Influence of tooth bleaching on dental enamel microhardness: a systematic review and meta-analysis.

Several studies have investigated the effect of bleaching on dental tissues. The evaluation of the effect of home bleaching with 10% carbamide peroxide is important for assessing alterations in enamel microhardness that may affect dental health in terms of resistance to masticatory forces. This meta-analysis was performed in order to determine scientific evidence regarding the effects of home vital bleaching with 10% carbamide peroxide gel on the microhardness of human dental enamel. A systematic electronic literature search was conducted in the PubMed and Web of Science databases using search terms. Two independent researchers evaluated the information and methodological quality of the studies. Inclusion and exclusion criteria were established for article selection; further, only studies published in English were selected. Thirteen studies that met all of the inclusion and exclusion criteria were selected and underwent statistical analysis. The results of this meta-analysis showed no significant changes in enamel microhardness when using the 10% carbamide peroxide bleaching gel over periods of 7, 14 and 21 days.

Prevalence of RHD*DOL and RHCE*ce(818T) in two populations.

The alleles RHCE*ceBI (RHCE*ce 48C, 712G, 818T, 1132G) and RHCE*ceSM (RHCE*ce 48C, 712G, 818T) encode the low-prevalence Rh antigen STEM. These alleles frequently travel in cis with RHD*DOL. To estimate the frequency of these alleles, we tested a total of more than 700 samples in two populations. Blood samples were obtained from patients with sickle cell disease and from blood donors of African descent. DNA extractions and analyses were performed by standard methods. In the United States, none of 70 patient samples had the RHCE*818 nucleotide change. Two of 220 donors (frequency of 0.009) were heterozygous for RHCE*818C/T (RHCE*ceBI). One of these samples had RHD/RHD*DOL and the other had RHD/RHD*DOL-2. In these 290 samples, no other RHD*DOL alleles were found. In Brazil, 1 of 244 patients with sickle cell disease (frequency of 0.004) and 1 of 171 donors (frequency of 0.006) were heterozygous for RHCE*818C/T (RHCE*ceBI). Testing of more than 500 additional samples from people of African descent, selected because they had a diverse range of common and variant RHCE alleles, did not reveal a sample with RHD*DOL or RHD/RHD*DOL-2 in the absence of RHCE*ce(818T). Although the numbers are small, our study shows that in the United States, the frequency of RHCE*818T is 0.007 (2 in 290 samples) and in Brazil it is 0.004 (2 in 515 samples). The four RHCE*818T alleles were RHCE*ceBI.

DNA array analysis for red blood cell antigens facilitates the transfusion support with antigen-matched blood in patients with sickle cell disease.

BACKGROUND: Blood samples from patients with sickle cell disease (SCD) present to transfusion service with numerous antibodies, making the searching for compatible red blood cells (RBC) a challenge. To overcome this problem we developed an effective strategy to meet needs of supplying RBC-compatible units to SCD patients using DNA arrays. METHODS: We selected DNA samples from 144 SCD patients with multiple (receiving > 5 units) transfusions previously phenotyped for ABO, Rh(D, C, c, E, e), K1, Fy(a) and Jk(a). We also selected DNA samples from 948 Brazilian blood donors whose ABO/RhD phenotype matched that of the patients. All samples were analysed by DNA array analysis (HEA Beadchip(TM), Bioarray Solutions) to determine polymorphisms associated with antigen expression for 11 blood group systems (Rh, Kell, Kidd, Duffy, MNS, Dombrock, Lutheran, Landsteiner-Wiener, Diego, Colton, Scianna); and one mutation associated with haemoglobinopathies. RESULTS: Based on genotype results we were able to predict phenotype-compatible donors needed in order to provide compatible units to this group of patients. Based on their ABO/Rh phenotype we were able to find in this pool of donors compatible units for 134 SCD patients. CONCLUSION: Blood group genotyping by DNA array contributes to the management of transfusions in SCD patients by facilitating the transfusion support with antigen-matched blood. It has the potential to improve the life of thousands of SCD-transfused patients by reducing mortality due to transfusion reactions and immunization.

A thalamic terminus of the lateral cervical nucleus: the lateral division of the posterior nuclear group.

The submodality and receptive field properties of single units in the lateral cervical nucleus (LCN) of barbiturate anesthetized cats were studied with glass microelectrodes. In other experiments, a region of the posterior thalamus containing neurons with properties comparable to those seen in the LCN was examined with tungsten microelectrodes. The responses of most units in the LCN reflected a major input from large myelinated afferent fibers innervating guard hairs but no input from Pacinian afferent fibers. The large size of the receptive fields indicated that excitatory input converged selectively from afferent fibers serving hairs over large areas of the body. In the posterior thalamus rapidly adapting neurons characterized by very large receptive fields and driven by the movement of guard hairs were observed to a region identified histologically as the rostral extension of the lateral division of the posterior nuclear group (POl). Caudally this region was located immediately adjacent to the dorsolateral part of the ventroposterior inferior nucleus (VPI). In more rostral parts of the thalamus it was located more dorsally and the ventroposterior lateral nucleus intervened between it and the VPI. This region was less than 1 mm wide in the frontal plane but extended rostrocaudally for several millimeters. Horseradish peroxidase injected into the region of the VPI and the POl labeled many cells in the LCN and the caudal pole of the dorsal column nuclei demonstrating that neurons in the LCN relay information to this part of the thalamus. These data, plus previous experiments showing that the VPI receives a major projection from the caudal poles of the dorsal column nuclei, suggest that the rostral portion of the POl receives an important afferent supply from the LCN. The responses of neurons in the POl appear to arise from specific classes of sensory receptors and cannot be considered less precise or more primitive than responses observed in the ventroposterior nucleus of the thalamus.