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1.
Proc Natl Acad Sci U S A ; 119(4)2022 01 25.
Article in English | MEDLINE | ID: mdl-35058355

ABSTRACT

Songbirds have one special accessory chromosome, the so-called germline-restricted chromosome (GRC), which is only present in germline cells and absent from all somatic tissues. Earlier work on the zebra finch (Taeniopygia guttata castanotis) showed that the GRC is inherited only through the female line-like the mitochondria-and is eliminated from the sperm during spermatogenesis. Here, we show that the GRC has the potential to be paternally inherited. Confocal microscopy using GRC-specific fluorescent in situ hybridization probes indicated that a considerable fraction of sperm heads (1 to 19%) in zebra finch ejaculates still contained the GRC. In line with these cytogenetic data, sequencing of ejaculates revealed that individual males from two families differed strongly and consistently in the number of GRCs in their ejaculates. Examining a captive-bred male hybrid of the two zebra finch subspecies (T. g. guttata and T. g. castanotis) revealed that the mitochondria originated from a castanotis mother, whereas the GRC came from a guttata father. Moreover, analyzing GRC haplotypes across nine castanotis matrilines, estimated to have diverged for up to 250,000 y, showed surprisingly little variability among GRCs. This suggests that a single GRC haplotype has spread relatively recently across all examined matrilines. A few diagnostic GRC mutations that arose since this inferred spreading suggest that the GRC has continued to jump across matriline boundaries. Our findings raise the possibility that certain GRC haplotypes could selfishly spread through the population via occasional paternal transmission, thereby outcompeting other GRC haplotypes that were limited to strict maternal inheritance, even if this was partly detrimental to organismal fitness.


Subject(s)
Chromosomes , Germ Cells , Paternal Inheritance , Songbirds/genetics , Animals , Cytogenetic Analysis , DNA, Mitochondrial , Evolution, Molecular , Female , Haplotypes , Male , Phylogeny , Songbirds/classification , Spermatozoa
2.
BMC Infect Dis ; 23(1): 610, 2023 Sep 18.
Article in English | MEDLINE | ID: mdl-37723464

ABSTRACT

BACKGROUND: The course of monkeypox can be severe. Our aim was to retrospectively compare the risk of hospital admission, the need for ventilation, sepsis, pneumonitis and death between the recent outbreak and historical outbreaks. MATERIALS AND METHODS: Cases of monkeypox were retrieved from the TriNetX database and assigned to either cohort I (recent outbreak between May 1st and September 16th, 2022) and cohort II (historical outbreaks before May 1st, 2022). After matching for age distribution, statistical analysis was performed. RESULTS: Of 640 patients with monkeypox 81 subjects per cohort remained after matching (mean age±standard deviation = 36.1±18.3 years). Within 56 days after diagnosis 10 patients per cohort were hospitalized (12.4%) and/or developed sepsis (12.4%). The risk of ventilation and pneumonitis were significantly lower among cohort I compared with cohort II (0 vs. 10 cases; risk difference = 12.4%; p = 0.001; Log-Rank test). No cases of death were recorded. CONCLUSION: Even though monkeypox provides a risk of severe courses, the infection is self-limiting in most cases. Unlike past outbreaks, the risk of ventilation and pneumonitis may be relatively low among recent outbreaks.


Subject(s)
Mpox (monkeypox) , Pneumonia , Sepsis , Humans , Adolescent , Young Adult , Adult , Middle Aged , Retrospective Studies , Pneumonia/epidemiology , Sepsis/epidemiology , Disease Outbreaks , Hospitals
3.
BMC Cancer ; 22(1): 454, 2022 Apr 26.
Article in English | MEDLINE | ID: mdl-35468757

ABSTRACT

BACKGROUND: Syphilis is an infectious disease that is at least discussed to be premalignant. This potential, combined with its general pathological impact, raises the question if syphilis increases mortality in oral cancer patients. The aim of the study was to assess if the five-year survival rates among patients suffering from oral squamous cell carcinoma (OSCC) with (cohort I) and without association with syphilis (cohort II) differ. METHODS: Retrospective clinical data of patients diagnosed with OSCC (International Classification of Diseases [ICD]-10 codes C01-06) within the past 20 years from the access date September 25, 2021 were retrieved from the TriNetX network (TriNetX, Cambridge, Massachusetts, USA) to gain initial cohort 0. Subjects also diagnosed with syphilis (ICD-10 codes A51-53) were assigned to cohort I. Cohort II was comprised of the remaining individuals of cohort 0 by creating a group with the same number of patients as cohort I, and by matching for age and gender. Subsequently, Kaplan-Meier analysis and Cox proportional hazards regression were performed, and risk, odds and hazard ratios were calculated. RESULTS: Of a total of 73,736 patients in cohort 0, 199 individuals were each assigned to cohort I and II. During the five-year period after tumor diagnosis, 39 and 30 patients in cohort I and II died. The five-year survival probabilities did not significantly differ between the cohorts (I vs. II = 74.19% vs. 75.01%; p = 0.52; Log-Rank test), nor the risk of dying (I vs. II = 19.6% vs. 15.08%; risk difference = 4.52%; p = 0.23). The calculated risk, odds and hazard ratios were 1.3 (95% confidence interval [CI] = 0.84; 2.00), 1.37 (95% CI = 0.81; 2.31) and 1.17 (95% CI = 0.73; 1.88), respectively. CONCLUSIONS: The obtained results indicate that the survival rate of individuals with OSCC might not be negatively influenced if syphilis is present/associated. However, the results need to be interpreted cautiously due to limitations related to the retrospective approach, especially as data on the tumor staging were not accessible. TRIAL REGISTRATION: Due to the retrospective nature of the study, no registration was necessary.


Subject(s)
Carcinoma, Squamous Cell , Head and Neck Neoplasms , Mouth Neoplasms , Syphilis , Carcinoma, Squamous Cell/pathology , Case-Control Studies , Head and Neck Neoplasms/pathology , Humans , Mouth Neoplasms/pathology , Neoplasm Staging , Prognosis , Retrospective Studies , Squamous Cell Carcinoma of Head and Neck/pathology , Survival Rate , Syphilis/complications , Syphilis/epidemiology , Syphilis/pathology
4.
Clin Oral Investig ; 26(1): 333-342, 2022 Jan.
Article in English | MEDLINE | ID: mdl-34142239

ABSTRACT

OBJECTIVES: The epidemiologic distribution of non-albicans species in the oral cavity of oral lichen planus (OLP) patients remains uncertain. Therefore, the aim of this study was to identify factors associated with the presence of C. dubliniensis and other non-albicans species. Furthermore, independent risk factors for Candida superinfection in OLP should be identified. MATERIAL AND METHODS: Epidemiologic data and microbiological findings from 268 symptomatic OLP patients who underwent continuous oral swab culture over a 5-year period (2015-2019) were retrospectively reviewed. Candida species identification and semi-quantification were obtained by culture on CHROMagar Candida, followed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). RESULTS: C. albicans was the most frequently isolated species (72.3%), followed by C. glabrata (7.3%), C. dubliniensis (5.8%), C. krusei and C. parapsilosis (both 2.6%). The presence of C. dubliniensis was significantly associated with tobacco smoking. Other non-albicans spp. were significantly more often detected in patients using removable dentures. Increasing age and the intake of psychotropic drugs were identified as independent risk factors of Candida superinfection in OLP. CONCLUSION: In OLP patients, certain local and systemic factors increase the risk of carrying potentially drug-resistant Candida species and the development of Candida superinfection of OLP lesions. CLINICAL RELEVANCE: Due to the frequent detection of non-albicans species in OLP, resistance or at least reduced sensitivity to azole antifungals should be expected, especially in smokers and patients using removable dentures. In the case of oral complaints, a superinfection with Candida should be considered, whereby older patients and patients taking psychotropic drugs have an increased risk for oral infection with Candida.


Subject(s)
Candidiasis, Oral , Lichen Planus, Oral , Candida , Candidiasis, Oral/epidemiology , Humans , Retrospective Studies
5.
Front Zool ; 17: 5, 2020.
Article in English | MEDLINE | ID: mdl-32021638

ABSTRACT

BACKGROUND: The astonishing variety of sounds that birds can produce has been the subject of many studies aiming to identify the underlying anatomical and physical mechanisms of sound production. An interesting feature of some bird vocalisations is the simultaneous production of two different frequencies. While most work has been focusing on songbirds, much less is known about dual-sound production in non-passerines, although their sound production organ, the syrinx, would technically allow many of them to produce "two voices". Here, we focus on the king penguin, a colonial seabird whose calls consist of two fundamental frequency bands and their respective harmonics. The calls are produced during courtship and for partner and offspring reunions and encode the birds' identity. We dissected, µCT-scanned and analysed the vocal tracts of six adult king penguins from Possession Island, Crozet Archipelago. RESULTS: King penguins possess a bronchial type syrinx that, similarly to the songbird's tracheobronchial syrinx, has two sets of vibratory tissues, and thus two separate sound sources. Left and right medial labium differ consistently in diameter between 0.5 and 3.2%, with no laterality between left and right side. The trachea has a conical shape, increasing in diameter from caudal to cranial by 16%. About 80% of the king penguins' trachea is medially divided by a septum consisting of soft elastic tissue (septum trachealis medialis). CONCLUSIONS: The king penguins' vocal tract appears to be mainly adapted to the life in a noisy colony of a species that relies on individual vocal recognition. The extent between the two voices encoding for individuality seems morphologically dictated by the length difference between left and right medial labium. The septum trachealis medialis might support this extent and could therefore be an important anatomical feature that aids in the individual recognition process.

6.
J Evol Biol ; 32(12): 1432-1443, 2019 12.
Article in English | MEDLINE | ID: mdl-31529748

ABSTRACT

Evolutionary theory predicts that females seek extra-pair fertilizations from high-quality males. In socially monogamous bird species, it is often old males that are most successful in extra-pair fertilizations. Adaptive models of female extra-pair mate choice suggest that old males may produce offspring of higher genetic quality than young males because they have proven their survivability. However, old males are also more likely to show signs of reproductive senescence, such as reduced sperm quality. To better understand why old males account for a disproportionally large number of extra-pair offspring and what the consequences of mating with old males are, we compared several sperm traits of both captive and wild house sparrows, Passer domesticus. Sperm morphological traits and cloacal protuberance volume (a proxy for sperm load) of old and young males did not differ substantially. However, old males delivered almost three times more sperm to the female's egg than young males. We discuss the possibility of a post-copulatory advantage for old over young males and the consequences for females mated with old males.


Subject(s)
Sparrows/physiology , Spermatozoa/pathology , Age Factors , Animals , Animals, Wild , Cloaca/anatomy & histology , England , Female , Male , Sperm Count , Spermatozoa/physiology
7.
J Exp Biol ; 221(Pt 2)2018 01 22.
Article in English | MEDLINE | ID: mdl-29170257

ABSTRACT

In a rare phenomenon, shrews and a few other species cope with seasonal environments by reducing and regrowing brain size, potentially at the cost of changes in cognitive abilities. Here, we confirm an extensive seasonal shrinkage (21.4%) and regrowth (17.0%) of brain mass in winter and spring, respectively, in the common shrew (Sorex araneus L.) in Southern Germany. In a spatial learning task experiment, individuals with reduced winter brain size covered larger distances to find food, compared with the relatively large-brained summer juveniles and regrown spring adults. By reducing their brain mass, these shrews may reduce their energetic demands, but at the cost of cognitive performance, implying a complex trade-off for coping with seasonally fluctuating resources. These results are relevant for our understanding of evolution and the dynamics of mammalian nervous systems in response to environmental changes.


Subject(s)
Brain/physiology , Cognition , Shrews/psychology , Skull/anatomy & histology , Age Factors , Animals , Female , Germany , Male , Seasons , Shrews/anatomy & histology , Shrews/physiology
8.
Clin Oral Investig ; 22(2): 721-731, 2018 Mar.
Article in English | MEDLINE | ID: mdl-28601915

ABSTRACT

OBJECTIVES: The aim of the study was to investigate whether specific volatile organic compounds (VOCs) can be detected in oral candidiasis patients using breath analysis in order to develop a point-of-care diagnostic tool. PATIENTS/METHODS: Breath samples of 10 diseased patients and 10 subjects carrying no Candida spp. were analyzed using gas chromatography and mass spectrometry. In infected patients, breath tests were performed before and after antifungal therapy. RESULTS: Breath testing was positive for 143 volatiles in both healthy subjects and diseased patients. Among those, specific signature volatiles known to be emitted by Candida spp. in vitro were not detected. Even though no specific signature was retrieved from the diseased patients, a pattern containing nine compounds (2-methyl-2-butanol, hexanal, longifolene, methyl acetate, 1-heptene, acetophenone, decane, 3-methyl-1-butanol, chlorbenzene) was identified, which showed characteristic changes after antifungal therapy. CONCLUSIONS: Focusing on the identified pattern, breath analysis may be applied to confirm the absence of Candida spp. after therapy in terms of a confirmatory test supplementing clinical examination, thereby replacing microbial testing. However, microbial testing will still be needed to initially confirm clinical diagnoses, as no specific signature was found. CLINICAL RELEVANCE: A breath test may help in avoiding extended antifungal administration resulting in resistance development and might be useful in the monitoring of disease recurrences in vulnerable groups.


Subject(s)
Candidiasis, Oral/metabolism , Volatile Organic Compounds/analysis , Aged , Aged, 80 and over , Antifungal Agents/therapeutic use , Breath Tests , Candidiasis, Oral/drug therapy , Case-Control Studies , Dentures , Female , Gas Chromatography-Mass Spectrometry , Humans , Male , Mass Spectrometry , Middle Aged , Pilot Projects
9.
J Oral Maxillofac Surg ; 75(2): 429-435, 2017 Feb.
Article in English | MEDLINE | ID: mdl-27637776

ABSTRACT

PURPOSE: The treatment of wound healing disturbances of the radial forearm free flap donor site after reconstructive surgery is typically long and burdensome and often requires additional surgery. Cold atmospheric plasma is a promising approach to overcome these impairments. The aim of this proof of concept study was to evaluate the clinical outcome of plasma irradiation in patients with wound healing disorders with exposed brachial tendons of the radial forearm. PATIENTS AND METHODS: Four patients (mean age 64.2 years, range 44 to 80) who had undergone radial forearm free flap procedures and developed wound healing disturbance leading to exposed flexor tendons were included in the present prospective case series. In addition to routine wound care, all sites were irradiated with cold atmospheric plasma. The primary outcome variable was complete wound closure. RESULTS: In all patients, complete wound repair in terms of the absence of tendon exposure was observed within a mean treatment time of 10.1 weeks (range 4.9 to 16). No undesirable side effects were observed, and no inflammation or infection occurred. CONCLUSIONS: Cold atmospheric plasma could offer a reliable conservative treatment option for complicated wound healing disturbances. This was exemplarily shown in the case of radial forearm free flap donor site morbidity with exposed flexor tendons in the present study.


Subject(s)
Forearm/surgery , Free Tissue Flaps , Plasma Gases/therapeutic use , Wound Healing , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Prospective Studies , Plastic Surgery Procedures/adverse effects , Plastic Surgery Procedures/methods , Wound Healing/drug effects
10.
Clin Oral Investig ; 21(6): 2109-2122, 2017 Jul.
Article in English | MEDLINE | ID: mdl-27838845

ABSTRACT

OBJECTIVES: The objectives of this study were to identify risk factors associated with the premature cover screw exposure (pCSE) at dental implants and to evaluate the influence of a pCSE on peri-implant marginal bone level (MBL) change compared to non-exposed implants. MATERIALS AND METHODS: Retrospective data assessment from 165 patients (mean age = 54.0 ± 14.4 years) who received 395 submerged implants included demographic, health-related, and therapeutic variables which were analyzed for their respective impact. MBL change was detected at digital radiographs obtained from first- and second-stage surgeries. RESULTS: pCSE were detected in 43 patients (26.1%) and 53 implants (13.4%). An increased frequency of exposure was significantly associated with (I) male gender (p = 0.012) at patient level and (II) the posterior region of the jaws (p = 0.005), implant systems with platform-matching cover screws, and a vertical distance of ≥0.5 mm between bone crest and the implant platform (both p < 0.001) at implant level. The decrease in mesial, distal, and total MBL differed significantly (mean total = 0.8 ± 0.7 vs. 0.3 ± 0.5; mean mesial = 0.8 ± 0.8 vs. 0.3 ± 0.6; mean distal = 0.8 ± 0.8 vs. 0.3 ± 0.6 mm; p < 0.001) between non-exposed and pCSE implants. CONCLUSIONS: Male patients, implants with platform-matched cover screws, or when placed supracrestally or in posterior sites revealed significantly more pCSE, resulting in significantly decreased peri-implant MBL compared with non-exposed implants. CLINICAL RELEVANCE: Patients with an enhanced risk of pCSE should follow frequent regular recalls during the healing period to enable for early diagnosis and intervention.


Subject(s)
Alveolar Bone Loss/etiology , Dental Implants/adverse effects , Dental Implant-Abutment Design , Dental Prosthesis Design , Female , Humans , Male , Middle Aged , Radiography, Dental, Digital , Retrospective Studies , Risk Factors , Sex Factors
11.
Dent Traumatol ; 33(1): 45-50, 2017 Feb.
Article in English | MEDLINE | ID: mdl-27681036

ABSTRACT

BACKGROUND/AIMS: Intermaxillary fixation is a standard procedure for the treatment of mandibular fractures or in orthognathic surgery. Predrilling for screws poses the risk of accidental tooth root injury, potentially leading to further pathological processes. Limited evidence about accidental tooth injury during intermaxillary fixation is available due to heterogenous study designs. The aim of this study was to evaluate the risk of root trauma using predrilled transgingival fixation screws and the clinical consequences for the affected teeth. MATERIALS AND METHODS: In this retrospective study, the data of open reduction and internal fixation surgery files with intraoperative application of predrilled intermaxillary fixation screws were analysed. The postoperative radiographic images were evaluated for the occurrence of tooth root injury. Patients diagnosed with root injury were clinically followed up with respect to the dental health for the affected teeth. RESULTS: A total of 133 radiologically diagnosed tooth root injuries were recorded (12.5% of screws). The median follow-up interval was 16 months (range: 3-77 months). The return rate was 49.5% for all patients. Of these, four of the injured teeth (3%) needed endodontic treatment. No toothache was reported, no tooth was lost, and no negative impact on periodontal health was clinically evident. CONCLUSION: Intermaxillary fixation with predrilled transgingival screws is a safe way to manage mandibular fractures. The incidence of tooth root injury is not uncommon, but the adverse side effects are rare and the health of the affected teeth is mostly not compromised.


Subject(s)
Bone Screws , Dental Instruments/adverse effects , Fracture Fixation, Internal/adverse effects , Fracture Fixation, Internal/instrumentation , Mandibular Fractures/surgery , Tooth Root/injuries , Adolescent , Adult , Aged , Child , Female , Humans , Male , Mandibular Fractures/diagnostic imaging , Middle Aged , Retrospective Studies , Tooth Root/diagnostic imaging
12.
Mycoses ; 59(7): 467-75, 2016 Jul.
Article in English | MEDLINE | ID: mdl-26932256

ABSTRACT

Extended use of antimycotics in oral candidiasis therapy gives rise to problems related to fungal drug resistance. The aim of this pilot study was to investigate the efficacy of tissue tolerable plasma (TTP) in denture stomatitis patients. It was hypothesised that (I): erythema and (IIa): complaint remission would be accelerated and (IIb): colony forming unit (CFU) reduction would be improved. The halves of the upper jaws of eight patients were randomly assigned to control (nystatin, chlorhexidine and placebo treatment) and test sides (nystatin, chlorhexidine and TTP administered six times each 7 days). The patients and the investigators, who were different from the therapists, were both blinded. Compared to the control sides, the erythema surface was reduced significantly more extensively on the test sides between 2 and 6 weeks of antifungal therapy (P ≤ 0.05). Visual analogue scale values and the frequency of moderate or heavy growth of Candida post-treatment did not differ significantly between both sides (P > 0.05). The primary hypothesis was confirmed, which may be interpreted as an accelerated remission. As drug therapy is usually limited to the time in which signs of infection are present, TTP might help reducing antifungal use. Even though the secondary hypotheses were not confirmed, persistence of Candida might be only colonisation.


Subject(s)
Candida/radiation effects , Candidiasis, Oral/therapy , Dentures/microbiology , Mouth Mucosa/radiation effects , Plasma Gases/therapeutic use , Adolescent , Adult , Aged , Aged, 80 and over , Antifungal Agents/therapeutic use , Candidiasis, Oral/drug therapy , Candidiasis, Oral/microbiology , Chlorhexidine/therapeutic use , Double-Blind Method , Drug Resistance, Fungal , Erythema/microbiology , Female , Humans , Male , Middle Aged , Mouth Mucosa/drug effects , Mouth Mucosa/microbiology , Mouthwashes/therapeutic use , Nystatin/therapeutic use , Pilot Projects , Young Adult
13.
Mycoses ; 59(2): 117-26, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26667499

ABSTRACT

Oral candidiasis is the most frequent fungal infection of the oral cavity. Clinical diagnoses require mycological confirmation, which is time-consuming in case of culture testing. The aim of the study was to identify signature volatiles to develop a chairside breath test to diagnose oral candidiasis. Headspaces above Candida albicans, glabrata, tropicalis, krusei cultures, and growth media as control were analysed after eight and 24 h using offline gas chromatography and mass spectrometry. The identification of signature volatiles was assisted using various microbial databases. Retrieved volatile patterns enabled Candida species discrimination in vitro. For C. albicans 3-methyl-2-butanone and styrene and for C. krusei a combination of p-xylene, 2-octanone, 2-heptanone and n-butyl acetate were found to be specific. 1-hexanol was found in C. tropicalis, but is emitted by a variety of other microorganisms. C. glabrata was characterised through the absence of these volatiles. The development of a breath test is a promising approach in confirming suspicions of oral candidiasis. To confirm the retrieved results in vivo, breath tests in affected and healthy subjects have to be performed.


Subject(s)
Candida/classification , Candida/isolation & purification , Candidiasis, Oral/diagnosis , Volatile Organic Compounds/analysis , Acetates/analysis , Adult , Breath Tests , Candida/chemistry , Candida albicans/classification , Candida albicans/isolation & purification , Candida glabrata/classification , Candida glabrata/isolation & purification , Candida tropicalis/classification , Candida tropicalis/isolation & purification , Candidiasis, Oral/microbiology , Chromatography, Gas/methods , Diagnosis, Differential , Hexanols/analysis , Humans , Ketones/analysis , Male , Mass Spectrometry/methods , Pentanones/analysis , Styrene/analysis , Xylenes/analysis
14.
Clin Oral Investig ; 20(7): 1477-86, 2016 Sep.
Article in English | MEDLINE | ID: mdl-26481235

ABSTRACT

OBJECTIVES: In order to identify oral candidiasis patients being at risk of carrying potentially drug-resistant Candida, the aim of the study was to detect local, systemic, demographic, and health-related factors influencing (I) yeast spectrum composition and (II) antifungal administration frequency. Additionally, the aim was to investigate (III) species shift occurrence. MATERIALS AND METHODS: Data from 798 patients (496 females, 302 males; mean age 59.7) with oral candidiasis diagnosed based on positive clinical and microbial findings (species identification and CFU count) between 2006 and 2011 were retrospectively analyzed using Pearson's chi(2) test and regression analysis. RESULTS: Among 958 isolates, Candida albicans was the most frequently detected (76.8 %). Also, species intrinsically resistant to azoles were frequently isolated (15.8 and 17.7 % of isolates and patients). (I) Infections only caused by C. albicans were significantly associated with the use of inhalation steroids (p = 0.001) and antibiotics (p = 0.04), super-infection of lichen planus (p = 0.002), and the absence of removable dentures (p < 0.001). (II) Anti-mycotics were significantly more frequently administered in patients using inhalation steroids (p = 0.001), suffering from asthma/COPD, or smoking heavily (p = 0.003) and if C. albicans and non-albicans species were detected together (p = 0.001). (III) Pathogen composition did not change over time within the examined period (p = 0.239). CONCLUSIONS: Different variables enhance the presence of certain Candida and the antifungal prescription frequency. No species shift was evident. CLINICAL RELEVANCE: The major pathogen in oral candidiasis remains C. albicans. Nevertheless, therapeutic problems may be caused by the frequent presence of species intrinsically resistant to azoles, especially in patients wearing dentures.


Subject(s)
Candidiasis, Oral/etiology , Candidiasis, Oral/microbiology , Adolescent , Adult , Aged , Aged, 80 and over , Antifungal Agents/therapeutic use , Candida albicans/isolation & purification , Candidiasis, Oral/drug therapy , Child , Colony Count, Microbial , Dentures/adverse effects , Female , Humans , Male , Middle Aged , Retrospective Studies , Risk Factors , Smoking/adverse effects , Xerostomia/complications
15.
Clin Oral Investig ; 20(9): 2429-2435, 2016 Dec.
Article in English | MEDLINE | ID: mdl-26781436

ABSTRACT

OBJECTIVES: The aim of this study was to evaluate the antimicrobial effect of cold plasma (CP) on infected dentin surfaces in vitro and ex vivo. MATERIALS AND METHODS: To examine the effect of cold plasma on root surfaces, 24 root surfaces were infected with Streptococcus mitis. Specimens were randomly divided into three groups: Within the control group (C), root surfaces were rinsed with NaCl; root surfaces in the second group were additionally scaled and root planed (SRP), and in the third group, root surfaces were rinsed, scaled, root planed, and in addition, CP was applied (SRP + CP). To examine the effect of CP on root caries lesions (RCLs), 16 freshly extracted teeth with symmetrical carious lesions were equally divided into two groups. In the control group, carious lesions were treated with chlorhexidine (CHX), whereas CHX was applied in conjunction with CP in the test group (CHX + CP). For microbiological analysis, dentin samples were serially diluted and CFU counts were estimated after 24 h of incubation. RESULTS: Compared to C, mean CFU values for SRP and SRP + CP were significantly lower (p < 0.05). In addition, mean CFUs for SRP + CP were reduced to 0 and, therefore, significantly lower than SRP (2.98 log CFU/mL) alone (p = 0.000, Mann-Whitney U). Regarding RCLs, significantly lower mean CFU values were observed for CHX + CP when compared to CHX (4.45 vs. 2.67 log CFU/mL, p = 0.002, Mann-Whitney U test). CONCLUSIONS: For disinfection of exposed root surfaces, the adjunctive application of CP is promising. In addition, the combined application of CHX + CP has the potential to disinfect root dentin surfaces. CLINICAL RELEVANCE: It was shown that the combination of cold plasma with CHX is the best available option for the disinfection of root surfaces.


Subject(s)
Dentin/drug effects , Dentin/microbiology , Disinfection/methods , Plasma Gases , Tooth Root/drug effects , Tooth Root/microbiology , Anti-Infective Agents, Local/pharmacology , Chlorhexidine/pharmacology , Dental Scaling , Humans , Root Planing , Sodium Chloride , Streptococcus mitis , Therapeutic Irrigation
16.
Int J Med Microbiol ; 305(7): 709-18, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26365167

ABSTRACT

Syphilis is often called the great imitator because of its frequent atypical clinical manifestations that make the disease difficult to recognize. Because Treponema pallidum subsp. pallidum, the infectious agent of syphilis, is yet uncultivated in vitro, diagnosis is usually made using serology; however, in cases where serology is inconclusive or in patients with immunosuppression where these tests may be difficult to interpret, the availability of a molecular tool for direct diagnosis may be of pivotal importance. Here we present a fluorescence in situ hybridization (FISH) assay that simultaneously identifies and analyzes spatial distribution of T. pallidum in histological tissue sections. For this assay the species-specific FISH probe TPALL targeting the 16S rRNA of T. pallidum was designed in silico and evaluated using T. pallidum infected rabbit testicular tissue and a panel of non-syphilis spirochetes as positive and negative controls, respectively, before application to samples from four syphilis-patients. In a HIV positive patient, FISH showed the presence of T. pallidum in inguinal lymph node tissue. In a patient not suspected to suffer from syphilis but underwent surgery for phimosis, numerous T. pallidum cells were found in preputial tissue. In two cases with oral involvement, FISH was able to differentiate T. pallidum from oral treponemes and showed infection of the oral mucosa and tonsils, respectively. The TPALL FISH probe is now readily available for in situ identification of T. pallidum in selected clinical samples as well as T. pallidum research applications and animal models.


Subject(s)
DNA, Bacterial/analysis , In Situ Hybridization, Fluorescence/methods , Pathology, Molecular/methods , Syphilis/diagnosis , Syphilis/pathology , Treponema pallidum/genetics , Adult , Aged , Animals , DNA, Bacterial/genetics , DNA, Ribosomal/genetics , Disease Models, Animal , Humans , Lymph Nodes/microbiology , Lymph Nodes/pathology , Male , Middle Aged , Mouth Mucosa/microbiology , Mouth Mucosa/pathology , Oligonucleotide Probes/genetics , Palatine Tonsil/microbiology , Palatine Tonsil/pathology , Penis/microbiology , Penis/pathology , RNA, Ribosomal, 16S/genetics , Rabbits , Testis/microbiology , Testis/pathology
17.
Clin Oral Implants Res ; 26(3): 342-58, 2015 Mar.
Article in English | MEDLINE | ID: mdl-24438506

ABSTRACT

OBJECTIVE: To address the focused question, is there an impact of platform switching (PS) on marginal bone level (MBL) changes around endosseous implants compared to implants with platform matching (PM) implant-abutment configurations? MATERIAL AND METHODS: A systematic literature search was conducted using electronic databases PubMed, Web of Science, Journals@Ovid Full Text and Embase, manual search for human randomized clinical trials (RCTs) and prospective clinical controlled cohort studies (PCCS) reporting on MBL changes at implants with PS-, compared with PM-implant-abutment connections, published between 2005 and June 2013. RESULTS: Twenty-two publications were eligible for the systematic review. The qualitative analysis of 15 RCTs and seven PCCS revealed more studies (13 RCTs and three PCCS) showing a significantly less mean marginal bone loss around implants with PS- compared to PM-implant-abutment connections, indicating a clear tendency favoring the PS technique. A meta-analysis including 13 RCTs revealed a significantly less mean MBL change (0.49 mm [CI95% 0.38; 0.60]) at PS implants, compared with PM implants (1.01 mm [CI95% 0.62; 1.40] (P < 0.0001). CONCLUSIONS: The meta-analysis revealed a significantly less mean MBL change at implants with a PS compared to PM-implant-abutment configuration. Studies included herein showed an unclear as well as high risk of bias mostly, and relatively short follow-up periods. The qualitative analysis revealed a tendency favoring the PS technique to prevent or minimize peri-implant marginal bone loss compared with PM technique. Due to heterogeneity of the included studies, their results require cautious interpretation.


Subject(s)
Alveolar Bone Loss/etiology , Dental Implant-Abutment Design , Dental Implantation, Endosseous , Dental Implants , Humans
18.
BMC Neurosci ; 15: 128, 2014 Dec 02.
Article in English | MEDLINE | ID: mdl-25442096

ABSTRACT

BACKGROUND: In male birds, influence of the sex steroid hormone testosterone and its estrogenic metabolites on seasonal song behavior has been demonstrated for many species. In contrast, female song was only recently recognized to be widespread among songbird species, and to date, sex hormone effects on singing and brain regions controlling song development and production (song control nuclei) have been studied in females almost exclusively using domesticated canaries (Serinus canaria). However, domesticated female canaries hardly sing at all in normal circumstances and exhibit only very weak, if any, song seasonally under the natural photoperiod. By contrast, adult female European robins (Erithacus rubecula) routinely sing during the winter season, a time when they defend feeding territories and show elevated circulating testosterone levels. We therefore used wild female European robins captured in the fall to examine the effects of testosterone administration on song as well as on the anatomy and the transcriptome of the song control nucleus HVC (sic). The results obtained from female robins were compared to outcomes of a similar experiment done in female domesticated canaries. RESULTS: Testosterone treatment induced abundant song in female robins. Examination of HVC transcriptomes and histological analyses of song control nuclei showed testosterone-induced differentiation processes related to neuron growth and spacing, angiogenesis and neuron projection morphogenesis. Similar effects were found in female canaries treated with testosterone. In contrast, the expression of genes related to synaptic transmission was not enhanced in the HVC of testosterone treated female robins but was strongly up-regulated in female canaries. A comparison of the testosterone-stimulated transcriptomes indicated that brain-derived neurotrophic factor (BDNF) likely functions as a common mediator of the testosterone effects in HVC. CONCLUSIONS: Testosterone-induced singing of female robins correlated with cellular differentiation processes in the HVC that were partially similar to those seen in the HVC of testosterone-treated female canaries. Other modes of testosterone action, notably related to synaptic transmission, appeared to be regulated in a more species-specific manner in the female HVC. Divergent effects of testosterone on the HVC of different species might be related to differences between species in regulatory mechanisms of the singing behavior.


Subject(s)
Brain/physiology , Songbirds/physiology , Testosterone/metabolism , Vocalization, Animal/physiology , Animals , Brain/anatomy & histology , Brain/blood supply , Brain-Derived Neurotrophic Factor/metabolism , Female , Gene Expression Profiling , Intermediate Filaments/metabolism , Microarray Analysis , Neurons/cytology , Neurons/physiology , Random Allocation , Seasons
19.
J Oral Maxillofac Surg ; 72(2): 338-45, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24045192

ABSTRACT

Syphilis is an infectious, usually sexually transmitted, disease caused by Treponema pallidum, subspecies pallidum. Because of the increasing prevalence in Europe during the past few years, dentists could be confronted with patients with oral manifestations of syphilis. Because oral lesions are highly contagious, it is vital to make the correct diagnosis quickly to initiate the proper therapy and to interrupt the chain of infection. We present the cases of 5 patients with syphilis-related oral lesions. These cases are representative because of their clinical presentation, age, and gender distribution and the diagnostic approach. The aim of the present report is to emphasize the importance of the dentist knowing and identifying syphilis in different stages to diagnose the disease and institute treatment at an early stage.


Subject(s)
Hearing Loss/microbiology , Mouth Diseases/pathology , Neurosyphilis/pathology , Adult , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Female , Hearing Loss/drug therapy , Humans , Labial Frenum/pathology , Lip/pathology , Male , Middle Aged , Mouth Diseases/drug therapy , Mouth Diseases/microbiology , Neurosyphilis/drug therapy , Neurosyphilis/microbiology , Palate, Hard/pathology , Penicillin G/therapeutic use , Prednisone/therapeutic use , Sexual Behavior , Tetracycline/therapeutic use , Treponema pallidum/isolation & purification
20.
Eur J Neurosci ; 38(9): 3338-44, 2013 Nov.
Article in English | MEDLINE | ID: mdl-23930698

ABSTRACT

During song learning, vocal patterns are matched to an auditory memory acquired from a tutor, a process involving sensorimotor feedback. Song sensorimotor learning and song production of birds is controlled by a set of interconnected brain nuclei, the song control system. In male zebra finches, the beginning of the sensorimotor phase of song learning parallels an increase of the brain-derived neurotrophic factor (BDNF) in just one part of the song control system, the forebrain nucleus HVC. We report here that transient BDNF-mRNA upregulation in the HVC results in a maximized copying of song syllables. Each treated bird shows motor learning to an extent similar to that of the selected best learners among untreated zebra finches. Because this result was not found following BDNF overexpression in the target areas of HVC within the song system, HVC-anchored mechanisms are limiting sensorimotor vocal learning.


Subject(s)
Brain-Derived Neurotrophic Factor/metabolism , Learning , Somatosensory Cortex/physiology , Vocalization, Animal , Animals , Brain-Derived Neurotrophic Factor/genetics , Finches , Male , RNA, Messenger/genetics , RNA, Messenger/metabolism , Somatosensory Cortex/metabolism , Up-Regulation
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