Metabolomic studies of saliva in gingivitis and periodontitis

The aim of this study was to conduct metabolomic analysis of saliva during 3-week induction and 4-week resolution of stent-induced, biofilm overgrowth (SIBO) in humans to elucidate an association between changes in clinical disease and the salivary metabolome. Five periodontal disease classifications were developed using probing depths and bleeding on probing. SIBO was induced in 50 subjects for 21 days followed by oral hygiene instruction for 28 days. Clinical indices and unstimulated saliva were collected weekly during induction and biweekly during resolution. Samples were analyzed using metabolomic profiling (liquid and gas chromatography mass spectrometry, Metabolon Inc). SIBO was associated with marked, but reversible, increases in clinical indices. 281 metabolites were identified using metabolomic profiling. Eight metabolites demonstrated significant changes including seven in the amino acid super-pathway (threonine, N-acetylserine, serine, 5-oxoproline, histidine, glutamate and erythronate). Analysis of the salivary metabolome may provide new mechanistic insights for periodontal disease progression.Master of Scienc

Optimal diagnostic tests for sporadic Creutzfeldt-Jakob disease based on support vector machine classification of RT-QuIC data

In this work we study numerical construction of optimal clinical diagnostic tests for detecting sporadic Creutzfeldt-Jakob disease (sCJD). A cerebrospinal fluid sample (CSF) from a suspected sCJD patient is subjected to a process which initiates the aggregation of a protein present only in cases of sCJD. This aggregation is indirectly observed in real-time at regular intervals, so that a longitudinal set of data is constructed that is then analysed for evidence of this aggregation. The best existing test is based solely on the final value of this set of data, which is compared against a threshold to conclude whether or not aggregation, and thus sCJD, is present. This test criterion was decided upon by analysing data from a total of 108 sCJD and non-sCJD samples, but this was done subjectively and there is no supporting mathematical analysis declaring this criterion to be exploiting the available data optimally. This paper addresses this deficiency, seeking to validate or improve the test primarily via support vector machine (SVM) classification. Besides this, we address a number of additional issues such as i) early stopping of the measurement process, ii) the possibility of detecting the particular type of sCJD and iii) the incorporation of additional patient data such as age, sex, disease duration and timing of CSF sampling into the construction of the test.Comment: 32 pages, 12 figures, 1 tabl

La importancia de la internacionalización en la educación universitaria

Hoy en día, en un mundo cada vez más interconectado, unos de los retos más desafiantes para los alumnos de las instituciones jesuitas es la adquisición de las competencias interculturales. Esa habilidad de comunicarse con otras culturas es, entre otras cosas, la manera de construir puentes en un mundo dividido. Nosotros tenemos la tarea de dar a nuestros alumnos estrategias en términos de multiculturalidad, de diversidad, de interacción y es parte de la misión de esta universidad informar y a la vez ayudar a sus alumnos a alcanzar esa meta en este mundo plurilingüe

DEXA Body Composition and Cardiovascular Risk Factors Weakly Related in Police Officers

There is currently little research on whether fat mass and distribution is a predictive factor of cardiovascular risk. PURPOSE: To determine if obesity measures, such as fat mass and distribution (android vs gynoid), could be used to predict cardiovascular risk, particularly lipid levels, systolic blood pressure (SBP) and blood glucose. Our hypothesis was that fat mass is not an accurate predictor of these cardiovascular risk factors. METHODS: 182 police officers (166 males, 16 females; age 37.6±8.1 yrs; ht 1.7±0.1 m; wt 92.2±17.8 kg; BMI 28.9±4.8) were part of an annual cardiovascular risk profile testing group. We measured resting heart rate and blood pressure, and body composition via DEXA scan (SBP 127.16±10.33 mmHg; fat mass 26.85±9.99 kg; lean mass 62.01±9.90 kg; percent android fat 35.54±10.07; percent gynoid fat 29.65±6.91). Fasting blood samples were drawn and analyzed by a clinically certified lab to determine total blood cholesterol (TC) (191.79±37.31 mg/dL), LDL (119.23±34.74 mg/dL), HDL (46.39±10.48 mg/dL), triglycerides (128.94±99.25 mg/dL), and glucose (86.67±18.65 mg/dL). Correlations were determined by using a bivariate Pearson correlation matrix, significance was set at and p\u3c0.01**. RESULTS: As fat mass increased, total cholesterol and LDL increased and HDL decreased. Triglycerides, glucose, and SBP also increased as fat mass increased. There were also significant increases in total cholesterol, LDL, triglycerides, glucose and SBP as android fat percentage increased. HDL decreased significantly as android fat percentage increased. CONCLUSION: Fat mass weakly correlates with blood cholesterol levels. We suggest that factors other than fat mass affect cholesterol, such as genetics and lifestyle. More research is needed to see if this correlation holds or is stronger in similar and different populations

Real time quaking-induced conversion analysis of cerebrospinal fluid in sporadic Creutzfeldt-Jakob disease

OBJECTIVE: Current cerebrospinal fluid (CSF) tests for sporadic Creutzfeldt-Jakob disease (sCJD) are based on the detection of surrogate markers of neuronal damage such as CSF 14-3-3 which are not specific for sCJD. A number of prion protein conversion assays have been developed, including real-time quaking induced conversion (RT-QuIC). The objective of this study is to investigate whether CSF RT-QuIC analysis could be used as a diagnostic test in sCJD. METHODS: An exploratory study was undertaken which analysed 108 CSF samples from patients with neuropathologically confirmed sCJD or from control patients. Of the 108 CSF samples 56 were from sCJD patients (30 female, 26 male, aged 31–84 years; 62.3 ± 13.5 years) and 52 were from control patients (26 female, 26 male, aged 43–84 years; 67.8 ± 10.4 years). A confirmatory group of 118 patients were subsequently examined which consisted of 67 cases of neuropathologically confirmed sCJD (33 female, 34 male, aged 39–82 years; 67.5 ± 9.0 years) and 51 control cases (26 female, 25 male, aged 36–87 years; 63.5 ± 11.6 years). RESULTS: The exploratory study showed that RT-QuIC analysis had a sensitivity of 91% and a specificity of 98% for the diagnosis of sCJD. These results were confirmed in the confirmatory study which showed that CSF RT-QuIC analysis had a sensitivity and specificity of 87% and 100% respectively. INTERPRETATION: This study shows that CSF RT-QuIC analysis has the potential to be a more specific diagnostic test for sCJD than current CSF tests

Alpha-synuclein RT-QuIC in the CSF of patients with alpha-synucleinopathies

We have developed a novel real-time quaking-induced conversion RT-QuICbased assay to detect alpha-synuclein aggregation in brain and cerebrospinal fluid from dementia with Lewy bodies and Parkinson’s disease patients. This assay can detect alpha-synuclein aggregation in Dementia with Lewy bodies and Parkinson’s disease cerebrospinal fluid with sensitivities of 92% and 95%, respectively, and with an overall specificity of 100% when compared to Alzheimer and control cerebrospinal fluid. Patients with neuropathologically confirmed tauopathies (progressive supranuclear palsy; corticobasal degeneration) gave negative results. These results suggest that RT-QuiC analysis of cerebrospinal fluid is potentially useful for the early clinical assessment of patients with alpha-synucleinopathies

Economic evaluation alongside the Speed of Increasing milk Feeds Trial (SIFT)

OBJECTIVE: To evaluate the cost-effectiveness of two rates of enteral feed advancement (18 vs 30 mL/kg/day) in very preterm and very low birth weight infants. DESIGN: Within-trial economic evaluation alongside a multicentre, two-arm parallel group, randomised controlled trial (Speed of Increasing milk Feeds Trial). SETTING: 55 UK neonatal units from May 2013 to June 2015. PATIENTS: Infants born <32 weeks' gestation or <1500 g, receiving less than 30 mL/kg/day of milk at trial enrolment. Infants with a known severe congenital anomaly, no realistic chance of survival, or unlikely to be traceable for follow-up, were ineligible. INTERVENTIONS: When clinicians were ready to start advancing feed volumes, infants were randomised to receive daily increments in feed volume of 30 mL/kg (intervention) or 18 mL/kg (control). MAIN OUTCOME MEASURE: Cost per additional survivor without moderate to severe neurodevelopmental disability at 24 months of age corrected for prematurity. RESULTS: Average costs per infant were slightly higher for faster feeds compared with slower feeds (mean difference £267, 95% CI -6928 to 8117). Fewer infants achieved the principal outcome of survival without moderate to severe neurodevelopmental disability at 24 months in the faster feeds arm (802/1224 vs 848/1246). The stochastic cost-effectiveness analysis showed a likelihood of worse outcomes for faster feeds compared with slower feeds. CONCLUSIONS: The stochastic cost-effectiveness analysis shows faster feeds are broadly equivalent on cost grounds. However, in terms of outcomes at 24 months age (corrected for prematurity), faster feeds are harmful. Faster feeds should not be recommended on either cost or effectiveness grounds to achieve the primary outcome

Whose personal is more political? Experience in contemporary feminist politics

Whose personal is more political? This paper rethinks the role of experience in contemporary feminism, arguing that it can operate as a form of capital within abstracted and decontextualised debates which entrench existing power relations. Although experiential epistemologies are crucial to progressive feminist thought and action, in a neoliberal context in which the personal and emotional is commodified powerful groups can mobilise traumatic narratives to gain political advantage. Through case study analysis this paper shows how privileged feminists, speaking for others and sometimes for themselves, use experience to generate emotion and justify particular agendas, silencing critics who are often from more marginalised social positions. The use of the experiential as capital both reflects and perpetuates the neoliberal invisibilisation of structural dynamics: it situates all experiences as equal, and in the process fortifies existing inequalities. This competitive discursive field is polarising, and creates selective empathies through which we tend to discredit others¹ realities instead of engaging with their politics. However, I am not arguing for a renunciation of the politics of experience: instead, I ask that we resist its commodification and respect varied narratives while situating them in a structural frame