How clean is the toothbrush that cleans your tooth?

Abstract:  Until recently, little attention has been directed towards the role the toothbrush may play in human health, even though a report of toothbrush as a significant factor in the infection appeared in 1920. It is common knowledge that the human mouth harbours a wide variety of microorganisms, some of which, at any given time, can be assumed to be potential pathogens. This was not known when toothbrushes were originally designed, yet the common toothbrush has been used in basically the same form for about 200 years. In today's world of organ transplantation and alteration of the immune system, it is important to consider the toothbrush as a source of potential pathogens. Given the fact that very often people will traumatize themselves with their toothbrush, this trauma may become a potential portal of entry for organisms. In this article, we have attempted to demonstrate the importance of toothbrush disinfection, given tips on home toothbrush care and hope to motivate the dentists to educate the patients on the importance of toothbrush disinfection.     

Possibility of multiquantal transmission at single inhibitory synapse in cultured rat hippocampal neurons.

Miniature, spontaneous and evoked inhibitory postsynaptic currents were studied using the whole-cell patch-clamp technique on synaptically connected cultured hippocampal neurons, at a holding potential of -75 mV. All experiments were done in tetrodotoxin-containing solution to exclude an action potential generation. Spontaneous miniature inhibitory postsynaptic currents were observed in Ca2+-free solution. The distribution of miniature inhibitory postsynaptic currents was skewed to larger current amplitudes and could be fitted reliably by one Gaussian with the mean at 10.0 +/- 1.2 pA (n = 7). Spontaneously occurring whole-cell spontaneous inhibitory postsynaptic currents were recorded in physiological solution (Ca2+ 2 mM). The average amplitude of spontaneously occurring currents depended on membrane potential and reversed at -18 +/- 5 mV (n = 5). The amplitude distribution of spontaneous inhibitory postsynaptic currents had one peak clearly detectable with the mean of 20.0 +/- 2.0 pA (n = 6) or 10.0 +/- 2.0 pA (n = 2). Inhibitory postsynaptic stimulus-evoked currents arose in responses to gradual activation of neurotransmitter release by direct extracellular electrical stimulation of a single presynaptic bouton by short depolarizing pulses. The current-voltage relation of the averaged amplitudes of evoked inhibitory postsynaptic currents was linear and reversed at potential predicted by the Nernst equation for corresponding intra- and extracellular Cl- concentrations. The time-course of decay of miniature, spontaneous and evoked inhibitory postsynaptic currents was fitted by a sum of two exponents and their time-constants were the same in the range of standard deviation. The stimulus-evoked inhibitory postsynaptic currents fluctuated with regard to the discrete aliquot values of their peak amplitudes in all the investigated synapses from a measurable minimum of about 8 pA to 200 pA. The evoked inhibitory postsynaptic currents were assumed as superimposition of statistically independent quantal events. Fitting amplitude histograms of evoked inhibitory postsynaptic currents with several Gaussian curves resulted in peaks that were equidistant with the mean space of 20 +/- 3 pA (n = 10), which was assumed as one quantum (quantum size) to construct the Poisson's distribution. A possibility of simultaneous multiquantal release at single inhibitory synapses of rat hippocampal neurons was discussed.     

Cancer fear and fatalism among ethnic minority women in the United Kingdom

Background:

Cancer fear and fatalism are believed to be higher in ethnic minorities and may contribute to lower engagement with cancer prevention and early detection. We explored the levels of cancer fear and fatalism in six ethnic groups in the United Kingdom and examined the contribution of acculturation and general fatalism.

Methods:

A cross-sectional survey of 720 White British, Caribbean, African, Indian, Pakistani, and Bangladeshi women (120 of each) was conducted. Three items assessed cancer fear and two cancer fatalism. Acculturation was assessed using (self-reported) migration status, ability to speak English, and understanding of health leaflets; general fatalism with a standard measure.

Results:

Relative to White British women, African and Indian women were more fearful of cancer, Bangladeshi women less fearful, and Pakistani and Caribbean women were similar to White British women. Cancer fatalism was higher in all the ethnic minority groups compared with White British women. Less acculturated women were less likely to worry (ORs 0.21–0.45, all P<0.05) or feel particularly afraid (ORs 0.11–0.31, all P<0.05) but more likely to feel uncomfortable about cancer (ORs 1.97–3.03, all P<0.05). Lower acculturation (ORs 4.30–17.27, P<0.05) and general fatalism (OR 2.29, P<0.05) were associated with the belief that cancer is predetermined.

Conclusions:

In general, cancer fear and fatalism are more prevalent among ethnic minority than White British women and even more so in less acculturated ethnic minorities. This may affect their participation in cancer prevention and early detection.     

Cutaneous infection caused by Salmonella typhi

Salmonella typhi is a flagellated, gram-negative bacillus belonging to the family Enterobacteriaceae responsible for typhoid fever, which is a prolonged bacteraemic, systemic illness with minimal, at least initially, diarrhoea. Localized infection is a not uncommon complication of salmonella septicaemia, particularly occurring in immunocompromised patients. However, salmonella localization to the skin presenting as cutaneous ulceration is regarded as a rare event. We report a unique case of such a presentation as the sole clinical manifestation of infection with S. typhi and highlight the possible salmonella aetiology for unusual cutaneous lesions in individuals coming from endemic areas.     

Elephantoid oedema of the eyelids

We describe a male patient with rosacea who had a 2-year history of persistent bilateral oedema of the eyelids, leading to an elephantoid condition with blepharoptosis. An upper eyelid blepharoplasty was performed, but swelling progressively recurred over a few months. Based on the case history, clinical appearance and histological findings, rosaceous lymphoedema was considered to be the diagnosis. The latter is a bilateral, solid oedema of the mid-third of the face, regarded as a rare complication of rosacea. It is thought to occur as a result of chronic inflammation and lymphatic stasis, but its exact aethiopathogenesis remains elusive. Predominant eyelid involvement, causing severe visual impairment as in our patient, is unique.