Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects-One Step Further to Improve Outcomes.

The main goal of surgical treatment for gastroschisis and omphalocele is the reduction of viscera in the abdominal cavity and closure of the abdomen, but the challenge is to succeed without the detrimental effects of increased intraabdominal pressure. In this regard, we performed a retrospective study for all patients admitted for gastroschisis and omphalocele to the Neonatal Intensive Care Unit of 'Marie Sklodowska Curie' Emergency Clinical Hospital for Children, from January 2011 until June 2021. Our aim was to highlight the presence of postoperative abdominal compartment syndrome. We observed that six out of forty-seven patients developed clinical signs of abdominal compartment syndrome, five associated with primary closure and one with staged closure with a polyvinyl chloride patch. Following the results, we decided to implement the trans-bladder measurement of intraabdominal pressure to avoid closing the abdomen at pressures higher than 10 mmHg in order to prevent the development of abdominal compartment syndrome. We consider that there is still place for the improvement of congenital abdominal wall defects management and that the measurement of intraabdominal pressure might help us reach our goal.

Microbiologic Profiles of Patients with Dental Prosthetic Treatment and Periodontitis before and after Photoactivation Therapy-Randomized Clinical Trial.

Fixed prosthodontic dental restorations can potentially affect the periodontal tissues and vice versa, the periodontium can influence the longevity and esthetic appearance of dental restorations. We proposed an investigation on total bacterial load, specific periodontal pathogens, and periodontal clinical parameters in patients with dental fixed prosthesis and different degrees of periodontal tissue loss that followed photoactivation therapy (PDT) adjunctive to scaling and root planing. The study was conducted on 160 subjects, which were randomly assigned to scaling and root planing (SRP) alone (52 subjects, 256 sites), SRP and chlorhexidine rinsing (58 subjects, 276 sites), and SRP plus PDT (50 subjects, 318 sites). Periodontal parameters (plaque index, bleeding on probing, probing depth, and clinical attachment loss), followed by total bacterial load and specific periodontal pathogens (Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola) were examined in each patient at baseline, one and six months after. PDT exerted significant improvements both in clinical and microbiological load after one month, and these results were maintained 6 months after when compared to chlorhexidine rinsing or SRP alone, especially in severe periodontitis cases. Photoactivation therapy as an adjunctive periodontal therapeutic method was efficient in offering supplementary periodontal improvements in the clinical and microbiological parameters of patients with fixed dental prosthesis, particularly in severe periodontitis cases.

Periimplant Bone Resorption at the Level of Tilted Implants in SKY Fast & Fixed Restorations.

Implant-prosthetic rehabilitation registers multiple variants, but their short- and long-term evolution has been a frequent concern. This study aimed to evaluate the peri-implant bone resorption at the level of the tilted implants in the SKY fast & fixed restorations, with reference to clinical and treatment parameters. An observational study was conducted on a convenience sample of patients with implant-prosthetic rehabilitation in one or both jaws, according to the SKY fast & fixed protocol (Bredent, Germany). Bone resorption was assessed on panoramic radiography. Other data were collected from the patient's medical records. Thirty tilted implants were analyzed, 12 of which were in the maxilla and 18 in the mandible. After the follow-up period, both bone resorption (maximum 7 mm) and bone apposition (maximum 8 mm) were observed. There was a tendency for the resorption to be more pronounced in the mandible, in patients where tooth loss was due to periodontal disease, and when implants with length less than 16 mm were used. Resorption was statistically significantly lower when bone addition materials and membranes were used at the extraction socket, and when SKY fast & fixed rehabilitation was performed in both jaws. SKY fast & fixed implant-prosthetic technique, which involves applying a small number of implants, and a fixed prosthesis corresponding to a shortened dental arch, is a viable method of treatment that outcomes the need for complex and expensive surgical interventions, and proves to be beneficial in maintaining the optimal parameters of bone support.

Organochlorine pesticides in colostrums in case of normal and preterm labor (Iasi, Romania).

Assessment of organochlorine pesticides (OCPs) in human body is important for human health because they have weak estrogenic or antiestrogenic effects and are considered endocrine disrupters. We used colostrum of women as indicator for levels of OCPs in human body for mothers with normal and preterm labor from eastern part of Romania. Sixty- three samples of colostrum were extracted by solid-phase extraction. Analyses were carried out using gas chromatography coupled to mass spectrometry (GC-MS). OCPs have been detected in all samples, with p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) and gamma-hexachlorocyclohexane (gamma-HCH) being at the highest concentrations. Of the organochlorines measured in clostrum samples from women in preterm labor, median levels of DDTs (470 ng/g) and HCHs (99 ng/g) were higher than for the same compounds from women in normal labor (median of DDTs=268 ng/g and median of HCHs=96 ng/g). Normal labor had higher median concentrations of HCB (19.5 ng/g) versus preterm labor (14 ng/g). Statistical data show high Spearman correlation coefficients between various OCPs. We found a good correlation between alpha-, gamma-, beta- and delta- HCH isomers (p<0.001) for both normal and preterm labor. The most abundant target compound was p,p'-DDE (median value 96 ng/g, and 137 ng/g for mother with normal and preterm labor, respectively) in all colostrum samples. The estimated daily intakes of HCHs by infants exceeded corresponding Health Canada guidelines.

Organohalogenated pollutants in human serum from Iassy, Romania and their relation with age and gender.

Human serum samples (n=142) from Iassy county (Eastern Romania) collected in 2005 were analyzed for p,p'-DDT and its metabolites, hexachlorobenzene, hexachlorocyclohexane (HCH) isomers, chlordane and metabolites and 14 polychlorinated biphenyl (PCB) congeners. In all samples, p,p'-DDE (principal metabolite of p,p'-DDT) and beta-HCH (most persistent HCH isomer) were the most abundant organochlorine pesticides (OCPs) with median concentrations of 1975 and 923 ng/g lipid weight (lw), respectively. Hexachlorobenzene and p,p'-DDT were also detected in all samples, but at a lower median concentration of 30 and 340 ng/g lw, respectively. The large variation of the ratio p,p'-DDT/p,p'-DDE (range between 0.02 and 0.80) suggests various degrees of exposure to DDT, including recent exposure, at least to some subgroups of the population. Chlordane and its metabolites were in most cases close to the limit of quantification suggesting a very low use of chlordane formulations in Eastern Romania. Unexpectedly, PCBs were present in all samples at sometimes considerable levels (up to 4970 ng/g lw for sum of 14 PCB congeners) indicating a higher exposure of the Romanian population than previously reported. The PCB profile consisted of persistent congeners such as 138, 153, 170 and 180 which contributed for approximately 75% to the sum PCBs. Concentrations of most pollutants correlated significantly with age (r>0.86, p<0.01). Except for p,p'-DDT and gamma-HCH, the mean levels of OCPs in females were statistically higher than in males, while, except for octa-CBs, no gender differences were found for PCBs. Levels of p,p'-DDE, penta-CBs, hexa-CBs and hepta-CBs were significantly higher in individuals with a rural main residence. In a pooled serum sample, 6 polybrominated diphenyl ether (PBDE) congeners were measured at a level of 1.04 ng/g lw. Compared to results available from Central and Eastern European countries, human serum samples from Romania contained higher levels of contamination. This emphasizes that an extensive and rigorous program for the monitoring of OCPs and PCBs in Romanian population is highly needed in the light of possible adverse health effects acknowledged for these pollutants.

Rate coefficients for the gas-phase reaction of OH radicals with dimethyl sulfide: temperature and O2 partial pressure dependence.

Rate coefficients for the gas-phase reaction of hydroxyl (OH) radicals with dimethyl sulfide (CH(3)SCH(3), DMS) have been determined using a relative rate technique. The experiments were performed under different conditions of temperature (250-299 K) and O(2) partial pressure (approximately 0 Torr O(2)-380 Torr O(2)), at a total pressure of 760 Torr bath gas (N(2) + O(2)), in a 336 l reaction chamber, using long path in situ Fourier transform (FTIR) absorption spectroscopy to monitor the disappearance rates of DMS and the reference compounds (ethene, propene and 2-methylpropene). OH was produced by the photolysis of H(2)O(2). The following Arrhenius expressions adequately describe the rate coefficients as a function of temperature (units are cm(3) molecule(-1) s(-1)): k = (1.56 +/- 0.20) x 10(-12) exp[(369 +/- 27)/T], for approximately 0 Torr O(2); (1.31 +/- 0.08) x 10(-14) exp[(1910 +/- 69)/T], for 155 Torr O(2); (5.18 +/- 0.71) x 10(-14) exp[(1587 +/- 24)/T], for 380 Torr O(2). The results are compared with previous investigations.

Effect of the interface on separation in multicapillary gas chromatography-based hyphenated techniques for speciation analysis of organometallic compounds.

This paper reports the effect of transfer line (TL) internal diameter (i.d.) on gas chromatographic separation characteristics such as efficiency and speed, when a multicapillary (MC) column is used for speciation analysis of mercury. Five different TL consisting of fused-silica capillaries with 0.15, 0.20, 0.25, 0.32, and 0.53 mm i.d. are compared. The separation efficiency and total chromatographic run time are critically affected by the i.d. of the TL. Narrow capillaries (i.d.< or =0.20 mm) produce minimum peak dispersion whereas wide capillaries result in narrow peaks and shorter chromatographic analysis times. A thermodynamic approach is proposed to describe the motion of the analytes through the separation column and TL. The model provides good agreement with the experimental data for high pressures (> or =35 psig) and wide TL (> or =0.25 mm i.d.).