Search Results (271)

This study provides the first comprehensive characterization of benthic macrofaunal communities in the Loukkos estuary, highlighting their spatial and seasonal variability and the environmental factors shaping their structure. A total of 47 species were identified across 12 site–season combinations, dominated by molluscs (47%), polychaetes (23%), and crustaceans (21%). Species richness varied considerably along the estuarine gradient, ranging from fewer than five species in the upstream sector to up to 30 species downstream. Overall, higher diversity was observed in the downstream areas and during the dry season. Macrofaunal density also exhibited substantial variability, ranging from 95 ind.m⁻² to 14,852 ind.m⁻², with a mean density of 2535 ± 4058 ind.m⁻². Multivariate analyses identified four distinct benthic assemblages structured primarily by spatial factors (ANOSIM R = 0.86, p = 0.002), with negligible seasonal effect (R = −0.03, p = 0.6). Assemblages ranged from marine-influenced communities at the estuary mouth dominated by Cerastoderma edule, through rich and diverse seagrass-associated communities in the lower estuary dominated by Bittium reticulatum, and moderately enriched mid-estuary communities characterized by Scrobicularia plana and Hediste diversicolor, to species-poor upstream communities dominated by the tolerant species H. diversicolor. Canonical analysis showed that salinity and vegetation explain nearly 40% of the variation in benthic assemblages, highlighting the key role of Zostera seagrass beds as structuring habitats. Moreover, upstream anthropogenic pressures alter environmental conditions, reducing benthic diversity and favoring tolerant species. Full article

Background/Objectives: Delayed gastric emptying (DGE) is a well-known complication of laparoscopic pylorus-preserving gastrectomy (LPPG). Patients who underwent LPPG in the KLASS-04 trial, which was a multicenter prospective randomized control trial comparing LPPG and laparoscopic distal gastrectomy (LDG), showed an unneglectable incidence of long-term DGE compared to patients who underwent LDG. This study aimed to identify the multifactorial risk factors associated with DGE and to analyze the quality of life (QoL) of patients with DGE following LPPG. Methods: DGE was defined as “nearly normal diet residue” at least once in the endoscopic follow-up at 1, 2, and 3 years after the surgery. Clinicopathological features, surgical outcomes, and QoL were compared between the DGE and non-DGE groups. Results: DGE was observed in 21/124 patients (16.3%) who underwent LPPG. Patients without previous abdominal surgery had a higher incidence of DGE in the univariate (32% vs. 4.8%, p = 0.011) and logistic regression analyses (odds ratio: 0.106, 95% confidence interval: 0.014–0.824, p = 0.032). Patients with DGE reported more symptoms of nausea and vomiting (p = 0.004), constipation (p = 0.04), and a dry mouth (p = 0.005). Conclusions: Despite the strict protocol used to avoid well-known risk factors for DGE, such as damage to the hepatic branch of the vagus nerve, infrapyloric artery and vein, and short antral cuff, the LPPG group of the KLASS-04 trial exhibited a considerable incidence of DGE. No clinicopathological or surgical factors, other than the absence of a previous surgical history, were identified as multifactorial risk factors for DGE. However, DGE had a negative impact on the QoL of patients. Full article

Following hygiene standards in milk production is essential for making high-quality sour cream, especially when using traditional methods that rely on raw milk. The aim of this study was to determine the physicochemical, microbiological, and sensory quality of artisanal sour cream samples collected from major marketplaces in the wider Zagreb area. On average, the samples contained 27.99% milk fat, 3.30% protein, 34.29% dry matter, 6.51% fat-free dry matter and 3.00% lactose, with considerable variability observed across all components. Microbiological analysis revealed the presence of Staphylococcus aureus in 35.30% of the samples, Enterobacteriaceae in 76.47%, Escherichia coli in 94.11%, Bacillus spp. in 23.53%, and yeasts in 100% of the samples. Listeria monocytogenes and Salmonella spp. were not detected. The sensory analysis of the textural properties showed significant variability in firmness, adhesiveness, viscosity, creaminess, and fizziness. Samples with higher milk fat and dry matter content were rated better for creaminess, viscosity and mouth firmness. Flavour assessments, particularly for cream and diacetyl notes, also varied widely among samples. These findings highlight the complexity of sour cream’s sensory attributes and the significant influence of ingredient composition and processing techniques on appearance, aroma, texture, taste, and flavour. Principal component analysis (PCA) with Varimax rotation simplified the data structure and identified key dimensions of quality variation. Principal component analysis (PCA) revealed that the first principal component (PC1) effectively discriminated the cream samples based on sensory attractiveness and indicators of spoilage and highlighted the association between off-flavour and microbial contamination with inferior characteristics. The second principal component (PC2) captured the differences in physicochemical characteristics and showed a gradient from richer, creamier samples with higher fat content to those with lower acidity and higher freshness. Full article

Xerostomia, the subjective complaint of a dry mouth, is frequently associated with salivary flow reduction and/or salivary gland hypofunction. This condition significantly impacts an individual’s quality of life and oral health, including difficulties in speaking, chewing, and swallowing. Xerostomia may be caused by autoimmune diseases, xerogenic medications, and radiation therapy. Our objective was to identify differentially expressed proteins in the saliva of patients with medication and autoimmune disease-associated xerostomia compared to non-xerostomic control subjects. Two groups of individuals (N = 45 total) were recruited: non-xerostomic subjects (NX-group; n = 18) and xerostomic patients (XP-group; n = 27). Dried saliva spot samples were collected from major salivary glands, i.e., parotid (left and right) and submandibular glands. Proteomic analysis was performed by deep nanoLC-MS/MS. Differential protein expression in the XP-group relative to the NX-group was determined by the Mann–Whitney U-test with FDR Benjamini–Hochberg correction (p_adj < 0.05). The Search Tool for Recurring Instances of Neighboring Genes (STRING_v12.0) was used to generate interaction networks and perform pathway analysis. A total of 1407 proteins were detected. Of these, 86 from the left parotid gland, 112 from the right parotid gland, and 73 from the submandibular gland were differentially expressed proteins (DEPs). Using STRING analysis, we identified, for the first time, several neurodegenerative disease-associated networks, primarily involving the downregulation of the 20S proteasome core complex and glyoxalase proteins across salivary glands. In this study, we determined neuronal dysregulation and impaired methylglyoxal (MGO) detoxification, possibly through reduced protein expression of glyoxalase Parkinson’s Disease (PD) Protein 7 (encoded by the PARK7 gene) in major salivary glands of xerostomic patients. Indeed, impaired MGO detoxification has been previously shown to cause salivary gland dysfunction in a mouse model of type 2 diabetes. Based on other DEPs associated with neurodegenerative disorders, our results also suggest a possible deficiency in the parasympathetic nervous system innervation of salivary glands, warranting further investigation. Full article

Background and Objectives: The common complaints of head and neck cancer patients receiving concurrent chemo-radiotherapy (CCRT) are dry mouth, dysphagia, trismus, hoarseness, sore throat, and oral mucosal damage, which result in retained secretions and difficult expectoration. We aimed to investigate the effect of adjuvant respiratory therapy on secretion expectoration and treatment completion in patients with head and neck cancer receiving CCRT. Materials and Methods: From November 2016 to May 2018, 56 head and neck cancer patients were recruited retrospectively, and according to their respiratory therapy in the medical record, were divided into the control group (CG, n = 27) or the research group (RG, n = 29). In the CG, the patients were treated via the teaching of routine breathing exercises and expel techniques, while patients in the RG were treated with the inhalation of a ß-agonist bronchodilator agent five times each week, in addition to the standard treatment administered in the CG. Results: The total completion rate of treatment was significantly higher in the RG (21 patients) compared with the CG (12 patients) (72.4% vs. 44.4%, p < 0.05). After therapy, the rates of clinical symptoms were significantly increased in the RG compared with the CG, including smooth expectoration (76.2% vs. 75.0%), decreased secretions (61.9% vs. 58.3%), reduced viscosity of secretions (66.7% vs. 58.3%), lower cough frequency (71.4% vs. 50.0%), improved sore throat (52.4% vs. 41.7%), and swallowing function (52.4% vs. 50.0%). The continuation of chemo-radiotherapy without disruption was higher in the RG than it was in the CG (66.7% vs. 50.0%). There was no significant difference in adverse effects between the two groups. Conclusions: Adjuvant respiratory therapy not only improves secretion expectoration, but also reduces side effects, thus promoting the completion of the CCRT schedule in patients with head and neck cancer. Full article

Gene therapy has emerged as a promising therapeutic approach across various oral diseases. This review examines current applications and future prospects of gene therapy in dentistry, focusing on five key areas: oral cancer, cancer-related pain, xerostomia (dry mouth), dental caries, and periodontal disease. Recent advances in viral and non-viral vectors have enabled more efficient gene delivery systems, with particular success in cancer pain management through µ-opioid receptor gene transfer and xerostomia treatment using aquaporin-1 gene therapy. For periodontal applications, gene therapy strategies include both immunomodulation and tissue regeneration approaches using growth factors like platelet-derived growth factor and bone morphogenetic proteins. While significant progress has been made, particularly in treating radiation-induced xerostomia and oral cancer pain, challenges remain in vector optimization and delivery methods. Clinical trials, predominantly in Phase I, indicate both the potential and current limitations of gene therapy in oral healthcare. This review synthesizes current evidence and outlines future directions for gene therapy applications in oral medicine and dentistry. Full article

Headwater streams serve as a crucial link between forest and downstream aquatic ecosystems and also act as crucial agents in carbon (C) and nutrient storage and flux. These aquatic systems play a pivotal role in regulating biogeochemical cycles. Plant litter is an important contributor of nutrients to headwater streams, having significant impacts on downstream ecosystems. However, current research predominantly focuses on the dynamics of plant litter C and nutrients such as nitrogen and phosphorus, and we know little about those of nutrients such as sodium (Na). In this study, we conducted a comprehensive evaluation of the annual dynamics of plant litter Na storage within a subtropical headwater stream. This study took place over a period of one year, from March 2021 to February 2022. Our results showed that (1) the average annual concentration and storage of litter Na was 538.6 mg/kg and 2957.6 mg/m², respectively, and litter Na storage exhibited a declining trend from stream source to mouth, while demonstrating significantly higher values during the rainy season compared to the dry season; (2) plant litter type had significant impacts on Na concentration and storage, with leaf, twig, and fine woody debris accounting for the majority of litter Na storage; and (3) hydrological (precipitation, discharge) and physicochemical (water temperature, flow velocity, pH, dissolved oxygen, alkalinity) factors jointly affected Na storage patterns. Overall, the results of this study clearly reveal the dynamic characteristics of Na storage in plant litter in a subtropical forest headwater stream, which contributes to a more comprehensive understanding of the role of headwater streams in nutrient cycling and the dynamic changes of nutrients along with hydrological processes. This research will enhance our predictive understanding of nutrient cycling at the watershed scale. Full article

Introduction: Hypoglossal nerve stimulation (HNS) “Inspire_© therapy” has garnered popularity among obstructive sleep apnea (OSA) patients seeking an alternative to continuous positive airway pressure (CPAP) therapy. The growth in HNS has been particularly high in older adults living with OSA. Consistent and proper use of HNS in the geriatric population faces unique age-associated barriers: a high rate of multiple chronic conditions (MCC) and polypharmacy (being on five or more drugs). Early recognition and patient-centered management of these barriers will allow older patients to obtain maximum benefits from HNS. HNS has distinct advantages in the geriatric population because it overcomes many concerns related to CPAP therapy adherence, such as mechanical limitations due to manual dexterity, maxillofacial anatomy, dental issues such as usage of dentures, allergy/otolaryngology-related disorders, and pre-existing post-traumatic stress disorder-related claustrophobia. This paper describes how we worked with older patients with OSA and their care partners to overcome these barriers so patients can continue to derive cardiovascular, neurologic, and quality of life benefits resulting from optimal OSA management. These benefits are especially important in the older population because of higher rates of comorbidities (dementia, coronary artery disease, and atrial fibrillation) exacerbated by sub-optimally treated OSA. In this article, we describe our clinical experience with elderly patients on Inspire_© therapy, with a focus on the everyday difficulties faced by these patients and the measures implemented to address and mitigate these barriers. Methods: A retrospective chart review was conducted to identify patients aged 65 and above who underwent hypoglossal nerve stimulator insertion. Experiences of older patients during and after the insertion procedure were documented and compared to a younger population of patients on HNS therapy. We specifically collected information on difficulties encountered during activation or follow-up visits and compared them between the different age groups. Using this information, we identified areas to improve treatment adherence from the patients’ perspectives. Results: We identified 43 geriatric (65 to 86 years old) patients who received the Inspire implant at a tertiary academic medical center and compared them to a younger population of 23 patients. Most common challenges noted—with a potential to impact adherence—included orofacial and lingual neuropraxia (ischemic or demyelination-induced neuropathy) at activation, cognitive dysfunction (memory problems), preexisting anxiety, and insomnia. Other difficulties that are less commonly reported but equally important to consistent and proper use of HNS included headaches, concerns of device malfunction, change in comfort levels after cardiac procedures, and general intolerance of the device. The older patient population had a statistically significant higher incidence of cognitive difficulties (30.2% vs. 4.4%) and a smaller social support system (62.8% vs. 91.3%) affecting device usage compared to the younger population. There were no statistically significant differences in the rates of other more commonly reported adverse effects such as headaches, dry mouth, and anxiety between the two age groups. Conclusion: Despite several challenges faced by geriatric patients, Inspire_© hypoglossal nerve stimulation remains a viable, alternative treatment option for OSA with improved tolerance and adherence compared to CPAP. After identifying less commonly reported barriers such as cognitive decline, sensory deficits, and decreased social support systems, minor adjustments and appropriate education on use allows older patients to correctly use and benefit from Inspire_© device therapy, with subsequent improvement in sleep and overall quality of life. Full article

Sjögren’s disease (SjD) is a systemic autoimmune disorder primarily causing dry eyes and mouth. It frequently overlaps with other autoimmune diseases (AIDs), including rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). However, the genetic basis of SjD remains underexplored, limiting our understanding of its connections to other immune-mediated conditions. In this study, we aimed to identify gene networks associated with SjD through the integration of genetic, transcriptomic, and epigenomic data. We further compared the genetic factors of SjD with other immune-mediated diseases. We analyzed genome-wide association studies (GWAS) summary statistics, DNA methylation, and transcriptomic data using our in-house network-based methods, dmGWAS and EW_dmGWAS, to identify key gene modules associated with SjD. In dmGWAS analysis, discovery and evaluation datasets were used to identify consensus results. We conducted gene-set, cell-type, and disease-enrichment analyses on significant gene modules and explored potential drug targets. Genetic correlations and Mendelian randomization were applied to assess SjD’s link with 17 other AIDs and 16 cancer types. dmGWAS identified 207 and 211 gene modules in the discovery and evaluation phases, respectively, while EW_dmGWAS detected 886 modules. Key modules highlighted 55 genes (discovery), 52 genes (evaluation), and 59 genes (EW_dmGWAS), with at least 50 genes from each analysis linked to AIDs and cancer. Enrichment analyses confirmed their relevance to immune and oncogenic pathways. We pinpointed four candidate drug targets associated with AIDs. We developed a novel integrative omics approach to identify potential genetic markers of SjD and compared them with AIDs and cancers. Our approach can be similarly applied to other disease studies. Full article

Background/Objectives: Self-perceived oral health is influenced by clinical and subjective oral factors, socioeconomic status, stress, and oral health behaviors. However, few studies have examined its association with dry mouth, salivary viscosity, and lifestyle factors. This study investigated the impact of self-perceived oral health and stress levels on subjective oral symptoms and lifestyle factors. Methods: A total of 644 university students participated. Self-perceived oral health was subjectively evaluated using a single item, and stress levels were measured using the Korean version of the Perceived Stress Scale-10 (PSS-10), which has been validated for reliability and validity. Chi-square tests identified differences in self-perceived oral health and stress levels based on subjective oral symptoms and lifestyle factors. Logistic regression assessed the effects of tooth brushing frequency, periodontal disease diagnosis, dry mouth, and gingival bleeding on self-perceived oral health. Results: Subjective oral symptoms significantly associated with self-perceived oral health included gingival bleeding, dry mouth, and salivary viscosity; lifestyle factors included tooth brushing frequency and beverage consumption. Frequent tooth brushing increased the likelihood of perceiving oral health as good (OR = 1.363, p = 0.030), while dry mouth (OR = 0.576, p = 0.001) and gingival bleeding (OR = 0.597, p = 0.003) reduced it. Conclusions: This study’s results showed that gingival tooth brushing frequency and subjective oral symptoms significantly impacted self-perceived oral health. Therefore, effective educational programs should be implemented to promote self-perceived oral health awareness and oral health maintenance. Full article

Background/Objectives: Oral health is critical for overall health, particularly in hospitalized patients whose weakened physical state can lead to oral changes, such as dry mouth and gingivitis due to anxiety and stress. Neglected oral hygiene can lead to infections and systemic complications. This study aims to evaluate the antibacterial efficacy of low-frequency square-wave positive voltage electrical stimulation compared to chlorhexidine and to assess its potential as a next-generation solution for preventing hospital-acquired infections. Methods: Sixty-three tooth specimens were randomly assigned to seven groups, including various concentrations of chlorhexidine and electrical stimulation with or without brushing. Biofilm formation was induced using saliva from healthy donors and standard strains of Streptococcus mutans and Aggregatibactor actinomycetemcomitans. Bacterial colony-forming units (CFU) and absorbance changes were measured post-treatment. Results: Significant reductions in CFU counts were observed in both the chlorhexidine and electrical stimulation groups compared to the control, with the 5V2H group showing superior antibacterial efficacy over 0.12% chlorhexidine. Chlorhexidine-treated specimens demonstrated a dose-dependent response and minimal bacterial presence, while electrical stimulation showed effectiveness but with re-growth observed after 4 h. Scanning electron microscopy revealed substantial biofilm on untreated and electrically stimulated specimens, whereas chlorhexidine-treated specimens exhibited minimal bacterial presence. Conclusions: Intermittent electrical stimulation shows promise as an alternative to chlorhexidine for oral hygiene management in critical care settings, though an optimization of electrical parameters is necessary for sustained effects. This approach could reduce hospital-acquired infections by providing an effective, non-chemical method for maintaining oral hygiene. Full article

Tearing and salivation are wholly dependent on the activity of exocrine (lacrimal and salivary) glands, whereas vaginal moisture and secretion rely on a combination of exudation and exocrine secretion. Exocrine gland disorders impact millions, and women with Sjögren’s Syndrome often experience dry eye and mouth as well as vaginal dryness. Cannabis users’ complaints of dry eye and ‘cottonmouth’ are well-known, but some female cannabis users also report vaginal dryness. The regulation of vaginal secretion by the cannabinoid signaling system is essentially unstudied. We recently reported that despite their small size and nocturnal nature, laboratory mice have measurable basal vaginal moisture and pheromone-stimulated secretory responses that are regulated by circadian and estrous factors. We tested the regulation of vaginal moisture by cannabinoid CB1 receptors in this model. We now report that the cannabinoid receptor agonist CP55940 does not alter baseline vaginal moisture but prevents a stimulated secretory response due to a local peri-vaginal effect. Chronic intermittent CP55940 reduces basal vaginal moisture but also unmasks or induces a potentiating effect for CP55940, suggesting multiple sites of action. The acute and chronic effects likely occur via CB1 receptors. Δ⁹-tetrahydrocannabinol (THC), the chief psychoactive ingredient of cannabis, a partial agonist at CB1, has no acute or chronic effects. In summary, strong acute activation of CB1 receptors in a murine model does not reduce vaginal moisture but does prevent a pheromone-stimulated vaginal secretory response. In contrast, chronic intermittent CB1 activation reduces baseline vaginal moisture. The extent to which these findings translate to humans remains to be determined. Full article

Amidst escalating global water scarcity and the urgent need for sustainable agricultural practices, the exploration of efficient and eco-friendly agricultural aids has become paramount. This field experiment investigated the effects of foliar γ-polyglutamic acid (γ-PGA) application on summer maize under two irrigation levels (0 m³·ha⁻¹ and 900 m³·ha⁻¹ at the bell-mouth stage) and three γ-PGA spraying treatments. The results demonstrated that both irrigation and γ-PGA spraying significantly influenced maize yield and various growth parameters, with notable interaction effects. Compared to the control, single and double applications of γ-PGA increased summer maize yield by 33.3% and 37.0%, respectively, while enhancing dry matter accumulation and nutrient uptake. Foliar γ-PGA application also altered the rhizosphere microbial community composition, increasing the abundances of Proteobacteria and Actinobacteria, as well as beneficial bacteria such as Arthrobacter, Sphingomonas, Streptomyces, and Altererythrobacter. Additionally, it significantly increased the population of Dung Saprotroph fungi, which are beneficial for crop growth. These findings suggest that foliar γ-PGA application can promote summer maize growth and holds significant potential for agricultural applications. Full article

Background/Objectives: The current study aimed to evaluate the oral health self-perception on quality of life in the elderly using the Geriatric Oral Health Assessment Index (GOHAI) to assess the impact of demographic and oral health factors on oral health-related quality of life. Methods: An observational prospective cross-sectional study for the entire six-month period was conducted in a dental health care center in the United Arab Emirates. The principal inclusion criterion is being aged 60 and over. The GOHAI questionnaire is composed of 4 domains of 12 items that address functional limitation, pain and discomfort, psychological impacts, and behavioral impacts. Patients were questioned about the frequency at which they experience any of the 12 listed problems. Results: A total of 318 respondents participated in the study and completed the whole questionnaire. Among these participants, 63.5% (n = 202) were male and 86.8% (n = 276) were ≤70 years. The average GOHAI score was 13.25, with a 95% confidence interval (CI) [12.4%, 14%], indicating a low self-perception of oral health by the allocated sample. Statistical modeling identified dry mouth (OR = 2.21, 95% CI 1.40–3.48) and chewing problems (OR = 1.87, 95% CI 1.09–3.20) as the strongest determinants of poor oral health-related quality of life (OHRQoL) in the elderly population. Conclusions: Healthcare professionals should develop targeted strategies to address the specific needs of this population, ensuring sustained improvements in their quality of life. Full article

Objective: To analyze the efficacy of transcutaneous electrical nerve stimulation (TENS) on parotid glands in patients with xerostomia. Material and Methods: A simple, blinded, randomized, longitudinal, and prospective study was performed with 50 patients with xerostomia, divided into two groups; 25 patients received TENS and 25 received a sham treatment. The treatment group took part in three sessions with TENS that lasted 15 min each for three weeks. The production of saliva was measured through sialometry at the start and end of the treatment. The perception of xerostomia was assessed with the Visual Analog Scale (VAS-X) and the Xerostomia Inventory (XI), also at the beginning and the end. The impact on oral health (OHIP-14) was assessed in the first and third sessions. Results: A progressive improvement was observed after three treatment sessions. With respect to the initial VAS scores, these significantly decreased from the start (7.52 ± 1.92) to the end (6.84 ± 1.84; p < 0.001). The sialometry values significantly increased, showing an increase in the salivary fluid from the start to the end of the treatment (p < 0.001). With respect to the Xerostomia Inventory (XI) (Thomson), the scores decreased from the initial 36.88 ± 7.78 to 35.60 ± 7.42 after the sessions (p = 0.01). No significant changes were observed in the OHIP-14 in patients treated with TENS. Conclusions: The TENS therapy is presented as a promising and non-invasive alternative for the management of xerostomia, as it is able to objectively increase the salivary flow and improve the subjective perception of mouth dryness. Full article