Here we report the detection and distribution of synaptophysin (SPY), non-neuronal enolase (NNE), glial fibrillary acidic protein (GFAP), vimentin (VIM), neuropeptide Y (NPY), and vasoactive intestinal peptide (VIP) expression in the goat forestomach during prenatal development. A total of 140 embryos and fetuses were examined to evaluate protein expression from the first stage of prenatal life until birth. In all cases, SPY immunoreactivity was detected at 53 days gestation in the lamina propria-submucosa, tunica muscularis, serosa, and myenteric plexuses. Immunoreactivity to NNE was observed at 64 days gestation in the same locations as well as the epithelial layer. Glial cells were found at 64 days as indicated by signals corresponding to GFAP and VIM at 39 days. Positive staining for NPY and VIP was observed at 113, 75, and 95 days in the rumen, reticulum, and omasum, respectively, in the lamina propria-submucosa, tunica muscularis, and myenteric plexuses of each of these gastric compartments. These findings indicate possible preparation of the fetal goat forestomach for postnatal function. Compared to other ruminant species, neuroendocrine cells, glial cells and peptidergic innervations markers were detected earlier compared to sheep but at around the same stage as in deer.
Animals ; Biological Markers/metabolism ; Embryo, Mammalian ; Endocrine Cells/*metabolism ; Fetus/metabolism ; Gene Expression Regulation, Developmental ; Goats/*embryology/genetics ; Immunohistochemistry ; Neuroendocrine Cells/*metabolism ; Neuroglia/*metabolism ; Proteins/genetics ; Rumen/*embryology/metabolism

Purpose: Turner syndrome is defined as total or partial loss of the second sex chromosome in a phenotypically female patient. Due to the possibility of hidden mosaicism of fragments of the Y chromosome and development of gonadoblastoma, we evaluated the presence of such fragments in 2 tissues with different embryonic origins, peripheral blood lymphocytes (mesoderm), and oral mucosal cells (ectoderm) using multiplex polymerase chain reaction. Methods: DNA samples were collected from 109 patients, and primers for the SRY, TSPY, and AMELX genes were used. Results: We found 14 patients (12.8%) with positive molecular markers for the Y chromosome. The study of tissues of different embryological origin showed the same degree of agreement, sensitivity, and specificity. Conclusion Oral mucosa cells have a simpler method of collection that is less invasive and requires less time for DNA extraction at a lower cost.

BACKGROUND: Oral immunotherapy (OIT) has been recognized as a promising treatment for severe and long-lasting cow's milk (CM) allergy. Once maintenance has been achieved, patients should maintain daily intake of CM to ensure desensitization. Clinical experience concerning long-term follow-up is scarce. OBJECTIVE: The authors aimed to assess long-term efficacy and safety of a maintenance phase of OIT in real life. METHODS: Prospective study of all children and adolescents, who underwent CM-OIT and were subsequently followed at our allergy center on maintenance dose (200 mL daily) for at least 36 months after reaching the maintenance phase (from 2009 to 2016). RESULTS: Forty-two patients were enrolled: 60% male, 36% with history of anaphylaxis and 57% with asthma. The median time of follow-up was 69 months (range, 39–105 months) and the median age at the last clinical evaluation was 13 years (range, 6–23 years). Regarding adherence to the protocol: 92% are on free diet (at least 200 mL of CM daily; 7-g protein); 14% had transient interruptions and 7% definitely withdrawn with loss of tolerance. During maintenance, 45% developed mild to severe allergic reactions, and 7% had more than 3 episodes. A positive correlation between the occurrence of allergic reactions and history of anaphylaxis (p < 0.001) was found. The coexistence of asthma was risk factor for the occurrence of allergic reactions during maintenance. CONCLUSION: This real-life study supports long-term efficacy and safety of CM-OIT. Despite daily intake, 41% had symptoms at some moment during the complete follow-up period; a total of 33 symptomatic days in patients with mean follow-up time of 67.5 months. Clinical tolerance depends on daily intake. The protective effect reached can be lost after CM withdrawal. History of anaphylaxis was a risk factor for the occurrence of allergic reactions during the maintenance phase.
Adolescent ; Anaphylaxis ; Asthma ; Child ; Diet ; Follow-Up Studies ; Food Hypersensitivity ; Humans ; Hypersensitivity ; Immunotherapy ; Male ; Milk ; Prospective Studies ; Risk Factors

A Technical Working Group composed of health professionals and multispecialty healthcare experts, have come together to emphasize the crucial role of nutrition in promoting overall health and wellbeing. Nutrition serves as the cornerstone of optimal physical and mental functioning, and they firmly believe that a well-balanced diet should be the primary source of essential nutrients for individuals of all ages. However, they acknowledge the existence of prevalent gaps in nutrition and the potential benefits of oral micronutrient supplementation particularly those that contain iron and appetite stimulants in addressing these gaps across the entire disease spectrum. Despite the importance of nutrition, various factors like appetite loss due to medications and illnesses contribute to gaps in dietary intake. Modern dietary patterns, often characterized by highly processed foods, excessive added sugars, unhealthy fats, and insufficient intake of fruits, vegetables, whole grains, and lean proteins, can result in nutrient deficiencies. Additionally, socio-economic factors, cultural practices, limited access to nutritious food options, and individual dietary restrictions may further contribute to these gaps. Moreover, individuals who have poor appetite and nutrient intakes with certain conditions, or those who avoid certain foods (such as strict vegetarians and vegans) might benefit from taking supplementation. Multivitamin supplementation can play a supportive role in addressing nutritional gaps. These supplements, when used appropriately and as part of a balanced diet, can provide a convenient and reliable source of essential vitamins and minerals. Multivitamins are particularly useful in situations where dietary intake alone may not meet individual nutrient requirements due to limitations or specific health conditions. They offer an accessible option to help bridge the nutritional gaps and ensure adequate nutrient intake.

OBJECTIVES: To evaluate the effect of different ultrasonic tip designs on intraradicular post removal. MATERIALS AND METHODS: The crowns of forty human canine teeth were removed, and after biomechanical preparation and filling, the roots were embedded in acrylic resin blocks. The post spaces were made, and root canal molding was performed with self-cured acrylic resin. After casting (Cu-Al), the posts were cemented with zinc phosphate cement. The specimens were randomly separated into 4 groups (n = 10), as follows: G1 - no ultrasonic vibration (control); G2 - ultrasonic vibration using an elongated cylindrical-shaped and active rounded tip; G3 - ultrasonic vibration with a flattened convex and linear active tip; G4 - ultrasonic vibration with active semicircular tapered tip. Ultrasonic vibration was applied for 15 seconds on each post surface and tensile test was performed in a Universal Testing Machine (Instron 4444 - 1 mm/min). RESULTS: G4 presented the highest mean values, however, with no statistically significant difference in comparison to G3 (P > 0.05). G2 presented the lowest mean values with statistically significant difference to G3 and G4 (P < 0.05). CONCLUSIONS: Ultrasonic vibration with elongated cylindrical-shaped and active rounded tip was most effective in reducing force required for intraradicular post removal.
Crowns ; Cuspid ; Dental Pulp Cavity ; Fungi ; Humans ; Ultrasonics* ; Vibration ; Zinc Phosphate Cement

This study aims to compare flexural strength and flexural modulus of different resin-based composites (RBCs) and to determine the impact of dietary solvents on flexural properties. Forty specimens (12x2x2mm) for each of two conventional (Aura Easy [AE]; Harmonize [HN]) and one bulk fill (Sonic Fill 2 [SF2]) were fabricated using customised plastic moulds. Specimens were light-cured, measured and randomly divided into four groups. The groups (n=10) were conditioned for 7 days at 37°C: in one of media: air (control), artificial saliva (SAGF), 0.02N citric acid and 50% ethanol–water solution. After conditioning, the specimens subjected to flexural testing. Two-way ANOVA and one-way ANOVA (post hoc: Tukey’s or Dunnett T3 tests) were used at =0.05. Significant differences in flexural properties were observed between materials and conditioning media. Flexural strength and modulus values ranged from 124.85MPa to 51.25MPa; and 6.76GPa to 4.03GPa, respectively. The highest flexural properties were obtained with conditioning in air. Exposure to aqueous solutions generally reduced flexural properties. In conclusion, the effect of dietary solvents on flexural properties were material and medium dependent. For functional longevity of restorations, patients’ alcohol intake should be considered during material selection. Dietary advice (reduce alcohol consumption) should be given to patients post operatively.

BACKGROUND/AIMS: No clear data have been established and validated regarding whether rectal retroflexion has an important and therapeutic impact. The aim of the present study was to evaluate the diagnostic yield and therapeutic impact of rectal retroflexion compared with straight view examination. METHODS: A prospective single-blind study was conducted. Consecutive patients evaluated between October 2011 and April 2012 were included. RESULTS: A total of 934 patients (542 women, 58%) were included. The mean age was 57.4+/-14.8 years. Retroflexion was successful in 917 patients (98.2%). Distinct lesions in the anorectal area were detected in 32 patients (3.4%), of which 10 (1%) were identified only on retroflex view and 22 (2.4%) on both straight and retroflex views. Of the 32 identified lesions, 16 (50%) were polyps, nine (28.1%) were angiodysplasias, six (18.8%) were ulcers, and one (3.1%) was a flat lesion. All 10 patients (1%) in whom lesions were detected only by rectal retroflexion showed a therapeutic impact. CONCLUSIONS: Rectal retroflexion has minimal diagnostic yield and therapeutic impact. However, its low rate of major complications and the possibility of detecting lesions undetectable by straight viewing justify its use.
Angiodysplasia ; Colonoscopy ; Female ; Humans ; Polyps ; Prospective Studies* ; Rectum ; Single-Blind Method* ; Ulcer

This study compared the surface roughness of selected tooth coloured restorative materials that were polished according to manufacturers’ instructions and Sof-Lex. It also assessed the surface roughness of polished materials after thermocycling. Filtek Z350XT, Beautifil-Bulk Restorative and Cention N, were used in this study. A stainless steel mould (10mm diameter x 2mm height) was used to fabricate 75 cylindrical specimens: 15 Filtek Z350XT (FZ), 30 Beautifil-Bulk Restorative (BB) and 30 Cention N (CN). All 15 FZ specimens were polished with Sof-Lex. Fifteen BB and CN specimens were polished according to manufacturers’ instructions. The remaining fifteen BB and CN specimens were polished using Sof-Lex. All the specimens were subjected to thermocycling (1000 cycles). Surface roughness was assessed quantitatively with profilometry after specimen preparation (Mylar stage), polishing and thermocycling. Data were analysed using SPSS version 25.0 at α=0.05. When polished according to manufacturers’ instructions, BB had the lowest mean surface roughness (Ra) values (0.13±0.01μm) followed sequentially by CN (0.14±0.03μm) and FZ (0.15±0.02μm). The differences were not statistically significant. When polished with Sof-Lex, BB exhibited the smoothest surface (0.116±0.03μm) followed sequentially by and FZ (0.150±0.02μm) and CN (0.157±0.02μm). Thermocycling caused an increase in the Ra. The differences were statistically significant. All materials tested had Ra values below the threshold value of 0.2 µm at Mylar stage and after polishing with their recommended polishing system and Sof-Lex. Thermocycling produced rougher surfaces that did not exceed the threshold Ra value. Polishability was material dependent.

THIS GUIDANCE AIMS TO SUPPORT PHYSICIANS WHO COLLABORATE WITH SCHOOLS AND GOVERNMENT IN CREATING INFECTION CONTROL POLICIES FOR SCHOOL RE-ENTRY IN THE TIME OF COVID-19 PANDEMIC, WHILE TAKING INTO CONSIDERATION THE OVER-ALL HEALTH OF EVERYONE, BASED ON AVAILABLE EVIDENCE. THE GUIDANCE IS DYNAMIC AND MAY CHANGE DEPENDING ON THE RAPIDLY EVOLVING KNOWLEDGE, DATA, AND UNDERSTANDING OF SARS-COV-2 IN THE COUNTRY.

ABSTRACT Education worldwide has been conducted in the traditional face-to-face classroom teaching style for ages, and this includes the education in dentistry. Since the introduction of online education and distance learning, teaching institutions have gradually made e-learning an integral part of teaching and learning activities. With the emergence of COVID-19 pandemic and closure of teaching institutions worldwide, the faculty of dentistry is amongst the many that were forced to leap onto the online education field abruptly. There is a sudden need for educators to resort to online teaching and e-learning becomes an essential tool to be developed as an alternative to traditional education methods. This article serves as a review to explore and discuss the common concerns and institutional readiness in delivering e-learning and review the methods currently utilised during this time of crisis.
Education, Dental ; Education, Distance ; COVID-19