ABSTRACT
PURPOSE: We aimed to systematically evaluate whether SHS exposure is associated with poor periodontal status in individuals up to 15 years. METHODS: Seven databases were searched by two independent reviewers according to pre-specified eligibility criteria up to November 2021. The methodological quality of included studies was appraised using The Newcastle-Ottawa Scale and GRADE was used for assessing the certainty of evidence. Random-effects pairwise meta-analyses compared the periodontal status of those exposed and unexposed to SHS through standardized mean differences (SMDs) and associated confidence intervals (95% CI). RESULTS: Eight cross-sectional studies were eligible for inclusion and two present high methodological quality. All studies contributed to the meta-analysis for gingival index scores (GI) and four for probing pocket depth (PPD). Those exposed exhibited significantly higher levels of GI compared to unexposed (SMD = 1.03, 95% CI 0.17-1.89), but no difference was observed for PPD (SMD = 0.34, 95% CI - 0.14-0.82), with overall very low certainty on evidence. CONCLUSION: Therefore, very low certainty evidence supports that children and adolescents exposed to SHS possibly present poorer periodontal status due to higher levels of GI.
Subject(s)
Tobacco Smoke Pollution , Adolescent , Child , Cross-Sectional Studies , Humans , Periodontal Index , Tobacco Smoke Pollution/adverse effectsABSTRACT
The high infection levels due to Olive latent virus 1 (OLV-1), Olive mild mosaic virus (OMMV) (alphanecrovirus) and Tobacco necrosis virus D (TNV-D) (betanecrovirus) in Portuguese olive orchards prompted us to develop a rapid PCR-based assay for the simultaneous detection of these viruses aimed at the sanitary selection and marketing of plant material in compliance with European Union regulations. A pair of degenerate oligonucleotide primers, parRdRp5' and parCoat3' was designed based on conserved regions located in the RNA-dependent RNA polymerase (RdRp) and coat protein (CP) genes of these viruses and one other alphanecrovirus, Tobacco necrosis virus A. Its use in RT-PCR assays generated a product of ca. 2000 bp for the 4 viral species tested. These primers were compared with virus specific primers in multiplex RT-PCR, and identical results were obtained. Its application to dsRNA extracted from 54 olive field growing trees originated the expected ca. 2000 bp amplicon in 17 trees. The virus identity was determined by sequencing the cloned RT-PCR products. No TNV-A was found. The RT-PCR assay using the degenerate primers described in this study were shown to be reliable in detecting any of the above-mentioned alpha- and betanecroviruses, and it is as sensitive as that which uses virus specific primers in multiplex assays. Therefore, this assay is well suited for the rapid screen of virus-free plant material in selection and improvement crop programmes. Additionally, it has the potential to reveal virus diversity and the presence of new viruses, provided the RT-PCR generated amplicon is further sequenced.
Subject(s)
DNA Primers , Olea/virology , Plant Diseases/virology , Reverse Transcriptase Polymerase Chain Reaction/methods , Tombusviridae/isolation & purification , Capsid Proteins/genetics , DNA Primers/genetics , Portugal , RNA-Dependent RNA Polymerase/genetics , Sensitivity and Specificity , Time Factors , Tombusviridae/classification , Tombusviridae/geneticsABSTRACT
AIM: To evaluate the reproducibility of 7 validation methods used for caries diagnosis in primary teeth. METHODS: Seventy-two occlusal sites were selected on 40 primary molars. The sites were evaluated independently by 3 experienced examiners using validation methods that involved direct assessment, i.e. by using a (1) magnifying glass (8×) and (2) stereomicroscope (35×), or indirect assessment i.e. by using (3) photographs, (4) slide projections of photographs, (5) stereomicroscope (35×) photographs, (6) stereomicroscope (35×) slide projections, and (7) projections of polarised light microscope slides. Cohen's kappa coefficients were calculated and subjected to the Kruskal-Wallis test at a significance level of 5%. RESULTS: The mean inter-examiner kappa values for the validation methods were 0.31-0.51. There were statistically significant differences (p<0.05) between methods 1 and 3, 1 and 4, 2 and 4, 4 and 5, 4 and 6, and 4 and 7. Moderate agreement was observed for all methods except methods 1 and 4, for which the agreement was fair. CONCLUSIONS: The inter-examiner agreement for all validation methods for caries diagnosis was moderate, except for the method based on indirect assessment by slide projection, which showed low agreement.
