Craniofacial implants at a single centre 2005-2015: retrospective review of 451 implants.

Craniofacial endosseous implants are regularly used to support prostheses in the rehabilitation of complex defects, but reported success rates vary. To review our own clinical practice over 10 years, and particularly to examine the impact of radiotherapy and the timing of placement on the survival of implants, we retrospectively audited the records for all patients who had endosseous implants for prosthetic rehabilitation in our unit between 2005 and 2015. We reviewed 167 records, which gave 451 implants, of which, 222 (49%) were auricular, 98 (22%) nasal, and 131 (29%) orbital. Most were placed after ablative operations for cutaneous malignancy (n=103 patients, 62%). The failure rate of implants placed in bone that was irradiated either before or after placement was significantly higher than that of those placed in non-irradiated bone (univariate analysis: 11% compared with 2%, p<0.001: Kaplan-Meier survival analysis: p<0.001). The timing of placement in relation to radiotherapy (before compared with after) seemed to have no impact on success (p=0.96). Our findings are in keeping with previous reports, and the principal observation is that radiotherapy adversely affects success. We work closely with our maxillofacial prosthetists and place implants at the time of ablation. Our findings seem to support this practice regardless of whether or not the patient will later require adjuvant radiotherapy.

Diabetes aggravates acute pancreatitis and inhibits pancreas regeneration in mice.

AIMS/HYPOTHESIS: It is well established that acute pancreatitis often causes diabetes and that a high blood glucose level associated with pancreatitis is a marker of poor prognosis. The aim of this study was to evaluate if diabetes merely reflects the severity of pancreatitis or whether it can also aggravate the progression of this disease in a vicious circle. METHODS: Reversible acute oedematous pancreatitis was induced in untreated and streptozotocin-treated diabetic mice by injection of cerulein. Progression of pancreatitis was studied by immunohistochemistry, ELISA and various other enzyme assays. The production of regenerating islet-derived 3ß (REG3ß) was determined by western blot and immunohistochemistry. RESULTS: While cerulein treatment in non-diabetic mice resulted in acute pancreatitis followed by regeneration of the pancreas within 7 days, diabetes aggravated pancreatitis, inhibited the regeneration of the exocrine tissue and led to strong atrophy of the pancreas. The aggravation of pancreatitis by diabetes was characterised by decreased production of the anti-inflammatory protein REG3ß, increased inflammation, augmented oedema formation and increased cell death during the acute phase of pancreatitis (p < 0.05). During the regenerative phase, diabetes augmented inflammation, increased cell death, reduced acinar cell expansion and increased the expansion of duct as well as interstitial cells, resulting in the formation of tubular complexes (p < 0.05). Administration of insulin reversed the observed phenotype in diabetic mice. CONCLUSIONS/INTERPRETATION: Diabetes aggravates acute pancreatitis and suppresses regeneration of the exocrine tissue. Thus, diabetes is not just a concomitant phenomenon of pancreatitis, but can have a fundamental influence on the progression of acute pancreatitis.

Transmission and transaction: predicting adolescents' internalization of parental religious values.

Data in this study supported a model of internalization that included both transmission and transactional variables. Two sets of hierarchical linear regression models were conducted on data collected from the fathers, mothers, and adolescents (10 to 12 years old) in 171 intact Caucasian families. One set predicted adolescent religious behavior; the other predicted the importance of religion to child. Transmission variables (parental religious behavior and parental desire for child to be religious) predicted the most variance in all models. Dyadic discussions of faith (transactional) predicted significant variance in all models. Child gender had a direct effect only on adolescent religious behavior. A significant 3-way interaction occurred between child gender, parental desire for child to be religious, and dyadic discussions when predicting importance of religion to child, with child and parent gender dyads interacting in a complex manner.

Cell adherence to larvae of Dictyocaulus viviparus in vitro.

Bovine eosinophils survived for up to 48 hours in vitro in a medium of undiluted bovine serum and became adherent to the surface of Dictyocaulus viviparus larvae earlier than other cells found in peripheral blood. Cell adherence was associated with a heat labile factor in normal bovine serum and a heat stable factor in hyperimmune serum. A factor associated with leucocytes in vitro appeared to cause larval immobility. Cells from calves treated with levamisole behaved identically to those from other sources. It is suggested that eosinophils are an important element in host defence against D viviparus infection.