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Selected AbstractsSoleus T reflex modulation in response to spinal and tendinous adaptations to unilateral lower limb suspension in humansACTA PHYSIOLOGICA, Issue 3 2008O. R. Seynnes Abstract Aim:, To investigate the influence of tendinous and synaptic changes induced by unilateral lower limb suspension (ULLS) on the tendon tap reflex. Methods:, Eight young men underwent a 23-day period of ULLS. Muscle cross-sectional area (CSA), torque and electromyographic (EMG) activity of the plantar flexor muscles (normalized to the M wave), Achilles tendon,aponeurosis mechanical properties, soleus (SOL) H and T reflexes and associated peak twitch torques were measured at baseline, after 14 and 23 days of ULLS, and 1 week after resuming ambulatory activity. Results:, Significant decreases in muscle CSA (,9%), in maximal voluntary torque (,10%) and in the associated SOL EMG activity (,16%) were found after ULLS (P < 0.05). In addition to a 36% (P < 0.01) decrease in tendon,aponeurosis stiffness, normalized H reflex increased by 35% (P < 0.05). An increase in the slope (28%, P < 0.05) and intercept (85%, P < 0.05) of the T reflex recruitment curve pointed to an increase in the gain and to a decrease in the sensitivity of this reflex, possibly resulting from the decrease in the tendon,aponeurosis stiffness at low forces. Following ULLS, changes in tendinous stiffness correlated with changes in neuromuscular efficiency (peak twitch torque to reflex ratio) at higher tendon tap forces. Conclusion:, These findings point out the dual and antagonistic influences of spinal and tendinous adaptations upon the tendon tap reflex in humans under conditions of chronic unloading. These observations have potential implications for the sensitivity of the short-latency Ia stretch response involved in rapid compensatory contractions to unexpected postural perturbations. [source] Multidisciplinary approach to the treatment of an oblique crown,root fractureDENTAL TRAUMATOLOGY, Issue 1 2010Anna-Louise Bate After removal of the fractured cusp, a provisional restorative build-up in this area was carried out, in order to carry out an endodontic treatment in a sterile environment. A glass fibre post and core were then constructed and over a 90-day period the tooth was extruded orthodontically by 4 mm. The periodontal fibres associated with this tooth were cut with a tiny surgical blade to help to prevent reintrusion of the tooth and achieve fine contouring of the gingival margins. The new tooth position was maintained with a retainer for a further 60 days and after a period with a provisional acrylic crown, a porcelain bonded crown was fitted. This case report demonstrates that such a multidisciplinary treatment approach to an oblique subgingival fracture is a reliable and predictable manner in which to save a tooth that would have otherwise been difficult, if not impossible, to restore with a resultant good long-term prognosis. [source] Characterizing blood pressure control in individuals with Type 2 diabetes: the relationship between clinic and self-monitored blood pressureDIABETIC MEDICINE, Issue 9 2003R. S. Mazze Abstract Aims To determine the relationship between blood pressure (BP) measurement in the clinic and self-monitored blood pressure (SMBP); and to evaluate the accuracy of self-reported data in patients with Type 2 diabetes treated intensively for hypertension. Methods Seventy subjects had baseline and 1-week follow-up clinic BP measured using an Omron 907® automated device. During a contemporaneous 14-day period these subjects measured their BP at least four times each day using an Omron IC® semiautomatic portable monitor which, unknown to them, contained an onboard memory capable of storing BP with corresponding time and date. Results There was no significant difference between mean clinic and mean self-monitored BP. Correlations between clinic BP and SMBP were r = 0.61 (P < 0.0001) for systolic BP and r = 0.69 (P < 0.0001) for diastolic BP. Clinic BP classified 56 subjects as uncontrolled hypertension (BP , 130/80 mmHg, adjusted for diabetes) and 14 subjects as controlled hypertension. Using World Health Organization-International Society of Hypertension criteria for SMBP (, 125/75 mmHg), 55 cases of clinic classified uncontrolled hypertension were confirmed, resulting in 98% sensitivity. Clinic and SMBP agreed in one case of controlled hypertension, resulting in 7% specificity. For all subjects, the median percent of values exceeding SMBP criteria for controlled hypertension was systolic 92% and diastolic 70%. Self-reporting precision averaged 89 ± 10% (range 45,100%); under-reporting was 25 ± 16% (ranging from 0 to 56%) and over-reporting was 12 ± 15% (ranging from 0 to 46%). The overall logbook mean was not significantly different from the downloaded data from the Omron IC® monitors. Conclusions SMBP was able to identify 13 patients with uncontrolled hypertension who, by clinic BP measurement, had been classified as controlled. [source] The linkage between velocity patterns and sediment entrainment in a forced-pool and riffle unitEARTH SURFACE PROCESSES AND LANDFORMS, Issue 2 2009D. M. Thompson Abstract A field-based project was initiated in order to characterize velocities and sediment entrainment in a forced-pool and riffle sequence. Three-dimensional velocities and turbulence intensities were measured with an acoustic Doppler velocimeter at 222 different points at three similar flows that averaged approximately 4·35 m3 s,1 within a large pool,riffle unit on North Saint Vrain Creek, Colorado. Sediment-sorting patterns were observed with the introduction of 500 tracer particles painted according to initial seeding location. Tracer particles moved sporadically during a 113 day period in response to the annual snowmelt peak flow, which reached a maximum level of 14·8 m3 s,1. Velocity data indicate high instantaneous velocities and turbulence levels in the centre of pools. Patterns of sediment deposition support the notion that stream competence is higher in the pool than the downstream riffle. Flow convergence around a large channel constriction appears to play a major role in multiple processes that include helical flow development and sediment routing, and backwater development with low velocities and turbulence levels above the constriction that may locally limit sediment supply. Jet flow, flow separation, vortex scour and turbulence generation enhance scour in the centre of pools. Ultimately, multiple processes appear to play some role in maintenance of this forced pool and the associated riffle. Copyright © 2008 John Wiley & Sons, Ltd. [source] In vivo exposure to microcystins induces DNA damage in the haemocytes of the zebra mussel, Dreissena polymorpha, as measured with the comet assayENVIRONMENTAL AND MOLECULAR MUTAGENESIS, Issue 1 2007Guillaume Juhel Abstract The Comet assay was used to investigate the potential of the biotoxin microcystin (MC) to induce DNA damage in the freshwater zebra mussel, Dreissena polymorpha. Mussels maintained in the laboratory were fed daily, over a 21-day period, with one of four strains of the cyanobacterium, Microcystis aeruginosa. Three of the strains produced different profiles of MC toxin, while the fourth strain did not produce MCs. The mussels were sampled at 0, 7, 14, and 21 days by withdrawing haemocytes from their adductor muscle. In addition, a positive control was performed by exposing a subsample of the mussels to water containing cadmium chloride (CdCl2). Cell viability, measured with the Fluorescein Diacetate/Ethidium Bromide test, indicated that the MC concentrations, to which the mussels were exposed, were not cytotoxic to the haemocytes. The Comet assay performed on the haemocytes indicated that exposure to CdCl2 produced a dose-responsive increase in DNA damage, demonstrating that mussel haemocytes were sensitive to DNA-damaging agents. DNA damage, measured as percentage tail DNA (%tDNA), was observed in mussels exposed to the three toxic Microcystis strains, but not in mussels exposed to the nontoxic strain. Toxin analysis of the cyanobacterial cultures confirmed that the three MC-producing strains exhibit different toxin profiles, with the two MC variants detected being MC-LF and MC-LR. Furthermore, the DNA damage that was observed appeared to be strain-specific, with high doses of MC-LF being associated with a higher level of genotoxicity than low concentrations of MC-LR. High levels of MC-LF also seemed to induce relatively more persistent DNA damage than small quantities of MC-LR. This study is the first to demonstrate that in vivo exposure to MC-producing strains of cyanobacteria induces DNA damage in the haemocytes of zebra mussels and confirms the sublethal toxicity of these toxins. Environ. Mol. Mutagen., 2007. © 2006 Wiley-Liss, Inc. [source] Efficacy of intervention strategies for bioremediation of crude oil in marine systems and effects on indigenous hydrocarbonoclastic bacteriaENVIRONMENTAL MICROBIOLOGY, Issue 6 2007Boyd A. McKew Summary There is little information on how different strategies for the bioremediation of marine oil spills influence the key indigenous hydrocarbon-degrading bacteria (hydrocarbonoclastic bacteria, HCB), and hence their remediation efficacy. Therefore, we have used quantitative polymerase chain reaction to analyse changes in concentrations of HCB in response to intervention strategies applied to experimental microcosms. Biostimulation with nutrients (N and P) produced no measurable increase in either biodegradation or concentration of HCB within the first 5 days, but after 15 days there was a significant increase (29%; P < 0.05) in degradation of n -alkanes, and an increase of one order of magnitude in concentration of Thalassolituus (to 107 cells ml,1). Rhamnolipid bioemulsifier additions alone had little effect on biodegradation, but, in combination with nutrient additions, provoked a significant increase: 59% (P < 0.05) more n -alkane degradation by 5 days than was achieved with nutrient additions alone. The very low Alcanivorax cell concentrations in the microcosms were hardly influenced by addition of nutrients or bioemulsifier, but strongly increased after their combined addition, reflecting the synergistic action of the two types of biostimulatory agents. Bioaugmentation with Thalassolituus positively influenced hydrocarbon degradation only during the initial 5 days and only of the n -alkane fraction. Bioaugmentation with Alcanivorax was clearly much more effective, resulting in 73% greater degradation of n -alkanes, 59% of branched alkanes, and 28% of polynuclear aromatic hydrocarbons, in the first 5 days than that obtained through nutrient addition alone (P < 0.01). Enhanced degradation due to augmentation with Alcanivorax continued throughout the 30-day period of the experiment. In addition to providing insight into the factors limiting oil biodegradation over time, and the competition and synergism between HCB, these results add weight to the use of bioaugmentation in oil pollution mitigation strategies. [source] Effect of di(n -butyl) phthalate on testicular oxidative damage and antioxidant enzymes in hyperthyroid ratsENVIRONMENTAL TOXICOLOGY, Issue 3 2007Ena Lee Abstract This study compared the effects of di(n-butyl) phthalate (DBP) on the oxidative damage and antioxidant enzymes activity in testes of hyperthyroid rats. Hyperthyroidism was induced in pubertal male rats by intraperitoneal injection of triiodothyronine (T3, 10 ,g/kg body weight) for 30 days. An oral dose of DBP (750 mg/kg) was administered simultaneously to normal or hyperthyroid (T3) rats over a 30-day period. No changes in body weight were observed in the hyperthyroid groups (T3, T3 + DBP) compared with controls. There were significantly higher serum T3 levels observed in the hyperthyroid rats than in the control, but the serum thyroid stimulating hormone levels were markedly lower in the hyperthyroid rats. DBP significantly decreased the weight of the testes in the normal (DBP) and hyperthyroid (T3 + DBP) groups. The serum testosterone concentrations were significantly lower in only DBP group. DBP significantly increased the 8-hydroxy-2-deoxyguanosine (8-OHdG) level in the testes, whereas the DBP-induced 8-OHdG levels were slightly higher in T3 + DBP group. Superoxide dismutase and glutathione peroxidase activities were significantly higher in the testes of the DBP or T3 + DBP groups. Catalase (CAT) activity was significantly higher in the DBP treatment group, but the T3 + DBP group showed slightly lower DBP-induced CAT activity. The testicular expression of thyroid hormone receptor ,-1 (TR,-1) was significantly higher in the DBP groups, and androgen receptor (AR) expression was not detected in the DBP treatment group. In addition, DBP significantly increased the peroxisome proliferator-activated receptor-r (PPAR-r) levels in the testis. These results suggest that hyperthyroidism can cause a change in the expression level of PPAR-r in testes, and may increase the levels of oxidative damage induced by the metabolic activation of DBP. © 2007 Wiley Periodicals, Inc. Environ Toxicol 22: 245,255, 2007. [source] Haematological and respiratory gas changes in horses and mules exercised at altitude (3800 m)EQUINE VETERINARY JOURNAL, Issue S36 2006H. M. GREENE Summary Reason for performing study: Despite the common use of equids as visitors to high altitude mountainous environments, there are a paucity of carefully orchestrated scientific approaches. Further, again as a function of a common perceived advantage of mules over horses in these similar environments there are needs for controlled comparisons between these 2 equids. Objective: To measure haematological and respiratory function in horses and mules at low altitude (225 m), at rest and post exercise. In addition the rate and magnitude of these changes were followed over a 13 day period at high altitude (3800 m) to contrast acclimatisation. Methods: Resting and exercise venous blood samples (1 min post exercise) were obtained from 6 horses and 5 mules housed at 225 m (LA) and then transported to 3800 m (HA) for 13 days. The standardised exercise tests at both LA and HA consisted of trotting (3.0 m/sec) up an incline (6%) for 2 km. Data were analysed with repeated measures ANOVA (comparison of altitude acclimatisation and species) for changes in haematological and respiratory gases. Results: At low altitude, no group differences were found with both resting (P=0.69) and exercising (P=0.74) heart rates. Resting PCV was 8% lower in the mules (P=0.02) and 20% lower during exercise (P=0.02). Horses had significantly higher 2,3-diphosphoglycerate (2,3-DPG)/g Hb at both rest (P=0.003) and exercise (P=0.03). Exercise at HA increased PCV (P=0.03) in both groups, but the increase was attenuated in the mules compared to horses. The increase with 2,3-DPG/g Hb was expressed at HA in both groups (P=0.001) and was also attenuated in mules (P=0.03). Both groups were alkalotic compared to LA (P=0.001), and there were no group differences (P = 0.95). Conclusion: Of the variables measured, the most notable distinction between species was identified for only PCV and 2,3-DPG with both higher in horses, at both LA and HA. While the attenuated response of PCV in mules for the same exercise might argue for an improved adaptation to altitude, the lower 2,3-DPG might not. Other variables during the exercise bout were not different between species. [source] Reliability and repeatability of thermographic examination and the normal thermographic image of the thoracolumbar region in the horseEQUINE VETERINARY JOURNAL, Issue 4 2004B. V. TUNLEY Summary Reasons for performing study: Thermographic imaging is an increasingly used diagnostic tool. When performing thermography, guidelines suggest that horses should be left for 10,20 mins to ,acclimatise' to the thermographic imaging environment, with no experimental data to substantiate this recommendation. In addition, little objective work has been published on the repeatability and reliability of the data obtained. Thermography has been widely used to identify areas of abnormal body surface temperature in horses with back pathology; however, no normal data is available on the thermographic ,map' of the thoracolumbar region with which to compare horses with suspected pathology. Objectives: To i) investigate whether equilibration of the thermographic subject was required and, if so, how long it should take, ii) investigate what factors affect time to equilibration, iii) investigate the repeatability and reliability of the technique and iv) generate a topographic thermographic ,map' of the thoracolumbar region. Methods: A total of 52 horses were used. The following investigations were undertaken: thermal imaging validation, i.e. detection of movement around the baseline of an object of constant temperature; factors affecting equilibration; pattern reproducibility during equilibration and over time (n = 25); and imaging of the thoracolumbar region (n = 27). Results: A 1°C change was detected in an object of stable temperature using this detection system, i.e the ,noise' in the system. The average time taken to equilibrate, i.e. reach a plateau temperature, was 39 mins (40.2 in the gluteal region, 36.2 in lateral thoracic region and 40.4 in metacarpophalangeal region). Only 19% of horses reached plateau within 10,20 mins. Of the factors analysed hair length and difference between the external environment and the internal environment where the measurements were being taken both significantly affected time to plateau (P<0.05). However, during equilibration, the thermographic patterns obtained did not change, nor when assessed over a 7 day period. A ,normal' map of the surface temperature of the thoracolumbar region has been produced, demonstrating that the midline is the hottest, with a fall off of 3°C either side of the midline. Conclusions: This study demonstrates that horses may not need time to equilibrate prior to taking thermographic images and that thermographic patterns are reproducible over periods up to 7 days. A topographical thermographic ,map' of the thoracolumbar region has been obtained. Potential relevance: Clinicians can obtain relevant thermographic images without the need for prior equilibration and can compare cases with thoracolumbar pathology to a normal topographic thermographic map. [source] Subcutaneous histamine versus botulinum toxin type A in migraine prophylaxis: a randomized, double-blind studyEUROPEAN JOURNAL OF NEUROLOGY, Issue 1 2009R. O. Millán-Guerrero Objectives:, To compare the efficacy and tolerability of the subcutaneous administration of histamine and botulinum toxin type A (BoNTA) in migraine prophylaxis. Background:, Histamine has a selective affinity for H3 receptors and it may specifically inhibit the neurogenic edema response involved in migraine pathophysiology. Methods:, One hundred patients with migraine were selected in a 12-week double-blind controlled clinical trial to evaluate the efficacy of subcutaneous administration of histamine (1,10 ng twice a week) n = 50, compared with administration of 50 U of BoNTA (one injection cycle) n = 50. Results:, The data collected during the 4th week of treatment revealed a significant decrease in all parameters studied, in histamine and BoNTA (P < 0.001). After 4 weeks of treatment, but one injection cycle of 50 U BoNTA had only a 40-day period of efficacy. Conclusions:, This randomized study demonstrated that both histamine and BoNTA are similarly effective and well tolerated in reducing or eliminating headache in migraine prophylaxis. Low doses of histamine applied subcutaneously may represent a novel and effective therapeutic alternative in migraine patients and lay the clinical and pharmacological groundwork for the use of H3 agonist in migraine prophylaxis. [source] Efficacy of doublecortin as a marker to analyse the absolute number anddendritic growth of newly generated neurons in the adult dentate gyrusEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 2 2004Muddanna S. Rao Abstract Doublecortin (DCX), a microtubule-associated phosphoprotein, has been recently utilized as a marker of newly born neurons in the adult dentate gyrus (DG). Nonetheless, it is unknown whether DCX exclusively labels newly formed neurons, as certain granule cells with the phenotype of differentiated neurons express DCX. We addressed the authenticity of DCX as a marker of new neurons in the adult DG by quantifying cells that are positive for 5,-bromodeoxyuridine (BrdU), DCX and both BrdU and DCX in hippocampal tissues of adult rats treated with daily injections of BrdU for 12 consecutive days. We provide new evidence that neurons visualized with DCX immunostaining in the adult rat DG are new neurons that are predominantly born during the 12 days before euthanasia. This is confirmed by the robust expression of BrdU in 90% of DCX-positive neurons in the DG of animals injected with BrdU for 12 days. Furthermore, DCX expression is specific to newly generated healthy neurons, as virtually all DCX-positive cells express early neuronal antigens but lack antigens specific to glia, undifferentiated cells or apoptotic cells. As DCX expression is also robust in the dendrites, DCX immunocytochemistry of thicker sections facilitates quantification of the dendritic growth in newly born neurons. Thus, both absolute number and dendritic growth of new neurons that are generated in the adult DG over a 12-day period can be quantified reliably with DCX immunostaining. This could be particularly useful for analysing changes in dentate neurogenesis in human hippocampal tissues as a function of ageing or neurodegenerative diseases. [source] Time course of the renal functional response to partial nephrectomy: measurements in conscious ratsEXPERIMENTAL PHYSIOLOGY, Issue 1 2007R. M. Chamberlain Previous investigations into the functional responses of the surviving nephrons following reductions in renal mass have been performed largely in anaesthetized animals and have taken little account of how the compensatory changes develop with time. The present study has assessed a method for determining glomerular filtration rate (GFR) in unrestrained, uncatheterized, conscious rats (plasma disappearance of 99mTc-diethylenetriamene pentaacetic acid (DTPA)) and has used this method to document the time course of the changes in GFR over a 32 day period following uninephrectomy or 5/6 nephrectomy. Concurrent measurements of excretion rates and of the clearance of lithium (the latter being an index of end-proximal fluid delivery) provided information on changes in overall tubular function and segmental reabsorption. After uninephrectomy, the GFR of the remaining kidney (compared with that of a single kidney of sham-operated animals) increased maximally (by ,50%) within 8 days; after 5/6 nephrectomy, the increase in the GFR of the remnant kidney was maximal (at ,300%) within 16 days. Overall excretion rates of sodium and potassium were well maintained in partially nephrectomized animals throughout the period of study, while the excretion of water increased (by ,30% after uninephrectomy and by ,120% after 5/6 nephrectomy), partly as a result of the compensatory increases in GFR but mainly as a consequence of moderate (after uninephrectomy) or marked (after 5/6 nephrectomy) reductions in fractional reabsorption. During the early period after 5/6 nephrectomy, potassium excretion sometimes exceeded the filtered load, indicating net secretion. Lithium clearance data indicated that the changes in tubular function after 5/6 nephrectomy include a reduction in fractional reabsorption in the proximal tubule, whereas after uninephrectomy any such effect on the proximal tubule is minor and transient. [source] Efficiency of combined methotrexate/chloroquine therapy in adjuvant-induced arthritisFUNDAMENTAL & CLINICAL PHARMACOLOGY, Issue 4 2005M.A.R.C.P. Silva Abstract The present study evaluates the effects of methotrexate (MTX) and chloroquine (CQ), and of combined MTX + CQ treatment, on the inflammatory response and on plasma and liver phosphatase and transaminase activities, employing an adjuvant-induced arthritis model in rats. Arthritis was induced by the intradermal injection of a suspension of Mycobacterium tuberculosis in mineral oil into the plantar surface of the hind paws. Development of the inflammatory response was assessed over a 21-day period. Animal groups received either: (i) MTX, administered i.p., weekly, in 0.15, 1.5, 3, 6 or 12 mg/kg doses; (ii) CQ, given intragastrically, in daily 25 or 50 mg/kg doses; or (iii) MTX + CQ, administered in two combinations (MTX1.5 mg/kg + CQ50 mg/kg, or MTX6 mg/kg + CQ50 mg/kg). At the end of the experimental period, the animals were anesthetized and killed, blood and liver samples were collected and prepared for measurement of acid and alkaline phosphatase (AP, ALP), and aspartate (AST) and alanine aminotransferase (ALT) activities. MTX at 6 and 12 mg/kg reduced the inflammatory response while CQ had no effect. MTX6 mg/kg + CQ50 mg/kg reduced the inflammatory response similar to MTX12 mg/kg, without affecting the bone marrow. Plasma AP and liver ALP activities were very elevated in the arthritic rats. While MTX treatment partially reduced both plasma AP and liver ALP activities at all doses used in the arthritic rats, CQ treatment reduced plasma AP, but increased liver AP activity. MTX + CQ treatment decreased plasma AP and liver ALP activities in the arthritic rats to control values. Plasma and liver AST activities were unaltered in the arthritic rats, and were unaffected by treatment. However, plasma and liver ALT activities were significantly reduced in the arthritic rats. While MTX or CQ treatment did not alter plasma transaminase activity in the arthritic rats, after MTX + CQ treatment, plasma ALT activity returned to normal values. In conclusion, the present data suggest that MTX + CQ treatment provides more effective anti-inflammatory protection against adjuvant-induced arthritis than does MTX alone, reverting the alterations in enzyme activities induced by this inflammatory disease in rats. [source] Viscoelastic,afterslip concurrence: a possible mechanism in the early post-seismic deformation of the Mw 7.6, 1999 Chi-Chi (Taiwan) earthquakeGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 3 2004Shyh-Yang Sheu SUMMARY Observed coseismic data as well as 97 days of post-seismic GPS data for the Chi-Chi earthquake are used as constraints in the modelling of crustal evolution using the 3-D finite-element method. First, the coseismic GPS data are used to justify the use of the elastic earth model and the source rupture model. Subsequently, the most likely rheological model is determined by analysing several modelled time-dependent displacements for various viscosity structures. The range of viscosities of the lower crust in central Taiwan is determined in advance from laboratory measurements and the long-term strain rate. The estimated viscosity of 5.0 × 1017 Pa s seems to be very low and a relaxation time of 116 days seems very short, but the latter approximates the GPS measurement of 86 days. Since earlier studies have indicated that both the viscoelastic response model and the afterslip model may affect post-seismic deformation, we compare theoretical surface displacements for each of the two models that we evaluate. The results reveal that there is little doubt that while neither of these models alone is able to predict the GPS measurements well in a 97-day period, the combination of the two models improves the predictions considerably. We conclude that the afterslip mainly dominated Chi-Chi post-seismic deformation in the rupture area while the viscoelastic model did so elsewhere. [source] Interactive effects of water table and precipitation on net CO2 assimilation of three co-occurring Sphagnum mosses differing in distribution above the water tableGLOBAL CHANGE BIOLOGY, Issue 3 2009BJORN J. M. ROBROEK Abstract Sphagnum cuspidatum, S. magellanicum and S. rubellum are three co-occurring peat mosses, which naturally have a different distribution along the microtopographical gradient of the surface of peatlands. We set out an experiment to assess the interactive effects of water table (low: ,10 cm and high: ,1 cm) and precipitation (present or absent) on the CO2 assimilation and evaporation of these species over a 23-day period. Additionally, we measured which sections of the moss layer were responsible for light absorption and bulk carbon uptake. Thereafter, we investigated how water content affected carbon uptake by the mosses. Our results show that at high water table, CO2 assimilation of all species gradually increased over time, irrespective of the precipitation. At low water table, net CO2 assimilation of all species declined over time, with the earliest onset and highest rate of decline for S. cuspidatum. Precipitation compensated for reduced water tables and positively affected the carbon uptake of all species. Almost all light absorption occurred in the first centimeter of the Sphagnum vegetation and so did net CO2 assimilation. CO2 assimilation rate showed species-specific relationships with capitulum water content, with narrow but contrasting optima for S. cuspidatum and S. rubellum. Assimilation by S. magellanicum was constant at a relatively low rate over a broad range of capitulum water contents. Our study indicates that prolonged drought may alter the competitive balance between species, favoring hummock species over hollow species. Moreover, this study shows that precipitation is at least equally important as water table drawdown and should be taken into account in predictions about the fate of peatlands with respect to climate change. [source] Environmental warming increases invasion potential of alpine lake communities by imported speciesGLOBAL CHANGE BIOLOGY, Issue 11 2005Angela M. Holzapfel Abstract Global warming increasingly pressures species to show adaptive migratory responses. We hypothesized that warming increases invasion of alpine lakes by low-elevation montane zooplankton by suppressing native competitors and predators. This hypothesis was tested by conducting a two-factor experiment, consisting of a warming treatment (13 vs. 20°C) crossed with three invasion levels (alpine only, alpine+montane, montane only), in growth chambers over a 28-day period. Warming significantly reduced total consumer biomass owing to the decline of large alpine species, resulting in greater autotrophic abundance. Significant temperature-invasion interactions occurred as warming suppressed alpine zooplankton, while stimulating certain imported species. Herbivorous invaders suppressed functionally similar alpine species while larger native omnivores reduced invasion by smaller taxa. Warming did not affect total invader biomass because imported species thrived under ambient and warmed alpine conditions. Our findings suggest that the adaptability of remote alpine lake communities to global warming is limited by species dispersal from lower valleys, or possibly nearby warmer alpine ponds. [source] Postnatal neurogenesis in the dentate gyrus of the guinea pigHIPPOCAMPUS, Issue 3 2005Sandra Guidi Abstract In all species examined, the dentate gyrus develops over an extended period that begins during gestation and continues up to adulthood. The aim of this study was to investigate the pattern of postnatal cell production in the dentate gyrus of the guinea pig, a rodent whose brain development has features more closely resembling the human condition than the most commonly used rodents (rat and mouse). Animals of different postnatal (P) ages received one or multiple injections of bromodeoxyuridine (BrdU), and the number of labeled cells in the dentate gyrus was counted after time intervals of 24 h or longer. The total granule cell number and the volume of the granule cell layer were evaluated in Nissl-stained brain sections from P1 and P30 animals. P1,P5 animals were treated with MK-801 to analyze the effect of NMDA receptor blockade on cell proliferation. Cell production occurred at a high rate (9,000,13,000 labeled cells 24 h after one injection) from P1 to P20, with a peak at 3,6 days of age, and then slowly declined from P20 to P30. The production of new cells continued in adult animals, although at a much-reduced rate (400 cells 24 h after one injection). About 20% of the labeled cells survived after a 17-day period and most (60%) of these cells had a neuronal phenotype. The total number of granule cells increased over the first postnatal month; in 30-day-old animals, it was 20% greater than in 1-day-old animals. Administration of MK-801 to P1,P5 animals caused an increase in cell proliferation restricted to the dorsal dentate gyrus. The present data show that, although the guinea pig dentate gyrus develops largely before birth, the production of new neurons continues at a high rate during the first postnatal month, leading to a considerable increase in cell number. This developmental pattern, resembling the human and nonhuman primate condition, may make the guinea pig a useful rodent model in developmental studies on dentate gyrus neurogenesis. © 2004 Wiley-Liss, Inc. [source] A placebo controlled investigation into the effects of paroxetine and mirtazapine on measures related to car driving performanceHUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 4 2003F. Ridout Abstract Objective To assess the effects of paroxetine and mirtazapine on psychometric performance related to car driving, including an on-the-road test of BRT. Method In a 4-way, double blind randomised crossover study, 12 healthy volunteers received paroxetine 20,mg mane, mirtazapine 15,mg/30,mg nocte (comparator), mirtazapine 15,mg mane/15,mg b.i.d.(verum) and placebo over a 5 day period with a washout period of 7 days between treatments. Psychometric assessments included ,on-the-road' BRT (BRT), CFF (CFF), CRT (CRT) and subjective measures of sedation and sleep parameters. Results Paroxetine had no significant effect on BRT compared with placebo. Although subjective ratings of sleep quality and sedation were impaired, there were significant improvements in both CFF and the recognition reaction component of CRT with paroxetine. Mirtazapine 15,mg/30,mg nocte impaired laboratory performance and some subjective tests. Mirtazapine 15 mg mane/15,mg b.i.d. improved sleep, but significantly impaired all other measures. Conclusion Paroxetine 20,mg/day has no psychomotor or behavioural toxicity and has no negative impact on BRT. Further research into the chronic and sub-chronic effects of mirtazapine is needed to establish the clinical significance of these results. Copyright © 2003 John Wiley & Sons, Ltd. [source] Long-term precipitation and slide activity in south-eastern Norway, autumn 2000HYDROLOGICAL PROCESSES, Issue 4 2008Christian Jaedicke Abstract In autumn 2000 high amounts of precipitation caused a large number of landslides in south-eastern Norway. The precipitation reached more than 400% of the normal monthly values in November. In addition to the precipitation, groundwater monitoring showed unusual high levels. High air temperatures in the mountains caused the precipitation to fall as rain instead of snow, causing additional runoff in the catchments. In this paper, 90 landslides are presented that were studied and evaluated by the Norwegian Geotechnical Institute (NGI) in the counties effected by the slide activity. The landslide database serves as start point for an analysis of the connection between slide activity and precipitation. The analysis shows a high variability of the observed precipitation just a few days before the slides. This variability decreases significantly around 50 days prior to the slides when the results stabilize at about 400% of normal precipitation in a 50-day period. Comparison of these results to long time observations gives an estimate of return periods for the precipitation events. The 53 days accumulated precipitation has the highest return period of 132 years. This suggests that the high landslide activity in autumn 2000 in south-eastern Norway was caused by a long-term infiltration of large amounts of precipitation rather than high rainfall intensities during a short period. Copyright © 2007 John Wiley & Sons, Ltd. [source] Effects of food abundance and predictability on body condition and health parameters: experimental tests with the Hooded CrowIBIS, Issue 4 2002Camilla Acquarone It has been shown that small passerines can counteract variability of food resources by actively regulating their body reserves through an increase of mass. However, the effects of food predictability on body mass regulation and other body parameters, such as immune functions, in larger species have been little studied. To analyse the response of the Hooded Crow Corvus corone to food abundance and predictability, we performed three experiments with controlled food provisioning under laboratory conditions. Body mass, TOBEC (total body electrical conductivity) lean mass index, blood parameters and immune organ masses were measured at the beginning and end of a 15-day period. In the first experiment, the food release was predictable (same amount each day) but the quantity of food delivered to five groups of birds varied (37, 75, 100, 150 or 300 g/day). Low food levels induced a greater decrease in mass accompanied by an increase in erythrocyte sedimentation rate. In the second experiment, the same average quantity of food (100 g) was supplied according to either predictable or unpredictable (random) schedules. In this case, the crows lost more mass, and their erythrocyte sedimentation rate increased when food was unpredictable. In the third experiment, the same average quantity of food (150 g) was supplied according to either a predictable schedule or two schedules with different levels of variability. The group with a low level of variability did not differ from the control, while the group with a highly variable feeding schedule lost more mass. In this group, the higher mass loss was associated with greater variation of the erythrocyte sedimentation rate and a reduced Phytohaemagglutinin index of immunocompetence and haematocrit value. The results of experiments 2 and 3 contrast with findings in other passerines, which increase their mass when food availability is unpredictable. It appears that a body mass decrease in the Hooded Crow can be induced by a reduction of either food abundance (exp. 1) or food predictability (exp. 2, 3), and it is accompanied by a worsening of health state. [source] Energy metabolizability and nutrient digestibility in the Black-billed Magpie Pica picaIBIS, Issue 2 2001E. JEAN HARPER1 Energy metabolizability (ME) and nutrient digestibility were investigated in a captive colony of nine adult Black-billed Magpies Pica pica over a 12-day period. The mean digestibility coefficients ranged from 0.84 for protein to 0.94 for fat and were generally close to those of other birds. Mean daily protein intake was 10.5 g/bird which was relatively high compared with the values reported for other species. Raptor studies have also reported high protein intakes which not only reflects the diet composition but may suggest that meat-eating birds have a high protein requirement. The magpies exhibited an energy metabolizability of 324.3 kJ ME/100 g wet mass intake which corresponded well with the value of 328.8 Id ME/100 g calculated using the standard poultry equation. The measured ME intakes of the magpies were all higher than the values predicted using published allometric equations. The data from the magpies were combined with those of other studies on raptorial birds to derive an equation to predict daily ME requirement: ME (kJ) = 15.16M0.65 We propose that this equation predicts the daily ME requirements of birds of 100,1500 g. [source] A laboratory assessment of coronal bacterial leakage in root canals filled with new and conventional sealersINTERNATIONAL ENDODONTIC JOURNAL, Issue 4 2009A. U. Eldeniz Abstract Aim, To evaluate the resistance to ex vivo bacterial leakage over a 40-day period of root canal fillings with five new root canal sealers: RC Sealer, Epiphany, EndoREZ, GuttaFlow and Acroseal, compared with Apexit, AH Plus and RoekoSeal. Methodology, One hundred and forty-four single rooted human teeth were divided randomly into eight test (n = 15) and two control groups (n = 12). The root canals were filled using a single cone technique with gutta-percha except in the Epiphany and EndoREZ groups. These were filled with Resilon and resin-coated gutta-percha, respectively. The gutta-percha surface of the GuttaFlow group was coated with an experimental primer prior to filling. Positive controls were filled with gutta-percha without sealer and tested with bacteria, whereas negative controls were sealed with wax to test the seal between the chambers. Filled roots were incorporated in a split chamber model system using Streptococcus mutans as a microbial marker. Leakage was assessed for turbidity of the broth in the lower chamber every day for 40 days. Survival analysis was performed using the Kaplan,Meier product limit method and event times were compared using the Log-rank test (, = 0.05). Results, Epiphany, GuttaFlow with test primer and Apexit prevented leakage significantly better than AH Plus, RC Sealer, RoekoSeal, EndoREZ and Acroseal (P < 0.05). None of the specimens in the AH Plus, RC Sealer, RoekoSeal and EndoREZ groups resisted bacterial penetration for 40 days. Conclusion, The new sealers, Epiphany and GuttaFlow with primer, along with Apexit, showed better resistance to bacterial penetration than the other new or traditional sealers tested. [source] Snow disappearance in Eastern Siberia and its relationship to atmospheric influencesINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 2 2007Yoshihiro Iijima Abstract In the present study, we examine the climatological features and interannual variations in snow disappearance within the Lena River Basin, Eastern Siberia, during a recent 15-year period (1986,2000), and the relationship of snow disappearance to atmospheric conditions. According to the climatology of the day of the year on which snow disappears, the boundary of snow disappearance within the Lena River Basin migrates rapidly northward from mid-April until early June, with minimum interannual variation occurring in the middle part of the basin. In addition, the preceding snow disappearance is apparent in the central Lena River Basin. Melting of snow within the Lena River Basin commonly occurs within 30 days of complete snow disappearance under certain atmospheric conditions: daily mean air temperature in excess of , 10 °C, greater than 2 hPa of water vapor pressure, and, hence, more than 170 W m,2 of downward longwave radiation under clear sky conditions. Composite analysis using a reanalysis dataset demonstrates that the increase in air temperature and water vapor that accompanies snow melting is due to wet (and warm) air advection in conjunction with enhanced water vapor convergence over the central Lena River Basin during the 30-day period prior to snow disappearance. Copyright © 2006 Royal Meteorological Society. [source] Patients Presenting to the Emergency Department With Non-specific Complaints: The Basel Non-specific Complaints (BANC) StudyACADEMIC EMERGENCY MEDICINE, Issue 3 2010Marek Nemec MD Abstract Objectives:, Patient management in emergency departments (EDs) is often based on management protocols developed for specific complaints like dyspnea, chest pain, or syncope. To the best of our knowledge, to date no protocols exist for patients with nonspecific complaints (NSCs) such as "weakness,""dizziness," or "feeling unwell." The objectives of this study were to provide a framework for research and a description of patients with NSCs presenting to EDs. Methods:, Nonspecific complaints were defined as the entity of complaints not part of the set of specific complaints for which evidence-based management protocols for emergency physicians (EPs) exist. "Serious conditions" were defined as potentially life-threatening or those requiring early intervention to prevent health status deterioration. During a 6-month period, all adult nontrauma patients with an Emergency Severity Index (ESI) of 2 or 3 were prospectively enrolled, and serious conditions were identified within a 30-day period. Results:, The authors screened 18,261 patients for inclusion. A total of 218 of 1,611 (13.5%) nontrauma ESI 2 and 3 patients presented with NSCs. Median age was 82 years (interquartile range [IQR] = 72 to 87), and 24 of 218 (11%) were nursing home inhabitants. A median of 4 (IQR = 3 to 5) comorbidities were recorded, most often chronic hypertension, coronary artery disease, and dementia. During the 30-day follow-up period a serious condition was diagnosed in 128 of 218 patients (59%). The 30-day mortality rate was 6%. Conclusions:, Patients with NSC presenting to the ED are at high risk of suffering from serious conditions. Sensitive risk stratification tools are needed to identify patients with potentially adverse health outcomes. ACADEMIC EMERGENCY MEDICINE 2010; 17:284,292 © 2010 by the Society for Academic Emergency Medicine [source] Outcome Predictors of Pneumonia in Elderly Patients: Importance of Functional AssessmentJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2004Olga H. Torres MD Objectives: To evaluate the outcome of elderly patients with community-acquired pneumonia (CAP) seen at an acute-care hospital, analyzing the importance of CAP severity, functional status, comorbidity, and frailty. Design: Prospective observational study. Setting: Emergency department and geriatric medical day hospital of a university teaching hospital. Participants: Ninety-nine patients aged 65 and older seen for CAP over a 6-month recruitment period. Measurements: Clinical data were used to calculate Pneumonia Severity Index (PSI), Barthel Index (BI), Charlson Comorbidity Index, and Hospital Admission Risk Profile (HARP). Patients were then assessed 15 days later to determine functional decline and 30 days and 18 months later for mortality and readmission. Multiple logistic regression was used to analyze outcomes. Results: Functional decline was observed in 23% of the 93 survivors. Within the 30-day period, case-fatality rate was 6% and readmission rate 11%; 18-month rates were 24% and 59%, respectively. Higher BI was a protective factor for 30-day and 18-month mortality (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.94,0.98 and OR=0.97, 95% CI=0.95,0.99, respectively; P<.01), and PSI was the only predictor for functional decline (OR=1.03, 95% CI=1.01,1.05; P=.01). Indices did not predict readmission. Analyses were repeated for the 74 inpatients and indicated similar results except for 18-month mortality, which HARP predicted (OR=1.73; 95% CI=1.16,2.57; P<.01). Conclusion: Functional status was an independent predictor for short- and long-term mortality in hospitalized patients whereas CAP severity predicted functional decline. Severity indices for CAP should possibly thus be adjusted in the elderly population, taking functional status assessment into account. [source] Resting energy expenditure and body composition of Labrador Retrievers fed high fat and low fat dietsJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 5-6 2006S. Yoo Summary A high dietary fat intake may be an important environmental factor leading to obesity in some animals. The mechanism could be either an increase in caloric intake and/or a decrease in energy expenditure. To test the hypothesis that high fat diets result in decreased resting energy expenditure (REE), we measured REE using indirect calorimetry in 10-adult intact male Labrador Retrievers, eating weight-maintenance high-fat (HF, 41% energy, average daily intake: 8018 ± 1247 kJ/day, mean ± SD) and low-fat (LF, 14% energy, average daily intake: 7331 ± 771 kJ/day) diets for a 30-day period. At the end of each dietary treatment, body composition measurements were performed using dual-energy X-ray absorptiometry. The mean ± SD REE was not different between diets (4940 ± 361 vs. 4861 ± 413 kJ/day on HF and LF diets respectively). Measurements of fat-free mass (FFM) and fat mass (FM) also did not differ between diets (FFM: 26.8 ± 2.3 kg vs. 26.3 ± 2.5 kg; FM: 3.0 ± 2.3 vs. 3.1 ± 1.5 kg on HF and LF diets respectively). In summary, using a whole body calorimeter, we found no evidence of a decrease in REE or a change in body composition on a HF diet compared with LF diet. [source] Mutual influence of protein and lipid feed content on European catfish (Silurus glanis) growthJOURNAL OF APPLIED ICHTHYOLOGY, Issue 2 2004E. Has-Schön Summary We wished to determine protein and lipid content in pelleted raw fish food, necessary for optimal growth of European catfish (Silurus glanis). Experiments were set up in 20 cages, each holding 30 young catfish. Fishes in each cage received a different food combination over a 98-day period at favourable physical and chemical water conditions. Food protein content varied between 37.5 and 45%, while lipid content, added in the form of soybean oil, varied between 3 and 11%. The oil contained an adequate , -fatty acids concentration, necessary for fish growth. The main growth indicators determined at the end of experiment were total body gain, specific growth rate and feed conversion ratio. There was a high statistical difference among the experimental groups receiving variable food combinations for each growth parameter (P < 0.001). Both protein and lipid food content affected growth parameters, but in a different manner. Further analysis , percentage of change depending on lipid to protein ratio and bivariate surface analysis , allowed us to recognize the most economical combination: 39.5% protein + 9% lipid content. The addition of 9% soybean oil to the fish food reduces the necessary protein concentration by 5.5%, with resulting identical catfish growth effects. [source] Response of bacterial community during bioremediation of an oil-polluted soil,JOURNAL OF APPLIED MICROBIOLOGY, Issue 2 2003M. Zucchi Abstract Aim: To study the response of the bacterial community to bioremediation of a soil with an aged contamination of crude oil. Methods and Results: The bacterial community in laboratory soil columns during a 72-day biostimulation treatment was followed by analysing the number of total cultivable hydrocarbon-degrading bacteria, soil respiratory activity and the 16S,23S rDNA internal transcribed spacer homoduplex heteroduplex polymorphisms (ITS-HHP) of total soil bacterial DNA. ITS-HHP permits an estimate of both length and sequence polymorphism in a 16S,23S rDNA spacer population, using to advantage the homoduplex and heteroduplex fragments that are generated during PCR. The treatment, made by air sparging and biostimulation with a mineral nutrient and surfactant solution, resulted in a 39·5% decrease of the total hydrocarbon content. Within 4 days of treatment onset the bacterial community underwent a first phase of activation that led to a substantial increase in the observable diversity. Subsequently, after a 12-day period of stability, another activation phase was observed with further shifts of the community structure and an increase in the abundance and diversity of catechol-2,3-dioxygenase (C23O) genes. Conclusions: The overall data suggest an important contribution of uncultivable bacteria to the soil bioremediation, since, during the second activation phase, the increases of the respiratory activity, bacterial diversity and C23O gene abundance and diversity were not accompanied by a corresponding increase of the cultivable bacteria number. Significance and Impact of the Study: This study shows that successive phases of activation of bacterial populations occur during a bioremediation treatment of oil-polluted soil. [source] Release of gentamicin from bone regenerative materials: An in vitro studyJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 1 2007M. Teller Abstract Antibiotic loading of bone regenerative materials is a promising way to protect augmentation procedures from infection during the resorption phase of bone substitutes. Especially in the early stage of implantation, it should protect the grafted site against microbiological pathogens. The present study reports the release kinetics of gentamicin after loading from two synthetic bone filling materials. The first, BONITmatrix®, is a biphasic calcium phosphate silica composite obtained by the sol,gel route consisting of 13% silicon dioxide (w/w) and calcium phosphates (hydroxyapatite/,-tricalcium phosphate 60/40 w/w). The second, Synthacer®, is a sintered hydroxyapatite ceramic. Gentamicin was loaded by dipping and by vacuum coating. Release kinetics of the loaded Gentamicin was investigated by fluorescence polarization immunoassay and by staphylococcus aureus assay. By dipping, loading failed for Synthacer, and it was 12.7 mg gentamicin per gram bone substitute for BONITmatrix. By vacuum coating, loading was 11.3 mg gentamicin per gram bone substitute for Synthacer and 7.4 mg gentamicin per gram bone substitute for BONITmatrix. Distinct release kinetics were measured. For Synthacer, a high initial release was followed by a lower protracted release level up to 28 days. For BONITmatrix release was continuous over the investigated 70-day period. The present data suggest that the porosity properties at the nano- and microscopic levels, or the composition are responsible for antibiotic loading and subsequent release. © 2006 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2006 [source] Effects of 0.2% chlorhexidine spray applied once or twice daily on plaque accumulation and gingival inflammation in a geriatric populationJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 9 2003Javier Clavero Abstract Background/aims: Chlorhexidine (CHX) spray has proven to be an easily applicable method for the chemical control of plaque in elderly and handicapped patients. A randomized double-blind cross-over placebo-controlled trial was undertaken to compare the effects of 0.2% CHX spray applied once or twice daily on the plaque and gingival indexes in 13 institutionalized elderly patients. Method: The study subjects were randomly assigned to one of two groups. During the first 30-day period, one group received 0.2% chlorhexidine spray twice daily and the other received 0.2% CHX spray once daily plus placebo spray once daily. A washout period of 42 days then followed, after which the groups were interchanged and the process was repeated for another 30-day period. Plaque index and gingival index were determined at the beginning and end of each period. The patients continued with their usual oral hygiene practices throughout the study. Results: A significant reduction in plaque and gingival indexes was produced in both the groups. There were no significant differences in index scores between the groups. Conclusions: The results of the present study suggest that a single-daily application of 0.2% CHX spray is equally as effective in reducing plaque accumulation and gingival inflammation in institutionalized elderly patients as are two-daily applications of the same spray. Zusammenfassung Grundlagen/Ziele: Es hat sich herausgestellt, dass Chlorhexidinspray eine leicht zu handhabende Methode der chemischen Plaquekontrolle bei älteren und behinderten Patienten ist. Um die Unterschiede zwischen ein- oder zweimaliger Applikation von 0.2%-Chlorhexidinspray auf die Plaque- und Gingiva-Indizes zu vergleichen wurde an 13 institutionalisierten älteren Patienten eine randomisierte Plazebo-kontrolierte Crossover-Studie unternommen. Methode: Die Studienteilnehmer wurden randomisiert einer von zwei Gruppen zugeteilt. Während der ersten 30-Tageperiode erhielt eine Gruppe zweimal täglich 0.2%-Chlorhexidinspray und die andere Gruppe einmal täglich 0.2%-Chlorhexidinspray und einmal täglich einen Plazebo-Spray. Es folgte eine Auswaschperiode von 42 Tagen, nach der die Gruppen vertauscht wurden und der Prozess für weitere 30 tage wiederholt wurde. Zu Beginn und am ende einer jeden Periode wurden Plaque-Index (PI) und Gingival-Index (GI) bestimmt. Während der ganzen Studienperiode praktizierten die Patienten ihre üblichen Mundhygienemaßnahmen. Ergebnisse: In beiden Gruppen ergab sich eine signifikante Reduktion der Plaque- und Gingiva-Indizes. Zwischen den beiden Gruppen gab es keine signifikanten Unterschiede der Indexwerte. Schlussfolgerungen: Die Ergebnisse der vorliegenden Studie lassen annehmen, dass bei institutionalisierten älteren Patienten eine einzige Applikation pro Tag von 0.2%-Chlorhexidinspray bei der Reduktion der Plaqueakkumulation sowie der Gingivaentzündung genauso effektiv ist, wie die täglich zweimalige Applikation des gleichen Sprays. Résumé Le spray de chlorhexidine (CHX) a prouvé sa facilité d'application pour le contrôle chimique de la plaque dentaire chez les patients âgés et handicapés. Un essai clinique contrôlé, croisé, en double aveugle, randomisé et placebo-contrôle a été entrepris pour comparer les effets d'un spray de CHX 0.2% appliqué une ou deux fois par jour sur la plaque dentaire et les indices gingivaux de patients âgés de douze institutions. Les sujets ont été répartis en deux groupes. Durant une première période de 30 jours, un groupe recevait un spray de CHX 0.2% deux fois par jour tandis que l'autre recevait un spray de CHX 0.2% un fois par jour plus un spray placebo une fois par jour. Une période sans traitement de 42 jours a ensuite étéétablie suivie à la suite de laquelle les groupes ont été interchangés et le processus répété pour une nouvelle période de 30 jours. L'indice de plaque dentaire et l'indice gingival ont été déterminés au début et à la fin de chaque période. Les patients ont continué leurs habitudes d'hygiène buccale habituelles durant toute l'étude. Une réduction significative des indices de plaque et de gencive ont été relevés dans les deux groupes. Il n'y avait aucune différence significative de scores entre les deux groupes. Les résultats de l'étude présente suggèrent qu'une application unique d'un spray de CHX 0.2% est tout aussi efficace dans la réduction de la plaque dentaire et l'inflammation gingivale chez les patients âgés qu'une double application du même spray. [source] | |||||||||||||||||||||||||||||||||||||||||||