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1.
Opt Express ; 32(12): 21230-21242, 2024 Jun 03.
Article in English | MEDLINE | ID: mdl-38859482

ABSTRACT

Many applications of ultrafast and nonlinear optical microscopy require the measurement of small differential signals over large fields-of-view. Widefield configurations drastically reduce the acquisition time; however, they suffer from the low frame rates of two-dimensional detectors, which limit the modulation frequency, making the measurement sensitive to excess laser noise. Here we introduce a self-referenced detection configuration for widefield differential imaging. Employing regions of the field of view with no differential signal as references, we cancel probe fluctuations and increase the signal-to-noise ratio by an order of magnitude reaching noise levels only a few percent above the shot noise limit. We anticipate broad applicability of our method to transient absorption, stimulated Raman scattering and photothermal-infrared microscopies.

2.
J Phys Chem Lett ; : 6398-6408, 2024 Jun 11.
Article in English | MEDLINE | ID: mdl-38861672

ABSTRACT

Natural light harvesting is exceptionally efficient thanks to the local energy funnel created within light-harvesting complexes (LHCs). To understand the design principles underlying energy transport in LHCs, ultrafast spectroscopy is often complemented by mutational studies that introduce perturbations into the excitonic structure of the natural complexes. However, such studies may fall short of identifying all excitation energy transfer (EET) pathways and their changes upon mutation. Here, we show that a synergistic combination of first-principles calculations and ultrafast spectroscopy can give unprecedented insight into the EET pathways occurring within LHCs. We measured the transient absorption spectra of the minor CP29 complex of plants and of two mutants, systematically mapping the kinetic components seen in experiments to the simulated exciton dynamics. With our combined strategy, we show that EET in CP29 is surprisingly robust to the changes in the exciton states induced by mutations, explaining the versatility of plant LHCs.

3.
J Phys Chem Lett ; 15(11): 3149-3158, 2024 Mar 21.
Article in English | MEDLINE | ID: mdl-38478725

ABSTRACT

We combine site-directed mutagenesis with picosecond time-resolved fluorescence and femtosecond transient absorption (TA) spectroscopies to identify excitation energy transfer (EET) processes between chlorophylls (Chls) and xanthophylls (Xant) in the minor antenna complex CP29 assembled inside nanodiscs, which result in quenching. When compared to WT CP29, a longer lifetime was observed in the A2 mutant, missing Chl a612, which closely interacts with Xant Lutein in site L1. Conversely, a shorter lifetime was obtained in the A5 mutant, in which the interaction between Chl a603 and Chl a609 is strengthened, shifting absorption to lower energy and enhancing Chl-Xant EET. Global analysis of TA data indicated that EET from Chl a Qy to a Car dark state S* is active in both the A2 and A5 mutants and that their rate constants are modulated by mutations. Our study provides experimental evidence that multiple Chl-Xant interactions are involved in the quenching activity of CP29.


Subject(s)
Chlorophyll , Lutein , Chlorophyll/chemistry , Light-Harvesting Protein Complexes/chemistry , Photosystem II Protein Complex/metabolism , Energy Transfer , Xanthophylls , Binding Sites , Mutagenesis, Site-Directed
4.
Nano Lett ; 24(3): 797-804, 2024 Jan 24.
Article in English | MEDLINE | ID: mdl-38189787

ABSTRACT

Structurally well-defined graphene nanoribbons (GNRs) are nanostructures with unique optoelectronic properties. In the liquid phase, strong aggregation typically hampers the assessment of their intrinsic properties. Recently we reported a novel type of GNRs, decorated with aliphatic side chains, yielding dispersions consisting mostly of isolated GNRs. Here we employ two-dimensional electronic spectroscopy to unravel the optical properties of isolated GNRs and disentangle the transitions underlying their broad and rather featureless absorption band. We observe that vibronic coupling, typically neglected in modeling, plays a dominant role in the optical properties of GNRs. Moreover, a strong environmental effect is revealed by a large inhomogeneous broadening of the electronic transitions. Finally, we also show that the photoexcited bright state decays, on the 150 fs time scale, to a dark state which is in thermal equilibrium with the bright state, that remains responsible for the emission on nanosecond time scales.

5.
ACS Appl Mater Interfaces ; 15(15): 18867-18877, 2023 Apr 19.
Article in English | MEDLINE | ID: mdl-37023322

ABSTRACT

Photocatalytic hydrogen generation from water splitting is regarded as a sustainable technology capable of producing green solar fuels. However, the low charge separation efficiencies and the requirement of lowering redox potentials are unresolved challenges. Herein, a multiphase copper-cuprous oxide/polypyrrole (PPy) heterostructure has been designed to identify the role of multiple oxidation states of metal oxides in water reduction and oxidation. The presence of a mixed phase in PPy heterostructures enabled an exceptionally high photocatalytic H2 generation rate of 41 mmol h-1 with an apparent quantum efficiency of 7.2% under visible light irradiation, which is a 7-fold augmentation in contrast to the pure polymer. Interestingly, the copper-cuprous oxide/PPy heterostructures exhibited higher charge carrier density, low resistivity, and 6 times higher photocurrent density compared to Cu2O/PPy. Formation of a p-p-n junction between polymer and mixed-phase metal oxide interfaces induce a built-in electric field which influences directional charge transfer that improves the catalytic activity. Notably, photoexcited charge separation and transfer have been significantly improved between copper-cuprous oxide nanocubes and PPy nanofibers, as revealed by femtosecond transient absorption spectroscopy. Additionally, the photocatalyst demonstrates excellent stability without loss of catalytic activity during cycling tests. The present study highlights a superior strategy to boost photocatalytic redox reactions using a mixed-phase metal oxide in the heterostructure to achieve enhanced light absorption, longer charge carrier lifetimes, and highly efficient photocatalytic H2 and O2 generation.

6.
ACS Appl Mater Interfaces ; 15(10): 13472-13483, 2023 Mar 15.
Article in English | MEDLINE | ID: mdl-36857156

ABSTRACT

This study shows that entirely thiophene-based core@shell nanoparticles, in which the shell is made of the oxidized form of the core polymer (P3HT@PTDOx NPs), result in a type II interface at the particle surface. This enables the development of advanced photon nanotransducers with unique chemical-physical and biofunctional properties due to the core@shell nanoarchitecture. We demonstrate that P3HT@PTDOx NPs present a different spatial localization of the excitation energy with respect to the nonoxidized NPs, showing a prevalence of surface states as a result of a different alignment of the HOMO/LUMO energy levels between the core and shell. This allows for the efficient photostimulation of retinal neurons. Indeed, thanks to the stronger and longer-lived charge separation, P3HT@PTDOx NPs, administered subretinally in degenerate retinas from the blind Royal College of Surgeons rats, are more effective in photostimulation of inner retinal neurons than the gold standard P3HT NPs.


Subject(s)
Nanoparticles , Rats , Animals , Thiophenes , Polymers , Retina
7.
J Chem Phys ; 156(20): 205101, 2022 May 28.
Article in English | MEDLINE | ID: mdl-35649882

ABSTRACT

CP29, a chlorophyll a/b-xanthophyll binding protein, bridges energy transfer between the major LHCII antenna complexes and photosystem II reaction centers. It hosts one of the two identified quenching sites, making it crucial for regulated photoprotection mechanisms. Until now, the photophysics of CP29 has been studied on the purified protein in detergent solutions since spectrally overlapping signals affect in vivo measurements. However, the protein in detergent assumes non-native conformations compared to its physiological state in the thylakoid membrane. Here, we report a detailed photophysical study on CP29 inserted in discoidal lipid bilayers, known as nanodiscs, which mimic the native membrane environment. Using picosecond time-resolved fluorescence and femtosecond transient absorption (TA), we observed shortening of the Chl fluorescence lifetime with a decrease of the carotenoid triplet formation yield for CP29 in nanodiscs as compared to the protein in detergent. Global analysis of TA data suggests a 1Chl* quenching mechanism dependent on excitation energy transfer to a carotenoid dark state, likely the proposed S*, which is believed to be formed due to a carotenoid conformational change affecting the S1 state. We suggest that the accessibility of the S* state in different local environments plays a key role in determining the quenching of Chl excited states. In vivo, non-photochemical quenching is activated by de-epoxidation of violaxanthin into zeaxanthin. CP29-zeaxanthin in nanodiscs further shortens the Chl lifetime, which underlines the critical role of zeaxanthin in modulating photoprotection activity.


Subject(s)
Light-Harvesting Protein Complexes , Membrane Lipids , Carotenoids/metabolism , Chlorophyll A , Detergents , Light-Harvesting Protein Complexes/chemistry , Zeaxanthins
8.
Nat Commun ; 13(1): 3320, 2022 Jun 09.
Article in English | MEDLINE | ID: mdl-35680886

ABSTRACT

One of the open challenges of spintronics is to control the spin relaxation mechanisms. Layered metal-halide perovskites are an emerging class of semiconductors which possess a soft crystal lattice that strongly couples electronic and vibrational states and show promise for spintronic applications. Here, we investigate the impact of such strong coupling on the spin relaxation of excitons in the layered perovskite BA2FAPbI7 using a combination of cryogenic Faraday rotation and transient absorption spectroscopy. We report an unexpected increase of the spin lifetime by two orders of magnitude at 77 K under photoexcitation with photon energy in excess of the exciton absorption peak, and thus demonstrate optical control over the dominant spin relaxation mechanism. We attribute this control to strong coupling between excitons and optically excited phonons, which form polaronic states with reduced electron-hole wave function overlap that protect the exciton spin memory. Our insights highlight the special role of exciton-lattice interactions on the spin physics in the layered perovskites and provide a novel opportunity for optical spin control.

9.
Nanoscale ; 14(8): 3062-3068, 2022 Feb 24.
Article in English | MEDLINE | ID: mdl-34993531

ABSTRACT

Identifying, visualising and ultimately tracking dynamically moving non-fluorescent nanoparticles in the presence of non-specific scattering is a long-standing challenge across the nano- and life-sciences. In this work we demonstrate that our recently developed ultrafast holographic transient (UHT) microscope is ideally suited for meeting this challenge. We show that UHT microscopy allows reliably distinguishing off-resonant, dielectric, from resonant, metallic, nanoparticles, based on the phototransient signal: a pre-requisite for single-particle tracking in scattering environments. We then demonstrate the capability of UHT microscopy to holographically localize in 3D single particles over large volumes of view. Ultimately, we combine the two concepts to simultaneously track several tens of freely diffusing gold nanoparticles, within a 110 × 110 × 110 µm volume of view at an integration time of 10 ms per frame, while simultaneously recording their phototransient signals. The combined experimental concepts outlined and validated in this work lay the foundation for background-free 3D single-particle tracking applications or spectroscopy in scattering environments and are immediately applicable to systems as diverse as live cells and tissues or supported heterogeneous catalysts.

10.
Eur Ann Otorhinolaryngol Head Neck Dis ; 139(4): 198-201, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34895850

ABSTRACT

INTRODUCTION: The HHIE-S (Hearing Handicap Inventory for the Elderly - Screening) is widely used for hearing-loss disorder in the elderly. The main objective of the present study was to validate a French version. The secondary objective was to determinate a cut-off score as indication for hearing rehabilitation. METHODS: We translated the HHIE-S into French, respecting the cross-cultural adaptation process for medical questionnaires. An observational study assessed the translation (10 questions, scored from 0 to 40) used for screening purposes in a prospective cohort, aged ≥60 years, with comparison to pure tone, speech-in-silence and speech-in-noise audiometry. Subjects were considered hearing-impaired if the pure-tone average at 500, 1,000, 2,000 and 4,000 Hz was >20 dB HL in one or both ears. RESULTS: We tested 294 subjects (mean age =67±6 years). Hearing loss prevalence was 34.7 %. Cronbach's alpha (test reliability) was high (0.84). Taking HHIE-S score >8/40 as cut-off defining hearing loss, sensitivity was 80.4%, specificity 85.4 %, positive predictive value 74.5 % and negative predictive value 89.1 %. Seventy-three subjects (24.8 %) had theoretic indications for hearing aids, optimally detected by HHIE-S score >16/40 (88,4 %). CONCLUSION: Our study validated the French version of the HHIE-S. This tool could be useful in screening for age-induced hearing loss in the elderly French population.


Subject(s)
Hearing Loss , Aged , Audiometry, Pure-Tone , Hearing , Hearing Disorders , Hearing Loss/diagnosis , Humans , Middle Aged , Prospective Studies , Reproducibility of Results , Surveys and Questionnaires
11.
J Phys Chem Lett ; 12(29): 6895-6900, 2021 Jul 29.
Article in English | MEDLINE | ID: mdl-34279961

ABSTRACT

Light-harvesting complex stress-related (LHCSR) proteins in green algae are essential for photoprotection via a non-photochemical quenching (NPQ), playing the dual roles of pH sensing and dissipation of chlorophylls excited-state energy. pH sensing occurs via a protonation of acidic residues located mainly on its lumen-exposed C-terminus. Here, we combine in vivo and in vitro studies to ascertain the role in NPQ of these protonatable C-terminal residues in LHCSR3 from Chlamydomonas reinhardtii. In vivo studies show that four of the residues, D239, D240, E242, and D244, are not involved in NPQ. In vitro experiments on an LHCSR3 chimeric protein, obtained by a substitution of the C terminal with that of another LHC protein lacking acidic residues, show a reduction of NPQ compared to the wild type but preserve the quenching mechanism involving a charge transfer from carotenoids to chlorophylls. NPQ in LHCSR3 is thus a complex mechanism, composed of multiple contributions triggered by different acidic residues.


Subject(s)
Algal Proteins/chemistry , Chlamydomonas reinhardtii/chemistry , Light-Harvesting Protein Complexes/chemistry , Algal Proteins/genetics , Algal Proteins/radiation effects , Aspartic Acid/chemistry , Carotenoids/chemistry , Chlorophyll/chemistry , Chlorophyll/radiation effects , Energy Transfer , Glutamic Acid/chemistry , Light , Light-Harvesting Protein Complexes/genetics , Light-Harvesting Protein Complexes/radiation effects , Mutation
12.
Nat Commun ; 12(1): 1772, 2021 Mar 19.
Article in English | MEDLINE | ID: mdl-33741966

ABSTRACT

A critical bottleneck for improving the performance of organic solar cells (OSC) is minimising non-radiative losses in the interfacial charge-transfer (CT) state via the formation of hybrid energetic states. This requires small energetic offsets often detrimental for high external quantum efficiency (EQE). Here, we obtain OSC with both non-radiative voltage losses (0.24 V) and photocurrent losses (EQE > 80%) simultaneously minimised. The interfacial CT states separate into free carriers with ≈40-ps time constant. We combine device and spectroscopic data to model the thermodynamics of charge separation and extraction, revealing that the relatively high performance of the devices arises from an optimal adjustment of the CT state energy, which determines how the available overall driving force is efficiently used to maximize both exciton splitting and charge separation. The model proposed is universal for donor:acceptor (D:A) with low driving forces and predicts which D:A will benefit from a morphology optimization for highly efficient OSC.

13.
Nano Lett ; 21(4): 1666-1671, 2021 02 24.
Article in English | MEDLINE | ID: mdl-33539103

ABSTRACT

Nanotechnology is increasingly being applied in many emerging technologies, ranging from metamaterials to next-generation nanodrugs. A key ingredient for its success is the ability to specifically tailor ultrafast nanoscale light-matter interactions over very large areas. Unfortunately, dynamic imaging by ultrafast nanoscopy so far remains limited to very small 2D areas. This shortcoming prevents connecting single-particle observations with large-scale functionality. Here, we address this experimental challenge by combining concepts of ultrafast spectroscopy, wide-field nanoscopy, and digital holography. We introduce an ultrafast holographic transient microscope for wide-field transient nanoscale imaging with high frequency all-optical signal demodulation. We simultaneously record ultrafast transient dynamics of many individual nano-objects and demonstrate time-resolved spectroscopy of gold nanoparticles over a large volume irrespective of their x-y-z position. Our results pave the way to single-shot 3D microscopy of 2D and 3D materials on arbitrary time scales from femtosecond carrier dynamics in optoelectronic materials to millisecond dynamics in complex tissues.


Subject(s)
Holography , Metal Nanoparticles , Gold , Microscopy , Nanotechnology
14.
Nano Lett ; 21(3): 1461-1468, 2021 Feb 10.
Article in English | MEDLINE | ID: mdl-33481610

ABSTRACT

Recently, it was demonstrated that charge separation in hybrid metal-semiconductor nanoparticles (HNPs) can be obtained following photoexcitation of either the semiconductor or of the localized surface plasmon resonance (LSPR) of the metal. This suggests the intriguing possibility of photocatalytic systems benefiting from both plasmon and exciton excitation, the main challenge being to outcompete other ultrafast relaxation processes. Here we study CdSe-Au HNPs using ultrafast spectroscopy with high temporal resolution. We describe the complete pathways of electron transfer for both semiconductor and LSPR excitation. In the former, we distinguish hot and band gap electron transfer processes in the first few hundred fs. Excitation of the LSPR reveals an ultrafast (<30 fs) electron transfer to CdSe, followed by back-transfer from the semiconductor to the metal within 210 fs. This study establishes the requirements for utilization of the combined excitonic-plasmonic contribution in HNPs for diverse photocatalytic applications.

15.
Health Sciences Journal ; : 144-152, 2021.
Article in English | WPRIM (Western Pacific) | ID: wpr-960810

ABSTRACT

INTRODUCTION@#Several studies on the effectiveness of exercise in improving sleep quality in the elderly have been done but have conficting results. This meta-analysis aimed to determine the effect of low- to moderate-intensity aerobic exercise in improving sleep quality among the elderly.@*METHODS@#EBSCO, ClinicalKey, PubMed, Wiley Online Library, and Cochrane Library were searched for articles using the terms “exercise AND sleep quality AND elderly”. The risk of bias assessment was done using the Cochrane Collaboration tool and encoded using RevMan 5.4. Data on outcome measures were subjected to meta-analysis using inverse variance methods.@*RESULTS@#Seven articles with a total of 225 participants were included. There was a statistically signifcant improvement in sleep quality with low to moderate intensity aerobic exercise (MD = -3.87 points; 95% CI -5.56, -2.19 points; p < 0.001). There was a statistically signifcant decrease in total sleep time after intervention (MD = -8.86; 95% CI -16.31, -1.41 points; p = 0.02). There was no improvement in sleep effciency.@*CONCLUSION@#Low and moderate intensity exercise improves sleep quality in the elderly and may be used as a non-pharmacologic intervention to enhance sleep quality.

16.
Nano Lett ; 20(8): 5678-5685, 2020 Aug 12.
Article in English | MEDLINE | ID: mdl-32574069

ABSTRACT

Using circularly polarized broadband transient absorption, time-resolved circular photoluminescence, and transient Faraday rotation spectroscopy, we report that spin-dependent interactions have a significant impact on exciton energies and spin depolarization times in layered Ruddlesden-Popper hybrid metal-halide perovskites. In BA2FAPb2I7, we report that room-temperature spin lifetimes are largest (3.2 ps) at a carrier density of ∼1017 cm-3 with increasing depolarization rates at higher exciton densities. This indicates that many-body interactions reduce spin-lifetimes and outcompete the effect of D'yakonov-Perel precessional relaxation that has been previously reported at lower carrier densities. We further observe a dynamic circular dichroism that arises from a photoinduced polarization in the exciton distribution between total angular momentum states. Our findings provide fundamental and application relevant insights into the spin-dependent exciton-exciton interactions in layered hybrid perovskites.

17.
Int Endod J ; 53(2): 186-199, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31162683

ABSTRACT

AIM: To reach a consensus on a consistent strategy to adopt when screening patients for dental/periodontal infections and on the feasibility of providing dental treatment before cardiothoracic surgery, cardiovascular surgery or other cardiovascular invasive procedures. METHODOLOGY: A panel of experts from six Italian scientific societies was created. The deliberations of the panel were based on the RAND method. From an initial systematic literature review, it became clear that a consensually validated protocol for the reproducible dental screening of patients awaiting cardiac interventions was considered mandatory by professionals with expertise in the dental, cardiologic and cardiac surgery areas. However, a systematic review also concluded that the treatment options to be provided, their prognosis and timing in relation to the physical condition of patients, had never been defined. Following the systematic review, several fundamental questions were generated. The panel was divided into two working groups each of which produced documents that addressed the topic and which were subsequently used to generate a questionnaire. Each member of the panel completed the questionnaire independently, and then, a panel discussion was held to reach a consensus on how best to manage patients with dental/periodontal infections who were awaiting invasive cardiac procedures. RESULTS: A high level of agreement was reached regarding all the items on the questionnaire, and each of the clinical questions formulated were answered. Three tables were created which can be used to generate a useful tool to provide standardized dental/periodontal screening of patients undergoing elective cardiovascular interventions and to summarize both the possible oral and cardiovascular conditions of the patient and the timing available for the procedures considered. CONCLUSIONS: Upon publication of this consensus document, the dissemination of the information to a wide dental and cardiac audience should commence. The authors hope that this consensus will become a model for the development of a dedicated protocol, ideally usable by heart and dental teams in the pre-interventional preparation phase.


Subject(s)
Cardiovascular Surgical Procedures , Periodontal Diseases , Stomatognathic Diseases , Thoracic Surgical Procedures , Consensus , Humans , Infections , Periodontal Diseases/diagnosis , Preoperative Care , Stomatognathic Diseases/diagnosis
18.
J Am Chem Soc ; 142(2): 777-782, 2020 Jan 15.
Article in English | MEDLINE | ID: mdl-31851510

ABSTRACT

Metal-halide perovskites show excellent properties for photovoltaic and optoelectronic applications, with power conversion efficiencies of solar cell and LEDs exceeding 20%. Being solution processed, these polycrystalline materials likely contain a large density of defects compared to melt-grown semiconductors. Surprisingly, typical effects from defects (absorption below the bandgap, low fill factor and open circuit voltage in devices, strong nonradiative recombination) are not observed. In this work, we study thin films of metal-halide perovskites CH3NH3PbX3 (X = Br, I) with ultrafast multidimensional optical spectroscopy to resolve the dynamics of band and defect states. We observe a shared ground state between the band-edge transitions and a continuum of sub-bandgap states, which extends at least 350 meV below the band edge). We explain the comparatively large bleaching of the dark sub-bandgap states with oscillator strength borrowing from the band-edge transition. Our results show that upon valence to conduction band excitation, such subgap states are instantaneously bleached for large parts of the carrier lifetime and conversely that most dark sub-bandgap states can be populated by light excitation. This observation helps to unravel the photophysical origin of the unexpected optoelectronic properties of these materials.

19.
Oper Dent ; 45(2): 117-122, 2020.
Article in English | MEDLINE | ID: mdl-31738693

ABSTRACT

This article describes the case of a vital molar tooth with a vast furcal iatrogenic root perforation and biologic width violation, which was successfully managed by a multidisciplinary approach aimed at preserving pulp vitality. The root perforation was cleaned and then sealed with mineral trioxide aggregate, which was positioned onto the pulp at the canal orifices. After one month, the patient was not reporting symptoms, and the tooth was positively responding to the thermal test. The tooth was orthodontically extruded, subjected to minimally invasive crown lengthening, and prepared to receive a full-crown restoration. Radiotransparent composite resin was chosen as a permanent restorative material to better monitor possible endodontic complications at the coronal level. The patient's tooth was followed up for eight years uneventfully. The present case is an example of the possibility to subject a root-repaired tooth with fully formed apices to conservative yet complex multidisciplinary treatment while maintaining pulp vitality.


Subject(s)
Biological Products , Root Canal Filling Materials , Dental Pulp , Drug Combinations , Humans , Iatrogenic Disease , Oxides , Tooth Root
20.
Int J Cardiol ; 292: 78-86, 2019 10 01.
Article in English | MEDLINE | ID: mdl-31262607

ABSTRACT

AIM: To reach a consensus on a consistent strategy to adopt when screening patients for dental/periodontal infections, and on the feasibility of providing dental treatment before cardiothoracic surgery, cardiovascular surgery or other cardiovascular invasive procedures. METHODOLOGY: A panel of experts from six Italian scientific societies was created. The deliberations of the panel were based on the RAND method. From an initial systematic literature review, it became clear that a consensually validated protocol for the reproducible dental screening of patients awaiting cardiac interventions was considered mandatory by professionals with expertise in the dental, cardiologic and cardiac surgery areas. However, systematic review also concluded that the treatment options to be provided, their prognosis and timing in relation to the physical condition of patients had never been defined. Following the systematic review several fundamental questions were generated. The panel was divided into two working groups each of which produced documents that addressed the topic and which were subsequently used to generate a questionnaire. Each member of the panel completed the questionnaire independently and then a panel discussion was held to reach a consensus on how best to manage patients with dental/periodontal infections who were awaiting invasive cardiac procedures. RESULTS: A high level of agreement was reached regarding all the items on the questionnaire, and each of the clinical questions formulated were answered. Three tables were created which can be used to generate a useful tool to provide standardized dental/periodontal screening of patients undergoing elective cardiovascular interventions, and to summarize both the possible oral and cardiovascular conditions of the patient and the timing available for the procedures considered. CONCLUSIONS: Upon publication of this consensus document, the dissemination of the information to a wide dental and cardiac audience should commence. The authors hope that this consensus can become a model for the development of a dedicated protocol, ideally usable by heart and dental teams in the pre-interventional preparation phase.


Subject(s)
Cardiovascular Surgical Procedures , Periodontal Diseases/diagnosis , Periodontal Diseases/therapy , Preoperative Care/standards , Sepsis/diagnosis , Sepsis/therapy , Stomatognathic Diseases/diagnosis , Stomatognathic Diseases/therapy , Thoracic Surgical Procedures , Delphi Technique , Humans , Mass Screening , Periodontal Diseases/microbiology , Preoperative Period , Stomatognathic Diseases/microbiology , Surveys and Questionnaires
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