GLORIA

GEOMAR Library Ocean Research Information Access

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    In: BMC Oral Health, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2022-09-27)
    Abstract: HIV infection and its management confer a substantial health burden to affected individuals and have been associated with increased risk of oral and dental diseases. In this study, we sought to quantify HIV-associated differences in the prevalence and severity of dental caries in the primary and permanent dentition of 4–11-year-old Nigerian Children. Methods We used clinical, laboratory, demographic, and behavioral data obtained from an ongoing cohort study of age-matched HIV-infected (HI, n = 181), HIV-exposed-but-uninfected (HEU, n = 177), and HIV-unexposed-and-uninfected (HUU, n = 186) children. Measures of dental caries experience (i.e., prevalence and severity) were based on dmft/DMFT indices recorded by trained and calibrated clinical examiners. Differences in primary and permanent dentition caries experience between HI, HEU, and HUU were estimated using multivariable logistic and negative binomial regression modeling. Results HI children had significantly higher caries experience (33%) compared to HEU (15%) and HUU (22%) children. This difference persisted in fully adjusted analyses [odds ratio (OR) = 1.6; 95% confidence interval (CI) = 1.0–2.6], was most pronounced in the permanent dentition (OR = 3.4; 95% CI = 1.2–9.5), and mirrored differences in caries severity. While molars were predominantly affected in both primary and permanent dentitions, caries lesion patterns differed between dentitions. Caries severity was significantly associated with hypoplastic primary teeth, gingival inflammation, and lower CD4 counts. Conclusions We found that the higher prevalence and severity of dental caries among HI children was driven by increased burden of permanent dentition caries compared to their uninfected counterparts. The dentition-specific associations identified in this study highlight the need to design and implement age-specific caries prevention strategies. These may include intensified oral hygiene regimens aimed at mitigating the cariogenic impact of hyposalivation among HI children. Similarly, the long-lasting impacts of developmental defects of the enamel in the primary and permanent dentitions must not be ignored.
    Type of Medium: Online Resource
    ISSN: 1472-6831
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2091511-1
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 2
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 147, No. Suppl_1 ( 2023-02-28)
    Abstract: Introduction: Over the past 30 years, obesity prevalence has markedly increased in the United States, including tripling among children. Although numerous obesity genetic loci have been identified by genome-wide association studies (GWAS) in adults, less is known about the genetic architecture of early childhood obesity. Moreover, most childhood obesity GWAS have been restricted to severe obesity and primarily European ancestry populations. Hypothesis: We hypothesized that meta-analysis of GWAS of early childhood standardized body mass index z-scores (BMIz) from the ancestrally diverse ZOE 2.0 cohort, the Santiago Longitudinal Study (SLS), and two primarily European ancestry studies (Early Growth Genetics [EGG] Consortium and the Norwegian Mother and Child Cohort [MoBa] ) would identify novel early childhood BMI genetic loci. Methods: To identify genetic loci associated with early childhood BMI, we performed GWAS of BMIz in the ZOE 2.0 cohort, a community-based sample of children enrolled in public preschools in North Carolina (total n = 6,054 children, mean age 4 years, 48% African American [n=2891], 20% Hispanic [n=1214] , 18% White [n=1066], 2% American Indian/Alaska Native [n=146] , 12% other or more than one race [n=737]), and the SLS, a longitudinal cohort of children recruited from community clinics in Santiago, Chile (n = 861 children, mean age 5.5 years), using SAIGE and SUGEN, respectively. Genetic data were imputed to the TOPMed Freeze 8 (ZOE 2.0) and 1000 Genomes Phase III admixed American (SLS) reference panels. GWAS models were adjusted for self-reported race/ethnicity and 8 ancestry principal components (PCs) (ZOE 2.0), and 5 PCs (SLS). We performed inverse variance weighted fixed-effect meta-analysis of these results with previously published summary statistics of BMIz of children in the EGG Consortium (ages 2-10 years , all European participants) and the MoBa cohort (age 3 years, all European participants), for a total N of 63,747 individuals. Variants were filtered for minor allele frequency (MAF) 〉 0.01 and effective N 〉 20. Results: We identified 3 genome-wide significant ( p 〈 5 x 10 -8 ) loci ( PTBP2, LOC374295, DTWD2 on chromosomes 1, 2, and 5) that have not been previously associated with childhood obesity traits, although PTBP2 has also been associated with adult BMI. We also identified 3 genome-wide significant loci previously associated with body size at younger ages: birth weight ( LCORL , HMGA2 , chromosomes 4 and 12) or BMI at less than 8 months ( SH3GL3, chromosome 15). LCORL and HMGA2 have also been associated with adult obesity traits. Conclusions: Our findings are consistent with previous literature reporting age-specific genetic effects across early childhood as well as some shared genetic architecture with adult BMI. We are currently pursuing replication of novel findings in diverse populations, and mechanistically validating our novel signals.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 1466401-X
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 3
    In: Science, American Association for the Advancement of Science (AAAS), Vol. 374, No. 6575 ( 2021-12-24)
    Abstract: Tissue-specific cues are critical for homeostasis at mucosal barriers. Here, we report that the clotting factor fibrin is a critical regulator of neutrophil function at the oral mucosal barrier. We demonstrate that commensal microbiota trigger extravascular fibrin deposition in the oral mucosa. Fibrin engages neutrophils through the α M β 2 integrin receptor and activates effector functions, including the production of reactive oxygen species and neutrophil extracellular trap formation. These immune-protective neutrophil functions become tissue damaging in the context of impaired plasmin-mediated fibrinolysis in mice and humans. Concordantly, genetic polymorphisms in PLG , encoding plasminogen, are associated with common forms of periodontal disease. Thus, fibrin is a critical regulator of neutrophil effector function, and fibrin-neutrophil engagement may be a pathogenic instigator for a prevalent mucosal disease.
    Type of Medium: Online Resource
    ISSN: 0036-8075 , 1095-9203
    RVK:
    RVK:
    Language: English
    Publisher: American Association for the Advancement of Science (AAAS)
    Publication Date: 2021
    detail.hit.zdb_id: 128410-1
    detail.hit.zdb_id: 2066996-3
    detail.hit.zdb_id: 2060783-0
    SSG: 11
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 4
    Online Resource
    Online Resource
    Wiley ; 2005
    In:  Journal of Dental Education Vol. 69, No. 6 ( 2005-06), p. 687-692
    In: Journal of Dental Education, Wiley, Vol. 69, No. 6 ( 2005-06), p. 687-692
    Abstract: The goals of this study were to identify sources of stress in dental education and to explore the role of year of study and gender on perceived stressors. Five hundred and seventy‐one undergraduates, officially registered at the University of Athens School of Dentistry, participated in the survey by completing a thirty‐item modified version of the Dental Environment Stress Questionnaire. Assigned workload, performance pressure, and self‐efficacy beliefs constituted the most stress‐provoking factors. Gender differences were found in most of the perceived stressors, whereas stress intensity greatly differed by year of study. Multivariate analysis suggested that, irrespective of gender, fourth‐year and graduating students were less concerned about class work overload, clinical training difficulties, and course failing, but were significantly more insecure about their professional future. Entry‐level students appeared to be the most concerned about the lack of time for relaxation. However, they were the least stressed about completing graduation requirements compared with the rest of their peers. Possible strategies for reducing stress in Greek dental education are considered in the light of these findings.
    Type of Medium: Online Resource
    ISSN: 0022-0337 , 1930-7837
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2005
    detail.hit.zdb_id: 2149967-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 5
    In: Head & Neck, Wiley, Vol. 42, No. 10 ( 2020-10), p. 2841-2851
    Abstract: Decreased access to preventive care services has been proposed as a mechanism for the association between low socioeconomic status (SES) and advanced stage at diagnosis in patients with head and neck squamous cell carcinoma (HNSCC). Methods Retrospective analysis of patients diagnosed with HNSCC in North Carolina between 2002 and 2006. Results A total of 1108 patients with HNSCC were included in the study. In the multivariable analysis, use of annual routine dental services (OR 0.7, 95% CI 0.5‐0.9) and colonoscopy in the past 10 years (OR 0.7, 95% CI 0.5‐0.9) were associated with lower odds of advanced T stage at diagnosis. Having no insurance (OR 1.8, 95% CI 1.1‐2.9), an income 〈 $20 000 (OR 1.6 95% CI 1.03‐2.6), and 〉 10 pack‐years tobacco use (OR 1.5, 95% CI 1.04‐2.2) were associated with advanced T stage at diagnosis. Conclusion Use of preventive care services and SES independently predict stage at diagnosis in HNSCC.
    Type of Medium: Online Resource
    ISSN: 1043-3074 , 1097-0347
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2001440-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 6
    Online Resource
    Online Resource
    Public Library of Science (PLoS) ; 2017
    In:  PLOS ONE Vol. 12, No. 7 ( 2017-7-20), p. e0181336-
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 12, No. 7 ( 2017-7-20), p. e0181336-
    Type of Medium: Online Resource
    ISSN: 1932-6203
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2017
    detail.hit.zdb_id: 2267670-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 7
    Online Resource
    Online Resource
    Wiley ; 2018
    In:  Journal of Periodontology Vol. 89, No. 2 ( 2018-02), p. 148-156
    In: Journal of Periodontology, Wiley, Vol. 89, No. 2 ( 2018-02), p. 148-156
    Abstract: Current periodontal disease taxonomies have limited utility for predicting disease progression and tooth loss; in fact, tooth loss itself can undermine precise person‐level periodontal disease classifications. To overcome this limitation, the current group recently introduced a novel patient stratification system using latent class analyses of clinical parameters, including patterns of missing teeth. This investigation sought to determine the clinical utility of the Periodontal Profile Classes and Tooth Profile Classes (PPC/TPC) taxonomy for risk assessment, specifically for predicting periodontal disease progression and incident tooth loss. Methods The analytic sample comprised 4,682 adult participants of two prospective cohort studies (Dental Atherosclerosis Risk in Communities Study and Piedmont Dental Study) with information on periodontal disease progression and incident tooth loss. The PPC/TPC taxonomy includes seven distinct PPCs (person‐level disease pattern and severity) and seven TPCs (tooth‐level disease). Logistic regression modeling was used to estimate relative risks (RR) and 95% confidence intervals (CI) for the association of these latent classes with disease progression and incident tooth loss, adjusting for examination center, race, sex, age, diabetes, and smoking. To obtain personalized outcome propensities, risk estimates associated with each participant's PPC and TPC were combined into person‐level composite risk scores (Index of Periodontal Risk [IPR] ). Results Individuals in two PPCs (PPC‐G: Severe Disease and PPC‐D: Tooth Loss) had the highest tooth loss risk (RR = 3.6; 95% CI = 2.6 to 5.0 and RR = 3.8; 95% CI = 2.9 to 5.1, respectively). PPC‐G also had the highest risk for periodontitis progression (RR = 5.7; 95% CI = 2.2 to 14.7). Personalized IPR scores were positively associated with both periodontitis progression and tooth loss. Conclusions These findings, upon additional validation, suggest that the periodontal/tooth profile classes and the derived personalized propensity scores provide clinical periodontal definitions that reflect disease patterns in the population and offer a useful system for patient stratification that is predictive for disease progression and tooth loss.
    Type of Medium: Online Resource
    ISSN: 0022-3492 , 1943-3670
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2040047-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 8
    In: Journal of Periodontology, Wiley, Vol. 88, No. 2 ( 2017-02), p. 153-165
    Abstract: Background: The goal of this study is to use bioinformatics tools to explore identification and definition of distinct periodontal and tooth profile classes (PPCs/TPCs) among a cohort of individuals by using detailed clinical measures at the tooth level, including both periodontal measurements and tooth loss. Methods: Full‐mouth clinical periodontal measurements (seven clinical parameters) from 6,793 individuals from the Dental Atherosclerosis Risk in Communities Study (DARIC) were used to identify PPC. A custom latent class analysis (LCA) procedure was developed to identify clinically distinct PPCs and TPCs. Three validation cohorts were used: NHANES (2009 to 2010 and 2011 to 2012) and the Piedmont Study population (7,785 individuals). Results: The LCA method identified seven distinct periodontal profile classes (PPCs A to G) and seven distinct tooth profile classes (TPCs A to G) ranging from health to severe periodontal disease status. The method enabled identification of classes with common clinical manifestations that are hidden under the current periodontal classification schemas. Class assignment was robust with small misclassification error in the presence of missing data. The PPC algorithm was applied and confirmed in three distinct cohorts. Conclusions: The findings suggest PPC and TPC using LCA can provide robust periodontal clinical definitions that reflect disease patterns in the population at an individual and tooth level. These classifications can potentially be used for patient stratification and thus provide tools for integrating multiple datasets to assess risk for periodontitis progression and tooth loss in dental patients.
    Type of Medium: Online Resource
    ISSN: 0022-3492 , 1943-3670
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2040047-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 9
    In: Journal of Periodontology, Wiley, Vol. 88, No. 7 ( 2017-07), p. 663-672
    Abstract: Background: The single nucleotide polymorphism (SNP) context of a previously identified periodontitis‐associated locus is investigated, and its association with microbial, biologic, and periodontal disease clinical parameters is examined. Methods: A 200‐kb spanning region of 1q12 previously highlighted in a genome‐wide association scan among 4,766 European American individuals (SNP rs1633266) was annotated. Two haplotype blocks were selected. Association of these polymorphisms with data on microbial plaque composition, gingival crevicular fluid (GCF)–interleukin (IL)‐1β levels, and clinical parameters of periodontal disease were examined. Descriptive analysis of IFI16 and AIM2 protein expression in gingival tissues from healthy individuals (n = 2) and individuals with chronic periodontitis (n = 2) was done via immunohistochemistry. Results: The highlighted locus is a 100‐kb region containing the interferon γ‐inducible protein 16 ( IFI16 ) and absent in melanoma 2 ( AIM2 ) genes. Two haplotype blocks, rs6940 and rs1057028, were significantly associated with increased extent bleeding on probing and levels of microorganisms Porphyromonas gingivalis , Tannerella forsythia , and Campylobacter rectus ( P ≤0.05). Haplotype block rs1057028 was also significantly associated with pathogens Fusobacterium nucleatum and Aggregatibacter actinomycetemcomitans , increased GCF–IL‐1β levels, and extent of probing depth ≥4 mm ( P ≤0.05). Prevalence of severe periodontitis (biofilm‐gingival interface P3 classification) was positively associated with haplotype block rs1057028. Similar trends were observed for haplotype block rs1057028. IFI16 and AIM2 protein expression was observed in multiple cell types of gingival tissues, including inflammatory cells. Conclusion: This study found IFI16 and AIM2 SNPs associated with higher levels of periodontal microorganisms and an increased percentage of periodontal disease clinical parameters, suggesting the need for functional studies and additional fine‐mapping of variants in the 1q12‐locus.
    Type of Medium: Online Resource
    ISSN: 0022-3492 , 1943-3670
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2040047-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 10
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 2014
    In:  Pediatrics Vol. 133, No. 5 ( 2014-05-01), p. e1268-e1276
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 133, No. 5 ( 2014-05-01), p. e1268-e1276
    Abstract: Early preventive dental visits are essential in improving children’s oral health, especially young children at high risk for dental caries. However, there is scant information on how these children enter the dental care system. Our objectives were as follows: (1) to describe how a population-based cohort of young Medicaid-enrolled children entered dental care; and (2) to investigate the influence of caregiver characteristics on their children’s dental care–seeking patterns. METHODS: We relied on Medicaid claims and interview data of caregiver–child dyads who were enrolled in the Carolina Oral Health Literacy study during 2007–2008. The analytical cohort comprised 1000 children who had no dental visits before enrollment. Additional information was collected on sociodemographic characteristics, oral health status, health literacy, dental neglect, and access to care barriers. Our analyses relied on descriptive, bivariate, and multivariate methods. RESULTS: During the 25-month median follow-up period, 39% of the children (mean baseline age: 16 months) entered the dental care system, and 13% of their first encounters were for emergency care. Caregivers’ dental neglect emerged as a significant predictor of nonentrance. Children with reported oral health problems at baseline were more likely to enter the dental care system compared with children with better oral health, but they were also more likely to require emergency care. CONCLUSIONS: Caregivers have a pivotal role in children’s oral health and care. Interventions aimed at improving children’s oral health should involve community outreach to engage caregivers in a culturally appropriate manner when their children are infants or toddlers.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 2014
    detail.hit.zdb_id: 1477004-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...