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Sample records for survived severe bleaching

  1. Environmental Drivers of Variation in Bleaching Severity of Acropora Species during an Extreme Thermal Anomaly

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    Mia O. Hoogenboom

    2017-11-01

    Full Text Available High sea surface temperatures caused global coral bleaching during 2015–2016. During this thermal stress event, we quantified within- and among-species variability in bleaching severity for critical habitat-forming Acropora corals. The objective of this study was to understand the drivers of spatial and species-specific variation in the bleaching susceptibility of these corals, and to evaluate whether bleaching susceptibility under extreme thermal stress was consistent with that observed during less severe bleaching events. We surveyed and mapped Acropora corals at 10 sites (N = 596 around the Lizard Island group on the northern Great Barrier Reef. For each colony, bleaching severity was quantified using a new image analysis technique, and we assessed whether small-scale environmental variables (depth, microhabitat, competition intensity and species traits (colony morphology, colony size, known symbiont clade association explained variation in bleaching. Results showed that during severe thermal stress, bleaching of branching corals was linked to microhabitat features, and was more severe at reef edge compared with lagoonal sites. Bleaching severity worsened over a very short time-frame (~1 week, but did not differ systematically with water depth, competition intensity, or colony size. At our study location, within- and among-species variation in bleaching severity was relatively low compared to the level of variation reported in the literature. More broadly, our results indicate that variability in bleaching susceptibility during extreme thermal stress is not consistent with that observed during previous bleaching events that have ranged in severity among globally dispersed sites, with fewer species escaping bleaching during severe thermal stress. In addition, shaded microhabitats can provide a refuge from bleaching which provides further evidence of the importance of topographic complexity for maintaining the biodiversity and ecosystem

  2. Severity of the 1998 and 2005 bleaching events in Venezuela, southern Caribbean

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    Sebastián Rodríguez

    2010-10-01

    Full Text Available This study describes the severity of the 2005 bleaching event at 15 reef sites across Venezuela and compares the 1998 and 2005 bleaching events at one of them. During August and September 2005, bleached corals were first observed on oceanic reefs rather than coastal reefs, affecting 1 to 4% of coral colonies in the community (3 reef sites, n=736 colonies. At that time, however, no bleached corals were recorded along the eastern coast of Venezuela, an area of seasonal upwelling (3 reefs, n=181 colonies. On coastal reefs, bleaching started in October but highest levels were reached in November 2005 and January 2006, when 16% of corals were affected among a wide range of taxa (e.g. scleractinians, octocorals, Millepora and zoanthids. In the Acropora habitats of Los Roques (an oceanic reef, no bleached was recorded in 2005 (four sites, n=643 colonies. At Cayo Sombrero, a coastal reef site, bleaching was less severe in 1998 than in 2005 (9% of the coral colonies involving 2 species vs. 26% involving 23 species, respectively. Our results indicate that bleaching was more severe in 2005 than in 1998 on Venezuelan reefs; however, no mass mortality was observed in either of these two events. Rev. Biol. Trop. 58 (Suppl. 3: 189-196. Epub 2010 October 01.

  3. Surviving coral bleaching events: porites growth anomalies on the Great Barrier Reef.

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    Neal E Cantin

    Full Text Available Mass coral bleaching affected large parts of the Great Barrier Reef (GBR in 1998 and 2002. In this study, we assessed if signatures of these major thermal stress events were recorded in the growth characteristics of massive Porites colonies. In 2005 a suite of short (<50 cm cores were collected from apparently healthy, surviving Porites colonies, from reefs in the central GBR (18-19°S that have documented observations of widespread bleaching. Sites included inshore (Nelly Bay, Pandora Reef, annually affected by freshwater flood events, midshelf (Rib Reef, only occasionally affected by freshwater floods and offshore (Myrmidon Reef locations primarily exposed to open ocean conditions. Annual growth characteristics (extension, density and calcification were measured in 144 cores from 79 coral colonies and analysed over the common 24-year period, 1980-2003. Visual examination of the annual density bands revealed growth hiatuses associated with the bleaching years in the form of abrupt decreases in annual linear extension rates, high density stress bands and partial mortality. The 1998 mass-bleaching event reduced Porites calcification by 13 and 18% on the two inshore locations for 4 years, followed by recovery to baseline calcification rates in 2002. Evidence of partial mortality was apparent in 10% of the offshore colonies in 2002; however no significant effects of the bleaching events were evident in the calcification rates at the mid shelf and offshore sites. These results highlight the spatial variation of mass bleaching events and that all reef locations within the GBR were not equally stressed by the 1998 and 2002 mass bleaching events, as some models tend to suggest, which enabled recovery of calcification on the GBR within 4 years. The dynamics in annual calcification rates and recovery displayed here should be used to improve model outputs that project how coral calcification will respond to ongoing warming of the tropical oceans.

  4. Lipophilic extractives from several nonwoody lignocellulosic crops (flax, hemp, sisal, abaca) and their fate during alkaline pulping and TCF/ECF bleaching.

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    Marques, Gisela; del Río, José C; Gutiérrez, Ana

    2010-01-01

    The fate of lipophilic extractives from several nonwoody species (flax, hemp, sisal and abaca) used for the manufacturing of cellulose pulps, was studied during soda/anthraquinone (AQ) pulping and totally chorine free (TCF) and elemental chlorine free (ECF) bleaching. With this purpose, the lipophilic extracts from the raw materials and their unbleached and bleached industrial pulps, were analyzed by gas chromatography-mass spectrometry. Aldehydes, hydroxyfatty acids and esterified compounds such as ester waxes, sterol esters and alkylferulates strongly decreased after soda/AQ pulping while alkanes, alcohols, free sterols and sterol glycosides survived the cooking process. Among the lipophilic extractives that remained in the unbleached pulps, some amounts of free sterols were still present in the TCF pulps whereas they were practically absent in the ECF pulps. Sterol glycosides were also removed after both TCF and ECF bleaching. By contrast, saturated fatty acids, fatty alcohols and alkanes were still present in both bleached pulps.

  5. Assessing Coral Response to a Severe Bleaching Event Using Mulimolecular Biomarkers

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    Babcock-Adams, L.; Minarro, S.; Fitt, W. K.; Medeiros, P. M.

    2016-02-01

    Coral bleaching events occur primarily due to increased seawater temperatures that results in the expulsion and/or reduction of endosymbiotic zooxanthellae. The Adaptive Bleaching Hypothesis suggests that bleaching events allow a different symbiont to populate the host. Specifically, the Symbiodinium clade D has been shown to increase in abundance following a bleaching event. Approximately 40 coral tissue samples (Orbicella annularis and Orbicella faveolata) were collected in the Florida Keys in March, May, August, and November of 2000, and analyzed using GC-MS for molecular biomarkers to determine if a different suite of compounds is produced at different times following the severe bleaching events in 1997 and 1998, and to relate the biomarker composition and levels to the symbiont(s) that were present in the corals. Our preliminary results show a predominant presence of saccharides (e.g., glucose, sucrose) and sterols (e.g., cholesterol, campesterol, brassicasterol), and to a lesser degree saturated (C16:0, C18:0, C20:0) and unsaturated fatty acids (C16:1; C18:1; C18:2; C20:4). The corals with the bleaching resistant clade D symbiont have higher levels of sterols as compared to corals with other non-resistant symbionts that were collected at the same time point. Concentrations of both sterols and saccharides increased throughout time, especially from March to May, which may indicate a recovery of the corals.

  6. Regulation of apoptotic pathways by Stylophora pistillata (Anthozoa, Pocilloporidae) to survive thermal stress and bleaching.

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    Kvitt, Hagit; Rosenfeld, Hanna; Zandbank, Keren; Tchernov, Dan

    2011-01-01

    Elevated seawater temperatures are associated with coral bleaching events and related mortality. Nevertheless, some coral species are able to survive bleaching and recover. The apoptotic responses associated to this ability were studied over 3 years in the coral Stylophora pistillata from the Gulf of Eilat subjected to long term thermal stress. These include caspase activity and the expression profiles of the S. pistillata caspase and Bcl-2 genes (StyCasp and StyBcl-2-like) cloned in this study. In corals exposed to thermal stress (32 or 34°C), caspase activity and the expression levels of the StyBcl-2-like gene increased over time (6-48 h) and declined to basal levels within 72 h of thermal stress. Distinct transcript levels were obtained for the StyCasp gene, with stimulated expression from 6 to 48 h of 34°C thermal stress, coinciding with the onset of bleaching. Increased cell death was detected in situ only between 6 to 48 h of stress and was limited to the gastroderm. The bleached corals survived up to one month at 32°C, and recovered back symbionts when placed at 24°C. These results point to a two-stage response in corals that withstand thermal stress: (i) the onset of apoptosis, accompanied by rapid activation of anti-oxidant/anti-apoptotic mediators that block the progression of apoptosis to other cells and (ii) acclimatization of the coral to the chronic thermal stress alongside the completion of symbiosis breakdown. Accordingly, the coral's ability to rapidly curb apoptosis appears to be the most important trait affecting the coral's thermotolerance and survival.

  7. Regulation of apoptotic pathways by Stylophora pistillata (Anthozoa, Pocilloporidae to survive thermal stress and bleaching.

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    Hagit Kvitt

    Full Text Available Elevated seawater temperatures are associated with coral bleaching events and related mortality. Nevertheless, some coral species are able to survive bleaching and recover. The apoptotic responses associated to this ability were studied over 3 years in the coral Stylophora pistillata from the Gulf of Eilat subjected to long term thermal stress. These include caspase activity and the expression profiles of the S. pistillata caspase and Bcl-2 genes (StyCasp and StyBcl-2-like cloned in this study. In corals exposed to thermal stress (32 or 34°C, caspase activity and the expression levels of the StyBcl-2-like gene increased over time (6-48 h and declined to basal levels within 72 h of thermal stress. Distinct transcript levels were obtained for the StyCasp gene, with stimulated expression from 6 to 48 h of 34°C thermal stress, coinciding with the onset of bleaching. Increased cell death was detected in situ only between 6 to 48 h of stress and was limited to the gastroderm. The bleached corals survived up to one month at 32°C, and recovered back symbionts when placed at 24°C. These results point to a two-stage response in corals that withstand thermal stress: (i the onset of apoptosis, accompanied by rapid activation of anti-oxidant/anti-apoptotic mediators that block the progression of apoptosis to other cells and (ii acclimatization of the coral to the chronic thermal stress alongside the completion of symbiosis breakdown. Accordingly, the coral's ability to rapidly curb apoptosis appears to be the most important trait affecting the coral's thermotolerance and survival.

  8. Chronic nutrient enrichment increases prevalence and severity of coral disease and bleaching.

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    Vega Thurber, Rebecca L; Burkepile, Deron E; Fuchs, Corinne; Shantz, Andrew A; McMinds, Ryan; Zaneveld, Jesse R

    2014-02-01

    Nutrient loading is one of the strongest drivers of marine habitat degradation. Yet, the link between nutrients and disease epizootics in marine organisms is often tenuous and supported only by correlative data. Here, we present experimental evidence that chronic nutrient exposure leads to increases in both disease prevalence and severity and coral bleaching in scleractinian corals, the major habitat-forming organisms in tropical reefs. Over 3 years, from June 2009 to June 2012, we continuously exposed areas of a coral reef to elevated levels of nitrogen and phosphorus. At the termination of the enrichment, we surveyed over 1200 scleractinian corals for signs of disease or bleaching. Siderastrea siderea corals within enrichment plots had a twofold increase in both the prevalence and severity of disease compared with corals in unenriched control plots. In addition, elevated nutrient loading increased coral bleaching; Agaricia spp. of corals exposed to nutrients suffered a 3.5-fold increase in bleaching frequency relative to control corals, providing empirical support for a hypothesized link between nutrient loading and bleaching-induced coral declines. However, 1 year later, after nutrient enrichment had been terminated for 10 months, there were no differences in coral disease or coral bleaching prevalence between the previously enriched and control treatments. Given that our experimental enrichments were well within the ranges of ambient nutrient concentrations found on many degraded reefs worldwide, these data provide strong empirical support to the idea that coastal nutrient loading is one of the major factors contributing to the increasing levels of both coral disease and coral bleaching. Yet, these data also suggest that simple improvements to water quality may be an effective way to mitigate some coral disease epizootics and the corresponding loss of coral cover in the future. © 2013 John Wiley & Sons Ltd.

  9. Massive hard coral loss after a severe bleaching event in 2010 at Los Roques, Venezuela

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    Carolina Bastidas

    2012-03-01

    Full Text Available Thermal anomalies have become more severe, frequent and well-documented across the Caribbean for the past 30 years. This increase in temperature has caused coral bleaching resulting in reef decline. At Los Roques National Park, Venezuela, temperature has been monitored at four reef sites. In mid-September 2010, seawater temperature reached 30.85°C at 5 m depth in Los Roques, an archipelago only slightly affected by previous bleaching events. For example, bleaching in Los Roques in 2005 was mild compared to the rest of the Caribbean and to the results in this study. In 2010, seawater temperatures remained above 29.0°C from mid-August until the first week of November, resulting in +16 Degree Heating Weeks by that time. Our annual survey of four reef sites indicated that 72% of 563 scleractinian colonies were partial or totally bleached (white or pale (discolored in October 2010. In February 2011, there were still 46% of coral colonies affected; but most of them were pale and only 2% were bleached. By February, coral cover had declined 4 to 30% per transect, with a mean of 14.3%. Thus, mean coral cover dropped significantly from 45 to 31% cover (a 34% reduction. In addition to bleaching, corals showed a high prevalence (up to 16% of black band disease in October 2010 and of white plague (11% in February 2011. As a consequence, coral mortality is expected to be larger than reported here. Reef surveys since 2002 and personal observations for more than 20 years indicated that this bleaching event and its consequences in Los Roques have no precedent. Our results suggest that reef sites with no previous record of significant deterioration are more likely to become affected by thermal anomalies. However, this archipelago is relatively unaffected by local anthropogenic disturbance and has a high coral recruitment, which may contribute to its recovery

  10. Efficacy of bleach baths in reducing severity of atopic dermatitis: A systematic review and meta-analysis.

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    Chopra, Rishi; Vakharia, Paras P; Sacotte, Ryan; Silverberg, Jonathan I

    2017-11-01

    Bleach baths have been proposed as a treatment for decreasing the severity of atopic dermatitis (AD). However, conflicting results have been found regarding their efficacy. To determine the efficacy of bleach vs water baths at decreasing AD severity. We performed a systematic review of all studies evaluating the efficacy of bleach baths for AD. Cochrane, EMBASE, GREAT, LILACS, MEDLINE, and Scopus were searched. Two authors independently performed study selection and data extraction. Five studies were included in the review. Four studies reported significantly decreased AD severity in patients treated with bleach on at least 1 time point. However, of 4 studies comparing bleach with water baths, only 2 found significantly greater decreases in AD severity with bleach baths, 1 found greater decreases with water baths, and 1 found no significant differences. In pooled analyses, there were no significant differences observed between bleach vs water baths at 4 weeks vs baseline for the Eczema Area and Severity Index (I2 = 98%; random effect regression model, P = .16) or body surface area (I2 = 96%; P = .36). Although bleach baths are effective in decreasing AD severity, they do not appear to be more effective than water baths alone. Future larger-scale, well-designed randomized controlled trials are needed. Copyright © 2017 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  11. Severity of the 1998 and 2005 bleaching events in Venezuela, southern Caribbean

    Directory of Open Access Journals (Sweden)

    Sebastián Rodríguez

    2010-10-01

    Full Text Available This study describes the severity of the 2005 bleaching event at 15 reef sites across Venezuela and compares the 1998 and 2005 bleaching events at one of them. During August and September 2005, bleached corals were first observed on oceanic reefs rather than coastal reefs, affecting 1 to 4% of coral colonies in the community (3 reef sites, n=736 colonies. At that time, however, no bleached corals were recorded along the eastern coast of Venezuela, an area of seasonal upwelling (3 reefs, n=181 colonies. On coastal reefs, bleaching started in October but highest levels were reached in November 2005 and January 2006, when 16% of corals were affected among a wide range of taxa (e.g. scleractinians, octocorals, Millepora and zoanthids. In the Acropora habitats of Los Roques (an oceanic reef, no bleached was recorded in 2005 (four sites, n=643 colonies. At Cayo Sombrero, a coastal reef site, bleaching was less severe in 1998 than in 2005 (9% of the coral colonies involving 2 species vs. 26% involving 23 species, respectively. Our results indicate that bleaching was more severe in 2005 than in 1998 on Venezuelan reefs; however, no mass mortality was observed in either of these two events. Rev. Biol. Trop. 58 (Suppl. 3: 189-196. Epub 2010 October 01.En este estudio se describe la severidad del evento de blanqueamiento del 2005 en 15 arrecifes coralinos de Venezuela, y se compara con el ocurrido en 1998 para uno de esos arrecifes. Los primeros corales blanqueados se observaron en agosto y septiembre 2005, en arrecifes oceánicos en lugar de costeros, afectando entre 1 y 4% de las colonias coralinas (3 arrecifes, n= 736 colonias. Para ese momento, tampoco se había detectado blanqueamiento en áreas oceánicas de la costa este de Venezuela (3 arrecifes, n= 181 colonias, donde ocurre una surgencia estacional. En arrecifes costeros, el blanqueamiento comenzó en octubre pero alcanzó su máximo entre noviembre 2005 y enero 2006, afectando hasta el 16% de

  12. Surviving severe traumatic brain injury in Denmark

    DEFF Research Database (Denmark)

    Odgaard, Lene; Poulsen, Ingrid; Kammersgaard, Lars Peter

    2015-01-01

    PURPOSE: To identify all hospitalized patients surviving severe traumatic brain injury (TBI) in Denmark and to compare these patients to TBI patients admitted to highly specialized rehabilitation (HS-rehabilitation). PATIENTS AND METHODS: Patients surviving severe TBI were identified from...... severe TBI were admitted to HS-rehabilitation. Female sex, older age, and non-working status pre-injury were independent predictors of no HS-rehabilitation among patients surviving severe TBI. CONCLUSION: The incidence rate of hospitalized patients surviving severe TBI was stable in Denmark...

  13. Massive hard coral loss after a severe bleaching event in 2010 at Los Roques, Venezuela

    Directory of Open Access Journals (Sweden)

    Carolina Bastidas

    2012-03-01

    Full Text Available Thermal anomalies have become more severe, frequent and well-documented across the Caribbean for the past 30 years. This increase in temperature has caused coral bleaching resulting in reef decline. At Los Roques National Park, Venezuela, temperature has been monitored at four reef sites. In mid-September 2010, seawater temperature reached 30.85°C at 5 m depth in Los Roques, an archipelago only slightly affected by previous bleaching events. For example, bleaching in Los Roques in 2005 was mild compared to the rest of the Caribbean and to the results in this study. In 2010, seawater temperatures remained above 29.0°C from mid-August until the first week of November, resulting in +16 Degree Heating Weeks by that time. Our annual survey of four reef sites indicated that 72% of 563 scleractinian colonies were partial or totally bleached (white or pale (discolored in October 2010. In February 2011, there were still 46% of coral colonies affected; but most of them were pale and only 2% were bleached. By February, coral cover had declined 4 to 30% per transect, with a mean of 14.3%. Thus, mean coral cover dropped significantly from 45 to 31% cover (a 34% reduction. In addition to bleaching, corals showed a high prevalence (up to 16% of black band disease in October 2010 and of white plague (11% in February 2011. As a consequence, coral mortality is expected to be larger than reported here. Reef surveys since 2002 and personal observations for more than 20 years indicated that this bleaching event and its consequences in Los Roques have no precedent. Our results suggest that reef sites with no previous record of significant deterioration are more likely to become affected by thermal anomalies. However, this archipelago is relatively unaffected by local anthropogenic disturbance and has a high coral recruitment, which may contribute to its recoveryDurante las últimas décadas las anomalías térmicas han sido más frecuentes y severas en el Caribe

  14. Surviving coral bleaching events: porites growth anomalies on the Great Barrier Reef.

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    Cantin, Neal E; Lough, Janice M

    2014-01-01

    Mass coral bleaching affected large parts of the Great Barrier Reef (GBR) in 1998 and 2002. In this study, we assessed if signatures of these major thermal stress events were recorded in the growth characteristics of massive Porites colonies. In 2005 a suite of short (reefs in the central GBR (18-19°S) that have documented observations of widespread bleaching. Sites included inshore (Nelly Bay, Pandora Reef), annually affected by freshwater flood events, midshelf (Rib Reef), only occasionally affected by freshwater floods and offshore (Myrmidon Reef) locations primarily exposed to open ocean conditions. Annual growth characteristics (extension, density and calcification) were measured in 144 cores from 79 coral colonies and analysed over the common 24-year period, 1980-2003. Visual examination of the annual density bands revealed growth hiatuses associated with the bleaching years in the form of abrupt decreases in annual linear extension rates, high density stress bands and partial mortality. The 1998 mass-bleaching event reduced Porites calcification by 13 and 18% on the two inshore locations for 4 years, followed by recovery to baseline calcification rates in 2002. Evidence of partial mortality was apparent in 10% of the offshore colonies in 2002; however no significant effects of the bleaching events were evident in the calcification rates at the mid shelf and offshore sites. These results highlight the spatial variation of mass bleaching events and that all reef locations within the GBR were not equally stressed by the 1998 and 2002 mass bleaching events, as some models tend to suggest, which enabled recovery of calcification on the GBR within 4 years. The dynamics in annual calcification rates and recovery displayed here should be used to improve model outputs that project how coral calcification will respond to ongoing warming of the tropical oceans.

  15. Detrimental effects of host anemone bleaching on anemonefish populations

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    Saenz-Agudelo, P.; Jones, G. P.; Thorrold, S. R.; Planes, S.

    2011-06-01

    Coral bleaching and related reef degradation have caused significant declines in the abundance of reef-associated fishes. Most attention on the effects of bleaching has focused on corals, but bleaching is also prevalent in other cnidarians, including sea anemones. The consequences of anemone bleaching are unknown, and the demographic effects of bleaching on associated fish recruitment, survival, and reproduction are poorly understood. We examined the effect of habitat degradation including host anemone bleaching on fish abundance, egg production, and recruitment of the panda anemonefish ( Amphiprion polymnus) near Port Moresby, Papua New Guinea. Following a high-temperature anomaly in shallow waters of the region, most shallow anemones to a depth of 6 m (approximately 35% of all the anemones in this area) were severely bleached. Anemone mortality was low but bleached anemones underwent a ~34% reduction in body size. Total numbers of A. polymnus were not affected by bleaching and reduction in shelter area. While egg production of females living in bleached anemones was reduced by ~38% in 2009 compared to 2008, egg production of females on unbleached anemones did not differ significantly between years. Total recruitment in 2009 was much lower than in 2008. However, we found no evidence of recruiting larvae avoiding bleached anemones at settlement suggesting that other factors or different chemical cues were more important in determining recruitment than habitat quality. These results provide the first field evidence of detrimental effects of climate-induced bleaching and habitat degradation on reproduction and recruitment of anemonefish.

  16. Effect of several bleaching agents on teeth stained with a resin-based sealer.

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    Feiz, A; Barekatain, B; Khalesi, S; Khalighinejad, N; Badrian, H; Swift, E J

    2014-01-01

    To evaluate the effect of peroxide-based bleaching agents on teeth stained with AH26 sealer (Dentsply De Trey, Konstanz, Germany), using digital images and computer analysis. Thirty-five maxillary central incisors were root filled, and the internal walls of the access cavity were coated with AH26 sealer. Internal bleaching commenced 4 months after the root fillings. In three experimental groups (n = 10), the teeth were bleached for 21 days using 45% carbamide peroxide (CP) gel, 45% sodium perborate + carbamide peroxide (SP + CP) or sodium perborate + distilled water (SP + W). No bleaching was undertaken in the control group. Digital images of each specimen were made before treatment, 4 months after endodontic treatment and 2 weeks after bleaching. Colour differences (∆E) were calculated by determining L*a*b* values using digital images and imaging software. Differences between the original colour and sealer-stained teeth, between sealer-stained and bleached teeth and between original colour and bleached teeth were calculated. Data were analysed using one-way anova and Duncan tests (α = 0.05). Colour differences between baseline and sealer staining were in the range of 8.1-9.9, but differences between the groups were not significant. After bleaching, the degree of lightening was essentially identical for the carbamide peroxide and sodium perborate + carbamide peroxide groups, but was significantly greater (P sodium perborate + water group. For bleaching AH26 sealer-stained teeth, carbamide peroxide gel and carbamide peroxide gel mixed with sodium perborate were equally effective and significantly better than sodium perborate mixed with water. © 2013 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  17. Survival of severe acute respiratory syndrome coronavirus.

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    Lai, Mary Y Y; Cheng, Peter K C; Lim, Wilina W L

    2005-10-01

    The primary modes of transmission of severe acute respiratory syndrome (SARS) coronavirus (SARS-CoV) appear to be direct mucus membrane contact with infectious droplets and through exposure to formites. Knowledge of the survival characteristics of the virus is essential for formulating appropriate infection-control measures. Survival of SARS-CoV strain GVU6109 was studied in stool and respiratory specimens. Survival of the virus on different environmental surfaces, including a laboratory request form, an impervious disposable gown, and a cotton nondisposable gown, was investigated. The virucidal effects of sodium hypochlorite, house detergent, and a peroxygen compound (Virkon S; Antec International) on the virus were also studied. SARS-CoV GVU6109 can survive for 4 days in diarrheal stool samples with an alkaline pH, and it can remain infectious in respiratory specimens for >7 days at room temperature. Even at a relatively high concentration (10(4) tissue culture infective doses/mL), the virus could not be recovered after drying of a paper request form, and its infectivity was shown to last longer on the disposable gown than on the cotton gown. All disinfectants tested were shown to be able to reduce the virus load by >3 log within 5 min. Fecal and respiratory samples can remain infectious for a long period of time at room temperature. The risk of infection via contact with droplet-contaminated paper is small. Absorbent material, such as cotton, is preferred to nonabsorptive material for personal protective clothing for routine patient care where risk of large spillage is unlikely. The virus is easily inactivated by commonly used disinfectants.

  18. The influence of irradiance on the severity of thermal bleaching in sea anemones that host anemonefish

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    Hill, R.; Scott, A.

    2012-03-01

    Entacmaea quadricolor is a geographically widespread species of sea anemone that forms a three-way symbiosis with anemonefish and Symbiodinium. This species dominates the reef substrata at North Solitary Island, Australia, which is located in a region identified as a climate change hot spot. Their geographic location places these anemones under significant threat from rising ocean temperatures, although their upper thermal limit and risk of bleaching are unknown. To address this knowledge gap, anemones were exposed to one of four temperatures (23, 25, 27, or 29°C) and one of two irradiance treatments (high or low light) over 6 days. At moderate temperatures (27°C, 1°C above summer average), anemone bleaching was characterised by symbiont expulsion, while extreme temperatures (29°C) resulted in an additional loss of photosynthetic pigments from within symbionts, and in some cases, host mortality. Irradiance influenced the susceptibility to thermal stress with high light promoting the bleaching response, along with significant reductions in the effective quantum yield of anemone symbionts. The long-term loss of photosystem II photochemical efficiency within in hospite symbionts was observed during exposure to temperatures exceeding the summer average, indicating photosynthetic damage. The resident Symbiodinium, identified as clade C using 28S rRNA gene sequences, therefore represents the partner within the symbiosis that is likely to be most vulnerable to rising seawater temperatures. Results suggest that E. quadricolor is living within approximately 1°C of the upper thermal maximum at the Solitary Islands, and given the predictions for rising seawater temperature on Australia's east coast, the thermal threshold at which bleaching will occur is expected to be reached and exceeded more frequently in the future.

  19. Survival After Severe Rhabdomyolysis Following Monensin Ingestion.

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    Blain, Michela; Garrard, Alexander; Poppenga, Robert; Chen, Betty; Valento, Matthew; Halliday Gittinger, Melissa

    2017-09-01

    Monensin is a veterinary antibiotic with a narrow therapeutic window that has led to lethal intoxication in many animal species. Only two prior cases of human toxicity have been reported, both fatal. We present the first case of survival from severe toxicity following monensin ingestion. A 58-year-old man presented with 8 days of vomiting and abdominal pain. Due to delusions of central nervous system toxoplasmosis, he ingested 300 mg of monensin. His laboratory studies revealed severe rhabdomyolysis without renal dysfunction. Total creatine kinase (CK) peaked above 100,000 U/L. His CK decreased to 5192 U/L after 15 days of aggressive hydration and sodium bicarbonate therapy. His ejection fraction on echocardiogram decreased from 69 to 56%. Reports on acute clinical effects after human exposure to monensin are limited. Ingestion is known to cause skeletal and cardiac muscle rhabdomyolysis and necrosis. Animal studies demonstrate that monensin's toxicity is due to increases in intracellular sodium concentrations and Ca2+ release. To date, no effective antidotal treatment has been described. Monensin is a veterinary medication not approved for human use by the US Food and Drug Administration. Though poorly studied in humans, this case demonstrates the severe harm that may occur following ingestion.

  20. The cumulative impact of annual coral bleaching can turn some coral species winners into losers.

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    Grottoli, Andréa G; Warner, Mark E; Levas, Stephen J; Aschaffenburg, Matthew D; Schoepf, Verena; McGinley, Michael; Baumann, Justin; Matsui, Yohei

    2014-12-01

    Mass coral bleaching events caused by elevated seawater temperatures result in extensive coral loss throughout the tropics, and are projected to increase in frequency and severity. If bleaching becomes an annual event later in this century, more than 90% of coral reefs worldwide may be at risk of long-term degradation. While corals can recover from single isolated bleaching and can acclimate to recurring bleaching events that are separated by multiple years, it is currently unknown if and how they will survive and possibly acclimatize to annual coral bleaching. Here, we demonstrate for the first time that annual coral bleaching can dramatically alter thermal tolerance in Caribbean corals. We found that high coral energy reserves and changes in the dominant algal endosymbiont type (Symbiodinium spp.) facilitated rapid acclimation in Porites divaricata, whereas low energy reserves and a lack of algal phenotypic plasticity significantly increased susceptibility in Porites astreoides to bleaching the following year. Phenotypic plasticity in the dominant endosymbiont type of Orbicella faveolata did not prevent repeat bleaching, but may have facilitated rapid recovery. Thus, coral holobiont response to an isolated single bleaching event is not an accurate predictor of its response to bleaching the following year. Rather, the cumulative impact of annual coral bleaching can turn some coral species 'winners' into 'losers', and can also facilitate acclimation and turn some coral species 'losers' into 'winners'. Overall, these findings indicate that cumulative impact of annual coral bleaching could result in some species becoming increasingly susceptible to bleaching and face a long-term decline, while phenotypically plastic coral species will acclimatize and persist. Thus, annual coral bleaching and recovery could contribute to the selective loss of coral diversity as well as the overall decline of coral reefs in the Caribbean. © 2014 John Wiley & Sons Ltd.

  1. Acute traumatic coagulopathy decreased actual survival rate when compared with predicted survival rate in severe trauma.

    Science.gov (United States)

    Kim, Su Jin; Lee, Sung Woo; Han, Gap Su; Moon, Sung Woo; Choi, Sung Hyuck; Hong, Yun Sik

    2012-11-01

    To determine whether acute traumatic coagulopathy (ATC) should be combined with the trauma and injury severity score (TRISS) to predict outcome in severe trauma patients and investigate effects of the change in coagulation state during early resuscitation on the actual survival rate. This was a retrospective study. Significant variables that affected 28-day mortality were analysed using multivariate logistic regression. Study patients were classified into three groups: no coagulopathy, mild coagulopathy or severe coagulopathy. Concordance between actual and predicted survival rates were compared for each group. The predicted survival rate was calculated using the TRISS method. The study also determined whether changes in the coagulation state during inhospital resuscitation affected the relationship between actual and predicted survival in patients who had rechecked coagulation profile within 12 h after presentation. Data from a total of 336 patients were analysed. At presentation, 20.8% of the study patients had mild coagulopathy, whereas 7.7% had severe coagulopathy. Age, injury severity score, revised trauma score and presence of ATC at presentation were independently associated with 28-day mortality. Actual survival was significantly lower than predicted survival in the mild and severe coagulopathy groups. Aggravation of coagulation state from normal or mild to severe coagulopathy or persistent severe coagulopathy during inhospital resuscitation mainly contributed to the discrepancy between actual and predicted survival. ATC decreased actual survival more than expected. ATC should be combined with TRISS to predict trauma outcome in severely injured patients. Improvement in coagulopathy during resuscitation may reduce the incidence of preventable death after trauma.

  2. Survival after severe self poisoning with sodium valproate.

    OpenAIRE

    Lakhani, M; McMurdo, M E

    1986-01-01

    A 48 year old patient deliberately poisoned herself with 25 g of sodium valproate and survived with supportive measures only. This case contradicts the experience of those who advocate aggressive management of such severe overdoses.

  3. Outbreak and persistence of opportunistic symbiotic dinoflagellates during the 2005 Caribbean mass coral 'bleaching' event.

    Science.gov (United States)

    LaJeunesse, Todd C; Smith, Robin T; Finney, Jennifer; Oxenford, Hazel

    2009-12-07

    Reef corals are sentinels for the adverse effects of rapid global warming on the planet's ecosystems. Warming sea surface temperatures have led to frequent episodes of bleaching and mortality among corals that depend on endosymbiotic micro-algae (Symbiodinium) for their survival. However, our understanding of the ecological and evolutionary response of corals to episodes of thermal stress remains inadequate. For the first time, we describe how the symbioses of major reef-building species in the Caribbean respond to severe thermal stress before, during and after a severe bleaching event. Evidence suggests that background populations of Symbiodinium trenchi (D1a) increased in prevalence and abundance, especially among corals that exhibited high sensitivity to stress. Contrary to previous hypotheses, which posit that a change in symbiont occurs subsequent to bleaching, S. trenchi increased in the weeks leading up to and during the bleaching episode and disproportionately dominated colonies that did not bleach. During the bleaching event, approximately 20 per cent of colonies surveyed harboured this symbiont at high densities (calculated at less than 1.0% only months before bleaching began). However, competitive displacement by homologous symbionts significantly reduced S. trenchi's prevalence and dominance among colonies after a 2-year period following the bleaching event. While the extended duration of thermal stress in 2005 provided an ecological opportunity for a rare host-generalist symbiont, it remains unclear to what extent the rise and fall of S. trenchi was of ecological benefit or whether its increased prevalence was an indicator of weakening coral health.

  4. Deep brain stimulation improves survival in severe Parkinson's disease.

    Science.gov (United States)

    Ngoga, Desire; Mitchell, Rosalind; Kausar, Jamilla; Hodson, James; Harries, Anwen; Pall, Hardev

    2014-01-01

    Levodopa and other dopaminergic treatments have not had the expected effect on survival in Parkinson's disease (PD). Bilateral subthalamic nucleus deep brain stimulation (STN-DBS) has been shown to improve motor function, motor fluctuations, health-related quality of life, and to reduce medication usage and drug-induced dyskinesia in patients with severe PD refractory to medical therapy. Little however, has been described on the impact of STN-DBS on the survival of these patients. We aim in this study to examine the impact of STN-DBS on the survival of patients with severe PD. Patients who were eligible for STN-DBS were given the choice of undergoing surgery or continuing on medical treatment. Those who exercised patient choice and preferred to continue with medical treatment formed a control population. All eligible patients seen in a 10-year period are included in this study. Our primary outcome measure is a difference in mortality between the two groups with a secondary measure of admission rates to residential (nursing home) care. 106 patients underwent STN-DBS, and 41 patients exercised patient choice and declined the procedure. The two groups were matched for age, gender, ethnicity, duration of disease, rates of pre-existing depression and Levodopa equivalent doses of anti-Parkinson's medications taken. Patients undergoing STN-DBS had significantly longer survival and were significantly less likely to be admitted to a residential care home than those managed purely medically. The statistical significance of these findings persisted after adjusting for potential confounding factors (survival: p=0.002, HR 0.29 (0.13 to 0.64) (residential care home admission: OR: 0.1 (95% CI 0.0 to 0.3; padvanced PD. The effect of potential bias factors is examined. The survival advantage may arise for several postulated reasons, ranging from improvement in axial functions, such as swallowing, to some as yet unrecognised benefit of reduction in dopaminergic medication. These

  5. Contrasting patterns of coral bleaching susceptibility in 2010 suggest an adaptive response to thermal stress

    National Research Council Canada - National Science Library

    Guest, James R; Baird, Andrew H; Maynard, Jeffrey A; Muttaqin, Efin; Edwards, Alasdair J; Campbell, Stuart J; Yewdall, Katie; Affendi, Yang Amri; Chou, Loke Ming

    2012-01-01

    Coral bleaching events vary in severity, however, to date, the hierarchy of susceptibility to bleaching among coral taxa has been consistent over a broad geographic range and among bleaching episodes...

  6. Skeletal records of community-level bleaching in Porites corals from Palau

    Science.gov (United States)

    Barkley, Hannah C.; Cohen, Anne L.

    2016-12-01

    Tropical Pacific sea surface temperature is projected to rise an additional 2-3 °C by the end of this century, driving an increase in the frequency and intensity of coral bleaching. With significant global coral reef cover already lost due to bleaching-induced mortality, efforts are underway to identify thermally tolerant coral communities that might survive projected warming. Massive, long-lived corals accrete skeletal bands of anomalously high density in response to episodes of thermal stress. These "stress bands" are potentially valuable proxies for thermal tolerance, but to date their application to questions of community bleaching history has been limited. Ecological surveys recorded bleaching of coral communities across the Palau archipelago during the 1998 and 2010 warm events. Between 2011 and 2015, we extracted skeletal cores from living Porites colonies at 10 sites spanning barrier reef and lagoon environments and quantified the proportion of stress bands present in each population during bleaching years. Across Palau, the prevalence of stress bands tracked the severity of thermal stress, with more stress bands occurring in 1998 (degree heating weeks = 13.57 °C-week) than during the less severe 2010 event (degree heating weeks = 4.86 °C-week). Stress band prevalence also varied by reef type, as more corals on the exposed barrier reef formed stress bands than did corals from sheltered lagoon environments. Comparison of Porites stress band prevalence with bleaching survey data revealed a strong correlation between percent community bleaching and the proportion of colonies with stress bands in each year. Conversely, annual calcification rates did not decline consistently during bleaching years nor did annually resolved calcification histories always track interannual variability in temperature. Our data suggest that stress bands in massive corals contain valuable information about spatial and temporal trends in coral reef bleaching and can aid in

  7. A Crucial Time for Reefs: Climate Change, El Niño, and the 2014-16 Global Bleaching Event

    Science.gov (United States)

    Eakin, C. M.; Liu, G.; Geiger, E.; Heron, S. F.; Skirving, W. J.; De La Cour, J. L.; Strong, A. E.; Tirak, K.; Burgess, T.

    2016-02-01

    Anthropogenic climate change has caused an increase in the frequency and intensity of coral bleaching, mortality, and other impacts detrimental to the health and survival of coral reefs around the world. In 2014, a global-scale bleaching event, anticipated to last two years or more, began in the Pacific Ocean. Severe bleaching was documented in Guam, the Commonwealth of the Northern Mariana Islands, Hawaii, and the Marshall Islands, among other locations. By mid-2015, severe bleaching had reached many south Pacific Islands and islands of the central to eastern equatorial Pacific, especially Kiribati and Howland and Baker Islands. Bleaching followed in the Indian Ocean, and at the time of this writing is again striking Hawaii, and parts of the Caribbean. As the ongoing El Niño continues to strengthen, long-term outlooks suggest the cycle of bleaching will continue into 2016 in at least the Pacific and Indian Oceans. Caribbean bleaching may follow again in 2016 if this event follows historical patterns. Warming of the global ocean, the El Niño, a new Pacific oceanic feature known as "The Blob", and other patterns are imposing thermal stress capable of causing widespread negative impacts on reefs in many countries and archipelagos. If a subsequent La Niña follows, as is often the case, even more reefs will be subjected to stressful high temperatures. This is resulting in widespread bleaching, disease, and mortality at a frequency and intensity predicted in climate models nearly two decades ago. The question now is if we are seeing the onset of annually returning coral bleaching or if this is just a hint of conditions coming in future decades. This presentation will discuss the latest information on the ongoing third global bleaching event and the impacts it may have on the biology, ecology, and potential for conservation and restoration of corals and coral reefs worldwide.

  8. Comparison of Cox and Gray's survival models in severe sepsis

    DEFF Research Database (Denmark)

    Kasal, Jan; Andersen, Zorana Jovanovic; Clermont, Gilles

    2004-01-01

    Although survival is traditionally modeled using Cox proportional hazards modeling, this approach may be inappropriate in sepsis, in which the proportional hazards assumption does not hold. Newer, more flexible models, such as Gray's model, may be more appropriate.......Although survival is traditionally modeled using Cox proportional hazards modeling, this approach may be inappropriate in sepsis, in which the proportional hazards assumption does not hold. Newer, more flexible models, such as Gray's model, may be more appropriate....

  9. Women survive severe famines and epidemics better than men

    DEFF Research Database (Denmark)

    Zarulli, Virginia; Barthold Jones, Julia; Oksuzyan, Anna

    Women live longer than men almost everywhere. Research provides evidence for both biological and behavioral factors modulating this gender gap, leaving open the question of what are its fundamental determinants. An unexplored source of information is when men and women experience extremely high...... better than men. In all populations they had lower mortality and, with the exception of one slave population, they lived longer. Infant ages contributed the most to the gender gap in life expectancy, indicating that newborn girls were able to survive extreme mortality better than newborn boys. Our...... results lend support to the hypothesis that the gender survival gap has deep biological roots....

  10. Mass coral bleaching in the northern Persian Gulf, 2012

    Directory of Open Access Journals (Sweden)

    Javid Kavousi

    2014-09-01

    Full Text Available Coral bleaching events due to elevated temperatures are increasing in both frequency and magnitude worldwide. Mass bleaching was recorded at five sites in the northern Persian Gulf during August and September 2012. Based on available seawater temperature data from field, satellite and previous studies, we suggest that the coral bleaching threshold temperature in the northern Persian Gulf is between 33.5 and 34°C, which is about 1.5 to 2.5°C lower than that in the southern part. To assess the bleaching effects, coral genera counted during 60-minute dives were categorized into four groups including healthy, slightly bleached ( 50% bleached tissue and fully bleached colonies. The anomalously high sea surface temperature resulted in massive coral bleaching (~84% coral colonies affected. Acropora spp. colonies, which are known as the most vulnerable corals to thermal stress, were less affected by the bleaching than massive corals, such as Porites, which are among the most thermo-tolerant corals. Turbid waters, suggested as coral refugia against global warming, did not protect corals in this study since most affected corals were found in the most turbid waters. The 2012 bleaching in the northern Persian Gulf was relatively strong from the viewpoint of coral bleaching severity. Long-term monitoring is needed to understand the actual consequences of the bleaching event on the coral reefs and communities.

  11. Global warming and recurrent mass bleaching of corals

    Science.gov (United States)

    Hughes, Terry P.; Kerry, James T.; Álvarez-Noriega, Mariana; Álvarez-Romero, Jorge G.; Anderson, Kristen D.; Baird, Andrew H.; Babcock, Russell C.; Beger, Maria; Bellwood, David R.; Berkelmans, Ray; Bridge, Tom C.; Butler, Ian R.; Byrne, Maria; Cantin, Neal E.; Comeau, Steeve; Connolly, Sean R.; Cumming, Graeme S.; Dalton, Steven J.; Diaz-Pulido, Guillermo; Eakin, C. Mark; Figueira, Will F.; Gilmour, James P.; Harrison, Hugo B.; Heron, Scott F.; Hoey, Andrew S.; Hobbs, Jean-Paul A.; Hoogenboom, Mia O.; Kennedy, Emma V.; Kuo, Chao-Yang; Lough, Janice M.; Lowe, Ryan J.; Liu, Gang; McCulloch, Malcolm T.; Malcolm, Hamish A.; McWilliam, Michael J.; Pandolfi, John M.; Pears, Rachel J.; Pratchett, Morgan S.; Schoepf, Verena; Simpson, Tristan; Skirving, William J.; Sommer, Brigitte; Torda, Gergely; Wachenfeld, David R.; Willis, Bette L.; Wilson, Shaun K.

    2017-03-01

    During 2015-2016, record temperatures triggered a pan-tropical episode of coral bleaching, the third global-scale event since mass bleaching was first documented in the 1980s. Here we examine how and why the severity of recurrent major bleaching events has varied at multiple scales, using aerial and underwater surveys of Australian reefs combined with satellite-derived sea surface temperatures. The distinctive geographic footprints of recurrent bleaching on the Great Barrier Reef in 1998, 2002 and 2016 were determined by the spatial pattern of sea temperatures in each year. Water quality and fishing pressure had minimal effect on the unprecedented bleaching in 2016, suggesting that local protection of reefs affords little or no resistance to extreme heat. Similarly, past exposure to bleaching in 1998 and 2002 did not lessen the severity of bleaching in 2016. Consequently, immediate global action to curb future warming is essential to secure a future for coral reefs.

  12. Global warming and recurrent mass bleaching of corals.

    Science.gov (United States)

    Hughes, Terry P; Kerry, James T; Álvarez-Noriega, Mariana; Álvarez-Romero, Jorge G; Anderson, Kristen D; Baird, Andrew H; Babcock, Russell C; Beger, Maria; Bellwood, David R; Berkelmans, Ray; Bridge, Tom C; Butler, Ian R; Byrne, Maria; Cantin, Neal E; Comeau, Steeve; Connolly, Sean R; Cumming, Graeme S; Dalton, Steven J; Diaz-Pulido, Guillermo; Eakin, C Mark; Figueira, Will F; Gilmour, James P; Harrison, Hugo B; Heron, Scott F; Hoey, Andrew S; Hobbs, Jean-Paul A; Hoogenboom, Mia O; Kennedy, Emma V; Kuo, Chao-Yang; Lough, Janice M; Lowe, Ryan J; Liu, Gang; McCulloch, Malcolm T; Malcolm, Hamish A; McWilliam, Michael J; Pandolfi, John M; Pears, Rachel J; Pratchett, Morgan S; Schoepf, Verena; Simpson, Tristan; Skirving, William J; Sommer, Brigitte; Torda, Gergely; Wachenfeld, David R; Willis, Bette L; Wilson, Shaun K

    2017-03-15

    During 2015-2016, record temperatures triggered a pan-tropical episode of coral bleaching, the third global-scale event since mass bleaching was first documented in the 1980s. Here we examine how and why the severity of recurrent major bleaching events has varied at multiple scales, using aerial and underwater surveys of Australian reefs combined with satellite-derived sea surface temperatures. The distinctive geographic footprints of recurrent bleaching on the Great Barrier Reef in 1998, 2002 and 2016 were determined by the spatial pattern of sea temperatures in each year. Water quality and fishing pressure had minimal effect on the unprecedented bleaching in 2016, suggesting that local protection of reefs affords little or no resistance to extreme heat. Similarly, past exposure to bleaching in 1998 and 2002 did not lessen the severity of bleaching in 2016. Consequently, immediate global action to curb future warming is essential to secure a future for coral reefs.

  13. Survival and psychomotor development with early betaine treatment in patients with severe methylenetetrahydrofolate reductase deficiency

    NARCIS (Netherlands)

    Diekman, E.F.; Koning, T.J. de; Verhoeven-Duif, N.M.; Rovers, M.M.; Hasselt, P.M. van

    2014-01-01

    IMPORTANCE The impact of betaine treatment on outcome in patients with severe methylenetetrahydrofolate reductase (MTHFR) deficiency is presently unclear. OBJECTIVE To investigate the effect of betaine treatment on development and survival in patients with severe MTHFR deficiency. DATA SOURCES

  14. Survival and Psychomotor Development With Early Betaine Treatment in Patients With Severe Methylenetetrahydrofolate Reductase Deficiency

    NARCIS (Netherlands)

    Diekman, Eugene F.; de Koning, Tom J.; Verhoeven-Duif, Nanda M.; Rovers, Maroeska M.; van Hasselt, Peter M.

    IMPORTANCE The impact of betaine treatment on outcome in patients with severe methylenetetrahydrofolate reductase (MTHFR) deficiency is presently unclear. OBJECTIVE To investigate the effect of betaine treatment on development and survival in patients with severe MTHFR deficiency. DATA SOURCES

  15. Survival trends and predictors of mortality in severe pelvic trauma

    DEFF Research Database (Denmark)

    Pohlemann, Tim; Stengel, Dirk; Tosounidis, Georgios

    2011-01-01

    STUDY OBJECTIVE: To determine longitudinal trends in mortality, and the contribution of specific injury characteristics and treatment modalities to the risk of a fatal outcome after severe and complex pelvic trauma. METHODS: We studied 5048 patients with pelvic ring fractures enrolled in the German...... Pelvic Trauma Registry Initiative between 1991 and 1993, 1998 and 2000, and 2004 and 2006. Complete datasets were available for 5014 cases, including 508 complex injuries, defined as unstable fractures with severe peri-pelvic soft tissue and organ laceration. Multivariable mixed-effects logistic...... with this type of injury was 18% (95% CI 9-32%) in 2006. CONCLUSION: In contrast to an overall decline in trauma mortality, complex pelvic ring injuries remain associated with a significant risk of death. Awareness of this potentially life-threatening condition should be increased amongst trauma care...

  16. Endocan is useful biomarker of survival and severity in sepsis.

    Science.gov (United States)

    Mihajlovic, Dunja M; Lendak, Dajana F; Brkic, Snezana V; Draskovic, Biljana G; Mitic, Gorana P; Novakov Mikic, Aleksandra S; Cebovic, Tatjana N

    2014-05-01

    Coagulation abnormalities which occur as a consequence of endothelial changes are recognized as diagnostic criteria for sepsis, but significance of these changes in the outcome prognosis and prediction of the course of sepsis is still not accurately defined. 60 patients who fulfilled the criteria for diagnosis of sepsis were included in our study. Patients were categorized in two groups according to sepsis severity and organ failure and MODS development was assessed in the first 48 h from ICU admission. Prothrombin time (PT), activated partial thromboplastin time (aPTT) and endothelial cell specific molecule-1(endocan) levels, as well as procalcitonin (PCT) and C-reactive protein (CRP) were determined within the first 24h of the onset of the disease. Predictive APACHE II (Acute Physiology and Chronic Health Evaluation II) and SOFA (Sequential Organ Failure Assessment) scores were calculated on the day of ICU admission. Data were used to determine an association between day 1 biomarker levels, organ dysfunction score values and the development of organ failure, multiple organ dysfunction syndrome (MODS), and mortality during 28 days. These connections were determined by plotting of receiver operating characteristic (ROC) curves. Differences between groups were assessed by Mann-Whitney U test. Categorical variables were compared using chi-square test. Concentration of endocan was significantly higher in the group of patients with sepsis induced organ failure, MODS development and in the group of non- survivors in contrast to group with less severe form of the disease, without multiorgan failure, and in contrast to group of survivors (pAPACHE II (AUC:0.55) and SOFA (AUC: 0.57) scores for organ failure. Results of our study show that endocan can be used as strong and significant predictor of sepsis severity and outcome, perhaps even better than SOFA and APACHE II scores. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. The role of microorganisms in coral bleaching.

    Science.gov (United States)

    Rosenberg, Eugene; Kushmaro, Ariel; Kramarsky-Winter, Esti; Banin, Ehud; Yossi, Loya

    2009-02-01

    Coral bleaching is the disruption of the symbiosis between the coral host and its endosymbiotic algae. The prevalence and severity of the disease have been correlated with high seawater temperature. During the last decade, the major hypothesis to explain coral bleaching is that high water temperatures cause irreversible damage to the symbiotic algae resulting in loss of pigment and/or algae from the holobiont. Here, we discuss the evidence for an alternative but not mutually exclusive concept, the microbial hypothesis of coral bleaching.

  18. The Stability of the Giant Clam Holobiont over Time and during Bleaching Stress

    KAUST Repository

    Pappas, Melissa

    2017-12-01

    The stability of marine photosymbiotic holobionts has major implications for the future of coral reef communities. This study aims to describe the stability of the Red Sea giant clam holobiont over the duration of one year and during induced bleaching stress under laboratory thermal manipulations. Tridacnid clams of the species Tridacna maxima were sampled at three reef locations near the central Saudi coast of the Red Sea. Associated Symbiodinium of Red Sea giant clams have previously been described to be part of only Clade A, which suggests a strong specificity in the clam-algal partnership, but specific types and potential shifting of types within this clade have not been examined for giant clams. The results from this study confirm that tridacnid symbiont types shift over time and the change between three A1 types suggests a biological and functional significance of two undescribed A1 Symbiodinium types. Experimental bleaching shows that Red Sea giant clams, although exposed to rather hot temperatures naturally, will bleach at 34°C after two weeks, and severely bleached clams likely will not recover. During bleaching, Symbiodinium types shift as well, and shift more drastically than seasonal shifts during the year. This shifting may be an evolved characteristic of the giant clam to aid in surviving major changes in the environment. However, more research is needed to determine if these holobionts are capable of keeping up with the global forecast of warming in reef environments.

  19. Coral bleaching independent of photosynthetic activity.

    Science.gov (United States)

    Tolleter, Dimitri; Seneca, François O; DeNofrio, Jan C; Krediet, Cory J; Palumbi, Stephen R; Pringle, John R; Grossman, Arthur R

    2013-09-23

    The global decline of reef-building corals is due in part to the loss of algal symbionts, or "bleaching," during the increasingly frequent periods of high seawater temperatures. During bleaching, endosymbiotic dinoflagellate algae (Symbiodinium spp.) either are lost from the animal tissue or lose their photosynthetic pigments, resulting in host mortality if the Symbiodinium populations fail to recover. The >1,000 studies of the causes of heat-induced bleaching have focused overwhelmingly on the consequences of damage to algal photosynthetic processes, and the prevailing model for bleaching invokes a light-dependent generation of toxic reactive oxygen species (ROS) by heat-damaged chloroplasts as the primary trigger. However, the precise mechanisms of bleaching remain unknown, and there is evidence for involvement of multiple cellular processes. In this study, we asked the simple question of whether bleaching can be triggered by heat in the dark, in the absence of photosynthetically derived ROS. We used both the sea anemone model system Aiptasia and several species of reef-building corals to demonstrate that symbiont loss can occur rapidly during heat stress in complete darkness. Furthermore, we observed damage to the photosynthetic apparatus under these conditions in both Aiptasia endosymbionts and cultured Symbiodinium. These results do not directly contradict the view that light-stimulated ROS production is important in bleaching, but they do show that there must be another pathway leading to bleaching. Elucidation of this pathway should help to clarify bleaching mechanisms under the more usual conditions of heat stress in the light. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Surviving severe traumatic brain injury in Denmark: incidence and predictors of highly specialized rehabilitation

    Directory of Open Access Journals (Sweden)

    Odgaard L

    2015-03-01

    Full Text Available Lene Odgaard,1 Ingrid Poulsen,2 Lars Peter Kammersgaard,2 Søren Paaske Johnsen,3 Jørgen Feldbæk Nielsen,1 1Hammel Neurorehabilitation Center and University Research Clinic, Aarhus University, Aarhus, Denmark; 2Department of Neurorehabilitation, TBI and Research Unit on Brain injury rehabilitation (RUBRIC, Glostrup Hospital, Copenhagen University, Copenhagen, Denmark; 3Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark Purpose: To identify all hospitalized patients surviving severe traumatic brain injury (TBI in Denmark and to compare these patients to TBI patients admitted to highly specialized rehabilitation (HS-rehabilitation. Patients and methods: Patients surviving severe TBI were identified from The Danish National Patient Registry and The Danish Head Trauma Database. Overall incidence rates of surviving severe TBI and incidence rates of admission to HS-rehabilitation after severe TBI were estimated and compared. Patient-related predictors of no admission to HS-rehabilitation among patients surviving severe TBI were identified using multivariable logistic regression. Results: The average incidence rate of surviving severe TBI was 2.3 per 100,000 person years. Incidence rates of HS-rehabilitation were generally stable around 2.0 per 100,000 person years. Overall, 84% of all patients surviving severe TBI were admitted to HS-rehabilitation. Female sex, older age, and non-working status pre-injury were independent predictors of no HS-rehabilitation among patients surviving severe TBI. Conclusion: The incidence rate of hospitalized patients surviving severe TBI was stable in Denmark and the majority of the patients were admitted to HS-rehabilitation. However, potential inequity in access to HS-rehabilitation may still be present despite a health care system based on equal access for all citizens. Keywords: database, health care disparities, registries, validity 

  1. Effect of severity of disability on survival in north east England cerebral palsy cohort.

    Science.gov (United States)

    Hutton, J L; Colver, A F; Mackie, P C

    2000-12-01

    To investigate the effect of motor and cognitive disabilities on the survival of people on the North of England Collaborative Cerebral Palsy Survey, and compare this with other published results. The cerebral palsy cohort consists of 1960-1990 births in Northumberland, Newcastle, and North Tyneside health districts. Survival and cause of death were analysed in relation to data on birth, disabilities, and a unique measure of the impact of disability. Disability strongly influences survival. More than a third of those with a severe disability die before age 30. Fewer than a third of deaths are attributed to cerebral palsy on death certificates. Of those with severe cognitive disability, 63% live to age 35 (58% with severe ambulatory disability and 53% with severe manual disability), whereas at least 98% without severe disabilities live to age 35. The Lifestyle Assessment Score (LAS) allows a finer categorisation of impact of disability, and is strongly associated with survival: a ten point increase in LAS is associated with a doubling of the hazard rate. People who had LAS of at least 70, and had survived to age 5 have a 39% chance of dying before age 35. The majority of people with cerebral palsy attain adulthood. There appears to be more variation in survival rates associated with severe disability between regions of England, than between north east England, British Columbia, and California. Instantaneous risks of dying vary widely between England and California. This variation is not obviously attributable to differing rates of severe disability.

  2. Changes in bleaching susceptibility among corals subject to ocean warming and recurrent bleaching in Moorea, French Polynesia.

    Directory of Open Access Journals (Sweden)

    Morgan S Pratchett

    Full Text Available BACKGROUND: Climate-induced coral bleaching poses a major threat to coral reef ecosystems, mostly because of the sensitivities of key habitat-forming corals to increasing temperature. However, susceptibility to bleaching varies greatly among coral genera and there are likely to be major changes in the relative abundance of different corals, even if the wholesale loss of corals does not occur for several decades. Here we document variation in bleaching susceptibility among key genera of reef-building corals in Moorea, French Polynesia, and compare bleaching incidence during mass-bleaching events documented in 1991, 1994, 2002 and 2007. METHODOLOGY/PRINCIPAL FINDINGS: This study compared the proportion of colonies that bleached for four major genera of reef-building corals (Acropora, Montipora, Pocillopora and Porites, during each of four well-documented bleaching events from 1991 to 2007. Acropora and Montipora consistently bleached in far greater proportions (up to 98% than Pocillopora and Porites. However, there was an apparent and sustained decline in the proportion of colonies that bleached during successive bleaching events, especially for Acropora and Montipora. In 2007, only 77% of Acropora colonies bleached compared with 98% in 1991. Temporal variation in the proportion of coral colonies bleached may be attributable to differences in environmental conditions among years. Alternately, the sustained declines in bleaching incidence among highly susceptible corals may be indicative of acclimation or adaptation. CONCLUSIONS/SIGNIFICANCE: Coral genera that are highly susceptible to coral bleaching, and especially Acropora and Montipora, exhibit temporal declines in their susceptibility to thermal anomalies at Moorea, French Polynesia. One possible explanation for these findings is that gradual removal of highly susceptible genotypes (through selective mortality of individuals, populations, and/or species is producing a coral assemblage that is

  3. Changes in bleaching susceptibility among corals subject to ocean warming and recurrent bleaching in Moorea, French Polynesia.

    Science.gov (United States)

    Pratchett, Morgan S; McCowan, Dominique; Maynard, Jeffrey A; Heron, Scott F

    2013-01-01

    Climate-induced coral bleaching poses a major threat to coral reef ecosystems, mostly because of the sensitivities of key habitat-forming corals to increasing temperature. However, susceptibility to bleaching varies greatly among coral genera and there are likely to be major changes in the relative abundance of different corals, even if the wholesale loss of corals does not occur for several decades. Here we document variation in bleaching susceptibility among key genera of reef-building corals in Moorea, French Polynesia, and compare bleaching incidence during mass-bleaching events documented in 1991, 1994, 2002 and 2007. This study compared the proportion of colonies that bleached for four major genera of reef-building corals (Acropora, Montipora, Pocillopora and Porites), during each of four well-documented bleaching events from 1991 to 2007. Acropora and Montipora consistently bleached in far greater proportions (up to 98%) than Pocillopora and Porites. However, there was an apparent and sustained decline in the proportion of colonies that bleached during successive bleaching events, especially for Acropora and Montipora. In 2007, only 77% of Acropora colonies bleached compared with 98% in 1991. Temporal variation in the proportion of coral colonies bleached may be attributable to differences in environmental conditions among years. Alternately, the sustained declines in bleaching incidence among highly susceptible corals may be indicative of acclimation or adaptation. Coral genera that are highly susceptible to coral bleaching, and especially Acropora and Montipora, exhibit temporal declines in their susceptibility to thermal anomalies at Moorea, French Polynesia. One possible explanation for these findings is that gradual removal of highly susceptible genotypes (through selective mortality of individuals, populations, and/or species) is producing a coral assemblage that is more resistant to sustained and ongoing ocean warming.

  4. A global protocol for monitoring of coral bleaching

    OpenAIRE

    Oliver, J.; Setiasih, N.; Marshall, P.; Hansen, L

    2004-01-01

    Coral bleaching and subsequent mortality represent a major threat to the future health and productivity of coral reefs. However a lack of reliable data on occurrence, severity and other characteristics of bleaching events hampers research on the causes and consequences of this important phenomenon. This article describes a global protocol for monitoring coral bleaching events, which addresses this problem and can be used by people with different levels of expertise and resources.

  5. Coral bleaching and recovery in the Thai Andaman Sea

    OpenAIRE

    Putchim, Lalita

    2017-01-01

    Severe coral bleaching in response to increasing sea temperatures threatens coral reefs in many regions of the world, including the Andaman Sea, Thailand. Coral bleaching involves the breakdown of the coral-algae symbiosis, resulting in the loss of the intracellular microalgal dinoflagellates of the diverse genus Symbiodinium, also called a zooxanthellaea . Elevated temperatures and high solar irradiation are considered to be the primary factors causing widespread coral bleaching. In the Anda...

  6. Incorporating adaptive responses into future projections of coral bleaching.

    Science.gov (United States)

    Logan, Cheryl A; Dunne, John P; Eakin, C Mark; Donner, Simon D

    2014-01-01

    Climate warming threatens to increase mass coral bleaching events, and several studies have projected the demise of tropical coral reefs this century. However, recent evidence indicates corals may be able to respond to thermal stress though adaptive processes (e.g., genetic adaptation, acclimatization, and symbiont shuffling). How these mechanisms might influence warming-induced bleaching remains largely unknown. This study compared how different adaptive processes could affect coral bleaching projections. We used the latest bias-corrected global sea surface temperature (SST) output from the NOAA/GFDL Earth System Model 2 (ESM2M) for the preindustrial period through 2100 to project coral bleaching trajectories. Initial results showed that, in the absence of adaptive processes, application of a preindustrial climatology to the NOAA Coral Reef Watch bleaching prediction method overpredicts the present-day bleaching frequency. This suggests that corals may have already responded adaptively to some warming over the industrial period. We then modified the prediction method so that the bleaching threshold either permanently increased in response to thermal history (e.g., simulating directional genetic selection) or temporarily increased for 2-10 years in response to a bleaching event (e.g., simulating symbiont shuffling). A bleaching threshold that changes relative to the preceding 60 years of thermal history reduced the frequency of mass bleaching events by 20-80% compared with the 'no adaptive response' prediction model by 2100, depending on the emissions scenario. When both types of adaptive responses were applied, up to 14% more reef cells avoided high-frequency bleaching by 2100. However, temporary increases in bleaching thresholds alone only delayed the occurrence of high-frequency bleaching by ca. 10 years in all but the lowest emissions scenario. Future research should test the rate and limit of different adaptive responses for coral species across latitudes and

  7. Ozone bleaching of South African Eucalyptus grandis kraft pulps containing high levels of hexenuronic acids

    CSIR Research Space (South Africa)

    Andrew, JE

    2013-08-01

    Full Text Available Ozone use in conjunction with chlorine dioxide during pulp bleaching offers several advantages over conventional bleaching sequences that make use of chlorine dioxide only. Despite this, in South Africa, only one mill uses ozone. The current study...

  8. Seasonal Mesophotic Coral Bleaching of Stylophora pistillata in the Northern Red Sea: e84968

    National Research Council Canada - National Science Library

    Orit Nir; David F Gruber; Eli Shemesh; Eliezra Glasser; Dan Tchernov

    2014-01-01

    ...) in the northern Red Sea: seasonal bleaching and recovery of several hermatypic coral species. In this study, we followed the recurring bleaching process of the common coral Stylophora pistillata...

  9. Seasonal mesophotic coral bleaching of Stylophora pistillata in the Northern Red Sea

    National Research Council Canada - National Science Library

    Nir, Orit; Gruber, David F; Shemesh, Eli; Glasser, Eliezra; Tchernov, Dan

    2014-01-01

    ...) in the northern Red Sea: seasonal bleaching and recovery of several hermatypic coral species. In this study, we followed the recurring bleaching process of the common coral Stylophora pistillata...

  10. Impact of chronic obstructive pulmonary disease on survival and symptoms of severe aortic valve stenosis

    DEFF Research Database (Denmark)

    Poulsen, Mikael K; Dahl, Jordi S; Kjeldsen, Bo J

    2015-01-01

    severe comorbidities, including chronic obstructive pulmonary disease (COPD). MATERIALS AND METHODS: Since the beginning of our TAVI program in March 2008, data on all 131 TAVI patients were prospectively and consecutively collected in this registry with complete follow-up. COPD was present in 37...... patients. By January 2012 survival data were collected from the Danish Civil Registration System. Median follow-up duration was 559 days. RESULTS: Overall survival and survival from cardiac death was equivalent in both patients with and without COPD (p = 0.98 and p = 0.26) in the follow-up period. Further...

  11. Interact to Survive: Phyllobacterium brassicacearum Improves Arabidopsis Tolerance to Severe Water Deficit and Growth Recovery

    Science.gov (United States)

    Bresson, Justine; Vasseur, François; Dauzat, Myriam; Labadie, Marc; Varoquaux, Fabrice; Touraine, Bruno; Vile, Denis

    2014-01-01

    Mutualistic bacteria can alter plant phenotypes and confer new abilities to plants. Some plant growth-promoting rhizobacteria (PGPR) are known to improve both plant growth and tolerance to multiple stresses, including drought, but reports on their effects on plant survival under severe water deficits are scarce. We investigated the effect of Phyllobacterium brassicacearum STM196 strain, a PGPR isolated from the rhizosphere of oilseed rape, on survival, growth and physiological responses of Arabidopsis thaliana to severe water deficits combining destructive and non-destructive high-throughput phenotyping. Soil inoculation with STM196 greatly increased the survival rate of A. thaliana under several scenarios of severe water deficit. Photosystem II efficiency, assessed at the whole-plant level by high-throughput fluorescence imaging (Fv/Fm), was related to the probability of survival and revealed that STM196 delayed plant mortality. Inoculated surviving plants tolerated more damages to the photosynthetic tissues through a delayed dehydration and a better tolerance to low water status. Importantly, STM196 allowed a better recovery of plant growth after rewatering and stressed plants reached a similar biomass at flowering than non-stressed plants. Our results highlight the importance of plant-bacteria interactions in plant responses to severe drought and provide a new avenue of investigations to improve drought tolerance in agriculture. PMID:25226036

  12. Interact to survive: Phyllobacterium brassicacearum improves Arabidopsis tolerance to severe water deficit and growth recovery.

    Directory of Open Access Journals (Sweden)

    Justine Bresson

    Full Text Available Mutualistic bacteria can alter plant phenotypes and confer new abilities to plants. Some plant growth-promoting rhizobacteria (PGPR are known to improve both plant growth and tolerance to multiple stresses, including drought, but reports on their effects on plant survival under severe water deficits are scarce. We investigated the effect of Phyllobacterium brassicacearum STM196 strain, a PGPR isolated from the rhizosphere of oilseed rape, on survival, growth and physiological responses of Arabidopsis thaliana to severe water deficits combining destructive and non-destructive high-throughput phenotyping. Soil inoculation with STM196 greatly increased the survival rate of A. thaliana under several scenarios of severe water deficit. Photosystem II efficiency, assessed at the whole-plant level by high-throughput fluorescence imaging (Fv/Fm, was related to the probability of survival and revealed that STM196 delayed plant mortality. Inoculated surviving plants tolerated more damages to the photosynthetic tissues through a delayed dehydration and a better tolerance to low water status. Importantly, STM196 allowed a better recovery of plant growth after rewatering and stressed plants reached a similar biomass at flowering than non-stressed plants. Our results highlight the importance of plant-bacteria interactions in plant responses to severe drought and provide a new avenue of investigations to improve drought tolerance in agriculture.

  13. Climate change and coral reef bleaching: An ecological assessment of long-term impacts, recovery trends and future outlook

    Science.gov (United States)

    Baker, Andrew C.; Glynn, Peter W.; Riegl, Bernhard

    2008-12-01

    Since the early 1980s, episodes of coral reef bleaching and mortality, due primarily to climate-induced ocean warming, have occurred almost annually in one or more of the world's tropical or subtropical seas. Bleaching is episodic, with the most severe events typically accompanying coupled ocean-atmosphere phenomena, such as the El Niño-Southern Oscillation (ENSO), which result in sustained regional elevations of ocean temperature. Using this extended dataset (25+ years), we review the short- and long-term ecological impacts of coral bleaching on reef ecosystems, and quantitatively synthesize recovery data worldwide. Bleaching episodes have resulted in catastrophic loss of coral cover in some locations, and have changed coral community structure in many others, with a potentially critical influence on the maintenance of biodiversity in the marine tropics. Bleaching has also set the stage for other declines in reef health, such as increases in coral diseases, the breakdown of reef framework by bioeroders, and the loss of critical habitat for associated reef fishes and other biota. Secondary ecological effects, such as the concentration of predators on remnant surviving coral populations, have also accelerated the pace of decline in some areas. Although bleaching severity and recovery have been variable across all spatial scales, some reefs have experienced relatively rapid recovery from severe bleaching impacts. There has been a significant overall recovery of coral cover in the Indian Ocean, where many reefs were devastated by a single large bleaching event in 1998. In contrast, coral cover on western Atlantic reefs has generally continued to decline in response to multiple smaller bleaching events and a diverse set of chronic secondary stressors. No clear trends are apparent in the eastern Pacific, the central-southern-western Pacific or the Arabian Gulf, where some reefs are recovering and others are not. The majority of survivors and new recruits on

  14. Bleach vs. Bacteria

    Science.gov (United States)

    ... Articles | Inside Life Science Home Page Bleach vs. Bacteria By Sharon Reynolds Posted April 2, 2014 Your ... hypochlorous acid to help kill invading microbes, including bacteria. Researchers funded by the National Institutes of Health ...

  15. Ozone bleaching of cellulose

    Science.gov (United States)

    Eren, H. A.; Eren, S.

    2017-10-01

    In this study, ozone treatment has been investigated in seeking of a more environmentally friendly alternative process for bleaching of cellulosic fibers. The primary advantage of ozone treatment is reduced environmental impact especially in case of chemical oxygen demand (COD) values of the process effluent. The highly oxidative ozone gas substitutes conventional harsh chemicals and decomposes back to oxygen owing to its limited half-life. Hence, ozone treatment seems as a good alternative for oxidative bleaching purposes of cellulose.

  16. Coral community response to bleaching on a highly disturbed reef

    Science.gov (United States)

    Guest, J. R.; Low, J.; Tun, K.; Wilson, B.; Ng, C.; Raingeard, D.; Ulstrup, K. E.; Tanzil, J. T. I.; Todd, P. A.; Toh, T. C.; McDougald, D.; Chou, L. M.; Steinberg, P. D.

    2016-02-01

    While many studies of coral bleaching report on broad, regional scale responses, fewer examine variation in susceptibility among coral taxa and changes in community structure, before, during and after bleaching on individual reefs. Here we report in detail on the response to bleaching by a coral community on a highly disturbed reef site south of mainland Singapore before, during and after a major thermal anomaly in 2010. To estimate the capacity for resistance to thermal stress, we report on: a) overall bleaching severity during and after the event, b) differences in bleaching susceptibility among taxa during the event, and c) changes in coral community structure one year before and after bleaching. Approximately two thirds of colonies bleached, however, post-bleaching recovery was quite rapid and, importantly, coral taxa that are usually highly susceptible were relatively unaffected. Although total coral cover declined, there was no significant change in coral taxonomic community structure before and after bleaching. Several factors may have contributed to the overall high resistance of corals at this site including Symbiodinium affiliation, turbidity and heterotrophy. Our results suggest that, despite experiencing chronic anthropogenic disturbances, turbid shallow reef communities may be remarkably resilient to acute thermal stress.

  17. Mass coral bleaching in 2010 in the southern Caribbean.

    Science.gov (United States)

    Alemu I, Jahson Berhane; Clement, Ysharda

    2014-01-01

    Ocean temperatures are increasing globally and the Caribbean is no exception. An extreme ocean warming event in 2010 placed Tobago's coral reefs under severe stress resulting in widespread coral bleaching and threatening the livelihoods that rely on them. The bleaching response of four reef building taxa was monitored over a six month period across three major reefs systems in Tobago. By identifying taxa resilient to bleaching we propose to assist local coral reef managers in the decision making process to cope with mass bleaching events. The bleaching signal (length of exposure to high ocean temperatures) varied widely between the Atlantic and Caribbean reefs, but regardless of this variation most taxa bleached. Colpophyllia natans, Montastraea faveolata and Siderastrea siderea were considered the most bleaching vulnerable taxa. Interestingly, reefs with the highest coral cover showed the greatest decline reef building taxa, and conversely, reefs with the lowest coral cover showed the most bleaching but lowest change in coral cover with little algal overgrowth post-bleaching.

  18. A Chemical Approach to Mitigate Coral Bleaching

    Science.gov (United States)

    Marty-Rivera, M.; Yudowski, G.

    2016-02-01

    Changes in sea surface temperature and irradiance can induce bleaching and increase mortality in corals. Coral bleaching occurs when symbiotic algae living inside the coral is degraded or expelled, reducing the availability of energetic resources. Oxidative stress has been suggested as a possible molecular mechanism triggering bleaching. We hypothesized that reduction of reactive oxygen species (ROS) during stress could mitigate or prevent coral bleaching. We utilized the coral Porites Astreoides as our model to test the effects of two natural antioxidants, catechin and Resveratrol, on thermally induced bleaching. Coral fragments were exposed to four treatments: high temperature (32°C), high temperature plus antioxidants (1μM), ambient temperature (25°C), or ambient temperature (25°C) plus antioxidant for four days. A total of 8 corals were used per treatment. We measured several photobiological parameters, such as maximum quantum yield and light curves to assess the viability of symbiodinium spp. after thermal stress in the presence of antioxidants. Preliminary experiments on a model species, the sea anemone Aiptasia pallida and corals, showed that exposure to antioxidants reduced intracellular levels of ROS. Additionally, antioxidant-treated anemones showed higher photosynthetic efficiency (67%) than those exposed to high-temperature alone.

  19. On luminescence bleaching of tidal channel sediments

    DEFF Research Database (Denmark)

    Fruergaard, Mikkel; Pejrup, Morten; Murray, Andrew S.

    2015-01-01

    We investigate the processes responsible for bleaching of the quartz OSL signal from tidal channel sediment. Tidal dynamics are expected to play an important role for complete bleaching of tidal sediments. However, no studies have examined the amount of reworking occurring in tidal channels...... and on tidal flats due to the mixing caused by currents and waves. We apply bed level data to evaluate the amount of vertical sediment reworking in modern tidal channels and at a tidal flat. Cycles of deposition and erosion are measured with a bed level sensor, and the results show that gross sedimentation...... was several times higher than net sedimentation. We propose that tidal channel sediment is bleached either on the tidal flat before it is transported to the tidal channels and incorporated in channel-fill successions or, alternatively, on the shallow intertidal part of the channel banks. Based...

  20. Aortic valve replacement associated with survival in severe regurgitation and low ejection fraction.

    Science.gov (United States)

    Fiedler, Amy G; Bhambhani, Vijeta; Laikhter, Elizabeth; Picard, Michael H; Wasfy, Meagan M; Tolis, George; Melnitchouk, Serguei; Sundt, Thoralf M; Wasfy, Jason H

    2017-11-01

    Although guidelines support aortic valve replacement (AVR) in patients with severe aortic regurgitation (AR) and left ventricular ejection fraction (LVEF) <50%, severe left ventricular dysfunction (LVEF <35%) is thought to confer high surgical risk. We sought to determine if a survival benefit exists with AVR compared with medical management in this high-risk, relatively rare population. A large institutional echocardiography database was queried to identify patients with severe AR and LVEF <35%. Manual chart review was performed. Due to small sample size and population heterogeneity, corrected group prognosis method was applied, which calculates the adjusted survival curve for each individual using fitted Cox proportional hazard model. Average survival adjusted for comorbidities and age was then calculated using the weighted average of the individual survival curves. Initially, 2 54 614 echocardiograms were considered, representing 1 45 785 unique patients, of which 40 patients met inclusion criteria. Of those, 18 (45.0%) underwent AVR and 22 (55.0%) were managed medically. Absolute mortality was 27.8% in the AVR group and 91.2% in the medical management group. After multivariate adjustment, end-stage renal disease (HR=17.633, p=0.0335) and peripheral arterial disease (HR=6.050, p=0.0180) were associated with higher mortality. AVR was associated with lower mortality (HR=0.143, p=0.0490). Mean follow-up time of the study cohort was 6.58 years, and mean survival for patients undergoing AVR was 6.31 years. Even after adjustment for clinical characteristics and patient age, AVR is associated with higher survival for patients with low LVEF and severe AR. Although treatment selection bias cannot be completely eliminated by this analysis, these results provide some evidence that surgery may be associated with prolonged survival in this high-risk patient group. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All

  1. Bleach Neutralizes Mold Allergens

    Science.gov (United States)

    Science Teacher, 2005

    2005-01-01

    Researchers at National Jewish Medical and Research Center have demonstrated that dilute bleach not only kills common household mold, but may also neutralize the mold allergens that cause most mold-related health complaints. The study, published in the Journal of Allergy and Clinical Immunology, is the first to test the effect on allergic…

  2. Large-scale bleaching of corals on the Great Barrier Reef.

    Science.gov (United States)

    Hughes, T P; Kerry, J T; Simpson, T

    2017-11-20

    In 2015-2016, record temperatures triggered a pan-tropical episode of coral bleaching. In the southern hemisphere summer of March-April 2016, we used aerial surveys to measure the level of bleaching on 1,156 individual reefs throughout the 2,300 km length of the Great Barrier Reef, the world's largest coral reef system. The accuracy of the aerial scores was ground-truthed with detailed underwater surveys of bleaching at 260 sites (104 reefs), allowing us to compare aerial and underwater bleaching data with satellite-derived temperatures and with associated model predictions of bleaching. The severity of bleaching on individual reefs in 2016 was tightly correlated with the level of local heat exposure: the southernmost region of the Great Barrier Reef escaped with only minor bleaching because summer temperatures there were close to average. Gradients in nutrients and turbidity from inshore to offshore across the Great Barrier Reef had minimal effect on the severity of bleaching. Similarly, bleaching was equally severe on reefs that are open or closed to fishing, once the level of satellite-derived heat exposure was accounted for. The level of post-bleaching mortality, measured underwater after 7-8 months, was tightly correlated with the aerial scores measured at the peak of bleaching. Similarly, reefs with a high aerial bleaching score also experienced major shifts in species composition due to extensive mortality of heat-sensitive species. Reefs with low bleaching scores did not change in composition, and some showed minor increases in coral cover. Two earlier mass bleaching events occurred on the Great Barrier Reef in 1998 and 2002, that were less severe than 2016. In 2016, reefs had no bleaching, compared to 42% in 2002 and 44% in 1998. Conversely, the proportion of reefs that were severely bleached (>60% of corals affected) was four times higher in 2016. The geographic footprint of each of the three events is distinctive, and matches satellite-derived sea

  3. Aspirin Is Associated with Improved Survival in Severely Thrombocytopenic Cancer Patients with Acute Myocardial Infarction.

    Science.gov (United States)

    Feher, Attila; Kampaktsis, Polydoros N; Parameswaran, Rekha; Stein, Eytan M; Steingart, Richard; Gupta, Dipti

    2017-02-01

    Patients with hematologic malignancies are at risk for severe thrombocytopenia (sTP). The risk and benefit of aspirin are not known in thrombocytopenic cancer patients experiencing acute myocardial infarction (AMI). Medical records of patients with hematologic malignancies diagnosed with AMI at Memorial Sloan Kettering Cancer Center during 2005-2014 were reviewed. sTP was defined as a platelet count aspirin as a treatment for AMI. Compared with patients without sTP with AMI, patients with sTP with AMI were less likely to receive aspirin (83% vs. 43%; p = .0001) and thienopyridine treatment (27% vs. 3%; p = .0005). During median follow-up of 3.7 years after AMI, survival was lower in patients with sTP than in those with no sTP (23% vs. 50% at 1 year; log rank p = .003). Patients with sTP who received aspirin for AMI had improved survival compared with those who did not (92% vs. 70% at 7 days, 72% vs. 33% at 30 days, and 32% vs. 13% at 1 year; log rank p = .008). In multivariate regression models, aspirin use was associated with improved 30-day survival both in the overall patient cohort and in sTP patients. No fatal bleeding events occurred. Major bleeding was not associated with sTP or aspirin use. Treatment of AMI with aspirin in patients with hematologic malignancies and sTP is associated with improved survival without increase in major bleeding. The Oncologist 2017;22:213-221Implications for Practice: In patients with hematologic malignancies and acute myocardial infarction with severe thrombocytopenia (platelet count aspirin therapy was associated with improved survival without an increase in major bleeding in this high-risk patient cohort. © AlphaMed Press 2017.

  4. BLEACHING NEPTUNE BALLS

    Directory of Open Access Journals (Sweden)

    BONET Maria Angeles

    2014-05-01

    Full Text Available Posidonia Oceanic is a seaweed from Mediterranean Sea and it is more concentrated at the Balerian SEA. This implies the Valencian Community also. It forms vaste underwater meadows in the sea and are part of the Mediterranean ecosystem. It is a sea-grass specie with fruits and flowers. Leaves are ribbon-like and they grow in winter and at the end of summer some of them are separated and arrive to some sea line. Fuit is separated and can floate, it is known as “the olive of the sea” mainly in Italy, or as the Neptune Balls. As it can be used in different fields, it is is being studied in order ro have the precitice tests. Some authors have reported the manufacturing of fully bio-based comites with a gluten matrix by hot-press molding. And it has been considered as an effective insulator for building industry or even though to determine the presence of mercure in the Mediterranean sea some years ago. As many applications can be designed from that fibers, it has been considered to be bleached in order to used them in fashionable products. Consequently, its original brown color is not the most suitable one and it should be bleached as many other cellulosic fibers. The aim of this paper is to bleache neptune balls however, the inner fibers were not accessible at all and it implied not to bleach the inner fibers in the neptune ball. Further studiesd will consider bleaching the individualized fibers.

  5. Optimal freezing and thawing for the survival of peripheral nerves in severed rabbit limbs.

    Science.gov (United States)

    Zhu, Zexing; Qiao, Lin; Zhao, Yandong; Zhang, Shuming

    2014-01-01

    This study aimed to investigate the optimal freezing and thawing procedures for the survival of peripheral nerves in severed rabbit limbs. Twenty New Zealand White rabbits were randomized into four groups: normal control, slow-freezing fast-thawing, slow-freezing slow-thawing, fast-freezing fast-thawing, with five animals in each group. The hind limbs of the rabbits were severed at 1 cm above the knee joint. The severed limbs were cryopreserved with various freezing and thawing procedures. The sciatic nerves were harvested and trypsinized into single nerve fibers for morphological evaluation. The cell viability of the nerve fibers was examined by staining with Calcein-AM and propidium iodide. The fluorescent intensity of the nerve fibers was measured with a laser scanning confocal microscope. The morphology of the nerve fibers in the slow-freezing fast-thawing group was very similar with that of the normal control group, with only mild demyelination. The slow-freezing fast-thawing group and slow-freezing slow-thawing group showed severely damaged nerve fibers. The fluorescent intensities of the nerve fibers was significantly different among the four groups, with a decreasing order of normal control, slow-freezing fast-thawing, slow-freezing slow-thawing, and fast-freezing fast-thawing (P freezing fast thawing has the minimal effects on the survival of nerve fibers in severed rabbit limbs.

  6. Surgical fusion of early onset severe scoliosis increases survival in Rett syndrome: a cohort study.

    Science.gov (United States)

    Downs, Jenny; Torode, Ian; Wong, Kingsley; Ellaway, Carolyn; Elliott, Elizabeth J; Izatt, Maree T; Askin, Geoffrey N; Mcphee, Bruce I; Cundy, Peter; Leonard, Helen

    2016-06-01

    Scoliosis is a common comorbidity in Rett syndrome and spinal fusion may be recommended if severe. We investigated the impact of spinal fusion on survival and risk of severe lower respiratory tract infection in Rett syndrome. Data were ascertained from hospital medical records, the Australian Rett Syndrome Database, a longitudinal and population-based registry, and from the Australian Institute of Health and Welfare National Death Index database. Cox regression and generalized estimating equation models were used to estimate the effects of spinal surgery on survival and severe respiratory infection respectively in 140 females who developed severe scoliosis (Cobb angle ≥45°) before adulthood. After adjusting for mutation type and age of scoliosis onset, the rate of death was lower in the surgery group (hazard ratio [HR] 0.30, 95% confidence interval [CI] 0.12-0.74; p=0.009) compared to those without surgery. Rate of death was particularly reduced for those with early onset scoliosis (HR 0.17, 95% CI 0.06-0.52; p=0.002). There was some evidence to suggest that spinal fusion was associated with a reduction in risk of severe respiratory infection among those with early onset scoliosis (risk ratio 0.41, 95% CI 0.16-1.03; p=0.06). With appropriate cautions, spinal fusion confers an advantage to life expectancy in Rett syndrome. © 2015 Mac Keith Press.

  7. Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy

    Directory of Open Access Journals (Sweden)

    Andrew Feczko

    2017-01-01

    Full Text Available Introduction. Octogenarians are at increased risk for complications after lung resection. With alternatives such as radiation, understanding the risks of surgery and associated survival are valuable. Data grading the severity of complications and long-term survival in this population is lacking. We reviewed our experience with lobectomy in octogenarians, grading complications using a validated thoracic morbidity and mortality schema. Methods. We retrospectively reviewed consecutive patients aged ≥80 undergoing lobectomy between 2004 and 2012. Demographics, clinical/pathologic stage, complications, recurrence, and mortality were collected. Complications were graded by the Seely thoracic morbidity and mortality model. Results. 45 patients (mean age 82.2 years were analyzed. The majority of patients (28/45, 62% were clinical stage IA/IB. 62% (28/45 of patients experienced a complication. Only 15.6% (7/45 were considered significantly morbid (≥ grade IIIB per the Seely model. Perioperative mortality was 2% and half of patients were living at a follow-up of 53 months. Overall five-year survival was 52%. Conclusions. In carefully selected octogenarians, lobectomy carries a 15.6% rate of significantly morbid complications with encouraging overall survival. These data provide the basis for a more complete discussion with patients regarding lobectomy for lung cancer.

  8. Prediction of the survival and functional ability of severe stroke patients after ICU therapeutic intervention

    Directory of Open Access Journals (Sweden)

    Aoun-Bacha Zeina

    2008-06-01

    Full Text Available Abstract Background This study evaluated the benefits and impact of ICU therapeutic interventions on the survival and functional ability of severe cerebrovascular accident (CVA patients. Methods Sixty-two ICU patients suffering from severe ischemic/haemorrhagic stroke were evaluated for CVA severity using APACHE II and the Glasgow coma scale (GCS. Survival was determined using Kaplan-Meier survival tables and survival prediction factors were determined by Cox multivariate analysis. Functional ability was assessed using the stroke impact scale (SIS-16 and Karnofsky score. Risk factors, life support techniques and neurosurgical interventions were recorded. One year post-CVA dependency was investigated using multivariate analysis based on linear regression. Results The study cohort constituted 6% of all CVA (37.8% haemorrhagic/62.2% ischemic admissions. Patient mean(SD age was 65.8(12.3 years with a 1:1 male: female ratio. During the study period 16 patients had died within the ICU and seven in the year following hospital release. The mean(SD APACHE II score at hospital admission was 14.9(6.0 and ICU mean duration of stay was 11.2(15.4 days. Mechanical ventilation was required in 37.1% of cases. Risk ratios were; GCS at admission 0.8(0.14, (p = 0.024, APACHE II 1.11(0.11, (p = 0.05 and duration of mechanical ventilation 1.07(0.07, (p = 0.046. Linear coefficients were: type of CVA – haemorrhagic versus ischemic: -18.95(4.58 (p = 0.007, GCS at hospital admission: -6.83(1.08, (p = 0.001, and duration of hospital stay -0.38(0.14, (p = 0.40. Conclusion To ensure a better prognosis CVA patients require ICU therapeutic interventions. However, as we have shown, where tests can determine the worst affected patients with a poor vital and functional outcome should treatment be withheld?

  9. [Survival analysis for patients with severe motor and intellectual disabilities following tracheotomy].

    Science.gov (United States)

    Maruyama, Koichi; Kurahashi, Hirokazu; Suzuki, Motomasa; Miura, Kiyokuni; Kumagai, Toshiyuki

    2012-01-01

    To investigate the survival rate and causes of death in patients with severe motor and intellectual disabilities (SMIDs) that necessitated tracheotomy, we retrospectively analyzed 90 patients who underwent tracheotomy between 1990 and 2009. Indications for tracheotomy in these patients were upper airway obstruction (44 patients), recurrent aspiration pneumonia (28 patients), retained secretions (23 patients), prolonged mechanical ventilation (18 patients), chronic respiratory failure (9 patients), central respiratory failure (5 patients), and gastroesophageal reflux (8 patients). Most of the patients underwent tracheotomy at the age of 0-5 years or 10-19 years. As of April 1, 2010, 28 patients had died. The survival rate was 0.91 at 1 year, 0.74 at 5 years, 0.59 at 10 years, 0.54 at 15 years, and 0.40 at 19 years after tracheotomy. Massive tracheal bleeding due to development of tracheo-innominate artery fistulas occurred in 5 patients, and 4 of them died. They were thirteen years of age or older when they underwent tracheotomy, and developed fistulas after 2 weeks or later. In contrast, 7 patients at high risk for fistula formation, including those that had developed severe tracheomalacia associated with granulation or warning hemorrhages, underwent preventive resection of the innominate artery, and all of them had survived. It is important to regularly evaluate patients with SMIDs who have undergone tracheotomy by using bronchofiberscopy to identify risk factors for tracheoinnominate artery fistulas, a preventable cause of death.

  10. Taxonomic, Spatial and Temporal Patterns of Bleaching in Anemones Inhabited by Anemonefishes

    KAUST Repository

    Hobbs, Jean-Paul A.

    2013-08-08

    Background:Rising sea temperatures are causing significant destruction to coral reef ecosystems due to coral mortality from thermally-induced bleaching (loss of symbiotic algae and/or their photosynthetic pigments). Although bleaching has been intensively studied in corals, little is known about the causes and consequences of bleaching in other tropical symbiotic organisms.Methodology/Principal Findings:This study used underwater visual surveys to investigate bleaching in the 10 species of anemones that host anemonefishes. Bleaching was confirmed in seven anemone species (with anecdotal reports of bleaching in the other three species) at 10 of 19 survey locations spanning the Indo-Pacific and Red Sea, indicating that anemone bleaching is taxonomically and geographically widespread. In total, bleaching was observed in 490 of the 13,896 surveyed anemones (3.5%); however, this percentage was much higher (19-100%) during five major bleaching events that were associated with periods of elevated water temperatures and coral bleaching. There was considerable spatial variation in anemone bleaching during most of these events, suggesting that certain sites and deeper waters might act as refuges. Susceptibility to bleaching varied between species, and in some species, bleaching caused reductions in size and abundance.Conclusions/Significance:Anemones are long-lived with low natural mortality, which makes them particularly vulnerable to predicted increases in severity and frequency of bleaching events. Population viability will be severely compromised if anemones and their symbionts cannot acclimate or adapt to rising sea temperatures. Anemone bleaching also has negative effects to other species, particularly those that have an obligate relationship with anemones. These effects include reductions in abundance and reproductive output of anemonefishes. Therefore, the future of these iconic and commercially valuable coral reef fishes is inextricably linked to the ability of host

  11. Taxonomic, spatial and temporal patterns of bleaching in anemones inhabited by anemonefishes.

    Directory of Open Access Journals (Sweden)

    Jean-Paul A Hobbs

    Full Text Available BACKGROUND: Rising sea temperatures are causing significant destruction to coral reef ecosystems due to coral mortality from thermally-induced bleaching (loss of symbiotic algae and/or their photosynthetic pigments. Although bleaching has been intensively studied in corals, little is known about the causes and consequences of bleaching in other tropical symbiotic organisms. METHODOLOGY/PRINCIPAL FINDINGS: This study used underwater visual surveys to investigate bleaching in the 10 species of anemones that host anemonefishes. Bleaching was confirmed in seven anemone species (with anecdotal reports of bleaching in the other three species at 10 of 19 survey locations spanning the Indo-Pacific and Red Sea, indicating that anemone bleaching is taxonomically and geographically widespread. In total, bleaching was observed in 490 of the 13,896 surveyed anemones (3.5%; however, this percentage was much higher (19-100% during five major bleaching events that were associated with periods of elevated water temperatures and coral bleaching. There was considerable spatial variation in anemone bleaching during most of these events, suggesting that certain sites and deeper waters might act as refuges. Susceptibility to bleaching varied between species, and in some species, bleaching caused reductions in size and abundance. CONCLUSIONS/SIGNIFICANCE: Anemones are long-lived with low natural mortality, which makes them particularly vulnerable to predicted increases in severity and frequency of bleaching events. Population viability will be severely compromised if anemones and their symbionts cannot acclimate or adapt to rising sea temperatures. Anemone bleaching also has negative effects to other species, particularly those that have an obligate relationship with anemones. These effects include reductions in abundance and reproductive output of anemonefishes. Therefore, the future of these iconic and commercially valuable coral reef fishes is inextricably linked

  12. Taxonomic, spatial and temporal patterns of bleaching in anemones inhabited by anemonefishes.

    Science.gov (United States)

    Hobbs, Jean-Paul A; Frisch, Ashley J; Ford, Benjamin M; Thums, Michele; Saenz-Agudelo, Pablo; Furby, Kathryn A; Berumen, Michael L

    2013-01-01

    Rising sea temperatures are causing significant destruction to coral reef ecosystems due to coral mortality from thermally-induced bleaching (loss of symbiotic algae and/or their photosynthetic pigments). Although bleaching has been intensively studied in corals, little is known about the causes and consequences of bleaching in other tropical symbiotic organisms. This study used underwater visual surveys to investigate bleaching in the 10 species of anemones that host anemonefishes. Bleaching was confirmed in seven anemone species (with anecdotal reports of bleaching in the other three species) at 10 of 19 survey locations spanning the Indo-Pacific and Red Sea, indicating that anemone bleaching is taxonomically and geographically widespread. In total, bleaching was observed in 490 of the 13,896 surveyed anemones (3.5%); however, this percentage was much higher (19-100%) during five major bleaching events that were associated with periods of elevated water temperatures and coral bleaching. There was considerable spatial variation in anemone bleaching during most of these events, suggesting that certain sites and deeper waters might act as refuges. Susceptibility to bleaching varied between species, and in some species, bleaching caused reductions in size and abundance. Anemones are long-lived with low natural mortality, which makes them particularly vulnerable to predicted increases in severity and frequency of bleaching events. Population viability will be severely compromised if anemones and their symbionts cannot acclimate or adapt to rising sea temperatures. Anemone bleaching also has negative effects to other species, particularly those that have an obligate relationship with anemones. These effects include reductions in abundance and reproductive output of anemonefishes. Therefore, the future of these iconic and commercially valuable coral reef fishes is inextricably linked to the ability of host anemones to cope with rising sea temperatures associated with

  13. Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds.

    Science.gov (United States)

    Gall, Christine; Wetzel, Randall; Kolker, Alexander; Kanter, Robert K; Toltzis, Philip

    2016-09-01

    To develop and validate an algorithm to guide selection of patients for pediatric critical care admission during a severe pandemic when Crisis Standards of Care are implemented. Retrospective observational study using secondary data. Children admitted to VPS-participating PICUs between 2009-2012. A total of 111,174 randomly selected nonelective cases from the Virtual PICU Systems database were used to estimate each patient's probability of death and duration of ventilation employing previously derived predictive equations. Using real and projected statistics for the State of Ohio as an example, triage thresholds were established for casualty volumes ranging from 5,000 to 10,000 for a modeled pandemic with peak duration of 6 weeks and 280 pediatric intensive care beds. The goal was to simultaneously maximize casualty survival and bed occupancy. Discrete Event Simulation was used to determine triage thresholds for probability of death and duration of ventilation as a function of casualty volume and the total number of available beds. Simulation was employed to compare survival between the proposed triage algorithm and a first come first served distribution of scarce resources. Population survival was greater using the triage thresholds compared with a first come first served strategy. In this model, for five, six, seven, eight, and 10 thousand casualties, the triage algorithm increased the number of lives saved by 284, 386, 547, 746, and 1,089, respectively, compared with first come first served (all p triage thresholds based on probability of death and duration of mechanical ventilation determined from actual critically ill children's data demonstrated superior population survival during a simulated overwhelming pandemic.

  14. Evaluation of peanut hulls as an alternative to bleaching clays

    Energy Technology Data Exchange (ETDEWEB)

    Hassanein, M. M.; El-Shami, S. M.; Taha, F. S.

    2011-07-01

    Peanut hulls (PNH) were carbonized at different temperatures, times, and evaluated at different concentrations as an alternative to bleaching clays. Evaluation of bleached crude soybean oil with PNH was based on their delta free fatty acids, reduction in peroxide value (PV), reduction in phospholipids (PL) and bleachability. The performance of several commercially used bleaching clays was evaluated, for comparison. Mixtures were formulated including: PNH and Tonsil -N (TN), PNH and Fuller's earth (FE) and PNH and O-passive (OP) and examined. The oxidative stability of oils was determined. Results for the investigated commercial bleaching clays revealed: TN > FE > F > TF > OP. Highest reduction in PV and PL, and highest bleachability were achieved for soybean oil bleached with 2% PNH carbonized at 500 degree centigrade for 30 min (PNH). Mixtures of PNH with the three chosen bleaching clays indicated that 1PNH : 2TN gave the highest bleachability. CSO was miscella bleached in hexane using PNH and resulted in an appreciable improvement in all oil characteristics, especially in bleachability. Oxidative stability of oils was in the following order: TN > control > FE > PNH with Induction period values of 23.1 > 6.43 > 5.73 > 2.85 h, respectively. (Author) 20 refs.

  15. IMRT for Sinonasal Tumors Minimizes Severe Late Ocular Toxicity and Preserves Disease Control and Survival

    Energy Technology Data Exchange (ETDEWEB)

    Duprez, Frederic, E-mail: frederic.duprez@ugent.be [Department of Radiotherapy, Ghent University Hospital, Ghent (Belgium); Madani, Indira; Morbee, Lieve [Department of Radiotherapy, Ghent University Hospital, Ghent (Belgium); Bonte, Katrien; Deron, Philippe; Domjan, Vilmos [Department of Head and Neck Surgery, Ghent University Hospital, Ghent (Belgium); Boterberg, Tom; De Gersem, Werner; De Neve, Wilfried [Department of Radiotherapy, Ghent University Hospital, Ghent (Belgium)

    2012-05-01

    Purpose: To report late ocular (primary endpoint) and other toxicity, disease control, and survival (secondary endpoints) after intensity-modulated radiotherapy (IMRT) for sinonasal tumors. Methods and Materials: Between 1998 and 2009, 130 patients with nonmetastatic sinonasal tumors were treated with IMRT at Ghent University Hospital. Prescription doses were 70 Gy (n = 117) and 60-66 Gy (n = 13) at 2 Gy per fraction over 6-7 weeks. Most patients had adenocarcinoma (n = 82) and squamous cell carcinoma (n = 23). One hundred and one (101) patients were treated postoperatively. Of 17 patients with recurrent tumors, 9 were reirradiated. T-stages were T1-2 (n = 39), T3 (n = 21), T4a (n = 38), and T4b (n = 22). Esthesioneuroblastoma was staged as Kadish A, B, and C in 1, 3, and 6 cases, respectively. Results: Median follow-up was 52, range 15-121 months. There was no radiation-induced blindness in 86 patients available for late toxicity assessment ({>=}6 month follow-up). We observed late Grade 3 tearing in 10 patients, which reduced to Grade 1-2 in 5 patients and Grade 3 visual impairment because of radiation-induced ipsilateral retinopathy and neovascular glaucoma in 1 patient. There was no severe dry eye syndrome. The worst grade of late ocular toxicity was Grade 3 (n = 11), Grade 2 (n = 31), Grade 1 (n = 33), and Grade 0 (n = 11). Brain necrosis and osteoradionecrosis occurred in 6 and 1 patients, respectively. Actuarial 5-year local control and overall survival were 59% and 52%, respectively. On multivariate analysis local control was negatively affected by cribriform plate and brain invasion (p = 0.044 and 0.029, respectively) and absence of surgery (p = 0.009); overall survival was negatively affected by cribriform plate and orbit invasion (p = 0.04 and <0.001, respectively) and absence of surgery (p = 0.001). Conclusions: IMRT for sinonasal tumors allowed delivering high doses to targets at minimized ocular toxicity, while maintaining disease control and survival

  16. Survival

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — These data provide information on the survival of California red-legged frogs in a unique ecosystem to better conserve this threatened species while restoring...

  17. Effect of continuous hemofiltration on internal environment and survival rate of severe heatstroke dogs with shock

    Directory of Open Access Journals (Sweden)

    Guang-ming CHEN

    2011-08-01

    Full Text Available Objective To explore the effect of continuous hemofiltration(CHF on internal environment and survival rate of severe heatstroke dogs with shock.Methods Sixteen healthy male dogs were randomly divided into heatshock group(HS group,n=8 and continuous hemofiltration group(CHF group,n=8.Severe heatstroke model was established by applying high temperature to whole body,and then the animals were removed from the heating cabin as soon as they presented manifestations of shock.Dogs of HS group were put into an ordinary environment,while dogs of CHF group received CHF treatment.The core temperature(Tc,mean arterial pressure(MAP,blood gas analysis,serum electrolytes and survival rate of dogs in two groups were observed.Results The time from heat exposure to shock was 107.0±28.5min and 111.4±22.2min in HS group and CHF group respectively(t=-0.354,P=0.729.The Tc in CHF group declined to normal level 15 to 30 minitues after CHF treatment,while the Tc in HS group remained at a level higher than that before heat exposure at 90min after shock.The Tc of two groups showed significant difference at each time point after shock(P < 0.01.The MAP of both groups was obviously lowered than that before heatstroke.The MAP of CHF group raised gradually 30 min after treatment,while the MAP of HS group rose very slowly,and it was significantly lower than that of CHF group at each time point after 45min(P < 0.05,P < 0.01.All the dogs in both groups manifested hyperventilation and respiratory alkalosis when shock appeared.After shock,respiratory alkalosis in HS group gradually became metabolic acidosis,with some animals manifested combined metabolic and respiratory acidosis because of respiratory decompensation,while the blood gas levels in CHF group recovered to normal gradually.The blood gas levels of two groups showed significant difference at each time point after shock(P < 0.05,P < 0.01.Hypernatremia,hyperchloraemia and hyperpotassaemia were found in all animals of both

  18. Mill Designed Bio bleaching Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Institute of Paper Science Technology

    2004-01-30

    generation of laccase has a broad spectrum of operating parameters. Nonetheless, the development of future genetically engineered laccases with enhanced temperature, pH and redox potentials will dramatically improve the overall process. A second challenge for LMS bleaching technologies is the need to develop effective, catalytic mediators. From the literature we already know this is feasible since ABTS and some inorganic mediators are catalytic. Unfortunately, the mediators that exhibit catalytic properties do not exhibit significant delignification properties and this is a challenge for future research studies. Potential short-term mill application of laccase has been recently reported by Felby132 and Chandra133 as they have demonstrated that the physical properties of linerboard can be improved when exposed to laccase without a chemical mediator. In addition, xxx has shown that the addition of laccase to the whitewater of the paper machine has several benefits for the removal of colloidal materials. Finally, this research program has presented important features on the delignification chemistry of LMS{sub NHA} and LMS{sub VA} that, in the opinion of the author, are momentous contributions to the overall LMS chemistry/biochemistry knowledge base which will continue to have future benefits.

  19. Implantable cardioverter-defibrillators improve survival after coronary artery bypass grafting in patients with severely impaired left ventricular function

    Directory of Open Access Journals (Sweden)

    Pasque Michael K

    2007-01-01

    Full Text Available Abstract Objective Patients with severe left ventricular (LV dysfunction have a poor long term survival despite complete surgical revascularization. Recent data suggests that the use of Implantable Cardioverter-Defibrillator (ICD improves survival in patients with severe LV dysfunction. We compared the survival impact of ICD implantation in patients with severe LV dysfunction who underwent CABG. Methods Between January 1996 and August 2004, 305 patients with LV ejection fraction (EF ≤25% had CABG surgery at our institution. Demographics of patients who had received an ICD (ICD+ in the post -operative period was compared to those without ICD (ICD-. Survival was evaluated by the Kaplan-Meier method. Results Of the entire group, 35 (11.5% patients received an ICD with a median of 2 (+/-2 years after CABG. Indication for ICD implantation was clinical evidence of non sustained ventricular tachycardia (NSVT. There were no differences between the 2 groups with respect to age, gender, NYHA classification, number of bypasses, or other co-morbidities. Survival at 1, 3 and 5 years was 88%, 79%, and 67% for the ICD- group compared to 94%, 89% and 83% for the ICD+ group, respectively (figure, p Conclusion Implantation of ICD after CABG confers improved short and long term survival benefit to patients with severe LV dysfunction. Prophylactic ICD implantation in the setting of severe LV dysfunction and CABG surgery should be considered.

  20. Thermal refugia against coral bleaching throughout the northern Red Sea

    KAUST Repository

    Osman, Eslam O.

    2017-10-17

    Tropical reefs have been impacted by thermal anomalies caused by global warming that induced coral bleaching and mortality events globally. However, there have only been very few recordings of bleaching within the Red Sea despite covering a latitudinal range of 15° and consequently it has been considered a region that is less sensitive to thermal anomalies. We therefore examined historical patterns of sea surface temperature (SST) and associated anomalies (1982–2012) and compared warming trends with a unique compilation of corresponding coral bleaching records from throughout the region. These data indicated that the northern Red Sea has not experienced mass bleaching despite intensive Degree Heating Weeks (DHW) of >15°C-weeks. Severe bleaching was restricted to the central and southern Red Sea where DHWs have been more frequent, but far less intense (DHWs <4°C-weeks). A similar pattern was observed during the 2015–2016 El Niño event during which time corals in the northern Red Sea did not bleach despite high thermal stress (i.e. DHWs >8°C-weeks), and bleaching was restricted to the central and southern Red Sea despite the lower thermal stress (DHWs < 8°C-weeks). Heat stress assays carried out in the northern (Hurghada) and central (Thuwal) Red Sea on four key reef-building species confirmed different regional thermal susceptibility, and that central Red Sea corals are more sensitive to thermal anomalies as compared to those from the north. Together, our data demonstrate that corals in the northern Red Sea have a much higher heat tolerance than their prevailing temperature regime would suggest. In contrast, corals from the central Red Sea are close to their thermal limits, which closely match the maximum annual water temperatures. The northern Red Sea harbours reef-building corals that live well below their bleaching thresholds and thus we propose that the region represents a thermal refuge of global importance.

  1. Thermal refugia against coral bleaching throughout the northern Red Sea.

    Science.gov (United States)

    Osman, Eslam O; Smith, David J; Ziegler, Maren; Kürten, Benjamin; Conrad, Constanze; El-Haddad, Khaled M; Voolstra, Christian R; Suggett, David J

    2017-10-17

    Tropical reefs have been impacted by thermal anomalies caused by global warming that induced coral bleaching and mortality events globally. However, there have only been very few recordings of bleaching within the Red Sea despite covering a latitudinal range of 15° and consequently it has been considered a region that is less sensitive to thermal anomalies. We therefore examined historical patterns of sea surface temperature (SST) and associated anomalies (1982-2012) and compared warming trends with a unique compilation of corresponding coral bleaching records from throughout the region. These data indicated that the northern Red Sea has not experienced mass bleaching despite intensive Degree Heating Weeks (DHW) of >15°C-weeks. Severe bleaching was restricted to the central and southern Red Sea where DHWs have been more frequent, but far less intense (DHWs Red Sea did not bleach despite high thermal stress (i.e. DHWs >8°C-weeks), and bleaching was restricted to the central and southern Red Sea despite the lower thermal stress (DHWs Red Sea on four key reef-building species confirmed different regional thermal susceptibility, and that central Red Sea corals are more sensitive to thermal anomalies as compared to those from the north. Together, our data demonstrate that corals in the northern Red Sea have a much higher heat tolerance than their prevailing temperature regime would suggest. In contrast, corals from the central Red Sea are close to their thermal limits, which closely match the maximum annual water temperatures. The northern Red Sea harbours reef-building corals that live well below their bleaching thresholds and thus we propose that the region represents a thermal refuge of global importance. © 2017 John Wiley & Sons Ltd.

  2. Can heterotrophic uptake of dissolved organic carbon and zooplankton mitigate carbon budget deficits in annually bleached corals?

    Science.gov (United States)

    Levas, Stephen; Grottoli, Andréa G.; Schoepf, Verena; Aschaffenburg, Matthew; Baumann, Justin; Bauer, James E.; Warner, Mark E.

    2016-06-01

    Annual coral bleaching events due to increasing sea surface temperatures are predicted to occur globally by the mid-century and as early as 2025 in the Caribbean, and severely impact coral reefs. We hypothesize that heterotrophic carbon (C) in the form of zooplankton and dissolved organic carbon (DOC) is a significant source of C to bleached corals. Thus, the ability to utilize multiple pools of fixed carbon and/or increase the amount of fixed carbon acquired from one or more pools of fixed carbon (defined here as heterotrophic plasticity) could underlie coral acclimatization and persistence under future ocean-warming scenarios. Here, three species of Caribbean coral— Porites divaricata, P. astreoides, and Orbicella faveolata—were experimentally bleached for 2.5 weeks in two successive years and allowed to recover in the field. Zooplankton feeding was assessed after single and repeat bleaching, while DOC fluxes and the contribution of DOC to the total C budget were determined after single bleaching, 11 months on the reef, and repeat bleaching. Zooplankton was a large C source for P. astreoides, but only following single bleaching. DOC was a source of C for single-bleached corals and accounted for 11-36 % of daily metabolic demand (CHARDOC), but represented a net loss of C in repeat-bleached corals. In repeat-bleached corals, DOC loss exacerbated the negative C budgets in all three species. Thus, the capacity for heterotrophic plasticity in corals is compromised under annual bleaching, and heterotrophic uptake of DOC and zooplankton does not mitigate C budget deficits in annually bleached corals. Overall, these findings suggest that some Caribbean corals may be more susceptible to repeat bleaching than to single bleaching due to a lack of heterotrophic plasticity, and coral persistence under increasing bleaching frequency may ultimately depend on other factors such as energy reserves and symbiont shuffling.

  3. Effect of severity of disability on survival in north east England cerebral palsy cohort

    OpenAIRE

    Hutton, J; Colver, A; Mackie, P; ROSENBLOOM, L.

    2000-01-01

    AIMS—To investigate the effect of motor and cognitive disabilities on the survival of people on the North of England Collaborative Cerebral Palsy Survey, and compare this with other published results.
METHODS—The cerebral palsy cohort consists of 1960-1990 births in Northumberland, Newcastle, and North Tyneside health districts. Survival and cause of death were analysed in relation to data on birth, disabilities, and a unique measure of the impact of disability.
RESULTS—D...

  4. Dietary shift in corallivorous Drupella snails following a major bleaching event at Koh Tao, Gulf of Thailand

    Science.gov (United States)

    Hoeksema, B. W.; Scott, C.; True, J. D.

    2013-06-01

    The island Koh Tao in the western Gulf of Thailand suffered severe coral bleaching in 2010. Its mushroom coral fauna of 20 species was surveyed during the bleaching in 2010 and after the bleaching in 2011. Multi-species assemblages of free-living mushroom corals occurred around the island, two of which were invaded by corallivorous Drupella snails after the bleaching. Previously these gastropods were known to mainly consume branching corals and hardly any mushroom corals. The snails were found preying on four fungiid species, three of which were susceptible to bleaching. The dietary shift became apparent after populations of preferred prey species (Acroporidae and Pocilloporidae) had died during the bleaching event. It seems that bleaching mortality reduced the availability of preferred prey, causing the corallivores to switch to less preferred species that occur in dense aggregations.

  5. Remote Sensing of Coral Bleaching Using Temperature and Light: Progress towards an Operational Algorithm

    Directory of Open Access Journals (Sweden)

    William Skirving

    2017-12-01

    Full Text Available The National Oceanic and Atmospheric Administration’s Coral Reef Watch program developed and operates several global satellite products to monitor bleaching-level heat stress. While these products have a proven ability to predict the onset of most mass coral bleaching events, they occasionally miss events; inaccurately predict the severity of some mass coral bleaching events; or report false alarms. These products are based solely on temperature and yet coral bleaching is known to result from both temperature and light stress. This study presents a novel methodology (still under development, which combines temperature and light into a single measure of stress to predict the onset and severity of mass coral bleaching. We describe here the biological basis of the Light Stress Damage (LSD algorithm under development. Then by using empirical relationships derived in separate experiments conducted in mesocosm facilities in the Mexican Caribbean we parameterize the LSD algorithm and demonstrate that it is able to describe three past bleaching events from the Great Barrier Reef (GBR. For this limited example, the LSD algorithm was able to better predict differences in the severity of the three past GBR bleaching events, quantifying the contribution of light to reduce or exacerbate the impact of heat stress. The new Light Stress Damage algorithm we present here is potentially a significant step forward in the evolution of satellite-based bleaching products.

  6. A depth refugium from catastrophic coral bleaching prevents regional extinction.

    Science.gov (United States)

    Smith, Tyler B; Glynn, Peter W; Maté, Juan L; Toth, Lauren T; Gyory, Joanna

    2014-06-01

    Species intolerant of changing climate might avoid extinction within refugia buffered from extreme conditions. Refugia have been observed in the fossil record but are not well documented or understood on ecological time scales. Using a 37-year record from the eastern Pacific across the two most severe El Niño events on record (1982-1983 and 1997 1998) we show how an exceptionally thermally sensitive reef-building hydrocoral, Millepora intricata, twice survived catastrophic bleaching in a deeper-water refuge (> 11 m depth). During both events, M. intricata was extirpated across its range in shallow water, but showed recovery within several years, while two other hydrocorals without deep-water populations were driven to regional extinction. Evidence from the subfossil record in the same area showed shallow-water persistence of abundant M. intricata populations from 5000 years ago, through severe El Niño-Southern Oscillation cycles, suggesting a potential depth refugium on a millennial timescale. Our data confirm the deep refuge hypothesis for corals under thermal stress.

  7. Excess algal symbionts increase the susceptibility of reef corals to bleaching

    Science.gov (United States)

    Cunning, Ross; Baker, Andrew C.

    2013-03-01

    Rising ocean temperatures associated with global climate change are causing mass coral bleaching and mortality worldwide. Understanding the genetic and environmental factors that mitigate coral bleaching susceptibility may aid local management efforts to help coral reefs survive climate change. Although bleaching susceptibility depends partly on the genetic identity of a coral's algal symbionts, the effect of symbiont density, and the factors controlling it, remain poorly understood. By applying a new metric of symbiont density to study the coral Pocillopora damicornis during seasonal warming and acute bleaching, we show that symbiont cell ratio density is a function of both symbiont type and environmental conditions, and that corals with high densities are more susceptible to bleaching. Higher vulnerability of corals with more symbionts establishes a quantitative mechanistic link between symbiont density and the molecular basis for coral bleaching, and indicates that high densities do not buffer corals from thermal stress, as has been previously suggested. These results indicate that environmental conditions that increase symbiont densities, such as nutrient pollution, will exacerbate climate-change-induced coral bleaching, providing a mechanistic explanation for why local management to reduce these stressors will help coral reefs survive future warming.

  8. Corals differential susceptibilities to bleaching along the Red Sea Coast, Egypt

    Directory of Open Access Journals (Sweden)

    MONTASER ALY MAHMOUD AL-HAMMADY

    2011-07-01

    Full Text Available Ammar MSA, Obuid-Allah AH, Al-Hammady MAM. 2011. Corals differential susceptibilities to bleaching along the Red Sea Coast, Egypt. Nusantara Bioscience 3: 73-81. Coral bleaching was studied at four sites in four widely geographically separated areas. Three of these sites are subjected to different human activities and the fourth one is considered as a control site. Data were collected by using SCUBA diving equipments and the line transects method. A total of 3940 coral colonies, representing 62 species in 21genera and 10 families, were recorded on transects on the reefs of four studied sites.20.11% of all corals were affected by bleaching: 5.4% were moderately affected; 2.7% severely affected and 12.007% were dead. Overall, there were differences in the proportion of colonies affected by bleaching between the studied sites. Ras El-Behar, the site impacted by petroleum oil, has the maximum average proportion of moderately, severely bleached and dead colonies. While, the lowest average proportions of severely bleached colonies and dead colonies were found at Kalawy bay. Surprisingly, coral reef taxa at El-Hamraween harbor showed high resistance to bleaching probably because of having a new different clade of Symbiodinium which can withstand sea water temperature. Species with highest susceptibilities to bleaching in areas of oil pollution, increased sedimentation and heavy load of phosphate are Stylophora pistillata, Acropora granulosa and Montipora meandrina, respectively while species with lowest susceptibilities are Fungia fungites, Alveopora daedalea and Millepora dichotoma, respectively.

  9. Contrasting patterns of coral bleaching susceptibility in 2010 suggest an adaptive response to thermal stress.

    Science.gov (United States)

    Guest, James R; Baird, Andrew H; Maynard, Jeffrey A; Muttaqin, Efin; Edwards, Alasdair J; Campbell, Stuart J; Yewdall, Katie; Affendi, Yang Amri; Chou, Loke Ming

    2012-01-01

    Coral bleaching events vary in severity, however, to date, the hierarchy of susceptibility to bleaching among coral taxa has been consistent over a broad geographic range and among bleaching episodes. Here we examine the extent of spatial and temporal variation in thermal tolerance among scleractinian coral taxa and between locations during the 2010 thermally induced, large-scale bleaching event in South East Asia. Surveys to estimate the bleaching and mortality indices of coral genera were carried out at three locations with contrasting thermal and bleaching histories. Despite the magnitude of thermal stress being similar among locations in 2010, there was a remarkable contrast in the patterns of bleaching susceptibility. Comparisons of bleaching susceptibility within coral taxa and among locations revealed no significant differences between locations with similar thermal histories, but significant differences between locations with contrasting thermal histories (Friedman = 34.97; pBleaching was much less severe at locations that bleached during 1998, that had greater historical temperature variability and lower rates of warming. Remarkably, Acropora and Pocillopora, taxa that are typically highly susceptible, although among the most susceptible in Pulau Weh (Sumatra, Indonesia) where respectively, 94% and 87% of colonies died, were among the least susceptible in Singapore, where only 5% and 12% of colonies died. The pattern of susceptibility among coral genera documented here is unprecedented. A parsimonious explanation for these results is that coral populations that bleached during the last major warming event in 1998 have adapted and/or acclimatised to thermal stress. These data also lend support to the hypothesis that corals in regions subject to more variable temperature regimes are more resistant to thermal stress than those in less variable environments.

  10. Severe nutritional risk predicts decreased long-term survival in geriatric patients undergoing pancreaticoduodenectomy for benign disease.

    Science.gov (United States)

    Sanford, Dominic E; Sanford, Angela M; Fields, Ryan C; Hawkins, William G; Strasberg, Steven M; Linehan, David C

    2014-12-01

    Weight loss and malnutrition are poorly tolerated by geriatric patients, and pancreaticoduodenectomy (PD) can result in chronic malabsorption and weight loss. We sought to determine how preoperative severe nutritional risk (SNR), as defined by the American College of Surgeons National Surgical Quality Improvement Program/American Geriatric Society Best Practice Guidelines, affects long-term survival after PD for benign disease among geriatric and nongeriatric patients. All patients undergoing PD for nonmalignant conditions at a single center between 1995 and 2013 were followed for survival, excluding patients who died within 90 days of surgery. Survival of geriatric (age ≥65 years) and nongeriatric (age patients with and without SNR was compared using Kaplan Meier methods. Cox regression was performed. There were 320 patients who underwent PD for benign disease. Over the course of the study, the proportion of geriatric patients undergoing PD for benign conditions increased from 25% to 46%. In addition to being older, geriatric patients undergoing PD for benign disease were significantly more likely to have coronary artery disease (CAD) and hypertension. Geriatric patients with preoperative SNR had significantly decreased long-term survival after PD for benign disease (p patients dead at 5 years compared with 1 in 14 patients without SNR. Survival was not significantly different among nongeriatric patients with and without SNR. In geriatric patients, age, CAD, and SNR were significantly associated with decreased survival on both univariate and multivariate analysis. Severe nutritional risk can be a useful predictor of long-term survival in geriatric patients undergoing PD, and could improve patient risk stratification preoperatively. Nonoperative management should be strongly considered in geriatric patients with SNR, when malignancy is not suspected. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Extracorporeal life support with left ventricular decompression-improved survival in severe cardiogenic shock: results from a retrospective study.

    Science.gov (United States)

    Schmack, Bastian; Seppelt, Philipp; Weymann, Alexander; Alt, Christina; Farag, Mina; Arif, Rawa; Doesch, Andreas O; Raake, Philip W; Kallenbach, Klaus; Mansur, Ashham; Popov, Aron-Frederik; Karck, Matthias; Ruhparwar, Arjang

    2017-01-01

    Extracorporeal life support (ECLS) is a life-saving procedure used in the treatment of severe cardiogenic shock. Within this retrospective single centre study, we examined our experience in this critically ill patient cohort to assess outcomes and clinical parameters by comparison of ECLS with or without selective left ventricular decompression. Between 2004 and 2014 we evaluated 48 adult patients with INTERMACS level 1 heart failure (age 49.7 ± 19.5 years), who received either central ECLS with (n = 20, 41.7%) or ECLS without (n = 28, 58.3%, including 10 peripheral ECLS) integrated left ventricular vent in our retrospective single centre trial. Follow up was 100% with a mean of 0.83 ± 1.85 years. Bridge to ventricular assist device was feasible in 29.2% (n = 14), bridge to transplant in 10.4% (n = 5) and bridge to recovery in 8.3% (n = 4). Overall 30-day survival was 37.5%, 6-month survival 27.1% and 1-year survival 25.0%. ECLS support with left ventricular decompression showed favourable 30-day survival compared to ECLS without left ventricular decompression (p = 0.034). Thirty-day as well as long-term survival did not differ between the subgroups (central ECLS with vent, ECLS without vent and peripheral ECLS without vent). Multivariate logistic regression adjusted for age and gender revealed ECLS without vent as independent factor influencing 30-day survival. ECLS is an established therapy for patients in severe cardiogenic shock. Independent of the ECLS approach, 30-day mortality is still high but with superior 30-day survival for patients with ECLS and left ventricular venting. Moreover, by unloading the ventricle, left ventricular decompression may provide an important time window for recovery or further treatment, such as bridge to bridge or bridge to transplant.

  12. Clinical trial of three 10% carbamide peroxide bleaching products.

    Science.gov (United States)

    Tam, L

    1999-04-01

    A profusion of commercial bleaching systems exists on the market today, but there are few clinical comparisons of these systems. In this study, three different commercial 10% carbamide peroxide bleaching systems were used by 24 patients in an overnight protocol for two weeks. Each patient used two of the bleaching products simultaneously in a side-by-side comparison. The mean onset of tooth whitening was 2.4 +/- 1.7 days. Tooth sensitivity was the most frequent side effect, as 64% of the patients reported tooth sensitivity occurring after 4.8 +/- 4.1 days and lasting for 5.0 +/- 3.8 days. Although intrapatient differences were recorded for the three commercial 10% carbamide peroxide bleaching systems by the patients, there were no statistical differences in the time of onset of subjective tooth whitening and the onset, frequency and duration of tooth sensitivity among the three commercial bleaching systems when compared pairwise or independently (p marketing features. Further research is needed to investigate the causes of tooth sensitivity and methods to reduce its severity and frequency.

  13. Skeletal light-scattering accelerates bleaching response in reef-building corals.

    Science.gov (United States)

    Swain, Timothy D; DuBois, Emily; Gomes, Andrew; Stoyneva, Valentina P; Radosevich, Andrew J; Henss, Jillian; Wagner, Michelle E; Derbas, Justin; Grooms, Hannah W; Velazquez, Elizabeth M; Traub, Joshua; Kennedy, Brian J; Grigorescu, Arabela A; Westneat, Mark W; Sanborn, Kevin; Levine, Shoshana; Schick, Mark; Parsons, George; Biggs, Brendan C; Rogers, Jeremy D; Backman, Vadim; Marcelino, Luisa A

    2016-03-21

    At the forefront of ecosystems adversely affected by climate change, coral reefs are sensitive to anomalously high temperatures which disassociate (bleaching) photosynthetic symbionts (Symbiodinium) from coral hosts and cause increasingly frequent and severe mass mortality events. Susceptibility to bleaching and mortality is variable among corals, and is determined by unknown proportions of environmental history and the synergy of Symbiodinium- and coral-specific properties. Symbiodinium live within host tissues overlaying the coral skeleton, which increases light availability through multiple light-scattering, forming one of the most efficient biological collectors of solar radiation. Light-transport in the upper ~200 μm layer of corals skeletons (measured as 'microscopic' reduced-scattering coefficient, μ'(S,m)), has been identified as a determinant of excess light increase during bleaching and is therefore a potential determinant of the differential rate and severity of bleaching response among coral species. Here we experimentally demonstrate (in ten coral species) that, under thermal stress alone or combined thermal and light stress, low-μ'(S,m) corals bleach at higher rate and severity than high-μ'(S,m) corals and the Symbiodinium associated with low-μ'(S,m) corals experience twice the decrease in photochemical efficiency. We further modelled the light absorbed by Symbiodinium due to skeletal-scattering and show that the estimated skeleton-dependent light absorbed by Symbiodinium (per unit of photosynthetic pigment) and the temporal rate of increase in absorbed light during bleaching are several fold higher in low-μ'(S,m) corals. While symbionts associated with low-[Formula: see text] corals receive less total light from the skeleton, they experience a higher rate of light increase once bleaching is initiated and absorbing bodies are lost; further precipitating the bleaching response. Because microscopic skeletal light-scattering is a robust predictor

  14. Association between donor leukocyte telomere length and survival after unrelated allogeneic hematopoietic cell transplantation for severe aplastic anemia.

    Science.gov (United States)

    Gadalla, Shahinaz M; Wang, Tao; Haagenson, Michael; Spellman, Stephen R; Lee, Stephanie J; Williams, Kirsten M; Wong, Jason Y; De Vivo, Immaculata; Savage, Sharon A

    2015-02-10

    Telomeres protect chromosome ends and are markers of cellular aging and replicative capacity. To evaluate the association between recipient and donor pretransplant leukocyte telomere length with outcomes after unrelated donor allogeneic hematopoietic cell transplantation (HCT) for patients with severe aplastic anemia. The study included 330 patients (235 acquired, 85 Fanconi anemia, and 10 Diamond-Blackfan anemia) and their unrelated donors who had pre-HCT blood samples and clinical and outcome data available at the Center for International Blood and Marrow Transplant Research. Patients underwent HCT between 1989 and 2007 in 84 centers and were followed-up to March 2013. Recipient and donor pre-HCT leukocyte telomere length classified into long (third tertile) and short (first and second tertiles combined) based on donor telomere length distribution. Overall survival, neutrophil recovery, and acute and chronic graft-vs-host disease, as ascertained by transplant centers through regular patient follow-up. Longer donor leukocyte telomere length was associated with higher survival probability (5-year overall survival, 56%; number at risk, 57; cumulative deaths, 50) than shorter donor leukocyte telomere length (5-year overall survival, 40%; number at risk, 71; cumulative deaths, 128; P = .009). The association remained statistically significant after adjusting for donor age, disease subtype, Karnofsky performance score, graft type, HLA matching, prior aplastic anemia therapy, race/ethnicity, and calendar year of transplant (hazard ratio [HR], 0.61; 95% CI, 0.44-0.86). Similar results were noted in analyses stratified on severe aplastic anemia subtype, recipient age, HLA matching, calendar year of transplant, and conditioning regimen. There was no association between donor telomere length and neutrophil engraftment at 28 days (cumulative incidence, 86% vs 85%; HR, 0.94; 95% CI, 0.73-1.22), acute graft-vs-host disease grades III-IV at 100 days (cumulative incidence

  15. Sarcopenia is an Independent Predictor of Severe Postoperative Complications and Long-Term Survival After Radical Gastrectomy for Gastric Cancer

    Science.gov (United States)

    Zhuang, Cheng-Le; Huang, Dong-Dong; Pang, Wen-Yang; Zhou, Chong-Jun; Wang, Su-Lin; Lou, Neng; Ma, Liang-Liang; Yu, Zhen; Shen, Xian

    2016-01-01

    Abstract Currently, the association between sarcopenia and long-term prognosis after gastric cancer surgery has not been investigated. Moreover, the association between sarcopenia and postoperative complications remains controversial. This large-scale retrospective study aims to ascertain the prevalence of sarcopenia and assess its impact on postoperative complications and long-term survival in patients undergoing radical gastrectomy for gastric cancer. From December 2008 to April 2013, the clinical data of all patients who underwent elective radical gastrectomy for gastric cancer were collected prospectively. Only patients with available preoperative abdominal CT scan within 30 days of surgery were considered for analysis. Skeletal muscle mass was determined by abdominal (computed tomography) CT scan, and sarcopenia was diagnosed by the cut-off values obtained by means of optimum stratification. Univariate and multivariate analyses evaluating risk factors of postoperative complications and long-term survival were performed. A total of 937 patients were included in this study, and 389 (41.5%) patients were sarcopenic based on the diagnostic cut-off values (34.9 cm2/m2 for women and 40.8 cm2/m2 for men). Sarcopenia was an independent risk factor for severe postoperative complications (OR = 3.010, P sarcopenia did not show significant association with operative mortality. Moreover, sarcopenia was an independent predictor for poorer overall survival (HR = 1.653, P sarcopenia remained an independent risk factor for overall survival and disease-free survival in patients with TNM stage II and III, but not in patients with TNM stage I. Sarcopenia is an independent predictive factor of severe postoperative complications after radical gastrectomy for gastric cancer. Moreover, sarcopenia is independently associated with overall and disease-free survival in patients with TNM stage II and III, but not in patients with TNM stage I. PMID:27043677

  16. Changes in coral-associated microbial communities during a bleaching event.

    Science.gov (United States)

    Bourne, David; Iida, Yuki; Uthicke, Sven; Smith-Keune, Carolyn

    2008-04-01

    Environmental stressors such as increased sea surface temperatures are well-known for contributing to coral bleaching; however, the effect of increased temperatures and subsequent bleaching on coral-associated microbial communities is poorly understood. Colonies of the hard coral Acropora millepora were tagged on a reef flat off Magnetic Island (Great Barrier Reef) and surveyed over 2.5 years, which included a severe bleaching event in January/February 2002. Daily average water temperatures exceeded the previous 10-year average by more than 1 degrees C for extended periods with field-based visual surveys recording all tagged colonies displaying signs of bleaching. During the bleaching period, direct counts of coral zooxanthellae densities decreased by approximately 64%, before recovery to pre-bleaching levels after the thermal stress event. A subset of three tagged coral colonies were sampled through the bleaching event and changes in the microbial community elucidated. Denaturing gradient gel electrophoresis (DGGE) analysis demonstrated conserved bacterial banding profiles between the three coral colonies, confirming previous studies highlighting specific microbial associations. As coral colonies bleached, the microbial community shifted and redundancy analysis (RDA) of DGGE banding patterns revealed a correlation of increasing temperature with the appearance of Vibrio-affiliated sequences. Interestingly, this shift to a Vibrio-dominated community commenced prior to visual signs of bleaching. Clone libraries hybridized with Vibrio-specific oligonucleotide probes confirmed an increase in the fraction of Vibrio-affiliated clones during the bleaching period. Post bleaching, the coral microbial associations again shifted, returning to a profile similar to the fingerprints prior to bleaching. This provided further evidence for corals selecting and shaping their microbial partners. For non-bleached samples, a close association with Spongiobacter-related sequences were

  17. Embolization of severe arterioportal shunts in the patients with hepatocellular carcinoma : safety and influence on patient survival

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Deok Hee; Yoon, Hyun Ki; Song, Ho Young; Kim, Gab Choul; Hwang, Jae Cheol; Sung, Kyu Bo [Asan Medical Center, Ulsan Univ. College of Medicine, Ulsan (Korea, Republic of)

    1999-12-01

    To evaluate the safety and the influence of embolization of severe arterioportal shunts, and the effect of the procedure on the survival rate of patients with hepatocellular carcinoma combined with portal vein tumor thrombosis. This study involved a total of 54 patients with hepatocellular carcinoma in whom hepatic arteriography revealed severe arterioportal shunt. From among this total, 34 patients (embolization group) underwent chemoinfusion after shunt embolization, while 19 (control group) underwent chemoinfusion only. The embolic materials included PVA particles and /or Gelfoam pieces. The frequency of postem-bolization symptoms (Chi-squared test) and changes in laboratory values (paired t-test) were compared between the two groups, and shunt improvement was also evaluated. Patient survival was tested using the Kaplan-Meier method. Fever and RUQ pain were more frequent in the embolization group (p<0.001). The complications of embolization included severe postembolization syndrome (n=1), acute hepatic failure (n=2), hepatic infarction (n=1), and sepsis (n=1). There were no significant changes in laboratory values. Among the 28 patients (24 of embolization group and four of control group) who underwent follow-up angiography, arterioportal shunt became less severe or disappeared in ten of the embolization group. For the embolization and control groups, the mean survival interval was 29.5{+-}5.4 weeks and 10.3{+-}3.1 weeks (p=0.0002), respectively. The best results were seen in the PVA particle group (p=0.01). The embolization of severe arterioportal shunts is relatively safe and increases patient survival rate.

  18. Spatial and temporal patterns of mass bleaching of corals in the Anthropocene

    KAUST Repository

    Hughes, Terry P.

    2018-01-16

    Tropical reef systems are transitioning to a new era in which the interval between recurrent bouts of coral bleaching is too short for a full recovery of mature assemblages. We analyzed bleaching records at 100 globally distributed reef locations from 1980 to 2016. The median return time between pairs of severe bleaching events has diminished steadily since 1980 and is now only 6 years. As global warming has progressed, tropical sea surface temperatures are warmer now during current La Nina conditions than they were during El Nino events three decades ago. Consequently, as we transition to the Anthropocene, coral bleaching is occurring more frequently in all El Nino-Southern Oscillation phases, increasing the likelihood of annual bleaching in the coming decades.

  19. Spatial and temporal patterns of mass bleaching of corals in the Anthropocene.

    Science.gov (United States)

    Hughes, Terry P; Anderson, Kristen D; Connolly, Sean R; Heron, Scott F; Kerry, James T; Lough, Janice M; Baird, Andrew H; Baum, Julia K; Berumen, Michael L; Bridge, Tom C; Claar, Danielle C; Eakin, C Mark; Gilmour, James P; Graham, Nicholas A J; Harrison, Hugo; Hobbs, Jean-Paul A; Hoey, Andrew S; Hoogenboom, Mia; Lowe, Ryan J; McCulloch, Malcolm T; Pandolfi, John M; Pratchett, Morgan; Schoepf, Verena; Torda, Gergely; Wilson, Shaun K

    2018-01-05

    Tropical reef systems are transitioning to a new era in which the interval between recurrent bouts of coral bleaching is too short for a full recovery of mature assemblages. We analyzed bleaching records at 100 globally distributed reef locations from 1980 to 2016. The median return time between pairs of severe bleaching events has diminished steadily since 1980 and is now only 6 years. As global warming has progressed, tropical sea surface temperatures are warmer now during current La Niña conditions than they were during El Niño events three decades ago. Consequently, as we transition to the Anthropocene, coral bleaching is occurring more frequently in all El Niño-Southern Oscillation phases, increasing the likelihood of annual bleaching in the coming decades. Copyright © 2018, American Association for the Advancement of Science.

  20. Continuous Renal Replacement Therapy Improves Survival in Severely Burned Military Casualties With Acute Kidney Injury

    National Research Council Canada - National Science Library

    Chung, Kevin K; Juncos, , Luis A; Wolf, Steven E; Mann, Elizabeth E; Renz, Evan M; White, Christopher E; Barillo, David J; Clark, Richard A; Jones, John A; Edgecombe, Harcourt P

    2007-01-01

    .... We wondered whether early use of continuous renal replacement therapy (CRRT) changes outcomes in severely burned military casualties with predetermined criteria for acute kidney injury. Methods...

  1. The effects of coral bleaching on settlement preferences and growth of juvenile butterflyfishes.

    Science.gov (United States)

    Cole, A J; Lawton, R J; Pisapia, C; Pratchett, M S

    2014-07-01

    Coral bleaching and associated mortality is an increasingly prominent threat to coral reef ecosystems. Although the effects of bleaching-induced coral mortality on reef fishes have been well demonstrated, corals can remain bleached for several weeks prior to recovery or death and little is known about how bleaching affects resident fishes during this time period. This study compared growth rates of two species of juvenile butterflyfishes (Chaetodon aureofasciatus and Chaetodon lunulatus) that were restricted to feeding upon either bleached or healthy coral tissue of Acropora spathulata or Pocillopora damicornis. Coral condition (bleached vs. unbleached) had no significant effects on changes in total length or weight over a 23-day period. Likewise, in a habitat choice experiment, juvenile butterflyfishes did not discriminate between healthy and bleached corals, but actively avoided using recently dead colonies. These results indicate that juvenile coral-feeding fishes are relatively robust to short term effects of bleaching events, provided that the corals do recover. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

  2. Coral reef bleaching and sea surface temperature anomalies: 1991-1996 global patterns

    Energy Technology Data Exchange (ETDEWEB)

    Goreau, T.J.; Hayes, R.L.; Strong, A.

    1997-12-31

    Global spatio-temporal patterns of mass coral reef bleaching during the first half of the 1990s continued to show the strong temperature correlations which first became established in the 1980s. Satellite sea surface temperature data and field observations were used to track thermal bleaching events in real time. Most bleaching events followed warm season sea surface temperature anomalies of around +1 degree celsius above historical means. Global bleaching patterns appear to have been strongly affected by worldwide cooling which followed eruption of Mount Pinatubo in June 1991. High water temperatures and mass coral reef bleaching took place in the Caribbean, Indian Ocean, and South Pacific in 1991, but there were few thermal anomalies or bleaching events in 1992 and 1993, years which were markedly cooler worldwide. Following the settling of Mount Pinatubo aerosols and resumption of global warming trends, extensive ocean thermal hot spots and bleaching events resumed in the South Pacific, South Atlantic, and Indian Oceans in 1994. Bleaching again took place in hot spots in the Indian Ocean and Caribbean in 1995, and in the South Atlantic, Caribbean, South Pacific, North Pacific, and Persian Gulf in 1996. Coral reefs worldwide are now very close to their upper temperature tolerance limits. This sensitivity, and the fact that the warmest ecosystems have no source of immigrant species pre-adapted to warmer conditions, may make coral reef ecosystems the first to be severely impacted if global temperatures and sea levels remain at current values or increase further.

  3. The 2014 coral bleaching and freshwater flood events in K?ne?ohe Bay, Hawai?i

    OpenAIRE

    Bahr, Keisha D.; Paul L. Jokiel; Kuʻulei S. Rodgers

    2015-01-01

    Until recently, subtropical Hawaiʻi escaped the major bleaching events that have devastated many tropical regions, but the continued increases in global long-term mean temperatures and the apparent ending of the Pacific Decadal Oscillation (PDO) cool phase have increased the risk of bleaching events. Climate models and observations predict that bleaching in Hawaiʻi will occur with increasing frequency and increasing severity over future decades. A freshwater “kill” event occurred during July ...

  4. Survival in Patients With Severe Lymphopenia Following Treatment With Radiation and Chemotherapy for Newly Diagnosed Solid Tumors.

    Science.gov (United States)

    Grossman, Stuart A; Ellsworth, Susannah; Campian, Jian; Wild, Aaron T; Herman, Joseph M; Laheru, Dan; Brock, Malcolm; Balmanoukian, Ani; Ye, Xiaobu

    2015-10-01

    The immune system plays an important role in cancer surveillance and therapy. Chemoradiation can cause severe treatment-related lymphopenia (TRL) (<500 cells/mm3) that is associated with reduced survival. Data from 4 independent solid tumor studies on serial lymphocyte counts, prognostic factors, treatment, and survival were collected and analyzed. The data set included 297 patients with newly diagnosed malignant glioma (N=96), resected pancreatic cancer (N=53), unresectable pancreatic cancer (N=101), and non-small cell lung cancer (N=47). Pretreatment lymphocyte counts were normal in 83% of the patient population, and no patient had severe baseline lymphopenia. Two months after initiating chemoradiation, 43% developed severe and persistent lymphopenia (P=.001). An increased risk for death was attributable to TRL in each cancer cohort (gliomas: hazard rate [HR], 1.8; 95% CI, 1.13-2.87; resected pancreas: HR, 2.2; 95% CI, 1.17-4.12; unresected pancreas: HR, 2.9; 95% CI, 1.53-5.42; and lung: HR, 1.7; 95% CI, 0.8-3.61) and in the entire study population regardless of pathologic findings (HR, 2.1; 95% CI, 1.54-2.78; P<.0001). Severe TRL was observed in more than 40% of patients 2 months after initiating chemoradiation, regardless of histology or chemotherapy regimen, and was independently associated with shorter survival from tumor progression. Increased attention and research should be focused on the cause, prevention, and reversal of this unintended consequence of cancer treatment that seems to be related to survival in patients with solid tumors. Copyright © 2015 by the National Comprehensive Cancer Network.

  5. Coral diseases and bleaching on Colombian Caribbean coral reefs.

    Science.gov (United States)

    Navas-Camacho, Raúl; Gil-Agudelo, Diego Luis; Rodríguez-Ramírez, Alberto; Reyes-Nivia, María Catalina; Garzón-Ferreira, Jaime

    2010-05-01

    Since 1998 the National Monitoring System for the Coral Reefs of Colombia (SIMAC) has monitored the occurrence of coral bleaching and diseases in some Colombian coral reefs (permanent stations at San Andres Island, Rosario Islands, Tayrona, San Bernardo Islands and Urabá). The main purpose is to evaluate their health status and to understand the factors that have been contributing to their decline. To estimate these occurrences, annual surveys in 126 permanent belt transects (10 x 2m) with different depth intervals (3-6 meters, 9-12 meters and 15-18 meters) are performed at all reef sites. Data from the 1998-2004 period, revealed that San Andrés Island had many colonies with diseases (38.9 colonies/m2), and Urabá had high numbers with bleaching (54.4 colonies/m2). Of the seven reported coral diseases studied, Dark Spots Disease (DSD), and White Plague Disease (WPD) were noteworthy because they occurred in all Caribbean monitored sites, and because of their high interannual infection incidence. Thirty five species of scleractinian corals were affected by at least one disease and a high incidence of coral diseases on the main reef builders is documented. Bleaching was present in 34 species. During the whole monitoring period, Agaricia agaricites and Siderastrea siderea were the species most severely affected by DSD and bleaching, respectively. Diseases on species such as Agaricia fragilis, A. grahamae, A. humilis, Diploria clivosa, Eusmilia fastigiata, Millepora complanata, and Mycetophyllia aliciae are recorded for first time in Colombia. We present bleaching and disease incidences, kinds of diseases, coral species affected, reef localities studied, depth intervals of surveys, and temporal (years) variation for each geographic area. This variation makes difficult to clearly determine defined patterns or general trends for monitored reefs. This is the first long-term study of coral diseases and bleaching in the Southwestern Caribbean, and one of the few long

  6. Extracorporeal life support with left ventricular decompression—improved survival in severe cardiogenic shock: results from a retrospective study

    Directory of Open Access Journals (Sweden)

    Bastian Schmack

    2017-09-01

    Full Text Available Objective Extracorporeal life support (ECLS is a life-saving procedure used in the treatment of severe cardiogenic shock. Within this retrospective single centre study, we examined our experience in this critically ill patient cohort to assess outcomes and clinical parameters by comparison of ECLS with or without selective left ventricular decompression. Methods Between 2004 and 2014 we evaluated 48 adult patients with INTERMACS level 1 heart failure (age 49.7 ± 19.5 years, who received either central ECLS with (n = 20, 41.7% or ECLS without (n = 28, 58.3%, including 10 peripheral ECLS integrated left ventricular vent in our retrospective single centre trial. Results Follow up was 100% with a mean of 0.83 ± 1.85 years. Bridge to ventricular assist device was feasible in 29.2% (n = 14, bridge to transplant in 10.4% (n = 5 and bridge to recovery in 8.3% (n = 4. Overall 30-day survival was 37.5%, 6-month survival 27.1% and 1-year survival 25.0%. ECLS support with left ventricular decompression showed favourable 30-day survival compared to ECLS without left ventricular decompression (p = 0.034. Thirty-day as well as long-term survival did not differ between the subgroups (central ECLS with vent, ECLS without vent and peripheral ECLS without vent. Multivariate logistic regression adjusted for age and gender revealed ECLS without vent as independent factor influencing 30-day survival. Conclusion ECLS is an established therapy for patients in severe cardiogenic shock. Independent of the ECLS approach, 30-day mortality is still high but with superior 30-day survival for patients with ECLS and left ventricular venting. Moreover, by unloading the ventricle, left ventricular decompression may provide an important time window for recovery or further treatment, such as bridge to bridge or bridge to transplant.

  7. Severe obesity prior to diagnosis limits survival in colorectal cancer patients evaluated at a large cancer centre.

    Science.gov (United States)

    Daniel, C R; Shu, X; Ye, Y; Gu, J; Raju, G S; Kopetz, S; Wu, X

    2016-01-12

    In contrast to the consistent evidence for obesity and colorectal cancer (CRC) risk, the impact of obesity in CRC patients is less clear. In a well-characterised cohort of CRC patients, we prospectively evaluated class I and class II obesity with survival outcomes. The CRC patients (N=634) were followed from the date of diagnosis until disease progression/first recurrence (progression-free survival (PFS)) or death (overall survival (OS)). Body mass index (BMI) was calculated from reported usual weight prior to diagnosis. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated in models adjusted for clinicopathologic, treatment, and lifestyle factors. Over a median follow-up of 4 years, 208 (33%) patients died and 235 (37%) recurred or progressed. Class II obesity, as compared with either overweight or normal weight, was associated with an increased risk of death (HR and 95% CI: 1.55 (0.97-2.48) and 1.65 (1.02-2.68), respectively), but no clear association was observed with PFS. In analyses restricted to patients who presented as stages I-III, who reported stable weight, or who were aged obesity was associated with a significant two- to five-fold increased risk of death. In CRC patients evaluated at a large cancer centre, severely obese patients experienced worse survival outcomes independent of many other factors.

  8. The 2014 coral bleaching and freshwater flood events in Kāne'ohe Bay, Hawai'i.

    Science.gov (United States)

    Bahr, Keisha D; Jokiel, Paul L; Rodgers, Kuʻulei S

    2015-01-01

    Until recently, subtropical Hawai'i escaped the major bleaching events that have devastated many tropical regions, but the continued increases in global long-term mean temperatures and the apparent ending of the Pacific Decadal Oscillation (PDO) cool phase have increased the risk of bleaching events. Climate models and observations predict that bleaching in Hawai'i will occur with increasing frequency and increasing severity over future decades. A freshwater "kill" event occurred during July 2014 in the northern part of Kāne'ohe Bay that reduced coral cover by 22.5% in the area directly impacted by flooding. A subsequent major bleaching event during September 2014 caused extensive coral bleaching and mortality throughout the bay and further reduced coral cover in the freshwater kill area by 60.0%. The high temperature bleaching event only caused a 1.0% reduction in live coral throughout the portion of the bay not directly impacted by the freshwater event. Thus, the combined impact of the low salinity event and the thermal bleaching event appears to be more than simply additive. The temperature regime during the September 2014 bleaching event was analogous in duration and intensity to that of the large bleaching event that occurred previously during August 1996, but resulted in a much larger area of bleaching and coral mortality. Apparently seasonal timing as well as duration and magnitude of heating is important. Coral spawning in the dominant coral species occurs early in the summer, so reservoirs of stored lipid in the corals had been depleted by spawning prior to the September 2014 event. Warm months above 27 °C result in lower coral growth and presumably could further decrease lipid reserves, leading to a bleaching event that was more severe than would have happened if the high temperatures occurred earlier in the summer. Hawaiian reef corals decrease skeletal growth at temperatures above 27 °C, so perhaps the "stress period" actually started long before the

  9. Prediction of Coral Bleaching in the Florida Keys Using Remotely Sensed Data

    Science.gov (United States)

    Coral bleaching has been attributed to extremes or stressful synergy in several physical variables of the coral habitat. Of particular concern have been temperature, ultraviolet radiation, and photosynthetically available radiation. Satellite observing systems allow synoptic-sca...

  10. Use of evidence based practices to improve survival without severe morbidity for very preterm infants

    DEFF Research Database (Denmark)

    Zeitlin, Jennifer; Manktelow, Bradley N; Piedvache, Aurelie

    2016-01-01

    population based observational study. SETTING: 19 regions from 11 European countries covering 850 000 annual births participating in the EPICE (Effective Perinatal Intensive Care in Europe for very preterm births) project. PARTICIPANTS: 7336 infants born between 24+0 and 31+6 weeks' gestation in 2011...... of death or severe morbidity, or both. We modelled associations using risk ratios, with propensity score weighting to account for potential confounding bias. Analyses were adjusted for clustering within delivery hospital. RESULTS: Only 58.3% (n=4275) of infants received all evidence based practices...... ratio 0.72, 95% confidence interval 0.60 to 0.87) and in-hospital mortality or severe morbidity, or both (0.82, 0.73 to 0.92), corresponding to an estimated 18% decrease in all deaths without an increase in severe morbidity if these interventions had been provided to all infants. CONCLUSIONS: More...

  11. Caribbean corals in crisis: record thermal stress, bleaching, and mortality in 2005.

    Directory of Open Access Journals (Sweden)

    C Mark Eakin

    Full Text Available BACKGROUND: The rising temperature of the world's oceans has become a major threat to coral reefs globally as the severity and frequency of mass coral bleaching and mortality events increase. In 2005, high ocean temperatures in the tropical Atlantic and Caribbean resulted in the most severe bleaching event ever recorded in the basin. METHODOLOGY/PRINCIPAL FINDINGS: Satellite-based tools provided warnings for coral reef managers and scientists, guiding both the timing and location of researchers' field observations as anomalously warm conditions developed and spread across the greater Caribbean region from June to October 2005. Field surveys of bleaching and mortality exceeded prior efforts in detail and extent, and provided a new standard for documenting the effects of bleaching and for testing nowcast and forecast products. Collaborators from 22 countries undertook the most comprehensive documentation of basin-scale bleaching to date and found that over 80% of corals bleached and over 40% died at many sites. The most severe bleaching coincided with waters nearest a western Atlantic warm pool that was centered off the northern end of the Lesser Antilles. CONCLUSIONS/SIGNIFICANCE: Thermal stress during the 2005 event exceeded any observed from the Caribbean in the prior 20 years, and regionally-averaged temperatures were the warmest in over 150 years. Comparison of satellite data against field surveys demonstrated a significant predictive relationship between accumulated heat stress (measured using NOAA Coral Reef Watch's Degree Heating Weeks and bleaching intensity. This severe, widespread bleaching and mortality will undoubtedly have long-term consequences for reef ecosystems and suggests a troubled future for tropical marine ecosystems under a warming climate.

  12. Caribbean Corals in Crisis: Record Thermal Stress, Bleaching, and Mortality in 2005

    Science.gov (United States)

    Eakin, C. Mark; Morgan, Jessica A.; Heron, Scott F.; Smith, Tyler B.; Liu, Gang; Alvarez-Filip, Lorenzo; Baca, Bart; Bartels, Erich; Bastidas, Carolina; Bouchon, Claude; Brandt, Marilyn; Bruckner, Andrew W.; Bunkley-Williams, Lucy; Cameron, Andrew; Causey, Billy D.; Chiappone, Mark; Christensen, Tyler R. L.; Crabbe, M. James C; Day, Owen; de la Guardia, Elena; Díaz-Pulido, Guillermo; DiResta, Daniel; Gil-Agudelo, Diego L.; Gilliam, David S.; Ginsburg, Robert N.; Gore, Shannon; Guzmán, Héctor M.; Hendee, James C.; Hernández-Delgado, Edwin A.; Husain, Ellen; Jeffrey, Christopher F. G.; Jones, Ross J.; Jordán-Dahlgren, Eric; Kaufman, Les S.; Kline, David I.; Kramer, Philip A.; Lang, Judith C.; Lirman, Diego; Mallela, Jennie; Manfrino, Carrie; Maréchal, Jean-Philippe; Marks, Ken; Mihaly, Jennifer; Miller, W. Jeff; Mueller, Erich M.; Muller, Erinn M.; Orozco Toro, Carlos A.; Oxenford, Hazel A.; Ponce-Taylor, Daniel; Quinn, Norman; Ritchie, Kim B.; Rodríguez, Sebastián; Ramírez, Alberto Rodríguez; Romano, Sandra; Samhouri, Jameal F.; Sánchez, Juan A.; Schmahl, George P.; Shank, Burton V.; Skirving, William J.; Steiner, Sascha C. C.; Villamizar, Estrella; Walsh, Sheila M.; Walter, Cory; Weil, Ernesto; Williams, Ernest H.; Roberson, Kimberly Woody; Yusuf, Yusri

    2010-01-01

    Background The rising temperature of the world's oceans has become a major threat to coral reefs globally as the severity and frequency of mass coral bleaching and mortality events increase. In 2005, high ocean temperatures in the tropical Atlantic and Caribbean resulted in the most severe bleaching event ever recorded in the basin. Methodology/Principal Findings Satellite-based tools provided warnings for coral reef managers and scientists, guiding both the timing and location of researchers' field observations as anomalously warm conditions developed and spread across the greater Caribbean region from June to October 2005. Field surveys of bleaching and mortality exceeded prior efforts in detail and extent, and provided a new standard for documenting the effects of bleaching and for testing nowcast and forecast products. Collaborators from 22 countries undertook the most comprehensive documentation of basin-scale bleaching to date and found that over 80% of corals bleached and over 40% died at many sites. The most severe bleaching coincided with waters nearest a western Atlantic warm pool that was centered off the northern end of the Lesser Antilles. Conclusions/Significance Thermal stress during the 2005 event exceeded any observed from the Caribbean in the prior 20 years, and regionally-averaged temperatures were the warmest in over 150 years. Comparison of satellite data against field surveys demonstrated a significant predictive relationship between accumulated heat stress (measured using NOAA Coral Reef Watch's Degree Heating Weeks) and bleaching intensity. This severe, widespread bleaching and mortality will undoubtedly have long-term consequences for reef ecosystems and suggests a troubled future for tropical marine ecosystems under a warming climate. PMID:21125021

  13. Predictive value of the Status Epilepticus Severity Score (STESS) and its components for long-term survival

    DEFF Research Database (Denmark)

    Aukland, Preben; Lando, Martin; Vilholm, Ole

    2016-01-01

    with lower odds ratios. When looking only at patients that survived the acute phase of treatment, only the STESS components "level of consciousness" (at admission), "coma" as worst seizure type, and "age" reached a statistical significant association with mortality. In these patients, STESS with a cut......BACKGROUND: The "Status Epilepticus Severity Score" (STESS) is the most important clinical score to predict in-hospital mortality of patients with status epilepticus (SE), but its prognostic relevance for long-term survival is unknown. This study therefore examined if STESS and its components...... retain their prognostic relevance beyond acute treatment. METHODS: One hundred twenty-five non-anoxic patients with SE were retrospectively identified in two hospitals between 2008 and 2014 (39.2 % refractory SE). Patients' treatment, demographic data, date of death, aetiology of SE, and the components...

  14. Safety, efficacy, and drug survival of biologics and biosimilars for moderate-to-severe plaque psoriasis

    DEFF Research Database (Denmark)

    Egeberg, A; Ottosen, M B; Gniadecki, R

    2018-01-01

    originators with biosimilars (i.e. Enbrel with Benepali, and Remicade with Remsima). METHODS: The DERMBIO registry contains data on all Danish patients with moderate-to-severe plaque psoriasis treated with biologics. We examined patients treated between January 1(st) , 2007 and March 31(st) , 2017. We used...

  15. Body image disturbance and skin bleaching.

    Science.gov (United States)

    Charles, Christopher A D; McLean, Shua-Kym

    2017-11-01

    This study looks at body image disturbance among Jamaicans who bleach their skin. The hypothesis states that there is a positive relationship between skin bleaching and body image disturbance. The study used a convenience sample of 160 participants with a skin bleaching group (n = 80) and a non-bleaching comparison group (n = 80). The instrument included demographic questions, the body image disturbance questionnaire (BIDQ), and questions about skin bleaching. The results of a t-test revealed that the skin bleaching group (M = 1.5255, SD = 0.42169) was not significantly different from the non-bleaching group (M = 1.4938, SD = 0.74217) in terms of body image disturbance, t(158) = 0.333, p = .740. The participants who bleached did not suffer from body image disturbance. Self-reports revealed that they bleached to acquire beauty, attract a partner, elude the police, and market skin bleaching products. The practice was fashionable and popular and it made some participants feel good, while others were fans of a popular musical artiste who bleached his skin. The majority of participants bleached because of the perceived personal, social, and entrepreneurial benefits of the practice and not because they suffered emotional distress, anxiety, and functional impairment because of their skin colour. However, there was some level of BID among the minority of participants who argued that they bleached because they wanted to be pretty so they were emotionally distressed about there body image and experienced functional impairment. © 2017 The British Psychological Society.

  16. Microhardness of demineralized enamel following home bleaching and laser-assisted in office bleaching.

    Science.gov (United States)

    Ghanbarzadeh, Majid; Ahrari, Farzaneh; Akbari, Majid; Hamzei, Haniye

    2015-07-01

    There is little data regarding the effect of tooth whitening on microhardness of white spot lesions. This study was conducted to investigate the effect of home-bleaching and laser-assisted in-office bleaching on microhardness of demineralized enamel. Forty bovine incisors were selected and immersed in a demineralizing solution for 12 weeks to induce white spot lesions. Enamel blocks were prepared and randomly assigned to two groups of 20 each. The first group underwent home bleaching with 15% carbamide peroxide which was applied for 8 hours a day over a period of 15 days. In the second group, in-office bleaching was performed by 40% hydrogen peroxide and powered by irradiation from an 810 nm gallium-aluminum-arsenide (GaAlAs) diode laser (CW, 2W). This process was performed for 3 sessions every seven days, in 15 days. The specimens were stored in Fusayama Meyer artificial saliva during the experiment. Surface microhardness was assessed before and after the bleaching therapies in both groups. Microhardness decreased significantly following both home bleaching and laser-assisted in-office bleaching (phome bleaching or laser-assisted in-office bleaching can result in a significant reduction in microhardness of white spot lesions. Therefore, it is suggested to take protective measures on bleached demineralized enamel. Key words:White spot lesion, bleaching, laser, microhardness, demineralized enamel, home bleaching, in-office bleaching.

  17. Anolyte as an alternative bleach for stained cotton fabrics ...

    African Journals Online (AJOL)

    Anolyte has been successful in the food industry and in disinfecting textiles, extensive research has not been done to determine the bleaching effect on textiles. If it can bleach textiles, it can be considered alternative bleach. If it does not bleach textiles, it can be useful as a disinfectant without the bleaching damage as result ...

  18. Floral resource limitation severely reduces butterfly survival, condition and flight activity in simplified agricultural landscapes.

    Science.gov (United States)

    Lebeau, Julie; Wesselingh, Renate A; Van Dyck, Hans

    2016-02-01

    Agricultural intensification has a strong negative impact on farmland biodiversity (including flower-visiting insects), but understanding the mechanisms involved in this requires experimental work. We document the impact of nectar limitation on the performance of a flower-visiting insect, the meadow brown butterfly Maniola jurtina. We conducted two types of experiments: a field experiment in agricultural landscapes with grasslands of different management intensity and an experiment in outdoor flight cages in which the nectar supply was simulated. For the field experiment, we introduced an array of nectar resources in intensively managed, nectar-poor meadows and in extensively managed, flower-rich grasslands and counted flower visitors. Despite higher butterfly abundance in the extensive meadows, our introduced nectar sources were more frequently visited in intensive meadows, indicating the lack of floral resources. The 48-h confinement under nectar-poor conditions in the flight cages had a strong negative effect on body condition, flight activity and lifetime survival compared to butterflies under nectar-rich conditions. Female lifespan was reduced by 22% and male lifespan even by 43%. Agricultural landscapes that provide limited amounts of floral nectar, and no high-quality, preferred nectar sources relative to the needs of the flower-visiting species, may create ecological sinks. Regards an insect's performance, the simple presence of nectar is not necessarily functionally adequate. The effectiveness of agri-environmental schemes for flower-visiting insects (e.g. flower strips) could be improved based on ecological and evolutionary insights on the effects of specific nectar quantities and qualities.

  19. Pulmonary Vascular Distensibility Predicts Pulmonary Hypertension Severity, Exercise Capacity, and Survival in Heart Failure.

    Science.gov (United States)

    Malhotra, Rajeev; Dhakal, Bishnu P; Eisman, Aaron S; Pappagianopoulos, Paul P; Dress, Ashley; Weiner, Rory B; Baggish, Aaron L; Semigran, Marc J; Lewis, Gregory D

    2016-06-01

    Pulmonary vascular (PV) distensibility, defined as the percent increase in pulmonary vessel diameter per mm Hg increase in pressure, permits the pulmonary vessels to increase in size to accommodate increased blood flow. We hypothesized that PV distensibility is abnormally low in patients with heart failure (HF) and serves as an important determinant of right ventricular performance and exercise capacity. Patients with HF with preserved ejection fraction (n=48), HF with reduced ejection fraction (n=55), pulmonary arterial hypertension without left heart failure (n=18), and control subjects (n=30) underwent cardiopulmonary exercise testing with invasive hemodynamic monitoring and first-pass radionuclide ventriculography. PV distensibility was derived from 1257 matched measurements (mean±SD, 8.3±2.8 per subject) of pulmonary arterial pressure, pulmonary arterial wedge pressure and cardiac output. PV distensibility was lowest in the pulmonary arterial hypertension group (0.40±0.24% per mm Hg) and intermediate in the HF with preserved ejection fraction and HF with reduced ejection fraction groups (0.92±0.39 and 0.84±0.33% per mm Hg, respectively) compared to the control group (1.39±0.32% per mm Hg, Phypertension and is closely related to RV systolic function during exercise, maximal exercise capacity, and survival. Furthermore, PV distensibility is modifiable with selective pulmonary vasodilator therapy and may represent an important target for therapy in selected HF patients with pulmonary hypertension. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00309790. © 2016 American Heart Association, Inc.

  20. Lactate Clearance Predicts Survival Among Patients in the Emergency Department with Severe Sepsis

    Directory of Open Access Journals (Sweden)

    Sundeep R. Bhat

    2015-12-01

    Full Text Available Introduction: Lactate clearance has been implicated as a predictor of mortality among emergency department (ED patients with severe sepsis or septic shock. We aimed to validate prior studies showing that lactate clearance during the ED stay is associated with decreased mortality. Methods: Retrospective dual-centered cross-sectional study using patients identified in the YaleNew Haven Hospital Emergency Medicine sepsis registry with severe sepsis or septic shock who had initial lactate levels measured in the ED and upon arrival (<24 hours to the hospital floor. Lactate clearance was calculated as percent of serum lactate change from ED to floor measurement. We compared mortality and hospital interventions between patients who cleared lactate and those who did not. Results: 207 patients (110 male; 63.17±17.9 years were included. Two reviewers extracted data with 95% agreement. One hundred thirty-six patients (65.7% had severe sepsis and 71 patients (34.3% had septic shock. There were 171 patients in the clearance group and 36 patients in the non-clearance group. The 28-day mortality rates were 15.2% in the lactate clearance group and 36.1% in the non-clearance group (p<0.01. Vasopressor support was initiated more often in the nonclearance group (61.1% than in the clearance group (36.8%, p<0.01 and mechanical ventilation was used in 66.7% of the non-clearance group and 36.3% of the clearance group (p=0.001. Conclusion: Patients who do not clear their lactate in the ED have significantly higher mortality than those with decreasing lactate levels. Our results are confirmatory of other literature supporting that lactate clearance may be used to stratify mortality-risk among patients with severe sepsis or septic shock.

  1. Major clinical events, signs and severity assessment scores related to actual survival in patients who died from primary biliary cirrhosis. A long-term historical cohort study

    NARCIS (Netherlands)

    van Dam, GM; Gips, CH; Reisman, Y; Maas, KW; Purmer, IM; Huizenga, [No Value; Verbaan, BW

    1999-01-01

    BACKGROUND/AIMS: One of the prognostic methods for survival in primary biliary cirrhosis (PBC) is the Mayo model, with a time-scale limited to 7 years. The aim of our study was to assess how major clinical events, signs, several severity assessment methods and Mayo survival probabilities fit in with

  2. Non-bleached colonies of massive Porites may attract fishes for selective grazing during mass bleaching events

    Directory of Open Access Journals (Sweden)

    Eri Ikeuchi

    2017-06-01

    Full Text Available In this study we investigated the variation in grazing scar densities between bleached and non-bleached colonies of massive Porites species in Sekisei Lagoon (Okinawa, southwestern Japan during a mass bleaching event in 2016. The grazing scar densities and bleaching susceptibility varied among neighboring colonies of massive Porites spp. However, non-bleached colonies had significantly more surface scars than bleached colonies. One explanation for these variations is that corallivorous fishes may selectively graze on non-bleached, thermally tolerant colonies. This is the first report of a relationship between grazing scars and the bleaching status of massive Porites spp. colonies during a mass bleaching event.

  3. Associations between several aspects of heifer development and dairy cow survivability to second lactation.

    Science.gov (United States)

    Bach, A

    2011-02-01

    A data set from 7,768 Holstein heifers born between 2004 and 2006, including growth rates from birth until first calving; age and body weight at insemination; and incidence of diarrhea, navel infections, and bovine respiratory disease (BRD) was used to evaluate potential associations between these factors and the odds of completing the first lactation. All heifers were raised in a contract heifer operation (Rancho Las Nieves, Mallen, Spain) and returned to their herds of origin (133 herds in total) before calving. Dates of death were provided by the Subdirección General de Explotaciones y Sistemas de Trazabilidad de los Recursos Agrícolas y Ganaderos from the Ministry of Environment, and Rural and Marine Areas of the Spanish government. At the time of analysis, 2,571 (33.1%) animals out of the 7,768 considered had died. In total, 655 (8.4%) heifers did not finish first lactation, and 31.5% of these left the herd within the first 50 DIM. Also, 4.8% of heifers aborted and were rebred. Data were analyzed using a mixed-effects logistic regression and survival analysis for dichotomous variables and a mixed-effects model for continuous ones. Incidence of diarrhea or navel infection was not associated with the chances of finishing the first lactation. Heifers that completed first lactation had a lesser average age at first calving (724 ± 2 d) than those that did not (737 ± 3 d). Heifers that reached second lactation grew (0.8 ± 0.04 kg/d) more between 12 and 65 d of age than those that did not (0.7 ± 0.04 kg/d). As conception rate decreased, chances of leaving the herd before completing the first lactation increased. The number of AI services needed per conception as a nulliparous heifer was negatively associated with survivorship to second lactation. Heifers that experienced an abortion were 2.73 ± 0.52 times more likely to leave the herd before completing the first lactation (but also calved with a much older age at first calving). Heifers that experienced 4 or

  4. Mitral Regurgitation Severity and Left Ventricular Systolic Dimension Predict Survival in Young Cavalier King Charles Spaniels

    DEFF Research Database (Denmark)

    Reimann, M J; Møller, J E; Häggström, J

    2017-01-01

    BACKGROUND: Development and progression of myxomatous mitral valve disease (MMVD) in dogs are difficult to predict. Identification at a young age of dogs at high risk of adverse outcome in the future is desirable. HYPOTHESIS/OBJECTIVES: To study the predictive value of selected clinical...... was assessed by telephone interview with owners. The value of variables for predicting mortality was investigated by Cox proportional hazard and Kaplan-Meier analyses. RESULTS: Presence of moderate to severe mitral regurgitation (MR) (hazard ratio (HR) = 3.03, 95% confidence interval (95% CI) = 1.48-6.23, P...

  5. Echocardiographic parameters and survival in Chagas heart disease with severe systolic dysfunction.

    Science.gov (United States)

    Rassi, Daniela do Carmo; Vieira, Marcelo Luiz Campos; Arruda, Ana Lúcia Martins; Hotta, Viviane Tiemi; Furtado, Rogério Gomes; Rassi, Danilo Teixeira; Rassi, Salvador

    2014-03-01

    Echocardiography provides important information on the cardiac evaluation of patients with heart failure. The identification of echocardiographic parameters in severe Chagas heart disease would help implement treatment and assess prognosis. To correlate echocardiographic parameters with the endpoint cardiovascular mortality in patients with ejection fraction Cardiopatias) - Chagas heart disease arm. The following parameters were collected: left ventricular systolic and diastolic diameters and volumes; ejection fraction; left atrial diameter; left atrial volume; indexed left atrial volume; systolic pulmonary artery pressure; integral of the aortic flow velocity; myocardial performance index; rate of increase of left ventricular pressure; isovolumic relaxation time; E, A, Em, Am and Sm wave velocities; E wave deceleration time; E/A and E/Em ratios; and mitral regurgitation. In the mean 24.18-month follow-up, 27 patients died. The mean ejection fraction was 26.6 ± 5.34%. In the multivariate analysis, the parameters ejection fraction (HR = 1.114; p = 0.3704), indexed left atrial volume (HR = 1.033; p 70.71 mL/m2 were associated with a significant increase in mortality (log rank p < 0.0001). The indexed left atrial volume was the only independent predictor of mortality in this population of Chagasic patients with severe systolic dysfunction.

  6. Performance of an Argentinian acid-activated bentonite in the bleaching of soybean oil

    Directory of Open Access Journals (Sweden)

    Foletto E.L.

    2003-01-01

    Full Text Available In this work, a bentonite clay from Mendoza, Argentina was activated with H2SO4 (4 and 8 N at 90ºC for 2 and 3.5 hours. Under these conditions several cations were removed from the octahedral sheet (Mg, Al, and Fe and the DTA-TGA curves of the solids obtained after treatment were modified. Treatment time and acid concentration increased the degree of destruction of the bentonite structure. Activated samples were tested in order to verify their capacity to bleach soybean oil and were compared to a standard commercial bleaching clay. Treated samples are more efficient in bleaching than the standard.

  7. Reactive dye extraction utilizing regenerated bleaching earth

    OpenAIRE

    M. Shahi; M.R. Sabour; G.A. Dezvareh

    2017-01-01

    Bentonite bleaching earth is utilized for purifying used motor oil through a recovery process in order to improve the quality and stability of the final product. Indeed, spent bleaching earth is generated due to adsorbing oil impurities. Polluted spent bleaching earth contains 20-40% (w/w) oil and is flammable. Its disposal without pre-treatment leads to loss of oil along with environmental impacts. Accordingly, similar studies have been conducted since 1979 until now. This research was a lab...

  8. Echocardiographic Parameters and Survival in Chagas Heart Disease with Severe Systolic Dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Rassi, Daniela do Carmo, E-mail: dani.rassi@hotmail.com [Faculdade de Medicina e Hospital das Clínicas da Universidade Federal de Goiás (UFG), Goiânia, GO (Brazil); Vieira, Marcelo Luiz Campos [Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP (Brazil); Arruda, Ana Lúcia Martins [Instituto de Radiologia da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP (Brazil); Hotta, Viviane Tiemi [Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP (Brazil); Furtado, Rogério Gomes; Rassi, Danilo Teixeira; Rassi, Salvador [Faculdade de Medicina e Hospital das Clínicas da Universidade Federal de Goiás (UFG), Goiânia, GO (Brazil)

    2014-03-15

    Echocardiography provides important information on the cardiac evaluation of patients with heart failure. The identification of echocardiographic parameters in severe Chagas heart disease would help implement treatment and assess prognosis. To correlate echocardiographic parameters with the endpoint cardiovascular mortality in patients with ejection fraction < 35%. Study with retrospective analysis of pre-specified echocardiographic parameters prospectively collected from 60 patients included in the Multicenter Randomized Trial of Cell Therapy in Patients with Heart Diseases (Estudo Multicêntrico Randomizado de Terapia Celular em Cardiopatias) - Chagas heart disease arm. The following parameters were collected: left ventricular systolic and diastolic diameters and volumes; ejection fraction; left atrial diameter; left atrial volume; indexed left atrial volume; systolic pulmonary artery pressure; integral of the aortic flow velocity; myocardial performance index; rate of increase of left ventricular pressure; isovolumic relaxation time; E, A, Em, Am and Sm wave velocities; E wave deceleration time; E/A and E/Em ratios; and mitral regurgitation. In the mean 24.18-month follow-up, 27 patients died. The mean ejection fraction was 26.6 ± 5.34%. In the multivariate analysis, the parameters ejection fraction (HR = 1.114; p = 0.3704), indexed left atrial volume (HR = 1.033; p < 0.0001) and E/Em ratio (HR = 0.95; p = 0.1261) were excluded. The indexed left atrial volume was an independent predictor in relation to the endpoint, and values > 70.71 mL/m{sup 2} were associated with a significant increase in mortality (log rank p < 0.0001). The indexed left atrial volume was the only independent predictor of mortality in this population of Chagasic patients with severe systolic dysfunction.

  9. Thresholds for Coral Bleaching: Are Synergistic Factors and Shifting Thresholds Changing the Landscape for Management? (Invited)

    Science.gov (United States)

    Eakin, C.; Donner, S. D.; Logan, C. A.; Gledhill, D. K.; Liu, G.; Heron, S. F.; Christensen, T.; Rauenzahn, J.; Morgan, J.; Parker, B. A.; Hoegh-Guldberg, O.; Skirving, W. J.; Strong, A. E.

    2010-12-01

    As carbon dioxide rises in the atmosphere, climate change and ocean acidification are modifying important physical and chemical parameters in the oceans with resulting impacts on coral reef ecosystems. Rising CO2 is warming the world’s oceans and causing corals to bleach, with both alarming frequency and severity. The frequent return of stressful temperatures has already resulted in major damage to many of the world’s coral reefs and is expected to continue in the foreseeable future. Warmer oceans also have contributed to a rise in coral infectious diseases. Both bleaching and infectious disease can result in coral mortality and threaten one of the most diverse ecosystems on Earth and the important ecosystem services they provide. Additionally, ocean acidification from rising CO2 is reducing the availability of carbonate ions needed by corals to build their skeletons and perhaps depressing the threshold for bleaching. While thresholds vary among species and locations, it is clear that corals around the world are already experiencing anomalous temperatures that are too high, too often, and that warming is exceeding the rate at which corals can adapt. This is despite a complex adaptive capacity that involves both the coral host and the zooxanthellae, including changes in the relative abundance of the latter in their coral hosts. The safe upper limit for atmospheric CO2 is probably somewhere below 350ppm, a level we passed decades ago, and for temperature is a sustained global temperature increase of less than 1.5°C above pre-industrial levels. How much can corals acclimate and/or adapt to the unprecedented fast changing environmental conditions? Any change in the threshold for coral bleaching as the result of acclimation and/or adaption may help corals to survive in the future but adaptation to one stress may be maladaptive to another. There also is evidence that ocean acidification and nutrient enrichment modify this threshold. What do shifting thresholds mean

  10. Inhibition of photosynthetic CO₂ fixation in the coral Pocillopora damicornis and its relationship to thermal bleaching.

    Science.gov (United States)

    Hill, Ross; Szabó, Milán; ur Rehman, Ateeq; Vass, Imre; Ralph, Peter J; Larkum, Anthony W D

    2014-06-15

    Two inhibitors of the Calvin-Benson cycle [glycolaldehyde (GA) and potassium cyanide (KCN)] were used in cultured Symbiodinium cells and in nubbins of the coral Pocillopora damicornis to test the hypothesis that inhibition of the Calvin-Benson cycle triggers coral bleaching. Inhibitor concentration range-finding trials aimed to determine the appropriate concentration to generate inhibition of the Calvin-Benson cycle, but avoid other metabolic impacts to the symbiont and the animal host. Both 3 mmol l(-1) GA and 20 μmol l(-1) KCN caused minimal inhibition of host respiration, but did induce photosynthetic impairment, measured by a loss of photosystem II function and oxygen production. GA did not affect the severity of bleaching, nor induce bleaching in the absence of thermal stress, suggesting inhibition of the Calvin-Benson cycle by GA does not initiate bleaching in P. damicornis. In contrast, KCN did activate a bleaching response through symbiont expulsion, which occurred in the presence and absence of thermal stress. While KCN is an inhibitor of the Calvin-Benson cycle, it also promotes reactive oxygen species formation, and it is likely that this was the principal agent in the coral bleaching process. These findings do not support the hypothesis that temperature-induced inhibition of the Calvin-Benson cycle alone induces coral bleaching. © 2014. Published by The Company of Biologists Ltd.

  11. Marine heatwave causes unprecedented regional mass bleaching of thermally resistant corals in northwestern Australia.

    Science.gov (United States)

    Le Nohaïc, Morane; Ross, Claire L; Cornwall, Christopher E; Comeau, Steeve; Lowe, Ryan; McCulloch, Malcolm T; Schoepf, Verena

    2017-11-03

    In 2015/16, a marine heatwave associated with a record El Niño led to the third global mass bleaching event documented to date. This event impacted coral reefs around the world, including in Western Australia (WA), although WA reefs had largely escaped bleaching during previous strong El Niño years. Coral health surveys were conducted during the austral summer of 2016 in four bioregions along the WA coast (~17 degrees of latitude), ranging from tropical to temperate locations. Here we report the first El Niño-related regional-scale mass bleaching event in WA. The heatwave primarily affected the macrotidal Kimberley region in northwest WA (~16°S), where 4.5-9.3 degree heating weeks (DHW) resulted in 56.6-80.6% bleaching, demonstrating that even heat-tolerant corals from naturally extreme, thermally variable reef environments are threatened by heatwaves. Some heat stress (2.4 DHW) and bleaching (coral communities at Ningaloo Reef (23°9'S) and Bremer Bay (34°25'S) were not impacted. The only other major mass bleaching in WA occurred during a strong La Niña event in 2010/11 and primarily affected reefs along the central-to-southern coast. This suggests that WA reefs are now at risk of severe bleaching during both El Niño and La Niña years.

  12. Post-bleaching coral community change on southern Maldivian reefs: is there potential for rapid recovery?

    Science.gov (United States)

    Perry, C. T.; Morgan, K. M.

    2017-12-01

    Given the severity of the 2016 global bleaching event, there are major questions about how quickly reef communities will recover. Here, we explore the ecological and physical structural changes that occurred across five atoll interior reefs in the southern Maldives using data collected at 6 and 12 months post-bleaching. Following initial severe coral mortality, further minor coral mortality had occurred by 12 months post-bleaching, and coral cover is now low (individuals m-2), well below those measured 9-12 months following the 1998 bleaching event, and below recovery thresholds identified on other Indian Ocean reefs. Our findings suggest that the physical structure of these reefs will need to decline further before effective recruitment and recovery can begin.

  13. Introduction of the resection severity index as independent risk factor limiting survival after resection of colorectal liver metastases.

    Science.gov (United States)

    Gwiasda, Jill; Schrem, Harald; Kaltenborn, Alexander; Mahlmann, Jan; Mix, Heiko; Lehner, Frank; Kayser, Nicolas; Klempnauer, Jürgen; Kulik, Ulf

    2017-12-01

    The purpose of this study is to evaluate the influence of the recently introduced resection severity index (RSI) in patients with liver resection for hepatocellular carcinoma on survival after resection of colorectal liver metastases. The RSI quantifies pre-operatively the liver cellular damage, liver synthetic function and loss of organ parenchyma. All consecutive patients who underwent liver resection for metastases of colorectal cancer (CLM) between 2000 and 2015 were included in this study. Risk factors limiting survival were analyzed using univariable and multivariable Cox regression analyses. The median survival after liver resection for CLM was 3.0 years. Significant independent risk factors for mortality were the RSI (p = 0.029; hazard ratio (HR): 1.088, 95%-confidence interval (95%-CI): 1.009-1.174), age at resection in years (p = 0.001; HR: 1.017, 95%-CI: 1.007-1.027), pre-operative hemoglobin level (p = 0.041; HR: 0.932, 95%-CI: 0.891-0.997), the cecum as location of primary CRC (p < 0.001; HR: 2.023, 95%-CI: 1.403-2.833), adjuvant chemotherapy (p < 0.001; HR: 1.506, 95%-CI: 1.212-1.878), local relapse of the primary tumor (p = 0.027; HR: 1.591, 95%-CI: 1.057-2.297), the units of intra-operatively transfused packed red blood cells (p < 0.001; HR: 1.068, 95%-CI: 1.033-1.104), the size of the largest metastasis (p = 0.002; HR: 1.005, 95%-CI: 1.002-1.008) and the metastasis' distance to the resection margin (p = 0.014; HR: 0.984, 95%-CI: 0.972-0.997). The RSI is an independent prognostic factor for survival after liver resection for CLM. Besides the extent of liver resection certain primary tumor characteristics have to be taken into account to ensure long-term survival. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. In vitro penetration of bleaching agents into the pulp chamber

    DEFF Research Database (Denmark)

    Benetti, Ana Raquel; Valera, M C; Mancini, M N G

    2004-01-01

    To investigate pulp chamber penetration of bleaching agents in teeth following restorative procedures.......To investigate pulp chamber penetration of bleaching agents in teeth following restorative procedures....

  15. Understanding the Nature and Reactivity of Residual Lignin for Improved Pulping and Bleaching Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Yuan-Zong Lai

    2001-11-30

    One of the most formidable challenges in kraft pulping to produce bleached chemical pulps is how to effectively remove the last 5-10% of lignin while maintaining the fiber quality. To avoid a severe fiber degradation, kraft pulping is usually terminated in the 25-30 kappa number range and then followed by an elementally chlorine free (ECF) or a totally chlorine free (TCF) bleaching sequence to reduce the environmental impacts.

  16. Seasonal Mesophotic Coral Bleaching of Stylophora pistillata in the Northern Red Sea

    Science.gov (United States)

    Nir, Orit; Gruber, David F.; Shemesh, Eli; Glasser, Eliezra; Tchernov, Dan

    2014-01-01

    Coral bleaching occurs when environmental stress induces breakdown of the coral-algae symbiosis and the host initiates algae expulsion. Two types of coral bleaching had been thoroughly discussed in the scientific literature; the first is primarily associated with mass coral bleaching events; the second is a seasonal loss of algae and/or pigments. Here, we describe a phenomenon that has been witnessed for repeated summers in the mesophotic zone (40–63 m) in the northern Red Sea: seasonal bleaching and recovery of several hermatypic coral species. In this study, we followed the recurring bleaching process of the common coral Stylophora pistillata. Bleaching occurred from April to September with a 66% decline in chlorophyll a concentration, while recovery began in October. Using aquarium and transplantation experiments, we explored environmental factors such as temperature, photon flux density and heterotrophic food availability. Our experiments and observations did not yield one single factor, alone, responsible for the seasonal bleaching. The dinoflagellate symbionts (of the genus Symbiodinium) in shallow (5 m) Stylophora pistillata were found to have a net photosynthetic rate of 56.98–92.19 µmol O2 cm−2 day−1. However, those from mesophotic depth (60 m) during months when they are not bleached are net consumers of oxygen having a net photosynthetic rate between −12.86 - (−10.24) µmol O2 cm−2 day−1. But during months when these mesophotic corals are partially-bleached, they yielded higher net production, between −2.83–0.76 µmol O2 cm−2 day−1. This study opens research questions as to why mesophotic zooxanthellae are more successfully meeting the corals metabolic requirements when Chl a concentration decreases by over 60% during summer and early fall. PMID:24454772

  17. Seasonal mesophotic coral bleaching of Stylophora pistillata in the Northern Red Sea.

    Directory of Open Access Journals (Sweden)

    Orit Nir

    Full Text Available Coral bleaching occurs when environmental stress induces breakdown of the coral-algae symbiosis and the host initiates algae expulsion. Two types of coral bleaching had been thoroughly discussed in the scientific literature; the first is primarily associated with mass coral bleaching events; the second is a seasonal loss of algae and/or pigments. Here, we describe a phenomenon that has been witnessed for repeated summers in the mesophotic zone (40-63 m in the northern Red Sea: seasonal bleaching and recovery of several hermatypic coral species. In this study, we followed the recurring bleaching process of the common coral Stylophora pistillata. Bleaching occurred from April to September with a 66% decline in chlorophyll a concentration, while recovery began in October. Using aquarium and transplantation experiments, we explored environmental factors such as temperature, photon flux density and heterotrophic food availability. Our experiments and observations did not yield one single factor, alone, responsible for the seasonal bleaching. The dinoflagellate symbionts (of the genus Symbiodinium in shallow (5 m Stylophora pistillata were found to have a net photosynthetic rate of 56.98-92.19 µmol O2 cm(-2 day(-1. However, those from mesophotic depth (60 m during months when they are not bleached are net consumers of oxygen having a net photosynthetic rate between -12.86 - (-10.24 µmol O2 cm(-2 day(-1. But during months when these mesophotic corals are partially-bleached, they yielded higher net production, between -2.83-0.76 µmol O2 cm(-2 day(-1. This study opens research questions as to why mesophotic zooxanthellae are more successfully meeting the corals metabolic requirements when Chl a concentration decreases by over 60% during summer and early fall.

  18. Seasonal mesophotic coral bleaching of Stylophora pistillata in the Northern Red Sea.

    Science.gov (United States)

    Nir, Orit; Gruber, David F; Shemesh, Eli; Glasser, Eliezra; Tchernov, Dan

    2014-01-01

    Coral bleaching occurs when environmental stress induces breakdown of the coral-algae symbiosis and the host initiates algae expulsion. Two types of coral bleaching had been thoroughly discussed in the scientific literature; the first is primarily associated with mass coral bleaching events; the second is a seasonal loss of algae and/or pigments. Here, we describe a phenomenon that has been witnessed for repeated summers in the mesophotic zone (40-63 m) in the northern Red Sea: seasonal bleaching and recovery of several hermatypic coral species. In this study, we followed the recurring bleaching process of the common coral Stylophora pistillata. Bleaching occurred from April to September with a 66% decline in chlorophyll a concentration, while recovery began in October. Using aquarium and transplantation experiments, we explored environmental factors such as temperature, photon flux density and heterotrophic food availability. Our experiments and observations did not yield one single factor, alone, responsible for the seasonal bleaching. The dinoflagellate symbionts (of the genus Symbiodinium) in shallow (5 m) Stylophora pistillata were found to have a net photosynthetic rate of 56.98-92.19 µmol O2 cm(-2) day(-1). However, those from mesophotic depth (60 m) during months when they are not bleached are net consumers of oxygen having a net photosynthetic rate between -12.86 - (-10.24) µmol O2 cm(-2) day(-1). But during months when these mesophotic corals are partially-bleached, they yielded higher net production, between -2.83-0.76 µmol O2 cm(-2) day(-1). This study opens research questions as to why mesophotic zooxanthellae are more successfully meeting the corals metabolic requirements when Chl a concentration decreases by over 60% during summer and early fall.

  19. Coculture of autologous limbal and conjunctival epithelial cells to treat severe ocular surface disorders: Long-term survival analysis

    Science.gov (United States)

    Subramaniam, Sandhya V; Sejpal, Kunjal; Fatima, Anees; Gaddipati, Subhash; Vemuganti, Geeta K; Sangwan, Virender S

    2013-01-01

    Background: Cultivated limbal epithelium for reconstruction of corneal surface is a well-established procedure; however, it is not adequate for damage which also extensively involves the conjunctiva. In severe cases of ocular surface damage that warrant additional conjunctival transplantation apart from cultivated limbal stem cell transplantation, we describe the long-term survival of a novel method of cocultivating autologous limbal and conjunctival epithelium on a single substrate. Materials and Methods: Forty eyes of 39 patients with severe limbal stem cell deficiency and conjunctival scarring or symblepharon underwent transplantation of autologous cocultivated epithelium on human amniotic membrane. A ring barrier was used to segregate the central limbal and peripheral conjunctival epithelia in vitro. Patients were followed up at regular intervals to assess stability of the ocular surface, defined by absence of conjunctivalization into the central 4 mm of the cornea and absence of diffuse fluorescein staining. Penetrating keratoplasty (PKP) was subsequently performed, where indicated, in patients with surface stability. Results: The cumulative survival probability was 60% at 1 year and 45% at 4 years by Kaplan–Meier analysis (mean follow-up duration: 33 ± 29 months, range: 1–87 months). Best-corrected visual acuity improved to greater than 20/200 in 38% eyes at the last follow-up, compared with 5% eyes before surgery. Immunohistochemistry in five of the corneal buttons excised for PKP showed an epithelial phenotype similar to cornea in all five. Conclusions: Synchronous use of cultured limbal and conjunctival epithelium offers a feasible alternative and a simpler one-step surgical approach to treat severe ocular surface disorders involving limbus and conjunctiva. PMID:23552358

  20. BLEACHING IN VITAL TEETH: A LITERARY REVIEW

    Directory of Open Access Journals (Sweden)

    Felipe Fagundes Soares

    2007-12-01

    Full Text Available Tooth bleaching technique has presented a significant evolution, promoting higher satisfaction and comfort to the patients. Therefore, the aim of this study was to present the bleaching agents and the techniques, discussing advantages and disadvantages of each one, and the effect of these agents in the oral environment. The main agents used in the bleaching technique are the hydrogen peroxide and the carbamide peroxide, promoting the bleaching effect through oxidation of organic compounds. The application of these agents can be made at home or at a doctor office. During treatment, it may occur some adverse effects, such as tooth sensibility, increasing of dental porosity, and some interactions with the restorative material. However, these adverse effects can be eliminated or controlled when the treatment is executed under professional orientation. When the bleaching technique is well indicated and correctly conducted, it is associated with significantly positive results.

  1. Survival and haematological recovery of children with severe malaria transfused in accordance to WHO guidelines in Kilifi, Kenya

    Directory of Open Access Journals (Sweden)

    Idro Richard

    2008-12-01

    Full Text Available Abstract Background Severe anaemia requiring emergency blood transfusion is a common complication of malaria in children. To ensure access for urgent blood transfusion, the World Health Organization has developed clear guidelines with haemoglobin thresholds prevent unwarranted transfusion,. Few studies have reported outcome and haematological recovery of children with severe malaria where transfusion practice complies with WHO recommendations. Methods A prospective observational study of survivors of severe and complicated malaria transfused in accordance with WHO guidelines. Children were invited for review at one month post-discharge. Non-attendees were traced in the community to ascertain survival. Results Outcome was assessed in 213 survivors. Those transfused were younger, had a higher base deficit, mean lactate levels and a higher prevalence of respiratory distress. As expected mean admission haemoglobin (Hb was significantly lower amongst transfused [5.0 g/dL SD: 1.9] compared to non-transfused children [8.3 g/dL SD: 1.7] (p Conclusion This data supports the policy of rational use of blood transfusion, as proposed in the WHO guidelines, for children with anaemia in areas where access to emergency transfusion is not guaranteed. We have provided empirical data indicating that transfusion does not influence superior recovery in haemoglobin concentrations and therefore cannot be justified on this basis alone. This may help resolve the disparity between international policy and current clinical practice. Effective anti-malarial treatment at discharge may prevent reoccurrence of anaemia.

  2. A strategic framework for responding to coral bleaching events in a changing climate.

    Science.gov (United States)

    Maynard, J A; Johnson, J E; Marshall, P A; Eakin, C M; Goby, G; Schuttenberg, H; Spillman, C M

    2009-07-01

    The frequency and severity of mass coral bleaching events are predicted to increase as sea temperatures continue to warm under a global regime of rising ocean temperatures. Bleaching events can be disastrous for coral reef ecosystems and, given the number of other stressors to reefs that result from human activities, there is widespread concern about their future. This article provides a strategic framework from the Great Barrier Reef to prepare for and respond to mass bleaching events. The framework presented has two main inter-related components: an early warning system and assessment and monitoring. Both include the need to proactively and consistently communicate information on environmental conditions and the level of bleaching severity to senior decision-makers, stakeholders, and the public. Managers, being the most timely and credible source of information on bleaching events, can facilitate the implementation of strategies that can give reefs the best chance to recover from bleaching and to withstand future disturbances. The proposed framework is readily transferable to other coral reef regions, and can easily be adapted by managers to local financial, technical, and human resources.

  3. Internationally comparable diagnosis-specific survival probabilities for calculation of the ICD-10-based Injury Severity Score

    DEFF Research Database (Denmark)

    Gedeborg, R.; Warner, M.; Chen, L. H.

    2014-01-01

    BACKGROUND: The International Statistical Classification of Diseases, 10th Revision (ICD-10) -based Injury Severity Score (ICISS) performs well but requires diagnosis-specific survival probabilities (DSPs), which are empirically derived, for its calculation. The objective was to examine if DSPs b...... based on data pooled from several countries could increase accuracy, precision, utility, and international comparability of DSPs and ICISS. METHODS: Australia, Argentina, Austria, Canada, Denmark, New Zealand, and Sweden provided ICD-10-coded injury hospital discharge data, including in......-hospital mortality status. Data from the seven countries were pooled using four different methods to create an international collaborative effort ICISS (ICE-ICISS). The ability of the ICISS to predict mortality using the country-specific DSPs and the pooled DSPs was estimated and compared. RESULTS: The pooled DSPs...... generated empirically derived DSPs. These pooled DSPs facilitate international comparisons and enables the use of ICISS in all settings where ICD-10 hospital discharge diagnoses are available. The modest reduction in performance of the ICE-ICISS compared with the country-specific scores is unlikely...

  4. [Assessment of tooth bleaching efficacy with spectrophotometer].

    Science.gov (United States)

    Zhu, Wenhao; Liu, Chang; Pan, Jie

    2014-06-01

    To analyze the changes in CIE L*, a*, and b* at cervical, body, and incisal sites after tooth bleaching by using a spectrophotometer. Sixty-seven intact and healthy maxillary central incisors were in-vestigated. These incisors were darker than A3 according to the Vita Classical shade guide. The CIE tooth shade parameters L*, a*, and b* were simultaneously recorded at three tooth areas (cervical, body, and incisal) with a spectrophotometer before and after tooth bleaching (35%H2O2 coordinating with Beyond whitening accelerator irradiating). The shade dif-ferential (DeltaE) was calculated. ANOVA, paired t-test, and Pearson correlation analysis were used for data analysis. The efficacy rates of tooth bleaching were satisfactory, with 86.6%, 86.6%, and 85.1% in the cervical, body, and incisal sites, respectively. The average values of DeltaE were 5.09, 4.44, and 4.40 in the cervical, body, and incisal sites. Tooth bleaching significantly increased L* and significantly decreased a* and b* in all tooth areas (P spectrophotometer could objectively evaluate the whitening effect of tooth bleaching at the different tooth sites. The tooth bleaching system (35%H202 coordinating with Beyond whitening accelerator irradiating) exerts powerful bleaching actions in most of the tooth areas investigated. The order of tooth bleaching effectiveness is cervicalbody>incisal. Yellow coloration is decreased mainly at the cervical site, and brightness was increased mostly at theincisal site. The effectiveness of tooth bleaching increases as the baseline b* value increases.

  5. Survival trends and predictors of mortality in severe pelvic trauma: estimates from the German Pelvic Trauma Registry Initiative.

    Science.gov (United States)

    Pohlemann, Tim; Stengel, Dirk; Tosounidis, Georgios; Reilmann, Heinrich; Stuby, Fabian; Stöckle, Uli; Seekamp, Andreas; Schmal, Hagen; Thannheimer, Andreas; Holmenschlager, Francis; Gänsslen, Axel; Rommens, Pol Maria; Fuchs, Thomas; Baumgärtel, Friedel; Marintschev, Ivan; Krischak, Gert; Wunder, Stephan; Tscherne, Harald; Culemann, Ulf

    2011-10-01

    To determine longitudinal trends in mortality, and the contribution of specific injury characteristics and treatment modalities to the risk of a fatal outcome after severe and complex pelvic trauma. We studied 5048 patients with pelvic ring fractures enrolled in the German Pelvic Trauma Registry Initiative between 1991 and 1993, 1998 and 2000, and 2004 and 2006. Complete datasets were available for 5014 cases, including 508 complex injuries, defined as unstable fractures with severe peri-pelvic soft tissue and organ laceration. Multivariable mixed-effects logistic regression analysis was employed to evaluate the impact of demographic, injury- and treatment-associated variables on all-cause in-hospital mortality. All-cause in-hospital mortality declined from 8% (39/466) in 1991 to 5% (33/638) in 2006. Controlling for age, Injury Severity Score, pelvic vessel injury, the need for emergency laparotomy, and application of a pelvic clamp, the odds ratio (OR) per annum was 0.94 (95% confidence interval [CI] 0.91-0.96). However, the risk of death did not decrease significantly in patients with complex injuries (OR 0.98, 95% CI 0.93-1.03). Raw mortality associated with this type of injury was 18% (95% CI 9-32%) in 2006. In contrast to an overall decline in trauma mortality, complex pelvic ring injuries remain associated with a significant risk of death. Awareness of this potentially life-threatening condition should be increased amongst trauma care professionals, and early management protocols need to be implemented to improve the survival prognosis. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. Local bleaching thresholds established by remote sensing techniques vary among reefs with deviating bleaching patterns during the 2012 event in the Arabian/Persian Gulf.

    Science.gov (United States)

    Shuail, Dawood; Wiedenmann, Jörg; D'Angelo, Cecilia; Baird, Andrew H; Pratchett, Morgan S; Riegl, Bernhard; Burt, John A; Petrov, Peter; Amos, Carl

    2016-04-30

    A severe bleaching event affected coral communities off the coast of Abu Dhabi, UAE in August/September, 2012. In Saadiyat and Ras Ghanada reefs ~40% of the corals showed signs of bleaching. In contrast, only 15% of the corals were affected on Delma reef. Bleaching threshold temperatures for these sites were established using remotely sensed sea surface temperature (SST) data recorded by MODIS-Aqua. The calculated threshold temperatures varied between locations (34.48 °C, 34.55 °C, 35.05 °C), resulting in site-specific deviations in the numbers of days during which these thresholds were exceeded. Hence, the less severe bleaching of Delma reef might be explained by the lower relative heat stress experienced by this coral community. However, the dominance of Porites spp. that is associated with the long-term exposure of Delma reef to elevated temperatures, as well as the more pristine setting may have additionally contributed to the higher coral bleaching threshold for this site. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  7. Coral diseases and bleaching on Colombian Caribbean coral reefs

    Directory of Open Access Journals (Sweden)

    Raúl Navas-Camacho

    2010-05-01

    Full Text Available Since 1998 the National Monitoring System for the Coral Reefs of Colombia (SIMAC has monitored the occurrence of coral bleaching and diseases in some Colombian coral reefs (permanent stations at San Andres Island, Rosario Islands, Tayrona, San Bernardo Islands and Urabá. The main purpose is to evaluate their health status and to understand the factors that have been contributing to their decline. To estimate these occurrences, annual surveys in 126 permanent belt transects (10x2m with different depth intervals (3-6 meters, 9-12 meters and 15-18 meters are performed at all reef sites. Data from the 1998-2004 period, revealed that San Andrés Island had many colonies with diseases (38.9 colonies/m2, and Urabá had high numbers with bleaching (54.4 colonies/m2. Of the seven reported coral diseases studied, Dark Spots Disease (DSD, and White Plague Disease (WPD were noteworthy because they occurred in all Caribbean monitored sites, and because of their high interannual infection incidence. Thirty five species of scleractinian corals were affected by at least one disease and a high incidence of coral diseases on the main reef builders is documented. Bleaching was present in 34 species. During the whole monitoring period, Agaricia agaricites and Siderastrea siderea were the species most severely affected by DSD and bleaching, respectively. Diseases on species such as Agaricia fragilis, A.grahamae, A. humilis, Diploria clivosa, Eusmilia fastigiata, Millepora complanata, and Mycetophyllia aliciae are recorded for first time in Colombia. We present bleaching and disease incidences, kinds of diseases, coral species affected, reef localities studied, depth intervals of surveys, and temporal (years variation for each geographic area. This variation makes difficult to clearly determine defined patterns or general trends for monitored reefs. This is the first long-term study of coral diseases and bleaching in the Southwestern Caribbean, and one of the few

  8. Modeling patterns of coral bleaching at a remote Central Pacific atoll.

    Science.gov (United States)

    Williams, Gareth J; Knapp, Ingrid S; Maragos, James E; Davy, Simon K

    2010-09-01

    A mild bleaching event (9.2% prevalence) at Palmyra Atoll occurred in response to the 2009 ENSO, when mean water temperature reached 29.8-30.1 degrees C. Prevalence among both abundant and sparse taxa varied with no clear pattern in susceptibility relating to coral morphology. Seven taxon-specific models showed that turbidity exacerbated while prior exposure to higher background temperatures alleviated bleaching, with these predictors explaining an average 16.3% and 11.5% variation in prevalence patterns, respectively. Positive associations occurred between bleaching prevalence and both immediate temperature during the bleaching event (average 8.4% variation explained) and increased sand cover (average 3.7%). Despite these associations, mean unexplained variation in prevalence equalled 59%. Lower bleaching prevalence in areas experiencing higher background temperatures suggests acclimation to temperature stress among several coral genera, while WWII modifications may still be impacting the reefs via shoreline sediment re-distribution and increased turbidity, exacerbating coral bleaching susceptibility during periods of high temperature stress. Copyright 2010 Elsevier Ltd. All rights reserved.

  9. Coral recovery in the central Maldives archipelago since the last major mass-bleaching, in 1998

    Science.gov (United States)

    Pisapia, C.; Burn, D.; Yoosuf, R.; Najeeb, A.; Anderson, K. D.; Pratchett, M. S.

    2016-10-01

    Increasing frequency and severity of disturbances is causing global degradation of coral reef ecosystems. This study examined temporal changes in live coral cover and coral composition in the central Maldives from 1997 to 2016, encompassing two bleaching events, a tsunami, and an outbreak of Acanthaster planci. We also examined the contemporary size structure for five dominant coral taxa (tabular Acropora, Acropora muricata, Acropora humilis, Pocillopora spp, and massive Porites). Total coral cover increased throughout the study period, with marked increases following the 1998 mass-bleaching. The relative abundance of key genera has changed through time, where Acropora and Pocillopora (which are highly susceptible to bleaching) were under-represented following 1998 mass-bleaching but increased until outbreaks of A. planci in 2015. The contemporary size-structure for all coral taxa was dominated by larger colonies with peaked distributions suggesting that recent disturbances had a disproportionate impact on smaller colonies, or that recruitment is currently limited. This may suggest that coral resilience has been compromised by recent disturbances, and further bleaching (expected in 2016) could lead to highly protracted recovery times. We showed that Maldivian reefs recovered following the 1998 mass-bleaching event, but it took up to a decade, and ongoing disturbances may be eroding reef resilience.

  10. Coral recovery in the central Maldives archipelago since the last major mass-bleaching, in 1998

    Science.gov (United States)

    Pisapia, C.; Burn, D.; Yoosuf, R.; Najeeb, A.; Anderson, K. D.; Pratchett, M. S.

    2016-01-01

    Increasing frequency and severity of disturbances is causing global degradation of coral reef ecosystems. This study examined temporal changes in live coral cover and coral composition in the central Maldives from 1997 to 2016, encompassing two bleaching events, a tsunami, and an outbreak of Acanthaster planci. We also examined the contemporary size structure for five dominant coral taxa (tabular Acropora, Acropora muricata, Acropora humilis, Pocillopora spp, and massive Porites). Total coral cover increased throughout the study period, with marked increases following the 1998 mass-bleaching. The relative abundance of key genera has changed through time, where Acropora and Pocillopora (which are highly susceptible to bleaching) were under-represented following 1998 mass-bleaching but increased until outbreaks of A. planci in 2015. The contemporary size-structure for all coral taxa was dominated by larger colonies with peaked distributions suggesting that recent disturbances had a disproportionate impact on smaller colonies, or that recruitment is currently limited. This may suggest that coral resilience has been compromised by recent disturbances, and further bleaching (expected in 2016) could lead to highly protracted recovery times. We showed that Maldivian reefs recovered following the 1998 mass-bleaching event, but it took up to a decade, and ongoing disturbances may be eroding reef resilience. PMID:27694823

  11. Coral recovery in the central Maldives archipelago since the last major mass-bleaching, in 1998.

    Science.gov (United States)

    Pisapia, C; Burn, D; Yoosuf, R; Najeeb, A; Anderson, K D; Pratchett, M S

    2016-10-03

    Increasing frequency and severity of disturbances is causing global degradation of coral reef ecosystems. This study examined temporal changes in live coral cover and coral composition in the central Maldives from 1997 to 2016, encompassing two bleaching events, a tsunami, and an outbreak of Acanthaster planci. We also examined the contemporary size structure for five dominant coral taxa (tabular Acropora, Acropora muricata, Acropora humilis, Pocillopora spp, and massive Porites). Total coral cover increased throughout the study period, with marked increases following the 1998 mass-bleaching. The relative abundance of key genera has changed through time, where Acropora and Pocillopora (which are highly susceptible to bleaching) were under-represented following 1998 mass-bleaching but increased until outbreaks of A. planci in 2015. The contemporary size-structure for all coral taxa was dominated by larger colonies with peaked distributions suggesting that recent disturbances had a disproportionate impact on smaller colonies, or that recruitment is currently limited. This may suggest that coral resilience has been compromised by recent disturbances, and further bleaching (expected in 2016) could lead to highly protracted recovery times. We showed that Maldivian reefs recovered following the 1998 mass-bleaching event, but it took up to a decade, and ongoing disturbances may be eroding reef resilience.

  12. A comparison between boat-based and diver-based methods for quantifying coral bleaching

    Science.gov (United States)

    Zawada, David G.; Ruzicka, Rob; Colella, Michael A.

    2015-01-01

    Recent increases in both the frequency and severity of coral bleaching events have spurred numerous surveys to quantify the immediate impacts and monitor the subsequent community response. Most of these efforts utilize conventional diver-based methods, which are inherently time-consuming, expensive, and limited in spatial scope unless they deploy large teams of scientifically-trained divers. In this study, we evaluated the effectiveness of the Along-Track Reef Imaging System (ATRIS), an automated image-acquisition technology, for assessing a moderate bleaching event that occurred in the summer of 2011 in the Florida Keys. More than 100,000 images were collected over 2.7 km of transects spanning four patch reefs in a 3-h period. In contrast, divers completed 18, 10-m long transects at nine patch reefs over a 5-day period. Corals were assigned to one of four categories: not bleached, pale, partially bleached, and bleached. The prevalence of bleaching estimated by ATRIS was comparable to the results obtained by divers, but only for corals > 41 cm in size. The coral size-threshold computed for ATRIS in this study was constrained by prevailing environmental conditions (turbidity and sea state) and, consequently, needs to be determined on a study-by-study basis. Both ATRIS and diver-based methods have innate strengths and weaknesses that must be weighed with respect to project goals.

  13. Opposite latitudinal gradients in projected ocean acidification and bleaching impacts on coral reefs.

    Science.gov (United States)

    van Hooidonk, Ruben; Maynard, Jeffrey Allen; Manzello, Derek; Planes, Serge

    2014-01-01

    Coral reefs and the services they provide are seriously threatened by ocean acidification and climate change impacts like coral bleaching. Here, we present updated global projections for these key threats to coral reefs based on ensembles of IPCC AR5 climate models using the new Representative Concentration Pathway (RCP) experiments. For all tropical reef locations, we project absolute and percentage changes in aragonite saturation state (Ωarag) for the period between 2006 and the onset of annual severe bleaching (thermal stress >8 degree heating weeks); a point at which it is difficult to believe reefs can persist as we know them. Severe annual bleaching is projected to start 10-15 years later at high-latitude reefs than for reefs in low latitudes under RCP8.5. In these 10-15 years, Ωarag keeps declining and thus any benefits for high-latitude reefs of later onset of annual bleaching may be negated by the effects of acidification. There are no long-term refugia from the effects of both acidification and bleaching. Of all reef locations, 90% are projected to experience severe bleaching annually by 2055. Furthermore, 5% declines in calcification are projected for all reef locations by 2034 under RCP8.5, assuming a 15% decline in calcification per unit of Ωarag. Drastic emissions cuts, such as those represented by RCP6.0, result in an average year for the onset of annual severe bleaching that is ~20 years later (2062 vs. 2044). However, global emissions are tracking above the current worst-case scenario devised by the scientific community, as has happened in previous generations of emission scenarios. The projections here for conditions on coral reefs are dire, but provide the most up-to-date assessment of what the changing climate and ocean acidification mean for the persistence of coral reefs. © 2013 John Wiley & Sons Ltd.

  14. Shear Bond Strength of Two Types of Glass Ionomer to Bleached Dentin: Effect of Delayed Bonding and Antioxidant Agent.

    Science.gov (United States)

    Omrani, Ladan Ranjbar; Sabouri, Parastoo; Abbasi, Mehdi; Ahmadi, Elham; Ghavam, Maryam

    2016-01-01

    Studies have shown a reduction in bond strength of composites and glass ionomer to bleached enamel and dentin. Several methods have been proposed to reverse compromised bond strength. The aim of this study was to evaluate the effect of delayed bonding and application of antioxidant agent on the bond strength of reinforced self-cured (Fuji IX) and light-cured glass ionomers (Fuji II LC) to bleached dentin. Eighty extracted third molars were randomly divided into 8 groups. Buccal dentin surfaces received different treatments: Two control groups: no treatment + bonding Fuji IX or Fuji II LC. Two immediate bonding groups: bleaching + bonding Fuji IX or Fuji II LC. Two delayed bonding groups: bleaching + 7 days delay + bonding Fuji IX or Fuji II LC. Two sodium ascorbate application groups: Bleaching + application of 10% sodium ascorbate + bonding Fuji IX or Fuji II LC. All samples were tested for shear bond strength. Two-way analysis of variance (ANOVA) was used to compare the mean and standard deviations among groups, followed by the Tukey's test for significant interaction. No statistically significant difference was detected in shear bond strength of Fuji IX to bleached or normal dentin. Although a significant reduction was found shear bond strength values of Fuji II LC to bleached dentin, no significant difference was observed between no bleaching group and those treated with 10% sodium ascorbate or 7 days of delay in bonding for both types of glass ionomer. Bleaching had no significant effect on shear bond strength of Fuji IX to dentin; this type of GI can be used immediately after bleaching.

  15. Comparisons of the 1995 and 1998 coral bleaching events on the patch reefs of San Salvador Island, Bahamas.

    Science.gov (United States)

    McGrath, Thomas A; Smith, Garriet W

    2003-06-01

    Coral patch reefs around San Salvador Island, Bahamas have been monitored with the aid of Earthwatch volunteers three times a year since 1992. During that period two significant mass bleaching events occurred: autumn 1995, and late summer 1998. Elsewhere in 1995, bleaching was caused by higher-than-normal summer sea temperatures; in San Salvador, however, temperatures were normal. In 1998 a prolonged period of higher-than-normal sea temperatures preceded bleaching on San Salvador and worldwide. During the 1995 event, one of the monitored reefs had twice the percentage of coral colonies bleached as the other two. Bleaching was more evenly distributed among the reefs during the 1998 event. In 1995 Agaricia agaricites was significantly more affected than other coral species, with almost 50% of all its colonies showing bleaching. Bleaching was more evenly spread among coral species in 1998, with five species showing bleaching on more than 40% of their colonies. Bleaching began on Millepora as early as August during the 1998 event and progressed to other species through the remainder of the autumn. In 1995 bleaching was not seen until late autumn and appeared to impact all affected species at about the same time. Recovery from the 1995 event was complete: no coral death or damage above normal background levels were seen. In the 1998 event, all Acropora cervicornis on the monitored reefs died and A. palmata was severely damaged. Millepora sp. lost almost half of their live tissue, and Montastraea sp. showed significant tissue damage following this event. Phototransect analysis suggests that more than 20% of total live tissue on affected species died during the 1998 event. A. cervicornis has demonstrated no re-growth from 1998 to 2000 on monitored reefs. Monitoring has suggested significant differences in causes and courses in these two events.

  16. Impact of Three Bleaching Events on the Reef Resiliency of Kāne‘ohe Bay, Hawai‘i

    Directory of Open Access Journals (Sweden)

    Keisha D. Bahr

    2017-12-01

    Full Text Available Coral bleaching events have been increasing in frequency and severity worldwide. The most prolonged global bleaching event began in 2014 and continued into 2017 impacting more reefs than any previous occurrence. Here we present the results of coral bleaching and mortality surveys conducted in Kāne‘ohe Bay O‘ahu, Hawai‘i and compare them to the only other widespread bleaching events to impact the main Hawaiian Islands in 1996 and 2014. Results from these surveys along with associated environmental factors were used to compare these events to gain a baseline understanding of the physical processes that influence localized bleaching dynamics under these extreme environmental conditions. Survey results show extensive variation in bleaching (1996–62%, 2014–45%, 2015–30% and cumulative mortality (1996— <1%, 2014–13%, 2015–22% between years. Bleaching prevalence was observed to decrease in certain reef areas across events, suggesting some acclimation and/or resilience, but possible increase susceptibility to mortality. Long-term monitoring sites show a similar temporal pattern of coral mortality and decline in coral cover, but revealed some reefs remained relatively un-impacted by consecutive high temperature events. Across the three bleaching events, we found that although circulation patterns can facilitate heating, the duration and magnitude of the high temperature event were the primary forcing functions for coral bleaching and mortality. Other localized primary drivers influencing water temperature such as irradiance, turbidity, and precipitation contributed to spatial variations. Recovery and resilience of this coral reef ecosystem is dependent on many factors including duration and magnitude of heating, resulting mortality levels, localized environmental factors in the bay, and coral species affected and their bleaching tolerances.

  17. Alternative bleaching methods for Cheddar cheese whey.

    Science.gov (United States)

    Kang, E J; Smith, T J; Drake, M A

    2012-07-01

    Residual annatto colorant (norbixin) in fluid Cheddar cheese whey can be bleached. The 2 approved chemical bleaching agents for whey, hydrogen peroxide (HP) and benzoyl peroxide (BP), negatively impact the flavor of dried whey protein. The objective of this study was to evaluate alternative methods for bleaching liquid whey: ultraviolet radiation (UV), acid-activated bentonite (BT), and ozone (OZ). Colored Cheddar cheese whey was manufactured followed by pasteurization and fat separation. Liquid whey was subjected to one of 5 treatments: control (CT) (no bleaching; 50 °C, 1 h), HP (250 mg/kg; 50 °C, 1 h), UV (1 min exposure; 50 °C), BT (0.5% w/w; 50 °C, 1 h), or OZ (2.2g/h, 50 °C, 1 h). The treated whey was then ultrafiltered, diafiltered, and spray-dried to 80% whey protein concentrate (WPC80). The entire experiment was replicated 3 times. Color (norbixin extraction and measurement), descriptive sensory, and instrumental volatile analyses were conducted on WPC80. Norbixin elimination was 28%, 79%, 39%, and 15% for HP, BT, UV, and OZ treatments, respectively. WPC80 from bleached whey, regardless of bleaching agent, had lower sweet aromatic and cooked/milky flavors compared to unbleached CT (P whey. The 2 approved chemical bleaching agents for whey, hydrogen peroxide (HP) and benzoyl peroxide (BP), negatively impact flavor of dried whey protein, and restrictions on these agents are increasing. This study evaluated 3 alternatives to chemical bleaching of fluid whey: UV radiation, ozone, and bentonite. © 2012 Institute of Food Technologists®

  18. HOME BLEACHING TECHNIQUE USING CARBAMIDE PEROXIDE

    Directory of Open Access Journals (Sweden)

    Rahmi Alma Farah Adang

    2015-06-01

    Full Text Available There are two basic kinds of tooth whitening agents. The first is over the counter materials and the other is material used by the dentist or under dentist control. Home bleaching is a technique using 10% carbamide peroxide on a tray applied by patient under dentist supervision. This paper is a review of the effect of 10% carbamide peroxide home bleaching technique. It is revealed that this method is simple, safe, economic, and has short chairside time.

  19. Sunscreens cause coral bleaching by promoting viral infections.

    Science.gov (United States)

    Danovaro, Roberto; Bongiorni, Lucia; Corinaldesi, Cinzia; Giovannelli, Donato; Damiani, Elisabetta; Astolfi, Paola; Greci, Lucedio; Pusceddu, Antonio

    2008-04-01

    Coral bleaching (i.e., the release of coral symbiotic zooxanthellae) has negative impacts on biodiversity and functioning of reef ecosystems and their production of goods and services. This increasing world-wide phenomenon is associated with temperature anomalies, high irradiance, pollution, and bacterial diseases. Recently, it has been demonstrated that personal care products, including sunscreens, have an impact on aquatic organisms similar to that of other contaminants. Our goal was to evaluate the potential impact of sunscreen ingredients on hard corals and their symbiotic algae. In situ and laboratory experiments were conducted in several tropical regions (the Atlantic, Indian, and Pacific Oceans, and the Red Sea) by supplementing coral branches with aliquots of sunscreens and common ultraviolet filters contained in sunscreen formula. Zooxanthellae were checked for viral infection by epifluorescence and transmission electron microscopy analyses. Sunscreens cause the rapid and complete bleaching of hard corals, even at extremely low concentrations. The effect of sunscreens is due to organic ultraviolet filters, which are able to induce the lytic viral cycle in symbiotic zooxanthellae with latent infections. We conclude that sunscreens, by promoting viral infection, potentially play an important role in coral bleaching in areas prone to high levels of recreational use by humans.

  20. Relative Contributions of Various Cellular Mechanisms to Loss of Algae during Cnidarian Bleaching.

    Science.gov (United States)

    Bieri, Tamaki; Onishi, Masayuki; Xiang, Tingting; Grossman, Arthur R; Pringle, John R

    2016-01-01

    When exposed to stress such as high seawater temperature, corals and other cnidarians can bleach due to loss of symbiotic algae from the host tissue and/or loss of pigments from the algae. Although the environmental conditions that trigger bleaching are reasonably well known, its cellular and molecular mechanisms are not well understood. Previous studies have reported the occurrence of at least four different cellular mechanisms for the loss of symbiotic algae from the host tissue: in situ degradation of algae, exocytic release of algae from the host, detachment of host cells containing algae, and death of host cells containing algae. The relative contributions of these several mechanisms to bleaching remain unclear, and it is also not known whether these relative contributions change in animals subjected to different types and/or durations of stresses. In this study, we used a clonal population of the small sea anemone Aiptasia, exposed individuals to various precisely controlled stress conditions, and quantitatively assessed the several possible bleaching mechanisms in parallel. Under all stress conditions tested, except for acute cold shock at 4°C, expulsion of intact algae from the host cells appeared to be by far the predominant mechanism of bleaching. During acute cold shock, in situ degradation of algae and host-cell detachment also became quantitatively significant, and the algae released under these conditions appeared to be severely damaged.

  1. Unreported births and deaths, a severe obstacle for improved neonatal survival in low-income countries; a population based study

    Directory of Open Access Journals (Sweden)

    Wallin Lars

    2008-03-01

    Full Text Available Abstract Background In order to improve child survival there is a need to target neonatal mortality. In this pursuit, valid local and national statistics on child health are essential. We analyze to what extent births and neonatal deaths are unreported in a low-income country and discuss the consequences at local and international levels for efforts to save newborn lives. Methods Information on all births and neonatal deaths in Quang Ninh province in Northern Vietnam in 2005 was ascertained by systematic inventory through group interviews with key informants, questionnaires and examination of health facility records. Health care staff at 187 Community Health Centers (CHC and 18 hospitals, in addition to 1372 Village Health Workers (VHW, were included in the study. Results were compared with the official reports of the Provincial Health Bureau. Results The neonatal mortality rate (NMR was 16/1000 (284 neonatal deaths/17 519 births, as compared to the official rate of 4.2/1000. The NMR varied between 44/1000 and 10/1000 in the different districts of the province. The under-reporting was mainly attributable to a dysfunctional reporting system and the fact that families, not the health system, were made responsible to register births and deaths. This under-reporting has severe consequences at local, national and international levels. At a local level, it results in a lack of awareness of the magnitude and differentials in NMR, leading to an indifference towards the problem. At a national and international level the perceived low mortality rate is manifested in a lack of investments in perinatal health programs. Conclusion This example of a faulty health information system is reportedly not unique in low and middle income countries where needs for neonatal health reforms are greatest. Improving reporting systems on births and neonatal deaths is a matter of human rights and a prerequisite for reducing neonatal mortality in order to reach the fourth

  2. Temperament and perception of tooth bleaching results

    Directory of Open Access Journals (Sweden)

    Katarzyna Mehr

    2016-09-01

    Full Text Available Background . The neurophysiological process of perceiving the results of tooth bleaching requires the correct interaction between the central nervous system and the organs of sight. Exaggerated beliefs concerning defective facial features may enhance inner attitudes about one’s own color of dentition, as well as a feeling of dissatisfaction with the degree of leaching. Objectives. The study aimed to assess the degree of the patient satisfaction with the results of tooth bleaching in relation to their temperament. Material and methods. There were 68 generally healthy volunteers, aged 28–38 years, with external discolorations of the teeth. They had never undergone dental bleaching and their frontal teeth did not have any fillings. After clinical evaluation and the completion of formalities, the patients were asked to fill in Strelau’s temperament questionnaire. Questionnaires and visual status were assessed three times by three doctors: before bleaching, and then 24 hours and two weeks after the home-bleaching operation, which was done with the use of Opalescence (Ultradent in uniform sequence. Results . There were practically no adverse side results, except a periodic dentin hypersensitivity that occurred periodically in 44 patients. The results of the visual assessment performed by the physicians did not differ. The questionnaire data showed that women were more critical of the results in relation to the expectations. Among elancholics, full satisfaction was declared by 41%, whereas among sanguine people, full satisfaction was obtained by 85%. Satisfaction with the aesthetic results was associated with bleaching by at least 4 degrees. Conclusions . Patients’ temperament affects their subjective evaluation of the effectiveness of tooth bleaching, which should be taken into consideration in the patient’s individual dental treatment plan.

  3. Combined Bleaching Technique Using Low and High Hydrogen Peroxide In-Office Bleaching Gel.

    Science.gov (United States)

    Rezende, M; Ferri, L; Kossatz, S; Loguercio, A D; Reis, A

    2016-01-01

    The aim of this study was to evaluate the efficacy, color stability, risk, and intensity of tooth sensitivity (TS) of combined bleaching techniques performed with 20% or 35% hydrogen peroxide for an in-office protocol. Thirty patients were randomly divided into two groups and submitted to a single 45-minute in-office bleaching session with 35% hydrogen peroxide or 20% hydrogen peroxide. At-home bleaching was performed with 10% carbamide peroxide for two hours daily over the course of two weeks. The color was evaluated with the value-oriented shade guide Vita Classical at different periods up to 12 months after bleaching. Patients recorded the intensity of TS using a five-point verbal scale. Color change data were submitted to a two-way repeated-measures analysis of variance and Tukey test (α=0.05). The absolute risk and intensity of TS were compared with the Fisher exact test and Mann-Whitney test, respectively (α=0.05). On average, an effective and similar whitening of three units in shade guide was observed for both groups, which remained stable for 12 months. When both protocols were compared, the one with hydrogen peroxide 35% showed a higher risk (p=0.02) and intensity of TS (p=0.04). In regard to the TS intensity, no significant difference was observed up to 48 hours after in-office bleaching (p=0.09) and during the at-home bleaching phase of the study (p=0.71). The combined bleaching technique using at-home bleaching associated with in-office bleaching was effective and stable over the course of 12 months, regardless of the concentration of the hydrogen peroxide used for in-office bleaching. However, the protocol with 20% hydrogen peroxide produced lower risk and intensity of TS.

  4. Assessment of the process of cottonseed oil bleaching in hexane

    Directory of Open Access Journals (Sweden)

    Megahed, Ola A.

    2002-12-01

    Full Text Available This work has been initiated to assess the feasibility of bleaching cottonseed oil in miscella as a processing step next to alkali refining in miscella. Alkali refining of cottonseed oil in miscella has several advantages over conventional refining technologies with respect to oil quality, oil losses and process cost. Therefore, the process efficiency of the bleaching of cottonseed oil in presence of hexane (at a volumetric ratio of 1:1, has been studied and compared to that without solvent. The process efficiency has been evaluated according to the decolourization capacity, the oil losses on spent earth, the filtration rate of the oil from the clay and the acidity of the bleached oil as well as its peroxide content. The bleaching in presence of hexane was carried out at 25ºC whereas that by conventional bleaching at 110ºC. Different clay loads were used in each of the two bleaching techniques and the colour indices of the oils before and after bleaching determined in each case. The results were used to predict Freundlich adsorption equations for the oil pigments in both cases. These equations were then used to predict the colour of the oils obtained by bleaching of refined oils of different grades. The results have shown that oil decolourization is more efficient in presence of solvent when the starting oil is of an acceptable grade and the reverse is true for low grade oils. Also, the possibility of oil oxidation during bleaching is less in presence of solvent. Moreover, the bleaching in miscella has proved two other additional advantages over conventional bleaching. The filtration of oil from clay is much faster in miscella bleaching and the oil losses on spent earth is lower. This will be reflected on the overall process economy.Este trabajo ha sido iniciado para evaluar la viabilidad de la decoloración del aceite de semilla de algodón en miscela como un paso de procesado próximo a la refinación alcalina en miscela. La refinaci

  5. Stable mucus-associated bacterial communities in bleached and healthy corals of Porites lobata from the Arabian Seas

    KAUST Repository

    Hadaidi, Ghaida Ali Hassan

    2017-03-31

    Coral reefs are subject to coral bleaching manifested by the loss of endosymbiotic algae from coral host tissue. Besides algae, corals associate with bacteria. In particular, bacteria residing in the surface mucus layer are thought to mediate coral health, but their role in coral bleaching is unknown. We collected mucus from bleached and healthy Porites lobata colonies in the Persian/Arabian Gulf (PAG) and the Red Sea (RS) to investigate bacterial microbiome composition using 16S rRNA gene amplicon sequencing. We found that bacterial community structure was notably similar in bleached and healthy corals, and the most abundant bacterial taxa were identical. However, fine-scale differences in bacterial community composition between the PAG and RS were present and aligned with predicted differences in sulfur- and nitrogen-cycling processes. Based on our data, we argue that bleached corals benefit from the stable composition of mucus bacteria that resemble their healthy coral counterparts and presumably provide a conserved suite of protective functions, but monitoring of post-bleaching survival is needed to further confirm this assumption. Conversely, fine-scale site-specific differences highlight flexibility of the bacterial microbiome that may underlie adjustment to local environmental conditions and contribute to the widespread success of Porites lobata.

  6. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts.

    Science.gov (United States)

    Vafaei, Ali; Ranjkesh, Bahram; Lovschall, Henrik; Erfanparast, Leila; Jafarabadi, Mohammad A; Oskouei, Sina Ghertasi; Isidor, Flemming

    2016-01-01

    The aim of this study was to compare the survival of composite resin restorations retained by glass fiber posts or reversed-orientated (upside-down) metal posts in severely decayed primary anterior teeth after 6, 12, and 18 months. A total of forty-four 3- to 5-year-old children with bilateral severely decayed primary maxillary canines were included. Patients were treated under general anesthesia. After pulpectomy, an intracanal post was seated in the primary maxillary canine on each side: either a glass fiber post or a metallic post in reversed orientation and teeth restored with light-cured composite. Survival rate of each technique was evaluated at predetermined follow-ups and data were analyzed with McNemar's test (α = 0.05). The difference in survival of restorations retained by two types of posts was not statistically significant in clinical and radiographical evaluations after 6, 12, and 18 months. The survival rate of reversed-orientated metal and glass fiber posts after 18 months was 81.1 and 67.6% respectively (p = 0.14). Reversed-orientated metal post did not show lower clinical survival compared with glass fiber posts in 18-month follow-up. Hence, reversed-orientated metal post can be considered as a potential method to obtain retention for composite restorations in severely decayed primary anterior teeth. How to cite this article: Vafaei A, Ranjkesh B, L0vschall H, Erfanparast L, Jafarabadi MA, Oskouei SG, Isidor F. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts. Int J Clin Pediatr Dent 2016;9(2):109-113.

  7. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts

    Science.gov (United States)

    Ranjkesh, Bahram; Lovschall, Henrik; Erfanparast, Leila; Jafarabadi, Mohammad A; Oskouei, Sina Ghertasi; Isidor, Flemming

    2016-01-01

    ABSTRACT Aim: The aim of this study was to compare the survival of composite resin restorations retained by glass fiber posts or reversed-orientated (upside-down) metal posts in severely decayed primary anterior teeth after 6, 12, and 18 months. Materials and methods: A total of forty-four 3- to 5-year-old children with bilateral severely decayed primary maxillary canines were included. Patients were treated under general anesthesia. After pulpectomy, an intracanal post was seated in the primary maxillary canine on each side: either a glass fiber post or a metallic post in reversed orientation and teeth restored with light-cured composite. Survival rate of each technique was evaluated at predetermined follow-ups and data were analyzed with McNemar’s test (α = 0.05). Results: The difference in survival of restorations retained by two types of posts was not statistically significant in clinical and radiographical evaluations after 6, 12, and 18 months. The survival rate of reversed-orientated metal and glass fiber posts after 18 months was 81.1 and 67.6% respectively (p = 0.14). Conclusion: Reversed-orientated metal post did not show lower clinical survival compared with glass fiber posts in 18-month follow-up. Hence, reversed-orientated metal post can be considered as a potential method to obtain retention for composite restorations in severely decayed primary anterior teeth. How to cite this article: Vafaei A, Ranjkesh B, L0vschall H, Erfanparast L, Jafarabadi MA, Oskouei SG, Isidor F. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts. Int J Clin Pediatr Dent 2016;9(2):109-113. PMID:27365929

  8. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts

    OpenAIRE

    Vafaei, Ali; Ranjkesh, Bahram; Lovschall, Henrik; Erfanparast, Leila; Jafarabadi, Mohammad A; Oskouei, Sina Ghertasi; Isidor, Flemming

    2016-01-01

    ABSTRACT Aim: The aim of this study was to compare the survival of composite resin restorations retained by glass fiber posts or reversed-orientated (upside-down) metal posts in severely decayed primary anterior teeth after 6, 12, and 18 months. Materials and methods: A total of forty-four 3- to 5-year-old children with bilateral severely decayed primary maxillary canines were included. Patients were treated under general anesthesia. After pulpectomy, an intracanal post was seated in the prim...

  9. Seychelles Lagoon Provides Corals with a Refuge from Bleaching

    Directory of Open Access Journals (Sweden)

    David Iluz

    2008-01-01

    Full Text Available An extensive bleaching event in the summer of the year 1997-1998 affected most reefs along East Africa's shores. In the aftermath of that episode, the reefs of Île Alphonse in the Seychelles were examined and it was found that reefs along the seaward slopes of the island lost >95% of their branching coral colonies, with considerably higher survival of massive species. Île Alphonse features a nearly circular shallow lagoon, with steep seaward slopes. Contrary to our expectations, mortality in the warmer lagoon was far lower than of coral colonies on the surrounding slopes, bathed in deeper and cooler waters. We suggest that corals in the lagoon were protected from UV radiation by leachate stemming from seagrass leaves steeped in the lagoon. Our measurements in the lagoon showed a strong attenuation of ultraviolet radiation, not observed in the waters outside the lagoon, and laboratory examination confirmed that the strong UV absorption of substances leached into seawater from decomposing leaves of the seagrass Thalassodendron (=Cymodocea testudinaceum. Our findings demonstrate the synergism between elevated seawater temperature and UV radiation in triggering bleaching on shallow reefs.

  10. Bond strength of resin composite to light activated bleached enamel

    African Journals Online (AJOL)

    2015-09-02

    , resin bonding, tooth bleaching. Date of Acceptance: ... The energy absorbed from the light accelerates the oxidation–reduction reaction.[12]. Bleaching treatment is frequently recommended before porcelain restorations or ...

  11. Local stressors reduce coral resilience to bleaching.

    Science.gov (United States)

    Carilli, Jessica E; Norris, Richard D; Black, Bryan A; Walsh, Sheila M; McField, Melanie

    2009-07-22

    Coral bleaching, during which corals lose their symbiotic dinoflagellates, typically corresponds with periods of intense heat stress, and appears to be increasing in frequency and geographic extent as the climate warms. A fundamental question in coral reef ecology is whether chronic local stress reduces coral resistance and resilience from episodic stress such as bleaching, or alternatively promotes acclimatization, potentially increasing resistance and resilience. Here we show that following a major bleaching event, Montastraea faveolata coral growth rates at sites with higher local anthropogenic stressors remained suppressed for at least 8 years, while coral growth rates at sites with lower stress recovered in 2-3 years. Instead of promoting acclimatization, our data indicate that background stress reduces coral fitness and resilience to episodic events. We also suggest that reducing chronic stress through local coral reef management efforts may increase coral resilience to global climate change.

  12. Laser and LED external teeth-bleaching

    Science.gov (United States)

    Zanin, Fatima A.; Brugnera, Aldo, Jr.; Marchesan, Melissa A.; Pecora, Jesus D.

    2004-09-01

    Teeth-bleaching is an initial phase in the reproduction of an aesthetic smile; thus, it is very important that the dentist knows how to diagnose the causes of color changes and indicate whitening before proposing dental treatment. Technological advances in teeth-whitening lead to the development of new techniques, improving comfort, security and decreasing time of execution: argon laser, diode Laser, LED whitening, xenon light whitening. The clearing agent used in all techniques, including home whitening, is hydrogen peroxide (H2O2) in different concentrations. In this study, the authors describe mechanisms of gel activation, the use of Laser and LED"s for teeth-bleaching, the importance of diagnosis and the comfort of the patient in in-office teeth-bleaching techniques.

  13. Coral bleaching in the Caramuanas reef (Todos os Santos Bay, Brazil during the 2010 El Niño event

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    Ricardo J Miranda

    2013-04-01

    Full Text Available Episodes of coral bleaching related to El Niño events have been increasing in frequency and severity. This phenomenon is cited as a major cause of degradation of coral reefs. This study evaluates the effects of coral bleaching on the Caramuanas reef community, which occurred during the southern hemisphere summer of 2009/2010. Within this period the sea surface temperature of 31°C and thermal anomalies up to almost 1°C were recorded. During and after this El Niño event, frequency and severity of bleaching, live coral cover, number of colonies, class size, disease occurrence, and mortality rate were monitored on corals larger than 20 cm in diameter. The samples were taken at twelve fixed transects, in three reef stations. Statistical analysis showed that the severity of bleaching was different between the two periods, during and after the 2010 ENSO event. The Caramuanas reef showed sublethal bleaching effects indicating that this reef is tolerant to bleaching when the temperature anomalies do not exceed 0.75°C within one week.

  14. Reactive dye extraction utilizing regenerated bleaching earth

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    M. Shahi

    2017-09-01

    Full Text Available Bentonite bleaching earth is utilized for purifying used motor oil through a recovery process in order to improve the quality and stability of the final product. Indeed, spent bleaching earth is generated due to adsorbing oil impurities. Polluted spent bleaching earth contains 20-40% (w/w oil and is flammable. Its disposal without pre-treatment leads to loss of oil along with environmental impacts. Accordingly, similar studies have been conducted since 1979 until now. This research was a laboratory study on reactive dye adsorption. Cleaning bleaching clay, thermal remediation and acid washing activation methods were utilized. Response surface methodology was used to design the experiments and determine the optimal parameters in order to run the dye adsorption process. The main experimental parameters have been concluded as temperature (200-800 °C, acid solution concentration (0.1-3 M, dye solution concentration (1-35 ppm, and ratio of activated earth to dye solution (0.1-2 %, w/w. Results revealed that dye adsorption process along with oil removal at a temperature of 650 °C, acid solution concentration of 0.83 M, dye solution concentration of 11.75 ppm and ratio of activated earth to dye solution of 1.52 % (w/w results in an adsorption efficiency of 68.57%. This removal efficiency is a bit higher than activated virgin bleaching earth and much higher than virgin bleaching earth, which has adsorption capacities of 66.75% and 51.56%, respectively. Considering this recycling process, the purified material is quite acceptable technically, environmentally and economically.

  15. THE EFFECT OF WATER REDUCTION IN KRAFT PULP WASHING IN ECF BLEACHING

    Directory of Open Access Journals (Sweden)

    Tânia Cristina Frigieri

    Full Text Available ABSTRACT The main objective of this work was to study the technical viability of using the cellulose bleaching effluent, at several stages of the process, seeking fresh water reduction in pulp washing, and evaluating its effect on pulp quality. Eucalyptus spp. industrial cellulosic pulp with oxygen was used in this experiment. The same bleaching sequence D(E+PDP was performed ten times, under the same conditions (temperature, consistency and time. Counter current washing was used in the bleaching stages, and each sequence was carried out with different washing factors: 9, 6, 3, 0 m3 of distilled water/ton of pulp, trying to reach brightness of 92 ± 0,5% ISO. The ten sequences sought to achieve the stability of the effluent organic load, measured by the chemical oxygen demand (COD. Then, the COD results were compared to the brightness ones from the bleached pulp. The evaluated results from the ten sequences and four different washings showed an increasing in COD due to the organic load accumulation, resulting from the reuse of effluent from previous sequences. This COD increasing provided the lower brightness results during the cycles, besides the water reduction, evidencing the necessity of washing between bleaching stages. In this study, the obtained result for the pulp washing up to 3m3/t was tolerable and even recommended. On the other hand, the pulp without any washing (0m3/t, due to the lack of enough brightness, it is commercially unviable.

  16. Calcium Phosphate Microspheres as a Delivery Vehicle for Tooth-Bleaching Agents.

    Science.gov (United States)

    Mellgren, T; Qin, T; Öhman-Mägi, C; Zhang, Y; Wu, B; Xia, W; Engqvist, H

    2017-11-01

    Bleaching of vital teeth has become common practice in cosmetic dentistry today. Tooth sensitivity and demineralization of the enamel are, however, common side effects associated with hydrogen and carbamide peroxide bleaching. This study investigated if calcium phosphate microspheres, which have remineralizing properties, could be used as an additive without hindering the diffusion of the bleaching agent and if the spheres could be used as a carrier for carbamide peroxide. A remineralizing agent could increase the safety of bleaching and decrease the severity of its side effects. Comparisons between current hydrogen peroxide diffusion studies and previously published work are difficult since many studies include challenging-to-replicate conditions or lack reporting of important parameters. Hence, a diffusion model was designed by Wu Lab (School of Dentistry, University of California, Los Angeles) to measure the diffusion flux and determine the diffusivity of hydrogen peroxide. Physical parameters (e.g., diffusivity) could then be used for direct comparison to the results obtained by future studies. Three whitening gels with increasing amounts of spheres were formulated and tested with 2 commercially available whitening gels. The flux of hydrogen peroxide through 1-mm discs of bovine enamel was measured at steady-state conditions, and the diffusivity was calculated. The results showed that the spheres could be used as a carrier for carbamide peroxide and that the amount of spheres did not affect the diffusivity of peroxide through the enamel discs. Hence, the microspheres are considered promising as an additive to minimize side effects in bleaching gel formulation.

  17. Fetal Tracheal Occlusion for Severe Pulmonary Hypoplasia in Isolated Congenital Diaphragmatic Hernia: A Systematic Review and Meta-analysis of Survival.

    Science.gov (United States)

    Al-Maary, Jamila; Eastwood, Mary P; Russo, Francesca Maria; Deprest, Jan A; Keijzer, Richard

    2016-12-01

    To evaluate fetal survival after tracheal occlusion in fetuses with severe pulmonary hypoplasia and isolated congenital diaphragmatic hernia (CDH). Despite recent advances in neonatal intensive care, CDH still has a high mortality and morbidity. Fetoscopic endoluminal tracheal occlusion (FETO) stimulates lung growth and improves gas exchange in animal models of CDH, but the effects in humans are still under investigation. We searched Pubmed, Cochrane, EMBASE, and Scopus databases for clinical studies on tracheal occlusion and CDH. All studies comparing FETO and a contemporary control group were included. The primary outcome was survival, with the need for oxygen on discharge the secondary outcome. Meta-analysis of outcome measures was performed and odds ratios, relative risk ratios, and 95% confidence intervals were estimated with a fixed-effects model and were reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance. Between 1997 and 2015, five eligible studies describing 211 patients were included (101 control and 110 FETO). All studies selected isolated severe CDH fetuses with a lung-to-head ratio 1.0 or less and liver herniation into the thoracic cavity. FETO favored survival outcome (odds ratio 13.32; 95% confidence interval, 5.40-32.87). Meta-analysis of the secondary outcome oxygen need at discharge could not be calculated, because it was not reported in all included studies. FETO improves survival in isolated CDH with severe pulmonary hypoplasia compared with the standard perinatal management.

  18. Clinical comparison between the bleaching efficacy of 37% peroxide carbamide gel mixed with sodium perborate with established intracoronal bleaching agent.

    Science.gov (United States)

    de Souza-Zaroni, Wanessa Christine; Lopes, Eduardo Biaggioni; Ciccone-Nogueira, Juliane Cristina; Silva, Regina Célia S P

    2009-02-01

    The aim was to evaluate the bleaching efficacy of sodium perborate/37% carbamide peroxide paste and traditional sodium perborate/distilled water for intracoronal bleaching. Thirty patients with dark anterior teeth were divided into 2 groups (n = 15): group A: sodium perborate/distilled water; and group B: sodium perborate/37% carbamide peroxide paste. The bleaching treatment limited each patient to the maximum of 4 changes of the bleaching agent. Initial and final color shades were measured using the Vita Lumin shade guide. Data was analyzed with Wilcoxon test for initial and final comparison according to the bleaching agent, demonstrating efficacy of the bleaching treatment with both agents. Mann-Whitney test was used for comparison of the efficacy of the bleaching agents, showing that there was no significant difference between them. The sodium perborate/37% carbamide peroxide association for intracoronal bleaching has proven to be as effective as sodium perborate/distilled water.

  19. Tooth Bleaching: Current Concepts of the Procedure in Cosmetic ...

    African Journals Online (AJOL)

    Less caustic agents more recently introduced, in the late 1900s, have revived the interest of the dental profession in the art of tooth bleaching. These agents are now being packaged as bleaching kits, which may be used for in-office bleaching by the dentist or used at home by the patient under the supervision of the dentist.

  20. Bleaching and diffusion dynamics in optofluidic dye lasers

    DEFF Research Database (Denmark)

    Gersborg-Hansen, Morten; Balslev, Søren; Mortensen, Asger

    2007-01-01

    The authors have investigated the bleaching dynamics that occur in optofluidic dye lasers where the liquid laser dye in a microfluidic channel is locally bleached due to optical pumping. They find that for microfluidic devices, the dye bleaching may be compensated through diffusion of dye molecules...... pumping devices. ©2007 American Institute of Physics....

  1. Multicolor bleach-rate imaging enlightens in vivo sterol transport

    DEFF Research Database (Denmark)

    Wüstner, Daniel; Sage, Daniel

    2011-01-01

    position, which can be used as a fingerprint to distinguish rapidly bleaching DHE from slowly bleaching autofluorescence in the animals. Here, we introduce multicolor bleach-rate sterol imaging. By this method, we demonstrate that some DHE is targeted to a population of basolateral recycling endosomes (RE...

  2. Coral Bleaching and Associated Mortality at Mayotte, Western Indian ...

    African Journals Online (AJOL)

    Abstract—Bleaching and associated coral mortality were assessed on fringing and barrier reefs on the north and east coasts of Mayotte from 1-24 May 2010. Major bleaching was encountered; nearly 80% of the corals were bleached or dead. (covered with thin algal overgrowth) on fringing reefs along the north coast, and.

  3. Non-Bleaching Photoluminescent Magnetic Nanoparticles

    Science.gov (United States)

    Zou, Lu; Kim, Chanjoong; Girgis, Emad; Khalil, Wagdy K. B.

    2013-03-01

    We report a new type of photoluminescent magnetic nanoparticles produced by a very simple process. The nanoparticle consists of an ordinary magnetic nanoparticle as core and a non-toxic polymer shell. The biocompatibility is evaluated using in-vivo tests on mice. They are non-bleaching photoluminescent without any addition of fluorophores, such as quantum dots or fluorescent dyes that can be toxic and easily photobleached, respectively. This work provides a low-cost, bio-safe, non-bleaching alternative of conventional fluoroscent magnetic nanoparticles which covers a wide range of applications, from bio-imaging to biomedical diagnostics and therapeutics, such as hyperthermia.

  4. Bleaching of the discolored traumatized tooth

    DEFF Research Database (Denmark)

    Dahl, Jon E.; Kopperud, Siemen E.; Pallesen, Ulla

    2017-01-01

    This chapter focuses on the treatment of discolored traumatized teeth, most of them being non-vital and subsequently, endodontically treated. Tooth bleaching based upon hydrogen peroxide as the active agent, applied directly or produced in a chemical reaction from sodium perborate or carbamide...... peroxide, must be regarded as the treatment of choice, alone or preceding a prosthetic restoration. More than 90% immediate success has been reported for intracoronal bleaching of non-vital teeth, but in a period of 1–8 years after treatment, 10–40% of the initially successfully treated teeth needed...

  5. The 2014 coral bleaching and freshwater flood events in Kāneʻohe Bay, Hawaiʻi

    Directory of Open Access Journals (Sweden)

    Keisha D. Bahr

    2015-08-01

    Full Text Available Until recently, subtropical Hawaiʻi escaped the major bleaching events that have devastated many tropical regions, but the continued increases in global long-term mean temperatures and the apparent ending of the Pacific Decadal Oscillation (PDO cool phase have increased the risk of bleaching events. Climate models and observations predict that bleaching in Hawaiʻi will occur with increasing frequency and increasing severity over future decades. A freshwater “kill” event occurred during July 2014 in the northern part of Kāneʻohe Bay that reduced coral cover by 22.5% in the area directly impacted by flooding. A subsequent major bleaching event during September 2014 caused extensive coral bleaching and mortality throughout the bay and further reduced coral cover in the freshwater kill area by 60.0%. The high temperature bleaching event only caused a 1.0% reduction in live coral throughout the portion of the bay not directly impacted by the freshwater event. Thus, the combined impact of the low salinity event and the thermal bleaching event appears to be more than simply additive. The temperature regime during the September 2014 bleaching event was analogous in duration and intensity to that of the large bleaching event that occurred previously during August 1996, but resulted in a much larger area of bleaching and coral mortality. Apparently seasonal timing as well as duration and magnitude of heating is important. Coral spawning in the dominant coral species occurs early in the summer, so reservoirs of stored lipid in the corals had been depleted by spawning prior to the September 2014 event. Warm months above 27 °C result in lower coral growth and presumably could further decrease lipid reserves, leading to a bleaching event that was more severe than would have happened if the high temperatures occurred earlier in the summer. Hawaiian reef corals decrease skeletal growth at temperatures above 27 °C, so perhaps the “stress period

  6. Increased Severe Trauma Patient Volume is Associated With Survival Benefit and Reduced Total Health Care Costs: A Retrospective Observational Study Using a Japanese Nationwide Administrative Database.

    Science.gov (United States)

    Endo, Akira; Shiraishi, Atsushi; Fushimi, Kiyohide; Murata, Kiyoshi; Otomo, Yasuhiro

    2017-06-07

    The aim of this study was to evaluate the associations of severe trauma patient volume with survival benefit and health care costs. The effect of trauma patient volume on survival benefit is inconclusive, and reports on its effects on health care costs are scarce. We conducted a retrospective observational study, including trauma patients who were transferred to government-approved tertiary emergency hospitals, or hospitals with an intensive care unit that provided an equivalent quality of care, using a Japanese nationwide administrative database. We categorized hospitals according to their annual severe trauma patient volumes [1 to 50 (reference), 51 to 100, 101 to 150, 151 to 200, and ≥201]. We evaluated the associations of volume categories with in-hospital survival and total cost per admission using a mixed-effects model adjusting for patient severity and hospital characteristics. A total of 116,329 patients from 559 hospitals were analyzed. Significantly increased in-hospital survival rates were observed in the second, third, fourth, and highest volume categories compared with the reference category [94.2% in the highest volume category vs 88.8% in the reference category, adjusted odds ratio (95% confidence interval, 95% CI) = 1.75 (1.49-2.07)]. Furthermore, significantly lower costs (in US dollars) were observed in the second and fourth categories [mean (standard deviation) for fourth vs reference = $17,800 ($17,378) vs $20,540 ($32,412), adjusted difference (95% CI) = -$2559 (-$3896 to -$1221)]. Hospitals with high volumes of severe trauma patients were significantly associated with a survival benefit and lower total cost per admission.

  7. Effect of Recipient Age and Stem Cell Source on the Association between Donor Telomere Length and Survival after Allogeneic Unrelated Hematopoietic Cell Transplantation for Severe Aplastic Anemia.

    Science.gov (United States)

    Gadalla, Shahinaz M; Wang, Tao; Dagnall, Casey; Haagenson, Michael; Spellman, Stephen R; Hicks, Belynda; Jones, Kristine; Katki, Hormuzd A; Lee, Stephanie J; Savage, Sharon A

    2016-12-01

    We previously showed an association between donor leukocyte relative telomere length (RTL) and post-hematopoietic cell transplantation (HCT) survival in patients with severe aplastic anemia (SAA) who received bone marrow grafts at ages survival, but further analysis identified differences by recipient age and stem cell source as the likely explanation. In patients survival benefit only in <40-year-old patients receiving bone marrow graft (HR comparing longest and middle RTL tertiles with shortest = .69; 95% CI, .50 to .95, P = .02). The study suggested that the association between donor RTL and post-HCT outcomes in recipients with SAA may vary by recipient age and stem cell source. A larger study is needed to account for multiple comparisons and to further test the generalizability of our findings. Published by Elsevier Inc.

  8. Serum Autotaxin is a Marker of the Severity of Liver Injury and Overall Survival in Patients with Cholestatic Liver Diseases

    Science.gov (United States)

    Wunsch, Ewa; Krawczyk, Marcin; Milkiewicz, Malgorzata; Trottier, Jocelyn; Barbier, Olivier; Neurath, Markus F.; Lammert, Frank; Kremer, Andreas E.; Milkiewicz, Piotr

    2016-01-01

    Autotaxin (ATX) is involved in the synthesis of lysophosphatidic acid. Both have recently been linked to cholestatic pruritus and liver injury. We aimed to investigate whether ATX is an indicator of cholestatic liver injury, health-related quality of life (HRQoL) and prognosis based on a group of 233 patients, 118 with primary biliary cholangitis (PBC) and 115 with primary sclerosing cholangitis (PSC). Patients were followed for 1–60 months, cumulative survival rates were calculated. ATX activity was significantly higher in both groups than in the 103 controls, particularly in patients with cirrhosis and in patients with longer disease duration. Ursodeoxycholic acid (UDCA) non-responders with PBC exhibited increased ATX activity. ATX activity was correlated with liver biochemistry, MELD, Mayo Risk scores and was associated with worse disease-specific HRQoL aspects. In both groups, Cox model analysis indicated that ATX was a negative predictor of survival. Increased ATX levels were associated with a 4-fold higher risk of death/liver transplantation in patients with PBC and a 2.6-fold higher risk in patients with PSC. We conclude that in patients with cholestatic conditions, ATX is not only associated with pruritus but also indicates impairment of other HRQoL aspects, liver dysfunction, and can serve as a predictor of survival. PMID:27506882

  9. Fluoride release of glass ionomer restorations after bleaching with two different bleaching materials

    Science.gov (United States)

    Baroudi, Kusai; Mahmoud, Rasha Said; Tarakji, Bassel

    2013-01-01

    Objective: This study was designed to evaluate the effect of two bleaching agents on the fluoride release of three types of glass ionomer materials. Materials and Methods: A total of 90 specimens of the tested materials (Ketac Fil, Photac Fil and F2000) were prepared by a split Teflon ring with an internal diameter of 5 mm and thickness of 2 mm. The tested materials were applied and bleached according to manufacturer instructions. Fluoride release measurements were made by using specific ion electrode. Results: Results revealed that bleaching with opalescence Xtra caused little increase in fluoride release from Ketac Fil and Photac Fil but has no effect on F2000. However, Opalescence Quick had no significant effect on the three tested materials. Conclusions: Bleaching effect on fluoride release is material dependent and time has a significant role on fluoride release. PMID:24883026

  10. Identifying well-bleached quartz using the different bleaching rates of quartz and feldspar luminescence signals

    DEFF Research Database (Denmark)

    Murray, A.S.; Thomsen, Kristina Jørkov; Masuda, N.

    2012-01-01

    When dating older sedimentary deposits using quartz, there are no unambiguous methods for identifying the presence of incomplete bleaching. Current statistical analysis of dose distributions depends entirely on the assumption that incomplete bleaching and mixing are the main causes of any excess...... dispersion in the distribution; the only existing way to test this assumption is using independent age control. Here we suggest a new approach to this question, based on the differential bleaching rates of quartz and feldspar luminescence signals. We first present data that confirm the differences...... in relative bleaching rates of quartz optically stimulated luminescence (OSL) and feldspar luminescence stimulated at 50 °C by infrared light (IR50) and feldspar luminescence stimulated at 290 °C by infrared light after a stimulation at 50 °C (pIRIR290), and use recently deposited samples to determine...

  11. Rhodopsin-mediated blue-light damage to the rat retina: effect of photoreversal of bleaching.

    Science.gov (United States)

    Grimm, C; Wenzel, A; Williams, T; Rol, P; Hafezi, F; Remé, C

    2001-02-01

    Acute white-light damage to rods depends on the amount of rhodopsin available for bleaching during light exposure. Bleached rhodopsin is metabolically regenerated through the visual cycle involving the pigment epithelium, or photochemically by deep blue light through photoreversal of bleaching. Because photoreversal is faster than metabolic regeneration of rhodopsin by several orders of magnitude, the photon catch capacity of the retina is significantly augmented during blue-light illumination, which may explain the greater susceptibility of the retina to blue light than to green light. However, blue light can also affect function of several blue-light-absorbing enzymes that may lead to the induction of retinal damage. Therefore, this study was conducted to test whether rhodopsin and its bleaching intermediates play a role in blue-light-induced retinal degeneration. Eyes of anesthetized rats and mice that did or did not contain rhodopsin were exposed to green (550 +/- 10 nm) or deep blue (403 +/- 10 nm) light for up to 2 hours. Rats with nearly rhodopsinless retinas were obtained by bleaching rhodopsin in animals with inhibited metabolic rhodopsin regeneration-that is, under halothane anesthesia. In addition, Rpe65(-/-) mice that are completely without rhodopsin were used to test the susceptibility to blue-light damage of a rodent retina completely devoid of the visual pigment. Effects of illumination on photoreceptor morphology were assessed 24 hours or 10 days thereafter by morphologic and biochemical methods. Exposure to blue light resulted in severe retinal damage and activation of the transcription factor AP-1 in rats. In contrast, green light had no effect. When rhodopsin was almost completely bleached by short-term green-light exposure while metabolic regeneration (but not photoreversal) was prevented by halothane anesthesia, blue-light exposure induced distinct lesions in rat retinas. When both metabolic rhodopsin regeneration and photoreversal of bleaching

  12. BLEACHING EUCALYPTUS PULPS WITH SHORT SEQUENCES

    Directory of Open Access Journals (Sweden)

    Flaviana Reis Milagres

    2011-03-01

    Full Text Available Eucalyptus spp kraft pulp, due to its high content of hexenuronic acids, is quite easy to bleach. Therefore, investigations have been made attempting to decrease the number of stages in the bleaching process in order to minimize capital costs. This study focused on the evaluation of short ECF (Elemental Chlorine Free and TCF (Totally Chlorine Free sequences for bleaching oxygen delignified Eucalyptus spp kraft pulp to 90% ISO brightness: PMoDP (Molybdenum catalyzed acid peroxide, chlorine dioxide and hydrogen peroxide, PMoD/P (Molybdenum catalyzed acid peroxide, chlorine dioxide and hydrogen peroxide, without washing PMoD(PO (Molybdenum catalyzed acid peroxide, chlorine dioxide and pressurized peroxide, D(EPODP (chlorine dioxide, extraction oxidative with oxygen and peroxide, chlorine dioxide and hydrogen peroxide, PMoQ(PO (Molybdenum catalyzed acid peroxide, DTPA and pressurized peroxide, and XPMoQ(PO (Enzyme, molybdenum catalyzed acid peroxide, DTPA and pressurized peroxide. Uncommon pulp treatments, such as molybdenum catalyzed acid peroxide (PMo and xylanase (X bleaching stages, were used. Among the ECF alternatives, the two-stage PMoD/P sequence proved highly cost-effective without affecting pulp quality in relation to the traditional D(EPODP sequence and produced better quality effluent in relation to the reference. However, a four stage sequence, XPMoQ(PO, was required to achieve full brightness using the TCF technology. This sequence was highly cost-effective although it only produced pulp of acceptable quality.

  13. THE BLEACHING SYNDROME: MANIFESTATION OF A POST ...

    African Journals Online (AJOL)

    User

    KEY TERMS: Bleaching Syndrome; skin color; colonization; women; light skin. Author details: Room 224 ... In the aftermath of Western colonization African peoples have experienced pathological, post-colonial influences. ..... Change in the Spanish Sixteenth-century Colonization of Hispaniola and Florida. East. Lansing: ...

  14. Side effects of external tooth bleaching

    DEFF Research Database (Denmark)

    Bruzell, E.M.; Pallesen, Ulla; Thoresen, N.R.

    2013-01-01

    Objective The study was performed to assess the risk of at-home and in-office bleaching procedures, and to recognise potential predictors for side effects. Design Multi-centre, questionnaire-based prospective study with follow-ups at around 14 days and around one year post-treatment. Setting Gene...

  15. Perbandingan intensitas warna CPO dengan menggunakan Bleaching Earth (BE) dan Spent Bleaching Earth (SBE) di PT. SMART Tbk.

    OpenAIRE

    Aritonang, Dwi Christina

    2016-01-01

    Comparative studies have been conducted on the effect of bleaching earth quality bleachibility power on CPO (crude palm oil). by using the tool Lovibond Tintometer model of F in PT Smart Tbk Medan – Belawan.From experiments obtained initial color with the CPO 20R - 20Y after addition Bleaching Earth and spent bleaching earth with the CPO each - each 10,2R - 20Y and 17.3R - 20Y . The results showed that purification using Bleaching Earth better than the purification of Spent Bleaching Earh ...

  16. Phosphate deficiency promotes coral bleaching and is reflected by the ultrastructure of symbiotic dinoflagellates.

    Science.gov (United States)

    Rosset, Sabrina; Wiedenmann, Jörg; Reed, Adam J; D'Angelo, Cecilia

    2017-05-15

    Enrichment of reef environments with dissolved inorganic nutrients is considered a major threat to the survival of corals living in symbiosis with dinoflagellates (Symbiodinium sp.). We argue, however, that the direct negative effects on the symbiosis are not necessarily caused by the nutrient enrichment itself but by the phosphorus starvation of the algal symbionts that can be caused by skewed nitrogen (N) to phosphorus (P) ratios. We exposed corals to imbalanced N:P ratios in long-term experiments and found that the undersupply of phosphate severely disturbed the symbiosis, indicated by the loss of coral biomass, malfunctioning of algal photosynthesis and bleaching of the corals. In contrast, the corals tolerated an undersupply with nitrogen at high phosphate concentrations without negative effects on symbiont photosynthesis, suggesting a better adaptation to nitrogen limitation. Transmission electron microscopy analysis revealed that the signatures of ultrastructural biomarkers represent versatile tools for the classification of nutrient stress in symbiotic algae. Notably, high N:P ratios in the water were clearly identified by the accumulation of uric acid crystals. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Patterns of gene expression in a scleractinian coral undergoing natural bleaching.

    Science.gov (United States)

    Seneca, Francois O; Forêt, Sylvain; Ball, Eldon E; Smith-Keune, Carolyn; Miller, David J; van Oppen, Madeleine J H

    2010-10-01

    Coral bleaching is a major threat to coral reefs worldwide and is predicted to intensify with increasing global temperature. This study represents the first investigation of gene expression in an Indo-Pacific coral species undergoing natural bleaching which involved the loss of algal symbionts. Quantitative real-time polymerase chain reaction experiments were conducted to select and evaluate coral internal control genes (ICGs), and to investigate selected coral genes of interest (GOIs) for changes in gene expression in nine colonies of the scleractinian coral Acropora millepora undergoing bleaching at Magnetic Island, Great Barrier Reef, Australia. Among the six ICGs tested, glyceraldehyde 3-phosphate dehydrogenase and the ribosomal protein genes S7 and L9 exhibited the most constant expression levels between samples from healthy-looking colonies and samples from the same colonies when severely bleached a year later. These ICGs were therefore utilised for normalisation of expression data for seven selected GOIs. Of the seven GOIs, homologues of catalase, C-type lectin and chromoprotein genes were significantly up-regulated as a result of bleaching by factors of 1.81, 1.46 and 1.61 (linear mixed models analysis of variance, P coral bleaching response genes. In contrast, three genes, including one putative ICG, showed highly variable levels of expression between coral colonies. Potential variation in microhabitat, gene function unrelated to the stress response and individualised stress responses may influence such differences between colonies and need to be better understood when designing and interpreting future studies of gene expression in natural coral populations.

  18. Exposure to elevated sea-surface temperatures below the bleaching threshold impairs coral recovery and regeneration following injury.

    Science.gov (United States)

    Bonesso, Joshua Louis; Leggat, William; Ainsworth, Tracy Danielle

    2017-01-01

    Elevated sea surface temperatures (SSTs) are linked to an increase in the frequency and severity of bleaching events due to temperatures exceeding corals' upper thermal limits. The temperatures at which a breakdown of the coral-Symbiodinium endosymbiosis (coral bleaching) occurs are referred to as the upper thermal limits for the coral species. This breakdown of the endosymbiosis results in a reduction of corals' nutritional uptake, growth, and tissue integrity. Periods of elevated sea surface temperature, thermal stress and coral bleaching are also linked to increased disease susceptibility and an increased frequency of storms which cause injury and physical damage to corals. Herein we aimed to determine the capacity of corals to regenerate and recover from injuries (removal of apical tips) sustained during periods of elevated sea surface temperatures which result in coral stress responses, but which do not result in coral bleaching (i.e., sub-bleaching thermal stress events). In this study, exposure of the species Acropora aspera to an elevated SST of 32 °C (2 °C below the bleaching threshold, 34 °C) was found to result in reduced fluorescence of green fluorescent protein (GFP), reduced skeletal calcification and a lack of branch regrowth at the site of injury, compared to corals maintained under ambient SST conditions (26 °C). Corals maintained under normal, ambient, sea surface temperatures expressed high GFP fluorescence at the injury site, underwent a rapid regeneration of the coral branch apical tip within 12 days of sustaining injury, and showed extensive regrowth of the coral skeleton. Taken together, our results have demonstrated that periods of sustained increased sea surface temperatures, below the corals' bleaching threshold but above long-term summertime averages, impair coral recovery from damage, regardless of the onset or occurrence of coral bleaching.

  19. Improved sensitivity, safety and laboratory turnaround time in the diagnosis of pulmonary tuberculosis by use of bleach sedimentation

    Directory of Open Access Journals (Sweden)

    Ameh James

    2015-11-01

    Full Text Available Background: Inadequate diagnostic processes and human resources in laboratories contribute to a high burden of tuberculosis (TB in low- and middle-income countries. Direct smear microscopy is relied on for TB diagnosis; however, sensitivity rates vary. To improve sensitivity of direct microscopy, the researchers employed several approaches, including sputum digestion and concentration of acid-fast bacilli (AFB, a technique which uses commercial bleach. Objectives: This study compared methods used to diagnose active Mycobacterium tuberculosis infections. Methods: Three sputum specimens were collected from each of 340 participants in Abuja, Nigeria, over two consecutive days. Direct microscopy was performed on all specimens; following microscopy, one specimen from each patient was selected randomly for bleach sedimentation and one for Lowenstein-Jensen culture. Results: Direct microscopy produced 28.8% AFB-positive results, whilst bleach sedimentation resulted in 30.3%. When compared with the cultures, 26.5% were AFB true positive using direct microscopy and 27.1% using bleach sedimentation. Whilst the specificity rate between these two methods was not statistically significant (P = 0.548, the sensitivity rate was significant (P = 0.004. Conclusion: Based on these results, bleach increases the sensitivity of microscopy compared with direct smear and has similar specificity. When diagnosing new cases of pulmonary TB, one bleach-digested smear is as sensitive as three direct smears, reducing waiting times for patients and ensuring the safety of laboratory technicians.

  20. Improved sensitivity, safety and laboratory turnaround time in the diagnosis of pulmonary tuberculosis by use of bleach sedimentation

    Directory of Open Access Journals (Sweden)

    Ameh James

    2015-05-01

    Full Text Available Background: Inadequate diagnostic processes and human resources in laboratories contribute to a high burden of tuberculosis (TB in low- and middle-income countries. Direct smear microscopy is relied on for TB diagnosis; however, sensitivity rates vary. To improve sensitivity of direct microscopy, the researchers employed several approaches, including sputum digestion and concentration of acid-fast bacilli (AFB, a technique which uses commercial bleach.Objectives: This study compared methods used to diagnose active Mycobacterium tuberculosis infections.Methods: Three sputum specimens were collected from each of 340 participants in Abuja, Nigeria, over two consecutive days. Direct microscopy was performed on all specimens; following microscopy, one specimen from each patient was selected randomly for bleach sedimentation and one for Lowenstein-Jensen culture.Results: Direct microscopy produced 28.8% AFB-positive results, whilst bleach sedimentation resulted in 30.3%. When compared with the cultures, 26.5% were AFB true positive using direct microscopy and 27.1% using bleach sedimentation. Whilst the specificity rate between these two methods was not statistically significant (P = 0.548, the sensitivity rate was significant (P = 0.004.Conclusion: Based on these results, bleach increases the sensitivity of microscopy compared with direct smear and has similar specificity. When diagnosing new cases of pulmonary TB, one bleach-digested smear is as sensitive as three direct smears, reducing waiting times for patients and ensuring the safety of laboratory technicians.

  1. Management of Bleached and Severely Damaged Coral Reefs

    OpenAIRE

    Westmacott, Susie; Teleki, Kristian; Wells, Sue; West, Jordan

    2000-01-01

    Coral reefs are one of the most threatened ecosystems in the world. Rivalling terrestrial rainforests in their biological diversity, and providing major economic benefits from fisheries and tourism, coral reefs ecosystems are of global concern. In addition, reefs provide many vital functions in developing countries, especially in Small Island Developing States. Until recently, stresses caused by human activities – such as land-based sources of pollution and destructive...

  2. The 372 T/C genetic polymorphism of TIMP-1 is associated with serum levels of TIMP-1 and survival in patients with severe sepsis.

    Science.gov (United States)

    Lorente, Leonardo; Martín, Mar; Plasencia, Fátima; Solé-Violán, Jordi; Blanquer, José; Labarta, Lorenzo; Díaz, César; Borreguero-León, Juan María; Jiménez, Alejandro; Páramo, José Antonio; Orbe, Josune; Rodríguez, José A; Salido, Eduardo

    2013-05-25

    Previous studies have found higher circulating levels of tissue inhibitor of matrix metalloproteinase (TIMP)-1 in nonsurviving septic patients than in surviving septic patients, and an association between the 372 T/C genetic polymorphism of TIMP-1 and the risk of developing certain diseases. However, the relationship between genetic polymorphisms of TIMP-1, circulating TIMP-1 levels and survival in patients with severe sepsis has not been examined, and this was the objective of the study. This multicentre, prospective, observational study was carried out in six Spanish ICUs. We determined the 372 T/C genetic polymorphism of TIMP-1 (rs4898), serum levels of TIMP-1, matrix metalloproteinase (MMP)-9, MMP-10, TNFα, IL-10 and plasma plasminogen activator inhibitor-1 (PAI-1). Survival at 30 days from ICU admission was the endpoint assessed. The association between continuous variables was carried out using Spearman's rank correlation coefficient or Spearman's rho coefficient. Multivariate logistic regression analysis was applied to determine the association between the 372 T/C genetic polymorphism and survival 30 days from ICU admission. Of 275 patients with severe sepsis, 80 had genotype CC, 55 had genotype CT and 140 had genotype TT of the 372 T/C genetic polymorphism of TIMP-1. Patients with the T allele showed higher serum levels of TIMP-1 than patients without the T allele (P=0.004). Multiple logistic regression analysis showed that the T allele was associated with higher mortality at 30 days (odds ratio=2.08; 95% confidence interval=1.06 to 4.09; P=0.03). Survival analysis showed that patients with the T allele presented lower 30-day survival than patients without the T allele (χ2=5.77; P=0.016). We found an association between TIMP-1 levels and levels of MMP-9 (ρ=-0.19; P=0.002), MMP-10 (ρ=0.55; Ppolymorphism of TIMP-1 showed higher serum TIMP-1 levels and lower survival rate. The determination of the 372 T/C genetic polymorphism of TIMP-1 thus has prognostic

  3. The impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting - experience of a single cardiac surgery center.

    Science.gov (United States)

    Perek, Bartłomiej; Misterski, Marcin; Stachowiak, Wojciech; Buczkowski, Piotr; Stefaniak, Sebastian; Puślecki, Mateusz; Urbanowicz, Tomasz; Budniak, Wiktor; Jemielity, Marek

    2014-12-01

    The severity of coronary artery disease (CAD) may have an impact on the outcomes of patients (pts) after aortic valve replacement (AVR) and coronary artery bypass grafting (CABG). The aim of the study was to analyze survival after simultaneous AVR and CABG with respect to CAD severity. The study involved 143 consecutive pts (40 women and 103 men) with a mean age of 65.1 ± 7.7 years treated between 2006 and 2009. The indication for surgery was aortic stenosis accompanied by left main or three-vessel disease (group A; n = 43) and by single- or two-vessel disease (group B; n = 100). In-hospital and late mortality were analyzed. Post-discharge survival was estimated using the Kaplan-Meier method. Moreover, selected preoperative clinical and echocardiographic data as well as intraoperative variables were compared between the groups. In-hospital mortality was 4.7% in group A and 3.0% in group B (NS). The 12-month and 48-month survival probability rates were 0.88 ± 0.05 and 0.83 ± 0.06 in group A, and 0.97 ± 0.01 and 0.92 ± 0.03 in group B, respectively (p < 0.05). Patients in group A and B differed (p < 0.05) with respect to the preoperative prevalence of arterial hypertension (65.1% vs. 42.0%) and atrial fibrillation (18.6% vs. 6.0%) as well as with regard to the rate of complete revascularization (20.9% vs. 85.0%, group A and B, respectively). Coronary artery disease severity impacts long-term survival after combined AVR and CABG. Patients with left main or three-vessel disease more often undergo incomplete surgical revascularization, and this fact may be one of the predictors of an unfavorable outcome.

  4. The impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center

    Science.gov (United States)

    Misterski, Marcin; Stachowiak, Wojciech; Buczkowski, Piotr; Stefaniak, Sebastian; Puślecki, Mateusz; Urbanowicz, Tomasz; Budniak, Wiktor; Jemielity, Marek

    2014-01-01

    Introduction The severity of coronary artery disease (CAD) may have an impact on the outcomes of patients (pts) after aortic valve replacement (AVR) and coronary artery bypass grafting (CABG). Aim The aim of the study was to analyze survival after simultaneous AVR and CABG with respect to CAD severity. Material and methods The study involved 143 consecutive pts (40 women and 103 men) with a mean age of 65.1 ± 7.7 years treated between 2006 and 2009. The indication for surgery was aortic stenosis accompanied by left main or three-vessel disease (group A; n = 43) and by single- or two-vessel disease (group B; n = 100). In-hospital and late mortality were analyzed. Post-discharge survival was estimated using the Kaplan-Meier method. Moreover, selected preoperative clinical and echocardiographic data as well as intraoperative variables were compared between the groups. Results In-hospital mortality was 4.7% in group A and 3.0% in group B (NS). The 12-month and 48-month survival probability rates were 0.88 ± 0.05 and 0.83 ± 0.06 in group A, and 0.97 ± 0.01 and 0.92 ± 0.03 in group B, respectively (p < 0.05). Patients in group A and B differed (p < 0.05) with respect to the preoperative prevalence of arterial hypertension (65.1% vs. 42.0%) and atrial fibrillation (18.6% vs. 6.0%) as well as with regard to the rate of complete revascularization (20.9% vs. 85.0%, group A and B, respectively). Conclusions Coronary artery disease severity impacts long-term survival after combined AVR and CABG. Patients with left main or three-vessel disease more often undergo incomplete surgical revascularization, and this fact may be one of the predictors of an unfavorable outcome. PMID:26336450

  5. Ocean acidification causes bleaching and productivity loss in coral reef builders.

    Science.gov (United States)

    Anthony, K R N; Kline, D I; Diaz-Pulido, G; Dove, S; Hoegh-Guldberg, O

    2008-11-11

    Ocean acidification represents a key threat to coral reefs by reducing the calcification rate of framework builders. In addition, acidification is likely to affect the relationship between corals and their symbiotic dinoflagellates and the productivity of this association. However, little is known about how acidification impacts on the physiology of reef builders and how acidification interacts with warming. Here, we report on an 8-week study that compared bleaching, productivity, and calcification responses of crustose coralline algae (CCA) and branching (Acropora) and massive (Porites) coral species in response to acidification and warming. Using a 30-tank experimental system, we manipulated CO(2) levels to simulate doubling and three- to fourfold increases [Intergovernmental Panel on Climate Change (IPCC) projection categories IV and VI] relative to present-day levels under cool and warm scenarios. Results indicated that high CO(2) is a bleaching agent for corals and CCA under high irradiance, acting synergistically with warming to lower thermal bleaching thresholds. We propose that CO(2) induces bleaching via its impact on photoprotective mechanisms of the photosystems. Overall, acidification impacted more strongly on bleaching and productivity than on calcification. Interestingly, the intermediate, warm CO(2) scenario led to a 30% increase in productivity in Acropora, whereas high CO(2) lead to zero productivity in both corals. CCA were most sensitive to acidification, with high CO(2) leading to negative productivity and high rates of net dissolution. Our findings suggest that sensitive reef-building species such as CCA may be pushed beyond their thresholds for growth and survival within the next few decades whereas corals will show delayed and mixed responses.

  6. Physiological and biogeochemical traits of bleaching and recovery in the mounding species of coral Porites lobata: implications for resilience in mounding corals.

    Science.gov (United States)

    Levas, Stephen J; Grottoli, Andréa G; Hughes, Adam; Osburn, Christopher L; Matsui, Yohei

    2013-01-01

    Mounding corals survive bleaching events in greater numbers than branching corals. However, no study to date has determined the underlying physiological and biogeochemical trait(s) that are responsible for mounding coral holobiont resilience to bleaching. Furthermore, the potential of dissolved organic carbon (DOC) as a source of fixed carbon to bleached corals has never been determined. Here, Porites lobata corals were experimentally bleached for 23 days and then allowed to recover for 0, 1, 5, and 11 months. At each recovery interval a suite of analyses were performed to assess their recovery (photosynthesis, respiration, chlorophyll a, energy reserves, tissue biomass, calcification, δ(13)C of the skeletal, δ(13)C, and δ(15)N of the animal host and endosymbiont fractions). Furthermore, at 0 months of recovery, the assimilation of photosynthetically acquired and zooplankton-feeding acquired carbon into the animal host, endosymbiont, skeleton, and coral-mediated DOC were measured via (13)C-pulse-chase labeling. During the first month of recovery, energy reserves and tissue biomass in bleached corals were maintained despite reductions in chlorophyll a, photosynthesis, and the assimilation of photosynthetically fixed carbon. At the same time, P. lobata corals catabolized carbon acquired from zooplankton and seemed to take up DOC as a source of fixed carbon. All variables that were negatively affected by bleaching recovered within 5 to 11 months. Thus, bleaching resilience in the mounding coral P. lobata is driven by its ability to actively catabolize zooplankton-acquired carbon and seemingly utilize DOC as a significant fixed carbon source, facilitating the maintenance of energy reserves and tissue biomass. With the frequency and intensity of bleaching events expected to increase over the next century, coral diversity on future reefs may favor not only mounding morphologies but species like P. lobata, which have the ability to utilize heterotrophic sources of

  7. Physiological and biogeochemical traits of bleaching and recovery in the mounding species of coral Porites lobata: implications for resilience in mounding corals.

    Directory of Open Access Journals (Sweden)

    Stephen J Levas

    Full Text Available Mounding corals survive bleaching events in greater numbers than branching corals. However, no study to date has determined the underlying physiological and biogeochemical trait(s that are responsible for mounding coral holobiont resilience to bleaching. Furthermore, the potential of dissolved organic carbon (DOC as a source of fixed carbon to bleached corals has never been determined. Here, Porites lobata corals were experimentally bleached for 23 days and then allowed to recover for 0, 1, 5, and 11 months. At each recovery interval a suite of analyses were performed to assess their recovery (photosynthesis, respiration, chlorophyll a, energy reserves, tissue biomass, calcification, δ(13C of the skeletal, δ(13C, and δ(15N of the animal host and endosymbiont fractions. Furthermore, at 0 months of recovery, the assimilation of photosynthetically acquired and zooplankton-feeding acquired carbon into the animal host, endosymbiont, skeleton, and coral-mediated DOC were measured via (13C-pulse-chase labeling. During the first month of recovery, energy reserves and tissue biomass in bleached corals were maintained despite reductions in chlorophyll a, photosynthesis, and the assimilation of photosynthetically fixed carbon. At the same time, P. lobata corals catabolized carbon acquired from zooplankton and seemed to take up DOC as a source of fixed carbon. All variables that were negatively affected by bleaching recovered within 5 to 11 months. Thus, bleaching resilience in the mounding coral P. lobata is driven by its ability to actively catabolize zooplankton-acquired carbon and seemingly utilize DOC as a significant fixed carbon source, facilitating the maintenance of energy reserves and tissue biomass. With the frequency and intensity of bleaching events expected to increase over the next century, coral diversity on future reefs may favor not only mounding morphologies but species like P. lobata, which have the ability to utilize heterotrophic

  8. Coral bleaching data from Bleachwatch in the Florida Keys National Marine Sanctuary from 2014-05-30 to 2014-11-11 (NODC Accession 0126654)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The initial onset of mass coral bleaching can vary among different species, geographic locations, types of reef zones and a fluctuation of severity, which makes it...

  9. Coral bleaching data from Bleachwatch in the Florida Keys National Marine Sanctuary from 2016-05-17 to 2016-10-03 (NCEI Accession 0157068)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The initial onset of mass coral bleaching can vary among different species, geographic locations, types of reef zones and a fluctuation of severity, which makes it...

  10. Water quality and coral bleaching thresholds: formalising the linkage for the inshore reefs of the Great Barrier Reef, Australia.

    Science.gov (United States)

    Wooldridge, Scott A

    2009-05-01

    The threats of wide-scale coral bleaching and reef demise associated with anthropogenic climate change are widely known. Here, the additional role of poor water quality in lowering the thermal tolerance (i.e. bleaching 'resistance') of symbiotic reef corals is considered. In particular, a quantitative linkage is established between terrestrially-sourced dissolved inorganic nitrogen (DIN) loading and the upper thermal bleaching thresholds of inshore reefs on the Great Barrier Reef, Australia. Significantly, this biophysical linkage provides concrete evidence for the oft-expressed belief that improved coral reef management will increase the regional-scale survival prospects of corals reefs to global climate change. Indeed, for inshore reef areas with a high runoff exposure risk, it is shown that the potential benefit of this 'local' management imperative is equivalent to approximately 2.0-2.5 degrees C in relation to the upper thermal bleaching limit; though in this case, a potentially cost-prohibitive reduction in end-of-river DIN of >50-80% would be required. An integrated socio-economic modelling framework is outlined that will assist future efforts to understand (optimise) the alternate tradeoffs that the water quality/coral bleaching linkage presents.

  11. Cardioprotection, attenuated systemic inflammation, and survival benefit of beta1-adrenoceptor blockade in severe sepsis in rats.

    Science.gov (United States)

    Ackland, Gareth L; Yao, Song T; Rudiger, Alain; Dyson, Alex; Stidwill, Ray; Poputnikov, Dmitry; Singer, Mervyn; Gourine, Alexander V

    2010-02-01

    To explore the hypothesis that beta-1 adrenoreceptor blockade may be protective through the attenuation of sympathetic hyperactivity and catecholaminergic inflammatory effects on cardiac and hepatic function. Prospective, randomized, controlled study. Animal laboratory in a university medical center. Male adult Wistar rats. Peripheral beta1-adrenoceptor blockade through daily intraperitoneal injection (metoprolol, 100 mg x kg(-1); atenolol, 6 mg x kg(-1)) or central nervous system beta1-adrenoceptor blockade (intracerebroventricular metoprolol, 25 microg) to achieve approximately 20% heart rate reduction in rats for 2 days before or after the induction of lethal endotoxemia, cecal ligation and puncture, or fecal peritonitis. Peripheral beta1-adrenoceptor blockade established for 2 days before lethal endotoxemia markedly improved survival in both metoprolol-treated (n = 16; log rank test, p = .002) and atenolol-treated (n = 15; p = .03) rats. Overall mortality in cecal ligation and puncture was similar between metoprolol (40%; n = 10) and saline (50%; n = 10) pretreatment (p = .56), but the median time to death was increased by 33 hrs in metoprolol-treated rats (p = .03). Metoprolol pretreatment reduced hepatic expression of proinflammatory cytokines and lowered plasma interleukin-6 (both p inflammatory and cardioprotective effects, with mortality reduction if commenced before a septic insult. Its role in sepsis should be explored further.

  12. Reef fishes can recognize bleached habitat during settlement: sea anemone bleaching alters anemonefish host selection.

    Science.gov (United States)

    Scott, Anna; Dixson, Danielle L

    2016-05-25

    Understanding how bleaching impacts the settlement of symbiotic habitat specialists and whether there is flexibility in settlement choices with regard to habitat quality is essential given our changing climate. We used five anemonefishes (Amphiprion clarkii, Amphiprion latezonatus, Amphiprion ocellaris, Amphiprion percula and Premnas biaculeatus) and three host sea anemones (Entacmaea quadricolor, Heteractis crispa and Heteractis magnifica) in paired-choice flume experiments to determine whether habitat naive juveniles have the olfactory capabilities to distinguish between unbleached and bleached hosts, and how this may affect settlement decisions. All anemonefishes were able to distinguish between bleached and unbleached hosts, and responded only to chemical cues from species-specific host anemones irrespective of health status, indicating a lack of flexibility in host use. While bleached hosts were selected as habitat, this occurred only when unbleached options were unavailable, with the exception of A. latezonatus, which showed strong preferences for H. crispa regardless of health. This study highlights the potential deleterious indirect impacts of declining habitat quality during larval settlement in habitat specialists, which could be important in the field, given that bleaching events are becoming increasingly common. © 2016 The Author(s).

  13. Microbial survival and odor in laundry

    DEFF Research Database (Denmark)

    Jepsen, Signe Munk; Johansen, Charlotte; Stahnke, Louise Heller

    2001-01-01

    , hydrophobic odorants [(Z)-4- heptenal, (E)-2-nonenal, and guaiacol] adhered more strongly to polyester than the acids. The odor formed by surviving skin microflora attached to textiles soiled with human sebum and sweat after laundering at 30 degreesC was studied by sensory evaluation and aroma extract......-were evaluated on cotton textile. A significant survival and transfer between textiles were found for all four test strains washed in E.U. and U.S. color detergents (without bleach), whereas no survival was observed in bleach-containing detergents. Gram-negative strains generally survived in greater numbers than...... Gram-positive strains. A greater survival was observed in U.S. detergents at U.S. conditions (30 degreesC, 12 min) than in E.U. detergents at E.U. conditions (40 degreesC, 30 min). The adhesion of odorants to cotton and polyester textiles during washing and drying was studied using six previously...

  14. The efficacy of laser-assisted in-office bleaching and home bleaching on sound and demineralized enamel.

    Science.gov (United States)

    Ahrari, Farzaneh; Akbari, Majid; Mohammadpour, Sakineh; Forghani, Maryam

    2015-12-30

    This study investigated the effectiveness of laser-assisted in-office bleaching and home-bleaching in sound and demineralized enamel. The sample consisted of 120 freshly-extracted bovine incisors. Half of the specimens were stored in a demineralizing solution to induce white spot lesions. Following exposure to a tea solution for 7.5 days, the specimens were randomly assigned to 4 groups of 30 according to the type of enamel and the bleaching procedure employed. Groups 1 and 2 consisted of demineralized teeth subjected to in-office bleaching and home bleaching, whereas in groups 3 and 4, sound teeth were subjected to in-office and home bleaching, respectively. A diode laser (810 nm, 2 W, continuous wave, four times for 15 seconds each) was employed for assisting the in-office process. The color of the specimens was measured before (T1) and after (T2) staining and during (T3) and after (T4) the bleaching procedures using a spectrophotometer. The color change (ΔE) between different treatments stages was compared among the groups. There were significant differences in the color change between T2 and T3 (ΔE T2-T3) and T2 and T4 (ΔE T2-T4) stages among the study groups (poffice bleaching (group 1) as compared to the other groups (Poffice bleaching could provide faster and greater whitening effect than home bleaching on stained demineralized enamel, but both procedures produced comparable results on sound teeth.

  15. Cognition, behaviour and academic skills after cognitive rehabilitation in Ugandan children surviving severe malaria: a randomised trial

    Directory of Open Access Journals (Sweden)

    John Chandy C

    2011-08-01

    Full Text Available Abstract Background Infection with severe malaria in African children is associated with not only a high mortality but also a high risk of cognitive deficits. There is evidence that interventions done a few years after the illness are effective but nothing is known about those done immediately after the illness. We designed a study in which children who had suffered from severe malaria three months earlier were enrolled into a cognitive intervention program and assessed for the immediate benefit in cognitive, academic and behavioral outcomes. Methods This parallel group randomised study was carried out in Kampala City, Uganda between February 2008 and October 2010. Sixty-one Ugandan children aged 5 to 12 years with severe malaria were assessed for cognition (using the Kaufman Assessment Battery for Children, second edition and the Test of Variables of Attention, academic skills (Wide Range Achievement Test, third edition and psychopathologic behaviour (Child Behaviour Checklist three months after an episode of severe malaria. Twenty-eight were randomised to sixteen sessions of computerised cognitive rehabilitation training lasting eight weeks and 33 to a non-treatment group. Post-intervention assessments were done a month after conclusion of the intervention. Analysis of covariance was used to detect any differences between the two groups after post-intervention assessment, adjusting for age, sex, weight for age z score, quality of the home environment, time between admission and post-intervention testing and pre-intervention score. The primary outcome was improvement in attention scores for the intervention group. This trial is registered with Current Controlled Trials, number ISRCTN53183087. Results Significant intervention effects were observed in the intervention group for learning mean score (SE, [93.89 (4.00 vs 106.38 (4.32, P = 0.04] but for working memory the intervention group performed poorly [27.42 (0.66 vs 25.34 (0.73, P = 0.04]. No

  16. Effect of three nanobiomaterials on microhardness of bleached enamel.

    Science.gov (United States)

    Khoroushi, Maryam; Shirban, Farinaz; Kaveh, Sara; Doustfateme, Samaneh

    2016-08-01

    The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens (2 × 3 × 4 mm) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p microhardness changes subsequent to in-office bleaching.

  17. Deep intronic variation in splicing regulatory element of the ERCC8 gene associated with severe but long-term survival Cockayne syndrome.

    Science.gov (United States)

    Schalk, Audrey; Greff, Géraldine; Drouot, Nathalie; Obringer, Cathy; Dollfus, Hélène; Laugel, Vincent; Chelly, Jamel; Calmels, Nadège

    2018-02-08

    Cockayne syndrome is an autosomal recessive multisystem disorder characterized by intellectual disability, microcephaly, severe growth failure, sensory impairment, peripheral neuropathy, and cutaneous sensitivity. This rare disease is linked to disease-causing variations in the ERCC6 (CSB) and ERCC8 (CSA) genes. Various degrees of severity have been described according to age at onset and survival, without any clear genotype-phenotype correlation. All types of nucleotide changes have been observed in CS genes, including splice variations mainly affecting the splice site consensus sequences. We report here the case of two brothers from a consanguineous family presenting a severe but long-term survival phenotype of Cockayne syndrome. We identified in the patients a homozygous deep intronic nucleotide variation causing the insertion of a cryptic exon in the ERCC8 (CSA) transcript, by modifying intronic regulatory elements important for exon definition. The pathogenesis of the nucleotide variant NG_009289.1(NM_000082.3):c.173+1119G>C was validated in vitro with a reporter minigene system. To our knowledge, these are the first Cockayne patients described with this kind of disease-causing variation, though molecular mechanism underlying early onset symptoms and unexpected slow raise of progression of the disease remain to be elucidated.

  18. [Inclusion of prehospital mortality statistics in severe trauma registries: a study of the influence of inclusion on trauma lethality rates and survival prediction].

    Science.gov (United States)

    Fortún Moral, Mariano; Ali Ali, Bismil; Montes Fernández, Luisa M; Rey Pecharroman, José Miguel; Teijeira Álvarez, Rafael; Belzunegui Otano, Tomás

    2016-06-01

    To compare the frequency and characteristics of prehospital and hospital deaths and assess whether injury severity and age can predict mortality when prehospital deaths are included or excluded from total mortality. Descriptive analysis of a retrospective cohort of 918 patients with multiple injuries attended by emergency medical services in Navarre, Spain, in 2010-2013. We analyzed prehospital and hospital deaths by cause of injuries and developed and compared the precision of logistic regression models to predict mortality. Most deaths occurred before arrival at a hospital. Three quarters of prehospital deaths occurred in patients under the age of 65 years. When prehospital deaths were included in the analysis, the lethality rate after traffic accidents rose from 16% to 42%; lethality from firearm injuries rose from 13% to 70%. When the model using the new injury severity score and age as independent variables was asked to predict survival with and without data for deaths at the scene or during transfer to a hospital, the model's performance differed only slightly. Most deaths from injuries occur before patients reach a hospital. The main characteristics of prehospital and hospital deaths differ. Including data for prehospital deaths in regression models does not change survival prediction based on injury severity and age.

  19. New Parameter for In-Office Dental Bleaching

    OpenAIRE

    Cristina Dupim Presoto; Janaina Freitas Bortolatto; Priscila Petrucelli Freire de Carvalho; Tamara Carolina Trevisan; Michael Christopher Floros; Osmir Batista de Oliveira Junior

    2016-01-01

    Dental bleaching is considered a conservative and biologically safe treatment for discolored teeth. Despite this, one of the major undesirable effects of bleaching is dentin sensitivity which may occur during and after treatment. To address these sensitivity issues, new dental bleaching preparations with lower concentrations of hydrogen peroxide (H2O2) have recently been introduced to the market. This paper presents a clinical case report of a 20-year-old female patient admitted to the Araraq...

  20. Levels of enamel erosion for the application of bleaching agents

    OpenAIRE

    Díaz Soriano, Ana; Departamento Académico de Estomatología Biosocial.; Pérez Vargas, Luis; Departamento Academico de Estomatología Biosocial.; Mattos Vela, Manuel; Departamento Academico de Estomatología Biosocial.; Asurza Ruiz, José; Instituto Nacional de Enfermedades Neoplásicas - INEN.; Bernuy Torres, Luis

    2014-01-01

    Dental bleaching systems and its use of toothpaste with bleaching agents lead to search the effect of these systems on the enamel surface. Scientific evidence shows that these systems can provoke an answer in chemical shucture of the dental enamel with loss of calcium . The concentration of calcium was measured in ppm in 27 crowns of human bicuspids. The enamel erosion was measured through the liberation of calcium salts into teeth in two kinds of bleaching toothpastes : Crest whitening and C...

  1. Severe Obesity Impacts Recurrence-Free Survival of Women with High-Risk Endometrial Cancer: Results of a French Multicenter Study.

    Science.gov (United States)

    Canlorbe, Geoffroy; Bendifallah, Sofiane; Raimond, Emilie; Graesslin, Olivier; Hudry, Delphine; Coutant, Charles; Touboul, Cyril; Bleu, Géraldine; Collinet, Pierre; Darai, Emile; Ballester, Marcos

    2015-08-01

    Studies focusing on the impact of obesity on survival in endometrial cancer (EC) have reported controversial results and few data exist on the impact of obesity on recurrence rate and recurrence-free survival (RFS). The aim of this study was to assess the impact of obesity on surgical staging and RFS in EC according to the European Society of Medical Oncology (ESMO) risk groups. Data of 729 women with EC who received primary surgical treatment between January 2000 and December 2012 were abstracted from a multicenter database. RFS distributions according to body mass index (BMI) in each ESMO risk group were estimated using the Kaplan-Meier method. Survival was evaluated using the log-rank test, and the Cox proportional hazards model was used to determine influence of multiple variables. Distribution of the 729 women with EC according to BMI was BMI obese women in the low-/intermediate-risk groups, but a BMI ≥ 35 was independently correlated to a poorer RFS (hazard ratio 12.5; 95 % confidence interval 3.1-51.3) for women in the high-risk group. Severe obesity negatively impacts RFS in women with high-risk EC, underlining the importance of complete surgical staging and adapted adjuvant therapies in this subgroup of women.

  2. Late-onset moderate to severe acute respiratory distress syndrome is associated with shorter survival and higher mortality: a two-stage association study.

    Science.gov (United States)

    Zhang, Ruyang; Wang, Zhaoxi; Tejera, Paula; Frank, Angela J; Wei, Yongyue; Su, Li; Zhu, Zhaozhong; Guo, Yichen; Chen, Feng; Bajwa, Ednan K; Thompson, B Taylor; Christiani, David C

    2017-03-01

    To evaluate the association between acute respiratory distress syndrome (ARDS) onset time and prognosis. Patients with moderate to severe ARDS (N = 876) were randomly assigned into derivation (N = 520) and validation (N = 356) datasets. Both 28-day and 60-day survival times after ARDS onset were analyzed. A data-driven cutoff point between early- and late-onset ARDS was determined on the basis of mortality risk effects of onset times. We estimated the hazard ratio (HR) and odds ratio (OR) of late-onset ARDS using a multivariate Cox proportional hazards model of survival time and a multivariate logistic regression model of mortality rate, respectively. Late-onset ARDS, defined as onset over 48 h after intensive care unit (ICU) admission (N = 273, 31%), was associated with shorter 28-day survival time: HR = 2.24, 95% CI 1.48-3.39, P = 1.24 × 10-4 (derivation); HR = 2.16, 95% CI 1.33-3.51, P = 1.95 × 10-3 (validation); and HR = 2.00, 95% CI 1.47-2.72, P = 1.10 × 10-5 (combined dataset). Late-onset ARDS was also associated with shorter 60-day survival time: HR = 1.70, 95% CI 1.16-2.48, P = 6.62 × 10-3 (derivation); HR = 1.78, 95% CI 1.15-2.75, P = 9.80 × 10-3 (validation); and HR = 1.59, 95% CI 1.20-2.10, P = 1.22 × 10-3 (combined dataset). Meanwhile, late-onset ARDS was associated with higher 28-day mortality rate (OR = 1.46, 95% CI 1.04-2.06, P = 0.0305) and 60-day mortality rate (OR = 1.44, 95% CI 1.03-2.02, P = 0.0313). Late-onset moderate to severe ARDS patients had both shorter survival time and higher mortality rate in 28-day and 60-day observations.

  3. A study on the recovery of Tobago's coral reefs following the 2010 mass bleaching event.

    Science.gov (United States)

    Buglass, Salome; Donner, Simon D; Alemu I, Jahson B

    2016-03-15

    In 2010, severe coral bleaching was observed across the southeastern Caribbean, including the island of Tobago, where coral reefs are subject to sedimentation and high nutrient levels from terrestrial runoff. Here we examine changes in corals' colony size distributions over time (2010-2013), juvenile abundances and sedimentation rates for sites across Tobago following the 2010 bleaching event. The results indicated that since pre-bleaching coral cover was already low due to local factors and past disturbance, the 2010 event affected only particular susceptible species' population size structure and increased the proportion of small sized colonies. The low density of juveniles (mean of 5.4±6.3 juveniles/m(-2)) suggests that Tobago's reefs already experienced limited recruitment, especially of large broadcasting species. The juvenile distribution and the response of individual species to the bleaching event support the notion that Caribbean reefs are becoming dominated by weedy non-framework building taxa which are more resilient to disturbances. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Metabolite profiling of symbiont and host during thermal stress and bleaching in the coral Acropora aspera

    Science.gov (United States)

    Hillyer, Katie E.; Dias, Daniel A.; Lutz, Adrian; Wilkinson, Shaun P.; Roessner, Ute; Davy, Simon K.

    2017-03-01

    Rising seawater temperatures pose a significant threat to the persistence of coral reefs. Despite the importance of these systems, major gaps remain in our understanding of how thermal stress and bleaching affect the metabolic networks that underpin holobiont function. We applied gas chromatography-mass spectrometry (GC-MS) metabolomics to detect changes in the intracellular free metabolite pools (polar and semi-polar compounds) of in hospite dinoflagellate symbionts and their coral hosts (and any associated microorganisms) during early- and late-stage thermal bleaching (a reduction of approximately 50 and 70% in symbiont density, respectively). We detected characteristic changes to the metabolite profiles of each symbiotic partner associated with individual cellular responses to thermal, oxidative and osmotic stress, which progressed with the severity of bleaching. Alterations were also indicative of changes to energy-generating and biosynthesis pathways in both partners, with a shift to the increased catabolism of lipid stores. Specifically, in symbiont intracellular metabolite pools, we observed accumulations of multiple free fatty acids, plus the chloroplast-associated antioxidant alpha-tocopherol. In the host, we detected a decline in the abundance of pools of multiple carbohydrates, amino acids and intermediates, in addition to the antioxidant ascorbate. These findings further our understanding of the metabolic changes that occur to symbiont and host (and its associated microorganisms) during thermal bleaching. These findings also provide further insight into the largely undescribed roles of free metabolite pools in cellular homeostasis, signalling and acclimation to thermal stress in the cnidarian-dinoflagellate symbiosis.

  5. Climate change, coral bleaching and the future of the world's coral reefs

    Energy Technology Data Exchange (ETDEWEB)

    Hoegh-Guldberg, O. [University of Sydney, Sydney, NSW (Australia). School of Biological Sciences

    1999-07-01

    Sea temperatures in many tropical regions have increased by almost 1{degree}C over the past 100 years, and are currently increasing at about 1-2{degree}C per century. Mass coral bleaching has occurred in association with episodes of elevated sea temperatures over the past 20 years and involves the loss of the zooxanthellae following chronic photoinhibition. Mass bleaching has resulted in significant losses of live coral in many parts of the world. This paper considers the biochemical, physiological and ecological perspectives of coral bleaching. It also uses the outputs of four runs from three models of global climate change which simulate changes in sea temperature and hence how the frequency and intensity of bleaching events will change over the next 100 years. The results suggest that the thermal tolerances of reef-building corals are likely to be exceeded every year within the next few decades. Events as severe as the 1998 event, the worst on record, are likely to become commonplace within 20 years. Most information suggests that the capacity for acclimation by corals has already been exceeded, and that adaptation will be too slow to avert a decline in the quality of the world's reefs.

  6. Bleaching and recovery patterns of corals in Palk Bay, India: An indication of bleaching resilient reef

    Digital Repository Service at National Institute of Oceanography (India)

    Manikandan, B.; Ravindran, J.; Vidya, P.J.; ManiMurali, R.

    .A. Marshall, A.H. Baird, Bleaching of corals on the Great Barrier Reef: differential susceptibilities among taxa, Coral reefs. 19 (2000) 155-163. [4] G. Diaz-Pulido, L.J. McCook, The fate of bleached corals: patterns and dynamics of algal recruitment, Mar.... Proc. 1st Int. symp. corals and coral reefs, Marine Biological Association of India, Mandapam camp, India, 1972. [25] S. English, C. Wilkinson, V. Baker, Survey Manual for Tropical Marine Resources, second ed., Australian Institute of Marine Science...

  7. Extended Survival of Several Microorganisms and Relevant Amino Acid Biomarkers under Simulated Martian Surface Conditions as a Function of Burial Depth

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Adam [Indiana University; Pratt, L.M. [Indiana University; Vishnivetskaya, Tatiana A [ORNL; Pfiffner, S. M. [University of Tennessee, Knoxville (UTK); Bryan, R. A. [Yeshiva University, New York; Dadachova, E. [Yeshiva University, New York; Whyte, L G [McGill University, Montreal, Quebec; Radtke, K. [McGill University, Montreal, Quebec; Chan, E. [Princeton University; Tronick, S. [Princeton University; Borgonie, G. [Ghent University, Belgium; Mancinelli, R. [SETI Institute; Rothschild, L. [NASA Ames Research Center; Rogoff, D. [NASA Ames Research Center; Horikawa, D. D. [NASA Ames Research Center; Onstott, T. C. [Princeton University

    2011-01-01

    Recent orbital and landed missions have provided substantial evidence for ancient liquid water on the martian surface as well as evidence of more recent sedimentary deposits formed by water and/or ice. These observations raise serious questions regarding an independent origin and evolution of life on Mars. Future missions seek to identify signs of extinct martian biota in the form of biomarkers or morphological characteristics, but the inherent danger of spacecraft-borne terrestrial life makes the possibility of forward contamination a serious threat not only to the life detection experiments, but also to any extant martian ecosystem. A variety of cold and desiccation-tolerant organisms were exposed to 40 days of simulated martian surface conditions while embedded within several centimeters of regolith simulant in order to ascertain the plausibility of such organisms survival as a function of environmental parameters and burial depth. Relevant amino acid biomarkers associated with terrestrial life were also analyzed in order to understand the feasibility of detecting chemical evidence for previous biological activity. Results indicate that stresses due to desiccation and oxidation were the primary deterrent to organism survival, and that the effects of UV-associated damage, diurnal temperature variations, and reactive atmospheric species were minimal. Organisms with resistance to desiccation and radiation environments showed increased levels of survival after the experiment compared to organisms characterized as psychrotolerant. Amino acid analysis indicated the presence of an oxidation mechanism that migrated downward through the samples during the course of the experiment and likely represents the formation of various oxidizing species at mineral surfaces as water vapor diffused through the regolith. Current sterilization protocols may specifically select for organisms best adapted to survival at the martian surface, namely species that show tolerance to radical

  8. A novel paleo-bleaching proxy using boron isotopes and high-resolution laser ablation to reconstruct coral bleaching events

    OpenAIRE

    Dishon, G.; J. Fisch; I. Horn; Kaczmarek, K.; J. Bijma; D. F. Gruber; O. Nir; Y. Popovich; D. Tchernov

    2015-01-01

    Coral reefs occupy only ~ 0.1 percent of the ocean's habitat, but are the most biologically diverse marine ecosystem. In recent decades, coral reefs have experienced a significant global decline due to a variety of causes, one of the major causes being widespread coral bleaching events. During bleaching, the coral expels its symbiotic algae, thereby losing its main source of nutrition generally obtained through photosynthesis. While recent coral bleaching events have been ex...

  9. A novel paleo-bleaching proxy using boron isotopes and high-resolution laser ablation to reconstruct coral bleaching events

    OpenAIRE

    Dishon, G.; J. Fisch; I. Horn; Kaczmarek, K.; J. Bijma; D. F. Gruber; O. Nir; Y. Popovich; D. Tchernov

    2015-01-01

    Coral reefs occupy only ~0.1% of the oceans habitat, but are the most biologically diverse marine ecosystem. In recent decades, coral reefs have experienced significant global declines due to a variety of causes, one of the major being widespread coral bleaching events. During bleaching the coral expels its symbiotic algae losing its main source of nutrition generally obtained through photosynthesis. While recent coral bleaching events hav...

  10. A novel paleo-bleaching proxy using boron isotopes and high-resolution laser ablation to reconstruct coral bleaching events

    Science.gov (United States)

    Dishon, G.; Fisch, J.; Horn, I.; Kaczmarek, K.; Bijma, J.; Gruber, D. F.; Nir, O.; Popovich, Y.; Tchernov, D.

    2015-10-01

    Coral reefs occupy only ~ 0.1 percent of the ocean's habitat, but are the most biologically diverse marine ecosystem. In recent decades, coral reefs have experienced a significant global decline due to a variety of causes, one of the major causes being widespread coral bleaching events. During bleaching, the coral expels its symbiotic algae, thereby losing its main source of nutrition generally obtained through photosynthesis. While recent coral bleaching events have been extensively investigated, there is no scientific data on historical coral bleaching prior to 1979. In this study, we employ high-resolution femtosecond Laser Ablation Multiple Collector Inductively Coupled Plasma Mass Spectrometry (LA-MC-ICP-MS) to demonstrate a distinct biologically induced decline of boron (B) isotopic composition (δ11B) as a result of coral bleaching. These findings and methodology offer a new use for a previously developed isotopic proxy to reconstruct paleo-coral bleaching events. Based on a literature review of published δ11B data and our recorded vital effect of coral bleaching on the δ11B signal, we also describe at least two possible coral bleaching events since the Last Glacial Maximum. The implementation of this bleaching proxy holds the potential of identifying occurrences of coral bleaching throughout the geological record. A deeper temporal view of coral bleaching will enable scientists to determine if it occurred in the past during times of environmental change and what outcome it may have had on coral population structure. Understanding the frequency of bleaching events is also critical for determining the relationship between natural and anthropogenic causes of these events.

  11. Does the survival motor neuron copy number variation play a role in the onset and severity of sporadic amyotrophic lateral sclerosis in Malians?

    Science.gov (United States)

    Sangare, Modibo; Dicko, Ilo; Guinto, Cheick Oumar; Sissoko, Adama; Dembele, Kekouta; Coulibaly, Youlouza; Coulibaly, Siaka Y; Landoure, Guida; Diallo, Abdallah; Dolo, Mamadou; Dolo, Housseini; Maiga, Boubacar; Traore, Moussa; Karembe, Mamadou; Traore, Kadiatou; Toure, Amadou; Sylla, Mariam; Togora, Arouna; Coulibaly, Souleymane; Traore, Sékou Fantamady; Hendrickson, Brant; Bricceno, Katherine; Schindler, Alice B; Kokkinis, Angela; Meilleur, Katherine G; Sangho, Hammadoun Ali; Diakite, Brehima; Kassogue, Yaya; Coulibaly, Yaya Ibrahim; Burnett, Barrington; Maiga, Youssoufa; Doumbia, Seydou; Fischbeck, Kenneth H

    2016-06-01

    Spinal muscular atrophy (SMA) and sporadic amyotrophic lateral sclerosis (SALS) are both motor neuron disorders. SMA results from the deletion of the survival motor neuron ( SMN ) 1 gene. High or low SMN1 copy number and the absence of SMN2 have been reported as risk factors for the development or severity of SALS. To investigate the role of SMN gene copy number in the onset and severity of SALS in Malians. We determined the SMN1 and SMN2 copy number in genomic DNA samples from 391 Malian adult volunteers, 120 Yoruba from Nigeria, 120 Luyha from Kenya and 74 U.S. Caucasians using a Taqman quantitative PCR assay. We evaluated the SALS risk based on the estimated SMA protein level using the Veldink formula ( SMN1 copy number + 0.2 ∗  SMN2 copy number). We also characterized the disease natural history in 15 ALS patients at the teaching hospital of Point G, Bamako, Mali. We found that 131 of 391 (33.5%) had an estimated SMN protein expression of ≤ 2.2; 60 out of 391 (15.3%) had an estimated SMN protein expression < 2 and would be at risk of ALS and the disease onset was as early as 16 years old. All 15 patients were male and some were physically handicapped within 1-2 years in the disease course. Because of the short survival time of our patients, family histories and sample DNA for testing were not done. However, our results show that sporadic ALS is of earlier onset and shorter survival time as compared to patients elsewhere. We plan to establish a network of neurologists and researchers for early screening of ALS.

  12. PROCESS OPTIMIZATION OF TETRA ACETYL ETHYLENE DIAMINE ACTIVATED HYDROGEN PEROXIDE BLEACHING OF POPULUS NIGRA CTMP

    OpenAIRE

    Qiang Zhao; Junwen Pu; Shulei Mao; Guibo Qi

    2010-01-01

    To enhance the bleaching efficiency, the activator of tetra acetyl ethylene diamine (TAED) was used in conventional H2O2 bleaching. The H2O2/TAED bleaching system can accelerate the reaction rate and shorten bleaching time at relative low temperature, which can reduce the production cost. In this research, the process with hydrogen peroxide activated by TAED bleaching of Populus nigra chemi-thermo mechanical pulp was optimized. Suitable bleaching conditions were confirmed as follows: pulp con...

  13. Clinical comparative study of the effectiveness of and tooth sensitivity to 10% and 20% carbamide peroxide home-use and 35% and 38% hydrogen peroxide in-office bleaching materials containing desensitizing agents.

    Science.gov (United States)

    Basting, R T; Amaral, F L B; França, F M G; Flório, F M

    2012-01-01

    The aim of this study was to compare the effectiveness of and tooth sensitivity to 10% and 20% carbamide peroxide (CP) home-use bleaching agents and 35% and 38% hydrogen peroxide (HP) in-office bleaching agents, all of which contain desensitizing agents, in a clinical trial. Four agents were evaluated: 10% CP and 20% CP (Opalescence PF 10% and Opalescence PF 20%, Ultradent, both with 0.5% potassium nitrate and 0.11% fluoride ions), 38% HP (Opalescence Boost PF, Ultradent, with 3% potassium nitrate and 1.1% fluoride ions), and 35% HP (Pola Office, SDI, with potassium nitrate). The initial screening procedure included 100 volunteers, aged 18 to 42, with no previous sensitivity or bleaching treatment and with any tooth shade. Volunteers were randomly assigned among the technique/bleaching agent groups. A run-in period was performed 1 week before the beginning of the bleaching treatment. For the home-use bleaching technique, each volunteer was instructed to dispense gel (10% CP or 20% CP) into the trays and then insert them into his or her mouth for at least two hours per night for three weeks. For the in-office bleaching technique, the bleaching agents (38% HP or 35% HP) were prepared and used following the manufacturer's instructions, with three applications performed in each session. Three sessions were carried out with an interval of seven days between each session. The participants were evaluated before, at one week, two weeks, and three weeks after the beginning of the bleaching treatment, and again one and two weeks after the bleaching treatment ended. A shade guide (Vita Classical, Vita) was used by a blinded examiner to perform shade evaluations before bleaching and two weeks after the end of bleaching. At the time of the shade evaluations, tooth sensitivity was also recorded by asking the volunteers to classify the sensitivity during bleaching treatment as absent, mild, moderate, or severe. The present study found that 13.8% of the volunteers withdrew from

  14. Bleaching, disease and recovery in the threatened scleractinian coral Acropora palmata in St. John, US Virgin Islands: 2003-2010

    Science.gov (United States)

    Rogers, C. S.; Muller, E. M.

    2012-09-01

    A long-term study of the scleractinian coral Acropora palmata in the US Virgin Islands (USVI) showed that diseases, particularly white pox, are limiting the recovery of this threatened species. Colonies of A. palmata in Haulover Bay, within Virgin Islands National Park, St. John, were examined monthly in situ for signs of disease and other stressors from January 2003 through December 2009. During the study, 89.9 % of the colonies ( n = 69) exhibited disease, including white pox (87 %), white band (13 %), and unknown (9 %). Monthly disease prevalence ranged from 0 to 57 %, and disease was the most significant cause of complete colony mortality ( n = 17). A positive correlation was found between water temperature and disease prevalence, but not incidence. Annual average disease prevalence and incidence remained constant during the study. Colonies generally showed an increase in the estimated amount of total living tissue from growth, but 25 (36.2 %) of the colonies died. Acropora palmata bleached in the USVI for the first time during the 2005 Caribbean bleaching event. Only one of the 23 colonies that bleached appeared to die directly from bleaching. In 2005, corals that bleached had greater disease prevalence than those that did not bleach. Just over half (52 %) of the colonies incurred some physical damage. Monitoring of fragments (broken branches) that were generated by physical damage through June 2007 showed that 46.1 % died and 28.4 % remained alive; the fragments that attached to the substrate survived longer than those that did not. Recent surveys showed an increase in the total number of colonies within the reef area, formed from both asexual and sexual reproduction. Genotype analysis of 48 of the originally monitored corals indicated that 43 grew from sexual recruits supporting the conclusion that both asexual and sexual reproduction are contributing to an increase in colony density at this site.

  15. A new, high-resolution global mass coral bleaching database.

    Science.gov (United States)

    Donner, Simon D; Rickbeil, Gregory J M; Heron, Scott F

    2017-01-01

    Episodes of mass coral bleaching have been reported in recent decades and have raised concerns about the future of coral reefs on a warming planet. Despite the efforts to enhance and coordinate coral reef monitoring within and across countries, our knowledge of the geographic extent of mass coral bleaching over the past few decades is incomplete. Existing databases, like ReefBase, are limited by the voluntary nature of contributions, geographical biases in data collection, and the variations in the spatial scale of bleaching reports. In this study, we have developed the first-ever gridded, global-scale historical coral bleaching database. First, we conducted a targeted search for bleaching reports not included in ReefBase by personally contacting scientists and divers conducting monitoring in under-reported locations and by extracting data from the literature. This search increased the number of observed bleaching reports by 79%, from 4146 to 7429. Second, we employed spatial interpolation techniques to develop annual 0.04° × 0.04° latitude-longitude global maps of the probability that bleaching occurred for 1985 through 2010. Initial results indicate that the area of coral reefs with a more likely than not (>50%) or likely (>66%) probability of bleaching was eight times higher in the second half of the assessed time period, after the 1997/1998 El Niño. The results also indicate that annual maximum Degree Heating Weeks, a measure of thermal stress, for coral reefs with a high probability of bleaching increased over time. The database will help the scientific community more accurately assess the change in the frequency of mass coral bleaching events, validate methods of predicting mass coral bleaching, and test whether coral reefs are adjusting to rising ocean temperatures.

  16. A new, high-resolution global mass coral bleaching database.

    Directory of Open Access Journals (Sweden)

    Simon D Donner

    Full Text Available Episodes of mass coral bleaching have been reported in recent decades and have raised concerns about the future of coral reefs on a warming planet. Despite the efforts to enhance and coordinate coral reef monitoring within and across countries, our knowledge of the geographic extent of mass coral bleaching over the past few decades is incomplete. Existing databases, like ReefBase, are limited by the voluntary nature of contributions, geographical biases in data collection, and the variations in the spatial scale of bleaching reports. In this study, we have developed the first-ever gridded, global-scale historical coral bleaching database. First, we conducted a targeted search for bleaching reports not included in ReefBase by personally contacting scientists and divers conducting monitoring in under-reported locations and by extracting data from the literature. This search increased the number of observed bleaching reports by 79%, from 4146 to 7429. Second, we employed spatial interpolation techniques to develop annual 0.04° × 0.04° latitude-longitude global maps of the probability that bleaching occurred for 1985 through 2010. Initial results indicate that the area of coral reefs with a more likely than not (>50% or likely (>66% probability of bleaching was eight times higher in the second half of the assessed time period, after the 1997/1998 El Niño. The results also indicate that annual maximum Degree Heating Weeks, a measure of thermal stress, for coral reefs with a high probability of bleaching increased over time. The database will help the scientific community more accurately assess the change in the frequency of mass coral bleaching events, validate methods of predicting mass coral bleaching, and test whether coral reefs are adjusting to rising ocean temperatures.

  17. Can a bleaching toothpaste containing Blue Covarine demonstrate the same bleaching as conventional techniques? An in vitro, randomized and blinded study

    OpenAIRE

    DANTAS,Andréa Abi Rached; BORTOLATTO,Janaina Freitas; Ávery RONCOLATO; MERCHAN,Hugo; FLOROS,Michael Christopher; Kuga,Milton Carlos; Oliveira Junior, Osmir Batista de [UNESP

    2015-01-01

    ABSTRACT Objective The purpose of this in vitro study was to compare the efficacy of a bleaching toothpaste containing Blue Covarine vs. conventional tooth bleaching techniques using peroxides (both in-office and at-home). Material and Methods Samples were randomly distributed into five experimental groups (n=15): C - Control; BC – Bleaching toothpaste containing Blue Covarine; WBC – Bleaching toothpaste without Blue Covarine; HP35 - In-office bleaching using 35% hydrogen pero...

  18. Bleaching a devital primary tooth using sodium perborate with walking bleach technique: a case report.

    Science.gov (United States)

    Arikan, Volkan; Sari, Saziye; Sonmez, Hayriye

    2009-05-01

    Nowadays, both children and parents place a greater value on appearance and aesthetics than has previously been the case. Primary teeth with intrinsic discoloration may be treated by a number of methods, including facings and abrasion. However, dental bleaching may offer a safer alternative that can be completed with less chair time and without harming dental structures. This case report describes the treatment of a darkened primary tooth of a 4-year-old boy with sodium perborate using the walking bleach technique and its 1-year clinical and radiographical follow-up. During this 1-year follow-up period, no signs of any pathology were observed either clinically (sensitivity to percussion or palpation, fistulae, color change) or radiographically (external or internal root resorption, apical radiolucency). In this study, using sodium perborate with the walking bleach technique is found to be successful in whitening primary teeth and can be recommended as a safe alternative for the bleaching of devital primary teeth with intrinsic discoloration.

  19. Evaluation of Extraradicular Diffusion of Hydrogen Peroxide during Intracoronal Bleaching Using Different Bleaching Agents.

    Science.gov (United States)

    Rokaya, Mohammad E; Beshr, Khaled; Hashem Mahram, Abeer; Samir Pedir, Samah; Baroudi, Kusai

    2015-01-01

    Objectives. Extra radicular diffusion of hydrogen peroxide associated with intracoronal teeth bleaching was evaluated. Methods. 108 intact single rooted extracted mandibular first premolars teeth were selected. The teeth were instrumented with WaveOne system and obturated with gutta percha and divided into four groups (n = 27) according to the bleaching materials used. Each main group was divided into three subgroups (n = 9) according to the time of extra radicular hydrogen peroxide diffusion measurements at 1, 7, and 14 days: group 1 (35% hydrogen peroxide), group 2 (35% carbamide peroxide), group 3 (sodium perborate-30% hydrogen peroxide mixture), and group 4 (sodium perborate-water mixture). Four cemental dentinal defects were prepared just below the CEJ on each root surface. The amount of hydrogen peroxide that leached out was evaluated after 1, 7, and 14 days by spectrophotometer analysis. The results were analyzed using the ANOVA and Tukey's test. Results. Group 1 showed highest extra radicular diffusion, followed by group 3 and group 2, while group 4 showed the lowest mean extra radicular diffusion. Conclusion. Carbamide peroxide and sodium perborate-water mixture are the most suitable bleaching materials used for internal bleaching due to their low extra radicular diffusion of hydrogen peroxide.

  20. Evaluation of Extraradicular Diffusion of Hydrogen Peroxide during Intracoronal Bleaching Using Different Bleaching Agents

    Directory of Open Access Journals (Sweden)

    Mohammad E. Rokaya

    2015-01-01

    Full Text Available Objectives. Extra radicular diffusion of hydrogen peroxide associated with intracoronal teeth bleaching was evaluated. Methods. 108 intact single rooted extracted mandibular first premolars teeth were selected. The teeth were instrumented with WaveOne system and obturated with gutta percha and divided into four groups (n=27 according to the bleaching materials used. Each main group was divided into three subgroups (n=9 according to the time of extra radicular hydrogen peroxide diffusion measurements at 1, 7, and 14 days: group 1 (35% hydrogen peroxide, group 2 (35% carbamide peroxide, group 3 (sodium perborate-30% hydrogen peroxide mixture, and group 4 (sodium perborate-water mixture. Four cemental dentinal defects were prepared just below the CEJ on each root surface. The amount of hydrogen peroxide that leached out was evaluated after 1, 7, and 14 days by spectrophotometer analysis. The results were analyzed using the ANOVA and Tukey’s test. Results. Group 1 showed highest extra radicular diffusion, followed by group 3 and group 2, while group 4 showed the lowest mean extra radicular diffusion. Conclusion. Carbamide peroxide and sodium perborate-water mixture are the most suitable bleaching materials used for internal bleaching due to their low extra radicular diffusion of hydrogen peroxide.

  1. The effects of internal tooth bleaching regimens on composite-to-composite bond strength.

    Science.gov (United States)

    Ferrari, Raphael; Attin, Thomas; Wegehaupt, Florian J; Stawarczyk, Bogna; Tauböck, Tobias T

    2012-12-01

    The authors conducted an in vitro study to investigate the influence of several internal bleaching regimens on the composite-to-composite shear bond strength of a dental core buildup material. The authors fabricated 72 specimens from a resin-based composite core buildup and assigned them randomly to six groups (four experimental and two control groups) (n = 12 per group), according to the following bleaching agents: sodium perborate mixed with distilled water (SP/W); sodium perborate mixed with 3 percent hydrogen peroxide (SP/HP-3); sodium perborate mixed with 30 percent hydrogen peroxide (SP/HP-30); 35 percent hydrogen peroxide (HP-35). After the 12-day bleaching procedures, the authors applied a calcium hydroxide dressing for two weeks. The two control groups consisted of unbleached specimens that either did not receive (C1) or did receive (C2) the calcium hydroxide dressing. The authors cleaned and silanized the resin-based composite specimens and coated them with an intermediate adhesive resin before applying fresh composite material. They measured composite surface roughness and shear bond strength and performed statistical analyses of the data. Unbleached specimens in groups C1 and C2 exhibited significantly lower composite-to-composite bond strength and significantly lower surface roughness than did specimens in groups SP/W and SP/HP-3. Bond strength in group HP-35 was significantly lower than that in group SP/W. Internal bleaching regimens that involve the use of sodium perborate mixed with water or 3 percent hydrogen peroxide might increase the composite-to-composite interfacial bond strength. None of the internal bleaching regimens in this study had an adverse effect on the composite-to-composite interfacial bond strength.

  2. Mass coral bleaching due to unprecedented marine heatwave in Papahānaumokuākea Marine National Monument (Northwestern Hawaiian Islands.

    Directory of Open Access Journals (Sweden)

    Courtney S Couch

    Full Text Available 2014 marked the sixth and most widespread mass bleaching event reported in the Northwestern Hawaiian Islands, home to the Papahānaumokuākea Marine National Monument (PMNM, the world's second largest marine reserve. This event was associated with an unusual basin-scale warming in the North Pacific Ocean, with an unprecedented peak intensity of around 20°C-weeks of cumulative heat stress at Lisianksi Island. In situ bleaching surveys and satellite data were used to evaluate the relative importance of potential drivers of bleaching patterns in 2014, assess the subsequent morality and its effects on coral communities and 3D complexity, test for signs of regional acclimation, and investigate long-term change in heat stress in PMNM. Surveys conducted at four island/atoll (French Frigate Shoals, Lisianski Island, Pearl and Hermes Atoll, and Midway Atoll showed that in 2014, percent bleaching varied considerably between islands/atolls and habitats (back reef/fore reef and depth, and was up to 91% in shallow habitats at Lisianski. The percent bleaching during the 2014 event was best explained by a combination of duration of heat stress measured by Coral Reef Watch's satellite Degree Heating Week, relative community susceptibility (bleaching susceptibility score of each taxon * the taxon's abundance relative to the total number of colonies, depth and region. Mean coral cover at permanent Lisianski monitoring sites decreased by 68% due to severe losses of Montipora dilatata complex, resulting in rapid reductions in habitat complexity. Spatial distribution of the 2014 bleaching was significantly different from the 2002 and 2004 bleaching events likely due to a combination of differences in heat stress and local acclimatization. Historical satellite data demonstrated heat stress in 2014 was unlike any previous event and that the exposure of corals to the bleaching-level heat stress has increased significantly in the northern PMNM since 1982, highlighting

  3. Mass coral bleaching due to unprecedented marine heatwave in Papahānaumokuākea Marine National Monument (Northwestern Hawaiian Islands).

    Science.gov (United States)

    Couch, Courtney S; Burns, John H R; Liu, Gang; Steward, Kanoelani; Gutlay, Tiffany Nicole; Kenyon, Jean; Eakin, C Mark; Kosaki, Randall K

    2017-01-01

    2014 marked the sixth and most widespread mass bleaching event reported in the Northwestern Hawaiian Islands, home to the Papahānaumokuākea Marine National Monument (PMNM), the world's second largest marine reserve. This event was associated with an unusual basin-scale warming in the North Pacific Ocean, with an unprecedented peak intensity of around 20°C-weeks of cumulative heat stress at Lisianksi Island. In situ bleaching surveys and satellite data were used to evaluate the relative importance of potential drivers of bleaching patterns in 2014, assess the subsequent morality and its effects on coral communities and 3D complexity, test for signs of regional acclimation, and investigate long-term change in heat stress in PMNM. Surveys conducted at four island/atoll (French Frigate Shoals, Lisianski Island, Pearl and Hermes Atoll, and Midway Atoll) showed that in 2014, percent bleaching varied considerably between islands/atolls and habitats (back reef/fore reef and depth), and was up to 91% in shallow habitats at Lisianski. The percent bleaching during the 2014 event was best explained by a combination of duration of heat stress measured by Coral Reef Watch's satellite Degree Heating Week, relative community susceptibility (bleaching susceptibility score of each taxon * the taxon's abundance relative to the total number of colonies), depth and region. Mean coral cover at permanent Lisianski monitoring sites decreased by 68% due to severe losses of Montipora dilatata complex, resulting in rapid reductions in habitat complexity. Spatial distribution of the 2014 bleaching was significantly different from the 2002 and 2004 bleaching events likely due to a combination of differences in heat stress and local acclimatization. Historical satellite data demonstrated heat stress in 2014 was unlike any previous event and that the exposure of corals to the bleaching-level heat stress has increased significantly in the northern PMNM since 1982, highlighting the increasing

  4. Coral disease following massive bleaching in 2005 causes 60% decline in coral cover on reefs in the US Virgin Islands

    Science.gov (United States)

    Miller, J.; Muller, E.; Rogers, C.; Waara, R.; Atkinson, A.; Whelan, K. R. T.; Patterson, M.; Witcher, B.

    2009-12-01

    In the northeast Caribbean, doldrum-like conditions combined with elevated water temperatures in the summer/fall 2005 created the most severe coral bleaching event ever documented within this region. Video monitoring of 100 randomly chosen, permanent transects at five study sites in the US Virgin Islands revealed over 90% of the scleractinian coral cover showed signs of thermal stress by paling or becoming completely white. Lower water temperatures in October allowed some re-coloring of corals; however, a subsequent unprecedented regional outbreak of coral disease affected all sites. Five known diseases or syndromes were recorded; however, most lesions showed signs similar to white plague. Nineteen scleractinian species were affected by disease, with >90% of the disease-induced lesions occurring on the genus Montastraea. The disease outbreak peaked several months after the onset of bleaching at all sites but did not occur at the same time. The mean number of disease-induced lesions increased 51-fold and the mean area of disease-associated mortality increased 13-fold when compared with pre-bleaching disease levels. In the 12 months following the onset of bleaching, coral cover declined at all sites (average loss: 51.5%, range: 42.4-61.8%) reducing the five-site average from 21.4% before bleaching to 10.3% with most mortality caused by white plague disease, not bleaching. Continued losses through October 2007 reduced the average coral cover of the five sites to 8.3% (average 2-year loss: 61.1%, range: 53.0-79.3%). Mean cover by M. annularis (complex) decreased 51%, Colpophyllia natans 78% and Agaricia agaricites 87%. Isolated disease outbreaks have been documented before in the Virgin Islands, but never as widespread or devastating as the one that occurred after the 2005 Caribbean coral-bleaching event. This study provides insight into the effects of continued seawater warming and subsequent coral bleaching events in the Caribbean and highlights the need to

  5. Feasibility of modified surviving sepsis campaign guidelines in a resource-restricted setting based on a cohort study of severe S. aureus sepsis [corrected].

    Directory of Open Access Journals (Sweden)

    Weera Mahavanakul

    Full Text Available The Surviving Sepsis Campaign (SSC guidelines describe best practice for the management of severe sepsis and septic shock in developed countries, but most deaths from sepsis occur where healthcare is not sufficiently resourced to implement them. Our objective was to define the feasibility and basis for modified guidelines in a resource-restricted setting.We undertook a detailed assessment of sepsis management in a prospective cohort of patients with severe sepsis caused by a single pathogen in a 1,100-bed hospital in lower-middle income Thailand. We compared their management with the SSC guidelines to identify care bundles based on existing capabilities or additional activities that could be undertaken at zero or low cost. We identified 72 patients with severe sepsis or septic shock associated with S. aureus bacteraemia, 38 (53% of who died within 28 days. One third of patients were treated in intensive care units (ICUs. Numerous interventions described by the SSC guidelines fell within existing capabilities, but their implementation was highly variable. Care available to patients on general wards covered the fundamental principles of sepsis management, including non-invasive patient monitoring, antimicrobial administration and intravenous fluid resuscitation. We described two additive care bundles, one for general wards and the second for ICUs, that if consistently performed would be predicted to improve outcome from severe sepsis.It is feasible to implement modified sepsis guidelines that are scaled to resource availability, and that could save lives prior to the publication of international guidelines for developing countries.

  6. Bleach Plant Capital Reduction with Rapid DO Bleaching and Simplified (D/E/D) Stages

    Energy Technology Data Exchange (ETDEWEB)

    T. J. McDonough; C. E. Courchene; J-C. Baromes

    2000-08-01

    The objective of this work was to demonstrate the capabilities of a bleaching sequence that combined a short retention time initial chlorine dioxide stage, referred to as rapid D0, (D0R), with simplified bleaching stages, (D1/E/D2), that required only one final bleach washer. The test sequence DR(EPO)(D/E/D/) was compared to a control sequence, D(EPO)D, for both hardwood and softwood pulps. The capabilities of the DR(EPO)(D/E/D) sequence were successfully demonstrated. An existing three- or four-stage bleach plan can be converted to the more powerful DR(EPO)(D/E/D) sequence without the major capital cost of additional washers. The results from this study showed that the DR(EPO)(D/E/D) sequence can reach 85 brightness on SW with 2.8% total C1O2, while the control sequence, D(EPO)D, required 3.9% C1O2. There was a corresponding decrease in AOX for the test sequence. The strength of pulp bleached in the test sequence was similar to or slightly higher than the control. For the HW pu lp, the test sequence reached 88 brightness with 2.2% C1O2 compared to 3.3% C1O2 for the control. There was a corresponding decrease in AOX generation with the lower chemical requirements. The final viscosity and pulp strength for the test sequence on HW was significantly higher than the corresponding values for the control sequence.

  7. The influence of bleaching agent and temperature on bleaching efficacy and volatile components of fluid whey and whey retentate.

    Science.gov (United States)

    Fox, A J; Smith, T J; Gerard, P D; Drake, M A

    2013-10-01

    Fluid whey or retentate are often bleached to remove residual annatto Cheddar cheese colorant, and this process causes off-flavors in dried whey proteins. This study determined the impact of temperature and bleaching agent on bleaching efficacy and volatile components in fluid whey and fluid whey retentate. Freshly manufactured liquid whey (6.7% solids) or concentrated whey protein (retentate) (12% solids, 80% protein) were bleached using benzoyl peroxide (BP) at 100 mg/kg (w/w) or hydrogen peroxide (HP) at 250 mg/kg (w/w) at 5 °C for 16 h or 50 °CC for 1 h. Unbleached controls were subjected to a similar temperature profile. The experiment was replicated three times. Annatto destruction (bleaching efficacy) among treatments was compared, and volatile compounds were extracted and separated using solid phase microextraction gas chromatography mass spectrometry (SPME GC-MS). Bleaching efficacy of BP was higher than HP (P whey at both 5 and 50 °C. HP bleaching efficacy was increased in retentate compared to liquid whey (P whey retentate, there was no difference between bleaching with HP or BP at 50 or 5 °C (P > 0.05). Retentate bleached with HP at either temperature had higher relative abundances of pentanal, hexanal, heptanal, and octanal than BP bleached retentate (P wheys generally had lower concentrations of selected volatiles compared to retentates. These results suggest that the highest bleaching efficacy (within the parameters evaluated) in liquid whey is achieved using BP at 5 or 50 °C and at 50 °C with HP or BP in whey protein retentate. © 2013 Institute of Food Technologists®

  8. The effects of habitat on coral bleaching responses in Kenya.

    Science.gov (United States)

    Grimsditch, Gabriel; Mwaura, Jelvas M; Kilonzo, Joseph; Amiyo, Nassir

    2010-06-01

    This study examines the bleaching responses of scleractinian corals at four sites in Kenya (Kanamai, Vipingo, Mombasa and Nyali) representing two distinct lagoon habitats (relatively shallow and relatively deep). Bleaching incidence was monitored for the whole coral community, while zooxanthellae densities and chlorophyll levels were monitored for target species (Pocillopora damicornis, Porites lutea, and Porites cylindrica) during a non-bleaching year (2006) and a year of mild-bleaching (2007). Differences in bleaching responses between habitats were observed, with shallower sites Kanamai and Vipingo exhibiting lower bleaching incidence than deeper sites Nyali and Mombasa. These shallower lagoons display more fluctuating thermal and light environments than the deeper sites, suggesting that corals in the shallower lagoons have acclimatized and/or adapted to the fluctuating environmental conditions they endure on a daily basis and have become more resistant to bleaching stress. In deeper sites that did exhibit higher bleaching (Mombasa and Nyali), it was found that coral recovery occurred more quickly in the protected area than in the non-protected area.

  9. [The effect of bleaching on fracture resistance in human dentin].

    Science.gov (United States)

    Xu, Yuanzhi; Wang, Raorao; An, Bingbing; Zhou, Yinxiao; Yu, Haiyang; Zhang, Dongsheng

    2012-10-01

    To study the effect of bleaching on the mechanical properties of human dentin. The finite element method (FEM) based the cohesive zone model had been employed to study the fracture resistance of human dentin. There types of dentin were considered, i.e. original dentin, dentin after direct-bleaching and indirect-bleaching. The bleaching treatments had large impact on the crack growth resistance of human dentin. The initiation toughness (1.48 MPa x square root of m), growth toughness (3.90 MPa x square root of m x mm(-1)) and plateau toughness (3.25 MPa x square root of m) of human dentin were reduced to 1.29 MPa x square root of m, 3.45 MPa x square root of m x mm(-1) and 2.71 MPa x square root of m respectively after indirect-bleaching. The worst case was the direct-bleaching which causes significant reductions in the growth toughness (0.14 MPa x square root of m x mm(-1)) and plateau toughness (1.63 MPa x square root of m) respectively, while the initiation toughness remained the same as that after indirect-bleaching. The cohesive zone modeling is an effective tool in characterizing the fracture behavior of human dentin. Bleaching treatments reduce the crack growth resistance of human dentin and increase the risk of fracture of teeth.

  10. Investigating Motivations for Women's Skin Bleaching in Tanzania

    Science.gov (United States)

    Lewis, Kelly M.; Robkin, Navit; Gaska, Karie; Njoki, Lillian Carol

    2011-01-01

    Why do many African women continue to use damaging skin-bleaching cosmetics that contain dangerous chemicals (e.g., mercury) that may increase their rates of infertility, skin cancer, and serious skin/brain/kidney disease? To address this question, our study investigated motivations driving the preservation of skin-bleaching practices in Tanzania.…

  11. Effects of a New Bleaching Gel on Tooth Whitening

    Science.gov (United States)

    2016-05-17

    microabrasion, veneers , or crowns. Generally there are two vital bleaching modalities: "power bleaching" (in-office) with a 25-35% hydrogen peroxide (HP) and...composite restoratives after accelerated aging . Oper Dent 2007;32(4):406-411 . 31 . Pignoly C, Camps L, Susini G, About I, Camps J. Influence of in-office

  12. Assessing Coral Community Recovery from Coral Bleaching by ...

    African Journals Online (AJOL)

    Assessing Coral Community Recovery from Coral Bleaching by Recruitment in Two Reserves in Kenya. Visram S., Mwaura J. and Obura D.O.. CORDIO East Africa (Coastal Oceans, Research and Development in the Indian Ocean), P.O. Box 10135. Mombasa 80101 Kenya. Keywords: Coral Bleaching, Coral Recruitment, ...

  13. Color Recovery Effect of Different Bleaching Systems on a ...

    African Journals Online (AJOL)

    Background and Purpose: Discoloration of resin‑based composites is a commonly encountered problem, and bleaching agents may be used for the therapy of the existing discoloration. The purpose of this study was to investigate in vitro color recovery effect of different bleaching systems on the heavily discolored composite ...

  14. Symbiont Dependent Thermal Bleaching Susceptiblity in Two Reef ...

    African Journals Online (AJOL)

    Symbiont Dependent Thermal Bleaching Susceptiblity in Two Reef-building Corals, Stylophora pistillata and Platygyra ryukyuensis . ... pistillata) and the other resistant (Platygyra ryukyuensis) to bleaching, were exposed to a sudden elevated temperature (33.5oC) under dim light (5 μmol quanta m-2 s-1) for 10 to 720 min in ...

  15. The evaluation of hydrogen peroxide bleaching of Gonometa ...

    African Journals Online (AJOL)

    The effect of hydrogen peroxide bleaching on Gonometa postica silk and the influence that temperature, pH and time duration had on hydrogen peroxide release , colour change, breaking load and stiffness were determined. The best bleaching (81 delta E) of the Gonometa postica silk fabric was obtained with 60 minutes ...

  16. Coral bleaching and associated mortality in Mayotte, Western Indian ...

    African Journals Online (AJOL)

    Coral bleaching and associated mortality in Mayotte, Western Indian Ocean. Hampus Eriksson, Julien Wickel, Alban Jamon. Abstract. Manta tows in fringing and barrier reef areas, together with observations, were used to estimate the extent of the bleaching and associated coral mortality in Mayotte between 1 and 24 of May ...

  17. The bleaching syndrome: manifestation of a post-colonial pathology ...

    African Journals Online (AJOL)

    The post-colonial root of African problems is directly related to skin color. Under the cloak of personal preference, light skin among African women has replaced dark skin as the native ideal. The aftermath is manifestation of the Bleaching Syndrome. Social Work professionals have overlooked the Bleaching Syndrome as ...

  18. EFFECTIVITY OF TWO BLEACHING AGENT OF 10% CARBAMIDE PEROXIDE WITH AND WITHOUT POTASSIUM NITRATE-FLUORIDE (CLINICAL STUDY

    Directory of Open Access Journals (Sweden)

    Ayus Lusiyanti

    2015-06-01

    Full Text Available Tooth bleaching has become a popular treatment for esthetic improvement in dentistry. There are several 10% carbamide peroxide bleaching agents that are available in Indonesia which contained potassium nitrate-fluoride or without potassium nitrate-fluoride. However, there was no clinical report about these products in Indonesia. This study was conducted to compare the effectiveness of two bleaching and sensitivity of tooth and gingiva. Sixty-four participants were divided into 2 groups. The first group was treated with bleaching agent that contained potassium nitrate-fluoride (Opalescence PF, Ultradent. Bleaching treatment was done for 6-8 hours per night over a 2 week-period. Evaluations were performed at the baseline and at 3, 7, 14 day afterwards. Color change was measured using a value-ordered Vita classic shade guide; tooth and gingival sensitivity were examine using Electric Pulp Tester, Gingival Index and patient log. The results showed that there were no statistical differences in degree of color change between the two products. The mean color change after 2 weeks was 7-8 tabs lighter than baseline. Also there was no statistical difference in tooth and gingival sensitivity between the products. It can be concluded that 10% carbamide peroxide containing potassium nitrate-fluoride has the same effectiveness compared to other agent without potassium nitrate-fluoride for tooth color change and tooth and gingival sensitivity.

  19. Effect of in-office bleaching agents on the color changes of stained ceromers and direct composite resins.

    Science.gov (United States)

    Xing, Wenzhong; Jiang, Tao; Liang, Shanshan; Sa, Yue; Wang, Zhejun; Chen, Xiaodong; Wang, Yining

    2014-11-01

    To evaluate the effect of two in-office bleaching agents on the color changes of two ceromers (Ceramage and Adoro SR) and one direct composite resin (Gradia Direct Anterior) after staining by tea and coffee. Twenty-four disk-shaped specimens were fabricated for each resin material and randomly divided into three groups (n = 8). The specimens were immersed in tea, coffee or deionized water, respectively, for 7 days. Each group was then equally divided into two sub-groups (n = 4), which were subjected to two in-office bleaching agents (BEYOND and Opalescence Boost), respectively. The color of the specimens was measured by a spectrophotometer at baseline, after staining and after bleaching. The color differences (ΔE values) between baseline and after treatments were calculated. Statistical analysis indicated that the staining solution had significant influence on the color change of resin composites tested (p 2.0). There was no statistically significant difference between BEYOND and Opalescence Boost in stains removal from discolored resins (p = 0.550). The color changes in ΔE value between baseline and after bleaching were less than 2.0 for all resin composite groups. Tea solution produces severe discoloration of three resin composites tested. The two in-office bleaching agents can effectively remove the stains from two ceromers and one direct composite resin tested in this study.

  20. Effect of the Purple Corn Beverage “Chicha Morada” in Composite Resin during Dental Bleaching

    Science.gov (United States)

    Acuña, Eric Dario; Delgado-Cotrina, Leyla; Rumiche, Francisco Aurelio

    2016-01-01

    During dental bleaching the staining potential of the surface would increase. This study aims to evaluate the staining susceptibility of one bleached composite resin after the exposure to three different beverages: Peruvian purple corn based beverage (chicha morada), green tea, and distilled water. Thirty disk-shaped specimens of one nanofill composite resin were prepared. The specimens were then divided into six groups (n = 5): purple corn (P), purple corn + bleaching (PB), green tea (T), green tea + bleaching (TB), distilled water (W), and distilled water + bleaching (WB). In groups that received bleaching, two sessions of bleaching with 35% hydrogen peroxide were done. Following bleaching, specimens were exposed to each liquid thirty minutes daily. Color was measured with a digital spectrophotometer. For statistical analysis, color measurement differences between the obtained results were used: during bleaching, after bleaching, and during + after bleaching. Two-way ANOVA was used to compare the color changes in the resins of all groups (p 3.3). PMID:27034897

  1. Coral bleaching pathways under the control of regional temperature variability

    Science.gov (United States)

    Langlais, C. E.; Lenton, A.; Heron, S. F.; Evenhuis, C.; Sen Gupta, A.; Brown, J. N.; Kuchinke, M.

    2017-11-01

    Increasing sea surface temperatures (SSTs) are predicted to adversely impact coral populations worldwide through increasing thermal bleaching events. Future bleaching is unlikely to be spatially uniform. Therefore, understanding what determines regional differences will be critical for adaptation management. Here, using a cumulative heat stress metric, we show that characteristics of regional SST determine the future bleaching risk patterns. Incorporating observed information on SST variability, in assessing future bleaching risk, provides novel options for management strategies. As a consequence, the known biases in climate model variability and the uncertainties in regional warming rate across climate models are less detrimental than previously thought. We also show that the thresholds used to indicate reef viability can strongly influence a decision on what constitutes a potential refugia. Observing and understanding the drivers of regional variability, and the viability limits of coral reefs, is therefore critical for making meaningful projections of coral bleaching risk.

  2. Effect of intracoronal bleaching agents on dentin microhardness.

    Science.gov (United States)

    de Oliveira, Daniel Pinto; Teixeira, Erica Cappelletto Nogueira; Ferraz, Caio Cezar Randi; Teixeira, Fabricio B

    2007-04-01

    The purpose of this in vitro study was to compare the effect of intracoronal bleaching agents associated or unassociated with chlorhexidine gel on dentin microhardness. Sixty human maxillary incisor crowns were divided into six groups, and bleaching agents were sealed into the pulp chambers as follows: sodium perborate + water (SPW), sodium perborate + 2% chlorhexidine gel (SP + CHX), sodium perborate + 30% hydrogen peroxide solution (SP + HP), 37% carbamide peroxide gel (CP), 37% carbamide peroxide gel + 2% chlorhexidine gel (CP+CHX), and water (W). After the bleaching procedure, microhardness testing was carried out on the dentin surface at three different levels: inner, middle, and outer dentin. The greatest reduction in microhardness was observed for the SP + HP group. No differences were observed between the SPW and SP + CHX group. The 2% chlorhexidine gel did not adversely affect dentin microhardness when associated with the tested bleaching agents. CHX might be considered as an antimicrobial vehicle during intracoronal bleaching.

  3. Consequences of the 1998 Coral Bleaching Event for the Islands of the Western Indian Ocean

    OpenAIRE

    Quod, J.P. (collab.)

    1999-01-01

    Coral reefs are vital for coastal populations and for human activities in general, as they provide people both with living resources and with "services" such as shore protection, sand accretion and coastal tourism. The coral bleaching event of 1997-1998 summer is the most geographically wide spread and severe ever recorded. In the Indian Ocean, warm waters migrated from the South to the North during the first six months. As temperature stress was extreme and/or prolonged, mortality was cat...

  4. Effects of bleaching agents and adhesive systems in dental pulp: a literature review

    OpenAIRE

    OLIVEIRA,Maria Antonieta Veloso Carvalho; Quagliatto,Paulo Sérgio; Magalhães,Denildo de; BIFFI,João Carlos Gabrielli

    2012-01-01

    The dental pulp may be exposed to several irritants that are potentially noxious to the health and functions of this tissue. Each type of irritant or injury has different effects on the pulp, which are generally characterized by acute inflammation, chronic inflammation or necrosis. Common examples of irritants are dental caries, cavity preparation procedures, traumatic injuries, and chemical substances like bleaching agents and adhesive systems. The present study aimed to review the current k...

  5. Nearshore Turbid-Zone Corals Exhibit High Bleaching Tolerance on the Great Barrier Reef Following the 2016 Ocean Warming Event

    Directory of Open Access Journals (Sweden)

    Kyle M. Morgan

    2017-07-01

    sufficiently high to induce coral bleaching (i.e., comparable number of degree heating days in nearshore and offshore areas, but bleaching severity was much higher at central GBR offshore sites. A more optimistic outlook than is generally offered for nearshore reefs on the central GBR may be implied by our results, which highlights the importance of these resilient but often overlooked coral reef habitats as potential refugia during climate-related disturbances.

  6. Survival status and predictors of mortality among severely acute malnourished children <5 years of age admitted to stabilization centers in Gedeo Zone: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Girum T

    2017-01-01

    Full Text Available Tadele Girum,1 Mesfin Kote,2 Befikadu Tariku,2 Henok Bekele3 1Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, 2Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, 3Department of Planning, Adare Hospital, Southern Region Health Bureau, Hawassa, Ethiopia Abstract: Despite the existence of standard protocol, many stabilization centers (SCs continue to experience high mortality of children receiving treatment for severe acute malnutrition. Assessing treatment outcomes and identifying predictors may help to overcome this problem. Therefore, a 30-month retrospective cohort study was conducted among 545 randomly selected medical records of children <5 years of age admitted to SCs in Gedeo Zone. Data was entered by Epi Info version 7 and analyzed by STATA version 11. Cox proportional hazards model was built by forward stepwise procedure and compared by the likelihood ratio test and Harrell’s concordance, and fitness was checked by Cox–Snell residual plot. During follow-up, 51 (9.3% children had died, and 414 (76% and 26 (4.8% children had recovered and defaulted (missed follow-up for 2 consecutive days, respectively. The survival rates at the end of the first, second and third weeks were 95.3%, 90% and 85%, respectively, and the overall mean survival time was 79.6 days. Age <24 months (adjusted hazard ratio [AHR] =2.841, 95% confidence interval [CI] =1.101–7.329, altered pulse rate (AHR =3.926, 95% CI =1.579–9.763, altered temperature (AHR =7.173, 95% CI =3.05–16.867, shock (AHR =3.805, 95% CI =1.829–7.919, anemia (AHR =2.618, 95% CI =1.148–5.97, nasogastric tube feeding (AHR =3.181, 95% CI =1.18–8.575, hypoglycemia (AHR =2.74, 95% CI =1.279–5.87 and treatment at hospital stabilization center (AHR =4.772, 95% CI =1.638–13.9 were independent predictors of mortality. The treatment outcomes and incidence of death

  7. Severe Obesity Impacts Recurrence-Free Survival of Women with High-Risk Endometrial Cancer: Results of a French Multicenter Study

    National Research Council Canada - National Science Library

    Canlorbe, Geoffroy; Bendifallah, Sofiane; Raimond, Emilie; Graesslin, Olivier; Hudry, Delphine; Coutant, Charles; Touboul, Cyril; Bleu, Géraldine; Collinet, Pierre; Darai, Emile; Ballester, Marcos

    2015-01-01

    Studies focusing on the impact of obesity on survival in endometrial cancer (EC) have reported controversial results and few data exist on the impact of obesity on recurrence rate and recurrence-free survival (RFS...

  8. Coral bleaching under thermal stress: putative involvement of host/symbiont recognition mechanisms.

    Science.gov (United States)

    Vidal-Dupiol, Jeremie; Adjeroud, Mehdi; Roger, Emmanuel; Foure, Laurent; Duval, David; Mone, Yves; Ferrier-Pages, Christine; Tambutte, Eric; Tambutte, Sylvie; Zoccola, Didier; Allemand, Denis; Mitta, Guillaume

    2009-08-04

    Coral bleaching can be defined as the loss of symbiotic zooxanthellae and/or their photosynthetic pigments from their cnidarian host. This major disturbance of reef ecosystems is principally induced by increases in water temperature. Since the beginning of the 1980s and the onset of global climate change, this phenomenon has been occurring at increasing rates and scales, and with increasing severity. Several studies have been undertaken in the last few years to better understand the cellular and molecular mechanisms of coral bleaching but the jigsaw puzzle is far from being complete, especially concerning the early events leading to symbiosis breakdown. The aim of the present study was to find molecular actors involved early in the mechanism leading to symbiosis collapse. In our experimental procedure, one set of Pocillopora damicornis nubbins was subjected to a gradual increase of water temperature from 28 degrees C to 32 degrees C over 15 days. A second control set kept at constant temperature (28 degrees C). The differentially expressed mRNA between the stressed states (sampled just before the onset of bleaching) and the non stressed states (control) were isolated by Suppression Subtractive Hybridization. Transcription rates of the most interesting genes (considering their putative function) were quantified by Q-RT-PCR, which revealed a significant decrease in transcription of two candidates six days before bleaching. RACE-PCR experiments showed that one of them (PdC-Lectin) contained a C-Type-Lectin domain specific for mannose. Immunolocalisation demonstrated that this host gene mediates molecular interactions between the host and the symbionts suggesting a putative role in zooxanthellae acquisition and/or sequestration. The second gene corresponds to a gene putatively involved in calcification processes (Pdcyst-rich). Its down-regulation could reflect a trade-off mechanism leading to the arrest of the mineralization process under stress. Under thermal stress

  9. Coral bleaching under thermal stress: putative involvement of host/symbiont recognition mechanisms

    Directory of Open Access Journals (Sweden)

    Tambutte Sylvie

    2009-08-01

    Full Text Available Abstract Background Coral bleaching can be defined as the loss of symbiotic zooxanthellae and/or their photosynthetic pigments from their cnidarian host. This major disturbance of reef ecosystems is principally induced by increases in water temperature. Since the beginning of the 1980s and the onset of global climate change, this phenomenon has been occurring at increasing rates and scales, and with increasing severity. Several studies have been undertaken in the last few years to better understand the cellular and molecular mechanisms of coral bleaching but the jigsaw puzzle is far from being complete, especially concerning the early events leading to symbiosis breakdown. The aim of the present study was to find molecular actors involved early in the mechanism leading to symbiosis collapse. Results In our experimental procedure, one set of Pocillopora damicornis nubbins was subjected to a gradual increase of water temperature from 28°C to 32°C over 15 days. A second control set kept at constant temperature (28°C. The differentially expressed mRNA between the stressed states (sampled just before the onset of bleaching and the non stressed states (control were isolated by Suppression Subtractive Hybridization. Transcription rates of the most interesting genes (considering their putative function were quantified by Q-RT-PCR, which revealed a significant decrease in transcription of two candidates six days before bleaching. RACE-PCR experiments showed that one of them (PdC-Lectin contained a C-Type-Lectin domain specific for mannose. Immunolocalisation demonstrated that this host gene mediates molecular interactions between the host and the symbionts suggesting a putative role in zooxanthellae acquisition and/or sequestration. The second gene corresponds to a gene putatively involved in calcification processes (Pdcyst-rich. Its down-regulation could reflect a trade-off mechanism leading to the arrest of the mineralization process under stress

  10. The Gulf of Carpentaria heated Torres Strait and the Northern Great Barrier Reef during the 2016 mass coral bleaching event

    NARCIS (Netherlands)

    Wolanski, E.; Andutta, Fernando P.; Deleersnijder, E.L.C.; Li, Y.; Thomas, C.J.

    The 2015/16 ENSO event increased the temperature of waters surrounding northeast Australia to above 30 °C, with large patches of water reaching 32 °C, for over two months, which led to severe bleaching of corals of the Northern Great Barrier Reef (NGBR). This study provides evidence gained from

  11. Efficacy and persistence of tooth bleaching using a diode laser with three different treatment regimens.

    Science.gov (United States)

    Al Quran, Firas A M; Mansour, Yasar; Al-Hyari, Sabaa; Al Wahadni, Ahed; Mair, Lawrence

    2011-01-01

    Studies have measured the effectiveness of tooth bleaching, however there are very few studies that have measured the persistence in color change after a 6-month follow-up. This study assessed the efficacy of the laser bleaching process using different regimens, and the persistence of color change over a 6-month period. Sixty patients divided into three equal groups were subjected to bleaching using a diode laser with 34% hydrogen peroxide. Group 1: patients subjected to one session of laser bleaching. Group 2: patients subjected to two sessions of laser bleaching with a 1-week interval. Group 3: the same as Group 2 but followed by home bleaching once a month for 3 months. The color was assessed four times: before bleaching, directly after bleaching, 3 months after bleaching, and 6 months after bleaching. All teeth had a significant color change at 6 months, but all teeth had regressed from the maximum value. There was significantly less regression in color for Group 3, followed by Groups 2 and 1, respectively. The combined technique of in-office laser bleaching for two sessions with a 1-week interval, followed by home bleaching once a month for 3 months gave more persistence in color change. In-office power bleaching using a laser assisted hydrogen peroxide system repeated after a week, combined with home bleaching once a month for 3 months, is an effective bleaching regimen with less color regression after 6 months compared to a regimen of in-office bleaching alone.

  12. The Transcriptional Response of Neurotrophins and Their Tyrosine Kinase Receptors in Lumbar Sensorimotor Circuits to Spinal Cord Contusion is Affected by Injury Severity and Survival Time

    Science.gov (United States)

    Hougland, M. Tyler; Harrison, Benjamin J.; Magnuson, David S. K.; Rouchka, Eric C.; Petruska, Jeffrey C.

    2013-01-01

    Traumatic spinal cord injury (SCI) results in changes to the anatomical, neurochemical, and physiological properties of cells in the central and peripheral nervous system. Neurotrophins, acting by binding to their cognate Trk receptors on target cell membranes, contribute to modulation of anatomical, neurochemical, and physiological properties of neurons in sensorimotor circuits in both the intact and injured spinal cord. Neurotrophin signaling is associated with many post-SCI changes including maladaptive plasticity leading to pain and autonomic dysreflexia, but also therapeutic approaches such as training-induced locomotor improvement. Here we characterize expression of mRNA for neurotrophins and Trk receptors in lumbar dorsal root ganglia (DRG) and spinal cord after two different severities of mid-thoracic injury and at 6 and 12 weeks post-SCI. There was complex regulation that differed with tissue, injury severity, and survival time, including reversals of regulation between 6 and 12 weeks, and the data suggest that natural regulation of neurotrophins in the spinal cord may continue for months after birth. Our assessments determined that a coordination of gene expression emerged at the 12-week post-SCI time point and bioinformatic analyses address possible mechanisms. These data can inform studies meant to determine the role of the neurotrophin signaling system in post-SCI function and plasticity, and studies using this signaling system as a therapeutic approach. PMID:23316162

  13. Invited review: Annatto usage and bleaching in dairy foods.

    Science.gov (United States)

    Kang, E J; Campbell, R E; Bastian, E; Drake, M A

    2010-09-01

    Annatto is a yellow/orange colorant that is widely used in the food industry, particularly in the dairy industry. Annatto, consisting of the carotenoids bixin and norbixin, is most commonly added to produce orange cheese, such as Cheddar, to achieve a consistent color over seasonal changes. This colorant is not all retained in the cheese, and thus a percentage remains in the whey, which is highly undesirable. As a result, whey is often bleached. Hydrogen peroxide and benzoyl peroxide are the 2 bleaching agents currently approved for bleaching whey in the United States. Recent studies have highlighted the negative effect of bleaching on whey flavor while concurrently there is a dearth of current studies on bleaching conditions and efficacy. Recent international mandates have placed additional concern on the use of benzoyl peroxide as a bleaching agent. This review discusses the advantages, disadvantages, regulatory concerns, flavor implications, and optimal usage conditions of 2 widely used bleaching agents, hydrogen peroxide and benzoyl peroxide, as well as a few alternative methods including lipoxygenase, peroxidase, and lactoperoxidase systems. Copyright (c) 2010 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  14. Is It Necessary to Prepare the Enamel before Dental Bleaching?

    Directory of Open Access Journals (Sweden)

    Andréa Dias Neves Lago

    2017-01-01

    Full Text Available The aim of this in vitro study was to assess the influence of distinct surface treatments on the microhardness and color of enamel that will be bleached. Surface treatments are tested, accordingly: G1, no treatment; G2, 2% sodium fluoride; G3, casein phosphopeptide paste; G4, 2% fluoride+Nd:YAG laser. Forty blocks from bovine teeth composed the sample that were tested in Knoop microhardness (n=10 and in color change (n=10. After 24 h, bleaching with 35% hydrogen peroxide was performed for 45 min. Microhardness and color changes (using parameters ΔE, ΔL, Δa, and Δb were assessed before and after bleaching. The data were analyzed by two-way ANOVA and Tukey’s test (p<0.05. Despite all surface treatments, a reduction of enamel microhardness occurred immediately after bleaching in all groups, being greater in G1. Enamel color changed in all groups. Immediately after bleaching, there was a decrease on enamel microhardness. However, after 7 days, some of those specimens previously treated before bleaching significantly recovered their initial microhardness without influencing the esthetic results of bleaching.

  15. ECF AND TCF BLEACHING OF SECONDARY FIBER PULP

    Directory of Open Access Journals (Sweden)

    Gustavo Ventorim

    2009-09-01

    Full Text Available In this study, ECF and TCF bleaching processes were evaluated for the bleaching of a deinked mixed office waste (MOW pulp sample produced in a pilot plant. The sample was bleached by all processes to a target brightness of 78 % ISO minimum. The results were interpreted on the basis of chemical cost to reach the target brightness, bleaching yield and bleached pulp quality as measured by viscosity, fluorescence and b* color coordinate. Among the ECF sequences, the mosattractive was the DEDD which showed the lowest chemical cost and produced bleached pulp of high quality as measured by viscosity, fluorescence and b* coordinate. The best TCF sequence with ozone was the Q(PO(ZQ(PO which resulted in very high brightness ceiling. This sequence decreased moderately the pulp b* coordinate and viscosity and slightly its fluorescence. Among the TCF sequences without ozone the Q(POQ(PO was the most effective but showed poor flexibility with regard to brightness ceiling. This sequence had little effect on pulp viscosity, fluorescence and b* coordinate. For all three  bleaching processes, it was determined that process yield is negatively affected by hot alkaline stages such as O, P and (PO.

  16. Evaluation and comparison of the microhardness of enamel after bleaching with fluoride free and fluoride containing carbamide peroxide bleaching agents and post bleaching anticay application: An in vitro study

    National Research Council Canada - National Science Library

    Liza George; Allu Baby; T Dhanapal; K Charlie; Asha Joseph; Anjum Varghese

    2015-01-01

      Aims and Objectives: The purpose of the study was to evaluate and compare the microhardness of enamel after the application of anticay on bleached enamel with fluoride containing and fluoride free bleaching agent...

  17. Improvement of neuromuscular synaptic phenotypes without enhanced survival and motor function in severe spinal muscular atrophy mice selectively rescued in motor neurons.

    Directory of Open Access Journals (Sweden)

    Ximena Paez-Colasante

    Full Text Available In the inherited childhood neuromuscular disease spinal muscular atrophy (SMA, lower motor neuron death and severe muscle weakness result from the reduction of the ubiquitously expressed protein survival of motor neuron (SMN. Although SMA mice recapitulate many features of the human disease, it has remained unclear if their short lifespan and motor weakness are primarily due to cell-autonomous defects in motor neurons. Using Hb9(Cre as a driver, we selectively raised SMN expression in motor neurons in conditional SMAΔ7 mice. Unlike a previous study that used choline acetyltransferase (ChAT(Cre+ as a driver on the same mice, and another report that used Hb9(Cre as a driver on a different line of conditional SMA mice, we found no improvement in survival, weight, motor behavior and presynaptic neurofilament accumulation. However, like in ChAT(Cre+ mice, we detected rescue of endplate size and mitigation of neuromuscular junction (NMJ denervation status. The rescue of endplate size occurred in the absence of an increase in myofiber size, suggesting endplate size is determined by the motor neuron in these animals. Real time-PCR showed that the expression of spinal cord SMN transcript was sharply reduced in Hb9(Cre+ SMA mice relative to ChAT(Cre+ SMA mice. This suggests that our lack of overall phenotypic improvement is most likely due to an unexpectedly poor recombination efficiency driven by Hb9(Cre . Nonetheless, the low levels of SMN were sufficient to rescue two NMJ structural parameters indicating that these motor neuron cell autonomous phenotypes are very sensitive to changes in motoneuronal SMN levels. Our results directly suggest that even those therapeutic interventions with very modest effects in raising SMN in motor neurons may provide mitigation of neuromuscular phenotypes in SMA patients.

  18. Effect of light energy on peroxide tooth bleaching.

    Science.gov (United States)

    Luk, Karen; Tam, Laura; Hubert, Manfred

    2004-02-01

    Light-activated bleaching is a method of tooth whitening. The authors conducted a study to compare the whitening effects and tooth temperature changes induced by various combinations of peroxide bleaches and light sources. The authors randomly assigned 250 extracted human teeth halves into experimental groups (n = 10). A placebo gel (control), a 35 percent hydrogen peroxide or a 10 percent carbamide peroxide bleach was placed on the tooth surface and was irradiated with no light (control); a halogen curing light; an infrared, or IR, light; an argon laser; or a carbon dioxide, or CO2, laser. Color changes were evaluated immediately, one day and one week after treatment using a value-oriented shade guide and an electronic dental color analyzer. The outer enamel and inner dentin surface temperatures were monitored before and immediately after each 30-second application of light using a thermocouple thermometer. Color and temperature changes were significantly affected by an interaction of the bleach and light variables. The application of lights significantly improved the whitening efficacy of some bleach materials, but it caused significant temperature increases in the outer and inner tooth surfaces. The IR and CO2 laser lights caused the highest tooth temperature increases. Dentists performing an in-office bleaching technique with the use of an additional light source to accelerate tooth whitening should consider the specific bleaching agent being used, as well as the potential risks of heating teeth. A specific combination of bleach and light that demonstrates good color change and little temperature rise should be selected for in-office tooth bleaching.

  19. Coral diseases and bleaching on Colombian Caribbean coral reefs

    Directory of Open Access Journals (Sweden)

    Raúl Navas-Camacho

    2010-05-01

    Full Text Available Since 1998 the National Monitoring System for the Coral Reefs of Colombia (SIMAC has monitored the occurrence of coral bleaching and diseases in some Colombian coral reefs (permanent stations at San Andres Island, Rosario Islands, Tayrona, San Bernardo Islands and Urabá. The main purpose is to evaluate their health status and to understand the factors that have been contributing to their decline. To estimate these occurrences, annual surveys in 126 permanent belt transects (10x2m with different depth intervals (3-6 meters, 9-12 meters and 15-18 meters are performed at all reef sites. Data from the 1998-2004 period, revealed that San Andrés Island had many colonies with diseases (38.9 colonies/m2, and Urabá had high numbers with bleaching (54.4 colonies/m2. Of the seven reported coral diseases studied, Dark Spots Disease (DSD, and White Plague Disease (WPD were noteworthy because they occurred in all Caribbean monitored sites, and because of their high interannual infection incidence. Thirty five species of scleractinian corals were affected by at least one disease and a high incidence of coral diseases on the main reef builders is documented. Bleaching was present in 34 species. During the whole monitoring period, Agaricia agaricites and Siderastrea siderea were the species most severely affected by DSD and bleaching, respectively. Diseases on species such as Agaricia fragilis, A.grahamae, A. humilis, Diploria clivosa, Eusmilia fastigiata, Millepora complanata, and Mycetophyllia aliciae are recorded for first time in Colombia. We present bleaching and disease incidences, kinds of diseases, coral species affected, reef localities studied, depth intervals of surveys, and temporal (years variation for each geographic area. This variation makes difficult to clearly determine defined patterns or general trends for monitored reefs. This is the first long-term study of coral diseases and bleaching in the Southwestern Caribbean, and one of the few

  20. A Comparison Between Alkali Peroxide and Activated Peroxide Processes in Bleaching Hardwoods Chemi-mechanical Pulp

    Directory of Open Access Journals (Sweden)

    Farhad Zeyni

    2013-06-01

    Full Text Available Unbleached chemi-mechanical pulp of 85% pulp yield and produced from hornbeam, beech and populus woods respectively by 3:1:1 ratio, was used for peroxide bleaching. Two bleaching systems, alkali peroxide (conventional bleaching and activated peroxide by TAED activator, were used for pulp bleaching. Bleaching treatments included different percentages of hydrogen peroxide and caustic soda consumption. In this research, the hydrogen peroxide consumption rate, pulp yield, process selectivity, bleached pulp brightness and bleaching effluent pollution load (COD were investigated. Results showed that, brightness values were increased by bleach chemicals charge rising, in both bleaching systems, but the increasing trend was downward. Also, pulp yield was decreased by increase of chemical charges, but residual peroxide was raised. The activated peroxide process compare to conventional process had lower efficiency and brightness improvement values of pulp were less than those of alkali peroxide process. But pulp yield and effluent pollution load was less by activated peroxide bleaching.

  1. FRAP analysis: accounting for bleaching during image capture.

    Directory of Open Access Journals (Sweden)

    Jun Wu

    Full Text Available The analysis of Fluorescence Recovery After Photobleaching (FRAP experiments involves mathematical modeling of the fluorescence recovery process. An important feature of FRAP experiments that tends to be ignored in the modeling is that there can be a significant loss of fluorescence due to bleaching during image capture. In this paper, we explicitly include the effects of bleaching during image capture in the model for the recovery process, instead of correcting for the effects of bleaching using reference measurements. Using experimental examples, we demonstrate the usefulness of such an approach in FRAP analysis.

  2. Evaluation of the bleached human enamel by Scanning Electron Microscopy

    DEFF Research Database (Denmark)

    Miranda, Carolina Baptista; Pagani, Clovis; Benetti, Ana Raquel

    2005-01-01

    Since bleaching has become a popular procedure, the effect of peroxides on dental hard tissues is of great interest in research. Purpose: The aim of this in vitro study was to perform a qualitative analysis of the human enamel after the application of in-office bleaching agents, using Scanning...... characteristic of an erosive process that took place on human enamel. Depression areas, including the formation of craters, and exposure of enamel rods could also be detected. Conclusion: Bleaching effects on enamel morphology were randomly distributed throughout enamel surface and various degrees of enamel...

  3. A bleaching earth from egyptian local deposits

    Directory of Open Access Journals (Sweden)

    El Kinawy, Omayma S.

    2001-10-01

    Full Text Available The present investigation deals with the bleaching of vegetable oils using activated clays collected from some deposits in Egypt as compared to Tonsil FF currently used by local oil industry. The comparison was made; not only on the basis of the decolourising power of the earth, but also on the basis of its effects on the oil acidity, formation of the oil peroxides and the decomposition rate of the formed peroxides to aldehydes and ketones during the bleaching process. The activation of the collected earth samples was made using 4N HCl, 6N HCl and 30 % H2SO4. The bleaching tests of the activated samples were performed using the major four oil types processed in Egypt being cottonseed, sunflower, soybean and palm oils. In addition to the laboratory-evaluation tests, the performance of the activated samples, which showed promise on the lab-scale have been also tested on an industrial scale. The industrial application has proved that the activated local earth's can be successfully used as bleaching earth of local oils. Thus it can be used as a substitute of the varieties currently imported and used by the local oil sector.La presente investigación trata de la decoloración de aceites vegetales usando tierras activadas obtenidas de yacimientos egipcios, comparándola con el Tonsil FF usado normalmente en la industria oleícola local. La comparación se realizó, no sólo sobre la base del poder decolorante de la tierra, sino también sobre la base de sus efectos en la acidez del aceite, la formación de peróxidos y la velocidad de descomposición de los peróxidos formados en aldehidos y cetonas durante el proceso de decoloración. La activación de las muestras de tierras recogidas se hizo utilizando ClH 4N, ClH 6N y H2SO4 30 %. Los tests de decoloración de las muestras activadas se llevaron a cabo usando los cuatro tipos mayoritarios de aceites procesados en Egipto: aceite de semilla de algodón, de girasol, de soja y de palma. Además de los

  4. Reuse of discarded deactivated bleaching earth in the bleaching of oils

    Directory of Open Access Journals (Sweden)

    Girgis, Adel Y.

    2005-03-01

    Full Text Available Discarded bleaching earth was used after its reactivation for the bleaching of sunflower, soybean and corn oils. The efficiency of reactivated bleaching earth was compared to the efficiency of virgin activated bleaching earth. Acid reactivated earth (pH 2.5-3 had a slightly higher content in silicone than virgin activated or neutralized reactivated earths. The best results in the color of sunflower and corn oils were obtained when neutralized earth (pH 6–7 was used at 1 and 2 % levels. Acid reactivated earth used at 2 % achieved a higher reduction in soybean oil color than virgin earth (pH 3 at the same dosage. Both reactivated earths reduced peroxide value, iron, conjugated dienes and soap, while they increased acidity and conjugated trienes. Furthermore, these reactivated earths determined higher decrements in the oil induction period than virgin earth. Reactivated earth could be used for 5 cycles for the bleaching of soybean or corn oils and for more than 6 cycles for sunflower oil.Tierra decolorante desechada, fue empleada, tras su reactivación para decolorar aceites de girasol, soja y maíz. La eficiencia de la tierra decolorante reactivada fue comparada con la de la virgen activada. La tierra reactivada ácida (pH 2,5–3 tuvo ligeramente mayor contenido en silicona que la tierra virgen o la reactivada neutra. Los mejores resultados en el color de los aceites de girasol y maíz fueron obtenidos cuando se emplearon niveles del 1 y 2 % de tierra reactivada neutra (pH 6-7. La tierra ácida reactivada, usada al 2 % consiguió una mayor reducción del color del aceite de soja, que una misma dosis de tierra virgen (pH 3. Ambas tierras reactivadas redujeron el índice de peróxidos, hierro, dienos conjugados y jabón de los aceites, mientras que hicieron aumentar la acidez y los trienos conjugados. Además, estas tierras reactivadas determinaron mayores descensos en los periodos de inducción del aceite que la tierra virgen. Las tierras

  5. Through bleaching and tsunami: Coral reef recovery in the Maldives.

    Science.gov (United States)

    Morri, Carla; Montefalcone, Monica; Lasagna, Roberta; Gatti, Giulia; Rovere, Alessio; Parravicini, Valeriano; Baldelli, Giuseppe; Colantoni, Paolo; Bianchi, Carlo Nike

    2015-09-15

    Coral reefs are degrading worldwide, but little information exists on their previous conditions for most regions of the world. Since 1989, we have been studying the Maldives, collecting data before, during and after the bleaching and mass mortality event of 1998. As early as 1999, many newly settled colonies were recorded. Recruits shifted from a dominance of massive and encrusting corals in the early stages of recolonisation towards a dominance of Acropora and Pocillopora by 2009. Coral cover, which dropped to less than 10% after the bleaching, returned to pre-bleaching values of around 50% by 2013. The 2004 tsunami had comparatively little effect. In 2014, the coral community was similar to that existing before the bleaching. According to descriptors and metrics adopted, recovery of Maldivian coral reefs took between 6 and 15years, or may even be considered unachieved, as there are species that had not come back yet. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Bleaching of hydroentangled greige cotton nonwoven fabrics without scouring

    Science.gov (United States)

    This work investigated whether a hydroentangled greige cotton nonwoven fabric made at a relatively high hydroentangling water pressure, say, 135-bar, could be successfully bleached to attain the desired whiteness, absorbency and other properties without traditional scouring. Accordingly, the scoured...

  7. Quality of life of survivors from severe sepsis and septic shock may be similar to that of others who survive critical illness

    Science.gov (United States)

    Granja, Cristina; Dias, Cláudia; Costa-Pereira, Altamiro; Sarmento, António

    2004-01-01

    Introduction The objective of the present study was to compare the health-related quality of life (HR-QoL) of survivors from severe sepsis and septic shock with HR-QoL in others who survived critical illness not involving sepsis. Methods From March 1997 to March 2001, adult patients in an eight-bed medical/surgical intensive care unit (ICU) of a tertiary care hospital admitted with severe sepsis or septic shock (sepsis group; n = 305) were enrolled and compared with patients admitted without sepsis (control group; n = 392). Patients younger than 18 years (n = 48) and those whose ICU stay was 1 day or less (n = 453) were excluded. In addition, patients exhibiting nonsevere sepsis on admission were excluded (n = 87). Finally, patients who developed nonsevere sepsis or severe sepsis/septic shock after admission were also excluded (n = 88). Results In-hospital mortality rates were 34% in the sepsis group and 26% in the control group. There were no differences in sex, age, main activity (work status), and previous health state between groups. Survivors in the sepsis group had a significantly higher Acute Physiology and Chronic Health Evaluation II score on admission (17 versus 12) and stayed significantly longer in the ICU. A follow-up appointment was held 6 months after ICU discharge, and an EQ-5D (EuroQol five-dimension) questionnaire was administered. A total of 104 sepsis survivors and 133 survivors in the control group answered the EQ-5D questionnaire. Sepsis survivors reported significantly fewer problems only in the anxiety/depression dimension. Although there were no significant differences in the other dimensions of the EQ-5D, there was a trend towards fewer problems being reported by sepsis survivors. Conclusion Evaluation using the EQ-5D at 6 months after ICU discharge indicated that survivors from severe sepsis and septic shock have a similar HR-QoL to that of survivors from critical illness admitted without sepsis. PMID:15025783

  8. Differential effects of early weaning for HIV-free survival of children born to HIV-infected mothers by severity of maternal disease.

    Directory of Open Access Journals (Sweden)

    Louise Kuhn

    2009-06-01

    Full Text Available We previously reported no benefit of early weaning for HIV-free survival of children born to HIV-infected mothers in intent-to-treat analyses. Since early weaning was poorly accepted, we conducted a secondary analysis to investigate whether beneficial effects may have been hidden.958 HIV-infected women in Lusaka, Zambia, were randomized to abrupt weaning at 4 months (intervention or to continued breastfeeding (control. Children were followed to 24 months with regular HIV PCR tests and examinations to determine HIV infection or death. Detailed behavioral data were collected on when all breastfeeding ended. Most participants were recruited before antiretroviral treatment (ART became available. We compared outcomes among mother-child pairs who weaned earlier or later than intended by study design adjusting for potential confounders.Of infants alive, uninfected and still breastfeeding at 4 months in the intervention group, 16.1% who weaned as instructed acquired HIV or died by 24 months compared to 16.0% who did not comply (p = 0.98. Children of women with less severe disease during pregnancy (not eligible for ART had worse outcomes if their mothers weaned as instructed (RH = 2.60 95% CI: 1.06-6.36 compared to those who continued breastfeeding. Conversely, children of mothers with more severe disease (eligible for ART but did not receive it who weaned early had better outcomes (p-value interaction = 0.002. In the control group, weaning before 15 months was associated with 3.94-fold (95% CI: 1.65-9.39 increase in HIV infection or death among infants of mothers with less severe disease.Incomplete adherence did not mask a benefit of early weaning. On the contrary, for women with less severe disease, early weaning was harmful and continued breastfeeding resulted in better outcomes. For women with more advanced disease, ART should be given during pregnancy for maternal health and to reduce transmission, including through breastfeeding

  9. Serum autotaxin is a parameter for the severity of liver cirrhosis and overall survival in patients with liver cirrhosis--a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Thomas Pleli

    Full Text Available Autotaxin (ATX and its product lysophosphatidic acid (LPA are considered to be involved in the development of liver fibrosis and elevated levels of serum ATX have been found in patients with hepatitis C virus associated liver fibrosis. However, the clinical role of systemic ATX in the stages of liver cirrhosis was unknown. Here we investigated the relation of ATX serum levels and severity of cirrhosis as well as prognosis of cirrhotic patients.Patients with liver cirrhosis were prospectively enrolled and followed until death, liver transplantation or last contact. Blood samples drawn at the day of inclusion in the study were assessed for ATX content by an enzyme-linked immunosorbent assay. ATX levels were correlated with the stage as well as complications of cirrhosis. The prognostic value of ATX was investigated by uni- and multivariate Cox regression analyses. LPA concentration was determined by liquid chromatography-tandem mass spectrometry.270 patients were enrolled. Subjects with liver cirrhosis showed elevated serum levels of ATX as compared to healthy subjects (0.814±0.42 mg/l vs. 0.258±0.40 mg/l, P<0.001. Serum ATX levels correlated with the Child-Pugh stage and the MELD (model of end stage liver disease score and LPA levels (r = 0.493, P = 0.027. Patients with hepatic encephalopathy (P = 0.006, esophageal varices (P = 0.002 and portal hypertensive gastropathy (P = 0.008 had higher ATX levels than patients without these complications. Low ATX levels were a parameter independently associated with longer overall survival (hazard ratio 0.575, 95% confidence interval 0.365-0.905, P = 0.017.Serum ATX is an indicator for the severity of liver disease and the prognosis of cirrhotic patients.

  10. Nonvital bleaching: general considerations and report of two failure cases.

    Science.gov (United States)

    Dietschi, Didier

    2006-04-01

    This paper describes the rationale and procedures for noninvasive treatment of discolored nonvital teeth using the walking bleach technique. The limitations of this procedure and, in particular, the unpredictable color stability following non-vital bleaching are discussed and illustrated with two cases of rapid discoloration relapse. The possible reasons for treatment failure are examined and show that current knowledge regarding the origin and prevention of discoloration is limited.

  11. Insight in the Chemistry of Laser-Activated Dental Bleaching

    Science.gov (United States)

    De Moor, Roeland Jozef Gentil; Meire, Maarten August; De Coster, Peter Jozef; Walsh, Laurence James

    2015-01-01

    The use of optical radiation for the activation of bleaching products has not yet been completely elucidated. Laser light is suggested to enhance the oxidizing effect of hydrogen peroxide. Different methods of enhancing hydrogen peroxide based bleaching are possible. They can be classified into six groups: alkaline pH environment, thermal enhancement and photothermal effect, photooxidation effect and direct photobleaching, photolysis effect and photodissociation, Fenton reaction and photocatalysis, and photodynamic effect. PMID:25874251

  12. Transient turbid water mass reduces temperature-induced coral bleaching and mortality in Barbados.

    Science.gov (United States)

    Oxenford, Hazel A; Vallès, Henri

    2016-01-01

    Global warming is seen as one of the greatest threats to the world's coral reefs and, with the continued rise in sea surface temperature predicted into the future, there is a great need for further understanding of how to prevent and address the damaging impacts. This is particularly so for countries whose economies depend heavily on healthy reefs, such as those of the eastern Caribbean. Here, we compare the severity of bleaching and mortality for five dominant coral species at six representative reef sites in Barbados during the two most significant warm-water events ever recorded in the eastern Caribbean, i.e., 2005 and 2010, and describe prevailing island-scale sea water conditions during both events. In so doing, we demonstrate that coral bleaching and subsequent mortality were considerably lower in 2010 than in 2005 for all species, irrespective of site, even though the anomalously warm water temperature profiles were very similar between years. We also show that during the 2010 event, Barbados was engulfed by a transient dark green turbid water mass of riverine origin coming from South America. We suggest that reduced exposure to high solar radiation associated with this transient water mass was the primary contributing factor to the lower bleaching and mortality observed in all corals. We conclude that monitoring these episodic mesoscale oceanographic features might improve risk assessments of southeastern Caribbean reefs to warm-water events in the future.

  13. Long-term impacts of coral bleaching events on the world's warmest reefs.

    Science.gov (United States)

    Burt, John; Al-Harthi, Suaad; Al-Cibahy, Ashraf

    2011-10-01

    The southern Arabian Gulf houses some of the most thermally tolerant corals on earth, but severe bleaching in the late 1990s caused widespread mortality. More than a decade later, corals still dominated benthos (mean: 40 ± 3% cover on 10 sites spanning > 350 km; range: 11.0-65.6%), but coral communities varied spatially. Sites to the west generally had low species richness and coral cover (mean: 3.2 species per transect, 31% cover), with Porites dominated communities (88% of coral) that are distinct from more diverse and higher cover eastern sites (mean: 10.3 species per transect, 62% cover). These patterns reflect both the more extreme bleaching to the west in the late 1990s as well as the higher faviid dominated recruitment to the east in subsequent years. There has been limited recovery of the formerly dominant Acropora, which now represents bleaching can have substantial long-term impacts on coral communities, even in areas with corals tolerant to environmental extremes. Copyright © 2011 Elsevier Ltd. All rights reserved.

  14. Microbial dinitrogen fixation in coral holobionts exposed to thermal stress and bleaching.

    Science.gov (United States)

    Cardini, Ulisse; van Hoytema, Nanne; Bednarz, Vanessa N; Rix, Laura; Foster, Rachel A; Al-Rshaidat, Mamoon M D; Wild, Christian

    2016-09-01

    Coral holobionts (i.e., coral-algal-prokaryote symbioses) exhibit dissimilar thermal sensitivities that may determine which coral species will adapt to global warming. Nonetheless, studies simultaneously investigating the effects of warming on all holobiont members are lacking. Here we show that exposure to increased temperature affects key physiological traits of all members (herein: animal host, zooxanthellae and diazotrophs) of both Stylophora pistillata and Acropora hemprichii during and after thermal stress. S. pistillata experienced severe loss of zooxanthellae (i.e., bleaching) with no net photosynthesis at the end of the experiment. Conversely, A. hemprichii was more resilient to thermal stress. Exposure to increased temperature (+ 6°C) resulted in a drastic increase in daylight dinitrogen (N2 ) fixation, particularly in A. hemprichii (threefold compared with controls). After the temperature was reduced again to in situ levels, diazotrophs exhibited a reversed diel pattern of activity, with increased N2 fixation rates recorded only in the dark, particularly in bleached S. pistillata (twofold compared to controls). Concurrently, both animal hosts, but particularly bleached S. pistillata, reduced both organic matter release and heterotrophic feeding on picoplankton. Our findings indicate that physiological plasticity by coral-associated diazotrophs may play an important role in determining the response of coral holobionts to ocean warming. © 2016 Society for Applied Microbiology and John Wiley & Sons Ltd.

  15. A citizen science approach to monitoring bleaching in the zoantharian Palythoa tuberculosa

    KAUST Repository

    Parkinson, John Everett

    2016-03-28

    Coral reef bleaching events are expected to become more frequent and severe in the near future as climate changes. The zoantharian Palythoa tuberculosa bleaches earlier than many scleractinian corals and may serve as an indicator species. Basic monitoring of such species could help to detect and even anticipate bleaching events, especially in areas where more sophisticated approaches that rely on buoy or satellite measurements of sea surface temperature are unavailable or too coarse. One simple and inexpensive monitoring method involves training volunteers to record observations of host color as a proxy for symbiosis quality. Here, we trained university students to take the ‘color fingerprint’ of a reef by assessing the color of multiple randomly selected colonies of P. tuberculosa at one time point in Okinawa Island, Japan. We tested the reliability of the students’ color scores and whether they matched expectations based on previous monthly monitoring of tagged colonies at the same locations. We also measured three traditional metrics of symbiosis quality for comparison: symbiont morphological condition, cell density, and chlorophyll a content. We found that P. tuberculosa color score, although highly correlated among observers, provided little predictive power for the other variables. This was likely due to inherent variation in colony color among generally healthy zoantharians in midwinter, as well as low sample size and brief training owing to the course structure. Despite certain limitations of P. tuberculosa as a focal organism, the citizen science approach to color monitoring has promise, and we outline steps that could improve similar efforts in the future.

  16. Increasing levels of wild-type CREB up-regulates several activity-regulated inhibitor of death (AID genes and promotes neuronal survival

    Directory of Open Access Journals (Sweden)

    Tan Yan-Wei

    2012-05-01

    Full Text Available Abstract Background CREB (cAMP-response element binding protein is the prototypical signal-regulated transcription factor. In neurons, it is the target of the synaptic activity-induced nuclear calcium-calcium/calmodulin dependent protein kinase (CaMK IV signaling pathway that controls the expression of genes important for acquired neuroprotection as well as other long-lasting adaptive processes in the nervous system. The function of CREB as a transcriptional activator is controlled by its phosphorylation on serine 133, which can be catalyzed by CaMKIV and leads to the recruitment of the co-activator, CREB binding protein (CBP. Activation of CBP function by nuclear calcium-CaMKIV signaling is a second regulatory step required for CREB/CBP-mediated transcription. Results Here we used recombinant adeno-associated virus (rAAV to increase the levels of wild type CREB or to overexpress a mutant version of CREB (mCREB containing a serine to alanine mutation at position amino acid 133 in mouse hippocampal neurons. Increasing the levels of CREB was sufficient to boost neuroprotective activity even under basal conditions (i.e., in the absence of stimulation of synaptic activity. In contrast, overexpression of mCREB increased cell death. The ratio of phospho(serine 133CREB to CREB immunoreactivity in unstimulated hippocampal neurons was similar for endogenous CREB and overexpressed wild type CREB and, as expected, dramatically reduced for overexpressed mCREB. A gene expression analysis revealed that increased expression of CREB but not that of mCREB in hippocampal neurons led to elevated expression levels of bdnf as well as that of several members of a previously characterized set of Activity-regulated Inhibitor of Death (AID genes, which include atf3, btg2, gadd45β, and gadd45γ. Conclusions Our findings indicate that the expression levels of wild type CREB are a critical determinant of the ability of hippocampal neurons to survive harmful conditions

  17. Does the survival motor neuron copy number variation play a role in the onset and severity of sporadic amyotrophic lateral sclerosis in Malians?

    Directory of Open Access Journals (Sweden)

    Modibo Sangare

    2016-06-01

    Conclusion: Because of the short survival time of our patients, family histories and sample DNA for testing were not done. However, our results show that sporadic ALS is of earlier onset and shorter survival time as compared to patients elsewhere. We plan to establish a network of neurologists and researchers for early screening of ALS.

  18. The 2014 summer coral bleaching event in subtropical Hong Kong.

    Science.gov (United States)

    Xie, James Y; Lau, Dickey C C; Kei, Keith; Yu, Vriko P F; Chow, Wing-Kuen; Qiu, Jian-Wen

    2017-04-06

    We reported a coral bleaching event that occurred in August-September 2014 in Hong Kong waters based on video transect surveys conducted at eight sites. The bleaching affected eight species of corals with different growth forms. Bleaching at seven of the eight study sites was minor, affecting only 0.4-5.2% colonies and 0.8-10.0% coral-covered area. Sharp Island East, however, suffered from a moderate level of bleaching, with 13.1% colonies and 30.1% coral-covered area affected. Examination of the government's environmental monitoring data indicated abnormal water quality conditions preceding and during the bleaching event. Follow-up field surveys of tagged colonies showed that 76% of them had fully recovered, 12% partially recovered, and 12% suffered from mortality. These results indicate that the subtropical corals of Hong Kong are not immune to bleaching, and there is a need to study their responses under climate change scenarios. Copyright © 2016. Published by Elsevier Ltd.

  19. Effect of three nanobiomaterials on microhardness of bleached enamel

    Directory of Open Access Journals (Sweden)

    Maryam Khoroushi

    2016-08-01

    Full Text Available Objectives The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. Materials and Methods The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens (2 × 3 × 4 mm were selected and divided into five groups (n = 12: Group 1 received no bleaching procedure (control; Group 2 underwent bleaching with a 40% hydrogen peroxide (HP gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG, amorphous calcium phosphate (ACP and hydroxyapatite (HA, respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Results Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001. Conclusions Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

  20. Fracture resistance of simulated immature teeth after internal bleaching procedures.

    Science.gov (United States)

    Uzunoglu, Emel; Eymirli, Ayhan; Uyanik, Mehmet Özgür; Nagas, Emre; Çehreli, Zafer Cavit

    2017-09-21

    The aim of this study was to evaluate the fracture resistance of simulated immature teeth after internal bleaching. The teeth were assigned as follows (n = 12/group); Group-1: The pulp chamber was filled with ProRootMTA and bleached intracoronally with sodium perborate mixed with 37% carbamide peroxide gel; Group-2: The pulp chamber was filled with ProRootMTA without bleaching; Group-3: The pulp chamber was filled with Biodentine and bleached intracoronally as Group-1; Group-4: The pulp chamber was filled with Biodentine without bleaching; and Group-5: Teeth received no intervention (control). The specimens were loaded vertically until root fracture occurred. The data were analysed with Kruskal-Wallis and Dunn tests. There was no significant difference between the fracture resistances of the experimental groups (P > 0.05). However, all experimental groups had significantly lower fracture resistance than the control group (P < 0.05). Neither the tested calcium silicate cements nor the bleaching procedures had a significant impact on fracture resistance values. © 2017 Australian Society of Endodontology Inc.

  1. In situ Effect of Nanohydroxyapatite Paste in Enamel Teeth Bleaching.

    Science.gov (United States)

    Gomes, Yasmin Sb de Lima; Alexandrino, Larissa D; Alencar, Cristiane de M; Alves, Eliane B; Faial, Kelson Cf; Silva, Cecy M

    2017-11-01

    Evaluate in situ the effect of nanohydroxyapatite paste (nano-HAP) before bleaching with hydrogen peroxide 35% (HP35%) by ion chromatography (IC) Knoop hardness number (KHN) and tristimulus colorimetry (TC). A total of 60 fragments were obtained from third molars included (3 mm × 3 mm × 3 mm) and the specimens were divided into three groups (n = 20): Gas chromatography (CG) (negative control group) = no bleaching; HP35% (positive control group) = HP35% whitening (whiteness HP35%); nano-HAP = application for 10 minutes before bleaching treatment + HP35%. The specimens were fixed to the volunteers' molars. The KHN and TC were measured before and after bleaching. For IC, the dentin layer was removed, leaving the enamel that was crushed, and autoclaved for chemical quantification (calcium, fluorine, and phosphorus). The results of KHN and TC were analyzed statistically by analysis of variance (ANOVA) followed by Tukey test (p paste preserved the KHN, promoted the lower loss of Ca and P ions and an increase of F ions when compared with the CG, but did not influence the effectiveness of the bleaching treatment. Nano-HA is a biomaterial that has shown positive results in the prevention of deleterious effects on the enamel by the action of the office bleaching treatment.

  2. Validation of degree heating weeks as a coral bleaching index in the northwestern Pacific

    Science.gov (United States)

    Kayanne, Hajime

    2017-03-01

    Mass bleaching is the most significant threat to coral reefs. The United States National Oceanic and Atmospheric Administration monitors world sea surface temperature (SST) and releases warnings for bleaching based on degree heating weeks (DHW), which is the accumulation of temperature anomalies exceeding the monthly maximum mean SST for a given region. DHW values >4.0 °C-weeks are thought to induce bleaching, and those >8.0 °C-weeks are thought to result in widespread bleaching and some mortality. This study validates the effectiveness of DHW as a mass bleaching index by on-site historical observation at eight sites in the northwestern Pacific Ocean. The mass bleaching events occurred during different years at different sites. The recorded years of the bleaching events matched well with DHW values >8 °C-weeks, and the logistically projected probability of bleaching against DHW showed a positive relationship. DHW provides a reasonable threshold for bleaching.

  3. Clinical Evaluation of Genotoxicity of In-office Bleaching.

    Science.gov (United States)

    Rezende, M; De Geus, J L; Loguercio, A D; Reis, A; Kossatz, D

    The aim of this study was to evaluate the genotoxicity of in-office bleaching with 35% hydrogen peroxide in epithelial cells from the gingival and lip tissues. Thirty volunteers with central incisors shade A1 or darker were selected for this study. The gingival tissue of the teeth to be bleached was isolated with a light-polymerized resin dam, and the 35% hydrogen peroxide gel was administered during three 15-minute applications over the course of the 45-minute application period. Two bleaching sessions with a one-week interval in between were performed. Exfoliated oral mucosa gingival epithelial cells and upper lip lining were collected at baseline and one month after the in-office dental bleaching. The scraped cells were placed on clean glass slides and smears were prepared. After staining with Giemsa solution, two blinded examiners performed cell and micronuclei counts under a 100× optical microscope. Tooth sensitivity was evaluated using the Visual Analogue Scale (VAS). Shade evaluation was recorded before and one month after the bleaching treatment with the value-oriented shade guide Vita Bleachedguide 3D-MASTER and the spectrophotometer Vita Easyshade. Data from the shade guide units and the micronuclei (MN) frequency were subjected to a Mann-Whitney test (α=0.05). The overall difference between before and one month after the bleaching treatment (ΔE and ΔSGU), absolute risk, and intensity of tooth sensitivity (TS) were calculated, as was the 95% confidence interval (CI). The frequency of MN was not increased after bleaching with 35% hydrogen peroxide in both study groups (p>0.05). The absolute risk of TS of the participants was 93% (95% CI, 79%-98%), with a mean VAS intensity of 5.7 ± 2.9 (95% CI, 4.6-6.8). Meaningful whitening was observed after bleaching. The change in shade guide units in the Bleachedguide 3D-MASTER was 2.3 ± 1.4. In terms of ΔE, the change in color was 7.7 ± 3.5. The in-office bleaching did not induce DNA damage to the gingival

  4. Genome analysis of the coral bleaching pathogen Vibrio shiloi.

    Science.gov (United States)

    Reshef, Leah; Ron, Eliora; Rosenberg, Eugene

    2008-08-01

    The past few decades have seen a world-wide increase in coral diseases, yet little is known about coral pathogens. In this study, techniques commonly used in pathogenomic research were applied to the coral pathogen Vibrio shiloi in order to identify genetic elements involved in its virulence. Suppressive subtractive hybridization was used to compare the gene content of V. shiloi to that of a closely related but non-pathogenic bacterium, Vibrio mediterranei, resulting in identification of several putative virulence factors and of three novel genomic islands. The entire genome of V. shiloi was further screened for genes related to previously characterized steps in infection: adhesion, superoxide dismutase production and toxin production. Exposure of pure cultures of V. shiloi to crushed coral tissues strongly affected the expression of seven genes encoding pili, zona occludins toxin (Zot) and a superoxide dismutase. Analysis of eight V. shiloi strains isolated in the last decade shows a shift of the natural population from strains carrying all three genomic islands to strains carrying none of them. This shift occurred following appearance of resistance in the coral Oculina patagonica to infection by V. shiloi. The relevance of these findings to the bleaching disease caused by V. shiloi is discussed.

  5. The use of lactoperoxidase for the bleaching of fluid whey.

    Science.gov (United States)

    Campbell, R E; Kang, E J; Bastian, E; Drake, M A

    2012-06-01

    Lactoperoxidase (LP) is the second most abundant enzyme in bovine milk and has been used in conjunction with hydrogen peroxide (H₂O₂) and thiocyanate (SCN⁻) to work as an antimicrobial in raw milk where pasteurization is not feasible. Thiocyanate is naturally present and the lactoperoxidase system purportedly can be used to bleach dairy products, such as whey, with the addition of very little H₂O₂ to the system. This study had 3 objectives: 1) to quantify the amount of H₂O₂ necessary for bleaching of fluid whey using the LP system, 2) to monitor LP activity from raw milk through manufacture of liquid whey, and 3) to compare the flavor of whey protein concentrate 80% (WPC80) bleached by the LP system to that bleached by traditional H₂O₂ bleaching. Cheddar cheese whey with annatto (15 mL of annatto/454 kg of milk, annatto with 3% wt/vol norbixin content) was manufactured using a standard Cheddar cheesemaking procedure. Various levels of H₂O₂ (5-100 mg/kg) were added to fluid whey to determine the optimum concentration of H₂O₂ for LP activity, which was measured using an established colorimetric method. In subsequent experiments, fat-separated whey was bleached for 1h with 250 mg of H₂O₂/kg (traditional) or 20 mg of H₂O₂/kg (LP system). The WPC80 was manufactured from whey bleached with 250 mg of H₂O₂/kg or 20mg of H₂O₂/kg. All samples were subjected to color analysis (Hunter color values and norbixin extraction) and proximate analysis (fat, protein, and moisture). Sensory and instrumental volatile analyses were conducted on WPC80. Optimal LP bleaching in fluid whey occurred with the addition of 20mg of H₂O₂/kg. Bleaching of fluid whey at either 35 or 50°C for 1 h with LP resulted in > 99% norbixin destruction compared with 32 or 47% destruction from bleaching with 250 mg of H₂O₂/kg, at 35 or 50°C for 1 h, respectively. Higher aroma intensity and increased lipid oxidation compounds were documented in WPC80 from

  6. Anaerobic biodegradability and toxicity of wastewaters from chlorine and total chlorine-free bleaching of eucalyptus kraft pulps.

    NARCIS (Netherlands)

    Vidal, G.; Soto, M.; Field, J.; Mendez-Pampin, R.; Lema, J.M.

    1997-01-01

    Chlorine bleaching effluents are problematic for anaerobic wastewater treatment due to their high methanogenic toxicity and low biodegradability. Presently, alternative bleaching processes are being introduced, such as elemental chlorine-free (ECF) and total chlorine-free (TCF) bleaching. The

  7. Tooth Whitening And Temperature Rise With Two Bleaching Activation Methods

    Science.gov (United States)

    Abu-ElMagd, D. M.; El-Sayad, I. I.; Abd El-Gawad, L. M.

    2009-09-01

    To measure the tooth whitening and the surface and Intrapulpal temperature increase in vitro on freshly extracted upper human central incisors after chemical, Zoom AP light and diode laser activated bleaching. Thirty caries-free upper human incisors were selected. Teeth were divided into three equal groups according to the methods of activation of the bleaching agent (n = 10). A whitening gel containing hydrogen peroxide was applied to the buccal surface of all teeth. Group I was bleached using chemically activated hydrogen peroxide gel, for three applications of 15 min each. Group II was bleached with high intensity advanced power Zoom activation light (Zoom AP), for three applications of 15 min each. Group III was bleached with diode laser activation technique, where the teeth were irradiated with 2 Watt diode laser for three applications of 30 sec each. The whitening degree was assessed using an image analysis system, while temperature rise was recorded using a thermocouple on the external tooth surface and Intrapulpal. The degree of whitening increased significantly in all groups. However, the percentage of whitening was not statistically significantly different between the three groups. In addition, group II showed statistically significant higher mean rise in both surface and pulp temperatures than group I and group III. Chemical bleaching produces the same whitening effect as Zoom AP light and laser, with no surface or pulpal temperature rise. Laser application is faster and produces less surface and pulp temperature increase than Zoom AP light. Diode laser used to activate bleaching gels is not considered dangerous to the vitality of dental pulp using power settings of 2 W.

  8. Effect of bleaching on microhardness of esthetic restorative materials.

    Science.gov (United States)

    Malkondu, Özlem; Yurdagüven, Haktan; Say, Esra Can; Kazazoğlu, Ender; Soyman, Mübin

    2011-01-01

    This study evaluated the effect of a high-concentration carbamide peroxide–containing home bleaching system (Opalescence PF) and a hydrogen peroxide–containing over-the-counter bleaching system (Treswhite Supreme) on the microhardness of two nanocomposites (Filtek Supreme XT and Premise) and leucite-reinforced glass ceramic (Empress Esthetic), glass ceramic (Empress 2 layering), and feldspathic porcelain (Matchmaker MC). A total of 100 specimens, 20 of each kind of the restorative materials, 2 mm in thickness and 10 mm in diameter, were fabricated. Then the specimens were polished with SiC paper and 1 μm alumina polishing paste. After polishing, porcelain specimens were glazed in accordance with the manufacturer's instructions. Each type of restorative material was then randomly divided into two groups (n=10), and the specimens were treated with either Opalescence PF or Treswhite Supreme. The microhardness of the specimens before bleaching (baseline) and after bleaching was determined using a digital microhardness tester. Data were analyzed using the Mann-Whitney U-test and the Wilcoxon test. Opalescence PF significantly influenced the hardness of all the restorative materials. Statistically significant decreases with respect to before bleaching were found for Premise (p=0.005), Empress Esthetic (p=0.003), Empress 2 layering (p=0.005), and Matchmaker-MC (p=0.003), whereas a statistically significant increase was observed in Filtek Supreme XT (p=0.028). The difference in the microhardness values between before and after bleaching using Treswhite Supreme was statistically significant only for Premise (p=0.022). High-concentration carbamide peroxide–containing home bleaching may affect the microhardness of restorative materials.

  9. Spectrophotometric assessment of tooth bleaching under orthodontic braquets bonded with different materials

    Directory of Open Access Journals (Sweden)

    Camila Maria Lima de CASTRO

    2017-10-01

    Full Text Available Abstract Introduction patients have been submitted to tooth bleaching during orthodontic treatment for aesthetic purposes or to anticipate the replacement of restorations after completion of the treatment. Objective to evaluate the effectiveness of tooth bleaching under orthodontic brackets bonded with different materials. Material and method a hundred bovine enamel blocks were divided into two groups, at-home and in-office tooth bleaching. In-office bleaching was subdivided into five groups (n = 10: HP (control - without brackets; SA(t - brackets bonded with Transbond XT, without bleaching; SA(fm - brackets bonded with Orthodontic Fill Magic, without bleaching; HP(t - brackets bonded with Transbond XT subjected to bleaching; and HP(fm - brackets bonded with Orthodontic Fill Magic subjected to bleaching. At-home bleaching followed the same treatments, only replacing the bleaching agent. Spectrophotometric assessment was used for tooth color determination at three moments: 1 before staining (baseline; 2 after staining; 3 after bonding the brackets and bleaching procedures. Data were submitted to ANOVA and analyzed by Tukey's test (p < 0.05. Result For both types of bleaching, the control group had an effective bleaching action. Groups using Transbond XT presented greater bleaching potential among the groups with orthodontic accessory, but the bleaching action differed from the positive control. Groups using Orthodontic Fill Magic presented no bleaching action, resembling the negative control groups (artificial saliva. Conclusion the orthodontic bracket impaired the effectiveness of the at-home and in-office bleaching treatment, regardless of the resin used for bonding.

  10. Effect of external tooth bleaching on dental plaque accumulation and tooth discoloration.

    Science.gov (United States)

    Gursoy, Ulvi Kahraman; Eren, Digdem Isin; Bektas, Ozden Ozel; Hurmuzlu, Feridun; Bostanci, Vildan; Ozdemir, Hakan

    2008-04-01

    Treatment of dental discolorations with external bleaching is becoming very common in dentistry, however, possible irreversible alterations on enamel surface due to bleaching procedures is a topic of discussion. The aim of this study was to evaluate the clinical effects of bleaching by measuring the dental plaque accumulation on human enamel and tooth discoloration in vivo. Forty-four teeth in eleven patients not revealing any restorations or periodontal problems were enrolled in this study. Bleaching agent applied only to labial surfaces of incisors using commercial 35% hydrogen peroxide gel. Dental plaque and tooth color measured in the same group of participants, at the end of non-brushing periods lasting 3 and 5 days, respectively, before and after bleaching. The results of the comparison of pre- and post-bleaching measurements showed that, after a non-brushing period lasting 3 day, discoloration scores and plaque accumulation scores for bleached surfaces were lower than the non-bleached surface scores. However, at the end of a non-brushing period lasting 5 day, even the color measurement score in post-bleaching period was lower than the pre-bleaching counterpart, plaque index measurements showed higher plaque accumulation scores in the bleached group. According to these results, bleaching with 35% hydrogen peroxide seem to favor plaque accumulation after non-brushing period lasting 5 day and tooth discoloration after bleaching is not in correlation with the amount of plaque accumulation.

  11. Antioxidant therapy enhances pulpal healing in bleached teeth.

    Science.gov (United States)

    Lima, Adriano Fonseca; Marques, Marcelo Rocha; Soares, Diana Gabriela; Hebling, Josimeri; Marchi, Giselle Maria; de Souza Costa, Carlos Alberto

    2016-02-01

    The purpose of this study was to evaluate the histopathological effects of an antioxidant therapy on the pulp tissue of rat teeth exposed to a bleaching gel with 35% hydrogen peroxide. Forty rats were subjected to oral ingestion by gavage of distilled water (DW) or ascorbic acid (AA) 90 min before the bleaching therapy. For the bleaching treatment, the agent was applied twice for 5 min each to buccal surfaces of the first right mandibular molars. Then, the animals were sacrificed at 6 hr, 24 hr, 3 day, or 7 day post-bleaching, and the teeth were processed for microscopic evaluation of the pulp tissue. At 6 hr, the pulp tissue showed moderate inflammatory reactions in all teeth of both groups. In the DW and AA groups, 100% and 80% of teeth exhibited pulp tissue with significant necrosis and intense tissue disorganization, respectively. At 24 hr, the AA-treated group demonstrated a greater regenerative capability than the DW group, with less intense inflammatory reaction and new odontoblast layer formation in 60% of the teeth. For up to the 7 day period, the areas of pulpal necrosis were replaced by viable connective tissue, and the dentin was underlined by differentiated odontoblast-like cells in most teeth of both groups. A slight reduction in initial pulpal damage during post-bleaching was promoted by AA therapy. However, the pulp tissue of AA-treated animals featured faster regenerative potential over time.

  12. Antioxidant therapy enhances pulpal healing in bleached teeth

    Directory of Open Access Journals (Sweden)

    Adriano Fonseca Lima

    2016-02-01

    Full Text Available Objectives The purpose of this study was to evaluate the histopathological effects of an antioxidant therapy on the pulp tissue of rat teeth exposed to a bleaching gel with 35% hydrogen peroxide. Materials and Methods Forty rats were subjected to oral ingestion by gavage of distilled water (DW or ascorbic acid (AA 90 min before the bleaching therapy. For the bleaching treatment, the agent was applied twice for 5 min each to buccal surfaces of the first right mandibular molars. Then, the animals were sacrificed at 6 hr, 24 hr, 3 day, or 7 day post-bleaching, and the teeth were processed for microscopic evaluation of the pulp tissue. Results At 6 hr, the pulp tissue showed moderate inflammatory reactions in all teeth of both groups. In the DW and AA groups, 100% and 80% of teeth exhibited pulp tissue with significant necrosis and intense tissue disorganization, respectively. At 24 hr, the AA-treated group demonstrated a greater regenerative capability than the DW group, with less intense inflammatory reaction and new odontoblast layer formation in 60% of the teeth. For up to the 7 day period, the areas of pulpal necrosis were replaced by viable connective tissue, and the dentin was underlined by differentiated odontoblast-like cells in most teeth of both groups. Conclusions A slight reduction in initial pulpal damage during post-bleaching was promoted by AA therapy. However, the pulp tissue of AA-treated animals featured faster regenerative potential over time

  13. AFM analysis of bleaching effects on dental enamel microtopography

    Energy Technology Data Exchange (ETDEWEB)

    Pedreira de Freitas, Ana Carolina, E-mail: anacarolfreitas@usp.br [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Cardoso Espejo, Luciana, E-mail: luespejo@hotmail.com [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Brossi Botta, Sergio, E-mail: sbbotta@usp.br [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Sa Teixeira, Fernanda de, E-mail: nandast@if.usp.br [Laboratorio de Filmes Finos, Instituto de Fisica da Universidade de Sao Paulo, Rua do Matao, Travessa R, 187 - Cidade Universitaria, CEP 05314-970, Sao Paulo (Brazil); Cerqueira, Luz Maria Aparecida A., E-mail: maacluz@usp.br [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Garone-Netto, Narciso, E-mail: ngarone@usp.br [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Bona Matos, Adriana, E-mail: bona@usp.br [Departamento de Dentistica, Faculdade de Odontologia da Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Cidade Universitaria, CEP 05508-000, Sao Paulo (Brazil); Barbosa da Silveira Salvadori, Maria Cecilia, E-mail: mcsalva@if.usp.br [Laboratorio de Filmes Finos, Instituto de Fisica da Universidade de Sao Paulo, Rua do Matao, Travessa R, 187 - Cidade Universitaria, CEP 05314-970, Sao Paulo (Brazil)

    2010-02-15

    The purpose of this in vitro study was to test a new methodology to evaluate the effects of 35% hydrogen peroxide agent on the microtopography of sound enamel using an atomic force microscope (AFM). The buccal sound surfaces of three extracted human lower incisors were used, without polishing the surfaces to maintain them with natural morphology. These unpolished surfaces were subjected to bleaching procedure with 35% hydrogen peroxide that consisted of 4 applications of the bleaching agent on enamel surfaces for 10 min each application. Surface images were obtained in a 15 {mu}m x 15 {mu}m area using an AFM. The roughness (Ra and RMS) and the power spectral density (PSD) were obtained before and after the bleaching treatment. As results we could inquire that the PSD analyses were very suitable to identifying the morphological changes on the surfaces, while the Ra and RMS parameters were insufficient to represent the morphological alterations promoted by bleaching procedure on enamel. The morphological wavelength in the range of visible light spectrum (380-750 nm) was analyzed, showing a considerable increase of the PSD with the bleaching treatment.

  14. Tracking the Effect of Algal Mats on Coral Bleaching Using Remote Sensing

    Science.gov (United States)

    El-Askary, H. M.; Johnson, S. H.; Idris, N.; Qurban, M. A. B.

    2014-12-01

    Benthic habitats rely on relatively stable environmental conditions for survival. The introduction of algal mats into an ecosystem can have a notable effect on the livelihood of organisms such as coral reefs by causing changes in the biogeochemistry of the surrounding water. Increasing levels of acidity and new competition for sunlight caused by congregations of cyanobacteria essentially starve coral reefs of natural resources. These changes are particularly prevalent in waters near quickly developing population centers, such as the ecologically diverse Arabian Gulf. While ground-truthing studies to determine the extensiveness of coral death proves useful on a microcosmic level, new ventures in remote sensing research allow scientists to utilize satellite data to track these changes on a broader scale. Satellite images acquired from Landsat 5, 1987, Landsat 7, 2000, and Landsat 8, 2013 along with higher resolution IKONOS data are digitally analyzed in order to create spectral libraries for relevant benthic types, which in turn can be used to perform supervised classifications and change detection analyses over a larger area. The supervised classifications performed over the three scenes show five significant marine-related classes, namely coral, mangroves, macro-algae, and seagrass, in different degrees of abundance, yet here we focus only on the algal mats impact on corals bleaching. The change detection analysis is introduced to study see the degree of algal mats impact on coral bleaching over the course of time with possible connection to the local meteorology and current climate scenarios.

  15. Anaphylaxis, contact urticaria, and allergic asthma caused by persulfates in hair bleaching products

    NARCIS (Netherlands)

    Hoekstra, Miriam; Schuttelaar, M.L.; Coenraads, P.J.

    2010-01-01

    Background: Persulfate salts are potent oxidizing agents in hair bleach products that accelerate the bleaching process. Ammonium and potassium persulfates may cause delayedtype and immediate skin reactions. Also allergic asthma and rhinitis have been described. Objectives: Ammonium and potassium

  16. Antioxidant activity by DPPH assay of potential solutions to be applied on bleached teeth

    OpenAIRE

    GARCIA, Eugenio Jose; Oldoni, Tatiane Luiza Cadorin; Alencar, Severino Matias de; Reis, Alessandra; Loguercio, Alessandro D.; GRANDE, Rosa Helena Miranda

    2012-01-01

    The aim of this study was to assess, using the DPPH assay, the antioxidant activity of several substances that could be proposed to immediately revert the problems caused by bleaching procedures. The percentage of antioxidant activity (AA%) of 10% ascorbic acid solution (AAcidS), 10% ascorbic acid gel (AAcidG), 10% sodium ascorbate solution (SodAsS), 10% sodium ascorbate gel (SodAsG), 10% sodium bicarbonate (Bicarb), Neutralize® (NE), Desensibilize® (DES), catalase C-40 at 10 mg/mL (CAT), 1...

  17. Evaluation and comparison of the microhardness of enamel after bleaching with fluoride free and fluoride containing carbamide peroxide bleaching agents and post bleaching anticay application: An in vitro study

    Directory of Open Access Journals (Sweden)

    Liza George

    2015-01-01

    Full Text Available Aims and Objectives: The purpose of the study was to evaluate and compare the microhardness of enamel after the application of anticay on bleached enamel with fluoride containing and fluoride free bleaching agent. Materials and Methods: Twenty freshly extracted teeth decoronated and divided mesiodistally into two halves were randomly divided into five groups with 10 samples in each group. The enamel surface was treated as follows: Group 1 - no treatment, Group 2 - fluoride free bleaching agent, Group 3 - fluoride containing bleaching agent, and Group 4 - fluoride free bleaching agent followed by anticay application. The samples were subjected to indentation to test the microhardness using Vicker's hardness analyzer. Conclusion: Enamel microhardness significantly increased in samples where anticay was used after the application of bleaching agent.

  18. Evaluation and comparison of the microhardness of enamel after bleaching with fluoride free and fluoride containing carbamide peroxide bleaching agents and post bleaching anticay application: An in vitro study.

    Science.gov (United States)

    George, Liza; Baby, Allu; Dhanapal, T Prasanth; Charlie, K M; Joseph, Asha; Varghese, Anjum Anna

    2015-09-01

    The purpose of the study was to evaluate and compare the microhardness of enamel after the application of anticay on bleached enamel with fluoride containing and fluoride free bleaching agent. Twenty freshly extracted teeth decoronated and divided mesiodistally into two halves were randomly divided into five groups with 10 samples in each group. The enamel surface was treated as follows: Group 1 - no treatment, Group 2 - fluoride free bleaching agent, Group 3 - fluoride containing bleaching agent, and Group 4 - fluoride free bleaching agent followed by anticay application. The samples were subjected to indentation to test the microhardness using Vicker's hardness analyzer. Enamel microhardness significantly increased in samples where anticay was used after the application of bleaching agent.

  19. Evaluation and comparison of the microhardness of enamel after bleaching with fluoride free and fluoride containing carbamide peroxide bleaching agents and post bleaching anticay application: An in vitro study

    Science.gov (United States)

    George, Liza; Baby, Allu; Dhanapal, T. Prasanth; Charlie, K. M.; Joseph, Asha; Varghese, Anjum Anna

    2015-01-01

    Aims and Objectives: The purpose of the study was to evaluate and compare the microhardness of enamel after the application of anticay on bleached enamel with fluoride containing and fluoride free bleaching agent. Materials and Methods: Twenty freshly extracted teeth decoronated and divided mesiodistally into two halves were randomly divided into five groups with 10 samples in each group. The enamel surface was treated as follows: Group 1 - no treatment, Group 2 - fluoride free bleaching agent, Group 3 - fluoride containing bleaching agent, and Group 4 - fluoride free bleaching agent followed by anticay application. The samples were subjected to indentation to test the microhardness using Vicker's hardness analyzer. Conclusion: Enamel microhardness significantly increased in samples where anticay was used after the application of bleaching agent. PMID:26604568

  20. Taxonomic, Spatial and Temporal Patterns of Bleaching in Anemones Inhabited by Anemonefishes

    OpenAIRE

    Hobbs, Jean-Paul A.; Frisch, Ashley J.; Ford, Benjamin M.; Michele Thums; Pablo Saenz-Agudelo; Kathryn A Furby; Berumen, Michael L

    2013-01-01

    BACKGROUND: Rising sea temperatures are causing significant destruction to coral reef ecosystems due to coral mortality from thermally-induced bleaching (loss of symbiotic algae and/or their photosynthetic pigments). Although bleaching has been intensively studied in corals, little is known about the causes and consequences of bleaching in other tropical symbiotic organisms. METHODOLOGY/PRINCIPAL FINDINGS: This study used underwater visual surveys to investigate bleaching in the 10 species of...

  1. Impact of Microabrasion on the Effectiveness of Tooth Bleaching.

    Science.gov (United States)

    Perete-de-Freitas, Camila Evelyn; Silva, Paula Damasceno; Faria-E-Silva, André Luis

    2017-01-01

    The aim of the present study was to evaluate the effect of prior microabrasion on the teeth color change and tooth bleaching effectiveness. Eight sound molars were mesio-distally sectioned and the halves were randomly allocated to receive enamel microabrasion or non-abrasion (control) in one of surfaces (buccal or lingual), while the remaining surface received the other treatment. The tooth color on baseline was evaluated by spectrophotometer (CieL*a*b system). After the microabrasion procedure, the tooth color was measured again. Following, the specimens were bleached with 35% hydrogen peroxide for two sessions with one-week interval. The color was re-evaluated 7 days after each section and 30 days after the second session. The effect of enamel microabrasion on color changes was evaluated by paired T-test. Deltas L*, a*, b*, and E were calculated and data submitted to 2-way repeated measure ANOVA followed by Tukey`s test. Paired T-test was also used to assess possible differences on the ultimate color achieved after tooth bleaching. Enamel microabrasion reduced the lightness and increased the redness of specimens. Specimens that received microabrasion presented higher values of ∆L* than control after each bleaching procedure; and higher ∆a* after the 2nd bleaching session. However, the prior enamel microabrasion did not affect the ultimate values of color parameters. Despite enamel microabrasion have modified the tooth color, this procedure did not affect the ultimate results achieved with tooth bleaching using a high-concentrated hydrogen peroxide.

  2. Evaluation and comparison of the microhardness of enamel after bleaching with fluoride free and fluoride containing carbamide peroxide bleaching agents and post bleaching anticay application: An in vitro study

    OpenAIRE

    Liza George; Allu Baby; T Prasanth Dhanapal; K M Charlie; Asha Joseph; Anjum Anna Varghese

    2015-01-01

    Aims and Objectives: The purpose of the study was to evaluate and compare the microhardness of enamel after the application of anticay on bleached enamel with fluoride containing and fluoride free bleaching agent. Materials and Methods: Twenty freshly extracted teeth decoronated and divided mesiodistally into two halves were randomly divided into five groups with 10 samples in each group. The enamel surface was treated as follows: Group 1 - no treatment, Group 2 - fluoride free bleaching agen...

  3. In vitro colorimetric evaluation of the efficacy of various bleaching methods and products.

    Science.gov (United States)

    Dietschi, Didier; Rossier, Sandrine; Krejci, Ivo

    2006-01-01

    Various bleaching modalities are now offered to patients, either monitored by the dental office or self-directed, for which relative efficacy is unknown. The aim of this in vitro study was to evaluate the ability of different bleaching products and protocols to lighten enamel and dentin. Bovine tooth samples of standardized thickness (2.5 +/- 0.025 mm with similar dentin and enamel thicknesses) were prepared and stained with whole blood and hemolysate before being submitted to 11 different bleaching regimens: home bleaching using 10%, 15%, 16%, or 20% carbamide peroxide, power bleaching using 15% hydrogen peroxide, 30% hydrogen peroxide, or 25% carbamide peroxide with or without light activation, and over-the-counter bleaching strips containing 5.3% hydrogen peroxide. Colorimetric measurements were performed on each sample side, according to the CIE L*a*b* system, before and after staining as well as after each series of 5 bleaching sessions (number of applications varied from 5 to 20 times, according to the bleaching protocol). All products and protocols produced a similar bleaching effect on enamel, while the home bleaching regimen proved largely superior to lighten dentin. In-office bleaching techniques proved less efficient than home bleaching for removing stains deposited in dentin.

  4. Effect of nightguard vital bleaching gel on the color stability of provisional restorative materials

    Directory of Open Access Journals (Sweden)

    Salwa Omar Bajunaid

    2016-01-01

    Conclusions: Composite-based provisional material showed highest color stability when exposed to vital tooth bleaching gel, whereas methacrylate-based material was the least color stable. Polycarbonate crowns were more color stable when exposed to 15% bleaching gel as opposed to 10% bleaching gel.

  5. Total Chlorine-Free Bleaching of Populus deltoides Kraft Pulp by Oxone

    Directory of Open Access Journals (Sweden)

    Mohsen Miri

    2015-01-01

    Full Text Available Since the bleaching process is one of the most important environmental pollutant stages in the pulp and paper industry, here, the total chlorine-free (TCF bleaching of poplar kraft pulp by applying Oxone and peroxide under alkaline conditions has been investigated. The pulp samples were bleached in two stages of Oxone (OX treatment using an AOX1OX2 sequence (A: acid pretreatment, and then the treated pulps were bleached by peroxide (P to achieve target brightness (about 80%. The influence of various reaction parameters such as alkali charge, temperature, reaction time, and bleaching agent dosage was optimized. The final achieved brightness was more than 78%. Accelerated aging experiments showed more stability in brightness for the Oxone treated pulp, because alkali Oxone bleaching stops thermal degradation. Similarly, the AOX1OX2P bleaching sequence was found to be effective in regaining some strength that had been lost during acidification of the pulp. Improvement in pulp strength made with acid treatment was achieved along with significant amount of lignin removal and it demonstrates the feasibility of Oxone in TCF bleaching. Furthermore, other results indicated the feasibility of Oxone bleaching as an environmentally favorable alternative TCF bleaching sequence, compared with elemental chlorine-free bleaching approaches and also other TCF bleaching sequences.

  6. Determination of burial dose in incompletely bleached fluvial samples using single grains of quartz

    DEFF Research Database (Denmark)

    Thomsen, Kristina Jørkov; Murray, A.S.; Bøtter-Jensen, Lars

    2007-01-01

    We determine the burial dose in three known-age incompletely bleached fluvial samples using single grains of quartz. Estimation of burial dose in incompletely bleached samples requires that the characteristics of the well-bleached part of the distribution are known in order to distinguish between...

  7. Evaluation of the bleached human enamel by Scanning Electron Microscopy

    DEFF Research Database (Denmark)

    Miranda, Carolina Baptista; Pagani, Clovis; Benetti, Ana Raquel

    2005-01-01

    Since bleaching has become a popular procedure, the effect of peroxides on dental hard tissues is of great interest in research. Purpose: The aim of this in vitro study was to perform a qualitative analysis of the human enamel after the application of in-office bleaching agents, using Scanning...... Electron Microscopy (SEM). Materials and Methods: Twenty intact human third molars extracted for orthodontic reasons were randomly divided into four groups (n=5) treated as follows: G1- storage in artificial saliva (control group); G2- four 30-minute applications of 35% carbamide peroxide (total exposure...

  8. Reducing bleaching effects in organic nanofibers by coating

    DEFF Research Database (Denmark)

    Tavares, Luciana; Kjelstrup-Hansen, Jakob; Rubahn, Horst-Günter

    Para-hexaphenylene (p-6P) organic nanofibers emit polarized, blue light upon UV excitation with a peak wavelength of the emitted light of 425 nm [1] and a spatially anisotropic distribution of the emitted light [2]. These features could enable future (opto-)electronic applications [3], since, for......, we present results of systematic bleaching experiments, in which we have investigated diverse mono- and multilayer coating materials. It is found that the most promising combination results in a significant reduction of bleaching without affecting significantly the emission spectrum....

  9. Downscaled projections of Caribbean coral bleaching that can inform conservation planning.

    Science.gov (United States)

    van Hooidonk, Ruben; Maynard, Jeffrey Allen; Liu, Yanyun; Lee, Sang-Ki

    2015-09-01

    Projections of climate change impacts on coral reefs produced at the coarse resolution (~1°) of Global Climate Models (GCMs) have informed debate but have not helped target local management actions. Here, projections of the onset of annual coral bleaching conditions in the Caribbean under Representative Concentration Pathway (RCP) 8.5 are produced using an ensemble of 33 Coupled Model Intercomparison Project phase-5 models and via dynamical and statistical downscaling. A high-resolution (~11 km) regional ocean model (MOM4.1) is used for the dynamical downscaling. For statistical downscaling, sea surface temperature (SST) means and annual cycles in all the GCMs are replaced with observed data from the ~4-km NOAA Pathfinder SST dataset. Spatial patterns in all three projections are broadly similar; the average year for the onset of annual severe bleaching is 2040-2043 for all projections. However, downscaled projections show many locations where the onset of annual severe bleaching (ASB) varies 10 or more years within a single GCM grid cell. Managers in locations where this applies (e.g., Florida, Turks and Caicos, Puerto Rico, and the Dominican Republic, among others) can identify locations that represent relative albeit temporary refugia. Both downscaled projections are different for the Bahamas compared to the GCM projections. The dynamically downscaled projections suggest an earlier onset of ASB linked to projected changes in regional currents, a feature not resolved in GCMs. This result demonstrates the value of dynamical downscaling for this application and means statistically downscaled projections have to be interpreted with caution. However, aside from west of Andros Island, the projections for the two types of downscaling are mostly aligned; projected onset of ASB is within ±10 years for 72% of the reef locations. © 2015 The Authors. Global Change Biology Published by John Wiley & Sons Ltd.

  10. Important Role of FTO in the Survival of Rare Panresistant Triple-Negative Inflammatory Breast Cancer Cells Facing a Severe Metabolic Challenge.

    Directory of Open Access Journals (Sweden)

    Balraj Singh

    Full Text Available We have previously shown that only 0.01% cells survive a metabolic challenge involving lack of glutamine in culture medium of SUM149 triple-negative Inflammatory Breast Cancer cell line. These cells, designated as SUM149-MA for metabolic adaptability, are resistant to chemotherapeutic drugs, and they efficiently metastasize to multiple organs in nude mice. We hypothesized that obesity-related molecular networks, which normally help in cellular and organismal survival under metabolic challenges, may help in the survival of MA cells. The fat mass and obesity-associated protein FTO is overexpressed in MA cells. Obesity-associated cis-acting elements in non-coding region of FTO regulate the expression of IRX3 gene, thus activating obesity networks. Here we found that IRX3 protein is significantly overexpressed in MA cells (5 to 6-fold as compared to the parental SUM149 cell line, supporting our hypothesis. We also obtained evidence that additional key regulators of energy balance such as ARID5B, IRX5, and CUX1 P200 repressor could potentially help progenitor-like TNBC cells survive in glutamine-free medium. MO-I-500, a pharmacological inhibitor of FTO, significantly (>90% inhibited survival and/or colony formation of SUM149-MA cells as compared to untreated cells or those treated with a control compound MO-I-100. Curiously, MO-I-500 treatment also led to decreased levels of FTO and IRX3 proteins in the SUM149 cells initially surviving in glutamine-free medium as compared to MO-I-100 treatment. Interestingly, MO-I-500 treatment had a relatively little effect on cell growth of either the SUM149 or SUM149-MA cell line when added to a complete medium containing glutamine that does not pose a metabolic challenge. Importantly, once selected and cultured in glutamine-free medium, SUM149-MA cells were no longer affected by MO-I-500 even in Gln-free medium. We conclude that panresistant MA cells contain interconnected molecular networks that govern

  11. A minimally invasive treatment of severe dental fluorosis.

    Science.gov (United States)

    Ardu, Stefano; Stavridakis, Minos; Krejci, Ivo

    2007-06-01

    This article describes a minimally invasive technique to treat a severe case of enamel fluorosis using microabrasion to eliminate the hypermineralized, white-colored, superficial enamel layer, followed by home bleaching treatment and chairside re-creation of superficial enamel microstructure. The proposed technique may improve the esthetics of fluorotic teeth without requiring other restorative procedures. Microabrasion followed by home bleaching may be an interesting alternative for the restorative treatment of teeth affected by fluorosis.

  12. A minimally invasive treatment of severe dental fluorosis

    OpenAIRE

    Ardu, Stefano; Stavridakis, Minos; Krejci, Ivo

    2007-01-01

    This article describes a minimally invasive technique to treat a severe case of enamel fluorosis using microabrasion to eliminate the hypermineralized, white-colored, superficial enamel layer, followed by home bleaching treatment and chairside re-creation of superficial enamel microstructure. The proposed technique may improve the esthetics of fluorotic teeth without requiring other restorative procedures. Microabrasion followed by home bleaching may be an interesting alternative for the rest...

  13. Response of coral calcification and calcifying fluid composition to thermally induced bleaching stress.

    Science.gov (United States)

    D'Olivo, J P; McCulloch, M T

    2017-05-19

    Severe, global-scale thermal stress events like those of 1998 and 2016, are becoming more frequent and intense, potentially compromising the future of coral reefs. Here we report the effects of the 1998 bleaching event on coral calcification as well as the composition of the calcifying fluid (cf) from which corals precipitate their calcium carbonate skeletons. This was investigated by using the Sr/Ca, Li/Mg (temperature), and boron isotopes (δ(11)B) and B/Ca (carbonate chemistry) proxies in a Porites sp. coral. Following the summer of 1998 the coral exhibited a prolonged period (~18 months) of reduced calcification (~60%) and a breakdown in the seasonality of the geochemical proxies. However, the maintenance of elevated dissolved inorganic carbon (DICcf; >×2 seawater) and pHcf (>8.3 compared to seawater ~8.0) even during severe stress of 1998 indicate that a minimum threshold of high aragonite saturation state (Ωcf) of ~14 (~×4 seawater), is an essential pre-requisite for coral calcification. However, despite maintaining elevated levels of Ωcf even under severe stress, coral growth is still impaired. We attribute this to reductions in either the effective active volume of calcification and/or DICcf as bleaching compromises the photosynthetically fixed carbon pool available to the coral.

  14. Patterns of bleaching and mortality following widespread warming events in 2014 and 2015 at the Hanauma Bay Nature Preserve, Hawai‘i

    Directory of Open Access Journals (Sweden)

    Ku‘ulei S. Rodgers

    2017-05-01

    Full Text Available Drastic increases in global carbon emissions in the past century have led to elevated sea surface temperatures that negatively affect coral reef organisms. Worldwide coral bleaching-related mortality is increasing and data has shown even isolated and protected reefs are vulnerable to the effects of global climate change. In 2014 and 2015, coral reefs in the main Hawaiian Islands (MHI suffered up to 90% bleaching, with higher than 50% subsequent mortality in some areas. The location and severity of bleaching and mortality was strongly influenced by the spatial and temporal patterns of elevated seawater temperatures. The main objective of this research was to understand the spatial extent of bleaching mortality in Hanauma Bay Nature Preserve (HBNP, O‘ahu, Hawai‘i to gain a baseline understanding of the physical processes that influence localized bleaching dynamics. Surveys at HBNP in October 2015 and January 2016 revealed extensive bleaching (47% and high levels of coral mortality (9.8%. Bleaching was highly variable among the four HBNP sectors and ranged from a low of ∼31% in the central bay at Channel (CH to a high of 57% in the area most frequented by visitors (Keyhole; KH. The highest levels of bleaching occurred in two sectors with different circulation patterns: KH experienced comparatively low circulation velocity and a low temperature increase while Witches Brew (WB and Backdoors (BD experienced higher circulation velocity and higher temperature increase. Cumulative mortality was highest at WB (5.0% and at BD (2.9% although WB circulation velocity is significantly higher. HBNP is minimally impacted by local factors that can lead to decline such as high fishing pressure or sedimentation although human use is high. Despite the lack of these influences, high coral mortality occurred. Visitor impacts are strikingly different in the two sectors that experienced the highest mortality evidenced by the differences in coral cover associated

  15. In vitro colorimetric evaluation of the efficacy of home bleaching and over-the-counter bleaching products.

    Science.gov (United States)

    Dietschi, Didier; Benbachir, Nacer; Krejci, Ivo

    2010-06-01

    Various bleaching modalities are now offered to patients, either monitored by the dental office or self-directed, for which relative efficiency is unknown. The aim of this in vitro study was to evaluate the ability of bleaching products and protocols to lighten enamel and dentin. Bovine tooth specimens of standardized thickness (2.5 +/- 0.025 mm with similar dentin and enamel thickness) were prepared and stained with whole blood and hemolysate before being submitted to seven supervised or self-directed bleaching regimens: tray-based bleaching using 10% (Opalescence, Ultradent; Nite White, Discus Dental) or light-activated 30% (Metatray, Metatray) carbamide peroxide (CP); 6% (Zoom, Discus Dental) or 9% (TresWhite, Ultradent) hydrogen peroxide (HP); strips (Whitening Strips, Oral B-Rembrandt); and paint-on gel (Paint on Plus, Ivoclar Vivadent) containing 8.1% and 6% HP, respectively. Colorimetric measurements were performed on each specimen side, according to the CIE L*a*b* system, before and after staining, as well as after 5, 10, and the recommended number of bleaching applications. Color change after recommended number of applications (DEr) varied from 15.72 (Metatray) to 29.67 (Nite White) at enamel and 14.91 (Paint on Plus) to 41.43 (Nite White) at dentin side; Nite White (10% CP) and TresWhite (9% HP) were more effective than Metatray (30% CP) and Paint on Plus (6% HP) after 5 or the recommended number of applications. In this in vitro study based on bovine teeth, tray-based systems produced the faster and better bleaching effect, regardless of the product and concentration used, at both enamel and dentin sides.

  16. Comparison of bleaching efficacy of two bleaching agents on teeth discoloured by different antibiotic combinations used in revascularization.

    Science.gov (United States)

    Yasa, Bilal; Arslan, Hakan; Akcay, Merve; Kavrik, Fevzi; Hatirli, Huseyin; Ozkan, Bulent

    2015-07-01

    To investigate the whitening effects of different bleaching agents on teeth discoloured by different antibiotic combinations of ciprofloxacin and metronidazole with minocycline, doxycycline, amoxicillin or cefaclor. Forty extracted bovine incisors were collected and discoloured with triple antibiotic pastes (TAP) with minocycline, doxycycline, amoxicillin and cefaclor throughout 30 days. The specimens were then randomly divided into two subgroups and each group received different bleaching materials: 35% hydrogen peroxide and sodium perborate. Spectrophotometric measurements were obtained on the buccal surfaces of the crown, firstly in the beginning, then on the 4th, 8th and 12th days after the placement of the bleaching materials. The acceptability threshold was set to 3.5. The ∆E values were calculated and the data was analysed using the repeated measures analysis of variance (P = .05). All the test groups induced colour changes exceeding the acceptability threshold 30 days after the antibiotic pastes were placed. The 35% hydrogen peroxide was more effective than sodium perborate in the whitening of discoloured teeth by antibiotic pastes (P = .001). The whitening effect after the 8th and 12th days was significantly more than after 4 days of treatment (P teeth discoloured by antibiotic pastes seems to have significantly outperformed the sodium perborate treatment. Both bleaching agents were allowed to bleach the teeth gradually each day and the effects on the 8th and 12th days were superior to the one on the 4th day. The use of 35% hydrogen peroxide could be advantageous to bleach the teeth discoloured with antibiotic pastes compared to sodium perborate.

  17. Effectiveness of bleaching agent on composite resin discoloration

    Directory of Open Access Journals (Sweden)

    Galih Sampoerno

    2012-03-01

    Full Text Available Background: The discoloration of teeth, especially anterior teeth, is one of aesthetic problems. The use of tooth bleaching agents for discolored natural teeth is becoming increasingly popular. Many dentists, however, get many problems when they conduct bleaching process since there is much composite filling on patient’s anterior teeth. Although many research have focused on the discoloration of composite resin after bleaching process, the problem still becomes debatable. Purpose: The purpose of this study was to investigate the difference of the discoloration between hybrid composite and nano composite before and after the application of tooth bleaching agent, 38% hydrogen peroxide. Methods: Eighteen disk-shaped specimens (5 mm of each of two composite resins, hybrid and nano filler, were prepared. The each group was treated 3 times and the specimens were divided into two groups consisted of 9 specimens for each, and then immersed in black tea solutions for 72 hours. Next, after having staining and bleaching processes, the color of the specimens was measured with a optic spectrophotometer by using photo with type BPY-47 and digital microvolt. The differences of the light intensity among three measurements were then calculated. Afterwards, GLM MANOVA Repeated Measure and parametric analysis (Independent t-test and Paired t-test were then used to analyze the data. Results: After staining process, it is then known that the nano composite had more discoloration and more affected by the black tea solution than the hybrid one. Conclusion: After bleaching, the discoloration was finally removed completely from both hybride and nano filler composite resins and became brighter from the baseline color.Latar belakang: Salah satu problem estetik adalah adanya perubahan warna pada gigi anterior. Peningkatan pemakaian bahan bleaching semakin popular. Banyak dokter gigi mempunyai problem ketika mereka akan melakukan proses bleaching dan ditemukan banyak

  18. Female Survival Advantage Relates to Male Inferiority Rather Than Female Superiority: A Hypothesis Based on the Impact of Age and Stroke Severity on 1-Week to 1-Year Case Fatality in 40,155 Men and Women

    DEFF Research Database (Denmark)

    Olsen, T.S.; Andersen, Klaus Kaae

    2010-01-01

    Background: It is generally believed that differences in age, stroke characteristics, and cardiovascular risk factors account for observed sex-specific differences in stroke survival. Objectives: We aimed to study female stroke survival advantage before and after the average age of menopause, and...... hormones (testosterone), beginning in men in middle age, is the underlying cause of the gap in survival rates between men and women. Accordingly, the female survival advantage is rooted in male inferiority rather than innate female superiority. (Gend Med. 2010;7:284-295)......, and whether female survival advantage applies only to patients for whom stroke is the most likely cause of death. Methods: The Danish National Indicator Project, a registry designed to list all hospitalized stroke patients in Denmark beginning in March 2001, had 40,155 registered patients as of February 2007...... until death or censoring. Case fatality (stratified by 1 week, 1 month, 3 months, and 1 year) in men and women was correlated with age and stroke severity. Adjustment for cardiovascular risk factors was performed by means of multivariate regression analysis. Results: A total of 20,854 (51.9%) men and 19...

  19. A model for prediction of color change after tooth bleaching based on CIELAB color space

    Science.gov (United States)

    Herrera, Luis J.; Santana, Janiley; Yebra, Ana; Rivas, María. José; Pulgar, Rosa; Pérez, María. M.

    2017-08-01

    An experimental study aiming to develop a model based on CIELAB color space for prediction of color change after a tooth bleaching procedure is presented. Multivariate linear regression models were obtained to predict the L*, a*, b* and W* post-bleaching values using the pre-bleaching L*, a*and b*values. Moreover, univariate linear regression models were obtained to predict the variation in chroma (C*), hue angle (h°) and W*. The results demonstrated that is possible to estimate color change when using a carbamide peroxide tooth-bleaching system. The models obtained can be applied in clinic to predict the colour change after bleaching.

  20. Natural and recombinant fungal laccases for paper pulp bleaching

    NARCIS (Netherlands)

    Sigoillot, C.; Record, E.; Belle, V.; Robert, J.L.; Levasseur, A.; Punt, P.J.; Hondel, C.A.M.J.J. van den; Fournel, A.; Sigoillot, J.C.; Asther, M.

    2004-01-01

    Three laccases, a natural form and two recombinant forms obtained from two different expression hosts, were characterized and compared for paper pulp bleaching. Laccase from Pycnoporus cinnabarinus, a well known lignolytic fungus, was selected as a reference for this study. The corresponding

  1. Project Overview: A Reef Manager's Guide to Coral Bleaching ...

    Science.gov (United States)

    The purpose of this report is to provide the latest scientific knowledge and discuss available management options to assist local and regional managers in responding effectively to mass coral bleaching events. Background A Reef Manager’s Guide to Coral Bleaching is the result of a collaborative effort by over 50 scientists and managers to: (1) share the best available scientific information on climate-related coral bleaching; and (2) compile a tool kit of currently available strategies for adaptive management of coral reefs in a changing climate. The result is a compendium of current information, tools, and practical suggestions to aid managers in their efforts to protect reefs in a way that maximizes reef resilience in the face of continuing climate change. The Guide is a joint publication of the National Oceanic and Atmospheric Administration, the Great Barrier Reef Marine Park Authority, and The World Conservation Union, with author contributions from a variety of international partners from government agencies, non-governmental organizations, and academic institutions. EPA’s Office of Research and Development was a major contributor to the Guide through authorship and participation in the final review and editing process for the entire report. A Reef Manager’s Guide to Coral Bleaching is the result of a collaborative effort by over 50 scientists and managers to: (1) share the best available scientific information on climate-related coral blea

  2. Bleaching and/or porcelain veneers: case reports.

    Science.gov (United States)

    Putter, H

    1992-01-01

    Four case studies are presented in which the concept that bleaching, porcelain veneer restorations, or a combination of both constitute a conservative treatment approach for discolored, malformed, malaligned, and worn dentition. These treatments can be used effectively not only for aging dentitions, but also for the very young, which makes them an attractive treatment modality.

  3. Effect of a New Bleaching Gel on Tooth Whitening

    Science.gov (United States)

    2016-05-12

    efficacy guidelines.3 Vital bleaching is a relatively conservative way to achieve whiter teeth versus therapy like microabrasion, veneers , or crowns...Sarafianou A, Iosifidou S, Papadopoulos T, Eliades G. Color stability and degree of cure of direct composite restoratives after accelerated aging . Oper

  4. Symbiont Dependent Thermal Bleaching Susceptiblity in Two Reef ...

    African Journals Online (AJOL)

    user1

    Differential bleaching susceptibility among scleractinian corals has been documented both in the field in Okinawa, Japan (Loya et al. 2001), on the Great Barrier Reef, Australia (Marshall &. Baird, 2000; Baird & Marshall, 2002), and in the Indian Ocean (Spencer et al. 2000) and under experimental trials (Fitt & Warner, 1995; ...

  5. anolyte as an alternative bleach for stained cotton fabrics

    African Journals Online (AJOL)

    user

    Anolyte possesses antimicrobial activity against a variety of micro-organisms as a disinfectant used in agriculture, dentistry, medicine and the food industry. ..... Modification of denim garment with the treatment of bleaching powder. Canadian. Journal on Chemical Engineering & Technology. (2):30–36. KIM, C., HUNG, YC ...

  6. Color Recovery Effect of Different Bleaching Systems on a ...

    African Journals Online (AJOL)

    2017-12-05

    Dec 5, 2017 ... ranging from black to white), a*ab (-a* green, +a* red), and b*ab (-b* blue, +b* yellow). The CIE. 2000 or CIEDE2000 is the most recent and officially recommended as the new CIE color difference equation.[17]. The aim of this study was to compare the color recovery effect of different bleaching systems on ...

  7. Symbiont Dependent Thermal Bleaching Susceptiblity in Two Reef ...

    African Journals Online (AJOL)

    user1

    Symbiont Dependent Thermal Bleaching Susceptiblity in Two Reef-building Corals, Stylophora pistillata and. Platygyra ryukyuensis ... 2001), on the Great Barrier Reef, Australia (Marshall &. Baird, 2000; Baird .... CHAOS solution (4M guanidine thiocyanate, 0.5% salcosyl, 2.5 mM Tris (pH, 8.0), 0.1 M 2- mercaptoethanol and ...

  8. POM-assisted electrochemical delignification and bleaching of chemical pulp

    Science.gov (United States)

    Helene Laroche; Mohini Sain; Carl Houtman; Claude Daneault

    2001-01-01

    A polyoxometalate-catalyzed electrochemical process has shown good selectivity in delignifying pulp. This breakthrough in redox catalysis shows promise for the development of a new environmentally benign technology for pulp bleaching. The electrochemical process, applied with a mildly alkaline electrolyte solution containing trace amounts of a vanadium-based...

  9. anolyte as an alternative bleach for stained cotton fabrics

    African Journals Online (AJOL)

    user

    are difficult to bleach with hydrogen peroxide. (Perkins, 1996:64), but to avoid any damage to the fibres ... reaction, as it reacts with phenolic compounds found in the dye. This means that colour can be removed or ..... and distilled water as the p-value was 0.42. Soot is the carbon residue of a burning process; apart from the ...

  10. Quantification of cross-bleaching during infrared (IR) light stimulation

    DEFF Research Database (Denmark)

    Kreutzer, Sebastian; Hülle, Daniela; Thomsen, Kristina Jørkov

    2013-01-01

    the adjacent position resulting in systematic errors. Previously reported for blue LEDs, such cross-talk (cross-bleaching/illumination) has never been quantified explicitly for the infrared (IR) LEDs, although they are intensively used in IRSL measurements of e.g. feldspar and polymineral samples. In IRSL...

  11. Influence of local environmental conditions and bleaching histories ...

    African Journals Online (AJOL)

    Pollution, turbidity and coral bleaching history, as well as coral diversity, vary along the Tanzanian coastline. Prior to this study, it was not known ... Such information can provide insight into whether Tanzanian reef-building corals develop adaptation to current trends of climate change. Here, 10 reef-building coral samples ...

  12. Can a bleaching toothpaste containing Blue Covarine demonstrate the same bleaching as conventional techniques? An in vitro, randomized and blinded study.

    Science.gov (United States)

    Dantas, Andréa Abi Rached; Bortolatto, Janaina Freitas; Roncolato, Ávery; Merchan, Hugo; Floros, Michael Christopher; Kuga, Milton Carlos; Oliveira Junior, Osmir Batista de

    2015-01-01

    The purpose of this in vitro study was to compare the efficacy of a bleaching toothpaste containing Blue Covarine vs. conventional tooth bleaching techniques using peroxides (both in-office and at-home). Samples were randomly distributed into five experimental groups (n=15): C - Control; BC - Bleaching toothpaste containing Blue Covarine; WBC - Bleaching toothpaste without Blue Covarine; HP35 - In-office bleaching using 35% hydrogen peroxide; and CP10 - At-home bleaching with 10% carbamide peroxide. The dental bleaching efficacy was determined by the color difference (ΔE), luminosity (ΔL), green-red axis (Δa), and blue-yellow axis (Δb). The CIELab coordinates were recorded with reflectance spectroscopy at different times: T0 - baseline, T1 - immediately after bleaching, T2 - 7 days, T3 - 14 days, and T4 - 21 days after the end of treatments. Data were analyzed by a repeated measures mixed ANOVA and post hoc Bonferroni test, with a significance level of 5%. No significant differences were found between the treatment groups C, BC, and WBC. The groups HP35 and CP10 showed significantly higher whitening efficacy than groups C, BC, and WBC. There were no significant differences in the whitening efficacy between a Blue Covarine containing toothpaste, a standard whitening toothpaste, and a control. Neither of the whitening toothpastes tested were as effective as in-office or at-home bleaching treatments.

  13. Can a bleaching toothpaste containing Blue Covarine demonstrate the same bleaching as conventional techniques? An in vitro, randomized and blinded study

    Directory of Open Access Journals (Sweden)

    Andréa Abi Rached DANTAS

    2015-12-01

    Full Text Available ABSTRACT Objective The purpose of this in vitro study was to compare the efficacy of a bleaching toothpaste containing Blue Covarine vs. conventional tooth bleaching techniques using peroxides (both in-office and at-home. Material and Methods Samples were randomly distributed into five experimental groups (n=15: C - Control; BC – Bleaching toothpaste containing Blue Covarine; WBC – Bleaching toothpaste without Blue Covarine; HP35 - In-office bleaching using 35% hydrogen peroxide; and CP10 – At-home bleaching with 10% carbamide peroxide. The dental bleaching efficacy was determined by the color difference (ΔE, luminosity (ΔL, green-red axis (Δa, and blue-yellow axis (Δb. The CIELab coordinates were recorded with reflectance spectroscopy at different times: T0 - baseline, T1 – immediately after bleaching, T2 - 7 days, T3 - 14 days, and T4 - 21 days after the end of treatments. Data were analyzed by a repeated measures mixed ANOVA and post hoc Bonferroni test, with a significance level of 5%. Results No significant differences were found between the treatment groups C, BC, and WBC. The groups HP35 and CP10 showed significantly higher whitening efficacy than groups C, BC, and WBC. Conclusions There were no significant differences in the whitening efficacy between a Blue Covarine containing toothpaste, a standard whitening toothpaste, and a control. Neither of the whitening toothpastes tested were as effective as in-office or at-home bleaching treatments.

  14. Genetic variants on rat chromosome 8 exhibit profound effects on hypertension severity and survival during nitric oxide inhibition in spontaneously hypertensive rats.

    Science.gov (United States)

    Schulz, Angela; Schütten-Faber, Sabrina; Schulte, Leonard; Unland, Johannes; Kossmehl, Peter; Kreutz, Reinhold

    2014-03-01

    Hypertension and mortality is aggravated by nitric oxide inhibition with N(G)-nitro-L-arginine methyl ester (L-NAME) in spontaneously hypertensive rats (SHRs) but not in Munich Wistar Frömter (MWF) rats. MWF rats carry major albuminuria quantitative trait loci on rat chromosome (RNO) 6 and RNO8; susceptibility of SHRs to L-NAME is enhanced by transfer of RNO6 from MWF rats into the SHR background. Here, we tested whether the sensitivity to L-NAME in SHRs is affected by transfer of RNO8 from MWF rats in consomic SHR-8(MWF) rats. In study 1, we analyzed survival in male SHR and SHR-8(MWF) rats in response to 18 weeks of treatment with either normal drinking water (vehicle-treated) or water containing 20mg/L L-NAME. In study 2, we analyzed blood pressure and renal damage in both strains in response to 6 weeks of treatment with L-NAME compared with vehicle-treated groups. In study 1, starting after 6 weeks of treatment with L-NAME, mortality reached 90% in SHRs in contrast with the group of L-NAME treated SHR-8(MWF) rats (P rats survived similar to vehicle-treated rats. In study 2, L-NAME resulted in a more pronounced increase in mean arterial blood pressures in SHRs compared with SHR-8(MWF) rats (216 ± 6 vs. 180 ± 11 mm Hg; P rats after L-NAME treatment (P < 0.05), whereas albuminuria was not different between strains. The blood pressure increase and impaired survival of SHRs in response to nitric oxide inhibition is profoundly influenced by genes on RNO8.

  15. OZONE BLEACHING AT NEUTRAL PH – A NEW CONCEPT

    Directory of Open Access Journals (Sweden)

    Fernando de Carvalho

    2010-08-01

    Full Text Available The effect of medium consistency ozone stage pH was evaluated for brown and oxygen delignified eucalyptus kraft pulp samples obtained from VCP - Luiz Antônio pulp mill. These samples were used as such or previously treated with the hot acid stage (A. The main objective of this study was to determine the viability of increasing the ozone stage pH aiming at decreasing bleaching variable costs. The ozone stage was studied in the pH range of 2.5-9.0, taking into account some important variables which affect ozone bleaching: (1 pulp kappa number entering the ozone stage, (2 reactivity of ozone towards lignin versus hexenuronic acids (HexA´s, (3 pulp treatments prior to ozone stage (acid hydrolysis, and (4 pulp treatments after the ozone stage (extraction or a chlorine dioxide stage.  Therefore, the impact of ozone stage pH was investigated in bleaching process such as Z/DEop vs AZ/DEop, Z/DEopD vs AZ/DEopD, Z/E vs AZ/E. The results were interpreted based on ozone stage efficiency and selectivity, and overall bleaching performance measured by the total bleaching chemical consumption required to achieve full brightness, pulp quality and environmental impact. It was concluded that the increase of ozone stage pH from 2.5 to 7.0 has a slightly negative impact on the efficiency and selectivity, measured after Z/DEop sequence, but this effect is not expressive in the end of Z/DEopD bleaching sequence. The increase of ozone stage pH from 2.5 to 7.0 in the sequence Z/DEopD is cost-effective at industrial level because it represents expressive reduction of sulphuric acid and caustic soda demand for pH control in the bleaching plant. These gain areas achieved without any significant changes in pulp quality and effluent load discharge. Nevertheless, the increase of ozone stage pH from 2.5 to 7.0 has a very high negative impact on the efficiency and selectivity for the Z/E and AZ/E processes and it is not recommended in such cases.

  16. Tooth bleaching induces changes in the vascular permeability of rat incisor pulps.

    Science.gov (United States)

    Ferreira, Vanessa Guarino; Nabeshima, Cleber Keiti; Marques, Márcia Martins; Paris, Adriana Fraga Costa Samos; Gioso, Marco Antônio; dos Reis, Rodrigo Sant'anna Aguiar; Machado, Manoel Eduardo de Lima

    2013-10-01

    To evaluate the inflammatory response in dental pulps of rat incisors subjected to tooth bleaching protocols with different HP concentrations and application times. 42 incisors from Wistar rats were submitted to tooth bleaching using concentrations of 25% or 35% HP for treatment times of 15, 30 or 45 minutes. Four non-bleached teeth were used as controls. The animals received an intravenous injection of India ink immediately after the bleaching procedure and were sacrificed 1 hour later. Six bleached teeth from each group and three controls were made transparent, and one sample from each group was processed for histological analysis. The data were statistically analyzed using Kruskal Wallis and Dunn's tests (P ink content was significantly higher in the samples that were bleached with 35% HP for 30 minutes and with both HP concentrations (25 and 35%) for 45 minutes than in the controls. For the samples bleached with the same HP concentration, the ink content was higher in samples that were bleached for 45 minutes. These results indicate that HP tooth bleaching can induce an increase in vascular permeability in rat incisors. Importantly, this increase is more dependent on the length of the bleaching procedure than on the concentration of the bleaching agent.

  17. Effect of the Purple Corn Beverage “Chicha Morada” in Composite Resin during Dental Bleaching

    Directory of Open Access Journals (Sweden)

    Eric Dario Acuña

    2016-01-01

    Full Text Available During dental bleaching the staining potential of the surface would increase. This study aims to evaluate the staining susceptibility of one bleached composite resin after the exposure to three different beverages: Peruvian purple corn based beverage (chicha morada, green tea, and distilled water. Thirty disk-shaped specimens of one nanofill composite resin were prepared. The specimens were then divided into six groups (n=5: purple corn (P, purple corn + bleaching (PB, green tea (T, green tea + bleaching (TB, distilled water (W, and distilled water + bleaching (WB. In groups that received bleaching, two sessions of bleaching with 35% hydrogen peroxide were done. Following bleaching, specimens were exposed to each liquid thirty minutes daily. Color was measured with a digital spectrophotometer. For statistical analysis, color measurement differences between the obtained results were used: during bleaching, after bleaching, and during + after bleaching. Two-way ANOVA was used to compare the color changes in the resins of all groups (p3.3.

  18. In-office bleaching effects on the pulp flow and tooth sensitivity – case series

    Directory of Open Access Journals (Sweden)

    Andrés Felipe CARTAGENA

    2015-01-01

    Full Text Available Laser Doppler flowmetry (LDF is a noninvasive method capable of evaluating variations in pulp blood flow (PBF and pulp vitality. This method has thus far not been used to assess changes in blood flow after in-office bleaching. The aim of this case series report was to measure changes in PBF by LDF in the upper central incisor of three patients submitted to in-office bleaching. The buccal surfaces of the upper arch were bleached with a single session of 35% hydrogen peroxide gel with three 15-min applications. The color was recorded using a value-oriented Vita shade guide before in-office bleaching and one week after the procedure. The tooth sensitivity (TS in a verbal scale was reported, and PBF was assessed by LDF before, immediately, and one week after the bleaching session. The lower arch was submitted to dental bleaching but not used for data assessment. A whitening degree of 3 to 4 shade guide units was detected. All participants experienced moderate to considerable TS after the procedure. The PBF readings reduced 20% to 40% immediately after bleaching. One week post-bleaching, TS and PBF were shown to be equal to baseline values. A reversible decrease of PBF was detected immediately after bleaching, which recovered to the baseline values or showed a slight increase sooner than one week post-bleaching. The LDF method allows detection of pulp blood changes in teeth submitted to in-office bleaching, but further studies are still required.

  19. Susceptibility to Coffee Staining during Enamel Remineralization Following the In-Office Bleaching Technique

    DEFF Research Database (Denmark)

    Mori, Aline Akemi; Lima, Fernanda Ferruzzi; Benetti, Ana Raquel

    2016-01-01

    PURPOSE: To assess in situ the enamel mineralization level and susceptibility to coffee staining after in-office bleaching. MATERIALS AND METHODS: Thirty-six human dental fragments assembled into intraoral devices were bleached with 35% hydrogen peroxide and treated as follows: (group 1) no contact...... with coffee; (group 2) immersion in a coffee solution for 30 minutes daily for 7 days, starting 1 week after bleaching; and (group 3) immersion in a coffee solution for 30 minutes daily for 14 days, starting immediately after bleaching. Enamel mineralization and color were assessed before bleaching (T1......), immediately after bleaching (T2), and after 7 (T3) and 14 days (T4). The CIE whiteness index (W*) and closeness to white (ΔW*) following bleaching and/or immersion in coffee were calculated. Data were analyzed with Friedman and Wilcoxon tests or Kruskal-Wallis and Mann-Whitney U-tests (α = 0.05). RESULTS...

  20. Effect of in-office bleaching agents on physical properties of dental composite resins.

    Science.gov (United States)

    Mourouzis, Petros; Koulaouzidou, Elisabeth A; Helvatjoglu-Antoniades, Maria

    2013-04-01

    The physical properties of dental restorative materials have a crucial effect on the longevity of restorations and moreover on the esthetic demands of patients, but they may be compromised by bleaching treatments. The purpose of this study was to evaluate the effects of in-office bleaching agents on the physical properties of three composite resin restorative materials. The bleaching agents used were hydrogen peroxide and carbamide peroxide at high concentrations. Specimens of each material were prepared, cured, and polished. Measurements of color difference, microhardness, and surface roughness were recorded before and after bleaching and data were examined statistically by analysis of variance (ANOVA) and Tukey HSD post-hoc test at P resin altered after the bleaching procedure (P resins tested (P > .05). The silorane-based composite resin tested showed some color alteration after bleaching procedures. The bleaching procedure did not alter the microhardness and the surface roughness of all composite resins tested.

  1. Application of the coral health chart to determine bleaching status of Acropora downingi in a subtropical coral reef

    Science.gov (United States)

    Oladi, Mahshid; Shokri, Mohammad Reza; Rajabi-Maham, Hassan

    2017-06-01

    The `Coral Health Chart' has become a popular tool for monitoring coral bleaching worldwide. The scleractinian coral Acropora downingi (Wallace 1999) is highly vulnerable to temperature anomalies in the Persian Gulf. Our study tested the reliability of Coral Health Chart scores for the assessment of bleaching-related changes in the mitotic index (MI) and density of zooxanthellae cells in A. downingi in Qeshm Island, the Persian Gulf. The results revealed that, at least under severe conditions, it can be used as an effective proxy for detecting changes in the density of normal, transparent, or degraded zooxanthellae and MI. However, its ability to discern changes in pigment concentration and total zooxanthellae density should be viewed with some caution in the Gulf region, probably because the high levels of environmental variability in this region result in inherent variations in the characteristics of zooxanthellae among "healthy" looking corals.

  2. Surface discoloration of composite resins: Effects of staining and bleaching.

    Science.gov (United States)

    Poggio, Claudio; Beltrami, Riccardo; Scribante, Andrea; Colombo, Marco; Chiesa, Marco

    2012-09-01

    The purpose of this in vitro study was to evaluate surface discoloration of three microhybrid composite resins (Esthet•X HD, Clearfil AP-X, Gradia Direct) and five nanohybrid composite resins (Ceram•X, GC Kalore, G-aenial, Grandio, GrandioSO), after staining and bleaching procedures. The composite resins were polymerized with a curing light (Celalux II, Voco, Cuxhaven, Germany) into 160 silicon molds (6,4 mm in diameter and 2 mm in thickness) to obtain identical specimens. Twenty samples for each composite resin were prepared. The specimens were polished using an automated polishing machine with the sequence of 600-, 800-, 1000-grit abrasive paper under water irrigation. The specimens were immersed in tea and distilled water: the specimens were dipped for 20 min, once a day (every 24 h), for 14 days into the drinks. The specimens were then bleached with carbamide peroxide at 17% (Perfect Bleach-Voco). The color of specimens was measured with a spectrophotometer according to the CIE L(*)a(*)b(*) system after light-polymerization of composite resin specimens, after 7 days, after 14 days, and after bleaching. The color difference h index (DEab(*)) between each measurement was calculated. Statistical analysis was made using analysis of variance (ANOVA). All specimens showed a significant increase in staining with a similar trend and no significant differences between microhybrid and nanohybrid composite resins. After whitening procedures, materials tested showed both significant and unsignificant differences of the h index. Microhybrid and nanohybrid composite resins had similar in vitro surface discoloration in tea. After bleaching, discoloration was removed from some composite resins tested.

  3. Surface discoloration of composite resins: Effects of staining and bleaching

    Directory of Open Access Journals (Sweden)

    Claudio Poggio

    2012-01-01

    Full Text Available Background: The purpose of this in vitro study was to evaluate surface discoloration of three microhybrid composite resins (Esthet·X HD, Clearfil AP-X, Gradia Direct and five nanohybrid composite resins (Ceram·X, GC Kalore, G-aenial, Grandio, GrandioSO, after staining and bleaching procedures. Materials and Methods: The composite resins were polymerized with a curing light (Celalux II, Voco, Cuxhaven, Germany into 160 silicon molds (6,4 mm in diameter and 2 mm in thickness to obtain identical specimens. Twenty samples for each composite resin were prepared. The specimens were polished using an automated polishing machine with the sequence of 600-, 800-, 1000-grit abrasive paper under water irrigation. The specimens were immersed in tea and distilled water: the specimens were dipped for 20 min, once a day (every 24 h, for 14 days into the drinks. The specimens were then bleached with carbamide peroxide at 17% (Perfect Bleach-Voco. The color of specimens was measured with a spectrophotometer according to the CIE LFNx01aFNx01bFNx01 system after light-polymerization of composite resin specimens, after 7 days, after 14 days, and after bleaching. The color difference h index (DE abFNx01 between each measurement was calculated. Statistical analysis was made using analysis of variance (ANOVA. Results: All specimens showed a significant increase in staining with a similar trend and no significant differences between microhybrid and nanohybrid composite resins. After whitening procedures, materials tested showed both significant and unsignificant differences of the h index. Conclusions: Microhybrid and nanohybrid composite resins had similar in vitro surface discoloration in tea. After bleaching, discoloration was removed from some composite resins tested.

  4. Surface microhardness of enamel after different home bleaching procedures.

    Science.gov (United States)

    Zantner, Catharina; Beheim-Schwarzbach, Nils; Neumann, Konrad; Kielbassa, Andrej M

    2007-02-01

    The purpose of this study was to evaluate the influence of different home bleaching procedures on surface microhardness of human enamel. Among eight groups 192 incisors were distributed. The facial surface of each incisor was polished and baseline hardness of enamel (m0; Knoop) was assessed with a load of 1N for 30s. Subsequently, the enamel was treated for 14 days with the bleaching agent: groups 1, 2 and 4 Viva Style Paint on, 8% carbamide peroxide (CP) 1x20min, 2x20min and 2x5min; group 3 Colgate Simply White, 5.9% hydrogen peroxide (HP), 2x30min; group 5 Viva Style 10% CP 1x1h; group 6 Blend-a-med White Strips, 5.9% HP 2x30min; group 7 Odol-med3 Beauty-Kur, sodium chlorite 2x10min; group 8 control, running water 1x1h. Hardness was reassessed after the last bleaching treatment (m1) and after 6 weeks storage in artificial saliva (m2). Changes in microhardness were as follows (m0-m1): (1) -2.3 (+/-20.3); (2) -8.9 (+/-27.2); (3) 63.4 (+/-56.3); (4) 9.6 (+/-30.1); (5) 12.8 (+/-62.6); (6) 92.2 (+/-50.2); (7) 158.4 (+/-59.7); (8) 10.6 (+/-38.5). Statistical analysis showed that hardness values were significantly (p< or =0.0005; Wilcoxon test) reduced in groups 3, 6, and 7 (m1) and in group 7 (m2). Both type of bleaching agent and concentration have a significant influence on the microhardness of enamel. The most critical bleaching agent seems to be the one containing sodium chlorite in combination with citric acid.

  5. A method to objectively optimize coral bleaching prediction techniques

    Science.gov (United States)

    van Hooidonk, R. J.; Huber, M.

    2007-12-01

    Thermally induced coral bleaching is a global threat to coral reef health. Methodologies, e.g. the Degree Heating Week technique, have been developed to predict bleaching induced by thermal stress by utilizing remotely sensed sea surface temperature (SST) observations. These techniques can be used as a management tool for Marine Protected Areas (MPA). Predictions are valuable to decision makers and stakeholders on weekly to monthly time scales and can be employed to build public awareness and support for mitigation. The bleaching problem is only expected to worsen because global warming poses a major threat to coral reef health. Indeed, predictive bleaching methods combined with climate model output have been used to forecast the global demise of coral reef ecosystems within coming decades due to climate change. Accuracy of these predictive techniques has not been quantitatively characterized despite the critical role they play. Assessments have typically been limited, qualitative or anecdotal, or more frequently they are simply unpublished. Quantitative accuracy assessment, using well established methods and skill scores often used in meteorology and medical sciences, will enable objective optimization of existing predictive techniques. To accomplish this, we will use existing remotely sensed data sets of sea surface temperature (AVHRR and TMI), and predictive values from techniques such as the Degree Heating Week method. We will compare these predictive values with observations of coral reef health and calculate applicable skill scores (Peirce Skill Score, Hit Rate and False Alarm Rate). We will (a) quantitatively evaluate the accuracy of existing coral reef bleaching predictive methods against state-of- the-art reef health databases, and (b) present a technique that will objectively optimize the predictive method for any given location. We will illustrate this optimization technique for reefs located in Puerto Rico and the US Virgin Islands.

  6. Tropical cyclone cooling combats region-wide coral bleaching.

    Science.gov (United States)

    Carrigan, Adam D; Puotinen, Marji

    2014-05-01

    Coral bleaching has become more frequent and widespread as a result of rising sea surface temperature (SST). During a regional scale SST anomaly, reef exposure to thermal stress is patchy in part due to physical factors that reduce SST to provide thermal refuge. Tropical cyclones (TCs - hurricanes, typhoons) can induce temperature drops at spatial scales comparable to that of the SST anomaly itself. Such cyclone cooling can mitigate bleaching across broad areas when well-timed and appropriately located, yet the spatial and temporal prevalence of this phenomenon has not been quantified. Here, satellite SST and historical TC data are used to reconstruct cool wakes (n=46) across the Caribbean during two active TC seasons (2005 and 2010) where high thermal stress was widespread. Upon comparison of these datasets with thermal stress data from Coral Reef Watch and published accounts of bleaching, it is evident that TC cooling reduced thermal stress at a region-wide scale. The results show that during a mass bleaching event, TC cooling reduced thermal stress below critical levels to potentially mitigate bleaching at some reefs, and interrupted natural warming cycles to slow the build-up of thermal stress at others. Furthermore, reconstructed TC wave damage zones suggest that it was rare for more reef area to be damaged by waves than was cooled (only 12% of TCs). Extending the time series back to 1985 (n = 314), we estimate that for the recent period of enhanced TC activity (1995-2010), the annual probability that cooling and thermal stress co-occur is as high as 31% at some reefs. Quantifying such probabilities across the other tropical regions where both coral reefs and TCs exist is vital for improving our understanding of how reef exposure to rising SSTs may vary, and contributes to a basis for targeting reef conservation. © 2014 John Wiley & Sons Ltd.

  7. Roughness and microhardness of composites after different bleaching techniques.

    Science.gov (United States)

    Leal, Andreia; Paula, Anabela; Ramalho, Amílcar; Esteves, Miguel; Ferreira, Manuel Marques; Carrilho, Eunice

    2015-12-18

    The aim of this study was to evaluate the roughness and microhardness of SonicFill™ (Kerr), and compare it with Filtek™ Supreme XTE (3M ESPE) after 2 bleaching regimens. Sixty cylindrical specimens (10 × 2 mm) of each of the 2 composites were prepared and divided into 6 groups (n = 20): groups 1, 2: no treatment; groups 3, 4: 10% carbamide peroxide (CP); and groups 5, 6: 35% hydrogen peroxide (HP) plus LED. After treatments, specimens were thermocycled (500 cycles, 5 °C/55 °C, dwell time 30 minutes). A mechanical roughness tester was employed to measure the surface roughness parameters and the Vickers test to measure microhardness. One-way ANOVA, Tukey and Bonferroni methods with a significance level of 5% were used for the statistical analysis. For SonicFill™, there was no statistically significant difference in microhardness between the control group (no. 1) and the bleached groups (nos. 3, 5), but there was difference between CP and HP treatments; for Filtek™ Supreme XTE, there was no significant difference in microhardness among all groups. There was no significant difference in average roughness (Ra) and the root mean square of the roughness (Rq) among all groups. The mean roughness depth (Rz) parameter showed no statistically significant differences among all groups for SonicFill™, but in Filtek™ Supreme XTE, there was a significant increase between control and bleaching treatments; roughness skewness (Rsk) showed no statistically significant differences among all groups for SonicFill™ and Filtek™ Supreme XTE, except for nos. 2 and 4, where the Rsk increased with CP. The microhardness of Filtek™ Supreme XTE is less affected by bleaching than that of SonicFill™. Both bleaching treatments affect Rz in Filtek™ Supreme XTE in contrast to SonicFill™, but only the CP treatment affects the Rsk of Filtek™ Supreme XTE, with no significant effect of SonicFill™.

  8. Monomer release from nanofilled and microhybrid dental composites after bleaching.

    Directory of Open Access Journals (Sweden)

    Masumeh Hasani Tabatabaee

    2014-02-01

    Full Text Available The aim of this study was to assess the effect of bleaching on elution of monomers from nanofilled and microhybrid composites.80 samples (5mm diameter and 3mm thickness of each composite were prepared. After curing, half of them were randomly polished. Each group was divided into 8 subgroups and immersed in water or 10%, 20% and 30% H2O2 for 3 or 8 hours. Eluted Bis-GMA (Bis-phenol A Glycidyl Dimethacrylate, TEGDMA (Triethyleneglycol Dimethacrylate, UDMA (Urethane Dimethacrylate and BisEMA (Bis-phenol A ethoxylate Dimethacrylate were quantified by high performance liquid chromatography and the results were analyzed by univariate ANOVA and t-test (P<0.05.Bleach significantly increased the overall release of monomers (P<0.001; TEGDMA was released more than Bis-GMA (P<0.001. Supreme released more TEGDMA compared to Z250 (P<0.001. Bleaching increased the release of this monomer (P<0.001. Increasing both the concentration of H2O2, and the immersion time, increased the release of TEGDMA (P<0.001. Polishing had no effect on release of this monomer (P=0.952. Supreme released more Bis-GMA than Z250 (P=0.000. The more concentrated H2O2 caused more elution of Bis-GMA (P= 0.003; while the effect of immersion time was not significant (P=0.824. Polishing increased the release of Bis-GMA (P=0.001. Neither the type of composite nor Bleaching had any effect on release of UDMA (P=0.972 and (P=0.811 respectively. Immersion duration increased the release of UDMA (P=0.002, as well as polishing (P=0.024.Bleaching increased the release of monomers. Nanofilled composites released more monomer than the microfilled.

  9. Effect of bleaching agents on bonding to pulp chamber dentine.

    Science.gov (United States)

    Timpawat, S; Nipattamanon, C; Kijsamanmith, K; Messer, H H

    2005-04-01

    To determine the effect of intracoronal bleaching agents on adhesion of bonding agents to pulp chamber dentine. Forty extracted human maxillary anterior teeth were randomly divided into four groups of 10 teeth each. Bleaching agents were sealed in pulp chambers for 7 days, as in clinical use. Group 1 (control): distilled water, group 2: 35% hydrogen peroxide, group 3: sodium perborate mixed with water, and group 4: sodium perborate mixed with 35% hydrogen peroxide. Teeth were stored in saline at 37 degrees C for 7 days. After the bleaching agent was removed, teeth were leached in water for a further 7 days prior to bonding. The crown was cut vertically from mesial to distal and the labial pulp chamber dentine was prepared for bonding with Clearfil SE-Bond and filled with resin composite (Clearfil AP-X). The bonded specimens were kept moist at 37 degrees C for 24 h. Microtensile bond strengths were determined using a universal testing machine. Additional teeth were prepared using the same bleaching procedures to investigate the scanning electron microscopic appearance of the dentine surface. Mean values (+/-SD) of microtensile bond strength for the experimental groups were: group 1: 5.29 +/- 2.21 MPa, group 2: 5.99 +/- 1.51 MPa, group 3: 9.17 +/- 1.65 MPa and group 4: 3.99 +/- 1.31 MPa. Dentine treated with sodium perborate in water (group 3) had significantly higher mean bond strength when compared with the other three groups (P sodium perborate plus hydrogen peroxide (group 4). In terms of subsequent bond strength during restoration, sodium perborate mixed with distilled water appears to be the best intracoronal bleaching agent.

  10. Depletion Rate of Hydrogen Peroxide from Sodium Perborate Bleaching Agent.

    Science.gov (United States)

    Tran, Liliann; Orth, Rebecca; Parashos, Peter; Tao, Ying; Tee, Calvin W J; Thomas, Vineet Thenalil; Towers, Georgina; Truong, Diem Thuy; Vinen, Cynthia; Reynolds, Eric C

    2017-03-01

    Internal bleaching of discolored teeth uses sodium perborate reacting with water to form the active agent, hydrogen peroxide (H2O2). Sodium perborate is replaced at varying time intervals depending on clinician preference and until esthetically acceptable results are achieved, but this is done without scientific basis. This study measured the depletion rate of hydrogen peroxide from sodium perborate as a bleaching agent. Two sodium perborate bleaching products (Odontobleach [Australian Dental Manufacturing, Kenmore Hills, Queensland, Australia] and Endosure Perborate Micro [Dentalife, Ringwood, Victoria, Australia]) and distilled deionized water mixtures at ratios of 25 μg/mL, 50 μg/mL, and 100 μg/mL were placed into sealed microtubes and incubated at 37°C. H2O2 concentrations were measured at 23 time points over 4 weeks. Quantification of H2O2 concentrations was obtained using a ferrothiocyanate oxidation reduction reaction followed by spectrophotometry readings. The H2O2 concentration rapidly peaked within 27 hours and reached a plateau by about 3 days (75 hours). Low levels of H2O2 were evident beyond 3 days and for at least 28 days. No significant differences were found between the 2 sodium perborate products. There was also no significant difference in the depletion rate between the different ratios. Based on the chemistry of H2O2 depletion, the minimum replacement interval for the bleaching agent is 3 days. Frequent replacements of the perborate clinically may be unnecessary because of the continued presence of low H2O2 levels for at least 28 days. Although these data cannot be extrapolated to the clinical situation, they set a baseline for further studies to address the many clinical variables influencing internal bleaching. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  11. Bleaching of a discoloured non-vital tooth: use of a sodium perborate/water paste as the bleaching agent.

    Science.gov (United States)

    Macey-Dare, L V; Williams, B

    1997-03-01

    Bleaching materials containing hydrogen peroxide have been used successfully for the treatment of discoloured non-vital teeth; however, their use has occasionally been associated with external root resorption. Some evidence exists that sodium perborate mixed with water is as effective as sodium perborate mixed with hydrogen peroxide. A case is presented which supports this and a step-by-step technique is described.

  12. Five-year survival and causes of death in patients on home parenteral nutrition for severe chronic and benign intestinal failure

    DEFF Research Database (Denmark)

    Joly, Francisca; Baxter, Janet; Staun, Michael

    2018-01-01

    BACKGROUND & AIM: Home parenteral nutrition (HPN) is the primary treatment for chronic intestinal failure (IF). Intestinal transplantation (ITx) is indicated when there is an increased risk of death due to HPN complications or to the underlying disease. Age, pathophysiologic conditions and underl......BACKGROUND & AIM: Home parenteral nutrition (HPN) is the primary treatment for chronic intestinal failure (IF). Intestinal transplantation (ITx) is indicated when there is an increased risk of death due to HPN complications or to the underlying disease. Age, pathophysiologic conditions...... associated with survival and HPN dependency as well as causes of death in adult patients requiring HPN for chronic intestinal failure during the first 5 years of treatment with HPN. METHODS: A multicenter international (European and USA) questionnaire-based retrospective follow-up of a cohort of 472...

  13. Re-establishing esthetics of fluorosis-stained teeth using enamel microabrasion and dental bleaching techniques.

    Science.gov (United States)

    Pontes, Danielson Guedes; Correa, Ketlen Michele; Cohen-Carneiro, Flávia

    2012-01-01

    Dental fluorosis manifests itself as white stains on the enamel of teeth exposed to excessive doses of fluoride during their formation. Fluorosis usually occurs as a result of the ingestion of dentifrices, gels and fluoridated solutions. It may be diagnosed as mild, moderate or severe, and in some cases, it may cause the loss of the surface structure of dental enamel. The aim of this study was to report the clinical case of a female patient of 18 years with moderate fluorosis, whose smile was reestablished by the use of an enamel microabrasion technique, followed by in-office bleaching. A microabrasion technique with 6% hydrochloric acid associated with silica carbide showed to be a safe and efficient method for removing white fluorosis stains, while dental bleaching was useful for obtaining a uniform tooth shade. The association of these techniques presented excellent results and the patient was satisfied. Both techniques are painless, fast and easy to perform, in addition to preserving the dental structure. Treatment showed immediate and permanent results; this technique must be divulged among professionals and their patients.

  14. Response of coral assemblages to thermal stress: are bleaching intensity and spatial patterns consistent between events?

    Science.gov (United States)

    Penin, Lucie; Vidal-Dupiol, Jeremie; Adjeroud, Mehdi

    2013-06-01

    Mass bleaching events resulting in coral mortality are among the greatest threats to coral reefs, and are projected to increase in frequency and intensity with global warming. Achieving a better understanding of the consistency of the response of coral assemblages to thermal stress, both spatially and temporally, is essential to determine which reefs are more able to tolerate climate change. We compared variations in spatial and taxonomic patterns between two bleaching events at the scale of an island (Moorea Island, French Polynesia). Despite similar thermal stress and light conditions, bleaching intensity was significantly lower in 2007 (approximately 37 % of colonies showed signs of bleaching) than in 2002, when 55 % of the colonies bleached. Variations in the spatial patterns of bleaching intensity were consistent between the two events. Among nine sampling stations at three locations and three depths, the stations at which the bleaching response was lowest in 2002 were those that showed the lowest levels of bleaching in 2007. The taxonomic patterns of susceptibility to bleaching were also consistent between the two events. These findings have important implications for conservation because they indicate that corals are capable of acclimatization and/or adaptation and that, even at small spatial scales, some areas are consistently more susceptible to bleaching than others.

  15. Bacteria are not the primary cause of bleaching in the Mediterranean coral Oculina patagonica.

    Science.gov (United States)

    Ainsworth, T D; Fine, M; Roff, G; Hoegh-Guldberg, O

    2008-01-01

    Coral bleaching occurs when the endosymbiosis between corals and their symbionts disintegrates during stress. Mass coral bleaching events have increased over the past 20 years and are directly correlated with periods of warm sea temperatures. However, some hypotheses have suggested that reef-building corals bleach due to infection by bacterial pathogens. The 'Bacterial Bleaching' hypothesis is based on laboratory studies of the Mediterranean invading coral, Oculina patagonica, and has further generated conclusions such as the coral probiotic hypothesis and coral hologenome theory of evolution. We aimed to investigate the natural microbial ecology of O. patagonica during the annual bleaching using fluorescence in situ hybridization to map bacterial populations within the coral tissue layers, and found that the coral bleaches on the temperate rocky reefs of the Israeli coastline without the presence of Vibrio shiloi or bacterial penetration of its tissue layers. Bacterial communities were found associated with the endolithic layer of bleached coral regions, and a community dominance shift from an apparent cyanobacterial-dominated endolithic layer to an algal-dominated layer was found in bleached coral samples. While bacterial communities certainly play important roles in coral stasis and health, we suggest environmental stressors, such as those documented with reef-building corals, are the primary triggers leading to bleaching of O. patagonica and suggest that bacterial involvement in patterns of bleaching is that of opportunistic colonization.

  16. Differential Response of Coral Assemblages to Thermal Stress Underscores the Complexity in Predicting Bleaching Susceptibility.

    Science.gov (United States)

    Chou, Loke Ming; Toh, Tai Chong; Toh, Kok Ben; Ng, Chin Soon Lionel; Cabaitan, Patrick; Tun, Karenne; Goh, Eugene; Afiq-Rosli, Lutfi; Taira, Daisuke; Du, Rosa Celia Poquita; Loke, Hai Xin; Khalis, Aizat; Li, Jinghan; Song, Tiancheng

    2016-01-01

    Coral bleaching events have been predicted to occur more frequently in the coming decades with global warming. The susceptibility of corals to bleaching during thermal stress episodes is dependent on many factors and an understanding of these underlying drivers is crucial for conservation management. In 2013, a mild bleaching episode ensued in response to elevated sea temperature on the sediment-burdened reefs in Singapore. Surveys of seven sites highlighted variable bleaching susceptibility among coral genera-Pachyseris and Podabacia were the most impacted (31% of colonies of both genera bleached). The most susceptible genera such as Acropora and Pocillopora, which were expected to bleach, did not. Susceptibility varied between less than 6% and more than 11% of the corals bleached, at four and three sites respectively. Analysis of four of the most bleached genera revealed that a statistical model that included a combination of the factors (genus, colony size and site) provided a better explanation of the observed bleaching patterns than any single factor alone. This underscored the complexity in predicting the coral susceptibility to future thermal stress events and the importance of monitoring coral bleaching episodes to facilitate more effective management of coral reefs under climate change.

  17. Differential Response of Coral Assemblages to Thermal Stress Underscores the Complexity in Predicting Bleaching Susceptibility.

    Directory of Open Access Journals (Sweden)

    Loke Ming Chou

    Full Text Available Coral bleaching events have been predicted to occur more frequently in the coming decades with global warming. The susceptibility of corals to bleaching during thermal stress episodes is dependent on many factors and an understanding of these underlying drivers is crucial for conservation management. In 2013, a mild bleaching episode ensued in response to elevated sea temperature on the sediment-burdened reefs in Singapore. Surveys of seven sites highlighted variable bleaching susceptibility among coral genera-Pachyseris and Podabacia were the most impacted (31% of colonies of both genera bleached. The most susceptible genera such as Acropora and Pocillopora, which were expected to bleach, did not. Susceptibility varied between less than 6% and more than 11% of the corals bleached, at four and three sites respectively. Analysis of four of the most bleached genera revealed that a statistical model that included a combination of the factors (genus, colony size and site provided a better explanation of the observed bleaching patterns than any single factor alone. This underscored the complexity in predicting the coral susceptibility to future thermal stress events and the importance of monitoring coral bleaching episodes to facilitate more effective management of coral reefs under climate change.

  18. Susceptibility of central Red Sea corals during a major bleaching event

    KAUST Repository

    Furby, Kathryn A.

    2013-01-04

    A major coral bleaching event occurred in the central Red Sea near Thuwal, Saudi Arabia, in the summer of 2010, when the region experienced up to 10-11 degree heating weeks. We documented the susceptibility of various coral taxa to bleaching at eight reefs during the peak of this thermal stress. Oculinids and agaricids were most susceptible to bleaching, with up to 100 and 80 % of colonies of these families, respectively, bleaching at some reefs. In contrast, some families, such as mussids, pocilloporids, and pectinids showed low levels of bleaching (<20 % on average). We resurveyed the reefs 7 months later to estimate subsequent mortality. Mortality was highly variable among taxa, with some taxa showing evidence of full recovery and some (e. g., acroporids) apparently suffering nearly complete mortality. The unequal mortality among families resulted in significant change in community composition following the bleaching. Significant factors in the likelihood of coral bleaching during this event were depth of the reef and distance of the reef from shore. Shallow reefs and inshore reefs had a higher prevalence of bleaching. This bleaching event shows that Red Sea reefs are subject to the same increasing pressures that reefs face worldwide. This study provides a quantitative, genus-level assessment of the vulnerability of various coral groups from within the Red Sea to bleaching and estimates subsequent mortality. As such, it can provide valuable insights into the future for reef communities in the Red Sea. © 2013 Springer-Verlag Berlin Heidelberg.

  19. Effect of desensitizer application on shear bond strength of composite resin to bleached enamel

    Directory of Open Access Journals (Sweden)

    Maryam Khoroushi

    2013-01-01

    Full Text Available Objective: Tooth sensitivity is common after vital tooth bleaching. The aim of this study is to evaluate the effect of a desensitizing agent on shear bond strength of composite resin to bleached enamel; and determine whether a delay of one or two weeks in bonding procedure is sufficient subsequent to bleaching/desensitizer regimen. Materials and Methods: Buccal enamel surfaces of ninety-six human sound molars were prepared and divided into eight groups. The surfaces of specimens in Group 1 as negative control group were bonded by composite resin using the single bond adhesive. Specimens in Groups 2-4 were bleached with an at-home bleaching agent (Daywhite ACP. Relief ACP desensitizing gel alone was applied in Group 5. In Groups 6-8, specimens were bleached same as in Group 2 and relief ACP desensitizing gel was applied same as inGroup 5 subsequent to each bleaching session. Composite cylinders were bonded after 24 h, 7 days and 14 days in Groups 2-4, respectively, and also in Groups 6-8, respectively. The shear bond strengths of the cylinders were tested and data was analyzed using two-way ANOVA and Tukey test (α = 0.05. Results: The results showed that bleaching and bleaching/desensitizer regimens significantly reduced the bond strength of composite resin to enamel. However, desensitizer alone did not reduce bond strength. No statistically significant differences were found between bleaching and bleaching/desensitizer regarding bond strength. Conclusion: Bleaching or bleaching/desensitizer treatment significantly decreases bond strength of composite resin to enamel. In both regimens, adhesive bonding is recommended after two weeks.

  20. Does bleach processing increase the accuracy of sputum smear microscopy for diagnosing pulmonary tuberculosis?

    Science.gov (United States)

    Cattamanchi, A; Davis, J L; Pai, M; Huang, L; Hopewell, P C; Steingart, K R

    2010-07-01

    Bleach digestion of sputum prior to smear preparation has been reported to increase the yield of microscopy for diagnosing pulmonary tuberculosis, even in high-HIV-prevalence settings. To determine the diagnostic accuracy of bleach microscopy, we updated a systematic review published in 2006 and applied the Grading of Recommendations Assessment, Development, and Evaluation framework to rate the overall quality of the evidence. We searched multiple databases (as of January 2009) for primary studies in all languages comparing bleach and direct microscopy. We assessed study quality using a validated tool and heterogeneity by standard methods. We used hierarchical summary receiver operating characteristic (HSROC) analysis to calculate summary estimates of diagnostic accuracy and random-effects meta-analysis to pool sensitivity and specificity differences. Of 14 studies (11 papers) included, 9 evaluated bleach centrifugation and 5 evaluated bleach sedimentation. Overall, examination of bleach-processed versus direct smears led to small increases in sensitivity (for bleach centrifugation, 6% [95% confidence interval [CI] = 3 to 10%, P = 0.001]; for bleach sedimentation, 9% [95% CI = 4 to 14%, P = 0.001]) and small decreases in specificity (for bleach centrifugation, -3% [95% CI = -4% to -1%, P = 0.004]; for bleach sedimentation, -2% [95% CI = -5% to 0%, P = 0.05]). Similarly, analysis of HSROC curves suggested little or no improvement in diagnostic accuracy. The quality of evidence was rated very low for both bleach centrifugation and bleach sedimentation. This updated systematic review suggests that the benefits of bleach processing are less than those described previously. Further research should focus on alternative approaches to optimizing smear microscopy, such as light-emitting diode fluorescence microscopy and same-day sputum collection strategies.

  1. Influence of storage, heat treatment, and solids composition on the bleaching of whey with hydrogen peroxide.

    Science.gov (United States)

    Li, Xiaomeng E; Campbell, Rachel E; Fox, Aaron J; Gerard, Patrick D; Drake, MaryAnne

    2012-07-01

    The residual annatto colorant in liquid whey is bleached to provide a desired neutral color in dried whey ingredients. This study evaluated the influence of starter culture, whey solids and composition, and spray drying on bleaching efficacy. Cheddar cheese whey with annatto was manufactured with starter culture or by addition of lactic acid and rennet. Pasteurized fat-separated whey was ultrafiltered (retentate) and spray dried to 34% whey protein concentrate (WPC34). Aliquots were bleached at 60 °C for 1 h (hydrogen peroxide, 250 ppm), before pasteurization, after pasteurization, after storage at 3 °C and after freezing at -20 °C. Aliquots of retentate were bleached analogously immediately and after storage at 3 or -20 °C. Freshly spray dried WPC34 was rehydrated to 9% (w/w) solids and bleached. In a final experiment, pasteurized fat-separated whey was ultrafiltered and spray dried to WPC34 and WPC80. The WPC34 and WPC80 retentates were diluted to 7 or 9% solids (w/w) and bleached at 50 °C for 1 h. Freshly spray-dried WPC34 and WPC80 were rehydrated to 9 or 12% solids and bleached. Bleaching efficacy was measured by extraction and quantification of norbixin. Each experiment was replicated 3 times. Starter culture, fat separation, or pasteurization did not impact bleaching efficacy (P > 0.05) while cold or frozen storage decreased bleaching efficacy (P whey or 34% (w/w) protein liquid retentate (P whey. Optimization of whey bleaching conditions is important to reduce the negative effects of bleaching on the flavor of dried whey ingredients. This study established that liquid storage and whey composition are critical processing points that influence bleaching efficacy. © 2012 Institute of Food Technologists®

  2. An intact plastid genome is essential for the survival of colorless Euglena longa but not Euglena gracilis.

    Science.gov (United States)

    Hadariová, Lucia; Vesteg, Matej; Birčák, Erik; Schwartzbach, Steven D; Krajčovič, Juraj

    2017-05-01

    Euglena gracilis growth with antibacterial agents leads to bleaching, permanent plastid gene loss. Colorless Euglena (Astasia) longa resembles a bleached E. gracilis. To evaluate the role of bleaching in E. longa evolution, the effect of streptomycin, a plastid protein synthesis inhibitor, and ofloxacin, a plastid DNA gyrase inhibitor, on E. gracilis and E. longa growth and plastid DNA content were compared. E. gracilis growth was unaffected by streptomycin and ofloxacin. Quantitative PCR analyses revealed a time dependent loss of plastid genes in E. gracilis demonstrating that bleaching agents produce plastid gene deletions without affecting cell growth. Streptomycin and ofloxacin inhibited E. longa growth indicating that it requires plastid genes to survive. This suggests that evolutionary divergence of E. longa from E. gracilis was triggered by the loss of a cytoplasmic metabolic activity also occurring in the plastid. Plastid metabolism has become obligatory for E. longa cell growth. A process termed "intermittent bleaching", short term exposure to subsaturating concentrations of reversible bleaching agents followed by growth in the absence of a bleaching agent, is proposed as the molecular mechanism for E. longa plastid genome reduction. Various non-photosynthetic lineages could have independently arisen from their photosynthetic ancestors via a similar process.

  3. Heat-stress and light-stress induce different cellular pathologies in the symbiotic dinoflagellate during coral bleaching.

    Science.gov (United States)

    Downs, C A; McDougall, Kathleen E; Woodley, Cheryl M; Fauth, John E; Richmond, Robert H; Kushmaro, Ariel; Gibb, Stuart W; Loya, Yossi; Ostrander, Gary K; Kramarsky-Winter, Esti

    2013-01-01

    Coral bleaching is a significant contributor to the worldwide degradation of coral reefs and is indicative of the termination of symbiosis between the coral host and its symbiotic algae (dinoflagellate; Symbiodinium sp. complex), usually by expulsion or xenophagy (symbiophagy) of its dinoflagellates. Herein, we provide evidence that during the earliest stages of environmentally induced bleaching, heat stress and light stress generate distinctly different pathomorphological changes in the chloroplasts, while a combined heat- and light-stress exposure induces both pathomorphologies; suggesting that these stressors act on the dinoflagellate by different mechanisms. Within the first 48 hours of a heat stress (32°C) under low-light conditions, heat stress induced decomposition of thylakoid structures before observation of extensive oxidative damage; thus it is the disorganization of the thylakoids that creates the conditions allowing photo-oxidative-stress. Conversely, during the first 48 hours of a light stress (2007 µmoles m(-2) s(-1) PAR) at 25°C, condensation or fusion of multiple thylakoid lamellae occurred coincidently with levels of oxidative damage products, implying that photo-oxidative stress causes the structural membrane damage within the chloroplasts. Exposure to combined heat- and light-stresses induced both pathomorphologies, confirming that these stressors acted on the dinoflagellate via different mechanisms. Within 72 hours of exposure to heat and/or light stresses, homeostatic processes (e.g., heat-shock protein and anti-oxidant enzyme response) were evident in the remaining intact dinoflagellates, regardless of the initiating stressor. Understanding the sequence of events during bleaching when triggered by different environmental stressors is important for predicting both severity and consequences of coral bleaching.

  4. Temperature and Light Effects on Extracellular Superoxide Production by Algal and Bacterial Symbionts in Corals: Implications for Coral Bleaching

    Science.gov (United States)

    Brighi, C.; Diaz, J. M.; Apprill, A.; Hansel, C. M.

    2014-12-01

    Increased surface seawater temperature due to global warming is one of the main causes of coral bleaching, a phenomenon in which corals lose their photosynthetic algae. Light and temperature induced production of superoxide and other reactive oxygen species (ROS) by these symbiotic algae has been implicated in the breakdown of their symbiotic association with the coral host and subsequent coral bleaching. Nevertheless, a direct link between Symbiodinium ROS production and coral bleaching has not been demonstrated. In fact, given the abundance and diversity of microorganisms within the coral holobiont, the concentration and fluxes of ROS within corals may involve several microbial sources and sinks. Here, we explore the role of increased light and temperature on superoxide production by coral-derived cultures of Symbiodinium algae and Oceanospirillales bacteria of the genus Endozoicomonas, which are globally common and abundant associates of corals. Using a high sensitivity chemiluminescent technique, we find that heat stress (exposure to 34°C vs. 23°C for 2hr or 24hr) has no significant effect on extracellular superoxide production by Symbiodinium isolates within clades B and C, regardless of the level of light exposure. Exposure to high light, however, increased superoxide production by these organisms at both 34°C and 23°C. On the other hand, extracellular superoxide production by Endozoicomonas bacteria tested under the same conditions was stimulated by the combined effects of thermal and light stress. The results of this research suggest that the sources and physical triggers for biological superoxide production within corals are more complex than currently assumed. Thus, further investigations into the biological processes controlling ROS dynamics within corals are required to improve our understanding of the mechanisms underpinning coral bleaching and to aid in the development of mitigation strategies.

  5. Heat-stress and light-stress induce different cellular pathologies in the symbiotic dinoflagellate during coral bleaching.

    Directory of Open Access Journals (Sweden)

    C A Downs

    Full Text Available Coral bleaching is a significant contributor to the worldwide degradation of coral reefs and is indicative of the termination of symbiosis between the coral host and its symbiotic algae (dinoflagellate; Symbiodinium sp. complex, usually by expulsion or xenophagy (symbiophagy of its dinoflagellates. Herein, we provide evidence that during the earliest stages of environmentally induced bleaching, heat stress and light stress generate distinctly different pathomorphological changes in the chloroplasts, while a combined heat- and light-stress exposure induces both pathomorphologies; suggesting that these stressors act on the dinoflagellate by different mechanisms. Within the first 48 hours of a heat stress (32°C under low-light conditions, heat stress induced decomposition of thylakoid structures before observation of extensive oxidative damage; thus it is the disorganization of the thylakoids that creates the conditions allowing photo-oxidative-stress. Conversely, during the first 48 hours of a light stress (2007 µmoles m(-2 s(-1 PAR at 25°C, condensation or fusion of multiple thylakoid lamellae occurred coincidently with levels of oxidative damage products, implying that photo-oxidative stress causes the structural membrane damage within the chloroplasts. Exposure to combined heat- and light-stresses induced both pathomorphologies, confirming that these stressors acted on the dinoflagellate via different mechanisms. Within 72 hours of exposure to heat and/or light stresses, homeostatic processes (e.g., heat-shock protein and anti-oxidant enzyme response were evident in the remaining intact dinoflagellates, regardless of the initiating stressor. Understanding the sequence of events during bleaching when triggered by different environmental stressors is important for predicting both severity and consequences of coral bleaching.

  6. Influence of the bleaching interval on the luminosity of long-term discolored enamel-dentin discs.

    Science.gov (United States)

    Zaugg, Lucia K; Lenherr, Patrik; Zaugg, Judith B; Weiger, Roland; Krastl, Gabriel

    2016-04-01

    The aim of this study is to investigate the influence of changing the sodium perborate-tetrahydrate (PBS-4) at a 4-day interval versus no change after 16 days of internal bleaching. Two hundred and ten bovine enamel-dentin discs were discolored for 3.5 years with 14 different endodontic materials. All groups with a discoloring index of ∆E (mean) ≥ 5.5 were included in the present investigation: ApexCal (APCA), MTA white + blood (WMTA+BL), Portland cement + blood (PC+BL), blood (BL), MTA gray (GMTA), MTA gray + blood (GMTA+BL), Ledermix (LED), and triple antibiotic paste containing minocycline (3Mix). Fourteen specimens of each group were randomly assigned into two treatment groups: (1) no change of the PBS-4 (n = 7); (2) change of the PBS-4 every 4 days (n = 7). Color measurements were taken at 10 different time intervals and the L*a*b* values were recorded with a spectrophotometer (VITA Easyshade® compact). In the group 3Mix, significantly better results were achieved by changing the bleaching agent every 4 days (P = 0.0049; q = 0.04), while the group WMTA+BL indicated better results by no change of the bleaching agent (P = 0.0222, q = 0.09). All remaining groups showed no statistical difference between the two treatment procedures. Moderate discolorations can be successfully treated without changing the bleaching agent over a period of 16 days. Changing the sodium perborate-tetrahydrate every 4 days is preferred in case of severe discolored enamel-dentin discs only. This approach may offer a reduced number of clinical appointments and a secondary cost reduction to the patient.

  7. Heat-Stress and Light-Stress Induce Different Cellular Pathologies in the Symbiotic Dinoflagellate during Coral Bleaching

    Science.gov (United States)

    Downs, C. A.; McDougall, Kathleen E.; Woodley, Cheryl M.; Fauth, John E.; Richmond, Robert H.; Kushmaro, Ariel; Gibb, Stuart W.; Loya, Yossi; Ostrander, Gary K.; Kramarsky-Winter, Esti

    2013-01-01

    Coral bleaching is a significant contributor to the worldwide degradation of coral reefs and is indicative of the termination of symbiosis between the coral host and its symbiotic algae (dinoflagellate; Symbiodinium sp. complex), usually by expulsion or xenophagy (symbiophagy) of its dinoflagellates. Herein, we provide evidence that during the earliest stages of environmentally induced bleaching, heat stress and light stress generate distinctly different pathomorphological changes in the chloroplasts, while a combined heat- and light-stress exposure induces both pathomorphologies; suggesting that these stressors act on the dinoflagellate by different mechanisms. Within the first 48 hours of a heat stress (32°C) under low-light conditions, heat stress induced decomposition of thylakoid structures before observation of extensive oxidative damage; thus it is the disorganization of the thylakoids that creates the conditions allowing photo-oxidative-stress. Conversely, during the first 48 hours of a light stress (2007 µmoles m−2 s−1 PAR) at 25°C, condensation or fusion of multiple thylakoid lamellae occurred coincidently with levels of oxidative damage products, implying that photo-oxidative stress causes the structural membrane damage within the chloroplasts. Exposure to combined heat- and light-stresses induced both pathomorphologies, confirming that these stressors acted on the dinoflagellate via different mechanisms. Within 72 hours of exposure to heat and/or light stresses, homeostatic processes (e.g., heat-shock protein and anti-oxidant enzyme response) were evident in the remaining intact dinoflagellates, regardless of the initiating stressor. Understanding the sequence of events during bleaching when triggered by different environmental stressors is important for predicting both severity and consequences of coral bleaching. PMID:24324575

  8. In-Vitro Comparative Study of In-office and Home Bleaching Agents on Surface Micro-morphology of Enamel.

    Science.gov (United States)

    Fatima, Nazish

    2016-01-01

    To evaluate the effect of home-use bleaching agent containing 16% Carbamide Peroxide (CP) and in-office bleaching agent with 38% Hydrogen Peroxide (HP) on surface micro-morphology of enamel. An experimental study. The discs were prepared at Material Engineering Department of NED University of Engineering and Technology, Karachi, and surface morphology was analyzed at Centralized Science Laboratory of Karachi University, Pakistan. Duration of study was one year from January to December 2012. Forty five sound human third molar crowns, extracted for periodontal reason, were included in the study. Longitudinal sections were made using diamond disks (0.2 mm) under water lubrication to obtain enamel slabs measuring (3 mm x 3 mm). The slabs were embedded in polystyrene resin by using 2.0 cm diameter PVC molds, leaving the outer enamel surface uncovered by the resin. Ninety dental enamel slabs were prepared. The slabs were then randomly divided into 3 groups. Each group contained thirty specimens (n=30). Group 1 was kept in artificial saliva at 37°C in incubator (Memart, Germany) during whole experiment. Group 2 was treated with power whitening gel (White Smile 2011, Germany). Group 3 was treated with tooth whitening pen (White Smile 2011, Germany). The most central region or the region that was most representative of the entire surface area was used. The SEM (Jeol-Japan-JSM6380A, JAPAN) micrographs were examined to determine the type of surface presented. The enamel changes were classified as no or mild alteration, moderate alteration and severe altered surface. Regarding micro-morphology, the enamel surface of control groups showed smooth surface in general with some scattered clear scratches due to the polishing procedure. The specimens bleached in group 2 and group 3, represented areas of mild erosion. Bleaching with 38% Hydrogen Peroxide (HP) and 16% Carbamide Peroxide (CP) resulted in mild changes in surface micro-morphology of enamel.

  9. Effect of bleaching permeate from microfiltered skim milk on 80% serum protein concentrate.

    Science.gov (United States)

    Campbell, Rachel E; Adams, Michael C; Drake, Maryanne; Barbano, David M

    2013-03-01

    Whey proteins that have been removed before the cheese-making process are referred to as "native" whey proteins or milk serum proteins. Because serum proteins isolated directly from milk are not exposed to the cheese-making process, they are free from functional or sensory effects arising from this process. Whey proteins used in food and beverage applications are largely derived from annatto-colored Cheddar cheese. Some of the annatto is left in the whey and this color is converted to a colorless compound by bleaching. The effect of bleaching serum proteins on flavor and functionality of spray-dried protein provides a platform to investigate the effect of bleaching free from the confounding effects of cheese manufacture. The objective of this study was to characterize and compare the sensory and functional properties of 80% milk serum protein concentrate (SPC80) produced from bleached and unbleached microfiltration (MF) permeate made from skim milk with and without added annatto color. Colored and uncolored MF permeates were bleached with benzoyl peroxide (BP) or hydrogen peroxide (HP), ultrafiltered, diafiltered, and spray-dried. The SPC80 from unbleached colored and uncolored MF permeates were manufactured as controls. All treatments were manufactured in triplicate. All SPC80 were evaluated by sensory testing, instrumental analyses, functionality, color, and proximate analysis. The HP-bleached SPC80 was higher in lipid oxidation compounds than BP-bleached or unbleached SPC80, specifically hexanal, heptanal, nonanal, decanal, and 2,3-octadienone. The HP treatments were higher in aroma intensity and cardboard and fatty flavors compared with the unbleached and BP-bleached SPC80. The SPC80 bleached with BP had lower concentrations of norbixin compared with SPC80 bleached with HP. Functionality testing demonstrated that HP treatments had more soluble protein after 10min of heating at 90°C and pH 4.6 and pH 7 compared with the no bleach and BP treatments, regardless

  10. A Preliminary Assessment of Coral Bleaching in Mozambique

    OpenAIRE

    SCHLEYER, M.; OBURA D.; Rodrigues, M.J.

    1999-01-01

    The 1997-1998 El Nino southern oscillation (ENSO) caused elevated sea temperatures that resulted in global coral bleaching. Coral reefs constitute an important biological resource in terms of their complex biodiversity and are the basis for tropical reef fisheries and marine ecotourism. They represent one of Mozambique's main coastal assets and its coastal communities and growing tourism industry rely mainly on reef-based resources. Mozambican artisanal fisheries are largely centred on reefs ...

  11. A preliminary assessment of coral bleaching in Mozambique

    OpenAIRE

    SCHLEYER, M.; OBURA D.; Motta, H.; Rodrigues, M.J.

    1999-01-01

    The 1997-1998 El Niño southern oscillation caused elevated sea temperatures that resulted in global coral bleaching. Coral reefs constitute an important biological resource in terms of their complex biodiversity and are the basis for tropical fisheries and marine ecotourism. They represent one of Mozambique’s main coastal assets, and coastal communities and the growing tourism industry rely mainly on reef-based resources. Today, about 6.6 million people live within Mozambique’s 48 coastal ...

  12. Is climate change triggering coral bleaching in tropical reef?

    Digital Repository Service at National Institute of Oceanography (India)

    Kalyan, De; Sautya, S.; Mote, S.; Tsering, L.; Patil, V.; Nagesh, R.; Ingole, B.S.

    & Marine Chemicals Research Institute, Mandpam Camp 623 519, India e-mail: vaibhav@csmcri.org Is climate change triggering coral bleaching in tropical reef? Elevated sea-surface temperatures (SST) caused by global warming is having seri- ous... in Index Herbariorum7. This is the only herbarium housing exclusively marine algal collections. Besides having a role in authentication and reference for describing new species, herbaria play a critical role in studies pertaining to cli- mate change...

  13. Sunscreens Cause Coral Bleaching by Promoting Viral Infections

    OpenAIRE

    Danovaro, Roberto; Bongiorni, Lucia; Corinaldesi, Cinzia; Giovannelli, Donato; Damiani, Elisabetta; Astolfi, Paola; Greci, Lucedio; Pusceddu, Antonio

    2008-01-01

    Background Coral bleaching (i.e., the release of coral symbiotic zooxanthellae) has negative impacts on biodiversity and functioning of reef ecosystems and their production of goods and services. This increasing world-wide phenomenon is associated with temperature anomalies, high irradiance, pollution, and bacterial diseases. Recently, it has been demonstrated that personal care products, including sunscreens, have an impact on aquatic organisms similar to that of other contaminants. Objectiv...

  14. Spin sensitive bleaching and monopolar spin orientation in quantum wells

    OpenAIRE

    Ganichev, Sergey; Danilov, Sergey; Belkov, Vassilij; Ivchenko, Eougenious; Bichler, Max; Wegscheider, Werner; Weiss, Dieter; Prettl, Wilhelm

    2001-01-01

    Spin sensitive bleaching of the absorption of far-infrared radiation has been observed in $p$-type GaAs/AlGaAs quantum well structures. The absorption of circularly polarized radiation saturates at lower intensities than that of linearly polarized light due to monopolar spin orientation in the first heavy hole subband. Spin relaxation times of holes in $p$-type material in the range of tens of ps were derived from the intensity dependence of the absorption.

  15. Production, bleaching and characterization of pulp from Stipa tenacissima

    OpenAIRE

    Ammar, Houcine; Abdelkafi, Fatma; Abid, Souhir; Benjelloum-Mlayah, Bouchra; El Gharbi, Rachid; Delmas, Michel

    2012-01-01

    International audience; Alfa grass pulping was successfully performed in hydro-organic acid medium under mild conditions (107°C, atmospheric pressure, cooking time: 3 h). Use of an acetic acid/formic acid/water mixture as pulping liquor was perfectly suitable for selective isolation of pulp, lignin, and hemicelluloses. The unbleached pulp obtained in good yield was first delignified by peroxyacids in organic acid medium and then bleached with hydrogen peroxide in a basic medium to give pulp o...

  16. Association of enamel microabrasion and bleaching: a case report.

    Science.gov (United States)

    Higashi, Cristian; Dall'Agnol, Ariane Lima; Hirata, Ronaldo; Loguercio, Alessandro Dourado; Reis, Alessandra

    2008-05-01

    Enamel microabrasion may be indicated for certain clinical situations, since it is a proven method for removing superficial intrinsic enamel discoloration defects such as fluorosis-like stains; in addition, it is safe, conservative, and easy to perform. However, this method removes enamel structure, causing teeth to become yellowish. This yellowing can be treated with enamel microabrasion and bleaching. This article describes and documents how these two methods were utilized to correct tooth color for a young patient.

  17. Association between severe treatment-related lymphopenia and progression-free survival in patients with newly diagnosed squamous cell head and neck cancer.

    Science.gov (United States)

    Campian, Jian L; Sarai, Guneet; Ye, Xiaobu; Marur, Shanthi; Grossman, Stuart A

    2014-12-01

    Severe treatment-related lymphopenia occurs commonly in many cancers and is associated with early tumor progression. Data are lacking as to whether this occurs in squamous cell head and neck cancer. Serial total lymphocyte counts were retrospectively reviewed in patients with newly diagnosed squamous head and neck cancer undergoing chemoradiation and associated with treatment outcomes. The median baseline total lymphocyte count in 56 patients was 1660 cells/mm(3) , which fell by 73% to 445 cells/mm(3) 2 months after initiating chemoradiation (p < .0001). Human papillomavirus negative (HPV-) patients with a total lymphocyte count <500 cells/mm(3) at 2 months had significantly earlier disease progression than those with higher total lymphocyte counts (hazard ratio [HR], 5.75; p = .045). Baseline total lymphocyte counts were normal, but at 2 months approximately 60% of patients had severe treatment-related lymphopenia regardless of HPV status. Severe treatment-related lymphopenia in HPV- patients is independently associated with earlier disease progression. Prospective studies are needed to confirm these findings, which suggest that immune preservation is important in this cancer. © 2014 Wiley Periodicals, Inc.

  18. The recovery of oil from spent bleaching earth

    Energy Technology Data Exchange (ETDEWEB)

    El-Bassuoni, A.A.; Sherief, H.M.; Tayeb, A.M.; Ahmed, K.K. [Minia Univ., Minia (Egypt). Dept. of Chemical Engineering

    2000-07-01

    Four solvent based extraction methods to recover oil from spent bleached earth were presented. Spent bleaching earth is a solid waste that is generated during the processing of vegetable oils. It is removed from the oil with filters and contains approximately 25-29 per cent oil by weight. At the onset of the study, the oil entrained with the spent bleaching earth filtration was determined to be 25 per cent. Four solvents, N-hexane, carbon tetra chloride, benzene and 1,2 dichloroethane were used in this study. The per cent recovery of oil was calculated by measuring the concentration of oil by spectrophotometer. The effect of temperature on the recovery of oil and different solid:liquid ratios was also studied for the four solvents. The following four methods were used for the recovery of oil were solvent extraction, extraction with 1 per cent sodium carbonate solution, extraction with 4.5 per cent sodium dodecyl sulphite solution and boiling with 12 per cent sodium hydroxide solution. All methods gave satisfactory results indicating that the earth could be reused. 12 refs., 3 tabs.

  19. Fracture resistance of bleached teeth restored with different procedures

    Directory of Open Access Journals (Sweden)

    Matheus Coelho Bandéca

    2012-08-01

    Full Text Available This study evaluated the fracture resistance of teeth submitted to internal bleaching and restored with different non-metallic post. Eighty mandibular incisors were endodontically treated and randomly divided in 10 groups (n = 8: G1- restored with composite resin (CR, G2- CR + fiber-reinforced composite post (FRC, Everstick post, Sticktech cemented with resin cement self-etch adhesive (RCS, Panavia F 2.0, Kuraray, G3- CR + FRC + self-adhesive resin cement (SRC, Breeze, Pentral Clinical, G4- CR+ glass fiber post (GF, Exacto Post, Angelus + RCS, G5- CR + GF + SRC. The G6 to G10 were bleached with hydrogen peroxide (HP and restored with the same restorative procedures used for G1 to G5, respectively. After 7 days storage in artificial saliva, the specimens were submitted to the compressive strength test (N at 0.5 mm/min cross-head speed and the failure pattern was identified as either reparable (failure showed until 2 mm below the cement-enamel junction or irreparable (the failure showed <2 mm or more below the cement-enamel. Data were analyzed by ANOVA and Tukey test (α = 0.05. No significant difference (p < 0.05 was found among G1 to G10. The results suggest that intracoronal bleaching did not significantly weaken the teeth and the failure patterns were predominately reparable for all groups. The non-metallic posts in these teeth did not improve fracture resistance.

  20. Comparative study of the effects of two bleaching agents on oral microbiota.

    Science.gov (United States)

    Alkmin, Yara Tardelli; Sartorelli, Renata; Flório, Flávia Martão; Basting, Roberta Tarkany

    2005-01-01

    This study evaluated the in vivo effects of bleaching agents containing 10% carbamide peroxide (Platinum/Colgate) or 7.5% hydrogen peroxide (Day White 2Z/Discus Dental) on mutans Streptococcus during dental bleaching. The products were applied on 30 volunteers who needed dental bleaching. In each volunteer, one of the two bleaching agents was used on both dental arches one hour a day for three weeks. Analysis of the bacterial counts was made by collecting saliva before (baseline values), during (7 and 21 days) bleaching treatments and 14 days posttreatment. The Friedman non-parametric analysis (alpha=0.05) found no differences in microorganism counts at different times for each group for both agents (p>0.05). The Mann Whitney nonparametric test (alpha=0.05) showed no differences in micro-organism counts for both agents (p>0.05). Different bleaching agents did not change the oral cavity mutans Streptococcus counts.

  1. Trace elementary concentration in enamel after dental bleaching using HI-ERDA

    Energy Technology Data Exchange (ETDEWEB)

    Added, N. [GFAA, Depto de Fisica Nuclear, IFUSP, University of Sao Paulo, Travessa R da rua do Matao 187, Cidade Universitaria, Caixa Postal 66318, CEP 05508-970 Sao Paulo, SP (Brazil)]. E-mail: nemitala@dfn.if.usp.br; Rizzutto, M.A. [GFAA, Depto de Fisica Nuclear, IFUSP, University of Sao Paulo, Travessa R da rua do Matao 187, Cidade Universitaria, Caixa Postal 66318, CEP 05508-970 Sao Paulo, SP (Brazil); Curado, J.F. [GFAA, Depto de Fisica Nuclear, IFUSP, University of Sao Paulo, Travessa R da rua do Matao 187, Cidade Universitaria, Caixa Postal 66318, CEP 05508-970 Sao Paulo, SP (Brazil); Francci, C. [School of Dentistry, University of Sao Paulo (Brazil); Markarian, R. [School of Dentistry, University of Sao Paulo (Brazil); Mori, M. [School of Dentistry, University of Sao Paulo (Brazil)

    2006-08-15

    Changes of elementary concentrations in dental enamel after a bleaching treatment with different products, is presented, with special focus on the oxygen contribution. Concentrations for Ca, P, O and C and some other trace elements were obtained for enamel of bovine incisor teeth by HI-ERDA measurements using a {sup 35}Cl incident beam and an ionization chamber. Five groups of teeth with five samples each were treated with a different bleaching agents. Each tooth had its crown sectioned in two halves, one for bleaching test and one the other used as a control. Average values of C/Ca, O/Ca, F/Ca enrichment factors were found. The comparison between bleached and non-bleached halves indicates that bleaching treatment did not affect the mineral structure when low-concentration whitening systems were used. The almost constant oxygen concentration in enamel, suggests little changes due to whitening therapy.

  2. Efficacy of whitening oral rinses and dentifrices on color stability of bleached teeth

    OpenAIRE

    Muhammet Karadas

    2015-01-01

    Abstract Objective: This study aimed to evaluate the effect of whitening toothpastes and mouthrinses on the color stability of teeth bleached with 16% carbamide peroxide (CP) after immersion in coffee solution. Materials and methods: Specimens obtained from bovine incisors were bleached with 16% CP for 14 days. After bleaching, the specimens were stained in coffee solution for 24 h and randomly divided into eight groups according to the following products (n = 10): distilled water (control gr...

  3. Natural Zeolite Sample and Investigation Its Use in Oil Bleaching Sector

    Science.gov (United States)

    Bilgin, Oyku

    2017-12-01

    In the sector of oil bleaching, the stored raw oil is subjected to physical and chemical methods such as degumming, neutralization, bleaching, deodorization and winterization. In the process of oil bleaching, the selection of correct bleaching earth in accordance with oil characteristics matters so much. Bleaching earth is an inorganic product used in removing impurities being available within the structures of vegetable, animal oil (sunflower, soya, corn, palm, tallow, rapeseed, fish oils…etc.) and fatty acids, mineral oils (glycerine, paraffin, mineral motor oils. etc.) with the adsorption process. The factors such as low cost of oil bleaching earth, low ratio of oil retaining, high bleaching capacity in spite of using them in small amounts, filter’s delayed blocking by the earth and non-increase of the free acidity of the oil should be taken into consideration. Bleaching earths are processed with some acids in order to widen their surface areas. During this process, a certain amount of acid is left within oil bleaching earths even if it is very little. These acids also increase oil’s acidity by oxidizing oil in the course of bleaching process. In this study, zeolite sample taken from Manisa -Demirci region was used. Following the processes of crushing and sieving, zeolite sample was subjected to chemical analyses according to their grain thickness, microscopic examination, the analyses of XRD and cation exchange capacity and their ore characteristics were determined. Afterwards, it was searched whether zeolite sample has oil bleaching ability or not or whether it can be used as oil bleaching earth or not.

  4. Seasonal Mesophotic Coral Bleaching of Stylophora pistillata in the Northern Red Sea

    OpenAIRE

    Orit Nir; Gruber, David F; Eli Shemesh; Eliezra Glasser; Dan Tchernov

    2014-01-01

    Coral bleaching occurs when environmental stress induces breakdown of the coral-algae symbiosis and the host initiates algae expulsion. Two types of coral bleaching had been thoroughly discussed in the scientific literature; the first is primarily associated with mass coral bleaching events; the second is a seasonal loss of algae and/or pigments. Here, we describe a phenomenon that has been witnessed for repeated summers in the mesophotic zone (40-63 m) in the northern Red Sea: seasonal bleac...

  5. Optimization of ECF bleaching of kraft pulp. Part 1, Optimal bleaching of hardwood pulps made with different alkali charges

    Science.gov (United States)

    Thomas J. McDonough; Shunichiro Uno; Alan W. Rudie; Charles E. Courchene

    2008-01-01

    In an earlier modeling study, we showed that when a hardwood kraft pulp is bleached in the D0(EO)D1ED2 sequence with a D0 stage kappa factor of 0.20, the brightness of the pulp emerging from the D2 stage can be accurately predicted from the brightness of the pulp entering that stage. The entering brightness, in turn is a well-defined function of the ratio of the D1...

  6. Influence of chemical or physical catalysts on high concentration bleaching agents.

    Science.gov (United States)

    Lima, Débora Alves Nunes Leite; Aguiar, Flávio Henrique Baggio; Liporoni, Priscila C Suzy; Munin, Egberto; Ambrosano, Gláucia Maria Bovi; Lovadino, José Roberto

    2011-01-01

    The aim of this in vitro study was to evaluate the bleaching efficacy of high concentration bleaching agents activated by chemical or physical catalysts. This study was divided into two parts. Part 1 evaluated the efficacy of tooth whitening after treatment with 35% hydrogen peroxide (Whiteness HP Maxx) that was activated by different light-curing units: halogen lamp (conventional and bleach mode) (Optilux 501C, Demetron/Kerr), LED first generation (Ultrablue IV, DMC), LED/diode laser (Ultrablue IV, DMC), LED second generation (Bluephase 16i, Ivoclar Vivadent), and no light source (control group). Part 2 provided an analysis of the effect of chemical and physical catalysts on high concentration bleaching agents: 35% hydrogen peroxide (Whiteness HP Maxx) + 20% sodium hydroxide; 35% hydrogen peroxide + 7% sodium bicarbonate; 38% hydrogen peroxide (Opalescence Xtra Boost); 35% hydrogen peroxide + halogen lamp; 35% hydrogen peroxide + 20% sodium hydroxide + halogen lamp; 35% hydrogen peroxide + 7% sodium bicarbonate + halogen lamp; 38% hydrogen peroxide + halogen lamp; and 35% hydrogen peroxide. Blocks obtained from human molars were randomly divided into groups (n = 5) in accordance with bleaching treatments. The efficacy of bleaching was measured using a spectrophotometer. Three bleaching sessions were performed. The results were submitted to ANOVA followed by the Tukey test (5%). For both parts of the study, activated vs. non-activated bleaching did not differ significantly for all sessions tested. Activating systems did not improve the whitening effectiveness of high concentration bleaching agents.

  7. Changes in Caribbean coral disease prevalence after the 2005 bleaching event.

    Science.gov (United States)

    Cróquer, Aldo; Weil, Ernesto

    2009-11-16

    Bleaching events and disease epizootics have increased during the past decades, suggesting a positive link between these 2 causes in producing coral mortality. However, studies to test this hypothesis, integrating a broad range of hierarchical spatial scales from habitats to distant localities, have not been conducted in the Caribbean. In this study, we examined links between bleaching intensity and disease prevalence collected from 6 countries, 2 reef sites for each country, and 3 habitats within each reef site (N = 6 x 2 x 3 = 36 site-habitat combinations) during the peak of bleaching in 2005 and a year after, in 2006. Patterns of disease prevalence and bleaching were significantly correlated (Rho = 0.58, p = 0.04). Higher variability in disease prevalence after bleaching occurred among habitats at each particular reef site, with a significant increase in prevalence recorded in 4 of the 10 site-habitats where bleaching was intense and a non-significant increase in disease prevalence in 18 out of the 26 site-habitats where bleaching was low to moderate. A significant linear correlation was found (r = 0.89, p = 0.008) between bleaching and the prevalence of 2 virulent diseases (yellow band disease and white plague) affecting the Montastraea species complex. Results of this study suggest that if bleaching events become more intense and frequent, disease-related mortality of Caribbean coral reef builders could increase, with uncertain effects on coral reef resilience.

  8. Annual coral bleaching and the long-term recovery capacity of coral.

    Science.gov (United States)

    Schoepf, Verena; Grottoli, Andréa G; Levas, Stephen J; Aschaffenburg, Matthew D; Baumann, Justin H; Matsui, Yohei; Warner, Mark E

    2015-11-22

    Mass bleaching events are predicted to occur annually later this century. Nevertheless, it remains unknown whether corals will be able to recover between annual bleaching events. Using a combined tank and field experiment, we simulated annual bleaching by exposing three Caribbean coral species (Porites divaricata, Porites astreoides and Orbicella faveolata) to elevated temperatures for 2.5 weeks in 2 consecutive years. The impact of annual bleaching stress on chlorophyll a, energy reserves, calcification, and tissue C and N isotopes was assessed immediately after the second bleaching and after both short- and long-term recovery on the reef (1.5 and 11 months, respectively). While P. divaricata and O. faveolata were able to recover from repeat bleaching within 1 year, P. astreoides experienced cumulative damage that prevented full recovery within this time frame, suggesting that repeat bleaching had diminished its recovery capacity. Specifically, P. astreoides was not able to recover protein and carbohydrate concentrations. As energy reserves promote bleaching resistance, failure to recover from annual bleaching within 1 year will likely result in the future demise of heat-sensitive coral species. © 2015 The Author(s).

  9. OSL response bleaching of BeO samples, using fluorescent light and blue LEDs

    Energy Technology Data Exchange (ETDEWEB)

    Groppo, Daniela Piai; Caldas, Linda V.E., E-mail: dpgroppo@usp.br [Instituto de Pesquisas Energeticas e Nucleres (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    The optically stimulated luminescence (OSL) is widely used as a dosimetric technique for many applications. In this work, the OSL response bleaching of BeO samples was studied. The samples were irradiated using a beta radiation source ({sup 90}Sr+{sup 90}Y); the bleaching treatments (fluorescent light and blue LEDs) were performed, and the results were compared. Various optical treatment time intervals were tested until reaching the complete bleaching of the OSL response. The best combination of the time interval and bleaching type was analyzed. (author)

  10. Effects of bleaching agents and Tooth Mousse(™) on human enamel hardness.

    Science.gov (United States)

    Alkhtib, Asmaa; Manton, David J; Burrow, Michael F; Saber-Samandari, Saeed; Palamara, Joseph E A; Gross, Kārlis A; Reynolds, Eric C

    2013-05-01

    The aim of this laboratory study was to investigate the effect of three commercial bleaching agents and Tooth Mousse(™) containing 10% w/w casein phosphopeptide-amorphous calcium phosphate on the hardness of tooth enamel. Sixteen human enamel specimens were exposed to one of three commercial bleaching agents with or without subsequent exposure to Tooth Mousse(™) . Nanoindentation was used to measure the hardness and reduced modulus before and after treatments. When bleaching materials were applied for a short period of time following the manufacturers' instructions, there was an increase in enamel hardness and reduced modulus for some bleaching groups, with no statistically significant difference from the baseline values. After extended bleaching periods a statistically significant decrease in enamel hardness and reduced modulus was found and after applying Tooth Mousse(™) post-bleaching, the hardness and reduced modulus returned to close to baseline values. The application of bleaching agents for an extended period of time significantly decreases enamel hardness and the reduced modulus. The application of Tooth Mousse(™) after bleaching was able to reestablish the baseline enamel hardness and reduced modulus, decreasing the adverse effects of bleaching enamel. © 2012 Wiley Publishing Asia Pty Ltd.

  11. Evaluation of bleach-sedimentation for sterilising and concentrating Mycobacterium tuberculosis in sputum specimens.

    Science.gov (United States)

    Chew, Rusheng; Calderón, Carmen; Schumacher, Samuel G; Sherman, Jonathan M; Caviedes, Luz; Fuentes, Patricia; Coronel, Jorge; Valencia, Teresa; Hererra, Beatriz; Zimic, Mirko; Huaroto, Lucy; Sabogal, Ivan; Escombe, A Rod; Gilman, Robert H; Evans, Carlton A

    2011-10-11

    Bleach-sedimentation may improve microscopy for diagnosing tuberculosis by sterilising sputum and concentrating Mycobacterium tuberculosis. We studied gravity bleach-sedimentation effects on safety, sensitivity, speed and reliability of smear-microscopy. This blinded, controlled study used sputum specimens (n = 72) from tuberculosis patients. Bleach concentrations and exposure times required to sterilise sputum (n = 31) were determined. In the light of these results, the performance of 5 gravity bleach-sedimentation techniques that sterilise sputum specimens (n = 16) were compared. The best-performing of these bleach-sedimentation techniques involved adding 1 volume of 5% bleach to 1 volume of sputum, shaking for 10-minutes, diluting in 8 volumes distilled water and sedimenting overnight before microscopy. This technique was further evaluated by comparing numbers of visible acid-fast bacilli, slide-reading speed and reliability for triplicate smears before versus after bleach-sedimentation of sputum specimens (n = 25). Triplicate smears were made to increase precision and were stained using the Ziehl-Neelsen method. M. tuberculosis in sputum was successfully sterilised by adding equal volumes of 15% bleach for 1-minute, 6% for 5-minutes or 3% for 20-minutes. Bleach-sedimentation significantly decreased the number of acid-fast bacilli visualised compared with conventional smears (geometric mean of acid-fast bacilli per 100 microscopy fields 166, 95%CI 68-406, versus 346, 95%CI 139-862, respectively; p = 0.02). Bleach-sedimentation diluted paucibacillary specimens less than specimens with higher concentrations of visible acid-fast bacilli (p = 0.02). Smears made from bleach-sedimented sputum were read more rapidly than conventional smears (9.6 versus 11.2 minutes, respectively, p = 0.03). Counting conventional acid-fast bacilli had high reliability (inter-observer agreement, r = 0.991) that was significantly reduced (p = 0.03) by bleach-sedimentation (to r = 0

  12. Influence of fluoride-containing adhesives and bleaching agents on enamel bond strength

    Directory of Open Access Journals (Sweden)

    Vanessa Cavalli

    2012-12-01

    Full Text Available This study evaluated the influence of fluoride-containing carbamide peroxide (CP bleaching agents and adhesive systems on bonded enamel interfaces that are part of the dynamic pH cycling and thermal cycling models. The buccal surfaces of 60 bovine incisors were restored with a composite resin and bonded with three- and two-step, etch-and-rinse, fluoride-containing adhesives, Optibond FL (FL and Optibond Solo Plus (SP, respectively. Restored teeth were subjected to thermal cycling to age the interface. Both SP and FL adhesive-restored teeth were bleached (n = 10 with 10% CP (CP and 10% CP + fluoride (CPF or were left unbleached (control. Bleaching was performed for 14 days simultaneously with pH cycling, which comprised of 14 h of remineralization, 2 h of demineralization and 8 h of bleaching. The control groups (FL and SP were stored in remineralizing solution during their bleaching periods and were also subjected to carious lesion formation. Parallelepiped-shaped samples were obtained from the bonded interface for microtensile bond strength (∝TBS testing. The enamel ∝TBS of the FL and SP groups (control, not bleached were higher (p FL + CPF = FL + CP and SP > SP + CPF = SP + CP. The groups subjected to treatment with the fluoride-containing bleaching agents exhibited similar ∝TBS compared to regular bleaching agents. Bleaching agents, regardless of whether they contained fluoride, decreased enamel bond strength.

  13. Effect of antioxidant agents on bond strength of composite to bleached enamel with 38% hydrogen peroxide

    Directory of Open Access Journals (Sweden)

    Juliane Marcela Guimaraes da Silva

    2011-01-01

    Full Text Available This study evaluated the effect of antioxidant agents on microtensile bond strengths (mTBS of composite to bleached enamel. Fifteen freshly extracted human third molars were selected and randomly assigned to 6 groups (n = 5: (NB enamel not bleached, (B bleached enamel, (BR7 bleached enamel and restored 7 days later, (BSA bleached enamel+sodium ascorbate, (BMC bleached enamel+malvidin chloride, (BPC bleached enamel+pelargonidin chloride. The groups were bleached with 38% hydrogen peroxide (HP - Opalescence Xtra Boost and restored with Single Bond+Filtek Z350. The specimens were thermocycled and submitted to a microtensile load at 1 mm/min crosshead speed. The data were evaluated by ANOVA and Tukey test at 5% of significance. The mean and standard-deviation for all groups were: NB: 30.95(±11.97a; BSA: 30.34(±8.73a, BPC: 22.81(6.00b, BR7: 21.41(±6.12b, B: 14.10(±4.45c, BMC: 13.25(±6.02c. Sodium ascorbate reversed the bond strengths to enamel immediately after bleaching.

  14. Inflammatory response of human dental pulp to at-home and in-office tooth bleaching

    Directory of Open Access Journals (Sweden)

    Maysa Magalhães Vaz

    Full Text Available ABSTRACT Tooth bleaching is a technique of choice to obtain a harmonious smile, but bleaching agents may damage the dental pulp. Objective: This study evaluated the inflammatory responses of human dental pulp after the use of two bleaching techniques. Material and Methods: Pulp samples were collected from human third molars extracted for orthodontic reasons and divided into three groups: control - no tooth bleaching (CG (n=7; at-home bleaching with 15% carbamide peroxide (AH (n = 10, and in-office bleaching with 38% hydrogen peroxide (IO (n=12. Pulps were removed and stained with hematoxylin-eosin for microscopic analysis of inflammation intensity, collagen degradation, and pulp tissue organization. Immunohistochemistry was used to detect mast cells (tryptase+, blood vessels (CD31+, and macrophages (CD68+. Chi-square, Kruskal-Wallis, and Mann Whitney tests were used for statistical analysis. The level of significance was set at p0.05. No mast cells were found in the pulp samples analyzed. Conclusion: In-office bleaching with 38% hydrogen peroxide resulted in more intense inflammation, higher macrophages migration, and greater pulp damage then at-home bleaching with 15% carbamide peroxide, however, these bleaching techniques did not induce migration of mast cells and increased the number of blood vessels.

  15. A Study for Tooth Bleaching via Carbamide Peroxide-Loaded Hollow Calcium Phosphate Spheres

    Directory of Open Access Journals (Sweden)

    Tao Qin

    2016-12-01

    Full Text Available The objective of this study was to investigate if a prolonged bleaching effect of carbamide peroxide-loaded hollow calcium phosphate spheres (HCPS can be achieved. HCPS was synthesized via a hydrothermal reaction method. Carbamide peroxide (CP was-loaded into HCPS by mixing with distilled water as solvent. We developed two bleaching gels containing CP-loaded HCPS: one gel with low HP concentration as at-home bleaching gel, and one with high HP concentration as in-office gel. Their bleaching effects on stained human permanent posterior teeth were investigated by measuring the color difference before and after bleaching. The effect of gels on rhodamine B degradation was also studied. To investigate the potential effect of remineralization of using HCPS, bleached teeth were soaked in phosphate buffer solution (PBS containing calcium and magnesium ions. Both bleaching gels had a prolonged whitening effect, and showed a strong ability to degrade rhodamine B. After soaking in PBS for 3 days, remineralization was observed at the sites where HCPS attached to the teeth surface. CP-loaded HCPS could prolong the HP release behavior and improve the bleaching effect. HCPS was effective in increasing the whitening effect of carbamide peroxide and improving remineralization after bleaching process.

  16. Effect of coffe and a cola-based soft drink on the color stability of bleached bovine incisors considering the time elapsed after bleaching

    Science.gov (United States)

    PIROLO, Rodrigo; MONDELLI, Rafael Francisco Lia; CORRER, Gisele Maria; GONZAGA, Carla Castiglia; FURUSE, Adilson Yoshio

    2014-01-01

    There is no consensus about the waiting time necessary for the patient to start consuming beverages containing colorants again after bleaching. Objective: To evaluate the influence of beverages with coloring agents on bleached bovine incisors considering the time elapsed after bleaching. Materials and methods: Sixty bovine incisors were bleached with 35% hydrogen peroxide for in-office use (Whiteness HP Max) and divided into 10 groups. The color was evaluated with a spectrophotometer (Spectro Shade MICRO) before and after bleaching, employing the CIE-Lab system. After bleaching, the teeth were exposed for 5 min to coffee or cola-based soft drink (CBSD) at different periods after bleaching: 10 min, 1 h, 24 h, 48 h, and 72 h. Color (∆E) and lightness (∆L) variations were obtained from the CIE-Lab coordinates. Data were subjected to two-way ANOVA and Tukey HSD tests (p<0.05). Results: Significant differences were observed between groups for both the ∆L and ∆E values (p<0.001). All specimens presented a decrease in brightness (negative ∆L). The highest ∆E values were observed for teeth stained with a CBSD at 10 min and 1 h (4.12 and 4.16, respectively). Teeth pigmented with coffee presented ∆E values below 3.3 units for all evaluation times. Conclusion: The exposure to coffee after bleaching causes less color changes than the exposure to a CBSD regardless of the time after bleaching. PMID:25075672

  17. Effect of coffe and a cola-based soft drink on the color stability of bleached bovine incisors considering the time elapsed after bleaching

    Directory of Open Access Journals (Sweden)

    Rodrigo PIROLO

    2014-12-01

    Full Text Available There is no consensus about the waiting time necessary for the patient to start consuming beverages containing colorants again after bleaching. Objective: To evaluate the influence of beverages with coloring agents on bleached bovine incisors considering the time elapsed after bleaching. Materials and methods: Sixty bovine incisors were bleached with 35% hydrogen peroxide for in-office use (Whiteness HP Max and divided into 10 groups. The color was evaluated with a spectrophotometer (Spectro Shade MICRO before and after bleaching, employing the CIE-Lab system. After bleaching, the teeth were exposed for 5 min to coffee or cola-based soft drink (CBSD at different periods after bleaching: 10 min, 1 h, 24 h, 48 h, and 72 h. Color (∆E and lightness (∆L variations were obtained from the CIE-Lab coordinates. Data were subjected to two-way ANOVA and Tukey HSD tests (p<0.05. Results: Significant differences were observed between groups for both the ∆L and ∆E values (p<0.001. All specimens presented a decrease in brightness (negative ∆L. The highest ∆E values were observed for teeth stained with a CBSD at 10 min and 1 h (4.12 and 4.16, respectively. Teeth pigmented with coffee presented ∆E values below 3.3 units for all evaluation times. Conclusion: The exposure to coffee after bleaching causes less color changes than the exposure to a CBSD regardless of the time after bleaching.

  18. Nanotribological and Nanomechanical Properties Changes of Tooth After Bleaching and Remineralization in Wet Environment

    Science.gov (United States)

    Yu, Dandan; Gao, Shanshan; Min, Jie; Zhang, Qianqian; Gao, Shuai; Yu, Haiyang

    2015-12-01

    Teeth bleaching cases had increased with people's desire for oral aesthetic; however, bleached teeth would still undertake chewing actions and remineralizing process in saliva. Nanotribological and nanomechanical properties are proper displays for dental performance of bleached teeth. The purpose of the research was to reveal the effect of bleaching and remineralization on the nanotribological and nanomechanical properties of teeth in wet environment. The specimens were divided into four groups according to the bleaching products used: 12 % hydrogen peroxide (HP) (12HP group); 15 % carbamide peroxide (CP) (15CP group); 35 % CP (35CP group); and artificial saliva (control group). The nanotribological and nanomechanical property changes of tooth enamel after bleaching and remineralization were evaluated respectively by nanoscratch and nanoindentation tests in wet environment, imitating the wet oral environment. The morphology changes were evaluated by statistical parametric mapping (SPM) and scanning electron microscopy (SEM). After bleaching, 12HP group and 15CP group showed increased scratch depth with more pile ups on the scratch edges, decreased nanohardness, and corroded surface appearance. While the 35CP group showed an increase in nanoscratch depth, no change in nanohardness and surface appearance was observed. The control group showed no change in these measurements. After remineralization, the three bleaching groups showed decreased nanoscratch depth and no change of nanohardness compared with the bleached teeth. And the control group showed no changes in nanotribological and nanomechanical properties. The nanotribological and nanomechanical properties of the 12HP group and 15CP group were affected by bleaching, but the nanotribological properties recovered partly and the nanomechanical properties got no change after 1 week of remineralization. As for the 35CP group, the nanotribological properties were influenced and the nanomechanical properties were not

  19. Cytotoxicity and genotoxicity of sodium percarbonate: a comparison with bleaching agents commonly used in discoloured pulpless teeth.

    Science.gov (United States)

    Fernández, M R; Carvalho, R V; Ogliari, F A; Beira, F A; Etges, A; Bueno, M

    2010-02-01

    To evaluate the cytotoxicity and genotoxicity of sodium percarbonate (SPC) in comparison with bleaching agents used on discoloured pulpless teeth. The cytotoxicity and genotoxicity of bleaching agents were evaluated both in their pure form as well as at concentrations commonly used in clinical practice. Hydrogen peroxide (HP), carbamide peroxide (CP), sodium perborate (SP) and SPC were diluted in Dulbecco's modified Eagle's medium (DMEM) in series. To evaluate the cytotoxicity, the survival of 3T3/NIH mouse fibroblasts was measured photometrically using an 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay after a 24 h-exposure period. Genotoxicity was indicated by micronuclei (MN) formation, and modification of the normal cell was analysed by light microscopy (400x). Statistical analysis was performed by one-way anova, followed by a multiple-comparison Tukey post hoc test (P Sodium percarbonate showed cytotoxicity and genotoxicity similar to those of the other products tested. However, before SPC is used clinically, studies should be conducted to confirm its safety in vivo.

  20. Effect of In-Office Carbamide Peroxide-Based Tooth Bleaching System on Wear Resistance of Silorane-Based and Methacrylate-Based Dental Composites

    Directory of Open Access Journals (Sweden)

    Masoumeh Hasani Tabatabaei

    2016-04-01

    Full Text Available Objectives: Several studies have assessed the characteristics and properties of silorane-based composites and adhesive systems. Considering the extensive application of tooth-whitening agents, possible deteriorative effects of tooth bleaching agents on these restorative materials must be studied. The aim of this study was to evaluate the effect of an in-office carbamide peroxide-based tooth bleaching agent on the wear resistance of a silorane-based and a conventional microhybrid dimethyl methacrylate-based dental composite with two different application times.  Materials and Methods: Thirty cylindrical specimens were made of Z250 and P90 dental composite resins (n=15 for each composite. Samples made of each composite were divided into three groups (n=5 for immersion in an in-office bleaching agent (Opalescence® Quick 45% for either three or eight hours or saline solution (control. Wear tests were conducted after bleaching using a pin-on disk apparatus under the load of 40N at a constant sliding speed of 0.5 ms-1 for a sliding distance of 300 m. The samples were weighed before and after the wear test. Repeated measures ANOVA was used to statistically analyze the obtained data (α=0.05.Results: There was a significant decrease in the weight of samples after the wear test (P<0.001. However, no significant difference was found among groups in the mean weight of samples before and after the wear test (P>0.05. Conclusion: Bleaching for three or eight hours using 45% carbamide peroxide had no deteriorative effect on the wear resistance of Z250 and P90 composites.

  1. Species-specific interactions between algal endosymbionts and coral hosts define their bleaching response to heat and light stress

    DEFF Research Database (Denmark)

    Abrego, David; Ulstrup, Karin E; Willis, Bette L

    2008-01-01

    The impacts of warming seas on the frequency and severity of bleaching events are well documented, but the potential for different Symbiodinium types to enhance the physiological tolerance of reef corals is not well understood. Here we compare the functionality and physiological properties...... and a potential role for host factors in determining the physiological performance of reef corals....... of juvenile corals when experimentally infected with one of two homologous Symbiodinium types and exposed to combined heat and light stress. A suite of physiological indicators including chlorophyll a fluorescence, oxygen production and respiration, as well as pigment concentration consistently demonstrated...

  2. Comparing Environmental Influences on Coral Bleaching Across and within Species using Clustered Binomial Regression

    Science.gov (United States)

    Differential susceptibility among reef-building coral species can lead to community shifts and loss of diversity as a result of temperature-induced mass bleaching events. However, the influence of the local environment on species-specific bleaching susceptibilities has not been ...

  3. INDICATORS OF UV EXPOSURE IN CORALS AND THEIR RELEVANCE TO GLOBAL CLIMATE CHANGE AND CORAL BLEACHING

    Science.gov (United States)

    A compelling aspect of the deterioration of coral reefs is the phenomenon of coral bleaching. Through interactions with other factors such as sedimentation, pollution, and bacterial infection, bleaching can impact large areas of a reef with limited recovery, and it might be induc...

  4. Skin bleaching: A neglected form of injury and threat to global skin ...

    African Journals Online (AJOL)

    Twenty-two articles that met search criteria were analysed and thematically coded using a priori research questions examining: (1) harms caused by skin bleaching, (2) alignment with accepted definitions of injury, and (3) suggestions for prevention and intervention. Results indicate skin bleaching poses a serious public ...

  5. Tooth color improvement for children and teens: enamel microabrasion and dental bleaching.

    Science.gov (United States)

    Croll, T P; Segura, A

    1996-01-01

    Enamel microabrasion and carbamide peroxide-dentist supervised home applied dental bleaching are conservative methods of improving the appearance of teeth. Children and teens can benefit from these procedures. This article describes the step-by-step clinical technique of enamel microabrasion and a protocol for custom-tray-applied, home tooth-bleaching. Representative case histories are documented with photographs.

  6. Clinical comparison between two bleaching techniques: a 180-day follow-up study.

    Science.gov (United States)

    Zhao, Ke; Zong, Li; Zhang, Qin; Att, Wael

    2013-01-01

    The aim of this clinical study was to compare tooth shade, color rebound, and tooth sensitivity after using either a combined bleaching technique (CBT) or a deep bleaching technique (DBT) to lighten stained teeth. CBT is a two-stage bleaching process consisting of an initial in-office bleaching treatment session using 35% hydrogen peroxide (HP) followed by a 7-day at-home bleaching session with 6% HP. DBT involves a 7-day at-home bleaching session with 6% HP prior to the initiation of a two-stage CBT process. Thirty-six volunteers were recruited in this split-mouth design randomized clinical trial. Tooth shade was objectively evaluated by using a spectrophotom-eter and shade guide tabs. Tooth and gingival tissue sensitivity were self-evaluated by recording any tooth or gingival sensitivity on a daily basis. Both CBT and DBT presented satisfactory whitening effects. Although DBT resulted in a better shade change, the two bleaching techniques had a similar rebound effect. CBT was associated with a lower frequency of tooth sensitivity, but both bleaching techniques can be considered safe from a clinical standpoint. The results indicate that CBT might potentially be preferred to whiten teeth, thus promoting the shade change, and avoiding gingival and tooth sensitivity.

  7. Effects of the bleaching sequence on the optical brighteners action in eucalyptus kraft pulp

    Directory of Open Access Journals (Sweden)

    Mauro Manfredi

    2014-06-01

    Full Text Available During the bleaching process the pulp is treated with chemical reagents that can be retained in the pulp and interfere in the action of the optical brighteners. Different bleaching sequences can produce pulps at the same brightness but with different potential to whiteness increase when treated with optical brighteners. The objective of this study was to evaluate the influence of the bleaching sequence on the efficiency of disulphonated and tetrasulphonated optical brighteners. Eucalyptus kraft pulp was bleached using four different bleaching sequences. For each pulp three brightness targets were aimeds. For each bleaching sequence mathematical model was generated for predicting the final pulp whiteness according to the initial brightness and the optical brightener charge applied. The presence of organochlorine residues in the pulp reduced the effectiveness of the optical brighteners. Therefore, bleaching sequences that use low chlorine dioxide charge favors for greater gains in whiteness with the application of optical brighteners. The replacement of the final chlorine dioxide bleaching stage with a hydrogen peroxide one in the sequence increased the efficiency of the optical brightening agents.

  8. Effect of nightguard vital bleaching gel on the color stability of provisional restorative materials.

    Science.gov (United States)

    Bajunaid, Salwa Omar

    2016-01-01

    To assess the hypothesis that there was no difference in effect of 10% and 15% tooth bleaching agents on color stability of materials used for provisional fixed dental prosthesis. Fifteen samples from two materials used for provisional fixed dental prosthesis: methacrylate-based and composite-based materials and 15 preformed polycarbonate crowns soaked in bleaching gel or distilled water. Spectrophotometer recorded color of specimens at baseline, after 3, 7, and 14 days. Data were statistically analyzed using two-factor ANOVA test to compare the color stability of tested materials. Methyl-based provisional material exhibited statistically higher color change when exposed to 10% and 15% bleaching gel (delta EFNx01: 9.0 and 11.1, respectively) as compared to distilled water (delta EFNx01: 2.9). Delta EFNx01 of composite-based material specimens exposed to distilled water was statistically higher (6.3) than specimens exposed to 10% and 15% bleaching gel (1.5 and 1.1, respectively). Polycarbonate crowns showed a statistically lower color change when exposed to 15% (0.9) than to 10% bleaching gel (5.1) or distilled water (5.5). Composite-based provisional material showed highest color stability when exposed to vital tooth bleaching gel, whereas methacrylate-based material was the least color stable. Polycarbonate crowns were more color stable when exposed to 15% bleaching gel as opposed to 10% bleaching gel.

  9. Tooth bleaching using three laser systems, halogen-light unit, and chemical action agents

    Science.gov (United States)

    Dostalova, Tatjana; Jelinkova, Helena; Housova, Devana; Sulc, Jan; Nemec, Michal; Koranda, Petr; Miyagi, Mitsunobu; Shi, Yi-Wei; Matsuura, Yuji

    2004-09-01

    μThe study describes the preclinical experience with laser-activated bleaching agent for discolored teeth. Extracted human upper central incisors were selected, and in the bleaching experiment 35% hydrogen peroxide was used. Three various laser systems and halogen-light unit for activation of the bleaching agent were applied. They were Alexandrite laser (wavelength 750 nm and 375 nm - SHG), Nd:YAG laser (wavelength 1.064 m), and Er:YAG laser (wavelength 2.94 μm). The halogen-light unit was used in a standard regime. The enamel surface was analyzed in the scanning electron microscope. The method of chemical oxidation results in a 2-3 shade change in one treatment. The halogen-light units produced the same effect with shorter time of bleaching process (from 630 s to 300 s). The Alexandrite laser (750 nm) and bleaching agent helped to reach the desired color shade after a shorter time (400 s). Alexandrite laser (375 nm) and Nd:YAG laser had no effect on the longevity of the process of bleaching. Overheating of the chemical bleaching agent was visible after Er:YAG laser activation (195 s). Slight surface modification after bleaching process was detected in SEM.

  10. Post-bleaching application of an antioxidant on dentin bond strength of three dental adhesives

    Directory of Open Access Journals (Sweden)

    Maryam Khoroushi

    2012-01-01

    Conclusions: The findings suggest that bond strength of resin to bleached dentin may be affected with the adhesive system. Reduced SBS to bleached dentin can be amended by the use of SA as an antioxidizing agent. However, the amount of reversed bond strength subsequent to applying antioxidant might be related to the kind of dental adhesive.

  11. Re-evaluating luminescence burial doses and bleaching of fluvial deposits using Bayesian computational statistics

    Science.gov (United States)

    Cunningham, A. C.; Wallinga, J.; Hobo, N.; Versendaal, A. J.; Makaske, B.; Middelkoop, H.

    2015-01-01

    The optically stimulated luminescence (OSL) signal from fluvial sediment often contains a remnant from the previous deposition cycle, leading to a partially bleached equivalent-dose distribution. Although identification of the burial dose is of primary concern, the degree of bleaching could potentially provide insights into sediment transport processes. However, comparison of bleaching between samples is complicated by sample-to-sample variation in aliquot size and luminescence sensitivity. Here we begin development of an age model to account for these effects. With measurement data from multi-grain aliquots, we use Bayesian computational statistics to estimate the burial dose and bleaching parameters of the single-grain dose distribution. We apply the model to 46 samples taken from fluvial sediment of Rhine branches in the Netherlands, and compare the results with environmental predictor variables (depositional environment, texture, sample depth, depth relative to mean water level, dose rate). Although obvious correlations with predictor variables are absent, there is some suggestion that the best-bleached samples are found close to the modern mean water level, and that the extent of bleaching has changed over the recent past. We hypothesise that sediment deposited near the transition of channel to overbank deposits receives the most sunlight exposure, due to local reworking after deposition. However, nearly all samples are inferred to have at least some well-bleached grains, suggesting that bleaching also occurs during fluvial transport.

  12. In vitro comparison of various types of sodium perborate used for intracoronal bleaching of discolored teeth.

    Science.gov (United States)

    Weiger, R; Kuhn, A; Löst, C

    1994-07-01

    Fifty-eight extracted incisors were artificially stained to compare the efficacy of sodium perborate preparations used for intracoronal bleaching. All teeth were bleached for a 6-day period and the bleaching pastes replaced at days 1 and 3 (walking bleach technique). Sodium perborate-monohydrate, trihydrate, or tetrahydrate in conjunction with 30% H2O2 as well as tetrahydrate, either mixed with H2O or prepared as an experimental gel, were placed intracoronally at a level of 1-mm below the vestibular cementoenamel junction. Standardized slides were used to evaluate the color changes during bleaching. Success rates between 46 and 77% could be achieved, but no significant differences in final bleaching results between any of the sodium perborate types were observed. The use of the experimental gel resulted in comparable esthetic results (54%), although the portion of tetrahydrate in the gel was lower than that of the other preparations. In contrast to general recommendations that bleaching agents be left for 3 to 7 days in the access cavity before replacement, shorter bleaching intervals did not seem to affect the success.

  13. The Lighter Side of Marriage: Skin Bleaching in Post-Colonial Ghana

    African Journals Online (AJOL)

    This study showed that although participants were satisfied with their skin color, they believed that Ghanaian men found lighter- skinned women more attractive. This project expands existing scientific and scholarly literature concerning skin bleaching by presenting the implications of skin bleaching from a psychological ...

  14. Decalcification prevention around orthodontic brackets bonded to bleached enamel using different topical agents

    Directory of Open Access Journals (Sweden)

    Ferial Ahmed Msallam

    2017-06-01

    Full Text Available Abstract Background The present study was conducted to evaluate the effect of different topical agents utilized for prevention of enamel decalcification around orthodontic brackets bonded to bleached and non-bleached enamel. Methods Human maxillary premolars (n = 120 were divided into two equal groups. Teeth in group I were left without bleaching while those in group II were bleached with Vivastyle gel. Metal brackets were bonded to all the teeth using light-cured adhesive. Each group was divided into six equal subgroups (A, B, C, D, E, and F. In subgroup A, no material was applied (control. In subgroups B, C, D, E, and F, the following materials were applied respectively: Profluorid varnish, Enamel Pro Varnish, Ortho-Choice Ortho-Coat, GC Tooth Mousse, and GC MI Paste Plus. All teeth were cycled in a demineralization solution/artificial saliva for 15 days. Laser fluorescence was used to measure the level of enamel mineralization. The data were statistically analyzed. Results Regarding the non-bleaching subgroups, all studied material revealed significant demineralization reduction in comparison to the control subgroup (P  0.05. Conclusions Ortho-Choice Ortho-Coat, and Profluorid and Enamel Pro varnishes could be utilized successfully to reduce enamel demineralization around brackets bonded to either bleached or non-bleached enamel. GC MI Paste Plus and GC Tooth Mousse were effective only in non-bleached enamel.

  15. WOOD BASIC DENSITY EFFECT OF Eucalyptus grandis x Eucalyptus urophylla CLONES ON BLEACHED PULP QUALITY

    Directory of Open Access Journals (Sweden)

    Sheila Rodrigues dos Santos

    2010-08-01

    Full Text Available The study analyzed the wood basic density effect in two Eucalyptus grandis x Eucalyptus urophylla hybrid clones (440 kg/m3 e 508 kg/m3 on bleached pulp quality (fiber dimensions and physical-mechanical properties. The woods performance on pulping, bleaching and beating results were analyzed. The Kraft pulping was carried out in forced circulation digester in order to obtain 17±1 kappa number targets. The pulps were bleached to 90±1 using delignification oxygen and D0EOPD1 bleaching sequence. Bleached pulp of low basic density clone showed, significantly, lowest revolutions number in the PFI mill to reach tensile index of 70 N.m/g, low Schopper Riegler degree and generated sheets with higher values to bulk and opacity. These characteristics and properties allow concluding that bleached pulp of low basic density clone was the most indicated to produce printing and writing sheets. The bleached pulp of high basic density clone showed higher values of bulk and capillarity Klemm and lower water retention value when analyzed without beating. The bleached pulp of high basic density clone showed more favorable characteristics to the production of tissue papers.

  16. Comparison of the bleaching efficacy of three different agents used for intracoronal bleaching of discolored primary teeth: An in vitro study

    Directory of Open Access Journals (Sweden)

    R Ganesh

    2013-01-01

    Full Text Available Everyone wants whiter teeth to make them feel younger and to provide beautiful smiles with the accompanying increase in self-esteem. Bleaching is an established, simple, cost-effective and conservative method for improving the color of the discolored teeth. Aim: The aim of this in vitro study was to compare the bleaching efficacy of 10% carbamide peroxide, 10% hydrogen peroxide and 2g sodium perborate as bleaching agents on the artificially discolored human primary maxillary central incisors. Materials and Methods: Forty extracted human primary central incisors with intact crowns were selected for the study. Pulpectomy was performed and each tooth was artificially stained with 2 ml of fresh human blood and centrifuged. --The teeth were randomly divided into four experimental groups of 10 teeth each and the baseline color evaluation was performed. 0.04 ml of the bleaching agent is syringed into the access cavity of the tooth and, in the control group, 0.04 ml of distilled water was syringed into the access cavity and it was sealed with IRM and placed at 37°C in an incubator throughout the experiment. The color of the bleached teeth was determined at 0, 7 and 14 days. The data obtained were analyzed using ANOVA and Turkey′s test. Results: There was statistical significance (P = 0.00 among the carbamide peroxide, sodium perborate, hydrogen peroxide and control groups after 7 and 14 days and a significance of P = 0.013 among the carbamide peroxide, sodium perborate and hydrogen peroxide after two bleaching sessions (day 14 was seen. Conclusions: The bleaching efficacy of 10% hydrogen peroxide gel was more effective than 10% carbamide peroxide and sodium perborate in bleaching the artificially discolored primary teeth.

  17. Comparison of the bleaching efficacy of three different agents used for intracoronal bleaching of discolored primary teeth: an in vitro study.

    Science.gov (United States)

    Ganesh, R; Aruna, S; Joyson, M

    2013-01-01

    Everyone wants whiter teeth to make them feel younger and to provide beautiful smiles with the accompanying increase in self-esteem. Bleaching is an established, simple, cost-effective and conservative method for improving the color of the discolored teeth. The aim of this in vitro study was to compare the bleaching efficacy of 10% carbamide peroxide, 10% hydrogen peroxide and 2g sodium perborate as bleaching agents on the artificially discolored human primary maxillary central incisors. Forty extracted human primary central incisors with intact crowns were selected for the study. Pulpectomy was performed and each tooth was artificially stained with 2 ml of fresh human blood and centrifuged. --The teeth were randomly divided into four experimental groups of 10 teeth each and the baseline color evaluation was performed. 0.04 ml of the bleaching agent is syringed into the access cavity of the tooth and, in the control group, 0.04 ml of distilled water was syringed into the access cavity and it was sealed with IRM and placed at 37°C in an incubator throughout the experiment. The color of the bleached teeth was determined at 0, 7 and 14 days. The data obtained were analyzed using ANOVA and Turkey's test. There was statistical significance (P = 0.00) among the carbamide peroxide, sodium perborate, hydrogen peroxide and control groups after 7 and 14 days and a significance of P = 0.013 among the carbamide peroxide, sodium perborate and hydrogen peroxide after two bleaching sessions (day 14) was seen. The bleaching efficacy of 10% hydrogen peroxide gel was more effective than 10% carbamide peroxide and sodium perborate in bleaching the artificially discolored primary teeth.

  18. The combination of sodium perborate and water as intracoronal teeth bleaching agent

    Directory of Open Access Journals (Sweden)

    Ananta Tantri Budi

    2008-12-01

    Full Text Available Background: The color change on post-endodontic treated teeth can be overcome by intracoronal tooth bleaching using walking bleach. Some agents used in walking bleach are combination of sodium peroxide and hydrogen peroxide, and combination of sodium perborate and water. Purpose: The objective of this review is to provide information and consideration of using safe and effective bleaching agents in the field of dentistry. Reviews: On one side, the use of sodium perborate and water combination does not cause the reduction of dentin hardness, enamel decay, and root resorbtion. On the other side, the use of sodium perborate and 30% hydrogen peroxide combination indicates that it takes longer time in yielding the proper color of teeth. Conclusion: The use of sodium perborate and water combination as bleaching agents is effective and safe.

  19. Climate change disables coral bleaching protection on the Great Barrier Reef.

    Science.gov (United States)

    Ainsworth, Tracy D; Heron, Scott F; Ortiz, Juan Carlos; Mumby, Peter J; Grech, Alana; Ogawa, Daisie; Eakin, C Mark; Leggat, William

    2016-04-15

    Coral bleaching events threaten the sustainability of the Great Barrier Reef (GBR). Here we show that bleaching events of the past three decades have been mitigated by induced thermal tolerance of reef-building corals, and this protective mechanism is likely to be lost under near-future climate change scenarios. We show that 75% of past thermal stress events have been characterized by a temperature trajectory that subjects corals to a protective, sub-bleaching stress, before reaching temperatures that cause bleaching. Such conditions confer thermal tolerance, decreasing coral cell mortality and symbiont loss during bleaching by over 50%. We find that near-future increases in local temperature of as little as 0.5°C result in this protective mechanism being lost, which may increase the rate of degradation of the GBR. Copyright © 2016, American Association for the Advancement of Science.

  20. BRIEF COMMUNICATIONS: Bleaching-wave laser excited by radiation from magnetoplasma compressors

    Science.gov (United States)

    Kamrukov, A. S.; Logunov, O. A.; Ovchinnikov, P. A.; Protasov, Yu S.; Startsev, Aleksandr V.; Stoĭlov, Yu Yu

    1989-04-01

    A bleaching-wave laser (utilizing an ether solution of coumarin 6 and 1,4-diphenylbutadiene) was pumped by a flashlamp-type source utilizing magnetoplasma compressors. When the bleaching wave propagated in the solution at a velocity of ~ 1 km/s, cw lasing was obtained for 30-40 μs with an output energy of 1.2 J in the 517 ± 5 nm range. Estimates were made of the threshold pump intensity and of the internal losses in the bleaching-wave laser. It was found that, compared with a laser without a bleaching wave (utilizing an ethyl solution of coumarin 6), a bleaching wave improved greatly (under the same excitation conditions) the output energy and the directionality of the radiation.

  1. Enamel susceptibility to red wine staining after 35% hydrogen peroxide bleaching

    Directory of Open Access Journals (Sweden)

    Sandrine Bittencourt Berger

    2008-06-01

    Full Text Available Concern has been expressed regarding the staining of enamel surface by different beverages after bleaching. This study investigated the influence of 35% hydrogen peroxide bleaching agents on enamel surface stained with wine after whitening treatments. Flat and polished bovine enamel surfaces were submitted to two commercially available 35% hydrogen peroxide bleaching agents or kept in 100% humidity, as a control group (n = 10. Specimens of all groups were immersed in red wine for 48 h at 37°C, immediately, 24 h or 1 week after treatments. All specimens were ground into powder and prepared for the spectrophotometric analysis. Data were subjected to two-way analysis of variance and Fisher's PLSD test at 5% significance level. The amount of wine pigments uptake by enamel submitted to bleaching treatments was statistically higher than that of control group, independently of the evaluation time. Results suggested that wine staining susceptibility was increased by bleaching treatments.

  2. Effect of Dispersion and Bleaching on the Mechanical and Optical Properties of Deinked Recycled Pulp

    Directory of Open Access Journals (Sweden)

    yahya hamzeh

    2016-06-01

    Full Text Available In this study the effects of oxidative bleaching and mechanical dispersion in different conditions on the optical and mechanical properties of deinked recycled pulp was investigated. Industrial deinked pulp was treated in the different conditions, including dispersion, combined oxidative bleaching during dispersion, and separate dispersion and then oxidative bleaching. Handsheet papers were made from obtained pulps and then scanned and taken photos were analyzed by Digimizer software, version 4.1.1.0 to analysis spot content. Optical and mechanical properties of obtained handsheets were determined and compared. Results indicated that mechanical dispersion decreased spot content and brightness and increased yellowing of the handsheets. Moreover, mechanical dispersion increased dry and wet tensile and burst strengths, water retention value (WRV, ash content and decreased tear strength of handsheet papers. This study revealed that combined dispersing and oxidative bleaching of de-inked pulp provided superior results in comparison to the separate dispersing and oxidative bleaching.

  3. Nitric oxide and coral bleaching: is peroxynitrite generation required for symbiosis collapse?

    Science.gov (United States)

    Hawkins, Thomas D; Davy, Simon K

    2013-09-01

    The temperature-induced collapse ('bleaching') of the coral-dinoflagellate symbiosis is hypothesised to result from symbiont oxidative stress and a subsequent host innate immune-like response. This includes the production of nitric oxide (NO), which is involved in numerous microbial symbioses. Much of NO's cytotoxicity has been attributed to its conversion, in the presence of superoxide (O2(-)), to highly reactive peroxynitrite (ONOO(-)). However, ONOO(-) generation has yet to be observed in either a lower invertebrate or an intracellular mutualism. Using confocal laser scanning microscopy with the fluorescent ONOO(-) indicator aminophenyl fluorescein (APF), we observed strong evidence that ONOO(-) is generated in symbiotic Aiptasia pulchella under conditions known to induce thermal bleaching. However, a role for ONOO(-) in bleaching remains unclear as treatment with a peroxynitrite scavenger had no significant effect on thermal bleaching. Therefore, while ONOO(-) may have a potential for cytotoxicity, in vivo levels of the compound may be insufficient to affect bleaching.

  4. Severe hypernatremia: survival without neurologic sequelae

    National Research Council Canada - National Science Library

    Borrego Domínguez, R R; Imaz Roncero, A; López-Herce Cid, J; Seriñá Ramírez, C

    2003-01-01

    .... She had a convulsive crisis without subsequent neurologic impairment. The second patient, a 3-year-old girl with pseudohypoaldosteronism type I and encephalopathy, had hypernatremia (203 mEq/l...

  5. Effect of different intracoronal bleaching methods on shear bond strength of ceramic brackets bonded to bleached enamel: An in-vitro study.

    Science.gov (United States)

    Chauhan, Vikas; Kumar, Piush; Sharma, Payal; Shetty, Divya

    2017-01-01

    To investigate the effect of different intracoronal bleaching methods on the shear bond strength and site of failure of ceramic brackets. Sixty freshly extracted human maxillary incisors were randomly divided into four groups (n = 15). Endodontic access cavity was prepared and root canals were filled, root fillings were removed 2mm apical to the cementoenamel junction, and a 2-mmthick layer of glass ionomer cement base was applied. Group 1 served as the control. Intracoronal bleaching was performed with 35% carbamide peroxide in group 2, sodium perborate in group 3, and 37.5% hydrogen peroxide in group 4. The teeth were immersed in artificial saliva for 4 weeks before bracket bonding. Ceramic brackets were bonded with composite resin and cured with LED light. After bonding, the shear bond strength of the brackets was tested with a universal testing machine. The site of bond failure was determined by modified ARI (Adhesive Remnant Index). The highest value of shear bond strength was measured in control group (18.67 ± 1.59 MPa), which was statistically significant from groups 2,3, and 4. There was no significant difference between groups 2 and 4. The lowest shear bond strength was measured in group 3. ARI scores were not significant from each other. Intracoronal bleaching significantly affected the shear bond strength of ceramic brackets even after 4 weeks of bleaching. Bleaching with sodium perborate affects shear bond strength more adversely than does bleaching with other agents like hydrogen peroxide and carbamide peroxide.

  6. Effect of enamel sealants on tooth bleaching and on the color stability of the result.

    Science.gov (United States)

    Corcodel, N; Hassel, A J; Sen, S; Saure, D; Rammelsberg, P; Lux, C J; Zingler, S

    2017-04-01

    The purpose of this in vitro study was to evaluate the effect of enamel sealants on bleaching of natural teeth by use of 40 % hydrogen peroxide in a dental surgery. The color stability of the results from bleaching was, furthermore, determined 10 months after the bleaching procedure. In a standardized setting, four sealants (Pro Seal(®), Light Bond™ Sealant, Protecto(®), and Clinpro™ XT Varnish) were applied to and removed from human teeth in accordance with the manufacturer's instructions. Natural teeth served as medium; half of the teeth were sealed and the others served as controls. Hydrogen peroxide gel (40 %; Opalescence Boost; Ultradent Products, South Jordan, UT, USA) was used as bleaching agent. Color measurement was performed with a spectroradiometer (Photoresearch PR670) before the bleaching process (T1) and 24 h (T2) and 10 months (T3) after bleaching. The spectroradiometer results were expressed by use of the Commission Internationale de l'Éclairage (CIE) L*a*b* color notation. The L*, a*, and b* values of the sealed and the unsealed surfaces were not significantly different at any time during the study (p > 0.05), irrespective of the sealant used. Ten months after the bleaching process, mean L*, a*, and b* values were lower than at 1-day post-bleaching; the mean value of ΔE between 1-day post-bleaching and 10 months post-bleaching was 2.46 (±3.1). The results of the study suggest that the effectiveness of professional tooth whitening is not appreciably affected by the application of the four sealants tested.

  7. Massive bleaching of coral reefs induced by the 2010 ENSO, Puerto Cabello, Venezuela.

    Science.gov (United States)

    del Mónaco, Carlos; Haiek, Gerard; Narciso, Samuel; Galindo, Miguel

    2012-06-01

    El Niño Southern Oscillation (ENSO) has generated global coral massive bleaching. The aim of this work was to evaluate the massive bleaching of coral reefs in Puerto Cabello, Venezuela derived from ENSO 2010. We evaluated the bleaching of reefs at five localities both at three and five meter depth. The coral cover and densities of colonies were estimated. We recorded living coral cover, number and diameter of bleached and non-bleached colonies of each coral species. The colonies were classified according to the proportion of bleached area. Satellite images (Modis Scar) were analyzed for chlorophyll-a concentration and temperature in August, September, October and November from 2008-2010. Precipitation, wind speed and air temperature information was evaluated in meteorological data for 2009 and 2010. A total of 58.3% of colonies, belonging to 11 hexacoral species, were affected and the greatest responses were observed in Colpophyllia natans, Montastraea annularis and Montastraeafaveolata. The most affected localities were closer to the mainland and had a bleached proportion up to 62.73+/-36.55%, with the highest proportion of affected colonies, whereas the farthest locality showed 20.25+/-14.00% bleached and the smallest proportion. The salinity in situ varied between 30 and 33ppm and high levels of turbidity were observed. According to the satellite images, in 2010 the surface water temperature reached 31 degree C in August, September and October, and resulted higher than those registered in 2008 and 2009. Regionally, chlorophyll values were higher in 2010 than in 2008 and 2009. The meteorological data indicated that precipitation in November 2010 was three times higher than in November 2009. Massive coral bleaching occurred due to a three month period of high temperatures followed by one month of intense ENSO-associated precipitation. However, this latter factor was likely the trigger because of the bleaching gradient observed.

  8. Bleaching of leaf litter and associated microfungi in subboreal and subalpine forests.

    Science.gov (United States)

    Hagiwara, Yusuke; Matsuoka, Shunsuke; Hobara, Satoru; Mori, Akira S; Hirose, Dai; Osono, Takashi

    2015-10-01

    Fungal decomposition of lignin leads to the whitening, or bleaching, of leaf litter, especially in temperate and tropical forests, but less is known about such bleaching in forests of cooler regions, such as boreal and subalpine forests. The purposes of the present study were to examine the extent of bleached area on the surface of leaf litter and its variation with environmental conditions in subboreal and subalpine forests in Japan and to examine the microfungi associated with the bleaching of leaf litter by isolating fungi from the bleached portions of the litter. Bleached area accounted for 21.7%-32.7% and 2.0%-10.0% of total leaf area of Quercus crispula and Betula ermanii, respectively, in subboreal forests, and for 6.3% and 18.6% of total leaf area of B. ermanii and Picea jezoensis var. hondoensis, respectively, in a subalpine forest. In subboreal forests, elevation, C/N ratio and pH of the FH layer, and slope aspect were selected as predictor variables for the bleached leaf area. Leaf mass per area and lignin content were consistently lower in the bleached area than in the nonbleached area of the same leaves, indicating that the selective decomposition of acid unhydrolyzable residue (recalcitrant compounds such as lignin, tannins, and cutins) enhanced the mass loss of leaf tissues in the bleached portions. Isolates of a total of 11 fungal species (6 species of Ascomycota and 5 of Basidiomycota) exhibited leaf-litter-bleaching activity under pure culture conditions. Two fungal species (Coccomyces sp. and Mycena sp.) occurred in both subboreal and subalpine forests, which were separated from each other by approximately 1100 km.

  9. Effect of calcium hydroxide on ph changes of the external medium after intracoronal bleaching.

    Science.gov (United States)

    Sa, Patricia Marra de; Jeronymo, Raffaela Di Iorio; Yui, Karen Cristina Kazue; Silva, Eduardo Galera da; Huhtala, Maria Filomena Rocha Lima; Torres, Carlos Rocha Gomes; Gomes, Ana Paula Martins

    2011-05-01

    This in vitro study evaluated the effect of calcium hydroxide on pH changes of the external medium after intracoronal bleaching. A total of 50 extracted human premolars were prepared and filled with gutta-percha and endodontic sealer. The teeth were randomly divided into five groups according to the bleaching agents employed: (a) Sterile cotton pellet with distilled water (control group); (b) sodium perborate and distilled water; (c) sodium perborate and 10% carbamide peroxide; (d) sodium perborate and 35% hydrogen peroxide; (e) 35% hydrogen peroxide. The teeth were stored in vials containing distilled water and the pH values of the medium surrounding the teeth were analyzed. After 7-day storage, the bleaching agent was removed and replaced by calcium hydroxide, and the distilled water was changed, in which the teeth were kept stored for further 14 days. Measurement of pH of the external medium (distilled water) was performed 7 days after insertion of the bleaching agents, immediately, 7 and 14 days after insertion of the calcium hydroxide. Data were submitted to statistical analysis by the two-way ANOVA and Tukey,s test. There were pH changes of the external medium at 7- day period after bleaching procedures. These results confirmed the diffusion of bleaching agents to the external medium. Calcium hydroxide increased the external medium pH and was effective for pH alkalinization after intracoronal bleaching. Intracoronal bleaching of endodontically treated teeth may cause cervical root resorption. A possible explanation for this process is the passage of bleaching agents to the periodontal tissues yielding an inflammatory process. In an attempt to keep the neutrality of the periodontal pH, the calcium hydroxide has been recommended.Results of this study showed that this material should be always used after intracoronal bleaching.

  10. Stem cell survival is severely compromised by the thymidineanalog EdU (5-ethynyl-2'-deoxyuridine), an alternative to BrdU for proliferation assays and stem cell tracing

    DEFF Research Database (Denmark)

    Andersen, Ditte C; Skovrind, Ida; Christensen, Marlene Louise

    2013-01-01

    Stem cell therapy has opened up the possibility of treating numerous degenerating diseases. However, we are still merely at the stage of identifying appropriate sources of stem cells and exploring their full differentiation potential. Thus, tracking the stem cells upon in vivo engraftment...... and during in vitro co-culture is very important and is an area of research embracing many pitfalls. 5-Ethynyl-2'-deoxyuridine (EdU), a rather new thymidine analog incorporated into DNA, has recently been suggested to be a novel highly valid alternative to other dyes for labeling of stem cells and subsequent...... tracing of their proliferation and differentiation ability. However, our results herein do not at any stage support this recommendation, since EdU severely reduces the viability of stem cells. Accordingly, we found that transplanted EdU-labeled stem cells hardly survive upon in vivo transplantation...

  11. Temperature rise during experimental light-activated bleaching.

    Science.gov (United States)

    Klaric, Eva; Rakic, Mario; Sever, Ivan; Tarle, Zrinka

    2015-02-01

    The purpose of this study was to evaluate the surface and intrapulpal temperatures after treatments with different bleaching gels subjected to different types of light activation. A K-type thermocouple and infrared thermometer were used to measure the temperature increase during the 15- or 30-min treatment period. Light-emitting diode with a center wavelength of 405 nm (LED405), organic light-emitting diode (OLED), and femtosecond laser were tested and compared to ZOOM2. The tooth surface was treated with five bleaching agents and Vaseline which served as a control.The generalized estimating equation (GEE) model was applied for testing the differences in temperature increase. The ZOOM2 light source led to the largest increase in mean pulpal and tooth surface temperatures of 21.1 and 22.8 °C, followed by focused femtosecond laser which increased the pulpal and surface temperatures by up to 15.7 and 16.8 °C. Treatments with unfocused femtosecond laser, LED405, and OLED induced significantly lower mean temperature increases (p temperature increases in the pulp chamber and at the tooth surface. Caution is advised when using these types of light activation, while LED405, OLED, and unfocused femtosecond laser could be safely used.

  12. IMC-EB10, an anti-FLT3 monoclonal antibody, prolongs survival and reduces nonobese diabetic/severe combined immunodeficient engraftment of some acute lymphoblastic leukemia cell lines and primary leukemic samples.

    Science.gov (United States)

    Piloto, Obdulio; Nguyen, Bao; Huso, David; Kim, Kyu-Tae; Li, Yiwen; Witte, Larry; Hicklin, Daniel J; Brown, Patrick; Small, Donald

    2006-05-01

    The class III receptor tyrosine kinase FLT3 is expressed on the blasts of >90% of patients with B-lineage acute lymphoblastic leukemias (ALL). In addition, it is expressed at extremely high levels in ALL patients with mixed lineage leukemia rearrangements or hyperdiploidy and is sometimes mutated in these same patients. In this report, we investigate the effects of treating ALL cell lines and primary samples with human anti-FLT3 monoclonal antibodies (mAb) capable of preventing binding of FLT3 ligand. In vitro studies, examining the ability of two anti-FLT3 mAbs (IMC-EB10 and IMC-NC7) to affect FLT3 activation and downstream signaling in ALL cell lines and primary blasts, yielded variable results. FLT3 phosphorylation was consistently inhibited by IMC-NC7 treatment, but in some cell lines, IMC-EB10 actually stimulated FLT3 activation, possibly as a result of antibody-mediated receptor dimerization. Through antibody-dependent, cell-mediated cytotoxicity, such an antibody could still prove efficacious against leukemia cells in vivo. In fact, IMC-EB10 treatment significantly prolonged survival and/or reduced engraftment of several ALL cell lines and primary ALL samples in nonobese diabetic/severe combined immunodeficient (NOD/SCID) mice. This occurred even when IMC-EB10 treatment resulted in FLT3 activation in vitro. Moreover, fluorescence-activated cell sorting and PCR analysis of IMC-EB10-treated NOD/SCID mice surviving 150 days post-leukemic cell injection revealed that FLT3 immunotherapy reduced leukemic engraftment below the level of detection in these assays (IMC-EB10 treatment did not select for resistant cells, because cells surviving IMC-EB10 treatment remain sensitive to IMC-EB10 cytotoxicity upon retransplantation. In vivo studies involving either partial depletion or activation of natural killer (NK) cells show that most of the cytotoxic effect of IMC-EB10 is mediated through NK cells. Therefore, such an antibody, either naked or conjugated to radioactive

  13. Ten years of change to coral communities off Mona and Desecheo Islands, Puerto Rico, from disease and bleaching.

    Science.gov (United States)

    Bruckner, Andrew W; Hill, Ronald L

    2009-11-16

    Remote reefs off southwest Puerto Rico have experienced recent losses in live coral cover of 30 to 80%, primarily due to the decline of Montastraea annularis and M. faveolata from disease and bleaching. These species were formerly the largest, oldest, and most abundant corals on these reefs, constituting over 65% of the living coral cover and 40 to 80% of the total number of colonies. From 1998 to 2001, outbreaks of yellow band disease (YBD) and white plague (WP) affected 30 to 60% of the M. annularis (complex) colonies. Disease prevalence declined beginning in 2002, and then increased immediately following the 2005 mass bleaching event. Colonies of M. annularis (complex) have been reduced in abundance by 24 to 32%, and remaining colonies are missing more than half their tissue. Both M. annularis and M. faveolata have failed to recruit, resheeting has been minimal, and exposed skeletal surfaces are being colonized by macroalgae, bioeroding sponges, and hydrozoans. Other scleractinian corals were smaller in size (mean = 28 cm diameter) and exhibited lower levels of partial mortality; these taxa were affected to a lesser extent by coral diseases and bleaching-associated tissue loss over the last decade. The numbers of small colonies (1 to 9 cm) of these species identified since 2005 also exceeded numbers of larger colonies that died. These reefs appear to be exhibiting shifts in species assemblages, with replacement of M. annularis (complex) by shorter-lived brooding species and other massive and plating corals (Agaricia, Porites, Meandrina, Eusmilia, Diploria, and Siderastrea spp.). To avoid a catastrophic and permanent loss of the dominant, slow-growing reef-building corals, the causes and effects of diseases need to be better understood, and possible control mechanisms must be developed. In particular, steps must be taken to mitigate environmental and anthropogenic stressors that increase the spread and severity of disease.

  14. The influence of hair bleach on the ultrastructure of human hair with special reference to hair damage.

    Science.gov (United States)

    Imai, Takehito

    2011-05-01

    The influence of human hair bleaching agents with different bleaching strength on the ultrastructure of human hair was studied using a transmission electron microscope (TEM) and an energy dispersive X-ray spectrometer equipped with TEM (EDS-TEM). Two kinds of bleaching agents were used: a lightener agent with a weak bleaching effect and a powder-bleach with a stronger bleaching effect. From the comparison of the bleaching properties obtained by the electronic staining of black and white hair samples, it was suggested that the permeability of hair was increased by bleaching, and there was an increase of the stainability of hair subjected to electronic staining. The bleaching action provoked the decomposition of melanin granules and the flow out of granular contents into the intermacrofibrillar matrix. Some metal elements were detected in the melanin granular matrix by EDS-TEM. As a result, the diffusion of metal elements into the intermacrofibrillar matrix promoted further damage to the hair by catalytic action with the hydrogen peroxide in the bleaching agents outside the melanin granules. Further study will lead us to the edge of the development of a new bleaching agent, which reacts only with melanin granules and causes the minimum of damage to outside the melanin granules.

  15. Differential gene expression during thermal stress and bleaching in the Caribbean coral Montastraea faveolata.

    Science.gov (United States)

    DeSalvo, M K; Voolstra, C R; Sunagawa, S; Schwarz, J A; Stillman, J H; Coffroth, M A; Szmant, A M; Medina, M

    2008-09-01

    The declining health of coral reefs worldwide is likely to intensify in response to continued anthropogenic disturbance from coastal development, pollution, and climate change. In response to these stresses, reef-building corals may exhibit bleaching, which marks the breakdown in symbiosis between coral and zooxanthellae. Mass coral bleaching due to elevated water temperature can devastate coral reefs on a large geographical scale. In order to understand the molecular and cellular basis of bleaching in corals, we have measured gene expression changes associated with thermal stress and bleaching using a complementary DNA microarray containing 1310 genes of the Caribbean coral Montastraea faveolata. In a first experiment, we identified differentially expressed genes by comparing experimentally bleached M. faveolata fragments to control non-heat-stressed fragments. In a second experiment, we identified differentially expressed genes during a time course experiment with four time points across 9 days. Results suggest that thermal stress and bleaching in M. faveolata affect the following processes: oxidative stress, Ca(2+) homeostasis, cytoskeletal organization, cell death, calcification, metabolism, protein synthesis, heat shock protein activity, and transposon activity. These results represent the first medium-scale transcriptomic study focused on revealing the cellular foundation of thermal stress-induced coral bleaching. We postulate that oxidative stress in thermal-stressed corals causes a disruption of Ca(2+) homeostasis, which in turn leads to cytoskeletal and cell adhesion changes, decreased calcification, and the initiation of cell death via apoptosis and necrosis.

  16. Effect of three nanobiomaterials on the surface roughness of bleached enamel

    Directory of Open Access Journals (Sweden)

    Maryam Khoroushi

    2015-01-01

    Full Text Available Background: The ever-increasing demand for enhanced esthetic appearance has resulted in significant developments in bleaching products. However, the enamel surface roughness (SR might be negatively affected by bleaching agents. This in vitro study was undertaken to compare the effects of three nanobiomaterials on the enamel SR subsequent to bleaching. Materials and Methods: The crowns of six extracted intact nonerupted human third molars were sectioned. Five dental blocks measuring 2 mm × 3 mm × 4 mm were prepared from each tooth and placed in colorless translucent acrylic resin. The enamel areas from all the specimens were divided into five groups (n = 6: Group 1 did not undergo any bleaching procedures; Group 2 was bleached with a 40% hydrogen peroxide (HP gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by bioactive glass (BAG, amorphous calcium phosphate, and hydroxyapatite, respectively. The enamel SR was evaluated before and after treatment by atomic force microscopy. The data were analyzed by Kruskal–Wallis and Mann–Whitney tests. Results: SR increased significantly in the HP group. SR decreased significantly in the HP gel modified by BAG group as compared to other groups. Conclusions: Within the limitations of this study, incorporation of each one of the three test biomaterials proved effective in decreasing enamel SR subsequent to in-office bleaching technique.

  17. A comparison of the bleaching effectiveness of chlorine dioxide and hydrogen peroxide on dental composite.

    Science.gov (United States)

    Agnihotry, Anirudha; Gill, Karanjot S; Singhal, Deepak; Fedorowicz, Zbys; Dash, Sambit; Pedrazzi, Vinicius

    2014-01-01

    This study was carried out to verify if composites could be bleached using chlorine dioxide as compared with hydrogen peroxide. 3M ESPE Filtek Z350 Universal Restorative discs were prepared (n=40), with dimensions 5 mm diameter x 2 mm thickness. The discs were divided into 4 groups of 10 discs each. Color assessment was performed by CIEDE2000. The discs were stained with coffee, tea, wine and distilled water (control) solutions for 14 days, 5 hours daily. Color assessment was repeated on stained discs and followed by bleaching of 5 discs from each group using chlorine dioxide and hydrogen peroxide in-office systems. Finally, a last color assessment was performed and compared statistically. DE2000 after bleaching was very close to baseline for both the bleaching agents, although chlorine dioxide showed better results than hydrogen peroxide. After staining, there was a clinically significant discoloration (∆E2000≥3.43) for the tea, coffee and wine groups, and discoloration (∆E2000) was seen more in the wine group as compared to tea and coffee. Overall, the control group (distilled water) had the least color change in the three intervals. After bleaching, the color in all specimens returned close to the baseline. The color differences between bleaching and baseline were less than 3.43 for all groups. The obtained results show that chlorine dioxide is slightly superior to hydrogen peroxide in the bleaching of composites, while maintaining the shade of the composite close to the baseline.

  18. Effect of different bleaching strategies on microhardness of a silorane-based composite resin.

    Science.gov (United States)

    Bahari, Mahmoud; Savadi Oskoee, Siavash; Mohammadi, Narmin; Ebrahimi Chaharom, Mohammad Esmaeel; Godrati, Mostafa; Savadi Oskoee, Ayda

    2016-01-01

    Background. Dentists' awareness of the effects of bleaching agents on the surface and mechanical properties of restorative materials is of utmost importance. Therefore, this in vitro study was undertaken to investigate the effects of different bleaching strategies on the microhardness of a silorane-based composite resin. Methods. Eighty samples of a silorane-based composite resin (measuring 4 mm in diameter and 2 mm in thickness) were prepared within acrylic molds. The samples were polished and randomly assigned to 4 groups (n=20). Group 1 (controls) were stored in distilled water for 2 weeks. The samples in group 2 underwent a bleaching procedure with 15% carbamide peroxide for two weeks two hours daily. The samples in group 3 were bleached with 35% hydrogen peroxide twice 5 days apart for 30 minutes each time. The samples in group 4 underwent a bleaching procedure with light-activated 35% hydrogen peroxide under LED light once for 40 minutes. Then the microhardness of the samples was determined using Vickers method. Data were analyzed with one-way ANOVA and post hoc Tukey tests (P microhardness compared to the control group (P microhardness between groups 2 and 4 (P = 0.001) and between groups 3 and 4 (Pmicrohardness between groups 2 and 3 (P > 0.05). Conclusion. Bleaching agents decreased microhardness of silorane-based composite resin restorations, the magnitude of which depending on the bleaching strategy used.

  19. Thermal and colorimetry properties of bleached wheat straw/LDPE biocomposites

    Directory of Open Access Journals (Sweden)

    Behjat Tajeddin

    2016-09-01

    Full Text Available This research was done to study the thermal and colorimetric properties of bleached wheat straw/polyethylene biocomposites. Thus, wheat straw was firstly bleached using different natural and/or chemical bleaching methods. The bleached wheat straw and the pure polyethylene were then mixed in ratio of 40 to 60 by twin screw extrouder at 145OC. Maleic anhydride polyethylene was also applied in %10 of polyethylene weight. Thermal and colorimetric properties of treatments were evaluated and compared to control sample (pure polyethylene. The results showed that the unbleached wheat straw composite had the lowest lightness value. Biocomposites containing bleached wheat straw pulp with xylanase and hydrogen peroxide 1% had the most lightness value after pure polyethylene. The results of the thermal behavior of the composites from DSC curves showed that the melting temperature of bleached wheat straw pulp with xylanase and hydrogen peroxide1% composite was higher than pure polyethylene and the others. The maximum and the minimum decomposition temperature of the composites belonged to the unbleached wheat straw (424.76°C and the bleached wheat straw pulp (354.23°C, respectively.

  20. Effect of newer antioxidants on the bond strength of composite on bleached enamel

    Directory of Open Access Journals (Sweden)

    M Manoharan

    2016-01-01

    Full Text Available Aim: The study aims to evaluate the effect of the application of two antioxidants on the bond strength of composite resin to bleached enamel. Materials and Methods: Eighty enamel surfaces were obtained from forty human extracted premolars. Specimens were randomly divided into four groups (n = 20. Group 1: No bleaching (control; Group 2a: Bleaching with 15% carbamide peroxide gel; Group 2b: Bleaching, followed by application of 10% sodium ascorbate gel; Group 2c: Bleaching, followed by application of 5% proanthocyanidin agent. Surfaces were etched followed by application of total etch bonding system, and composite resin cylinders were bonded. Specimens were tested for shear bond strength. Statistical Analysis Used: One-way analysis of variance was used for multiple group comparison and post hoc Tukey′s test for individual group-wise comparison. Results: Significantly higher shear bond strength values were observed in Group 2c and 2b as compared with Group 1 and 2a (P < 0.05. Among the antioxidants, Group 2c showed significantly higher shear bond strength values than Group 2b (P < 0.05. Conclusion: It can be concluded that the use of antioxidant before bonding procedures on bleached enamel completely neutralizes the deleterious effects of bleaching and increases the bond strength significantly.

  1. Study of DNA damage induced by dental bleaching agents in vitro.

    Science.gov (United States)

    Ribeiro, Daniel Araki; Marques, Mariângela Esther Alencar; Salvadori, Daisy Maria Fávero

    2006-01-01

    Dental bleaching is a simple and conservative procedure for aesthetic restoration of vital and non-vital discolored teeth. Nevertheless, a number of studies have demonstrated the risk of tissue damage from the contact of these agents with the oral mucosa. In the current study, the genotoxic potential associated with exposure to dental bleaching agents was assessed by the single cell gel (comet) assay in vitro. Chinese hamster ovary (CHO) cells in vitro were exposed to six commercial dental bleaching agents (Clarigel Gold - Dentsply; Whitespeed - Discus Dental; Nite White - Discus Dental; Magic Bleaching - Vigodent; Whiteness HP - FGM and Lase Peroxide - DMC). The results pointed out that all dental bleaching agents tested contributed to DNA damage as depicted by the mean tail moment, being the strongest effect observed with the highest dose of hydrogen peroxide (Whiteness HP and Lase Peroxide, at a 35% concentration). On the other hand, Magic Bleaching (Vigodent) induced the lowest level of DNA breakage. Negative and positive controls displayed absence and presence of DNA-damaging, respectively. Taken together, these results suggest that dental bleaching agents may be a factor that increases the level of DNA damage. A higher concentration of hydrogen peroxide produced higher noxious activities in the genome as detected by single cell gel (comet) assay.

  2. Evaluation of shear bond strength of orthodontic brackets bonded on the tooth surface after internal bleaching

    Directory of Open Access Journals (Sweden)

    Nadia de Souza FERREIRA

    Full Text Available Introduction: There is great demand for esthetic treatment by patients who have discolored teeth, because currently aesthetic standards have become stricter and many patients have tooth bleaching procedures performed before or during orthodontic treatment. Objective: To evaluate the bonding of orthodontic brackets to human molars after internal tooth bleaching. Material and method: Forty molars were divided into four groups according to the bleaching agent used: PS sodium perborate + water; PC carbamide peroxide; PC + PS carbamide peroxide + sodium perborate; Cont water (control group. Bleaching agents placed inside the pulp chambers were replaced every 7 days for 2 weeks, and the brackets were bonded 30 days after the end of bleaching. The shear strength test was performed in a universal testing machine (Emic. Result: ANOVA with a significance level of 5% (p > 0.05, showed no statistically significant difference between groups (p = 0.1214. Conclusion: It was concluded that the different bleaching agents studied did not interfere with the bond strength of brackets to enamel and bonding the brackets 30 days after internal bleaching is a safe procedure.

  3. Prognosis of intracoronal bleaching with sodium perborate preparation in vitro: 1-year study.

    Science.gov (United States)

    Rotstein, I; Mor, C; Friedman, S

    1993-01-01

    Bleaching materials containing hydrogen peroxide have been used for treating discolored nonvital teeth but their use was occasionally associated with external root resorption. In a previous study it was found that the immediate results of bleaching teeth in vitro were equal for sodium perborate mixed with either water or hydrogen peroxide. The purpose of this study was to compare the bleaching prognosis of sodium perborate mixed with water or hydrogen peroxide over a 1-yr period. Extracted human teeth with intact crowns were discolored with human erythrocytes and bleached by sodium perborate mixed with either 30% hydrogen peroxide (group A), 3% hydrogen peroxide (group B), or water (group C). The bleaching materials were placed in the pulp chambers of the discolored teeth and sealed with IRM. They were replaced with fresh preparations after 3 and 7 days. After 14 days the coronal access cavities were sealed with composite resin and the teeth photographed with a color slide film under standardized conditions. The teeth were stored in artificial saliva for 1 yr and photographed after 3, 6, and 12 months. Two separate evaluators ranked the teeth by comparing them with the shades before and after bleaching. The bleaching success rates of the tested groups at each time interval were compared and analyzed statistically. It was found that after 1 yr all of the teeth in groups A and C maintained their shades. In 20% of the teeth in group B there was color regression. Statistically, these differences were not significant.(ABSTRACT TRUNCATED AT 250 WORDS)

  4. Influence of hydrogen peroxide bleaching gels on color, opacity, and fluorescence of composite resins.

    Science.gov (United States)

    Torres, C R G; Ribeiro, C F; Bresciani, E; Borges, A B

    2012-01-01

    The aim of the present study was to evaluate the effect of 20% and 35% hydrogen peroxide bleaching gels on the color, opacity, and fluorescence of composite resins. Seven composite resin brands were tested and 30 specimens, 3-mm in diameter and 2-mm thick, of each material were fabricated, for a total of 210 specimens. The specimens of each tested material were divided into three subgroups (n=10) according to the bleaching therapy tested: 20% hydrogen peroxide gel, 35% hydroxide peroxide gel, and the control group. The baseline color, opacity, and fluorescence were assessed by spectrophotometry. Four 30-minute bleaching gel applications, two hours in total, were performed. The control group did not receive bleaching treatment and was stored in deionized water. Final assessments were performed, and data were analyzed by two-way analysis of variance and Tukey tests (ptherapies (phydrogen peroxide gel. No difference in opacity was detected for all analyzed parameters. Fluorescence changes were influenced by composite resin brand (ptherapy (p=0.0016) used. No significant differences in fluorescence between different bleaching gel concentrations were detected by Tukey test. The greatest fluorescence alteration was detected on the brand Z350. It was concluded that 35% hydrogen peroxide bleaching gel generated the greatest color change among all evaluated materials. No statistical opacity changes were detected for all tested variables, and significant fluorescence changes were dependent on the material and bleaching therapy, regardless of the gel concentration.

  5. Inflammatory response of human dental pulp to at-home and in-office tooth bleaching.

    Science.gov (United States)

    Vaz, Maysa Magalhães; Lopes, Lawrence Gonzaga; Cardoso, Paula Carvalho; Souza, João Batista de; Batista, Aline Carvalho; Costa, Nádia Lago; Torres, Érica Miranda; Estrela, Carlos

    2016-01-01

    This study evaluated the inflammatory responses of human dental pulp after the use of two bleaching techniques. Pulp samples were collected from human third molars extracted for orthodontic reasons and divided into three groups: control - no tooth bleaching (CG) (n=7); at-home bleaching with 15% carbamide peroxide (AH) (n = 10), and in-office bleaching with 38% hydrogen peroxide (IO) (n=12). Pulps were removed and stained with hematoxylin-eosin for microscopic analysis of inflammation intensity, collagen degradation, and pulp tissue organization. Immunohistochemistry was used to detect mast cells (tryptase+), blood vessels (CD31+), and macrophages (CD68+). Chi-square, Kruskal-Wallis, and Mann Whitney tests were used for statistical analysis. The level of significance was set at p0.05). No mast cells were found in the pulp samples analyzed. In-office bleaching with 38% hydrogen peroxide resulted in more intense inflammation, higher macrophages migration, and greater pulp damage then at-home bleaching with 15% carbamide peroxide, however, these bleaching techniques did not induce migration of mast cells and increased the number of blood vessels.