Twitter communication of the UK public on dental health and care during a COVID lockdown: "My kingdom for a dentist".

BACKGROUND: The COVID-19 pandemic forced a UK-wide closure of dental services. An understanding of public concerns about dental care was urgently needed to inform careful resumption of paused dental services. AIM: To describe public concerns about dental care during lockdown. BASIC RESEARCH DESIGN: Framework analysis of relevant Twitter posts identified collected using the Awario tool. RESULTS: Of 1863 tweets manually screened for eligibility, 285 were relevant, as they contained views expressed by the public. The number of tweets by country were proportionate to the population size. The key views expressed in tweets focused on: 'oral health impact' ('oral health and self-care', 'types of dental problems', 'managing symptoms at home', 'views on consequences of delaying treatment') and 'dental service or care provision' ('views on managing dental care response', 'experiences with access to dental care'). CONCLUSIONS: The impact of COVID-19 on dental services raised many physical and mental health concerns for the public, highlighting their importance. Online profiles and social media communication platforms can be used to provide convenient, and timely information on public perceptions of dental care.

Addressable self-immobilization of lactate dehydrogenase across multiple length scales.

Successful nanobiotechnology implementation largely depends on control over the interfaces between inorganic materials and biological molecules. Controlling the orientations of biomolecules and their spatial arrangements on the surface may transform many technologies including sensors, to energy. Here, we demonstrate the self-organization of L-lactate dehydrogenase (LDH), which exhibits enhanced enzymatic activity and stability on a variety of gold surfaces ranging from nanoparticles to electrodes, by incorporating a gold-binding peptide tag (AuBP2) as the fusion partner for Bacillus stearothermophilus LDH (bsLDH). Binding kinetics and enzymatic assays verified orientation control of the enzyme on the gold surface through the genetically incorporated peptide tag. Finally, redox catalysis efficiency of the immobilized enzyme was detected using cyclic voltammetry analysis in enzyme-based biosensors for lactate detection as well as in biofuel cell energy systems as the anodic counterpart. Our results demonstrate that the LDH enzyme can be self-immobilized onto different gold substrates using the short peptide tag under a biologically friendly environment. Depending on the desired inorganic surface, the proposed peptide-mediated path could be extended to any surface to achieve single-step oriented enzyme immobilization for a wide range of applications.

Sunnybrook facial grading system: reliability and criteria for grading.

OBJECTIVES/HYPOTHESIS: In clinical research, which is distinctly quantitative and rigidly fixed to a written protocol, the need for precision is great, especially when multicenter trials are planned. The Sunnybrook Facial Grading System (SB) is a well-established tool for assessing facial movement outcomes; however, some ambiguities do arise. The purpose of this study was to construct specific grading criteria and to test the intra-rater and inter-rater reliability before and after the use of these criteria. The hypothesis was that even in naïve observers, specific criteria improve reliability. STUDY DESIGN: Prospective test of hypothesis. METHODS: Facial video recordings of 30 subjects with facial paralysis were randomly presented to two naïve raters in four trials; trials 1 and 2 using the SB system in the usual manner, and trials 3 and 4 using specific grading criteria for the SB system. RESULTS: The SB system was reliable, even with naïve raters, having an intraclass correlation coefficient (ICC) of 0.890 between raters; this was improved with the use of specific grading criteria to 0.927. Additionally, variability of the SB composite scores was greatest in the midrange of scores and was predominantly seen during voluntary movement of brow rising and lip puckering. CONCLUSIONS: To our knowledge, this is the first report of specific criteria for completing the SB system. It is also the first in-depth description of the location within the system in which the majority of variances occur.

Pathological abnormalities in the normal-appearing white matter in multiple sclerosis.

In established cases of multiple sclerosis (MS), the normal-appearing white matter (NAWM), as defined for magnetic resonance imaging (MRI), is abnormal in the majority of cases. The clinical significance of these NAWM abnormalities is the subject of debate, but there is strong correlation with degree and progression of disability. New lesions form in NAWM before blood-brain barrier breakdown, as evidenced by gadolinium enhancement. The pathological basis of these neuroimaging abnormalities is largely unknown. Definitive pathological studies on the NAWM are few and are often based on small numbers of samples and of cases. Despite a variety of MS NAWM pathological studies, major research questions, of importance to our understanding of basic pathogenetic mechanisms and consequent rational therapies, remain unanswered. These relate to the frequency and extent of oligodendrocyte/myelin and axonal abnormalities in MS NAWM, and to the cellular basis of very early MS lesions detected by neuroimaging. In a pilot study of MS NAWM, microglial activation was demonstrated in 9 of 10 MS cases. We are currently testing the hypothesis that microglial activation, as defined by altered phenotype and HLA-DR positivity, will act as a marker for oligodendrocyte/myelin and axonal pathology in MS NAWM.

Potential contribution of leisure activity to the energy expenditure patterns of sedentary populations.

Total daily energy expenditure (TEE) by the doubly-labelled (2H218O) water method and basal metabolic rate (BMR) by indirect calorimetry were measured in thirty-two healty free-living adults in Northern Ireland. Habitual physical activity patterns in occupational and discretionary activities were assessed by interview questionnaire. Expressed as a multiple of BMR the TEE values for the sixteen males (1.88 (SD 0.28), range 1.44-2.57) and sixteen females (1.77 (SD 0.16), range 1.50-2.06) were compatible with current Department of Health and Social Security (DHSS; 1979) and Food and Agriculture Organization/World Health Organization/United Nations University (FAO/WHO/UNU; 1985) estimates of energy requirements. The results suggest that discretionary physical activity is now emerging as an equally important determinant of energy expenditure in the UK as the occupational classifications currently used as the basis of DHSS (1979) and FAO/WHO/UNU (1985) recommendations for energy requirements. Therefore, realistically achievable inputs of recreational exercise can have a significant impact in counteracting low levels of energy expenditure which are associated with modern lifestyles and are implicated as a risk factor for coronary heart disease and obesity.

Simultaneous measurement of free-living energy expenditure by the doubly labeled water method and heart-rate monitoring.

Total energy expenditure (TEE) was measured simultaneously in 14 free-living adults over 15 d by the doubly labeled water (DLW) method and for 2-4 separate days by heart-rate (HR) monitoring. Individual curves for HR vs oxygen consumption (VO2) were obtained and an HR (FLEX HR: 97 +/- 8 beats/min, range 84-113 beats/min) that discriminated between rest and activity was identified. Calibration curves were used to assign an energy value to daytime HR above FLEX HR. Below FLEX HR energy expenditure was taken as resting metabolism. Sleeping energy expenditure was assumed to be equal to basal metabolic rate. Average HR TEE (12.99 +/- 3.83 MJ/d) and average DLW TEE (12.89 +/- 3.80 MJ/d) were similar. HR TEE discrepancies ranged from -22.2% to +52.1%, with nine values lying within +/- 10% of DLW TEE estimates. The FLEX HR method provides a close estimation of the TEE of population groups. However, an increased number of sampling days may improve the precision of individual estimates of TEE.

Measurements of M-subunit lactate dehydrogenase before therapy as an aid to tumour typing in serous effusions.

The levels of lactate dehydrogenase (LDH) isoenzymes were assayed in serous effusions from 111 hospital patients under investigation for cancer. The levels of M-subunit LDH in effusions from patients proven to have cancer were significantly higher than in patients in whom cancer was not proven (p less than 0.001). Chemotherapeutic agents used to combat cancer such as 5-fluorouracil, vincristine and cyclophosphamide are known to affect lactate dehydrogenase. On excluding these effects by studying patients before therapy was instituted, levels of M-subunit LDH were found to be significantly different for certain tumour types found in serous effusions, such as mesothelioma, adenocarcinoma and dedifferentiated carcinoma (p less than 0.005).

Cystic fibrosis in Northern Ireland.

In a retrospective study of cystic fibrosis in Northern Ireland for 1961 to 1971, the incidence was 1 in 1857 livebirths, which is comparable to figures from Great Britain and the Republic of Ireland.