Hydroxyurea therapy in sickle cell anemia patients aids to maintain oral fungal colonization balance

Background: The aim of this study was to evaluate the frequency of Candida species and presence of lesions in the oral cavity of patients with sickle cell anemia (SS). Methods: The study included 30 patients diagnosed with sickle cell anemia and taking hydroxyurea for at least 90 days (SS/HU+); and 39 patients with sickle cell anemia and without hydroxyurea therapy (SS/HU-). Two control groups were constituted by healthy individuals matched to the test groups in age, gender, and oral conditions (C/HU+ for SS/HU+ and C/HU- for SS/HU-). Oral clinical examination and anamnesis were performed. Yeasts were collected by oral rinses and identified by API system. Antifungal susceptibility evaluation was performed according to the CLSI methodology. Data obtained for microorganisms counts were compared by Student's t test (SS/HU+ vs. C/HU+ and SS/HU- vs. C/HU-) using MINITAB for Windows 1.4. Significance level was set at 5%. Results: No oral candidosis lesions were detected. Significant differences in yeasts counts were observed between SS/HU- group and the respective control, but there were no differences between SS/HU+ and C/HU+. Candida albicans was the most prevalent species in all groups. Candida famata was observed both in SS and control groups. Candida dubliniensis, Candida glabrata, Candida krusei, Candida tropicalis, Candida pelliculosa, and Candida parapsilosis were observed only in SS groups. Most strains were susceptible to all antifungal agents. Conclusion: Hydroxyurea therapy seems to decrease candidal counts and resistance rate in sickle cell anemia patients. However, further studies should be conducted in the future to confirm this finding. Hydroxyurea therapy in sickle cell anemia patients maintains fungal species balance in oral cavity. © 2013 John Wiley & Sons A/S.

La mujer en el comercio interinsular de productos agrícolas en el Caribe Oriental = Women in the inter-island trade in agricultural produce in the Eastern Caribbean

Incluye Bibliografía

Los comerciantes de productos agrícolas de San Vicente y las Granadinas, Granada, Dominica y Santa Lucía = The agricultural traders of St. Vincent and the Grenadines, Grenada, Dominica and St. Lucia

Incluye Bibliografía

Report of the First Meeting of the Ad Hoc Working Group in Agricultural Planning

Informa sobre la reunion que tuvo por objetivo la formulacion de estrategias de desarrollo para el sector agricola en la region.

Agricultural statistics of the Caribbean countries

Includes bibliography

Directory of agricultural producers

Publicación trilingüe

Informe del Seminario Regional sobre Sistemas Ambientales y Estrategias para Ampliar la Frontera Agropecuaria en América Latina = Report of the Regional Seminar on Environmental Systems and Strategies for Extending the Agricultural Frontier in Latin America

Contiene los antecedentes y el resumen de los debates del seminario que tuvo como propósito hacer un aporte a la ejecución del proyecto del mismo nombre cuyo objetivo básico es propiciar metodologías viables que tiendan a disminuir el costo ecológico de las transformaciones y a formar silvoagrosistemas sustentables, y que puedan ser utilizados por los planificadores y encargados de proyectos de desarrollo agrícola y regional en áreas de expansión de frontera agropecuaria.

Implant-abutment gap versus microbial colonization: Clinical significance based on a literature review

Microorganisms from the oral cavity may settle at the implant-abutment interface (IAI). As a result, tissue inflammation could occur around these structures. The databases MEDLINE/PubMed and PubMed Central were used to identify articles published from 1981 through 2012 related to the microbial colonization in the implant-abutment gap and its consequence in terms of crest bone loss and osseointegration. The following considerations could be put forward, with respect to the clinical importance of IAI: (a) the space present at the IAI seems to allow bacterial leakage to occur, in spite of the size of this space; (b) bacterial leakage seems to occur at the IAI, irrespective of the type of connection. More studies are necessary to clarify the relationship between leakage at IAI and abutment connection designs; (c) losses at the peri-implant bone crests cannot be related to the IAI size, since few studies have shown no relationship. Also, the microbial leakage at the IAI cannot be related to the bone crest loss, since there are no articles reporting this relationship; remains controversial the influence of the IAI position on the bone crest losses. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 101B: 1321-1328, 2013. Copyright © 2013 Wiley Periodicals, Inc.