Adaptation of sea turtles to climate warming: Will phenological responses be sufficient to counteract changes in reproductive output?

Sea turtles are vulnerable to climate change since their reproductive output is influenced by incubating temperatures, with warmer temperatures causing lower hatching success and increased feminization of embryos. Their ability to cope with projected increases in ambient temperatures will depend on their capacity to adapt to shifts in climatic regimes. Here, we assessed the extent to which phenological shifts could mitigate impacts from increases in ambient temperatures (from 1.5 to 3°C in air temperatures and from 1.4 to 2.3°C in sea surface temperatures by 2100 at our sites) on four species of sea turtles, under a "middle of the road" scenario (SSP2-4.5). Sand temperatures at sea turtle nesting sites are projected to increase from 0.58 to 4.17°C by 2100 and expected shifts in nesting of 26-43 days earlier will not be sufficient to maintain current incubation temperatures at 7 (29%) of our sites, hatching success rates at 10 (42%) of our sites, with current trends in hatchling sex ratio being able to be maintained at half of the sites. We also calculated the phenological shifts that would be required (both backward for an earlier shift in nesting and forward for a later shift) to keep up with present-day incubation temperatures, hatching success rates, and sex ratios. The required shifts backward in nesting for incubation temperatures ranged from -20 to -191 days, whereas the required shifts forward ranged from +54 to +180 days. However, for half of the sites, no matter the shift the median incubation temperature will always be warmer than the 75th percentile of current ranges. Given that phenological shifts will not be able to ameliorate predicted changes in temperature, hatching success and sex ratio at most sites, turtles may need to use other adaptive responses and/or there is the need to enhance sea turtle resilience to climate warming.

The importance, prevalence and determination of vitamins B6 and B12 in food matrices: A review.

Vitamins are a vast group of fundamental organic compounds, which are not produced by the human body but are essential for the living organisms' good health. Vitamins B6 and B12 belong to the same group of hydrophilic vitamins. Structurally unrelated, they share the same purpose as essential components for normal cellular operation, growth and development. Vitamin B6 is an enzymatic co-factor that is vital for countless biochemical reactions, and is also important in sugar and fatty acid metabolization. It encompasses three natural and inter-convertible pyridine-derivatives: pyridoxine, pyridoxal and pyridoxamine. Vitamin B12 is a cobalt organometallic complex also indispensable in numerous human physiological functions. It has four bioactive forms: cyanocobalamin, methylcobalamin, hydroxocobalamin and 5'-deoxyadenosylcobalamin, and only a few prokaryotes have the ability to biosynthesize cobalamin. This work reviews the significant aspects of vitamins B6 and B12: their vital roles, consequences of deficit; food sources; and methods of determination and respective matrices, with heavy emphasis on chromatographic techniques developed within the last two decades.

Treatment of deep vein thrombosis of the lower extremities. / Tratamiento de la trombosis venosa profunda de extremidades inferiores.

Deep vein thrombosis of the lower extremities is a common condition that should be treated appropriately given the possibility that it could lead to an ultimately fatal complication, as well as to a post-thrombotic syndrome that is in some cases disabling. The current treatment for this condition is differentiated into an acute phase, a long-term therapy and occasionally an extended therapy, which not only has defined objectives but also uses various drugs and even varying dosages for each drug. We describe the therapeutic anticoagulation options in each of these treatment phases and some of the treatments (thrombolysis, insertion of an inferior vena cava filter, surgery) that can play a role in certain conditions.

Assessing the use and understanding of the Portuguese heat-health warning system (ÍCARO).

BACKGROUND: Heatwaves can lead to increased mortality. In the Portuguese heat-health warning system (HHWS), ÍCARO, a daily report with heat-related mortality prediction is sent to heat-health action plan (HHAP) practitioners. HHAP practitioners assess risk and implement measures to prevent heatwave-related impact, but ÍCARO's use and understanding are unknown. We assessed ÍCARO's use and understanding by key HHAP practitioners. METHODS: We conducted semi-structured interviews with national/regional HHAP practitioners. Interviews were recorded, transcribed and analysed using thematic content analysis. To maximize credibility a validation process was implemented through researcher triangulation; a sample of 30 segments was recorded by independent researchers. RESULTS: We conducted six interviews with nine professionals (mean time 52 min) from five regions. We identified four categories: report's content and presentation, report's reception and communication, ÍCARO and risk assessment and other issues. Practitioners use ÍCARO and perceived it as relevant; they raised issues on its interpretation and felt these were not fully addressed, given researchers' use of statistical/epidemiological terms. We identified the need for improved communication and report's clarity. CONCLUSIONS: Our study stresses the need for collaboration between experts within HHWS/HHAP. Despite ÍCARO's understanding being challenging, practitioners consider it a relevant tool. Researchers should use less statistical language and clarify ÍCARO's interpretation. Practitioners' needs should be considered when developing/revising tools.

Parasitoids diversity in organic Sweet Pepper (Capsicum annuum) associated with Basil (Ocimum basilicum) and Marigold (Tagetes erecta ) / Diversidade de parasitoides em Pimentão Orgânico (Capsicum annuum) associado com Manjericão (Ocimum basilicum ) e Cravo Amarelo (Tagetes erecta)

Abstract The sweet pepper (Capsicum annuum L.) is one of the most important crops in Brazilian farming. Many insect are related to this crop, compromising the quantity and quality of the fruit, representing a production problem. Vegetable diversification is one of the main elements that can be managed for suppressing undesirable insect populations in organic production, once that supports the presence of natural enemies. The basil Ocimum basilicum L. and the marigold Tagetes erecta L. are attractive and nutritious plants for parasitoids, being important candidates for diversified crops. This study evaluated the parasitoids attracted by the association of basil and marigold to organic sweet pepper crop. The experiment comprised three treatments: a) sweet pepper monoculture; b) sweet pepper and basil intercropping; c) sweet pepper and marigold intercropping. Hymenopteran parasitoids were collected over 14 weeks. 268 individuals from 12 families and 41 taxa were collected. Sweet pepper monoculture, sweet pepper-basil intercropping, and sweet pepper-marigold intercropping hosted 40, 98, and 130 individuals and richness of 24, 24, and 23, respectively. Furthermore, the insects of greater abundance in the basil and marigold were different to those collected in the monoculture. The number of parasitoids increased in the associations of sweet pepper with basil and marigold, providing advantages in the use of vegetable diversification for the organic pepper crops management.

Resumo O pimentão (Capsicum annuum L.) é um dos vegetais mais importantes dentre os cultivados no Brasil. Muitos insetos pragas estão relacionados a esta cultura, comprometendo a quantidade e a qualidade do pimentão, tornando-se um grande problema para a produção. A diversificação vegetal é um dos principais componentes a serem manejados para suprimir as populações de pragas na produção orgânica, devido ao apoio a inimigos naturais das pragas. O manjericão ( Ocimum basilicum L.) e cravo amarelo (Tagetes erecta L.) são plantas atrativas e nutritivas para parasitoides, importantes candidatas em cultivos diversificados. Este trabalho avaliou os parasitoides atraídos pela associação de manjericão e cravo amarelo em cultivo de pimentão orgânico. O experimento foi composto por três tratamentos: a) monocultura de pimentão; B) pimentão consorciado com manjericão; C) pimentão consorciado com cravo amarelo. Foram coletadas amostras de parasitoides himenópteros durante 14 semanas. Os espécimes foram identificados até o menor nível de taxonomia possível. Foram coletados 268 indivíduos ao longo de 12 famílias e 41 táxons. Os tratamentos de monocultura, pimentão consorciado com manjericão e pimentão consorciado com cravo amarelo resultaram em 40, 98 e 130 indivíduos e riqueza de espécies de 24, 24 e 23, respectivamente. Além disso, os insetos de maior abundância coletados no manjericão e cravo amarelo, foram diferentes daqueles coletados na monocultura. Houve um aumento na abundância de parasitoides nas associações de pimentão com manjericão e cravo amarelo, proporcionando vantagens no uso da diversificação vegetal, podendo ser usada no manejo do pimentão orgânico.

Phylogeny of Neotropical Sicarius sand spiders suggests frequent transitions from deserts to dry forests despite antique, broad-scale niche conservatism.

Phylogenetic niche conservatism (PNC) shapes the distribution of organisms by constraining lineages to particular climatic conditions. Conversely, if areas with similar climates are geographically isolated, diversification may also be limited by dispersal. Neotropical xeric habitats provide an ideal system to test the relative roles of climate and geography on diversification, as they occur in disjunct areas with similar biotas. Sicariinae sand spiders are intimately associated with these xeric environments, particularly seasonally dry tropical forests (SDTFs) and subtropical deserts/scrublands in Africa (Hexophthalma) and the Neotropics (Sicarius). We explore the role of PNC, geography and biome shifts in their evolution and timing of diversification. We estimated a time-calibrated, total-evidence phylogeny of Sicariinae, and used published distribution records to estimate climatic niche and biome occupancy. Topologies were used for estimating ancestral niches and biome shifts. We used variation partitioning methods to test the relative importance of climate and spatially autocorrelated factors in explaining the spatial variation in phylogenetic structure of Sicarius across the Neotropics. Neotropical Sicarius are ancient and split from their African sister-group around 90 (57-131) million years ago. Most speciation events took place in the Miocene. Sicariinae records can be separated in two groups corresponding to temperate/dry and tropical/seasonally dry climates. The ancestral climatic niche of Sicariinae are temperate/dry areas, with 2-3 shifts to tropical/seasonally dry areas in Sicarius. Similarly, ancestral biomes occupied by the group are temperate and dry (deserts, Mediterranean scrub, temperate grasslands), with 2-3 shifts to tropical, seasonally dry forests and grasslands. Most of the variation in phylogenetic structure is explained by long-distance dispersal limitation that is independent of the measured climatic conditions. Sicariinae have an ancient association to arid lands, suggesting that PNC prevented them from colonizing mesic habitats. However, niches are labile at a smaller scale, with several shifts from deserts to SDTFs. This suggests that PNC and long-distance dispersal limitation played major roles in confining lineages to isolated areas of SDTF/desert over evolutionary history, although shifts between xeric biomes occurred whenever geographical opportunities were presented.

Parasitoids diversity in organic Sweet Pepper (Capsicum annuum) associated with Basil (Ocimum basilicum) and Marigold (Tagetes erecta ).

The sweet pepper (Capsicum annuum L.) is one of the most important crops in Brazilian farming. Many insect are related to this crop, compromising the quantity and quality of the fruit, representing a production problem. Vegetable diversification is one of the main elements that can be managed for suppressing undesirable insect populations in organic production, once that supports the presence of natural enemies. The basil Ocimum basilicum L. and the marigold Tagetes erecta L. are attractive and nutritious plants for parasitoids, being important candidates for diversified crops. This study evaluated the parasitoids attracted by the association of basil and marigold to organic sweet pepper crop. The experiment comprised three treatments: a) sweet pepper monoculture; b) sweet pepper and basil intercropping; c) sweet pepper and marigold intercropping. Hymenopteran parasitoids were collected over 14 weeks. 268 individuals from 12 families and 41 taxa were collected. Sweet pepper monoculture, sweet pepper-basil intercropping, and sweet pepper-marigold intercropping hosted 40, 98, and 130 individuals and richness of 24, 24, and 23, respectively. Furthermore, the insects of greater abundance in the basil and marigold were different to those collected in the monoculture. The number of parasitoids increased in the associations of sweet pepper with basil and marigold, providing advantages in the use of vegetable diversification for the organic pepper crops management.

Phylogeny of Neotropical Sicarius sand spiders suggests frequent transitions from deserts to dry forests despite antique, broad-scale niche conservatism

Phylogenetic niche conservatism (PNC) shapes the distribution of organisms by constraining lineages to parti-cular climatic conditions. Conversely, if areas with similar climates are geographically isolated, diversificationmay also be limited by dispersal. Neotropical xeric habitats provide an ideal system to test the relative roles ofclimate and geography on diversification, as they occur in disjunct areas with similar biotas. Sicariinae sandspiders are intimately associated with these xeric environments, particularly seasonally dry tropical forests(SDTFs) and subtropical deserts/scrublands in Africa (Hexophthalma) and the Neotropics (Sicarius). We explorethe role of PNC, geography and biome shifts in their evolution and timing of diversification. We estimated atime-calibrated, total-evidence phylogeny of Sicariinae, and used published distribution records to estimateclimatic niche and biome occupancy. Topologies were used for estimating ancestral niches and biome shifts. Weused variation partitioning methods to test the relative importance of climate and spatially autocorrelatedfactors in explaining the spatial variation in phylogenetic structure ofSicariusacross the Neotropics. NeotropicalSicariusare ancient and split from their African sister-group around 90 (57–131) million years ago. Most spe-ciation events took place in the Miocene. Sicariinae records can be separated in two groups corresponding totemperate/dry and tropical/seasonally dry climates. The ancestral climatic niche of Sicariinae are temperate/dryareas, with 2–3 shifts to tropical/seasonally dry areas inSicarius. Similarly, ancestral biomes occupied by thegroup are temperate and dry (deserts, Mediterranean scrub, temperate grasslands), with 2–3 shifts to tropical,seasonally dry forests and grasslands. Most of the variation in phylogenetic structure is explained by long-distance dispersal limitation that is independent of the measured climatic conditions. Sicariinae have an ancientassociation to arid lands, suggesting that PNC prevented them from colonizing mesic habitats. However, nichesare labile at a smaller scale, with several shifts from deserts to SDTFs. This suggests that PNC and long-distancedispersal limitation played major roles in confining lineages to isolated areas of SDTF/desert over evolutionaryhistory, although shifts between xeric biomes occurred whenever geographical opportunities were presented

Phylogeny of Neotropical Sicarius sand spiders suggests frequent transitions from deserts to dry forests despite antique, broad-scale niche conservatism

Phylogenetic niche conservatism (PNC) shapes the distribution of organisms by constraining lineages to parti-cular climatic conditions. Conversely, if areas with similar climates are geographically isolated, diversificationmay also be limited by dispersal. Neotropical xeric habitats provide an ideal system to test the relative roles ofclimate and geography on diversification, as they occur in disjunct areas with similar biotas. Sicariinae sandspiders are intimately associated with these xeric environments, particularly seasonally dry tropical forests(SDTFs) and subtropical deserts/scrublands in Africa (Hexophthalma) and the Neotropics (Sicarius). We explorethe role of PNC, geography and biome shifts in their evolution and timing of diversification. We estimated atime-calibrated, total-evidence phylogeny of Sicariinae, and used published distribution records to estimateclimatic niche and biome occupancy. Topologies were used for estimating ancestral niches and biome shifts. Weused variation partitioning methods to test the relative importance of climate and spatially autocorrelatedfactors in explaining the spatial variation in phylogenetic structure ofSicariusacross the Neotropics. NeotropicalSicariusare ancient and split from their African sister-group around 90 (57–131) million years ago. Most spe-ciation events took place in the Miocene. Sicariinae records can be separated in two groups corresponding totemperate/dry and tropical/seasonally dry climates. The ancestral climatic niche of Sicariinae are temperate/dryareas, with 2–3 shifts to tropical/seasonally dry areas inSicarius. Similarly, ancestral biomes occupied by thegroup are temperate and dry (deserts, Mediterranean scrub, temperate grasslands), with 2–3 shifts to tropical,seasonally dry forests and grasslands. Most of the variation in phylogenetic structure is explained by long-distance dispersal limitation that is independent of the measured climatic conditions. Sicariinae have an ancientassociation to arid lands, suggesting that PNC prevented them from colonizing mesic habitats. However, nichesare labile at a smaller scale, with several shifts from deserts to SDTFs. This suggests that PNC and long-distancedispersal limitation played major roles in confining lineages to isolated areas of SDTF/desert over evolutionaryhistory, although shifts between xeric biomes occurred whenever geographical opportunities were presented

Engineering of III-Nitride Semiconductors on Low Temperature Co-fired Ceramics.

This work presents results in the field of advanced substrate solutions in order to achieve high crystalline quality group-III nitrides based heterostructures for high frequency and power devices or for sensor applications. With that objective, Low Temperature Co-fired Ceramics has been used, as a non-crystalline substrate. Structures like these have never been developed before, and for economic reasons will represent a groundbreaking material in these fields of Electronic. In this sense, the report presents the characterization through various techniques of three series of specimens where GaN was deposited on this ceramic composite, using different buffer layers, and a singular metal-organic chemical vapor deposition related technique for low temperature deposition. Other single crystalline ceramic-based templates were also utilized as substrate materials, for comparison purposes.

Beliefs and attitudes towards the influenza vaccine in high-risk individuals.

Societal and economic impact of influenza is mainly due to influenza infection of specific groups, who are at higher risk of health complications leading up to hospitalisation or death. In this study we applied the health belief model (HBM) to evaluate beliefs and attitudes towards influenza disease and vaccine in community-dwelling high-risk individuals (aged 65 or more or having a chronic disease). We conducted a mixed-method study using data collected through a telephone survey of a household unit sample. We used thematic analysis to map responses to HBM dimensions and Poisson regression to model vaccine non-uptake prevalence. The main self-reported reason not to take the vaccine referred to the susceptibility dimension: 'considering oneself to be a healthy person' (29·8%, (95% confidence interval (CI) 22·1-38·7)). Bad experiences after vaccination - barriers dimension - were also commonly reported (17·0%, (95% CI 10·8-23·8)). Vaccine non-uptake prevalence was 22% higher in those who did not consider themselves susceptible to contract flu (Prevalence Ratio (PR) = 1·22, (95% CI 1·0-1·5)) and 18% lower in those who did not consider that the vaccine causes flu symptoms (PR = 0·82, (95% CI 0·68-0·99)). Results suggest that high-risk individuals do not think of themselves susceptible to influenza infection and fear adverse events following immunisation.

Parasitoids diversity in organic Sweet Pepper (Capsicum annuum) associated with Basil (Ocimum basilicum) and Marigold (Tagetes erecta )

Abstract The sweet pepper (Capsicum annuum L.) is one of the most important crops in Brazilian farming. Many insect are related to this crop, compromising the quantity and quality of the fruit, representing a production problem. Vegetable diversification is one of the main elements that can be managed for suppressing undesirable insect populations in organic production, once that supports the presence of natural enemies. The basil Ocimum basilicum L. and the marigold Tagetes erecta L. are attractive and nutritious plants for parasitoids, being important candidates for diversified crops. This study evaluated the parasitoids attracted by the association of basil and marigold to organic sweet pepper crop. The experiment comprised three treatments: a) sweet pepper monoculture; b) sweet pepper and basil intercropping; c) sweet pepper and marigold intercropping. Hymenopteran parasitoids were collected over 14 weeks. 268 individuals from 12 families and 41 taxa were collected. Sweet pepper monoculture, sweet pepper-basil intercropping, and sweet pepper-marigold intercropping hosted 40, 98, and 130 individuals and richness of 24, 24, and 23, respectively. Furthermore, the insects of greater abundance in the basil and marigold were different to those collected in the monoculture. The number of parasitoids increased in the associations of sweet pepper with basil and marigold, providing advantages in the use of vegetable diversification for the organic pepper crops management.

Resumo O pimentão (Capsicum annuum L.) é um dos vegetais mais importantes dentre os cultivados no Brasil. Muitos insetos pragas estão relacionados a esta cultura, comprometendo a quantidade e a qualidade do pimentão, tornando-se um grande problema para a produção. A diversificação vegetal é um dos principais componentes a serem manejados para suprimir as populações de pragas na produção orgânica, devido ao apoio a inimigos naturais das pragas. O manjericão ( Ocimum basilicum L.) e cravo amarelo (Tagetes erecta L.) são plantas atrativas e nutritivas para parasitoides, importantes candidatas em cultivos diversificados. Este trabalho avaliou os parasitoides atraídos pela associação de manjericão e cravo amarelo em cultivo de pimentão orgânico. O experimento foi composto por três tratamentos: a) monocultura de pimentão; B) pimentão consorciado com manjericão; C) pimentão consorciado com cravo amarelo. Foram coletadas amostras de parasitoides himenópteros durante 14 semanas. Os espécimes foram identificados até o menor nível de taxonomia possível. Foram coletados 268 indivíduos ao longo de 12 famílias e 41 táxons. Os tratamentos de monocultura, pimentão consorciado com manjericão e pimentão consorciado com cravo amarelo resultaram em 40, 98 e 130 indivíduos e riqueza de espécies de 24, 24 e 23, respectivamente. Além disso, os insetos de maior abundância coletados no manjericão e cravo amarelo, foram diferentes daqueles coletados na monocultura. Houve um aumento na abundância de parasitoides nas associações de pimentão com manjericão e cravo amarelo, proporcionando vantagens no uso da diversificação vegetal, podendo ser usada no manejo do pimentão orgânico.

Produção e comercialização do guaco (Mikania laevigata Schultz Bip. ex Baker) na região Sul do Estado do Paraná / Production and commercialization of guaco (Mikania laevigata Schultz Bip. ex Baker) in the south of Paraná State

Resumo O Estado do Paraná destaca-se pela tradição no cultivo de plantas medicinais. O aumento em sua demanda através da busca de culturas alternativas e rentáveis e o estímulo a uma agricultura ecologicamente sustentável fomentou os agricultores a diversificarem a produção. A pesquisa de campo nos diferentes elos da cadeia produtiva do guaco permitiu construir seu fluxograma, caracterizar o sistema e fluxo de produção, os seus custos e receitas para analisar as Margens e Markups de comercialização. Os sistemas de coleta com enriquecimento e de cultivo apresentaram resultados diferenciados em relação ao seu custo de produção, onde o produtor/coletor alcança uma rentabilidade de 48,9 %, menor margem de comercialização entre todos os elos da cadeia, enquanto o produtor que cultiva o guaco como exploração obtém uma margem de comercialização de 346,4 %. As maiores margens de comercialização (1.733,3 %) estão nos elos fora da porteira das propriedades, percentual entre diferença de preço pago pelo consumidor e o preço recebido pelo produtor/coletor. Os produtores/coletores podem agregar mais renda em vários elos da cadeia produtiva através da organização dos produtores e a melhoria no processo produtivo, possibilitando a melhoria econômica e social nas propriedades familiares, reduzindo o impacto ambiental e garantindo a sustentabilidade dos sistemas de produção.

Abstract The State of Parana stands out for its tradition in the medicinal plants cultivation. The increase of the demand due to the search of alternative and profitable crops and the impulse to an environmentally sustainable agriculture encouraged farmers to diversify production. The field research about the different links of the guaco supply chain allowed the construction of its flowchart, the characterization of the production system and flow, as well as the knowledge of its costs and revenues in order to analyze the commercialization margins and markups. The collection systems with enrichment and the cultivation ones presented different results in relation to its production cost, with the producer/collector reaching a yield of 48.9%, the lowest commercialization margin among all links of the chain, while the farmer who cultivates guaco gets a commercialization margin of 346.4%. The largest commercialization margins (1,733.3%) are in the links outside the properties" gates, as the percentage difference between the price paid by the consumer and the one received by the producer/collector. Producers/collectors can add more income in several links of the supply chain through the producers" organization and by improvements in the production process, enabling the economic and social enhancement at the family farms, thus reducing the environmental impact and ensuring the sustainability of production systems.

Rachycentron canadum (cobia) lectin promoted mitogenic response in mice BALB/c splenocytes.

The mitogenic lectins are invaluable tools to study the biochemical changes associated with lymphocyte activation and proliferation of various immune cells. Rachycentron canadum lectin (RcaL) was detected and purified from serum of cobia fish. The aim of this study was to evaluate the proliferative response and cytokine production in splenocytes of mice in vitro stimulated with RcaL lectin; Canavalia ensiformis lectin (Con A) was used as positive control. A high proliferation index was induced by RcaL in relation to control cells. Furthermore, RcaL induced higher IL-2 and IL-6 production in relation to control. The cell viability was 90% in splenocytes treated with RcaL lectin, but RcaL promoted significant late apoptosis after 24 and 48 h in relation to control. RcaL induced proliferative responses suggesting that this lectin can be used as a mitogenic agent in immunostimulatory assays.

Tooth whitening with hydrogen/carbamide peroxides in association with a CPP-ACP paste at different proportions.

BACKGROUND: Different enhanced peroxide formulations have been developed to overcome mineral loss during tooth whitening. This study investigated the impact on tooth whitening from combining a CPP-ACP paste with home peroxide agents at several proportions. METHODS: Ninety bovine incisors were randomly allocated into nine groups (n = 10) and exposed to 7.5% hydrogen peroxide (HP), 16% carbamide peroxide (CP), a CPP-ACP paste (Tooth Mousse/MI Paste, GC Corporation, Tokyo, Japan) and blends of HP/CP:MI at three proportions (1:1, 2:1 and 1:2). Tooth whitening was performed for 14 days and its effectiveness was measured by a spectrophotometer utilizing the CIE L*a*b* system (ΔE, ΔL*, Δa* and Δb*). Colour readings were measured at baseline (T0), 7 days of bleaching (T7), 14 days of bleaching (T14) and 7 days after the end of bleaching (T21). Data were analysed by two-way ANOVA for paired averages followed by the Tukey's test and Pearson's correlation at 5%. RESULTS: Although CP produced the greatest colour change (ΔE), all whitening protocols were considered to be effective regardless of the CPP-ACP presence. In general, greater changes in ΔE, ΔL*, Δa* and Δb* were detected at T14, with T21 exhibiting similar results to those at T7. A greater number of strong correlations with ΔE values was found for a* (11/15). CONCLUSIONS: Within the limitations of this study, the results indicate that the CPP-ACP paste did not affect tooth whitening efficacy.

Efficacy of a novel at-home bleaching technique with carbamide peroxides modified by CPP-ACP and its effect on the microhardness of bleached enamel.

This study was designed to evaluate in vitro the efficacy of a novel at-home bleaching technique using 10% or 16% carbamide peroxide modified by casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and its influence on the microhardness of bleached enamel. A total of 40 bovine incisors were divided into four groups (n=10) according to the bleaching agent used: 10% carbamide peroxide only; a blend of 10% carbamide peroxide and a CPP-ACP paste; 16% carbamide peroxide only; and a blend of 16% carbamide peroxide and a CPP-ACP paste. During the 14-day bleaching regimen, the samples were stored in artificial saliva. The Vickers microhardness and color of the teeth were assessed at baseline (T0) and immediately after the bleaching regimen (T14) using a microhardness tester and a spectrophotometer, respectively. The degree of color change was determined by the Commission Internationale de l'Eclariage (CIE) L*a*b* system (ΔE, ΔL*, Δa*, and Δb*) and Vita shade guide parameters. The data were analyzed by analysis of variance and the Tukey test (p<0.05). The teeth that were bleached with a blend of peroxide (10% or 16%) and the CPP-ACP paste presented increased microhardness values at T14 compared with T0, whereas the samples that were bleached with peroxide only did not show any differences in their microhardness values. All of the bleaching agents were effective at whitening the teeth and did not show a statistically significant difference using the CIEL*a*b* system (ΔE, ΔL*, Δa*, and Δb*) or the Vita shade guide parameters. The use of a CPP-ACP paste with carbamide peroxide bleaching agents increased the bleached enamel's microhardness and did not have an influence on whitening efficacy.