Determination of Cortisol and Dehydroepiandrosterone Levels in Saliva for Screening of Periodontitis in Older Japanese Adults

Background. Recent reports have found a positive relationship between periodontitis and the hormones cortisol and dehydroepiandrosterone (DHEA). We investigated the associations between those levels and periodontitis in never-smokers and smokers of elderly subjects. Subjects and Methods. Cortisol and DHEA levels in saliva were determined in 171 subjects (85 males, 86 females), with clinical examinations including probing depth (PD) and clinical attachment loss (CAL) also performed. Results. Smoking had effects on cortisol and DHEA levels, and those were significantly associated with severe PD and CAL in never-smokers. According to ROC analysis, the cutoff values of cortisol and DHEA to obtain the optimal sensitivity and specificity for detecting severe periodontitis were 2.06 ng/mL and 60.24 pg/mL, respectively, for PD, and 2.12 ng/mL and 61.78 pg/mL, respectively, for CAL. Conclusions. Assessment of hormone levels may be a useful screening method for periodontitis, though limited to never-smokers

Retroperitoneal liposarcoma presenting a indirect inguinal hernia

A 60-year-old man was admitted to our hospital with a right inguinal swelling that had been growing in size without any pain for 7 months. We diagnosed the growth as a right inguinal hernia and operated on him. The growth, however, was found to be a tumor it situated along the spermatic cord and testicular vessels. We diagnosed it as a lipoma. The tumor was resected near part of the internal inguinal ring. Histopathological diagnosis showed well-differentiated liposarcoma of the sclerosing type. Postoperative computed tomography (CT) revealed a large residual tumor in the retroperitoneum. We believed that the tumor was a retroperitoneal liposarcoma and that it developed in the inguinal region. The residue of the liposarcoma was resected onto the right inguinal tract. A periodic follow up has been performed and no evidence of recurrence or metastasis has been seen in the 4 years and 9 months since the second surgery. No adjuvant therapy was performed. Inguinal liposarcomas are relatively rare and in most cases these tumors are thought to originate in the spermatic cord. The origin of the tumor is believed to be the retroperitoneum</p

Relationship between tooth loss and mortality in 80-year-old Japanese community-dwelling subjects

<p>Abstract</p> <p>Background</p> <p>Findings from several studies suggest associations between tooth loss and health outcomes, including malnutrition, poor quality of life, and mortality, in older individuals. However, limited information is available regarding whether those associations remain true in very elderly subjects after adequately considering confounding factors such as sex and smoking status. Herein, we determined whether the number of teeth in 80-year-old subjects is an independent predictor of mortality.</p> <p>Methods</p> <p>We initially contacted 1282 80-year-old community-dwelling individuals born in 1917, of whom 697 responded and participated in a baseline study, with follow-up examinations conducted 4 and 5.5 years later. Data from interviews and medical and oral examinations were obtained, and oral health was determined according to the number of teeth remaining in the oral cavity.</p> <p>Results</p> <p>A total of 108 and 157 subjects died in 4 years and 5.5 years, respectively, after the baseline study. Tooth loss was significantly associated with mortality at age 85.5, but not at age 84, after adjusting for potential confounders. When the analysis was stratified by sex, we found a stronger association in females in follow-up examinations conducted at both 4- and 5.5 years. On the other hand, the effect of tooth loss on mortality was not significantly different between smokers and non-smokers.</p> <p>Conclusion</p> <p>Tooth loss is a significant predictor of mortality independent of health factors, socio-economic status, and lifestyle in octogenarians, with a stronger association in females.</p

Associations among hair loss, oral sulfur-containing gases, and gastrointestinal and metabolic linked diseases in Japanese elderly men: pilot study

<p>Abstract</p> <p>Background</p> <p>Male pattern baldness (MPB), an observable trait, has been reported to be associated with various diseases, such as prostate cancer and cardiovascular disease. Oral sulfur-containing gases have also been suggested to be useful as markers of systemic health condition. However, there are no known reports regarding the associations among MPB, and oral sulfur-containing gases, and systemic health conditions in males.</p> <p>Methods</p> <p>We studied 170 male subjects aged either 60 or 65 years old. The degree of MPB was assessed using the Norwood-Hamilton Baldness scale. Oral sulfur-containing gases were measured using a compact-designed device. All subjects completed physical and laboratory blood examinations, a face-to-face medical questionnaire, and an oral examination.</p> <p>Results</p> <p>There were significant differences between the levels of CH₃SCH₃and baldness patterns, independent of age. When we analyzed whether the association was linked to systemic health condition, a strong significant association was observed between the level of CH₃SCH₃and severe MPB in subjects with gastrointestinal diseases, hypertension, and hypercholesterolemia.</p> <p>Conclusion</p> <p>These results suggest that MPB is associated with the level of CH₃SCH₃, a sulfur-containing gas that causes oral malodor, in elderly Japanese males. Further, the association was intensified by the existence of gastrointestinal tract and metabolic disorders.</p

Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial

Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049

Larval Performance of Amphidromous and Landlocked Atyid Shrimp Species in the Genus Paratya Under Different Temperature and Salinity Conditions

Freshwater shrimps in the family Atyidae exhibit one of two life history traits: amphidromy, in which planktonic larvae develop in the sea; and landlocked, in which lecithotrophic larvae develop in freshwater. Temperature and salinity are the most important environmental factors that affect the survival, duration, and growth of decapod crustacean larvae. Larvae of landlocked shrimps are known to retain the ancestral habit of amphidromy, i.e., the ability to develop to the juvenile stage in saline water. Faster development exhibited by large larvae of landlocked shrimps is considered an adaptation that allows the larvae to stay in or near parental habitats. Therefore, information on larval performance under different temperature and salinity conditions is essential to obtain a better understanding of population connectivity through marine larval dispersal in amphidromous shrimps as well as larval adaptation to freshwater environments in landlocked shrimps. We examined the effects of temperature and salinity on the larval performance of two closely related atyid shrimps in the genus Paratya: the amphidromous P. compressa and the landlocked P. improvisa. Larvae were reared under the 25 combinations of five different temperatures (20, 23, 26, 29, and 32°C) and salinity levels (4.25, 8.5, 17, 25.5, and 34 ppt). In P. compressa, the rate of larvae that survived into the juvenile stage decreased linearly with increasing temperature and the larvae adapted to a wider range of salinity (8.5–34 ppt), though larval mortality increased at the high salinity (34 ppt) under the higher temperature conditions. In P. improvisa, larval survival rates were higher under a wider range of temperatures (20–29°C) in brackish water (4.25–17 ppt). Thus, P. compressa larvae may disperse broadly under the high salinity conditions of the open sea, but oceanic currents with high temperature and high salinity conditions may act as a barrier to restrict larval dispersion northwards from the southern islands. Paratya improvisa larvae adapted to a wider range of temperatures in natural freshwater environments and larval duration was shorter in P. improvisa than in P. compressa under the wide range of temperature and salinity conditions. Our results also highlight the retention strategy by which landlocked P. improvisa larvae stay in or near parental habitats

Larval Performance of Amphidromous and Landlocked Atyid Shrimp Species in the Genus Paratya Under Different Temperature and Salinity Conditions

Freshwater shrimps in the family Atyidae exhibit one of two life history traits: amphidromy, in which planktonic larvae develop in the sea; and landlocked, in which lecithotrophic larvae develop in freshwater. Temperature and salinity are the most important environmental factors that affect the survival, duration, and growth of decapod crustacean larvae. Larvae of landlocked shrimps are known to retain the ancestral habit of amphidromy, i.e., the ability to develop to the juvenile stage in saline water. Faster development exhibited by large larvae of landlocked shrimps is considered an adaptation that allows the larvae to stay in or near parental habitats. Therefore, information on larval performance under different temperature and salinity conditions is essential to obtain a better understanding of population connectivity through marine larval dispersal in amphidromous shrimps as well as larval adaptation to freshwater environments in landlocked shrimps. We examined the effects of temperature and salinity on the larval performance of two closely related atyid shrimps in the genus Paratya: the amphidromous P. compressa and the landlocked P. improvisa. Larvae were reared under the 25 combinations of five different temperatures (20, 23, 26, 29, and 32°C) and salinity levels (4.25, 8.5, 17, 25.5, and 34 ppt). In P. compressa, the rate of larvae that survived into the juvenile stage decreased linearly with increasing temperature and the larvae adapted to a wider range of salinity (8.5–34 ppt), though larval mortality increased at the high salinity (34 ppt) under the higher temperature conditions. In P. improvisa, larval survival rates were higher under a wider range of temperatures (20–29°C) in brackish water (4.25–17 ppt). Thus, P. compressa larvae may disperse broadly under the high salinity conditions of the open sea, but oceanic currents with high temperature and high salinity conditions may act as a barrier to restrict larval dispersion northwards from the southern islands.Paratya improvisa larvae adapted to a wider range of temperatures in natural freshwater environments and larval duration was shorter in P. improvisa than in P. compressa under the wide range of temperature and salinity conditions. Our results also highlight the retention strategy by which landlocked P. improvisa larvae stay in or near parental habitats

Larval performance of three amphidromous shrimp species in the genus Caridina (Decapoda: Caridea: Atyidae) under different temperature and salinity conditions

We examined the effects of temperature and salinity on larval survival, duration, and growth of three amphidromous atyid shrimps, Caridina leucosticta, C. multidentata, and C. typus to infer larval dispersal strategy in the sea. Larvae were reared under 25 combinations of five different temperature (20, 23, 26, 29, and 32°C) and salinity (4.25, 8.5, 17, 25.5, and 34 ppt) levels. Interspecific variability was detected in larval performance: C. leucosticta larvae were able to survive to moult into the juvenile stage at the lower salinity condition (8.5 ppt), C. multidentata larvae exhibited an ability to adapt to the wide range of salinity condition (17–34 ppt), and C. typus larvae adapted to the higher salinity condition (34 ppt) better than C. leucosticta larvae. Larval duration was less variable between species. Thus, salinity adaptation of larvae may play an important role in mediating the larval dispersal of the three Caridina species in the sea. Larval dispersal range may be most limited near the river mouth for C. leucosticta, and be moderate for C. typus, and C. multidentata larvae may be able to disperse broadly under the high salinity condition of the open sea