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Clinical and biological analysis in graftless maxillary sinus lift
Marcelo Parra,Sergio Olate,Mario Cantín 대한구강악안면외과학회 2017 대한구강악안면외과학회지 Vol.43 No.4
Maxillary sinus lift for dental implant installation is a well-known and versatile technique; new techniques are presented based on the physiology of intrasinus bone repair. The aim of this review was to determine the status of graftless maxillary sinus lift and analyze its foundations and results. A search was conducted of the literature between 1995 and 2015 in the Medline, ScienceDirect, and SciELO databases using the keywords “maxillary sinus lift,” “blood clot,” “graftless maxillary sinus augmentation,” and “dental implant placement.” Ten articles were selected for our analysis of this technique and its results. Despite the limited information, cases that were followed for at least six months and up to four years had a 90% success rate. Published techniques included a lateral window, elevation of the sinus membrane, drilling and dental implant installation, descent of the membrane with variations in the installation of the lateral wall access and suturing. The physiology behind this new bone formation response and the results of the present research were also discussed. We concluded that this is a promising and viable technique under certain inclusion criteria.
Blunted hypoxic pulmonary vasoconstriction in experimental neonatal chronic lung disease.
Rey-Parra, Gloria Juliana,Archer, Stephen L,Bland, Richard D,Albertine, Kurt H,Carlton, David P,Cho, Soo-Chul,Kirby, Beth,Haromy, Al,Eaton, Farah,Wu, Xichen,Thé,baud, Bernard American Lung Association 2008 American journal of respiratory and critical care Vol.178 No.4
<P>RATIONALE: Neonatal chronic lung disease (CLD), caused by prolonged mechanical ventilation (MV) with O(2)-rich gas, is the most common cause of long-term hospitalization and recurrent respiratory illness in extremely premature infants. Recurrent episodes of hypoxemia and associated ventilator adjustments often lead to worsening CLD. The mechanism that causes these hypoxemic episodes is unknown. Hypoxic pulmonary vasoconstriction (HPV), which is partially controlled by O(2)-sensitive voltage-gated potassium (K(v)) channels, is an important adaptive response to local hypoxia that helps to match perfusion and ventilation in the lung. OBJECTIVES: To test the hypothesis that chronic lung injury (CLI) impairs HPV. METHODS: We studied preterm lambs that had MV with O(2)-rich gas for 3 weeks and newborn rats that breathed 95%-O(2) for 2 weeks, both of which resulted in airspace enlargement and pulmonary vascular changes consistent with CLD. MEASUREMENTS AND MAIN RESULTS: HPV was attenuated in preterm lambs with CLI after 2 weeks of MV and in newborn rats with CLI after 2 weeks of hyperoxia. HPV and constriction to the K(v)1.x-specific inhibitor, correolide, were preferentially blunted in excised distal pulmonary arteries (dPAs) from hyperoxic rats, whose dPAs exhibited decreased K(v)1.5 and K(v)2.1 mRNA and K(+) current. Intrapulmonary gene transfer of K(v)1.5, encoding the ion channel that is thought to trigger HPV, increased O(2)-sensitive K(+) current in cultured smooth muscle cells from rat dPAs, and restored HPV in hyperoxic rats. CONCLUSIONS: Reduced expression/activity of O(2)-sensitive K(v) channels in dPAs contributes to blunted HPV observed in neonatal CLD.</P>
Israel Parra-Ortega,Diana Guadalupe Alcara-Ramirez,Alma Angelica Ronzon-Ronzon,Fermin Elias-Garcia,Jose Agustin Mata-Chapol,Alejandro Daniel Cervantes-Cot,Briceida Lopez-Martinez,Miguel Angel Villasis 한국영양학회 2021 Nutrition Research and Practice Vol.15 No.S
BACKGROUND/OBJECTIVES: Considering the high number of deaths from coronavirus disease 2019 (COVID-19) in Latin American countries, together with multiple factors that increase the prevalence of vitamin D deficiency, we aimed to determine 25-hydroxyvitamin D (25[OH]D) levels and its association with mortality in patients with critical COVID-19. SUBJECTS/METHODS: This was a prospective observational study including adult patients with critical COVID-19. Data, including clinical characteristics and 25(OH)D levels measured at the time of intensive care unit admission, were collected. All patients were followed until hospital discharge or in-hospital death. The patients were divided into those surviving and deceased patient groups, and univariate and multivariate logistic regression analyses were performed to determine independent predictors of in hospital mortality. RESULTS: The entire cohort comprised 94 patients with critical COVID-19 (males, 59.6%; median age, 61.5 years). The median 25(OH)D level was 12.7 ng/mL, and 15 (16%) and 79 (84%) patients had vitamin D insufficiency and vitamin D deficiency, respectively. The median serum 25(OH)D level was significantly lower in deceased patients compared with surviving (12.1 vs. 18.7 ng/mL, P < 0.001). Vitamin D deficiency was present in 100% of the deceased patients. Multivariate logistic regression analysis revealed that age, body mass index, other risk factors, and 25(OH)D level were independent predictors of mortality. CONCLUSIONS: Vitamin D deficiency was present in 84% of critical COVID-19 patients. Serum 25(OH)D was independently associated with mortality in critical patients with COVID-19.
A novel excisional wound pain model for evaluation of analgesics in rats
( Sergio Parra ),( Vaidehi J. Thanawala ),( Ajay Rege ),( Heather Giles ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.2
Background: Management of pain from open wounds is a growing unmet healthcare need. However, the models available to study pain from wounds or to develop analgesics for the patients suffering from them have primarily relied on incisional models. Here, we present the first characterized and validated model of open wound pain. Methods: Unilateral full-skin excisional punch biopsy wounds on rat hind paws were evaluated for evoked pain using withdrawal responses to mechanical and thermal stimulation, and spontaneous pain was measured using hind paw weight distribution and guarding behavior. Evaluations were done before wounding (baseline) and 2-96 hours post-wounding. The model was validated by testing the effects of buprenorphine and carprofen. Results: Pain responses to all tests increased within 2 hours post-wounding and were sustained for at least 4 days. Buprenorphine caused a reversal of all four pain responses at 1 and 4 hours post-treatment compared to 0.9% saline (P < 0.001). Carprofen decreased the pain response to thermal stimulation at 1 (P ≤ 0.049) and 4 hours (P < 0.011) post-treatment compared to 0.9% saline, but not to mechanical stimulation. Conclusions: This is the first well-characterized and validated model of pain from open wounds and will allow study of the pathophysiology of pain in open wounds and the development of wound-specific analgesics.
Ex Vivo and In Vivo Models for Endoscopic Submucosal Dissection Training
Adolfo Parra-Blanco,Nicolas Gonzalez,Maria Rosa Arnau 대한소화기내시경학회 2012 Clinical Endoscopy Vol.45 No.4
Endoscopic submucosal dissection is a technically challenging but highly effective technique for the treatment of well selected early neoplasms in the digestive tract. Although it is frequently performed in East Asian countries, the Western world has not adopted this technique yet, probably due in part to the difficulty to learn it. Ex vivo and in vivo animal models are invaluable tools to overcome at least the beginning of the learning curve, although the initial step is the acquisition of basic knowledge about early diagnosis of neoplasias, and observing real procedures in expert centers. The practical issues, advantages, and disadvantages of the ex vivo and in vivo models are discussed.
Flexible Smart Home Architecture using Device Profile for Web Services: a Peer-to-Peer Approach
Jorge Parra,M. Anwar Hossain,Abdulmotaleb El Saddik,Aitor Uribarren,Eduardo Jacob 보안공학연구지원센터 2009 International Journal of Smart Home Vol.3 No.2
In this paper we propose the design and development of a flexible smart home architecture using a peer-to-peer (P2P) approach. We specifically focus on two distinct aspects of this proposed architecture. First, we analyze how the different home devices and services can be represented as individual peers in order to have a decentralized system, which is scalable by nature and avoids the single point-of-failure usually attributed to a centralized server. Second, we investigate the distribution of application workflow logic among the peers to develop a flexible home architecture with autonomous behavior of the peers. We analyze the suitability of Devices Profile for Web Services (DPWS) to realize the proposed P2P-like architecture for the smart home. We further show how to distribute the application workflow logic among the peers and yet achieving the same global behavior of the system. Our experimental results show that DPWS provides tools and techniques, in particular its discovery and eventing mechanism, which can be leveraged to provide flexibility and autonomy in the overall architecture.
de la Parra, Miguel,Sanchez, Gerardo,Lopez, Jaime,Perez, Adrian,Naal, Norberto Korean Society of Plastic and Reconstructive Surge 2013 Archives of Plastic Surgery Vol.40 No.6
Chondroblastomas are rare entities accounting for approximately 1% of all primary bone tumors. We describe a case of a 7-year-old girl with a giant chondroblastoma of the maxilla, treated with bilateral class III maxillectomy and reconstruction with a double-barreled and double skin paddle fibular free flap. We show evidence of an excellent aesthetic outcome at 6 months' follow up with no evidence of tumor recurrence.
Lower Body Motion Analysis to Detect Falls and Near Falls on Stairs
Gemma S. Parra-Dominguez,Jasper Snoek,Babak Taati,Alex Mihailidis 대한의용생체공학회 2015 Biomedical Engineering Letters (BMEL) Vol.5 No.2
Purpose We present a methodology to automatically detect falls on stairs, an application of computer vision and machine learning techniques with major real-world importance. Falls on the stairs, in particular, are a common cause of injury among older adults. Comprehending the conditions under which accidents take place could significantly aid in the prevention of falls, support independent living, and improve quality of life. Methods We extract a set of features, composed of Fourier coefficients and entropy metrics of instantaneous velocities from 3D motion sensor data, to encode lower body motion during stair navigation. A supervised learning algorithm is then trained on manually annotated data simulated in a home laboratory. Results In our empirical analysis, the algorithm obtains high fall detection accuracy (> 92%) and a low false positive rate (5-7%). In contrast with previous research, we identify that motion of the hips, rather than that of the feet, is the best indicator of dangerous activity given the 3D trajectory of various lower body joints. It is also shown that entropy measures alone provide sufficient information to detect abnormal events on stairs. Conclusions The study of falls is difficult due to their exceedingly sparse nature; but an automatic non-contact fall detection system can assist in data collection by sieving through large quantities of data, e.g., from public stairways.