Lingual Abscess: Predisposing Factors, Pathophysiology, Clinical Manifestations, Diagnosis, and Management

Lingual abscess is a rare disorder, and current knowledge regarding clinical manifestations and treatment modalities has not been well established. This study presented 6 cases of lingual abscess patients between January 2012 and December 2017. There were three men and three women. Median age was 54 years. Odynophagia and local pain were the common presenting symptoms. Local trauma was the main predisposing factor of anterior abscess, while lingual tonsillitis or infected thyroglossal cyst was the predisposing factor of posterior abscess. An impending airway obstruction was identified in two patients, requiring tracheostomy. All patients achieved an excellent outcome with a combination of surgical drainage and proper antibiotics as well as using proper investigation for detecting unusual areas of lingual abscess. According to the data from the study's results and review of the relevant literature, an abscess located at the anterior two-thirds of the tongue is easy to diagnose while the posterior one-third of the tongue abscess is relative difficulty. Using contrast-enhanced computed tomography increases diagnostic accuracy, especially on the tongue base and deep space infection. The management strategies include (1) protecting the airway, (2) draining the abscess by needle aspiration or surgery, and (3) administering antibiotics early. Our series showed a superiority of surgical drainage when the patients present with marked tissue edema, deep loculated infection, and airway obstruction.

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Age and Periodontal Health—Immunological View

Abstract

Purpose of the Review

Aging clearly impacts a wide array of systems, in particular the breadth of the immune system leading to immunosenescence, altered immunoactivation, and coincident inflammaging processes. The net result of these changes leads to increased susceptibility to infections, increased neoplastic occurrences, and elevated frequency of autoimmune diseases with aging. However, as the bacteria in the oral microbiome that contribute to the chronic infection of periodontitis is acquired earlier in life, the characteristics of the innate and adaptive immune systems to regulate these members of the autochthonous microbiota across the lifespan remains ill-defined.

Recent Findings

Clear data demonstrate that both cells and molecules of the innate and adaptive immune response are adversely impacted by aging, including in the oral cavity, yielding a reasonable tenet that the increased periodontitis noted in aging populations is reflective of the age-associated immune dysregulation. Additionally, this facet of host-microbe interactions and disease needs to accommodate the population variation in disease onset and progression, which may also reflect an accumulation of environmental stressors and/or decreased protective nutrients that could function at the gene level (i.e., epigenetic) or translational level for production and secretion of immune system molecules.

Summary

Finally, the majority of studies of aging and periodontitis have emphasized the increased prevalence/severity of disease with aging, all based upon chronological age. However, evolving areas of study focusing on "biological aging" to help account for population variation in disease expression may suggest that chronic periodontitis represents a co-morbidity that contributes to "gerovulnerability" within the population.

https://ift.tt/2AQpHwJ

Modeling daily water temperature for rivers: comparison between adaptive neuro-fuzzy inference systems and artificial neural networks models

Abstract

River water temperature is a key control of many physical and bio-chemical processes in river systems, which theoretically depends on multiple factors. Here, four different machine learning models, including multilayer perceptron neural network models (MLPNN), adaptive neuro-fuzzy inference systems (ANFIS) with fuzzy c-mean clustering algorithm (ANFIS_FC), ANFIS with grid partition method (ANFIS_GP), and ANFIS with subtractive clustering method (ANFIS_SC), were implemented to simulate daily river water temperature, using air temperature (T_a), river flow discharge (Q), and the components of the Gregorian calendar (CGC) as predictors. The proposed models were tested in various river systems characterized by different hydrological conditions. Results showed that including the three inputs as predictors (T_a, Q, and the CGC) yielded the best accuracy among all the developed models. In particular, model performance improved considerably compared to the case where only T_a is used as predictor, which is the typical approach of most of previous machine learning applications. Additionally, it was found that Q played a relevant role mainly in snow-fed and regulated rivers with higher-altitude hydropower reservoirs, while it improved to a lower extent model performance in lowland rivers. In the validation phase, the MLPNN model was generally the one providing the highest performances, although in some river stations ANFIS_FC and ANFIS_GP were slightly more accurate. Overall, the results indicated that the machine learning models developed in this study can be effectively used for river water temperature simulation.

https://ift.tt/2QlNFFn

Cosmetics, Vol. 5, Pages 65: ES2 as a Novel Verbascoside-Derived Compound in the Treatment of Cutaneous Wound Healing

Cosmetics, Vol. 5, Pages 65: ES2 as a Novel Verbascoside-Derived Compound in the Treatment of Cutaneous Wound Healing

Cosmetics doi: 10.3390/cosmetics5040065

Authors: Ilaria Crivellari Silvia Vertuani Yunsook Lim Franco Cervellati Anna Baldisserotto Stefano Manfredini Giuseppe Valacchi

Several pathologies are characterized by chronic wounds and often resistant to many of the common therapies, leading to chronic infections that can become even life-threatening for patients. For this reason, the identification of new products able to ameliorate the healing process is still an on-going research. Natural compounds have been used to improve skin conditions due to their dermo-cosmetic and therapeutic activities including anti-inflammatory, antioxidant and cell-migratory properties. Among these compounds, it has been recently demonstrated that Verbascoside, a phenyl propanoid glycoside widely used in the cosmetic field, can improve keratinocytes proliferation. Because of its high hydrophilic character, Verbascoside has a limited range of possible topical applications and the synthesis of ES2, a semi-synthetic derivative of Verbascoside was performed to bypass some of the drawback aspects of this molecule. In the present study, the wound healing properties of Verbascoside and ES2 were compared in both keratinocytes “in vitro” wound scratch and in wounded SKH1 mice. The results showed that both compounds were not cytotoxic and ES2 showed an efficient ability to promote the proliferation of human keratinocytes compared to Verbascoside. The findings were also confirmed in vivo but only at early time points (2/3 days). Taken together, these data suggest that the Verbascoside-derivative ES2 could be considered a novel and promising candidate for the topical treatment of wounds.

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Evaluation of the potential of sewage sludge as a valuable fertilizer for wheat ( Triticum aestivum L.) crops

Abstract

A greenhouse experiment was performed to assess the soil heavy metal pools, growth, yield, and heavy metal uptake of wheat plants (Triticum aestivum L.) that are grown at different rates in soils supplemented with sewage sludge (SS). The experimental design was completely randomized, with six replicates per treatment. The application of SS significantly increased the soil organic matter content. Generally, most growth parameters, as well as the biomass of treated wheat, were significantly increased with the amendment of SS, up to the addition rate of 40 g kg⁻¹. The content of all heavy metals (except Cr in grains and Pb in spikes) significantly increased in different tissues of treated wheat with the increasing rate of SS application. However, all heavy metal concentrations (except for Al, Cr, Fe, and Mn in the roots) were normal and did not overcome the phytotoxic levels. The wheat was recognized by a bioaccumulation factor < 1.0 for most of the heavy metals. The translocation factor for all of the heavy metals was < 1.0. Therefore, the SS utilized in the present study could be used as a valuable organic fertilizer in wheat cultivation areas in Saudi Arabia and could also act as an eco-friendly method for the recycling of SS.

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IEnhanced Topical Delivery of Non-complexed Molecular Iodine for Methicillin-Resistant Staphylococcus aureus Decolonization.

Related Articles

IEnhanced Topical Delivery of Non-complexed Molecular Iodine for Methicillin-Resistant Staphylococcus aureus Decolonization.

Int J Pharm. 2018 Nov 02;:

Authors: Uchiyama S, Dahesh S, Nizet V, Kessler J

Abstract
Staphylococcus aureus, a leading cause of serious human infections in both healthcare and community settings, is increasingly difficult to control due to expanding resistance to multiple antibiotic classes. Methicillin-resistant S. aureus (MRSA) strains have disseminated on a global scale and are associated with adverse patient outcomes, increased hospital stays, and significant economic costs to the healthcare system. A proximal step in S. aureus infection is colonization of the nasal mucosa, and effective strategies to decolonize high risk patients to reduce the risk of invasive infection and nosocomial spread represent an important clinical priority. With rising resistance to mupirocin, the most common antibiotic utilized for nasal MRSA decontamination, we are examining the use of pure molecular iodine (I2)-based formulations for this indication. Recently, an iodophor formulation of povidone-iodine (PVP-I) has shown significant promise for nasal MRSA decontamination by swabbing the anterior nares of patients in hospital settings, but the I2 concentration in this treatment is less than 0.01% of total iodine species present and like all providone-iodine formulations causes skin staining. Here we determine that a novel non-staining formulation of I2 combined with the safe organic emollient glycerin, delivers high local concentrations of the active antimicrobial entity (I2) with minimal evaporative loss, exhibits activity at ∼1 part per million against MRSA and other important Gram-positive and -negative human pathogens. This formulation for I2 topical delivery produced similar reductions in mean bacterial burden and was associated with fewer treatment failures (< 2-logfold reduction) than PVP-I in a murine model of MRSA nasal decontamination. Formulations of I2 in glycerin emollient merit further exploration as topical disinfectants for human medical indications.

PMID: 30395958 [PubMed - as supplied by publisher]

https://ift.tt/2yUbi1e

Prevalence of antibiotic-resistant organisms in Canadian Hospitals. Comparison of point-prevalence survey results from 2010, 2012, and 2016.

Related Articles

Prevalence of antibiotic-resistant organisms in Canadian Hospitals. Comparison of point-prevalence survey results from 2010, 2012, and 2016.

Infect Control Hosp Epidemiol. 2018 Nov 05;:1-7

Authors: Martin P, Abou Chakra CN, Williams V, Bush K, Dyck M, Hirji Z, Kiss A, Larios OE, McGeer A, Moore C, Weiss K, Simor AE, Infection Prevention and Control Canada

Abstract
OBJECTIVE: Point-prevalence surveys for infection or colonization with methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae (CREs), and for Clostridium difficile infection (CDI) were conducted in Canadian hospitals in 2010 and 2012 to better understanding changes in the epidemiology of antimicrobial-resistant organisms (AROs), which is crucial for public health and care management.
METHODS: A third survey of the same AROs in adult inpatients in Canadian hospitals with ≥50 beds was performed in February 2016. Data on participating hospitals and patient cases were obtained using standard criteria and case definitions. Associations between ARO prevalence and institutional characteristics were assessed using logistic regression models.
RESULTS: In total, 160 hospitals from 9 of the 10 provinces with 35,018 adult inpatients participated in the survey. Median prevalence per 100 inpatients was 4.1 for MRSA, 0.8 for VRE, 1.1 for CDI, 0.8 for ESBLs, and 0 for CREs. No significant change occurred compared to 2012. CREs were reported from 24 hospitals (15%) in 2016 compared to 10 hospitals (7%) in 2012. Routine universal or targeted admission screening for VRE decreased from 94% in 2010 to 74% in 2016. Targeted screening for MRSA on admission was associated with a lower prevalence of MRSA infection. Large hospitals (>500 beds) had higher prevalences of CDI.
CONCLUSION: This survey provides national prevalence rates for AROs in Canadian hospitals. Changes in infection control and prevention policies might lead to changes in the epidemiology of AROs and our capacity to detect them.

PMID: 30394232 [PubMed - as supplied by publisher]

https://ift.tt/2OvgNYX