A Systematic Review of Dental Disease in Patients Undergoing Cancer Therapy

Introduction: The purpose of this systematic review was to evaluate the literature and update our current understanding of the impact of present cancer therapies on the dental apparatus (teeth and periodontium) since the 1989 NIH Development Consensus Conference on the Oral Compli­cations of Cancer Therapies. Review Method: A systematic literature search was con­ducted with assistance from a research librarian in the databases MEDLINE/PubMed and EMBASE for articles published between 1 January 1990 and 31 December 2008. Each study was independently assessed by two reviewers. Taking into account predetermined quality measures, a weighted prevalence was calculated for the prevalence of dental caries, severe gingival disease, and dental infection. Data on DMFT/dmft, DMFS/dmfs, plaque, and gingival indexes were also gathered. The level of evidence, recommendation, and guideline (if possible) were given for published preventive and management strategies. Results: Sixty-four published papers between 1990 and 2008 were reviewed. The weighted overall prevalence of dental caries was 28.1%. The overall DMFT for patients who were post-antineoplastic therapy was 9.19 (SD, 7.98; n=457). The overall plaque index for patients who were post­antineoplastic therapy was 1.38 (SD, 0.25; n=189). The GI for patients who were post-chemotherapy was 1.02 (SD, 0.15; n=162). The weighted prevalence of dental infections/ abscess during chemotherapy was reported in three studies and was 5.8%. Conclusions: Patients who were post-radiotherapy had the highest DMFT. The use of fluoride products and chlorhex­idine rinses are beneficial in patients who are post-radiotherapy. There continues to be lack of clinical studies on the extent and severity of dental disease that are associated with infectious complications during cancer therapy

Raised cardiovascular disease mortality after central nervous system tumour diagnosis:Analysis of 171 926 patients from UK and USA

BACKGROUND: Patients with central nervous system (CNS) tumors may be at risk of dying from cardiovascular disease (CVD). We examined CVD mortality risk in patients with different histological subtypes of CNS tumors. METHODS: We analyzed UK(Wales)-based Secure Anonymized Information Linkage (SAIL) for 8743 CNS tumors patients diagnosed in 2000-2015, and US-based National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) for 163,183 patients in 2005-2015. We calculated age-, sex-, and calendar-year-adjusted standardized mortality ratios (SMRs) for CVD comparing CNS tumor patients to Wales and US residents. We used Cox regression models to examine factors associated with CVD mortality among CNS tumor patients. RESULTS: CVD was the second leading cause of death for CNS tumor patients in SAIL (UK) and SEER (US). Patients with CNS tumors had higher CVD mortality than the general population (SAIL SMR = 2.64, 95% CI = 2.39-2.90, SEER SMR = 1.38, 95% CI = 1.35-1.42). Malignant CNS tumor patients had over 2-fold higher mortality risk in US and UK cohorts. SMRs for nonmalignant tumors were almost 2-fold higher in SAIL than in SEER. CVD mortality risk particularly cerebrovascular disease was substantially greater in patients diagnosed at age younger than 50 years, and within the first year after their cancer diagnosis (SAIL SMR = 2.98, 95% CI = 2.39-3.66, SEER SMR = 2.14, 95% CI = 2.03-2.25). Age, sex, race/ethnicity in USA, deprivation in UK and no surgery were associated with CVD mortality. CONCLUSIONS: Patients with CNS tumors had higher risk for CVD mortality, particularly from cerebrovascular disease compared to the general population, supporting further research to improve mortality outcomes

Why Do Only Some Galaxy Clusters Have Cool Cores?

Flux-limited X-ray samples indicate that about half of rich galaxy clusters have cool cores. Why do only some clusters have cool cores while others do not? In this paper, cosmological N-body + Eulerian hydrodynamic simulations, including radiative cooling and heating, are used to address this question as we examine the formation and evolution of cool core (CC) and non-cool core (NCC) clusters. These adaptive mesh refinement simulations produce both CC and NCC clusters in the same volume. They have a peak resolution of 15.6 h^{-1} kpc within a (256 h^{-1} Mpc)^3 box. Our simulations suggest that there are important evolutionary differences between CC clusters and their NCC counterparts. Many of the numerical CC clusters accreted mass more slowly over time and grew enhanced cool cores via hierarchical mergers; when late major mergers occurred, the CC's survived the collisions. By contrast, NCC clusters experienced major mergers early in their evolution that destroyed embryonic cool cores and produced conditions that prevented CC re-formation. As a result, our simulations predict observationally testable distinctions in the properties of CC and NCC beyond the core regions in clusters. In particular, we find differences between CC versus NCC clusters in the shapes of X-ray surface brightness profiles, between the temperatures and hardness ratios beyond the cores, between the distribution of masses, and between their supercluster environs. It also appears that CC clusters are no closer to hydrostatic equilibrium than NCC clusters, an issue important for precision cosmology measurements.Comment: 17 emulateapj pages, 17 figures, replaced with version accepted to Ap

The Efficacy of Video Cameras to Account for Northern Bobwhites Flushed, but Undetected During Aerial Surveys

Over the past 20 years, conventional distance sampling from a helicopter platform has been used to estimate northern bobwhite (Colinus virginianus; hereafter, bobwhite) density over large areas of rangeland vegetation. However, it has been speculated that aerial surveys can complicate the ability to meet the distance sampling assumption of detecting 100% of the target objects on the transect line due to the restricted observer view from the helicopter. We attempted to use video cameras to determine whether missed detections occurred and whether digital methods could improve the precision of bobwhite density estimates. Our objectives were to 1) determine whether video cameras are a viable option to detect if coveys are flushing behind the helicopter and missed by observers, 2) determine whether coveys are flushing underneath the helicopter and missed by observers, and 3) explore the use of video cameras in a mark-recapture distance sampling (MRDS) framework. We recorded video while traversing line-transects with a helicopter during 4 distance-sampling surveys across 2 ranches in South Texas, USA. For objective 1, we reviewed footage from cameras with a backward-facing view and detected only 1 pair of bobwhites (0.001% of 889 coveys detected) that flushed on video footage recorded during the surveys but were unnoticed by observers. These results indicated that when coveys flushed, they rarely flushed behind the helicopter, and the helicopter flew at what seemed to be the proper speed and altitude to detect late flushes. For objective 2, we reviewed footage from a helicopter-mounted camera that was recorded within a swath underneath the helicopter’s center. We recorded 22 flushes within the swath, none of which was missed by the observers in the helicopter; as a result, we could not complete an MRDS analysis in Program Distance. This study improved confidence in fulfilling the assumptions of distance sampling and resulting density estimates but was limited to flushing birds only

Homocysteine, type 2 diabetes mellitus, and cognitive performance: The Maine-Syracuse Study

Type 2 diabetes mellitus and higher total plasma homocysteine concentrations are each associated with an increased incidence of cardiovascular disease and with diminished cognitive performance. Relations between homocysteine concentrations and cardiovascular disease incidence are stronger in the presence of type 2 diabetes mellitus. Therefore, we hypothesized that relations between homocysteine concentrations and cognitive performance would be stronger in the presence of type 2 diabetes. We related homocysteine concentrations and cognitive performance on the Mini-Mental State Examination in 817 dementia- and stroke-free participants of the Maine-Syracuse Study, 90 of whom were classified with type 2 diabetes mellitus. Regardless of statistical adjustment for age, sex, gender, vitamin co-factors (folate, vitamin B6, vitamin B12), cardiovascular disease risk factors, and duration and type of treatment for type 2 diabetes mellitus, statistically significant inverse associations between homocysteine concentrations and cognitive performance were observed for diabetic individuals. The weaker inverse associations between homocysteine concentrations and cognitive performance obtained for non-diabetic individuals were not robust to statistical adjustment for some covariates. Interactions between homocysteine concentrations and type 2 diabetes mellitus are observed such that associations between homocysteine and cognitive performance are stronger in the presence of diabetes

FIIs and Indian Stock Market: A Causality Investigation

While the volatility associated with portfolio capital flows is well known, there is also a concern that foreign institutional investors might introduce distortions in the host country markets due to the pressure on them to secure capital gains. In this context, present chapter attempts to find out the direction of causality between foreign institutional investors (FIIs) and performance of Indian stock market. To facilitate a better understanding of the causal linkage between FII flows and contemporaneous stock market returns (BSE National Index), a period of nineteen consecutive financial years ranging from January 1992 to December 2010 is selected. Granger Causality Test has been applied to test the direction of causality.Aczkolwiek brak stabilności związany z przepływami kapitału portfelowego jest dobrze znany, to istnieje również obawa, że zagraniczni inwestorzy instytucjonalni mogą wprowadzać zakłócenia na rynkach krajów przyjmujących z uwagi na wywieraną na nich presję, aby zapewniać zyski kapitałowe. W tym kontekście niniejszy rozdział próbuje poznać kierunek przyczynowości pomiędzy zagranicznymi inwestorami instytucjonalnymi (FIIs) i działaniem indyjskiej giełdy. Aby ułatwić lepsze zrozumienie związku przyczynowego między przepływami FII i mającymi miejsce w tym samym czasie wynikami giełdy papierów wartościowych (BSE National Index), wybrany został okres dziewiętnastu kolejnych lat począwszy od stycznia 1992 do grudnia 2010. Do zbadania kierunku przyczynowości zastosowano test przyczynowości Grangera