Impact of Human Genome Project on treatment of frail and edentulous patients

Objective: Because of ongoing increases in life expectancy and deferment of edentulousness to older age, dentists are facing a different challenge to satisfy elderly denture wearers with a higher prevalence of chronic diseases. This discussion introduces the Human Genome databases as novel and powerful resources to re‐examine the core problems experienced by frail and edentulous patients. Background: Recent studies demonstrated that mandibular implant overdentures do not necessarily increase masticatory function, perception and satisfaction in denture wearers with adequate edentulous residual ridges. It has been demonstrated that the rate of edentulous residual ridge resorption significantly varies among individuals. The prognosis and cost‐effectiveness of denture treatment, with or without implants, may largely depend on how the edentulous ridge is maintained. However, reliable clinical methods permitting dentists to predict the long‐term health of the edentulous residual ridge are lacking. Materials and methods: With the completion of the Human Genome Project, the genomic sequence database from this multinational consortium will provide a unique resource to determine the genetic basis of similarity and diversity of humans. Results: One base pair in every 100 to 300 base pairs of the genome sequence varies among humans, suggesting that genetic diagnosis using the single nucleotide polymorphisms (SNPs) may provide a novel opportunity to differentiate our edentulous patients. Conclusions: Future dental service for the elderly will require a personalized care paradigm, using highly sensitive diagnostic technology such as SNP genomic analysis, for recommending the treatment with greatest potential benefit.     

Life without water: expression of plant LEA genes by an anhydrobiotic arthropod

Anhydrobiotic animals protect cellular architecture and metabolic machinery in the dry state, yet the molecular repertoire supporting this profound dehydration tolerance is not fully understood. For the desiccation-tolerant crustacean, Artemia franciscana, we report differential expression of two distinct mRNAs encoding for proteins that share sequence similarities and structural features with late-embryogenesis abundant (LEA) proteins originally discovered in plants. Bioinformatic analyses support assignment of the LEA proteins from A. franciscana to group 3. This eucoelomate species is the most highly evolved animal for which LEA gene expression has been reported. It is becoming clear that an ensemble of micromolecules and macromolecules is important for establishing the physical conditions required for cellular stabilization during drying in nature.     

The protective value of conspicuous signals is not impaired by shape, size, or position asymmetry

Various conspicuous signals in nature promote initial and learnedavoidance by predators. It is widely thought that such signalsare most effective when highly symmetrical in features suchas size and shape, supported by recent laboratory experimentswith domestic chicks and artificial prey. However, no studyhas investigated the effect of asymmetry on conspicuous signalsin a natural setting, where viewing distances, angles, predatorspecies, and light conditions vary and where predators encounterprey sequentially rather than simultaneously. We undertook 2field experiments with artificial gray-scale prey, marked witha pair of white markings presented to wild avian predators,to test the effect of asymmetry on the survival value of conspicuoussignals in the field. Experiment 1 had treatments with symmetricalspots or with spots asymmetrical in area between 5 and 50%.All marked treatments survived better than unmarked controls,but there was no benefit of being symmetrical. Experiment 2tested the effect of possessing markings asymmetrical for shapeor position and any additive effect of these 2 features. Again,symmetry conferred no benefit and targets with markings asymmetricalfor position and/or shape survived equally well as those withsymmetrical arrangements. These findings indicate that asymmetryin warning signals may not be costly to prey in nature or beof less importance compared with other features of the signal,such as color and overall size.     

Prevention of trauma to edentulous ridge from opposing natural teeth

doi: 10.1111/j.1741‐2358.2010.00397.x Prevention of trauma to edentulous ridge from opposing natural teeth Objective: To suggest a technique to prevent trauma of the edentulous ridge from opposing natural or restored teeth. Background: The prevalence of the condition where one edentulous arch opposes a natural or restored dentition is quite common. In most of cases, the maxillary arch is completely edentulous and either all teeth or only anterior teeth are present in the mandibular arch. These remaining teeth may continuously cause trauma to the opposing edentulous ridge during the night when a removable prosthesis is kept out of the mouth. Materials and methods: A thermoplastic acrylic resin mouthguard was fabricated on a cast of the remaining teeth dentition. Conclusion: This article presents a simple and inexpensive procedure to prevent self‐induced trauma of the edentulous ridge from opposing natural teeth by using a thermoplastic acrylic resin mouthguard.     

Biomechanical evaluation of the natural abutment teeth in combined tooth-implant-supported telescopic prostheses: a three-dimensional finite element analysis

Telescopic overdentures supported by the combination of natural teeth and implants have been thought a valuable treatment for the severely compromised partially edentulous patients. But the combination of teeth and implants involves highly complex biomechanical problems. This study is to evaluate biomechanical behaviors of the natural abutment teeth with the treatment of combined tooth-implant supported telescopic crown prostheses in mandible through 3D FEA. According to this study, the prosthetic option supported by a combination of teeth and implants and retained by double crowns could protect teeth and their periodontal support tissues acting as a rigid splint, and may be a valuable treatment option for partially edentulous patients with severely reduced remaining teeth in mandible.     

Elastoid Changes in the Gingiva of Aged Humans

Elastotic changes were demonstrable in the gingivae of both dentulous and edentulous jaws obtained from both male and female humans varying in age from 62–92 years. Sections of gingivae from all the aged individuals exhibited numerable thick fibers that stained positive with iron hematoxylin or orcein. These positive staining fibers were found in the lamina propria radiating into the connective tissue papillae, coursing throughout the zona reticularis, as well as appearing as black amorphous masses. Pretreatment of sections with acid hydrolysis before staining by the two elastic tissue stains led to a loss of stainable fibers for elastin. In contrast the gingivae of a young adult did not contain elastic positive fibers as seen in the aged gingivae. The thick elastotic fibers found in the aged gingivae were argyrophilic in nature when the sections were impregnated with silver nitrate indicating that they were collagenous in nature. It is felt that the elastoid-like fibers in aging gingiva are another phase in the altering of collagen during the aging process.     

Divaricate patterns in pelecypod shells

Shingled divaricate ribs occurring in several unrelated groups of pelecypods are highly functional structures related to specific burrowing processes. However, their obliqueness and ambivalence, seemingly the most aberrant features, are shared by a variety of colour, mineralization, and groove patterns both in the functional and non-functional field. Their basic form is assumed to be less controlled by adaptation and phylogeny than by a common principle of shell growth, the nature of which has still to be found out.     

Studies on the skull of the Indian sisorid catfish, Erethistes pussilus

The skull of Erethistes pussilus is described in detail. The general disposition of the bones corresponds to the siluroid pattern. Among the siluroid fishes, E. pussilus approaches the advanced forms in certain features such as obliteration of myodomic space, edentulous palate, absence of entopterygoids and supratemporals, intimate sutural articulation of posttemporals and complex vertebra with the cranium, diminished cranial cavity and loss of sutural articulation among the palatopterygoquadrate elements. In certain characters like the hyomandibula exclusively supported from the sphenotic, solitary hypohyal on each hyoid cornu, absence of interhyals, reduced orbits, edentulous vomer, small gape of mouth, toothless ectopterygoid and in the small number of branchiostegals, E. pussilus stands specialized alone among the catfishes. A diagnosis of the salient cranial characters of the fish is given and its relationship discussed.     

Studies on the skull of the Indian sisorid catfish, Erethistes pussilus

The skull of Erethistes pussilus is described in detail. The general disposition of the bones corresponds to the siluroid pattern. Among the siluroid fishes, E. pussilus approaches the advanced forms in certain features such as obliteration of myodomic space, edentulous palate, absence of entopterygoids and supratemporals, intimate sutural articulation of posttemporals and complex vertebra with the cranium, diminished cranial cavity and loss of sutural articulation among the palatopterygoquadrate elements. In certain characters like the hyomandibula exclusively supported from the sphenotic, solitary hypohyal on each hyoid cornu, absence of interhyals, reduced orbits, edentulous vomer, small gape of mouth, toothless ectopterygoid and in the small number of branchiostegals, E. pussilus stands specialized alone among the catfishes. A diagnosis of the salient cranial characters of the fish is given and its relationship discussed.     

Comparative Limnology of Several Reservoirs in Central India

Twenty four reservoirs in Central India were investigated for their physical, chemical and biological features. These reservoirs differed significantly in their size, physical features, chemical composition and vegetation. Three medium and major reservoirs recorded comparatively low electrical conductivity. All the eighteen minor reservoirs showed high conductivity and low transparency since they were all situated in densely populated urban areas polluted by human faeces and domestic sewage. The most abundant ions in water are calcium, carbonate and chloride. The phytoplankton was found to be dominated by Cyanophyceae. Rotifers dominated among zooplankton. All the minor reservoirs are highly eutrophicated. Among the major reservoirs Tawa Reservoir is oligotrophic while others are mesotrophic to eutrophic in nature.     

A study to compare the oral health impact profile and satisfaction before and after having replacement complete dentures constructed by either the copy or the conventional technique

Aims: To assess the oral health impact profile (OHIP) on edentulous subjects who needed to have their dentures replaced either by a copy technique or a conventional technique, and to determine whether any change in the subjects’ assessment of their original and replacement dentures impacted on oral health related quality of life parameters. Background: The OHIP is an instrument used to measure subjects’ perceptions of the social impact of oral disorders on their well being. Changes in the OHIP may occur when subjects need to have their complete dentures replaced. Furthermore, it is possible that the method by which the dentures are constructed may impact on this. Methods: A total of 65 edentulous subjects were studied. Thirty‐three subjects had their dentures constructed by a copy technique and 32 by a conventional technique. Subjects completed the OHIP‐14 questionnaires before and after being provided with a set of replacement complete dentures. They also assessed specific features of the upper and lower dentures. Responses were recorded on a Likert scale. Results: For many subjects, the responses in the before treatment questionnaires were at the lower end of the Likert scale, indicating that there were no major impacts on oral health related quality of life parameters. There were no major differences between the copy denture subjects and the conventional denture subjects in relation to the change in OHIP scores before and after treatment. Generally subjects expressed improved satisfaction with the new lower denture. However, for the copy denture group there were significant improvements for all seven assessments compared with only five out of seven assessments for subjects in the conventional group. Conclusion: For these groups of edentulous subjects, although they may need dentures to be replaced after a period of wear, this does not necessarily have significant impacts on oral health related quality of life parameters. It seems likely that this is the main reason why the provision of new dentures by either a copying or conventional technique did not result in major changes to the OHIP.     

Why is melanoma so metastatic?

Malignant melanoma is one of the most aggressive cancers and can disseminate from a relatively small primary tumor and metastasize to multiple sites, including the lung, liver, brain, bone, and lymph nodes. Elucidating the molecular and genetic changes that take place during the metastatic process has led to a better understanding of why melanoma is so metastatic. Herein, we describe the unique features that distinguish melanoma from other solid tumors and contribute to the malignant phenotype of melanoma cells. For example, although melanoma cells are highly antigenic, they are extremely efficient at evading host immune response. Melanoma cells share numerous cell surface molecules with vascular cells, are highly angiogenic, are mesenchymal in nature, and possess a higher degree of ‘stemness’ than do other solid tumors. Finally, analysis of melanoma mutations has revealed that the gene expression profile of malignant melanoma is different from that of other cancers. Elucidating these molecular and genetic processes in highly metastatic melanoma can lead to the development of improved treatment and individualized therapy options.     

An adaptive feature of some mangroves of Sundarbans, West Bengal

Mangrove taxa, apart from their morphological characters, have some unique leaf anatomical features which are very much related to their adaptation as the plants grow in unstable, variable and saline environments with regular tidal influence. Special stomatal structures with extended cuticles render the transpiration rate in many taxa. The presence of glandular and non-glandular hairs on the abaxial and/or adaxial leaf surfaces in some taxa are related to salt secretion of these plants. Comparatively large amounts of water storage tissues occur in the hypodermal or mesophyll tissue of the leaves, reflecting the adaptive nature of mangroves in their stressful habitat. The occurrence of terminal tracheids helps with capillary water storage within the leaf. The coriaceous nature of the leaves in some taxa is due to the presence of sclereids within the mesophyll region. It is noted thatHeritiera is unsuitable to the highly saline habitat of the Sundarbans forest region because of some anatomical peculiarities.     

Distribution of CTG repeats at the DMPK gene in myotonic distrophy patients and healthy individuals from the Mexican population

Myotonic dystrophy type 1 (DM1), the most common form of adult muscular dystrophy, is caused by anormal expansion of CTG trinucleotide repeats located in the 3′-untranslated region of the DMPK gene. The clinical features of DM1 are multisystemic and highly variable, and the unstable nature of CTG expansion causes wide genotypic and phenotypic presentations. In this study, we described to our knowledge for the first time the molecular diagnosis of myotonic dystrophy type 1 patients in the Mexican population, applying a fluorescent PCR method in combination with capillary electrophoresis analysis of the amplified products. We identified expanded alleles in 45 out of 50 patients (90%) with clinical features of myotonic disease. Furthermore, genotyping of 400 healthy subjects revealed the presence of 25 different alleles, ranging in size from 5 to 34 repeats. The most frequent allele was 13 CTG repeats (38.87%) and the frequency for alleles over 18 CTG repeats was 6.7%. Molecular test is essential for DM1 diagnosis and distribution of the CTG repeat alleles present in the Mexican population are significantly different from those of other populations.     

Growing weed, producing knowledge: an epistemic history of Arabidopsis thaliana

Arabidopsis is currently the most popular and well-researched model organism in plant biology. This paper documents this plant's rise to scientific fame by focusing on two interrelated aspects of Arabidopsis research. One is the extent to which the material features of the plant have constrained research directions and enabled scientific achievements. The other is the crucial role played by the international community of Arabidopsis researchers in making it possible to grow, distribute and use plant specimen that embody these material features. I argue that at least part of the explosive development of this research community is due to its successful standardisation and to the subsequent use of Arabidopsis specimen as material models of plants. I conclude that model organisms have a double identity as both samples of nature and artifacts representing nature. It is the resulting ambivalence in their representational value that makes them attractive research tools for biologists.     

Implant supported dentures: an estimation of chewing efficiency

doi: 10.1111/j.1741‐2358.2009.00303.x
Implant supported dentures: an estimation of chewing efficiency Background: Treatment of edentulous patients is one of the most demanding tasks the dentist can meet in his everyday practice. Implant based methods help to improve functioning of dentures and life quality of so treated patients. Objectives: The aim of the study was to evaluate the chewing efficiency of patients treated with lower complete implant‐supported overdentures and the simultaneous evaluation of treatment results by patients. Materials and methods: For the investigation were chosen edentulous patients, treated with upper conventional complete dentures and lower complete overdentures supported on two implants. In this group of patients, were conducted investigations of chewing efficiency changes, based on the Optocal test and overdentures functioning evaluation made by patients in the survey. Results: The objective evaluation of the chewing efficiency indicated the decrease of this value in the five years of observations. Lower complete overdentures supported on implants significantly increased the comfort of chewing of edentulous patients. Conclusions: The results of the study let us to assess positively the result of the therapy using titanium implants and lower complete overdentures. The therapy described significantly increases the life comfort of the edentulous patients. Decreasing chewing efficiency indicated by the research result should be compensated with the dentures maintaining or the prostheses exchange after about five years of use.     

Simple sequences are rare in the Protein Data Bank

A simple sequence is abundant in the proteins that have been sequenced to date. But unusual protein features, such as a simple sequence, are not present in the same high frequency within structural databases. A subset of these simple sequences, a group with a highly repetitive nature has been shown to be abundant in eukaryotes but not in prokaryotes. In this study, an examination of the eukaryotic proteins in the Protein Data Bank (PDB) has revealed a large deficiency of low complexity, highly repetitive protein repeats. Through simulated databases of similar samples of eukaryotic proteins taken from the National Center for Biotechnology Information (NCBI) database, it is shown that the PDB contains a significantly less highly repetitive, simple sequence than artificial databases of similar composition randomly derived from NCBI. When the structural data for those few PDB sequences that did contain a highly repetitive simple sequence is examined in detail, it is found that in most cases the tertiary structure is unknown for the regions consisting of a simple sequence. This lack of a simple sequence both in the PDB database and in the structural information suggests that this type of simple sequence may produce disordered structures that make structural characterization difficult.     

CIRCULATION IN HIGHLY STRATIFIED SOUTHERN AFRICAN ESTUARIES

Summary

The nature of estuarine circulation under highly stratified conditions is reviewed in the context of southern African estuaries that are small and have a constricted connection to the ocean. While the focus is on the generic hydrodynamic processes and features, attention is given to field observations from a particular estuary as a way of illustrating these processes and features. Notable features are the tidal intrusion front, the bottom density current and the long-residence deep water in the upper estuary. The important hydrodynamic processes, which account for these features, are internal hydraulic control of exchange through the mouth, buoyancy-driven landward intrusion of sea water, upward shear-driven entrainment and ebb tidal outflow.

The context in which these processes and features are expected to occur is addressed through a discussion of seasonal variations in the prototype and through a discussion of these features observed in other southern African estuaries. A distinction is made between those systems that are permanently highly stratified and those that display highly stratified phases. The ecological and management implications of strong stratification in an estuary are discussed briefly.     

Cytology of giant-cell glioblastoma

A case is presented in which smears and touch imprints of a parietal tumor in a 58-year-old female revealed two distinct and easily recognizable cellular populations. The first was predominant and consisted of densely packed cells of an astroglial nature. The other was made up of unusually large giant cells with highly malignant features. The cytology of these combined cell types allowed the correct diagnosis of giant-cell glioblastoma at the time of surgery. Their cytomorphology, which has seldom been reported, supported the interpretation of an astroglial nature of this tumor.     

A study to compare the oral health impact profile and satisfaction before and after having replacement complete dentures in England and Scotland

Objective: To assess the oral health impact profile (OHIP) on edentulous subjects in Scotland and England who needed to have their dentures replaced, and to determine whether any change in the subjects’ assessment of their original and replacement dentures impacted on oral health related quality of life parameters. Background: The loss of all teeth may impact on functional activities. The OHIP is an instrument used to measure subjects’ perception of the social impact of oral disorders on their well being. Methods: A total of 58 edentulous subjects were studied. Subjects completed the OHIP‐14 questionnaires before and after being provided with a set of replacement complete dentures. They also assessed specific features of the upper and lower dentures. Responses were recorded on a Likert scale. Results: For many subjects, the responses in the before treatment questionnaires were at the lower end of the Likert scale, indicating that there were no major impacts on oral health related quality of life parameters. There were significant improvements in four of the 14 OHIP parameters assessed after treatment. With the new dentures, subjects expressed improved satisfaction, particularly for the lower prosthesis. There were no major differences between the responses of the subjects in Scotland and England. Conclusion: For this group of edentulous subjects, although they may need dentures to be replaced after a period of wear, this does not necessarily have significant social impacts. For this reason the provision of new dentures did not result in major changes to the OHIP.