Comparing clinical outcomes of immediate implant placement with early implant placement in healthy adult patients requiring single-tooth replacement in the aesthetic zone: a systematic review and meta-analysis of randomised controlled trials.

BACKGROUND: The aim of this systematic review and meta-analysis was to assess the clinical efficacy of the immediate implant placement (IIP) protocol in the aesthetic zone with early dental implant placement (EIP) protocol. METHODS: Electronic databases MEDLINE (via OVID), EMBASE (via OVID), ISI Web of Science core collection, Cochrane, SCOPUS, and Google Scholar were searched for the studies comparing the two clinical protocols. Randomised controlled trials were included. Cochrane Risk of Bias tool (ROB-2) was used to assess the quality of included students. RESULTS: A total of six studies were selected. Implant failure was observed at 3.84%, 9.3%, and 4.45% in three studies while in the other studies, no implant failure was reported. Meta-analysis of four studies showed no statistically significant difference in the vertical bone levels between IIP and EIP (148 patients), mean difference (MD)0.10 [95% CI: -0.29 to 0.091.32] P > 0.05. Meta-analysis of two studies showed the probing depth between IIP versus EIP was not significantly different (100 patients), mean difference(MD)-0.00 [95% CI; -0.23 to 0.23]; P > 0.05. The pink aesthetic score (PES) was improved in EIP as compared to IIP with a statistically significant difference (P < 0.05). CONCLUSION: The available evidence supports the clinical efficacy of the IIP protocol. Present findings indicate aesthetics and clinical results of immediate implant placement protocol are comparable to early and delayed placement protocols. Therefore, future research with long-term follow-up is warranted.

Investigating Oxidative Stress Levels in Pregnant Patients Infected with Hepatitis C Virus and Bacterial Vaginosis for Better Treatment Option.

Objectives: Hepatitis C virus (HCV) and bacterial vaginosis (BV) coinfection generate sustained inflammation with bulk production of reactive oxygen species. They have the potency to cause hepatocellular carcinoma, vaginal apoptosis, disturb pregnancy, and influence drug treatment and follow-up. This case-control study aimed to compare the redox status in HCV and BV coinfection with respect to BV mono-infection among pregnant females (PFs). Methods: Blood samples and vaginal secretions were drawn from 75 PFs divided into three groups: coinfection (n = 25), monoinfection (n = 25), and control PFs (n = 25) who are presumed healthy subjects. Blood samples were analyzed for HCV detection based on conserved 5' untranslated region via real-time polymerase chain reaction and hematological parameters. Markers of oxidative stress (malondialdehyde and peroxidase) and antioxidants (catalase and superoxide dismutase) were checked in plasma as well as vaginal secretions of patients among all three groups. Results: Hematological analysis reveals that hemoglobin levels, platelets, and lymphocytes decreased significantly (p < 0.050) among the coinfection followed by mono-infection group compared to the control group. Moreover, the higher isolation frequency of pathogenic bacteria (Acinetobacter spp.) and Nugent score trend was observed among the coinfection group. Antioxidant levels were significantly lower (p < 0.050) among the vaginal secretions and blood plasma of patients having coinfection with respect to the mono-infection and control groups. While oxidative stress marker was significantly highest (p < 0.050) among vaginal secretions and blood plasma of coinfection followed by mono-infection and control group. These results validate that overall redox severity was more among the coinfection compared to the mono-infection and control groups. Conclusions: Redox indexes should be considered in early diagnosis and treatment of HCV and BV coinfection which may also facilitate the better treatment of hepatocellular carcinoma and vaginal apoptosis.

Advanced Strategies in Metal-Organic Frameworks for CO2 Capture and Separation.

The continuous carbon dioxide (CO2 ) gas emissions associated with fossil fuel production, valorization, and utilization are serious challenges to the global environment. Therefore, several developments of CO2 capture, separation, transportation, storage, and valorization have been explored. Consequently, we documented a comprehensive review of the most advanced strategies adopted in metal-organic frameworks (MOFs) for CO2 capture and separation. The enhancements in CO2 capture and separation are generally achieved due to the chemistry of MOFs by controlling pore window, pore size, open-metal sites, acidity, chemical doping, post or pre-synthetic modifications. The chemistry of defects engineering, breathing in MOFs, functionalization in MOFs, hydrophobicity, and topology are the salient advanced strategies, recently reported in MOFs for CO2 capture and separation. Therefore, this review summarizes MOF materials' advancement explaining different strategies and their role in the CO2 mitigations. The study also provided useful insights into key areas for further investigations.

Ethylenediamine loading into a manganese-based metal-organic framework enhances water stability and carbon dioxide uptake of the framework.

Metal-organic frameworks (MOFs) based on 2,5-dihydroxyterepthalic acid (DOBDC) as the linker show very high CO2 uptake capacities at low to moderate CO2 pressures; however, these MOFs often require expensive solvent for synthesis and are difficult to regenerate. We have synthesized a Mn-DOBDC MOF and modified it to introduce amine groups into the structure by functionalizing its metal coordination sites with ethylenediamine (EDA). Repeat framework synthesis was then also successfully performed using recycled dimethylformamide (DMF) solvent. Characterization by elemental analysis, FTIR and thermogravimetric studies suggest that EDA molecules are successfully substituting the original metal-bound DMF. This modification not only enhances the material's carbon dioxide sorption capacity, increasing stability to repeated CO2 sorption cycles, but also improves the framework's stability to moisture. Moreover, this is one of the first amine-modified MOFs that can demonstrably be synthesized using recycled solvent, potentially reducing the future costs of production at larger scales.

Efficient One-Pot Synthesis of a Hexamethylenetetramine-Doped Cu-BDC Metal-Organic Framework with Enhanced CO2 Adsorption.

Herein we report a facile, efficient, low cost, and easily scalable route for an amine-functionalized MOF (metal organic framework) synthesis. Cu-BDC⊃HMTA (HMTA = hexamethylenetetramine) has high nitrogen content and improved thermal stability when compared with the previously reported and well-studied parent Cu-BDC MOF (BDC = 1,4-benzenedicarboxylate). Cu-BDC⊃HMTA was obtained via the same synthetic method, but with the addition of HMTA in a single step synthesis. Thermogravimetric studies reveal that Cu-BDC⊃HMTA is more thermally stable than Cu-BDC MOF. Cu-BDC⊃HMTA exhibited a CO2 uptake of 21.2 wt % at 273 K and 1 bar, which compares favorably to other nitrogen-containing MOF materials.