tests 1 and 2, when compared to the Control group, showed statistically significant better healing (p < 0.05). Anterior teeth showed a complete closure of the socket 4 weeks after the extraction with no noticeable differences between Test and Control. Conclusions: Both materials used in this study showed evidence to achieve the purpose. Ethical Guidelines: written informed consent was obtained from the participants of the study, as requested by the Ethics Committee for Health Research Faculty of Dentistry, Universitas Trisakti, with the following number: 641/S3/KEPK/FKG/5/2023.

Background: The choice of the correct color is of paramount importance in esthetic dentistry; however, there is still no consensus on the best technique to determine it. The aim of the present study is to compare the accuracy of a recently introduced colorimeter in shade matching with human vision. In addition, possible variables affecting color-matching by human eye have been analysed. Methods: 18 disc-shaped composite samples with identical size and shape were produced from a composite flow system (Enamel plus HriHF, Micerium): Nine were considered control samples (UD 0-UD 6), and nine were test samples with identical flow composite shade to the control ones. Parallelly, 70 individuals (dental students and dental field professionals) were individually instructed to sit in a dark room illuminated with D55 light and to perform visual shade matching between control and test discs. An error matrix containing ΔE94 between control and test discs was generated, containing four match-clusters depending on perceptibility and acceptability thresholds. The frequency and severity of errors were examined. Results: The colorimeter achieved a 100% perfect matching, while individuals only achieved a 78%. A higher occurrence of mismatches was noted for intermediate composite shades without a statistically significant difference. No statistically significant differences were reported for age, sex, and experience. A statistically significant difference was present among the Optishade match and the visual determination. Conclusions: The instrumental shade-matching evaluation proved to be significantly more reliable than the human visual system. Further research is needed to determine whether the same outcomes are achieved in a clinical setting directly on patients.