Incidence and risk factors for dental pathology in patients planned for elective total hip or knee arthroplasty.

BACKGROUND AND AIMS: To prevent severe prosthetic joint infections, a dental examination is usually recommended prior to arthroplasty, even sometimes regarded resource- and time-consuming. The aim of this study was to determine whether a risk factor-based algorithm could be created to send only selected patients for dental clearance. MATERIALS AND METHODS: A prospective study of 952 patients scheduled for elective arthroplasty was performed. Patients filled out a questionnaire regarding potential risk factors for dental infections, and dentists documented patients' oral health and interventions performed (data available for 731 patients). RESULTS: Of the patients, 215 (29.4%) failed dental clearance; a total of 432 teeth were extracted, 32 patients (4.4%) required root canal treatment, and 37 patients (5.1%) had severe periodontitis. Independent risk factors for failure were history of root canal treatment (odds ratio: 2.282, 95% confidence interval: 1.346-3.869, p = 0.020), use of tobacco products (odds ratio: 1.704, 95% confidence interval: 1.033-2.810, p = 0.037), dental visit indicated by oral symptoms within 3 months (odds ratio: 1.828, 95% confidence interval: 1.183-2.827, p = 0.007), or visit to a dentist within 6 months (odds ratio: 1.538, 95% confidence interval: 1.063-2.224, p = 0.022). Regular dental examination was a preventive factor (odds ratio: 0.519, 95% confidence interval: 0.349-0.773, p = 0.001). However, based on the examined risk factors, no sufficiently large group of patients at lesser risk for dental infections could be identified. CONCLUSION: Because of the high need for dental care revealed by our unselected patient population, the inspection and treatment of dental pathology of all patients are important interventions prior to elective arthroplasty.

First Report of Mycosphaerella pini Causing Red Band Needle Blight on Scots Pine in Norway.

During a survey conducted in August 2009 in northern Norway, symptoms typical for red band needle blight (1) were observed in four young Scots pine (Pinus sylvestris) stands. The stands, less than 15 years old, were located in humid sites near rivers in Bardu and Målselv municipalities, Troms County. Many of the oldest needles (2- to 3-yearsold) in the lower part of young trees were partially or completely brown, but still attached, and red bands could be observed. Aggregations of conidial stromata were often seen in the red bands. Conidia were hyaline, smooth, thin walled, and filiform, 1.9 to 2.6 µm wide and 12 to 36 µm long. Isolations were made from conidiomata and the identity of Mycosphaerella pini was confirmed by partial sequencing of the internal transcribed spacer (ITS) region of a sample from Målselv (69°00'N, 18°51'E) (GenBank Accession No. JF796109). In June 2010, a survey was done in southeastern Norway where nearly 100 stands with young Scots pine, up to 20 years old, were inspected and typical symptoms of red band needle blight were observed in 10 stands in three municipalities in Hedmark County (Eidskog, Kongsvinger, and Trysil), less than 25 km from the Swedish border, and in one stand in Buskerud County (Nedre Eiker). Lower branches of up to 5 m tall trees had symptoms of red band needle blight, mainly on the oldest needles. In the red bands, acervuli of Dothistroma septosporum, the anamorph of M. pini, appeared. Typical conidia from acervuli were germinated in water agar and resulting mycelium was transferred to modified orange serum agar. Two isolates were sequenced as above and both herbarium samples and isolates (Kongsvinger, 60°06'N, 12°04'E; GenBank Accession No. JF796108 and Trysil, 61°14'N, 12°22'E; GenBank Accession No. JF796107) were deposited at the Norwegian Forest and Landscape Institute. To fulfill Koch's postulates, symptoms were reproduced by artificial inoculation onto 1-year-old Scots pine seedlings. In June 2010, a pooled conidial suspension (2.4 to 3.8 × 103 conidia per ml) from two single-conidium cultures was sprayed to runoff onto 128 seedlings and 64 seedlings were mock sprayed with distilled water. First symptoms (brown segments and red bands) appeared on inoculated seedlings 1 month later and acervuli appeared after another 6 to 8 weeks. M. pini was reisolated from the acervuli. Three months after inoculation, 90% of inoculated seedlings showed symptoms while all uninoculated seedlings were healthy. Damage caused by M. pini has increased in the northern hemisphere during the last 15 to 20 years, possibly because of climate change (4). In 2006, the fungus was recorded in Estonia (2), in 2008 in Finland (3), and by 2009, the disease had spread over large areas in Finland including the region near the Norwegian border in the north. The disease has been in Sweden for a few years (J. Stenlid, personnel communication). In southern Norway, the disease has mainly been observed near the Swedish border so here the disease may originate from Sweden. So far, however, only small areas of Norway have been surveyed. Both natural spread and human transport dissemination may be occurring. References: (1) Anonymous. OEPP/EPPO Bull. 35, 303, 2005. (2) M. Hanso and R. Drenkhan. Plant Pathol. 57:170, 2008. (3) M. Müller et al. Plant Dis. 93:322, 2009. (4) A. Woods et al. BioScience 55:761, 2005.

First Observations of Mycosphaerella pini on Scots Pine in Finland.

Red band needle blight of pines caused by Mycosphaerella pini (anamorph Dothistroma septosporum) has recently been recorded on Scots pine (Pinus sylvestris) at 14 rural districts in southern and central Finland. Scots pine is the most common and commercially most important tree species in Finland. Red bands with aggregations of conidial stromata on otherwise brown attached needles were frequently encountered on saplings and young trees in dense stands and sporadically on lower twigs of mature trees within 2 m of the ground. These symptoms and signs, typical for M. pini (1), were also observed on needles of P. contorta and P. cembra, which occur in Finland in low frequency. Symptoms of red band needle blight and abundant conidial stromata were found in March and April of 2008 after a mild and rainy winter. After this time, the frequency at which fresh acervuli were observed decreased. Conidia were isolated after squeezing conidial stromata into a drop of sterile water and rinsing out the drop onto water agar from where single conidia were picked up from under the microscope with a modified Pasteur pipette. The conidia were hyaline, smooth, thin walled, filiform, 2.0 to 2.7 (2.4) µm wide, and 15 to 37 (29.4) µm long. Germination of the conidia on water agar was 100%. The cultures grew slowly and reached a diameter of 4 to 10 mm within 3 weeks on modified orange serum agar (2) at 20°C and abundantly produced conidia. Complete sequences of the internal transcribed spacer (ITS) region including the 5.8S rRNA gene were obtained for three isolates from different rural districts: Hartola (61°34'N, 26°01'E), Kangasniemi (61°59'N, 26°39'E), and Suonenjoki (62°37'N, 27°07'E). These sequences are deposited in GenBank with Accession Nos. EU834294, EU834295, and EU834296 and are identical to each other and to more than 50 M. pini sequences in GenBank, including those of several Estonian and Austrian isolates. These isolates are deposited in the culture collection of the Finnish Forest Research Institute with identifiers Dot1, Dot2, and Dot8. Symptoms were reproduced after inoculation of 1-year-old Scots pine seedlings growing in seedling trays with 115 cm3 cavities. A conidial suspension (5 to 6·× 103 conidia ml-1) was prepared from two single-conidial cultures (Dot10 and Dot15), combined, and sprayed during July 2008 onto 192 seedlings until needles looked completely wet. Sixty-four seedlings were sprayed with distilled water as a control treatment. Seedlings were incubated outdoors in Suonenjoki and covered with a transparent plastic hood for the first 5 days after inoculation. The first symptoms (brown segments and red bands on needles) appeared on inoculated seedlings 1 month later, and conidial stromata appeared after another 2 to 4 weeks. M. pini was reisolated from the acervuli of 10 sample needles. Three months after inoculation, all inoculated seedlings showed symptoms while all noninoculated seedlings were healthy. It is possible that M. pini has spread recently from the south since it was identified for the first time in Estonia 2 years earlier (3). Although the Gulf of Finland separates Finnish pine forests from Estonian pine forests by approximately 50 to 100 km, spores may have been aerially disseminated over this distance. Alternatively, introduction of M. pini to Finland may have occurred on imported seedlings. References: (1) Anonymous. OEPP/EPPO Bull. 35, 303, 2005. (2) M. Hanso and R. Drenkhan. Plant Pathol. 57:170, 2008. (3) M. M. Müller et al. Mycol. Res. 98:593, 1994.

Significance of wood terpenoids in the resistance of Scots pine provenances against the old house borer, Hylotrupes bajulus, and brown-rot fungus, Coniophora puteana.

We tested how terpenoid (i.e., monoterpenes and resin acids) composition and concentration in wood affects resistance against wood-borers and decaying fungi. Scots pine (Pinus sylvestris) wood from nine provenances having variable terpenoid profiles was studied against the old house borer, Hylotrupes bajulus, and the decay fungus, Coniophora puteana. Provenances represented a 1200-km N-S transect from Estonia to northern Finland, but they were all cultivated for 7 years in the same nursery field, in central Finland. Mean relative growth rate (MRGR) of small H. hajulus larvae positively correlated with the total monoterpene concentration of wood, and feeding was associated with high proportion of levopimaric+palustric acid in wood. Provenance did not affect the MRGR of small or big larvae, but big larvae consumed more wood and produced more frass on the northern Ylitornio trees than on the southern Rakvere and Ruokolahti trees. Low beta-pinene and total monoterpene concentration and low beta: alpha-pinene ratio in wood were all associated with a high number of eggs. The most northern Muonio provenance was the most favored as an oviposition site, differing significantly from Saaremaa, Tenhola, and Suomussalmi. Wood from Saaremaa, Tenhola, Ruokolahti, and Suomussalmi provenance was most resistant against decay fungus, differing significantly from that of Kinnula provenance. However, decay resistance was not clearly associated with the concentrations of wood terpenoids. These results suggest that monoterpene composition of wood affects resistance against wood-boring Cerambycid beetles, but resistance against wood-decaying fungi is not as clearly associated with wood terpenoids.

Comparing the variation of needle and wood terpenoids in Scots pine provenances.

We determined variation in both the concentration and composition of terpenoids in needles and wood within nine Scots pine (Pinus sylvestris) provenances. Seedlings of different provenances representing a 1200-km N-S transect from Estonia to northern Finland were cultivated in Suonenjoki nursery field, central Finland, for seven years. Growth of seedlings and the number of vertical resin ducts in wood were also determined. alpha-Pinene and 3-carene were the major monoterpenes both in the needles and wood. The total monoterpene concentration was about five times higher in the needles than in the wood. A strong positive correlation was found between proportional quantities of several terpenes of the needles and wood, particularly for 3-carene, sabinene, and terpinolene. The needles contained both labdane-type and tricyclic resin acids, whereas the wood contained only tricyclic ones. The wood had a four times higher tricyclic resin acid concentration than the needles. The highest total monoterpene concentration in the needles and in the wood occurred in the most northern Muonio provenance and in the most southern Saaremaa provenance plants, respectively. The amount of high 3-carene genotype trees decreased among the northern provenances. The wood of the most northern Muonio provenance showed the lowest total resin acid concentration, but provenance did not affect total tricyclic resin acids in the needles. Korpilahti provenance trees from central Finland had the best growth in height. In addition, Korpilahti and Ruokolahti provenance trees showed largest radial growth of stem and smallest number of vertical resin ducts. The results suggest that especially the proportional quantity of 3-carene in the needles could be used in estimating the amount of this compound in the wood and vice versa.

Post-prandial effects in reactivity of forehead and mid-femoral skin blood flow and heart rate in neonates.

The effect of post-prandial period on the cutaneous vascular reactivity was studied in twelve full-term infants on their 3rd postnatal day. The differences in vasomotor reactions between the forehead and femoral skin were also investigated. Two 10-min control registrations about 30 and 90 min after feeding were followed by a registration of equal duration during thermal stimulation of the skin. The lower extremity of each infant was stimulated by warm and cool air currents (5 cycles/min) to induce periodic vasomotor changes. The fast Fourier transform was used to compute variability spectra for the recorded skin blood flow, heart rate and respiratory wave form signals. The skin blood flow became synchronised to the thermal stimulation in both skin regions. Neither the spontaneous nor synchronised oscillations of the skin blood flow differed significantly between femoral skin and forehead. The post-prandial time did not have any influence on this synchronisation. Heart rate variability was synchronised to the periodicity of thermal stimulation more 1.5 h after feeding than 0.5 h after feeding. Respiration was not affected. The results show that increasing post-prandial time has no influence on the synchronised oscillations of skin blood flow. However, it potentiates reactivity of heart rate to perturbations in the peripheral vasculature.

ISH and PCR study with Y-specific probe/primers.

Our main aim was to evaluate whether maternal whole venous blood could be used for determination of fetal sex, when no enrichment of fetal cells was attempted and when "standard" interphase cytogenetics and PCR analysis were adopted. Altogether 39 pregnant women were studied by using ISH and 59 by using PCR. Out of the 59 pregnant women, 26 carried a male fetus and 33 a female fetus. By ISH, Y-positive cells were detected in 12 of 19 pregnancies with a male fetus and in two of the 20 pregnancies with a female fetus. The frequency of the fetal cells ranged from 1 in 639 to 1 in 100,000. By nested PCR with primers flanking a Y-specific repeat sequence, the positive band indicating a male fetus was found in one of the 26 pregnancies with a male fetus and in one of the 33 pregnancies with a female fetus. According to our results, fetal cells in maternal blood cannot be reliably used for prenatal diagnosis without enrichment of fetal cells.

Reproductive status, blood chemistry, gill histology and growth of perch (Perca fluviatilis) in three acidic lakes.

Perch (Perca fluviatilis L.) were sampled soon after spawning in three small acidic lakes (pH 4.3-6.1, Al(lab) 5-106 microg litre(-1), Ca2+ 0.01-0.08 mmol litre(-1)) and in one circumneutral lake (pH 5.9-6.4, Al(lab) 4-12 microg litre(-1), Ca2+ 0.06-0.07 mmol litre(-1)) in southern Finland. Due to the delayed spawning of perch in the acidic lakes, sampling in those lakes was performed later than in the reference lake. In spite of that, the gonadosomatic index (GSI) of males in all the acidic lakes was significantly greater than in the reference lake. Of the two lakes with similar low water pH, the effects on reproduction were more prominent in the lake with higher water Al content. The plasma Ca2+ concentrations of females in the acidic lakes were significantly smaller than in the females of the reference lake. The low female:male plasma Ca2+ ratio (1.0-1.32) depicted delay of spawning. Stress in perch in acidic water was also seen in elevated blood haematocrit values, especially in females. On the other hand, a low plasma Cl- level, a common response to acidic water in salmonids, was not detected in perch in the most acidic lakes. The amount of Al accumulated in the gill epithelium was highest in the most acidified lake with high Al concentration, but was also pronounced in a lake with low pH and low Al concentration.

Effect of bleached kraft pulp mill effluent on hepatic biotransformation reactions in vendace (Coregonus albula L.).

1. The effect of bleached kraft pulp mill effluent (BKME) on xenobiotic biotransformation enzyme activities in the liver of vendace (Coregonus albula L.) was studied by exposing some fish in field laboratory tanks at 0, 0.1, 0.2 and 0.5% (v/v) effluent concentrations of BKME corresponding to 0-0.08 toxic units and others in clean water as controls. 2. Slight increase (57%, 68%) in polysubstrate monooxygenase enzyme activities, measured as benzo(a)pyrene hydroxylase and 7-ethoxycoumarin O-deethylase activities, was observed in a dose related manner after 70 days of exposure to 0.5% concentration of BKME. 3. Highest increase was observed at 0.2% effluent concentration after 120 days of exposure, measured as benzo(a)pyrene hydroxylase activity. 4. BKME had an affect on UDPglucuronosyltransferase, at the beginning (14-70 days) by decreasing and in longer exposure (120 days) by slightly increasing the activity.

Effects of bleached kraft mill effluent on early life stages of brown trout (Salmo trutta L.).

Brown trout (Salmo trutta L.) eggs fertilized in clean water were incubated in bleached kraft mill effluent (BKME) concentrations of 0, 0.5, 1, and 2% (v/v) in a continuous-flow system and exposure was continued with the sac fry for most of the yolk sac stage. In addition, sac fry first incubated in clean water were exposed after hatching to the same concentrations for 44 days. Percentage hatching was lower than in the control only in 2% BKME. In all the BKME concentrations, the newly hatched sac fry were shorter than the controls, and their heart rate was slower. All the sac fry in 2% BKME died within 3 weeks after the end of hatching. At the late yolk sac stage the sac fry in the other concentrations of BKME were shorter and less well developed than the controls. Their wet and dry weights were higher and their water content was lower because of retarded yolk absorption. Exposure commencing after hatching also caused retarded growth and development. In the sac fry exposed to BKME only after hatching, mortality increased with the concentration and all the sac fry in 2% BKME died within 4 weeks.