Salivary and serum procalcitonin and C-reactive protein as biomarkers of periodontitis in United States veterans with osteoarthritis or rheumatoid arthritis

Serum procalcitonin (ProCT) is elevated in response to bacterial infections, whereas high sensitivity C-reactive protein (hsCRP) is a nonspecific inflammatory marker that is increased by excess adipose tissue. We examined the efficacy of ProCT and hsCRP as biomarkers of periodontitis in the saliva and serum of patients with arthritis, which is characterized by variable levels of systemic inflammation that potentially can confound the interpretation of inflammatory biomarkers. Blood and unstimulated whole saliva were collected from 33 patients with rheumatoid arthritis (RA) and 50 with osteoarthritis (OA). Periodontal status was assessed by full mouth examination and patients were categorized as having no/mild, moderate or severe periodontitis by standard parameters. Salivary and serum ProCT and hsCRP concentrations were compared. BMI, diabetes, anti-inflammatory medications and smoking status were ascertained from the patient records. Differences between OA and RA in proportionate numbers of patients were compared for race, gender, diabetes, adiposity and smoking status. Serum ProCT was significantly higher in arthritis patients with moderate to severe and severe periodontitis compared with no/mild periodontitis patients. There were no significant differences in salivary ProCT or salivary or serum hsCRP in RA patients related to periodontitis category. Most of the OA and RA patients were middle aged or older, 28.9% were diabetic, 78.3% were overweight or obese, and slightly more than half were either current or past smokers. The OA and RA groups differed by race, but not gender; blacks and males were predominant in both groups. The OA and RA groups did not differ in terms of controlled or uncontrolled diabetes, smoking status or BMI. The RA patients had been prescribed more anti-inflammatory medication than the OA patients. Our results demonstrate that circulating ProCT is a more discriminative biomarker for periodontitis than serum hsCRP in patients with underlying arthritis. Any elevation in salivary and serum hsCRP due to periodontitis apparently was overshadowed by differences among these patients in factors that influence CRP, such as the extent of inflammation between RA and OA, the extent of adipose tissue, the use of anti- inflammatory medications and smoking status. Although our study showed no differences in salivary ProCT related to severity of periodontitis, this biomarker also may be useful with further refinement.     

Brittle stars (Echinodermata: Ophiuroidea) from La Réunion and the systematic position of Ophiocanops Koehler, 1922

The ophiuroid fauna of La Réunion, Indian Ocean, is still incompletely known. We report 13 different species from coral reefs, including five new records and a probably undescribed species of Amphioplus , which increases the number of ophiuroids known from La Réunion to 25. The most important find consists of three individuals of a previously unknown representative of the genus Ophiocanops . Originally placed in Ophiomyxidae, its systematic position has long been debated, with some authors advocating a placement with the otherwise extinct Palaeozoic Oegophiurida, based on the absence of several skeletal characters. The new species, O. multispina sp. nov. , shows intermediate characters between its previously only known congener, O. fugiens , and the ophiomyxid Renetheo felli . The three species appear to represent a line of taxa with progressively reduced skeleton instead of an ancient condition. We propose to transfer Ophiocanops back to the Ophiomyxidae, to synonymize Renetheo with Ophiocanops , and to invalidate the Ophiocanopidae, for which there is no autapomorphy-based support. © 2008 The Linnean Society of London, Zoological Journal of the Linnean Society , 2008, 153 , 545–560.     

Immunity to Babesia bigemina in Experimentally Infected Cattle

Two groups of 5 and 6 Babesia bigemina“vaccine donor” animals of which 8 had been splenectomized were challenged 6 and 12 months respectively after they had lost their carrier state. All animals of the former, and 3 of the latter group survived; the remaining 3 animals succumbed to the challenge and died. It was concluded that premunity to B. bigemina is followed by sterile immunity which lasts for at least 6 months. Thereafter it fades gradually with time, depending on the immune response of the host, but can last for at least 12 months. Six splenectomized animals, which had lost their infectivity after treatment of their initial B. bigemina parasitemia at the rapidly rising phase with 1 mg/kg Berenil, died on challenge. It was concluded that a minimum period of contact between host and parasite is required for the acquisition of immunity to B. bigemina. Capillary tube agglutination titers were generally higher in the protected than in the unprotected animals. They remained fairly high for a long period after animals had lost their carrier state, which indicated the sensitivity of the CA test but rendered it unreliable for the detection of carrier animals.     

Research in general practice: a survey of incentives and disincentives for research participation

Background Recruitment rates of general practitioners (GPs) to do research vary widely. This may be related to the ability of a study to incorporate incentives for GPs and minimise barriers to participation.Method A convenience sample of 30 GPs, ten each from the Sydney intervention and control groups Ageing in General Practice ‘Detection and Management of Dementia’ project (GP project) and 10 GPs who had refused participation, were recruited to determine incentives and barriers to participating in research. GPs completed the 11-item ‘Meeting the challenges of research in general practice: general practitioner questionnaire’ (GP survey) between months 15 and 24 of the GP project, and received brief qualitative interviews from a research GP to clarify responses where possible.Results The most important incentives the 30 GPs gave for participating in the project were a desire to update knowledge (endorsed by 70%), to help patients (70%), and altruism (60%). Lack of time (43%) was the main barrier. GPs also commented on excessive paperwork and an inadequate explanation of research.Conclusions While a desire to update knowledge and help patients as well as altruism were incentives, time burden was the primary barrier and was likely related to extensive paperwork. Future recruitment may be improved by minimising time burden, making studies simpler with online data entry, offering remuneration and using a GP recruiter.