Intraoral scanner-based monitoring of tooth wear in young adults: 12-month results

OBJECTIVES

To investigate tooth wear in young adults, intraoral scanning was used for digital monitoring of the mandibular first molar over 12 months. A possible influence of aetiological factors obtained by a questionnaire on tooth wear was investigated.

MATERIALS AND METHODS

A total of 109 participants (mean age at the start of the study: 21.0 ± 2.2 years) were included in this clinical study. At baseline (T0), an intraoral scan (Trios 3, 3Shape) of the study tooth (FDI # 36 or #46) was conducted. After a mean observation period of 373 ± 19 days, a second intraoral scan (T1, n = 94) of the same tooth as at T0 was performed and standard tessellation language datasets were superimposed with 3D analysis software (GOM Inspect). The occlusal surface of the study tooth was divided into 7 areas (5 cusps, 2 ridges) and maximum vertical substance loss was measured between T0 and T1 (n = 91). Three types of tooth wear were defined: cupping (C), facet (F) and combined cupping-facet (CF). Furthermore, a questionnaire on aetiological factors, such as dietary behaviour, was filled out at T0. Data were analysed with non-parametric tests (p < 0.05).

RESULTS

Only one study tooth exhibited no tooth wear at T0, whereas 3 teeth showed C, 47 teeth F and 40 teeth CF. A progression of vertical substance loss for all three types was shown. Most affected were the mesiobuccal cusps (43, 38/47 µm; median, 95%CI) followed by distobuccal (36, 33/39 µm), mesiolingual (35, 26/40 µm), distolingual (34, 27/36 µm) and distal (31, 25/34 µm). On mesial and distal ridges, only F was detected with the lowest vertical substance loss of all areas (mesial ridge: 0, 0/0 µm; distal ridge: 0, 0/0 µm). An association between aetiological factors and loss values could not be shown.

CONCLUSIONS

All study teeth showed clear signs of wear, and after only 1 year, further substance loss was detectable. This result is of significance for young adults.

CLINICAL RELEVANCE

Since data of young adults regarding tooth wear are scarce, the results give a first idea of the amount of vertical loss per year and its relation to aetiological factors such as dietary behaviour. Therefore, further studies over a longer observation period are highly recommended.

Mobilization and transport of pesticides with runoff and suspended sediment during flooding events in an agricultural catchment of Southern Brazil

Brazil is one of the largest consumers of pesticides in the world, and these chemicals present a high contamination risk for the country's water bodies. The mechanisms of mobilization and transport of pesticides from cropland to river systems are controlled by runoff and erosion processes occurring at the catchment scale. In addition to the excessive use of pesticides, the transport processes of these substances are also accelerated by inadequate soil management and the absence of soil conservation measures at the catchment scale. The current research relied on hydrological monitoring to investigate the transport and persistence of pesticides in response to hydrological dynamics. The study was conducted in the Conceição River watershed where runoff and suspended sediment fluxes are continuously monitored at the outlet. This study area is representative of the grain production system in southern Brazil including the application of large amounts of pesticides combined with extensive runoff and erosion problems. Sample collection in the river for pesticide analysis included the analysis of both water and suspended sediment. The sediment deposit analysis was performed in a single location at 4 depths. Results demonstrate the occurrence of pesticides including simazine, 2,4-D, carbendazim, imidacloprid, tebuconazole, propiconazole, tetraconazole, and trifloxystrobin in water, while glyphosate and AMPA were detected in suspended sediments, and AMPA and carbendazim were found in sediment deposits. The study demonstrated the strong dependence of the mechanisms of pesticide mobilization and transport in the catchment with the intra- and interevent variability of hydro-sedimentary processes. Pesticide detections can be related to several factors, including the magnitude of the rainfall event, the period of pesticide application, or the transport of suspended sediment. All these factors are correlated, and the mechanisms of transportation play an important role in the connections between sink and sources. The results suggest that pesticide monitoring should take into account the runoff and erosion pathways in each particular catchment, and it should especially include the monitoring of major rainfall events for identifying and quantifying the occurrence of pesticides in the environment. The transport of pesticides indicates to be potentiated by intensive pesticide use, the magnitude of rainfall-runoff events, and the absence of runoff control measures (e.g., terracing). These results demonstrate that water and soil conservation techniques should be planned and coordinated at the watershed scale to reduce the connectivity of water and sediment flows from agricultural areas to river systems with the implementation of effective runoff control practices. This will control the mobilization agents (runoff), as well as limit the connection between the sources and the water bodies.

Behçet's Disease in a Polish Patient: A Case Report

Behçet's disease (BD) is a systemic autoinflammatory vasculitis. It occurs predominantly in Turkey but very rarely in Europe. The clinical manifestations of BD involve the skin and mucosal membranes; cardiovascular, gastrointestinal and nervous systems; and the eyes and joints. A 26-year-old man was repeatedly hospitalized at the Department of Dermatology of the Medical University of Bialystok. He had a family history of family members' deaths from unknown cause and a long personal history of recurring headaches and nonspecific pain in the chest as well as a 2-year history of recurring painful erosions on the oral mucosa. Recently, before admission to hospital, another erosion had appeared on the scrotum, which rapidly evolved into a painful ulceration. The patient also presented a large erosion in the area of the right hip and acne lesions. He consulted doctors of different specialties and underwent laboratory and imaging tests. Considering the symptoms, BD was diagnosed. Azathioprine was introduced, along with topical treatment. Great improvement of the skin lesions was achieved. He was later admitted to the department a few times for follow-up visits and remains in good general condition. BD is an extremely rare disease in Europe, especially in Poland. The fact that BD is a rare disease outside Asia leads to lower awareness and the possibility of not considering it in the differential diagnosis. The great diversity of symptoms also causes difficulties in tracking this disease. The various manifestations of BD require a broad spectrum of additional tests and an interdisciplinary approach to the patient.

Obliterating potential of active products for dentin hypersensitivity treatment under an erosive challenge

OBJECTIVES

To compare the effect of 5 desensitizing agents on the hydraulic conductance (Lp) of dentin and to analyze its surface under a Laser Scanning Confocal Microscope (LSCM) before and after an erosive challenge.

METHODS

Lp was analyzed in the following sequence: in the presence of smear layer (pMin), after a 15-second acid etching (pMax), after treatment with a desensitizing agent (pTreat) and after a 1-minute erosive challenge (6% citric acid - pEro). Fifty 1.0 ± 0.2 mm-thick dentin disks were prepared from sound human third molars and were randomly distributed into 5 groups (n = 10): FG-Fluoride gel (control), SA-Sensiactive, PR-Sensitive Pro-Relief, NP-Desensibilize Nano-P and EV-Enamel Pro Varnish. Data were analyzed by two-way ANOVA and Tukey tests (α<0.05). Additional specimens were analyzed under a Laser Scanning Confocal Microscope (LSCM) and by Energy Dispersive X-ray Spectroscopy (EDS).

RESULTS

All materials reduced the Lp in some extent, except for FG and EV. After the erosive challenge, SA was the only material effectively able to keep the same Lp of the post-treatment phase, while the other products showed lower resistance upon an erosive challenge. Under the LSCM, the SA and NP materials were more effective to obliterate the opened dentin tubules and demonstrated higher resistance upon an erosive challenge. The EDS analysis evidenced levels of Ca, O, P, Si, Na and S.

CONCLUSIONS

Product containing potassium oxalate was the most effective in reducing Lp of dentin samples before and after an erosive challenge. Under a LSCM, products containing potassium oxalate or hydroxyapatite crystals seemed to be occluding the dentin tubules after an erosive challenge.

Nutrient pollution enhances productivity and framework dissolution in algae- but not in coral-dominated reef communities

Ecosystem services provided by coral reefs may be susceptible to the combined effects of benthic species shifts and anthropogenic nutrient pollution, but related field studies are scarce. We thus investigated in situ how dissolved inorganic nutrient enrichment, maintained for two months, affected community-wide biogeochemical functions of intact coral- and degraded algae-dominated reef patches in the central Red Sea. Results from benthic chamber incubations revealed 87% increased gross productivity and a shift from net calcification to dissolution in algae-dominated communities after nutrient enrichment, but the same processes were unaffected by nutrients in neighboring coral communities. Both community types changed from net dissolved organic nitrogen sinks to sources, but the increase in net release was 56% higher in algae-dominated communities. Nutrient pollution may, thus, amplify the effects of community shifts on key ecosystem services of coral reefs, possibly leading to a loss of structurally complex habitats with carbonate dissolution and altered nutrient recycling.

Clinical diagnosis of oral erosive and ulcerative diseases in children

Mucosal disease is one of the most common oral cavity diseases in children, among which mucosal erosion and ulceration account for about 50%. Oral mucosal erosion and ulcer diseases in children are mostly acute with obvious pain, affecting speech, eating and swallowing. Some oral mucosal diseases are caused by infection and would result in epidemic among children. The onset age, sites, lesions size and quantity could vary, and some would have recurrence. The detailed medical history and comprehensive physical examination are necessary, some diseases can be diagnosed according to the medical history and clinical manifestations. If diagnosis can not be made, biopsy, blood test and immunofluorescence staining, immunohistochemistry, molecular biology detection, gene diagnosis, tuberculin test and other tests should be considered, and further investigation of systemic diseases should also be carried out if necessary. In some cases, multidisciplinary consultation should be sought. For those who still have no abnormal findings, therapeutic diagnosis can be tried out or secondary biopsy should be performed. In this article, the research progress of oral mucosal diseases in children is reviewed and our own clinical experiences of oral erosive and ulcerative diseases in children are summarized.

Adaptation of a freshwater evaluation framework to a coastal system: The case of Kamari, Santorini

The erosion of sandy beaches creates a significant impact on the local society, the economy and the environment. The present study is an attempt to adapt the innovative DESSIN (Demonstrate Ecosystem Services Enabling Innovation in the Water Sector) framework that specializes in freshwater applications, to urban coastal systems. The framework is applied in the case of Kamari beach, Santorini (Greece), to assess the sustainability of all possible anti-erosion measures. To identify the most vulnerable parts of the coastline, the study used two sensitivity indices: the Coastal Vulnerability Index (CVI), and the Socioeconomic Index (SocCVI). A supply-demand model was applied for the integration of all three aspects that characterize the system: social, economic, and environmental. To project the impact of erosion in the future, the system's state was analyzed in three steps a) the present, b) after the installation of the coastal protection measures and c) a scenario where no protection actions were taken (RCP4.5 scenario). In the current situation the most susceptible part of the coastline due to anthropogenic and environmental pressures is the central one, which does not immediately affect the socio-economic activities of the urban area. In contrast, future changes brought about by climate change will endanger the system's equilibrium and anti-erosion actions are necessary. With the application of the adapted DESSIN framework, the combined installation of submerged breakwaters with sediment replacement is the most sustainable action, promoting socio-economic growth and the protection of essential ecosystem services.

Adverse Events Associated With Synthetic Male Slings: An Analysis of the Food and Drug Administration Manufacturer and User Facility Device Experience Database

PURPOSE

We sought to describe and analyze the adverse events associated with synthetic male slings reported to the U.S. Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database.

METHODS

We queried the MAUDE database for all entries including the terms "Male Sling," "InVance," "Virtue," or "Advance" from January 1st, 2009 to December 31st, 2018. We collected and analyzed information about the event type, date received, report source, source type, and manufacturer. We reviewed and categorized the event description text for each medical device report (MDR).

RESULTS

A total of 497 adverse events related to the male sling were identified. The adverse events were classified as injury (95.4%), malfunction (4.2%), and other (0.4%). There were no deaths described. The slings involved were the Advance or Advance XP sling (69.8%), InVance (15.5%), Virtue Quadratic (12.3%), or unknown (2.4%). The 4 most common adverse events described were urinary incontinence (46.7%), sling erosion (9.1%), mechanical malfunction (8.2%), and pain/numbness (8.2%). There was no increase in the number of reports in the years following the FDA warnings for urogynecologic mesh.

CONCLUSION

There was an overall modest number of MDRs related to male slings and the majority of them were reported by the manufacturer. The reporting of adverse events for male slings does not seem to be affected by the controversy and scrutiny towards transvaginal mesh and midurethral slings. Further clinical studies and more objective and detailed databases are needed to investigate the safety of these synthetic slings.

Runoff and leaching of dissolved phosphorus in streams from a rainfed mixed cropping and grazing catchment under a Mediterranean climate in Australia

Managing phosphorus (P) is a global priority for environmental water quality due to P lost from agricultural land through leaching, runoff and subsurface flow. In Western Australia (WA), following decades of P fertiliser application to crops and pastures in low rainfall regions, questions have been raised about this region's contribution to environmental P loss. This study was conducted on the Fitzgerald River catchment in the south Western Australia (WA) with mixed cropping and grazing land uses and a Mediterranean climate with low mean rainfall (~350 mm yr^-1). Phosphorus forms were monitored continuously over a three-year period in five separate streams, each draining a defined sub-catchment. The P concentrations in streams consistently exceeded Australian and New Zealand Environment Conservation Council (ANZECC) trigger values throughout the monitoring period. Of the measured total P concentration, ~75% was dissolved P (DRP; <0.45 μm) and 80% of that fraction was in the filterable reactive form (FRP). These water quality measurements and other independent soil investigations at this site, suggest that transport of dissolved P rather than erosion of sediment-bound P was dominant in this environment. Based on extractable soil P (Colwell P) and the P buffering index (PBI), predicted concentrations of dissolved reactive P (DRP) in soil solution in topsoils (0-10 cm) across this catchment, generally exceeded ANZECC's values of 0.07 mg PL^-1. The level of exceedance was spatially variable. Streams draining areas with the lowest predicted DRP concentrations also had the lowest measured FRP concentrations. Elsewhere stream water FRP concentrations depended on both DRP concentration and the PBI of the land being drained. Our findings suggest that deployment of practices that physically filter runoff, for example riparian vegetation, would be ineffective in restricting P transport into stream in this environment. This conclusion is consistent with previous findings of the ineffectiveness of riparian buffers on coarse textured sandy soils in higher rainfall areas of southwest WA. A reduction in DRP losses without yield loss could be achieved by following evidence-based fertiliser advice from soil testing to limit losses of legacy P".

The Effect of Demineralization and Remineralization Cycles on the Bond Strength of Resin Composite to Enamel

Toothwear is a growing concern, particularly in young adults. Prevention strategies remain of utmost importance and may involve the use of remineralising agents. If restorative treatment is indicated, adhesive techniques are recommended. It is unknown whether remineralising agents affect adhesion.

METHOD

77 bovine incisors were subjected to simulated toothwear by erosion (0.3% citric acid) and abrasion (oscillating toothbrush). Samples were randomly arranged into 5 test and 2 control groups (n=11). Each test group had a remineralising agent applied. Subsequently, composite was bonded to each sample and subjected to shear bond testing. Shear bond strength, mode of failure and enamel surface changes were analysed.

RESULTS

There was no statistically significant difference for bond strength between groups (p=0.262). Mode of failure was statistically significant between groups (p⟨0.0001). Qualitative analysis showed a surface layer on samples remineralised by calcium silicate and stannous fluoride. Both groups had more adhesive failures.

CONCLUSION

Within the limitations of this study, it can be concluded that the remineralising agents tested do not affect shear bond strength though surface layers created on the enamel influence the mode of failure. These 'sacrificial' surface layers have the potential to protect the underlying enamel structure.

The prevalence of non-carious cervical lesions (NCCLs) with or without erosive etiological factors among adults of different ages in Tokyo

OBJECTIVES

To evaluate the prevalence of non-carious cervical lesions (NCCLs) on teeth with or without erosive etiological factors across a broad range of ages of Japanese adults.

MATERIALS AND METHODS

The study sample consisted of a total of 1108 subjects aged 15 to 89 years in Tokyo, Japan. Two examiners evaluated NCCLs and dental erosion (DE) during a full-mouth examination. Subjects were asked to complete a self-administered daily diet, habits, and health condition questionnaire. Subjects who had frequent acid consumption or gastric reflux and at least one tooth with initial enamel wear were placed in the erosion present (EP) group, and the remainder of subjects were placed in the erosion not present (EN) group. Logistic regression analyses were carried out to identify etiological factors of NCCLs associated with DE.

RESULTS

Overall prevalence of NCCLs was 60.2%; the prevalence increased with age. There were no statistical differences in the prevalence of NCCLs between the EP and EN groups, except for the 60-69 years group. Multiple logistic regression analysis showed the frequency of consumption of carbonated soft drinks, citrus juice, and acidic fruits such as oranges; tooth brushing pressure; and bruxism were associated with the presence of NCCLs.

CONCLUSION

There were no statistical differences in the prevalence of NCCLs with or without erosive etiological factors except for the 60-69 years group.

CLINICAL RELEVANCE

NCCL distribution increased with age, and erosive risk factors caused by change in dietary habits might affect the incidence of NCCLs for elders.

TRIAL REGISTRATION

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A life-saving case of cardiopulmonary arrest with cardiac tamponade caused by erosion 6 years after percutaneous atrial septal defect closure: a case report

BACKGROUND

Cardiac erosion after percutaneous atrial septal defect (ASD) closure is a rare complication that requires immediate life-saving emergency surgery. In this report, we present our successful life-saving strategy for cardiac arrest due to cardiac tamponade caused by erosion 6 years after the percutaneous closure of an ASD.

CASE PRESENTATION

The patient was a 50-year-old man who received treatment using an Amplatzer septal occluder (St. Jude Medical, St. Paul, MN, USA) treatment for ostium secundum atrial septal defect (size: 29.5 × 27.0 mm) at another institution when he was 44 years old.

CONCLUSIONS

This case report presents a bailout surgical strategy for patients who are hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case shows that cardiac surgeons need to be aware of percutaneous ASD-closure complications and should consider a bailout surgical strategy for patients at risk of multiple organ failure.

The role of short-term and long-term water level and wave variability in coastal carbon budgets

We investigated soil organic carbon dynamics at three freshwater coastal sites in the Laurentian Great Lakes using a simple carbon budget box model. Long-term carbon budgets (1939–2018) were developed using aerial photography and then compared to short-term carbon export (2018–2019) developed using drone data. This study puts forth a refined coastal carbon budget model that advances previous model iterations by: (1) examining spatial variability in carbon budgets, (2) including a temporally dynamic carbon inventory term, and (3) updating the erosional term. Half of the initial carbon stock of the combined sites was lost in the 80-year study period, which is severely imbalanced with the age of those coastal habitats (400–2000 cal years BP). Major periods of carbon loss corresponded to periods of elevated water level. Short-term loss of carbon during 2018–2019 corresponded to northeasterly extreme wave events during a period of above-average water level.

•

A coastal carbon budget model was refined to account for spatiotemporal heterogeneity

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Half the soil organic carbon stored at the study sites was exported in 80 years

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Carbon loss occurs during decadal periods of water level rise

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High wave events and/or elevated water level cause carbon loss

Fine-scale quantification of stream bank geomorphic volume loss caused by cattle access

Unrestricted cattle access to streams and rivers can be a significant source of pollution in fluvial systems, contributing to bank erosion and fine sediment inputs. Despite this pressure, observational data are scarce. This study quantified stream bank geomorphic modifications caused by cattle access at fine scale using motion-capture cameras and Terrestrial Laser Scanning (TLS) campaigns. Continuous monitoring of rainfall, discharge, conductivity and turbidity further augmented this dataset. The application of these techniques extended over a five-month grazing period in agricultural sub-catchments with intensive cattle production. At low flow, high-resolution water quality data showed that the frequency of cattle activity in and around stream margins was associated with elevated turbidity signals downstream. However, when elevated turbidity coincided with high flow events, it was not possible to distinguish between local erosion and upstream sediment transfers. TLS results indicated a loss of 0.141 m³ to 1.035 m³ stream bank material, which equates to 0.067 m³ m^-2 - 0.092 m³ m^-2 of stream bank area (between 27% and 41% in the <2 mm fraction) over the study period from sites with 130 to 1154 discrete cattle access hits. Multiple linear regression showed that the observed geomorphic volume loss could not be explained by natural processes alone (hydrometeorology), but was more significantly related to cattle-access frequency as the principal driver. The geomorphic volume loss had the potential to impact 29 m² to 197 m² of stream bed with fine sediment (<2 mm) from the three study sites. Grazing parcels adjacent to streams in the study sub-catchments were enumerated at 18.4 parcels km^-2 and so the results of this investigation potentially scale to a considerable fine sediment risk. Regulations and time-limited incentives to exclude cattle access to stream channels should therefore expect to reduce sediment pressures where these measures are targeted at access points.

A novel non-destructive technique for qualitative and quantitative measurement of dental erosion in its entirety by porosity and bulk tissue-loss

OBJECTIVE

To explore the potential of combining non-contact profilometry (NCP) and confocal laser scanning microscopy (CLSM) data to measure the entire erosive process non-destructively and to validate findings using inductively coupled plasma-atomic emission spectroscopy (ICP-AES), scanning electron microscopy (SEM) and surface microhardness (SMH) using the same samples throughout.

METHODS

Polished bovine enamel samples (n = 35) were divided into groups (7/group) with similar SMH values. Samples underwent individual erosive challenges (1 % citric acid, pH3.8) for 1, 5, 10, 15 or 30 min under stirring and aliquot extracts were analysed for Ca and P by ICP-AES. SMH was used to measure erosive softening. Profilometry was used to assess bulk volume loss (BVL). Images were captured by SEM. Samples were stained with rhodamine-B (0.1 mM, 24 h) and images captured by CLSM. Image processing was used to determine changes in fluorescent volume for the first 10 μm (ΔFV₁₀) for each enamel sample which were combined with BVL to calculate total lesion volume (TLV). ANOVA, linear regression and Pearson correlation analysis were used where applicable.

RESULTS

Surface softening, [Ca], [P], BVL and ΔFV_10μm increased with acid erosion duration which were significant by 10 min (P < .01). The Ca:P ratio increased to 1.57 then decreased after 5 min erosion suggesting a sub/surface phase change, which was observed by SEM and CLSM showing significant changes to the enamel surface and subsurface morphology with time. Combination of BVL and ΔFV₁₀ as TLV strengthened the significant correlations with [Ca], [P], and SMH (P < .01).

CONCLUSION

This novel combination of CLSM and NCP allows for concurrent non-destructive quantification of the entire erosive process by mineral loss, and qualitatively characterise microstructural changes during dental erosion.

8,000 years of climate, vegetation, fire and land-use dynamics in the thermo-mediterranean vegetation belt of northern Sardinia (Italy)

Knowledge about the vegetation history of Sardinia, the second largest island of the Mediterranean, is scanty. Here, we present a new sedimentary record covering the past ~ 8,000 years from Lago di Baratz, north-west Sardinia. Vegetation and fire history are reconstructed by pollen, spores, macrofossils and charcoal analyses and environmental dynamics by high-resolution element geochemistry together with pigment analyses. During the period 8,100-7,500 cal bp, when seasonality was high and fire and erosion were frequent, Erica arborea and E. scoparia woodlands dominated the coastal landscape. Subsequently, between 7,500 and 5,500 cal bp, seasonality gradually declined and thermo-mediterranean woodlands with Pistacia and Quercus ilex partially replaced Erica communities under diminished incidence of fire. After 5,500 cal bp, evergreen oak forests expanded markedly, erosion declined and lake levels increased, likely in response to increasing (summer) moisture availability. Increased anthropogenic fire disturbance triggered shrubland expansions (e.g. Tamarix and Pistacia) around 5,000-4,500 cal bp. Subsequently around 4,000-3,500 cal bp evergreen oak-olive forests expanded massively when fire activity declined and lake productivity and anoxia reached Holocene maxima. Land-use activities during the past 4,000 years (since the Bronze Age) gradually disrupted coastal forests, but relict stands persisted under rather stable environmental conditions until ca. 200 cal bp, when agricultural activities intensified and Pinus and Eucalyptus were planted to stabilize the sand dunes. Pervasive prehistoric land-use activities since at least the Bronze Age Nuraghi period included the cultivation of Prunus, Olea europaea and Juglans regia after 3,500-3,300 cal bp, and Quercus suber after 2,500 cal bp. We conclude that restoring less flammable native Q. ilex and O. europaea forest communities would markedly reduce fire risk and erodibility compared to recent forest plantations with flammable non-native trees (e.g. Pinus, Eucalyptus) and xerophytic shrubland (e.g. Cistus, Erica).

Protective effect of calcium silicate toothpaste on enamel erosion and abrasion in vitro

Objectives

To compare in vitro the effect of a toothpaste containing fluoride (F), calcium silicate (CaSi) and sodium phosphate salts to conventional toothpaste (NaF) on human enamel specimens submitted to erosive and abrasive challenges.

Methods

48 sound and 48 enamel samples pre-treated with 1% citric acid were divided into 4 groups (n = 12): Group 1- Non-fluoride toothpaste; Group 2- NaF toothpaste (1450 ppmF); Group 3- CaSi toothpaste (1450 ppmF; MFP); Group 4- Erosion only. The samples were subjected to pH cycling (3 cycles/day; 90s; 1% citric acid, pH 3.6) and to abrasion for 7 days. After the 1^st and the last cycle, they were submitted to abrasion (15s, 1.5N load), using a brushing machine, soft toothbrush and toothpaste slurry (1:3; 15ml/sample) and then immersed in the slurry for 45s. Samples were immersed in artificial saliva between the challenges. Enamel loss was evaluated using profilometry on days 3 and 7. Data were analysed by ANOVA and Tukey's test (p < 0.05).

Results

For sound enamel at baseline, mean (±SD) enamel loss (μm) for groups 1-4 on day 3 was 2.15 ± 0.35^a, 1.20 ± 0.22^b, 0.95 ± 0.19^b and 1.98 ± 0.32^a; on day 7 was 3.05 ± 0.40^a, 2.07 ± 0.32^b, 1.36 ± 0.33^c and 3.69 ± 0.27^d respectively. For acid-softened enamel at baseline, enamel loss on day 3 was 3.16 ± 0.19^a, 2.17 ± 0.14^b, 1.70 ± 0.11^c and 3.04 ± 0.19^a; on day 7 was 3.92 ± 0.25^a, 3.07 ± 0.13^b, 2.09 ± 0.15^c and 3.87 ± 0.25^a respectively.

Conclusions

Both F toothpastes led to significantly higher enamel protection from short-term erosion and abrasion in comparison to the non-F toothpaste and erosion only. In the longer term, CaSi toothpaste conferred significantly higher protection than NaF toothpaste.

Clinical significance

The results showed that for the longer term the CaSi toothpaste provided significantly higher protection than the NaF toothpaste, which indicates a good potential of the former to help prevent erosive tooth wear.

Erosion of CAD/CAM restorative materials and human enamel: An in vitro study

This in vitro study used the same frequency and duration of acid contact as a previous in situ/in vivo study to evaluate the effect of erosion on CAD/CAM restorative materials and human enamel and to compare the effects of in vitro and in situ/in vivo acid challenges on CAD/CAM restorative materials and human enamel. The CAD/CAM restorative materials (IPS e.max CAD, Lava Ultimate, and PMMA block) and human enamel were eroded by immersion in 150 ml of cola drink for 14 days (4 × 5 min/day). The surface microhardness and surface roughness of the specimens were measured at baseline (T1), day 7 (T2), and day 14 (T3). The substance losses were measured at T2 and T3. The data were statistically analyzed using repeated measures ANOVA and Bonferroni's test (α = 0.05). Erosion significantly decreased the surface microhardness of the CAD/CAM restorative materials and human enamel (all P < 0.001). The overall percentage of surface microhardness loss (%SMH_l) of the PMMA block and enamel due to in vitro erosion was significantly higher than that due to in situ/in vivo erosion (P = 0.02 and P < 0.001, respectively). Consistent with in situ/in vivo erosion, the surface roughness and profile of the tested restorative materials remained unchanged after in vitro erosion. A significant increase in the surface roughness and substance loss was observed for enamel after in vitro erosion (all P < 0.001). The overall substance loss of enamel due to in vitro erosion was significantly higher than that due to in situ/in vivo erosion (P < 0.001). In conclusion, erosion decreased the surface microhardness of the CAD/CAM restorative materials and human enamel. Moreover, erosion negatively influenced the substance loss and surface roughness of human enamel. For the substance loss of enamel and %SMH_l of PMMA block and enamel, the in vitro erosive effects were approximately 1-2 times greater than the in situ/in vivo effects. However, for the surface roughness and profile of the CAD/CAM restorative materials, no significant difference was found between in vitro and in situ/in vivo erosion.

Soil slope and texture as factors of phosphorus exportation from pasture areas receiving pig slurry

Phosphorus (P) loss from agricultural areas to waterbodies is a worldwide concern. However, the effect of soil source and transport factors, such as clay (C) content and slope (S), on the magnitude of the P transport in Brazilian subtropical soils is still understudied. The objectives of this study were i) to quantify the loss of P fractions by runoff in areas receiving pig slurry application and with variations in S and C content; ii) propose an environmental critical limit model of P (P-threshold) for Brazilian subtropical soils. Thus, two series of experiments were conducted from 2016 to 2018, one under a Nitisol with 642 g kg^-1 of C and another under a Cambisol with 225 g kg^-1 of C. The treatments were four P rates (0, 56, 112 and 224 kg P ha^-1 year^-1) superficially applied as pig slurry, on Tifton (Cynodon sp) pasture, and three S (10, 20 and 30% in the Nitisol and 15, 25 and 35% in Cambisol). P losses increased in both soils as the S and P rates rose. The Nitisol showed P losses three times higher than the Cambisol. Soil S above 25% promotes P losses at a rate three times higher than in soil below this limit. Therefore, we propose a P-threshold model for Mehlich-1 extractable P levels for Brazilian subtropical soils as: "P-threshold = (42.287 + C) - (0.230 S + 0.0123 C S)" in soils with a S ≤ 25% and "P-threshold = (42.287 + C) - (-0.437 S + 0.039 C S)" in soils with a S >25%, where both C and S are shown in percentage. The soil clay content and slope are aggravating factors to the P transfer process, thus must be considered in suitable models to predict the P losses risk.

Double Embedded Rings of a Digit Leading to Amputation

Chronic embedded-ring injury is a rare and uncommon presentation. This is also known as "chronic ring erosion" or "embedded ring syndrome" in the literature. Injury of this type has been associated with psychological impairment causing neglect of such injury. We herein describe a case of double embedded rings on the right ring finger in a 30-year-old healthy construction worker. A primary amputation at the metacarpophalangeal joint was performed in view of the chronicity of his condition and associated neurovascular damage. Early removal of ring is of paramount importance in any ring-associated injuries. However, fear of losing a digit has been the reason of delay in seeking medical treatment, which in turn ended up in dire consequences.

Strategies for identifying pollution sources in a headwater catchment based on multi-scale water quality monitoring

Rural headwater catchments are important to describe the connectivity of pollution sources to water bodies. Strategies to optimize water quality monitoring networks, as parameter definition, sampling, and statistical approach, have been widely discussed. The objectives of this study were to describe the spatial and temporal dynamics (intra- and inter-events) of water quality and to establish its implications for environmental monitoring programs. The monitoring was carried out in a rural headwater catchment (1.2 km²) with shallow soils, high slopes, and intense agricultural activity in Southern Brazil. To better describe the impact of agriculture on water resources, the monitoring strategy was based on definition of the best set of parameters and different sampling frequency to incorporate intra- and inter-event variability and statistical analysis approach. We also analyzed parameters in different sub-basins with physiographic traits. Three hydrological compartments were analyzed: surface flow, groundwater, and base flow. Physico-chemical parameters, the concentration of elements associated with agricultural activity, and biological parameters were evaluated. Total phosphorus and turbidity were the parameters most affected by agricultural activity. They reflected on the inter- and intra-events, the impacts of soil and water degradation by agricultural activity, and the precarious rural sanitation conditions. Spatiotemporal variability of the parameters characterizes the different mechanisms for transferring pollutants from diffuse sources to water bodies. Spatial and temporal patterns in water quality changes were used to discuss environmental monitoring strategies, such as parameter and sampling frequency definition, to improve soil and water conservation programs at the catchment scale.

A review of Gulf of Mexico coastal marsh erosion studies following the 2010 Deepwater Horizon oil spill and comparison to over 4 years of shoreline loss data from Fall 2010 to Summer 2015

The 2010 Deepwater Horizon (DWH) oil spill affected nearly 1105 km of coastal marsh. Long-term shoreline loss in the northern Gulf of Mexico is an important question with far-reaching ecological and human-use implications. Numerous studies have examined potential exacerbated marsh shoreline retreat after the DWH using ground-level sampling and/or aerial/satellite imagery interpretation. This paper reviews previous DWH erosion studies, discusses their limitations and sometimes conflicting results, and provides a comprehensive analysis of a larger data set. Shoreline retreat measurements from multiple studies following the DWH incident were combined for 131 herbaceous marsh sample sites for the period from Fall 2010 to Summer 2015. Significant increases in shoreline loss were found only in the period from Fall 2010 to Fall 2011 for heavily oiled shorelines relative to other periods. The evidence does not suggest widespread long-term coastal marsh erosion from the DWH.

Magnetic resonance imaging features of intra-articular tenosynovial giant cell tumor in children

BACKGROUND

Magnetic resonance imaging (MRI) plays a critical role in disease characterization of intra-articular tenosynovial giant cell tumor.

OBJECTIVE

To characterize the MRI features of intra-articular tenosynovial giant cell tumor in children with respect to disease subtype and anatomical location.

MATERIALS AND METHODS

This retrospective study included children with tenosynovial giant cell tumor who underwent preoperative MRI between January 2006 and May 2020. Two radiologists reviewed each examination to determine disease subtype, signal intensities and the presence of an effusion, osseous changes, chondromalacia, juxtacapsular disease and concomitant joint involvement. Fisher exact, Mann-Whitney U, and Kruskal-Wallis H tests were used to compare findings between subtypes and locations.

RESULTS

Twenty-four children (16 girls, 8 boys; mean age: 13.1±3.8 years) with 19 knee and 5 ankle-hindfoot tenosynovial giant cell tumor had either diffuse (n=15) or localized (n=9) disease. An effusion (P=0.004) was significantly more common with diffuse than localized disease. There was no significant difference in MRI signal (P-range: 0.09-1) or other imaging findings (P-range: 0.12-0.67) between subtypes. Children with knee involvement were significantly more likely to present with diffuse disease while those with ankle-hindfoot involvement all presented with focal disease (P=0.004). Juxtacapsular (n=4) and concomitant proximal tibiofibular joint involvement (n=5) were observed with diffuse disease in the knee. Erosions (P=0.01) were significantly more common in the ankle than in the knee.

CONCLUSION

In our study, diffuse tenosynovial giant cell tumor was more common than localized disease, particularly in the knee where juxtacapsular and concomitant proximal tibiofibular joint disease can occur.

Impact evaluation of geomorphic changes caused by extreme floods on inundation area considering geomorphic variations and land use types

Extreme floods caused by dam breaches, dike breaches, and rainstorms cause significant erosion and deposition in the flooded area. Furthermore, geomorphic changes have various impacts on different land use types, which is an important aspect extreme flood outcomes. The impact type and degree depend on geomorphic variations and land characteristics. However, neither the amount of geomorphic variations nor its impact on the inundation area have been fully understood. Firstly, we propose the use of a numerical simulation method to calculate erosion and deposition depths of the whole inundation area caused by extreme floods. Secondly, combined with the characteristics of erosion, deposition, and land use types, the impact type of geomorphic changes on different land use types were divided into positive, negative, and negligible impacts, and the impact degree was expressed by two indices of impact grade and impact score. In addition, the calculation methods of the two indices were put forward. Then, we propose a method for evaluating the impacts of geomorphic changes on the whole inundation area from five aspects of mesh, land use type, overall erosion region, overall deposition region, and overall inundation area. Combined with the simulation of the flood process caused by dam breach of Luhun Reservoir in China, this method was verified, and the results showed that: (a) geomorphic changes had a negative impact on 94.7% of the inundation area, and only part of the water bodies were positively affected and the towns were not affected, accounting for 2.1% and 3.2% respectively; (b) the negative impact degree of each land use type in descending order was grassland, town, cropland, forest, shrubland and water body; and (c) the area of deposition was larger than that of erosion, whereas the severity of negative impact was opposite.

High-frequency data reveal differential dissolved and suspended solids behavior from a mixed restored prairie and agricultural catchment

Quantifying temporal variability and fluxes within hydrologic catchments is critical to understanding the underlying chemical and physical processes leading to material transport. Measuring variability and fluxes requires sampling at time scales similar to the time scale of process occurrence. This demand has led to the development of automated sampling systems designed to sample at high frequencies, on the order of minutes. While widely deployed in a variety of systems, we installed two high-frequency sampling devices in a single drainage comprised of restored prairie and agricultural land uses in temperate Eastern Nebraska. The sampling systems determined flow rate, conductivity, and turbidity at 15-minute intervals for a twelve-month period. Conductivity was used as a proxy for total dissolved solids (TDS) concentrations and turbidity was used as a proxy for total suspended solids (TSS) concentrations. Using the high-frequency data, estimates of solids flux were calculated, error on the estimates was constrained, the effects of sample timing were considered, and conductivity and turbidity changes during precipitation events were examined. Overall, TDS fluxes were about three times higher than TSS fluxes from the catchment as a whole. However, the TSS fluxes were higher in the agricultural section of the catchment than from the restored prairie. Sheet and rill soil loss estimates from both the restored prairie and agricultural settings were low (<0.060 mm/yr). For TDS flux calculations, sampling at a monthly frequency gave a value that was only 11% lower than sampling every 15 min. For TSS flux calculations, sampling only during precipitation events (0.7% of the time) would capture 67% of the annual flux. Thus, minimizing error in sampling strategies depends on the constituent being analyzed.

Predictors of radiographic erosion and joint space narrowing progression in patients with early rheumatoid arthritis: a cohort study

Background

Radiographic damage in rheumatoid arthritis (RA) includes erosions and joint space narrowing (JSN). Different mechanisms may underlie their development. The objective of this study was to evaluate predictors of these entities separately.

Methods

Consecutive early RA patients (symptom duration ≤12 months) from a defined area (Malmö, Sweden) recruited during 1995–2005 were investigated. Radiographs of hands and feet were scored by a trained reader according to the modified Sharp-van der Heijde score. Fat mass and lean mass distribution were measured at baseline using dual energy x-ray absorptiometry. Potential predictors of erosion and JSN progression from inclusion to the 5-year follow-up were evaluated.

Results

Two hundred and thirty-three patients were included. Radiographs at baseline and 5 years were available for 162 patients. The median (interquartile) progression of erosion and JSN scores were 4 (0–8) and 8 (1–16), respectively. Rheumatoid factor (RF) was a robust significant predictor of both erosion and JSN score progression. In adjusted analyses, anti-CCP antibodies predicted erosions while the erythrocyte sedimentation rate was predictive of both outcomes. Smoking and high baseline disease activity (DAS28 > 5.1) predicted progression of erosions. Baseline erosion score was associated with progression of both erosion and JSN progression, while baseline JSN score was predictive only of the progression of JSN. Overweight/obesity (BMI ≥ 25 kg/m²) was a significant negative predictor of JSN score progression (β = − 0.14, p = 0.018, adjusted for RF, age, baseline JSN score) also when additionally adjusting for ever smoking (p = 0.041). Among female patients, this effect was observed in those of estimated post-menopausal age (> 51 years), but not in younger women. The truncal to peripheral fat ratio was associated with less JSN score progression in women, but not in men.

Conclusions

Overweight RA patients had less JSN progression, independent of smoking status. This effect was seen in particular among older women (mainly post-menopausal), but not younger. Truncal fat was associated with less JSN progression in female patients. Smoking predicted erosion progression, and erosions may precede JSN. BMI and fat distribution may influence cartilage damage in early RA and might be related to hormonal factors.

Paul, Alaska

The state of Alaska is experiencing increased coastal erosion due to climatic changes that threaten shoreline, infrastructure, and Alaska Native ways of life. While several Alaska Native villages have been impacted by severe erosion, additional communities face burgeoning erosion concerns. St. Paul, a remote island located in the Bering Sea, Alaska, and home to ~450 Unangan, or Aleut, residents, is experiencing relatively new erosion and associated flooding issues. This study aimed to inform St. Paul's erosion monitoring and climate adaptation strategies by documenting community perceptions of coastal erosion as an ecological and social threat within a broader context of multiple established climate stressors. We interviewed 21 residents to answer: (1) what are the community's perceptions of erosion on St. Paul in the context of the island's other environmental concerns?; (2) do current perceptions of erosion affect how local governing and management entities address erosion impacts?; and (3) how does erosion relate to and impact Unangan cultural traditions and heritage? Residents identified six locations of primary concern, owing to how erosion of those areas impact their culture, subsistence practices, and sense of place. We suggest methods in which local entities can better support proactive climate adaptation and mitigation measures and utilize resources for community-driven adaption planning. By documenting perspectives in Indigenous communities on emergent climate impacts, as well as perceptions of adaptation planning and implementation, it can establish the foundation for more collaborative, culturally relevant, and successful community-driven climate adaptation planning.

Influence of weather types on the hydrosedimentary response in three small catchments on the Island of Mallorca, Spain

The influence of the sea and topography are vital factors in the atmospheric processes affecting any island, as they introduce peculiarities in the hydrosedimentary response of fluvial systems. In view of that, the relationship between the surface atmospheric conditions (weather types, WTs), rainfall, runoff and erosion dynamics in three small catchments located in Mallorca were analysed. The catchments are representative in terms of geomorphology and land use but also due to their location within the major rainfall areas previously identified in the island by (Sumner et al., 1993). Data of rainfall, runoff and sediment variables, coupled with calculated WTs were used for the 2013-2017 period. WTs frequency and distribution during this period were compared to the last climatic period reference (1981-2010) to test the climate validity of the study period. The results illustrated how hydrosedimentary response was mostly caused by eco-geographical patterns but also by differences in the response of each catchment to WTs, related to the intrinsic geographical position in the island and different exposures to humid winds. Anticyclonic WT was the most frequent, despite it being only involved in one flood event at the eastern catchment. Conversely, eastern and northeastern WTs generated more than 85% of the total runoff and sediment, representing only 39% of flood events. The understanding of the specific role of WTs on the island's hydrology was improved, considering that freshwater resources are scarce and eco-sociologically crucial.

Overlengthening of the radial column in radial head replacement: a review of the literature and presentation of a classification system

BACKGROUND

Radial head arthroplasty is a common procedure in elbow surgery. It has been shown to be of benefit for the patients, but there also are relevant complications that should be prevented if possible. One significant complication is overlengthening of the radial head prosthesis. In overlengthening, the head of the prosthesis overextends the physiological level of the native radial head and leads to overcompression in the radiohumeral joint. Rapid erosion and arthritic changes may then impede the clinical outcome. The incidence of overlengthening is not precisely known, but estimations range to up to 20% of all implanted prostheses.

METHODS

The present review discusses the available body of literature on overlengthening and lines out a classification system that may be used to guide treatment algorithms. The classification is based on the personal experiences of the author during their clinical practice.

RESULTS

In low-grade overlengthening (type I) conservative treatment can be an option. In Types II-IV usually revision surgery is needed. Depending on the state of the capitulum and joint stability, it is possible re-implant a prosthesis, or rely on implant removal alone.

DISCUSSION

The present review aimed at shedding light into overlengthening as a complication radial head replacement and to help identify and treat it.

Rotation, sedimentary deficit and erosion of a trailing spit inside ria of Arousa (NW Spain)

Based on the analysis of a large set of remote images, bathymetric studies and acoustic profiles, we studied the causes of erosion of a small island inside a ria of the NW coast of Spain. The island consists of a rocky sector to the south and a trailing, or comet-tail, spit to the north, which, until 1980, was in an equilibrium between the waves of the open ocean propagated inside the ria and the local wind waves. The development, in the 1970s, of a large park of floating rafts for mussel farming was identified as the factor triggering a period of disequilibrium and severe erosion on the island. The area covered by the floating rafts was the cause of the attenuation of local wind waves and the reinforcement of waves propagated from the open ocean. The spit underwent a period of approximately 38 years of disequilibrium characterized by a rotation movement with several phases. During the first period (1980-1989), a submarine lobe was formed, sequestering approximately 9000 m³ of sediment. Between 1989 and 2015, the spit maintained a rotation of 24° of amplitude and a phase of severe erosion, with rates of up to 6.6 m/yr, began in 2000. Since 2015, the spit has entered a new phase of stabilization, reducing the rotation to a small amplitude of 5°. The rates of erosion have also decreased, although they are still active.

Erosion of soft tissue by polypropylene mesh products

Surgical mesh products made from polypropylene (PP) have been extensively used in the treatment of stress urinary incontinence, pelvic organ prolapse and other conditions. Since the onset of the use of such implants, major complications have been reported. Mesh erosion, where neighbouring tissues are worn from the rubbing of mesh, occurs in a significant number of cases. However, there is still a lack in literature exploring the mechanics of this phenomenon. In this study, a purpose-built apparatus was used to generate erosion in soft tissue (porcine muscle) through the application of a force and a reciprocating action. Four different commercial products were tested, all made from knitted PP fibres: Monarc™ Gynecare™ and Obtryx™ slings and Sutulene™ mesh sheet material. A PP suture and three PP sheets with different edge roughness were also tested. Large differences were found in the erosion rates. Significantly, we found that meshes in which the edge had been formed using heat to cause partial melting gave much higher rates of erosion than mechanically cut edges. Heat-formed edges tended to retain their shape whilst mechanically cut edges degraded by unravelling. Several features of the mesh edge appear to be significant, including roughness, flexibility and the tendency to degrade. Constant load (non-reciprocating) tests were also carried out, revealing that creep can also cause erosion. These findings have significance for the design of surgical mesh products to minimise their adverse effects.

Multi-criteria characterization and mapping of coastal cliff environments: A case study in NW Spain

This paper presents a novel approach to characterize cliff exposure to marine action that combines wave power and biology. This multidisciplinary approach is illustrated through a case study on a coastal stretch in NW Spain - the Catedrales Natural Monument. The engineering perspective is based on quantifying the wave power acting on the cliff. To this end, a statistical characterization of the wave climate in deep water is carried out, and relevant sea states are propagated numerically from deep water to the cliff. Four levels of cliff exposure, from sheltered to exposed, are defined based on wave power and mapped onto the study area. As for the biological perspective, ecological factors, bioindicated variables and biological indicators characterized through field observations are considered and, on this basis, also four levels of cliff exposure are established and mapped. In general, there is good agreement between the exposure patterns obtained through the engineering and biological perspectives; however, there are some differences in certain areas. The upshot is that the engineering and biological points of view should be regarded as complementary. The multi-criteria characterization performed in this paper may be used as a management tool to establish different degrees of exposure to marine action on cliff coasts elsewhere.

Comparison of synthetic mesh erosion and chronic pain rates after surgery for pelvic organ prolapse and stress urinary incontinence: a systematic review

BACKGROUND

The aim of this study is to systematically compare rates of erosion and chronic pain after mesh insertion for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) surgery.

METHODS

A systematic electronic search was performed on studies that evaluated the incidence of erosion and chronic pain after mesh insertion for POP or SUI. The primary outcome measurement was to compare mesh erosion rates for POP and SUI surgery. Secondary outcome measurements were incidence of de novo pain and a comparison of patient demographics for both surgeries.

RESULTS

Twenty-six studies on 292,606 patients (n = 9077 for POP surgery and n = 283,529 for SUI surgery) met the inclusion criteria. Median follow-up was 26.38 ± 22.17 months for POP surgery and 39.33 ± 27.68 months for SUI surgery. Overall, the POP group were older (p < 0.0001) and had a lower BMI (p < 0.0001). Mesh erosion rates were significantly greater in the POP group compared to the SUI group (4% versus 1.9%) (OR 2.13; 95% CI 1.91-2.37; p < 0.0001). The duration from surgery to onset of mesh erosion was 306.84 ± 183.98 days. There was no difference in erosion rates between abdominal and transvaginal mesh for POP. There was no difference in erosion rates between the transobturator and retropubic approach for SUI. The incidence of chronic pain was significantly greater in the POP group compared to the SUI group (6.7% versus 0.6%) (OR 11.02; 95% CI 8.15-14.9; p < 0.0001). The duration from surgery to onset of chronic pain was 325.88 ± 226.31 days.

CONCLUSIONS

The risk of mesh erosion and chronic pain is significantly higher after surgery for POP compared to SUI. These significant complications occur within the first year after surgery.

Cervical Vertebral Body Erosion Due to Vascular Abnormality: A Case Report

Objective

The occurrence of cervical vertebral erosion due to vertebral artery (VA) abnormalities such as tortuosity/loop formation and pseudoaneurysm is rare, but both abnormalities are potentially fatal. There are few reports of cervical vertebral body erosion due to VA abnormality. We report a case of a 92-year-old woman who presented to her primary care physician with neck pain and was referred for chiropractic care.

Clinical Features

The patient complained of headaches, left-sided neck pain, limited range of motion with radiating pain, and bilateral weakness of the upper extremities. On examination, cervical ranges of motion were decreased with moderate pain, along with sensory, motor, and deep tendon reflex deficits. The initial magnetic resonance imaging report obtained was nonconclusive. Axial T2, sagittal T1, sagittal T2, coronal T2, sagittal STIR, and axial GE sequences of the cervical spine were obtained for a reread. A reread of the magnetic resonance images suggested a diagnosis of a tortuosity of the VA, resulting in a chronic erosion of the C5 vertebral body; however, a pseudoaneurysm of the VA would be considered a possible differential cause for the vertebral body erosion.

Intervention and Outcome

Management of cervical vertebral body erosion due to VA abnormality is often complicated and must be tailored to each patient's individual clinical presentation and symptoms. The patient in this case was managed with anticoagulant medication, close monitoring, and acupuncture treatment, which resulted in a reduction in pain intensity.

Conclusion

Vertebral artery abnormality and subsequent erosion of the vertebral body is a rare occurrence and can mimic symptoms of musculoskeletal neck pain and cervical radiculopathy. It is important to recognize features of VA abnormalities on magnetic resonance imaging.

Characterisation of soil micro-topography using a depth camera

Soil surface roughness controls how water ponds on and flows over soil surfaces. It is a crucial parameter for erosion and runoff studies. Surface roughness has traditionally been measured using manual techniques that are simple but laborious. Newer technologies have been proposed that are less laborious but require expensive equipment and considerable expertise. New depth-camera technologies might provide a useful alternative. We tested the ability of one such camera to measure soil surface roughness. The camera's accuracy was good but decreased with camera-soil distance (0.3% at 750 mm and 0.5% at 1500 mm) however it was very precise (< 0.5 mm for elevation and < 0.05 mm for random roughness). Similarly, the error of the surface area estimation increased with camera-soil distance (0.56% at 750 mm and 2.3% at 1500 mm). We describe the workflow to produce high-resolution digital elevation models from initial images and describe the conditions under which the camera will not work well (e.g. extremes of lighting conditions, inappropriate post-processing options). The camera was reliable, required little in the way of additional technology and was practical to use in the field. We propose that depth cameras are a simple and inexpensive alternative to existing techniques.

•

We tested a commercially-available 3D depth camera.

•

The camera gave highly accurate and precise soil surface measurements.

•

The camera provides an inexpensive alternative to existing techniques.

Role of mechanical stress and neutrophils in the pathogenesis of plaque erosion

Mechanical stress is a well-recognized driver of plaque rupture. Likewise, investigating the role of mechanical forces in plaque erosion has recently begun to provide some important insights, yet the knowledge is by far less advanced. The most significant example is that of shear stress, which has early been proposed as a possible driver for focal endothelial death and denudation. Recent findings using optical coherence tomography, computational sciences and mechanical models show that plaque erosion occurs most likely around atheromatous plaque throats with specific stress pattern. In parallel, we have recently shown that neutrophil-dependent inflammation promotes plaque erosion, possibly through a noxious action on ECs. Most importantly, spontaneous thrombosis - associated or not with EC denudation - can be impacted by hemodynamics, and it is now established that neutrophils promote thrombosis and platelet activation, highlighting a potential relationship between, mechanical stress, inflammation, and EC loss in the setting of coronary plaque erosion. Here, we review our current knowledge regarding the implication of both mechanical stress and neutrophils, and we discuss their implication in the promotion of plaque erosion via EC loss and thrombosis.

Phosphorus retention, erosion protection and farmers' perceptions of riparian buffer zones with grass and natural vegetation: Case studies from South-Eastern Norway

Phosphorus retention and bank erosion was investigated in two types of buffer zones in cereal fields in Norway: zones used for grass production and zones with natural vegetation. Farmers' views on the two types of buffer zones were collected through questionnaires and in-depth interviews. Our results indicate that the grassed buffer zones had higher levels of plant-available phosphorus and lower infiltration rates than the natural ones. Bank erosion was higher in zones with grass production than those with trees. Interviews with farmers revealed diverging opinions on the zones. Most farmers were sceptical to natural vegetation with trees, whereas farmers who had already planted trees in the riparian zones were generally satisfied. Buffer zones can have many different functions, and we conclude that a holistic approach is needed when assessing the usefulness of this measure, taking into account water quality, biodiversity and the production of food, fodder and biomass.

Nutrient and sediment fluxes in microbasins with different conservation states in the northeastern Brazil

The implications of land use change in small watersheds through the conversion of forests to agropastoral areas have altered the natural nutrient cycle, intensifying exports under freshwater ecosystems. This study aimed to investigate the land use effects on nutrient and sediment exports in two small watersheds in northeastern Brazil to understand if anthropogenic disturbance alters the structure end functioning of these systems. Thus, land use mapping and hydrological treatment of a digital elevation model were made to characterize the basins. Water samples were collected monthly from Aug. 2016 to Jan. 2017 to evaluate suspended sediments and dissolved nutrient fluxes ([Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and dissolved organic nitrogen and phosphorus). The results indicated that land use change had a greater influence on exports from the most disturbed basin, where the nutrient and sediment increments were respectively an average 6.61 and 5.81 times higher than the most preserved basin. Thus, the conservation status of the forest cover has influenced the assimilation capacity of diffuse loads, highlighting the differences between the microbasins of this study.

On local scouring downstream small water structures

BACKGROUND

In order to regulate water flow, hydraulic structures such as weirs or checks, frequently equipped with gates, are used. Water can flow below or over the gate or, simultaneously, over and below the gate. Both diversifications of hydraulic gradient, being an effect of damming up a river by the structure and shear stresses at the bed, which exceeds the critical shear stress value, invoke the local scouring downstream the structure. This phenomenon has been studied in laboratory and field conditions for many years, however Researchers do not agree on the parameters that affect the size of the local scour and the intensity of its formation. There are no universal methods for estimating its magnitude However, solutions are sought in the form of calculation formulas typical for the method of flow through the structure, taking into account the parameters that characterize a given structure. These formulas are based on factors that affect the size of the local scours, that is, their dimensions and location. Examples of such formulas are those contained in this article: Franke (1960), Straube (1963), Tarajmovič (1966), Rossinski & Kuzmin (1969) equations. The need to study this phenomenon results from the prevalence of hydrotechnical structures equipped with gates (from small gated checks to large weirs) and from potential damage that may be associated with excessive development of local erosion downstream, including washing of foundations and, consequently, loss of stability of the structure.

METHODS

This study verifies empirical formulas applied to estimate the geometry parameters of a scour hole on a laboratory model of a structure where water is conducted downstream the gate with bottom reinforcements of various roughness. A specially designed remote-controlled measuring device, equipped with laser scanner, was applied to determine the shape of the sandy bottom. Then the formula optimization is conducted, using Monte Carlo sampling method, followed by verification of field conditions.

RESULTS

The suitability of a specially designed device, equipped with laser scanner for measuring the bottom shape in laboratory conditions was demonstrated. Simple formula describing local scour geometry in laboratory conditions was derived basing on the Straube formula. The optimized formula was verified in field conditions giving very good comparative results. Therefore, it can be applied in engineering and designing practices.

Heated distilled water with or without continuous ultrasonic irrigation improves final irrigation efficacy and reduces dentine erosion

OBJECTIVES

The present study evaluated the effects of using heated distilled water (HDW), with or without continuous ultrasonic irrigation (CUI), on smear layer removal and deterioration of root dentine microstructure.

MATERIALS AND METHODS

After chemomechanical preparation, 60 human teeth were longitudinally cleaved into two halves for smear layer quantification at the cervical-third, middle-third and apical root-third of the canal space. After reassembly, the root canals were irrigated with 17 % EDTA, followed by one of the six final irrigation protocols (n = 10) - G1: conventional irrigation (CI)+NaOCl at 25 °C; G2: NaOCl at 25 °C + CUI; G3: CI with DW at 25 °C; G4: DW at 25 °C + CUI; G5: CI + HDW at 65 °C; G6: HDW at 65 °C + CUI. Tooth-halves were processed and examined by scanning electron microscopy. The percentage of opened dentinal tubules in the irrigated areas of the canal space was expressed as a percentage of the total surface area. Dentine erosion was classified by numeric scores. Smear layer removal was analysed with ANOVA and Student-Newman-Keuls tests; dentine erosion was analysed with Cohran-Mantel-Haenstel statistic (α = 0.05).

RESULTS

The cervical-third had a higher percentage of open dentinal tubules for all groups (p < 0.05). In G2, the middle-third had a lower percentage of open tubules, which was significantly different from the other groups (p < 0.05). Groups that utilised NaOCl as the final irrigant had more extensive erosion when CUI was used.

CONCLUSION

Heated distilled water, with or without CUI, was as efficient as 1 % NaOCl in the final cleaning of the instrumented canal space. The use of HDW produces less extensive dentine erosion.

CLINICAL SIGNIFICANCE

Heated distilled water removes smear layers with less deleterious effects on dentine microstructure and may be considered a final irrigant after mechanical preparation and EDTA chelation.

Acquired salivary pellicle and oral diseases: A literature review

As soon as saliva contacts the teeth surface, salivary proteins adhere to the tooth surface to form acquired salivary pellicle. The formation of this acquired salivary pellicle is a dynamic and selective process of macromolecular adsorption and desorption. Although acquired salivary pellicle contains proteins and peptides, it also contains lipids, and other macro-molecules, all of which contribute to its protective properties. Acquired salivary pellicle is related to the development of common oral diseases, such as erosion, dental caries, and periodontal disease. Acquired salivary pellicle acts as a natural barrier to prevent a tooth's surface from making direct contact with acids and to protect it from erosive demineralization. It contributes to the control of dental erosion by modulating calcium and phosphate concentrations on the tooth surface. It also influences the initial colonizer of oral biofilm and affects the transportation pathway of the acidic products of cariogenic bacteria, which affects the development of dental caries. In addition, it influences periodontal disease by acting on the colonization of periodontal pathogens. This paper's aim is to provide an overview of the acquired salivary pellicle, highlighting its composition, structure, function, role in common oral diseases, and modification for the prevention of oral diseases.

Relative Traffic Tolerance of Warm-Season Grasses and Suitability for Grazing by Equine

Warm season wear-tolerant turfgrasses, such as those used on golf courses and athletic fields, may be valuable forages on equine operations because of their potential to remain viable during heavy hoof traffic. Crabgrass may also be suitable as it thrives in conditions where other grasses have limited success. The objective of this study was to assess the relative traffic tolerance and nutritional composition of five warm-season (WS) turfgrass cultivars of bermudagrass and zoysiagrass and one WS forage-type crabgrass. All cultivars were established by seed in replicated monoculture plots. Simulated hoof traffic treatments consisted of either none, one, or two passes of a Baldree Traffic Simulator. Traffic was applied weekly for 6 weeks in the summer of 2016 and 2017, with each treatment period followed by a 4-week rest period. Plots were assessed for compaction, biomass, and persistence before and after treatment and rest periods. Nutritional composition was assessed throughout the growing seasons. Soil compaction increased as treatment level increased for all cultivars (P < .0001). There was no effect of treatment on cultivar persistence. Biomass available for grazing was increased in year 1 by the application of LOW traffic treatment (P = .0193). Both bermudagrass and zoysiagrass cultivars showed promise for use in areas of heavy traffic on equine operations, however, zoysiagrass cultivars were more suitable as they were highest ranking in relative traffic tolerance, moderate in yield, and low nonstructural carbohydrates (<12% NSC). Future on-farm studies evaluating bermudagrass and zoysiagrass to determine ideal stocking rate, management methods, and persistence under grazing are warranted.

Repolishing in situ eroded CAD/CAM restorative materials and human enamel

This study aimed to evaluate the effects of repolishing on the surface microhardness (SMH), color change (ΔE), and translucency parameter (TP) of previously in situ eroded computer-aided design/computer-aided manufacturing (CAD/CAM) restorative materials and human enamel. Each of 8 volunteers wore an intraoral appliance containing 3 CAD/CAM restorative material specimens (IPS e.max CAD lithium disilicate ceramic, Lava Ultimate hybrid ceramic, and poly (methyl methacrylate) (PMMA) block) and 1 human enamel specimen. The specimens were subjected to in situ erosion cycles by rinsing with a cola drink (4 × 5 min/day) for 14 days. After erosion, the specimens were polished with a silicone polishing system (Ceramister, Shofu Inc, Kyoto, Japan). The SMH and color of the specimens were determined at baseline (T1), after erosion (T2), and after repolishing (T3). The ΔE and TP values of the specimens were further calculated. The data were statistically analyzed using repeated-measures analysis of variance (ANOVA) and Bonferroni's test (α = 0.05). After erosion, a decrease in the SMH of the restorative materials and enamel was observed (all P < 0.001), and a decrease in the TP of the enamel was observed (P = 0.016). The ΔE values of the enamel (ΔE = 7.32) and Lava Ultimate (ΔE = 3.19) exceeded the clinically unacceptable threshold after erosion. After repolishing, the SMH of the restorative materials and enamel at T3 was significantly higher than that at T2 (all P < 0.001). No significant difference was found in the TP and ΔE values of the restorative materials and enamel between T2 and T3. In conclusion, erosion negatively affected the surface properties and appearance of the CAD/CAM restorative materials and human enamel. Repolishing contributed to restoring the compromised SMH of the eroded restorative materials and enamel to a certain extent. However, repolishing did not restore the color of the eroded restorative materials and enamel.

A comprehensive review of the scientific literature

This article reviews the scientific literature on trail erosion and the magnitude of the erosive processes that occur on mountain trails due to recreational activities, mainly due to hiking. This work is necessary as a result of the increase in hiking and biking in forest, scrubland and grasslands, and the soil and vegetation degradation induced by these activities. We analysed results that have been compiled in the scientific literature, as well as other issues such as the geographical and temporal distribution of the research, the methods applied, the journals where the research was published, the types and quantity of uses of the pathways and the measures undertaken for damage mitigation. This paper highlights that there is a need for harmonization of methods. The results show that soil erosion rates are highly variable, high, and non-sustainable. Trail erosion research is growing at a rate of 3 papers per year and is published in a small group of scientific journals. Six journals published 47% of the papers on trail erosion, which show a high concentration in environmental journals. There are few papers published in the soil science and geomorphology disciplines, although the research topic and the science background are in these two disciplines. Reported world soil losses from trails ranged from 6.1 Mg ha^-1 y^-1 to 2090 Mg ha^-1 y^-1, all of which are not sustainable. Trail erosion has mainly been investigated in the USA and is a new topic in other regions of the world. There is a need to implement mitigation measures to avoid land degradation, and this should be researched in the near future as right now most of the research describes and quantifies the problem but does not provide solutions: mitigation, rehabilitation or restoration. From a pure scientific approach, we claim that there is a need to research the connectivity of flows and the role of the trails on runoff generation and then sediment yield at pedon, slope and watershed scales. There is a need to research the mechanisms of the soil erosion process in trails: trampling effect, wheel impact, factors and seasonal and temporal changes.

The prevalence and characteristics of osseous erosions associated with parameniscal cysts on knee MRI

OBJECTIVES

To determine the prevalence and characteristics of erosions associated with parameniscal cysts (PMCs) and to evaluate the profile of the associated meniscal tears MATERIALS AND METHODS: PACS database was reviewed for knee MRI scans performed over a 5-year period identifying those with PMCs in patients aged 18 years and above. The scans with PMCs were evaluated for the presence of associated osseous erosions. These erosions and PMCs were then analyzed.

RESULTS

The search revealed 6773 knee MRI examinations, of which 555 had confirmed PMCs. There were 7 PMC-associated erosions for a prevalence of 1.3% (95% CI 0.6, 2.6). All erosions involved the proximal tibia. Three of 7 erosions had underlying marrow edema, and 4 out of 7 had an overhanging margin. The mean dimension of all PMCs was 13 mm (SD = 11). The mean dimension of PMCs associated with erosions was 38 mm (SD = 22), while that of PMCs without erosions was 12 mm (SD = 10) (P < 0.001, Wilcoxon rank sum test). Ninety-three percent (95% CI 90.5, 94.8) of PMCs had associated meniscal tears, most commonly of the horizontal type (57%). All PMCs with underlying erosions were associated with meniscal tears, most commonly complex type tears (5/7).

CONCLUSION

Erosions can rarely be associated with contiguous parameniscal cysts (PMCs). These cysts are significantly larger compared with those without underlying erosions.

An unusual late complication with tension-free vaginal tape (TVT): A case report

BACKGROUND

Stress urinary incontinence is a common problem affecting women's quality of life. The retropubic mid-urethral sling accounts for the majority of surgical interventions for stress incontinence. Complications of the procedure are rare. We present an unusual late complication with tension-free vaginal tape (TVT).

CASE

Two years after insertion of a TVT for stress incontinence, a patient noticed a foreign body intermittently exiting through her anus. Initial clinical examinations and investigations were unremarkable. Five years after insertion she represented with faecal matter in the vagina and a TVT erosion. Imaging confirmed a colo-vaginal fistula. She underwent a vaginal excision of the TVT but this did not cure her problem and she subsequently had a laparoscopic sigmoid colectomy. Thereafter she remained well and asymptomatic.

CONCLUSION

This case report describes an unusual late complication. It is likely that the left arm of the mesh entered the serosa of the sigmoid colon and eroded into it over time. Complications associated with TVT are rare, but when they occur they need to be recorded. Only surgeons who have experience and expertise in the procedure should perform it, such as subspecialty trained urogynaecologists.

Dentifrices or gels containing MMP inhibitors prevent dentine loss: in situ studies

OBJECTIVES

Evaluate the effect of dentifrices or gels containing MMP inhibitors on dentine loss in situ.

MATERIALS AND METHODS

Acrylic palatal appliances containing bovine dentine blocks were divided into two rows, corresponding to the groups erosion (ERO) and erosion associated with abrasion (ERO+ABR). For ERO, the appliances were immersed in a cola drink for 5 min, 4 times/day, while for ERO+ABR, the blocks were brushed for 15 sec with a dentifrice slurry after the second and third erosive challenges. Ten volunteers took part in study 1 (S1), where the dentifrices evaluated contained 1100 ppm fluoride as NaF, 0.61% green tea extract, or 0.012% chlorhexidine digluconate. Thirteen volunteers participated in study 2 (S2), in which the treatment was performed only once (1 min) with gels containing 400 μM EGCG (EGCG400), 0.012% chlorhexidine, 1 mM FeSO₄, 1.23% F (NaF), placebo, or received no treatment. Dentine loss was analyzed by profilometry (μm).

RESULTS

Regarding S1, ERO+ABR induced significantly higher dentine loss compared with ERO and all dentifrices tested led to significantly lower dentine loss when compared with placebo. For S2, regardless of the conditions or times of evaluation, gels containing EGCG, CHX, or FeSO₄ led to significantly less wear compared with the other groups.

CONCLUSION

Both dentifrices and gels containing MMP inhibitors significantly reduced dentine loss.

CLINICAL RELEVANCE

Dentifrices and gels containing MMP inhibitors are able to increase the protection against dentine wear, although gels have a better effect when compared with fluoride gel, lasting up to 10 days after a single application.

Enterocutaneous fistula from migration of hepatic artery infusion catheter

We present an 84-year-old man with erosion of the chemotherapy port on his chest wall. He had a history of colorectal cancer with liver metastases more than 20 years ago, when he underwent right hemicolectomy and liver resection. A hepatic artery infusion catheter was placed for targeted administration of chemotherapy for the liver metastases. Imaging showed the catheter had migrated into the small bowel lumen. We considered the best approach for removing the migrated catheter - either remove the catheter and accept the likelihood of a low-volume enterocutaneous fistula that may self-resolve, or explore the enterocutaneous tract with a view to small bowel resection. We discuss the advantages and disadvantages here.