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Biomedical subjects

J Ekstrand

Publications and source records attributed to J Ekstrand.

At least 91 records · Page 5Linked to original sources
PubMed1990

Fluoride analysis in nanoliter- and microliter-size fluid samples.

A variety of techniques is described for measuring fluoride in volumes of from 0.005 to 5 microL, including: (1) micropipette procedures for transference and dilution of samples, (2) construction of miniature and micro fluoride-selective electrodes, and (3) methods for adapting standard electrodes for micro- and semi-micro volumes. These described techniques have a number of advantages, including speed of analysis, high accuracy, and adaptability to many types of fluid samples. Recent studies involving use of these procedures include the analysis of fluoride in: (1) plaque fluid samples from single sites before and after topical fluoride administration, (2) tooth mineral samples recovered by acid-etch or microdrill biopsy of enamel, and (3) fluid recovered from the interior of the tooth during simulation of the caries process.

Dental Enamel↗
PubMed1990

Pharmacokinetics of fluoride in man and its clinical relevance.

A large number of parameters will influence and mediate the activity and the pharmacological response of dental fluoride products after systemic or topical treatment. This report reviews some aspects of the pharmacokinetics of fluoride in man, fluoride bio-availability, plasma kinetics, and kinetics of fluoride in saliva and plaque fluid. Pharmacokinetic studies in growing dogs show that 90% of a single injected fluoride dose is retained shortly after birth, but at maturity it decreases to about 50%. The degree of fluoride accumulating in calcifying tissues seems to be strongly related to age. The bio-availability of fluoride from swallowed fluoride toothpaste is shown to be decreased if the toothpaste is ingested close to a meal. Several studies show that fluoride exerts its cariostatic effects through the liquid phase surrounding the enamel. The importance of fluoride in the fluid environment of the teeth and the kinetics of fluoride in saliva are discussed. Clinical studies using different slow-release fluoride systems indicate that they are promising cariostatic agents--in particular intra-oral slow-release devices and lozenges. A new micro-analytical method to study the kinetics of fluoride in plaque fluid collected from single tooth sites has been developed. Preliminary studies show that the clearance of fluoride from plaque fluid is slowest in the upper incisor region, followed by the molar region, and faster in the lower incisor region. A site-by-site study of the concentration of fluoride in plaque fluid after topical fluoride administration could be extremely beneficial in optimization of the methods and recommended safety regimens for fluoride therapy.

Biological Availability↗
PubMed1990

The incidence of ankle sprains in soccer.

This study investigated the relationship between exposure time and ankle sprains in soccer. Forty-one teams (639 players) from four male senior soccer divisions at different levels of skill (divisions I-VI) were followed prospectively for 1 year. The exposure to soccer and the number of injuries per player were higher in higher divisions, but the injury incidence, percentage of ankle injuries and incidence of ankle injuries were the same at different levels of skill. Of all injuries 17 to 20% were ankle sprains and the incidence varied between 1.7 to 2.0 ankle injuries per 1,000 hours of exposure. Since players with previous ankle problems run an increased risk of reinjury we suggest that these players receive preventive advice.

Adult↗
PubMed1989

Influence of flow rate, pH and plasma fluoride concentrations on fluoride concentration in human parotid saliva.

In two separate studies the influence of some physiological factors on salivary fluoride excretion was investigated. In the first study, parotid saliva, at two predetermined flow rates, and capillary blood were sampled after ingestion of 1 mg fluoride. In the second study, parotid saliva was collected at five different flow rates, starting 1 h after ingestion of 5 mg fluoride. Capillary blood was sampled throughout the experiment. The first study showed that parotid saliva and plasma fluoride concentrations were closely correlated (r = 0.81). The mean parotid salivary and plasma fluoride concentration ratio (S/P ratio) +/- SD ranged from 0.29 +/- 0.11 to 0.65 +/- 0.15. The fractions of the ingested fluoride dose excreted from one parotid gland were 0.08 and 0.18% at flow rates of 0.25 +/- 0.02 and 0.49 +/- 0.06 ml/min, respectively. The second study showed that at the mean basal plasma fluoride concentration of 0.65 +/- 0.18 mumol/l the mean S/P ratio was 0.55 +/- 0.24. At a plasma fluoride concentration ranging from 3.5 to 11.6 mumol/l the S/P ratio was 0.73 +/- 0.15. Thus the S/P ratio was influenced by the plasma fluoride concentration, but not by variations in parotid salivary flow rate or pH.

Adult↗
PubMed1989

Reconstruction of the anterior cruciate ligament in athletes, using a fascia lata graft: a review with preliminary results of a new concept.

This paper describes a new concept for the intra-articular reconstruction of the anterior cruciate ligament in competitive athletes. The concept includes careful selection of patients, the use of fascia lata as a graft, an operative technique which includes notchplasty and isometric placement of the graft, as well as aggressive rehabilitation according to Wolff's law. The majority of the patients were able to return to their preinjury activity level in their sport without major complications such as rerupture. A longer follow-up period is needed, however, to evaluate the long-term results of the concept.

Adult↗
PubMed1989

Fluoride intake in early infancy.

Current regulations concerning nutrient content of infant formulas do not specify either a lower or an upper limit for fluoride content. There would appear to be no need to specify a lower limit. An upper limit of 0.06 mg per 100 kcal is achievable and is recommended. Intake of fluoride by the infant will be influenced more by the water used as a diluent than by the concentrated liquid or powder used in formula preparation.

Energy Intake↗
PubMed1989

Binding of type-I and type-II collagens to Staphylococcus aureus strains isolated from patients with toxic shock syndrome compared to other staphylococcal infections.

Toxic shock syndrome toxin-1 (TSST-1) producing strains of Staphylococcus aureus isolated from 18 patients with toxic shock syndrome (TSS) and from 56 patients with other diagnoses were compared for capacity to interact with various serum and connective tissue proteins. TSS associated isolates showed significantly stronger binding of Type-I collagen (Cn-I) and Cn-II than non-TSS strains, in a particle agglutination assay (PAA) as well as in 125I labelled Cn uptake experiments. 125I Cn-IV binding, was similar between the two groups, whereas in PAA, a stronger interaction was observed for non-TSS than TSS associated strains. The median binding of 125I Cn to TSS-associated strains were 52.2 (Cn-I), 30.6 (Cn-II) and 20.0 (Cn-IV) compared to 20.0 (Cn-I), 14.4 (Cn-II) and 24.4 (Cn-IV) values of non-TSS strains. A saturation with 125I Cn-I and Cn-II binding was established for TSS (30 min) and non-TSS (15 min) strains. 125I Cn-IV binding reached a saturation in 10 min and 90 min with TSS and non-TSS strains respectively. Finally, the binding profiles of TSS associated and non-TSS strains to fibronectin, fibrinogen, laminin and IgG did not differ in both PAA and radioisotope assays. In scanning electron microscopy, cells of TSS associated strains bound to the reprecipitated native Cn-I fibrils. In contrast, most cells of non-TSS strains were localized to the distal end or were trapped between the Cn fibrils.(ABSTRACT TRUNCATED AT 250 WORDS)

Bacterial Toxins↗
PubMed1989

Studies on fluoride excretion in human whole saliva and its relation to flow rate and plasma fluoride levels.

Five volunteers participated in two separate experiments where whole saliva was collected without stimulation or with stimulation by chewing on paraffin wax. The saliva was collected continuously for 120 min after ingestion of 1 mg fluoride as NaF. Blood was collected at intervals throughout the experiments. The results showed that the concentration of fluoride in whole saliva mirrored the fluoride concentration in plasma, but at a lower level. Variations in salivary flow rate (0.34 +/- 0.15 ml/min for unstimulated and 1.06 +/- 0.28 ml/min for stimulated) did not affect the salivary fluoride concentration. The amount of fluoride excreted into stimulated whole saliva was significantly correlated with the salivary flow rate, with a correlation coefficient of 0.98. The fraction of the ingested fluoride dose recovered in whole saliva within 2 h was 0.05 +/- 0.02 and 0.18 +/- 0.09% for the unstimulated and the stimulated whole saliva, respectively.

Administration, Oral↗
PubMed1989

Studies on fluoride concentrations in human submandibular/sublingual saliva and their relation to flow rate and plasma fluoride levels.

Submandibular/sublingual saliva and blood were collected from five subjects after ingestion of 1 mg fluoride as NaF. An individual collection device, made from a silicone impression material, was used to collect the saliva in 10-minute samples, before and during 2 hr after the fluoride intake. In two separate experiments on each individual, submandibular/sublingual saliva was collected continuously at different flow rates: without stimulation and with gustatory stimulation. Blood was also collected at intervals throughout the experiments. The concentration of fluoride in the submandibular/sublingual saliva was less than that in the plasma but independent of salivary flow rate. The ratio between the saliva and plasma fluoride concentrations at the peak of the mean plasma fluoride concentrations was 0.55 +/- 0.13 and 0.69 +/- 0.11 in the experiments on unstimulated and stimulated salivary, flow rate, respectively. The total amount of the ingested fluoride dose that was excreted through the submandibular/sublingual glands during 130 min was highly correlated with the salivary flow rate. The fraction of the ingested fluoride dose excreted in 2 hr was 0.04 +/- 0.02% in the unstimulated saliva and 0.15 +/- 0.09% in the stimulated saliva.

Fluorides↗
PubMed1989

Surface-related injuries in soccer.

The review of the effects of artificial turf and natural grass on surface-related traumatic injuries in soccer suggests that surfaces with artificial turf produce more abrasion injuries than surfaces with natural grass. Most authors report no significant difference in injury frequencies for the number of traumatic injuries. However, some authors report fewer traumatic injuries on artificial turf, especially after a period of adaptation on the artificial turf. A difference in injury pattern and injury mechanism when playing on different types of surfaces has been suggested, as well as an increased injury risk for frequent alternating between different playing surfaces. The relationship between knee and ankle injuries and the fixation of the foot to the ground is not yet evaluated in soccer. In American football, the severity and incidence of knee and ankle injuries were reported to be significantly lower when using shoes with lower friction properties. However, in American football severe injuries typically occur in collision situations often independent of the surface. Soccer is characterised by sprinting, stopping, cutting and pivoting situations, where shoe-surface relations are essential and frictional resistance must be within an optimal range. Future research should address this compromise between performance and protection.

Athletic Injuries↗
PubMed1988

Significance of heel pad confinement for the shock absorption at heel strike.

Shock absorption (SA) is a simple way to reduce the body load and can be used in the prevention and treatment of injuries. The heel pad is the most important shock absorber in the shoe heel complex. The purpose of this study was to investigate whether the SA at heel strike can be increased by heel support in people and shoes with high or low SA. The impact forces at heel strike were measured on an AMTI (R) force platform. Fourteen legs were tested in seven persons (nine with normal and five with low heel pad SA) in gait analysis and in human drop tests. The tests were performed barefooted, and in a soccer and a running shoe (selected by shoe drop test), with and without the distal 2 cm of the heel counter. The heel pad confinement produced by the heel counter (the heel counter effect) increased the SA in both shoe types significantly in both impact situations. The mean increase in SA was 8.8% (range 5.8%-15.5%). The heel counter effect was in all situations significantly higher in persons with low heel pad shock absorbency (LHPSA) than in those with normal heel pads. The barefoot impact peak force per kg body weight was significantly higher (6% mean) on the side with LHPSA. The running shoe provided the significantly greatest SA compared with the soccer shoe. It is concluded that the shock absorbency at heel strike can be increased significantly by heel support, with highest effect in persons with LHPSA, both in shoes with high and low SA.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1988

Nucleotide sequence of the rubella virus capsid protein gene reveals an unusually high G/C content.

The nucleotide sequence of the rubella virus capsid protein (C) gene has been determined from a cDNA clone derived from the 40S genomic RNA. The sequence covers the coding region of the C protein (831 nucleotides), 70 nucleotides of the 5' untranslated region, and the 5' end of the downstream E2 membrane protein gene. The capsid gene is unusually rich in C (41.6%) and G (31.2%) residues (G + C 72.8%), and poor in A (15.4%) and U residues (11.8%). There are regions with long runs of up to 45% C or 35% G residues. The codon usage is non-random, with a strong preference for C and G residues in the third position. Starting from two in-frame AUG codons (seven amino acid residues apart) an open reading frame (ORF) was identified that extended in frame into the ORF coding for the downstream E2 membrane protein gene. Since the amino terminus of the capsid protein is blocked, we could not determine which of the AUGs serve as the initiating codon. To verify that the deduced ORF was correct, we have determined the amino acid sequence of 13 tryptic peptides corresponding to one-third of the C protein. Our data show that the C protein is about 277 residues in length (Mr about 30750). It is very hydrophilic and rich in prolines (14.1%) and arginines (14.4%). Clusters of these amino acids are concentrated in the amino-terminal third of the C protein. No sequence homology to the capsid protein of several alphaviruses was observed. Together with our previous sequence data we have now completed the sequence of the genes coding for the structural proteins C, E2 and E1 of rubella virus.

Amino Acid Sequence↗
PubMed1988

Effect of fluoride addition on ionized calcium in salivary sediment and in saliva.

Fluoride was added in increments to pooled whole saliva. The ionized calcium concentration was determined in the saliva and the salivary sediment after centrifugation. The maxima of the ion product with respect to calcium fluoride were for salivary sediment and saliva found at 15 mmol/l and 25 mmol/l of fluoride, respectively. The study indicated that calcium fluoride may precipitate in the plaque matrix during and after topical application of fluoride.

Calcium↗
PubMed1988

In vitro root caries progression measured by 125I absorptiometry: comparison with chemical analysis.

Radiation from a 125I source and a non-image-forming detector was used for non-destructive measurements of root caries progression. Blocks were cut parallel to the cementum surface of unexposed human roots. These blocks were then individually demineralized in under-saturated calcium phosphate solutions over an 84-hour period. In order for the in vitro root surface demineralization to be followed, the changes in transmission (delta T) through the blocks were measured, by 125I absorptiometry, eight times during the course of the experiment. Chemical analyses of the calcium output (delta Ca) from the blocks into the demineralizing solutions were also performed, and the rate of demineralization (Vdem) was calculated from these values. The precision of 125I absorptiometry was calculated from 176 duplicate transmission measurements, and the coefficient of variation was found to be 0.20%. The correlation coefficient between delta T and total delta Ca for each of 22 cementum/dentin blocks ranged between r = 0.934 and r = 0.998. The progression of root hard-tissue lesions observed by these two methods and by the calculated Vdem was found to be proportional to the square and cubic roots of time. The study shows that 125I absorptiometry can be used for continuous non-destructive measurements of root hard-tissue demineralization in vitro.

Calcium↗
PubMed1987

Dissolution of calcium fluoride tablets in vitro and bioavailability in man.

The dissolution rate of CaF2 tablets in vitro and the degree of F absorption in vivo after tablet intake in man were investigated. 50% of total F was released in 0.1 N HCl after 45 min whereas virtually no release was seen in H2O or in 0.2 M PO4-buffer pH 6.8. In spite of the modest release of F in simulated gastric juice in vitro no F absorption as judged from the plasma fluoride concentration curve was seen within 6 h after intake of 4 mg F as CaF2 tablets.

Adult↗