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Yang J, Chen X, Luo C, Li Z, Chen C, Han S, Lv X, Wu L, Chen C. Application of serum SERS technology combined with deep learning algorithm in the rapid diagnosis of immune diseases and chronic kidney disease. Sci Rep 2023; 13:15719. [PMID: 37735599 PMCID: PMC10514316 DOI: 10.1038/s41598-023-42719-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 09/14/2023] [Indexed: 09/23/2023] Open
Abstract
Surface-enhanced Raman spectroscopy (SERS), as a rapid, non-invasive and reliable spectroscopic detection technique, has promising applications in disease screening and diagnosis. In this paper, an annealed silver nanoparticles/porous silicon Bragg reflector (AgNPs/PSB) composite SERS substrate with high sensitivity and strong stability was prepared by immersion plating and heat treatment using porous silicon Bragg reflector (PSB) as the substrate. The substrate combines the five deep learning algorithms of the improved AlexNet, ResNet, SqueezeNet, temporal convolutional network (TCN) and multiscale fusion convolutional neural network (MCNN). We constructed rapid screening models for patients with primary Sjögren's syndrome (pSS) and healthy controls (HC), diabetic nephropathy patients (DN) and healthy controls (HC), respectively. The results showed that the annealed AgNPs/PSB composite SERS substrates performed well in diagnosing. Among them, the MCNN model had the best classification effect in the two groups of experiments, with an accuracy rate of 94.7% and 92.0%, respectively. Previous studies have indicated that the AgNPs/PSB composite SERS substrate, combined with machine learning algorithms, has achieved promising classification results in disease diagnosis. This study shows that SERS technology based on annealed AgNPs/PSB composite substrate combined with deep learning algorithm has a greater developmental prospect and research value in the early identification and screening of immune diseases and chronic kidney disease, providing reference ideas for non-invasive and rapid clinical medical diagnosis of patients.
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Affiliation(s)
- Jie Yang
- College of Information Science and Engineering, Xinjiang University, Urumqi, 830046, China
| | - Xiaomei Chen
- Department of Rheumatology and Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
- Xinjiang Clinical Research Center for Rheumatoid arthritis, Urumqi, 830001, China
- Xinjiang Medical University, Urumqi, 830054, China
| | - Cainan Luo
- Department of Rheumatology and Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
- Xinjiang Clinical Research Center for Rheumatoid arthritis, Urumqi, 830001, China
| | - Zhengfang Li
- Department of Rheumatology and Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
- Xinjiang Clinical Research Center for Rheumatoid arthritis, Urumqi, 830001, China
| | - Chen Chen
- College of Information Science and Engineering, Xinjiang University, Urumqi, 830046, China
| | - Shibin Han
- College of Physics Science and Technology, Xinjiang University, Urumqi, 830046, China
| | - Xiaoyi Lv
- College of Software, Xinjiang University, Urumqi, 830046, China
| | - Lijun Wu
- Department of Rheumatology and Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China.
- Xinjiang Clinical Research Center for Rheumatoid arthritis, Urumqi, 830001, China.
| | - Cheng Chen
- College of Software, Xinjiang University, Urumqi, 830046, China.
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Shahbaz M, Kazmi F, Majeed HA, Manzar S, Qureshi FA, Rashid S. Oral Manifestations: A Reliable Indicator for Undiagnosed Diabetes Mellitus Patients. Eur J Dent 2023; 17:784-789. [PMID: 36220121 PMCID: PMC10569842 DOI: 10.1055/s-0042-1755553] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
OBJECTIVES This article identifies undiagnosed DM (UDM) cases in the Pakistani population by perceiving the signs and symptoms of DM and associating them with oral manifestations. MATERIAL AND METHODS In this cross-sectional study, patients showing at least three or more classical or warning signs like polydipsia, polyuria, polyphagia, and general weakness were considered UDM cases. Detailed oral examination for gingivitis, periodontitis, halitosis, xerostomia, and tongue manifestations was done followed by the hemoglobin A1c (HbA1c) analysis. RESULTS Out of 5,878 patients, 214 UDM cases were identified, where 31.8% and 39.7% of the patients were diagnosed as prediabetics and diabetics, respectively, based on HbA1c analysis. Prevalence of gingivitis (97.6%), fissured tongue (91.8%), generalized periodontitis (85.9%), thick saliva (87.1%), xerostomia (84.7%), burning mouth syndrome (63.5%), yellow discoloration of tongue (57.6%), and ecchymosis/ulcers (43.5%) were more in diabetics as compared to prediabetic patients and normal population. CONCLUSION The oral manifestations can be crucial for identifying UDM cases. Dentists can play a pivotal role by taking detailed history and thorough oral examination. If three or more symptoms as concluded above are present, an HbA1c analysis should be conducted to prevent preop and postop complications associated with DM.
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Affiliation(s)
- Maliha Shahbaz
- Department of Oral Biology, Lahore Medical and Dental College, Lahore, Pakistan
| | - Farhat Kazmi
- Department of Oral Pathology, Rashid Latif Dental College/Rashid Latif Medical Complex, Lahore, Pakistan
| | - Hanna Abdul Majeed
- Department of Operative Dentistry, Rashid Latif Dental College/Rashid Latif Medical Complex, Lahore, Pakistan
| | - Saadia Manzar
- Department of Oral & Maxillofacial Surgery, Rashid Latif Dental College/Rashid Latif Medical Complex, Lahore, Pakistan
| | - Faiza Awais Qureshi
- Department of Community Dentistry, Rashid Latif Dental College/Rashid Latif Medical Complex, Lahore, Pakistan
| | - Shahrayne Rashid
- Department of Oral Pathology, Rashid Latif Dental College/Rashid Latif Medical Complex, Lahore, Pakistan
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Ambikathanaya UK, Raghavendra Swamy KN, Gujjari A, Tejaswi S, Shetty S, Ravi MB. Effect of Acrylic Removable Partial Denture in Caries Prevalence Among Diabetic and Non-Diabetic Patients. J Pharm Bioallied Sci 2022; 14:S917-S922. [PMID: 36110656 PMCID: PMC9469349 DOI: 10.4103/jpbs.jpbs_126_22] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/14/2022] [Accepted: 03/17/2022] [Indexed: 12/05/2022] Open
Abstract
Background: Dental caries is the most prevalent dental disease affecting human race. The etiology and pathogenesis of dental caries are known to be multifactorial. Studies have shown that removable partial dentures in the oral cavity increases the biofilm formation and consequently an increase in the occurrence of caries and periodontal diseases. There is a complex relationship between diabetes mellitus and dental caries. Patients with diabetes are more susceptible to oral sensory, periodontal, and salivary disorders which could increase the risk of developing new and recurrent dental caries. Therefore, the aim of the study was to assess the prevalence of dental caries among diabetic and non-diabetic acrylic removable partial denture wearers. Materials and Methods: Individuals participating in the study were partially edentulous and aged between 18 and 64 years. Patients were screened at Out patient department (OPD) in the Department of Prosthodontics JSSDCH, among which 60 patients were diabetic based on the random blood sugar level more than 160 mg/dl—30 patients were wearing RPD and 30 were without RPD. And 60 non-diabetic patients were selected among which 30 were wearing RPD and 30 without RPD. A total 120 patients were screened. Dental caries prevalence was assessed using Decayed, Missing, Filled (DMFT) index. Results: Diabetic group unrehabilitated with removable partial prosthesis showed significant difference in the number of missing teeth when compared to non-diabetic patients without removable prosthesis (P < 0.05). Conclusion: Removable partial denture prosthesis had less impact on prevalence of dental caries with good oral hygiene, following post insertion RPD instructions and regular dental visits irrespective of diabetes.
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Polydatin Alleviates Diabetes-Induced Hyposalivation through Anti-Glycation Activity in db/db Mouse. Pharmaceutics 2021; 14:pharmaceutics14010051. [PMID: 35056946 PMCID: PMC8777620 DOI: 10.3390/pharmaceutics14010051] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 12/22/2021] [Accepted: 12/23/2021] [Indexed: 12/03/2022] Open
Abstract
Polydatin (resveratrol-3-O-β-mono-D-glucoside) is a polyphenol that can be easily accessed from peanuts, grapes, and red wine, and is known to have antiglycation, antioxidant, and anti-inflammatory effects. Diabetes mellitus is a very common disease, and diabetic complications are very common complications. The dry mouth symptom is one of the most common oral complaints in patients with diabetes mellitus. Diabetes mellitus is thought to promote hyposalivation. In this study, we aimed to investigate the improvement effect of polydatin on diabetes-induced hyposalivation in db/db mouse model of type 2 diabetes. We examined salivary flow rate, TUNEL assay, PAS staining, and immunohistochemical staining for AGEs, RAGE, HMGB1, 8-OHdG, and AQP5 to evaluate the efficacy of polydatin in the submandibular salivary gland. Diabetic db/db mice had a decreased salivary flow rate and salivary gland weight. The salivary gland of the vehicle-treated db/db mice showed an increased apoptotic cell injury. The AGEs were highly accumulated, and its receptor, RAGE expression was also enhanced. Expressions of HMGB1, an oxidative cell damage marker, and 8-OHdG, an oxidative DNA damage marker, increased greatly. However, polydatin ameliorated this hypofunction of the salivary gland and inhibited diabetes-related salivary cell injury. Furthermore, polydatin improved mucin accumulation, which is used as a damage marker for salivary gland acinar cells, and decreased expression of water channel AQP5 was improved by polydatin. In conclusion, polydatin has a potent protective effect on diabetes-related salivary gland hypofunction through its antioxidant and anti-glycation activities, and its AQP5 upregulation. This result suggests the possibility of the use of polydatin as a therapeutic drug to improve hyposalivation caused by diabetes.
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Hamrah MH, Baghalian A, Ghadimi S, Mokhtari S, Kargar M, Khosrozadeh M, Dahi T, Charkazi A, Hamrah MS, Hamrah MH. The Prevalence and Correlates of Fissured Tongue Among Outpatients in Andkhoy City, Afghanistan: A Cross-Sectional Study. Clin Cosmet Investig Dent 2021; 13:335-342. [PMID: 34345186 PMCID: PMC8325757 DOI: 10.2147/ccide.s323428] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 07/15/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Fissured tongue is a common manifestation of the tongue, marked by the presence of multiple prominent grooves or fissures on the dorsal surface of the tongue. However, there is a lack of studies focusing on the prevalence and factors associated with fissured tongue among patients attending an outpatient clinic in Afghanistan. AIM The purpose of the current study was to determine the prevalence and factors associated with fissured tongue and its effects on the general health of adult outpatients in Afghanistan. PATIENTS AND METHODS The cross-sectional survey was conducted among outpatient populations in Andkhoy City, Afghanistan, between September 2019 and December 2019. A convenience technique was applied by including 1182 patient aged 18-80 years. Socio-economic status, smoking, nass use (smokeless tobacco use) and medical data were collected using face-to-face interviews. We used logistic regression analysis to identify factors associated with fissured tongue. A convenience technique was applied by including patient aged 18-80 years. RESULTS The studied population consisted of 1182 participants, of whom 573 (48.5%) were males and 609 (51.5%) females. The prevalence of fissured tongue was 27.2% (95% CI: 24.7-29.9%) with males having significantly higher prevalence than females (47.5%, 95% CI: 43.3-51.6% versus 8.2%, 95% CI: 6.2-10.7%, p<0.001). Male participants (OR=7.1, 95% CI: 4.8-10.3), diabetes mellitus (OR=1.6, 95% CI: 1.1-2.3) and smokeless tobacco use (OR=12.0, 95% CI: 8.1-17.6) were the only variables independently associated with fissured tongue. CONCLUSION This study suggested that there was a high rate of fissured tongue among an outpatient clinic in Andkhoy, Afghanistan. Male gender, diabetes mellitus, and nass consumption were associated with fissured tongue. Therefore, these factors might usefully be targeted in local health promotion, prevention and early intervention programs.
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Affiliation(s)
- Mohammad Hassan Hamrah
- Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
- Curative Clinic, Andkoy, Faryab, Afghanistan
| | - Ali Baghalian
- Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Sara Ghadimi
- Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Saeedeh Mokhtari
- Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Mojgan Kargar
- Department of Paediatric Dentistry, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Maryam Khosrozadeh
- Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Toba Dahi
- Abant Izzet Baysal University Faculty of Dentistry, Bolu, Turkey
| | - Abdurrahman Charkazi
- Health Education and Promotion, Environmental Health Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
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Musiał M, Wiench R, Kolonko A, Choręza P, Niedzielski D, Machorowska-Pieniążek A, Skaba D, Więcek A, Owczarek A, Niedzielska I, Król R, Ziaja J. Simultaneously Transplanted Pancreas Improves Salivation and Reduces Oral Fungal Infections Incidence in Type 1 Diabetic Renal Transplant Recipients. Transplant Proc 2020; 52:2067-2073. [PMID: 32305203 DOI: 10.1016/j.transproceed.2020.01.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Accepted: 01/22/2020] [Indexed: 11/19/2022]
Abstract
BACKGROUND Long-lasting diabetes mellitus may lead to numerous pathologies in the oral cavity. The aim of the study was to assess the condition of the oral cavity, caries intensity, salivary parameters, and incidence of oral fungal infections in patients with type 1 diabetes (T1D) and end-stage renal disease (ESRD) after kidney transplantation (KTx) or simultaneous kidney and pancreas transplantation (SPK). METHODS Twenty-one patients after SPK, 18 T1D patients after KTx, and 14 kidney recipients without diabetes (control group) were included in the study. Donor sources complied with Helsinki Congress and the Declaration of Istanbul. RESULTS Approximal plague index in SPK (80% [68%-90%]) was comparable to KTx (80% [37.5%-92.5%]) but higher than in control group (46% [35%-50%]). All 3 groups did not differ in terms of decayed-missing-filled tooth index: 22.3 ± 4.8 vs 22.5 ± 4.5 vs 19.1 ± 4.9, respectively. Normal saliva resting secretion and consistency were more common in SPK (71.4% and 52%, respectively) than in KTx (27.8% and 50.0%, respectively). Stimulated saliva volume in the SPK, KTx and controls, pH value, and buffering capacity were comparable. In KTx higher incidence of Candida albicans infection (55.6%) compared with SPK (23.8%) and controls (no infection) was observed. CONCLUSIONS Simultaneously transplanted pancreas improves salivation and reduces the incidence of oral fungal infections in T1D kidney recipients. The severity of caries is higher and oral hygiene is worse in T1D kidney recipients compared with patients after KTx without diabetes.
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Affiliation(s)
- Mikołaj Musiał
- Department of Orthodontics, Medical University of Silesia, Katowice, Poland.
| | - Rafał Wiench
- Department of Periodontal Diseases and Oral Mucosa, Medical University of Silesia, Katowice, Poland
| | - Aureliusz Kolonko
- Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland
| | - Piotr Choręza
- Department of Statistics, Department of Instrumental Analysis, Faculty of Pharmaceutical Sciences, Medical University of Silesia, Katowice, Poland
| | - Damian Niedzielski
- Department of Craniomaxillofacial Surgery, Medical University of Silesia, Katowice, Poland
| | | | - Dariusz Skaba
- Department of Periodontal Diseases and Oral Mucosa, Medical University of Silesia, Katowice, Poland
| | - Andrzej Więcek
- Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland
| | - Aleksander Owczarek
- Department of Statistics, Department of Instrumental Analysis, Faculty of Pharmaceutical Sciences, Medical University of Silesia, Katowice, Poland
| | - Iwona Niedzielska
- Department of Craniomaxillofacial Surgery, Medical University of Silesia, Katowice, Poland
| | - Robert Król
- Department of General, Vascular and Transplant Surgery, Medical University of Silesia, Katowice, Poland
| | - Jacek Ziaja
- Department of General, Vascular and Transplant Surgery, Medical University of Silesia, Katowice, Poland
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Rohani B. Oral manifestations in patients with diabetes mellitus. World J Diabetes 2019; 10:485-489. [PMID: 31558983 PMCID: PMC6748880 DOI: 10.4239/wjd.v10.i9.485] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Revised: 08/19/2019] [Accepted: 08/27/2019] [Indexed: 02/05/2023] Open
Abstract
The purpose of this article was to increase the knowledge about oral manifestations and complications associated with diabetes mellitus. An overview was performed on Google, especially in recent reliable papers in relation to diabetes mellitus and its oral manifestations (keywords were “diabetes mellitus”, “oral manifestations”, and “oral complications”). Data were collected and the results were declared. Diabetes mellitus is one of the most common chronic disorders characterized by hyperglycemia. This disease can have many complications in various regions of the body, including the oral cavity. The important oral manifestations and complications related to diabetes include xerostomia, dental caries, gingivitis, periodontal disease, increased tendency to oral infections, burning mouth, taste disturbance, and poor wound healing. Oral complications in diabetic patients are considered major complications and can affect patients’ quality of life. There is evidence that chronic oral complications in these patients have negative effects on blood glucose control, so prevention and management of the oral complications are important.
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Affiliation(s)
- Bita Rohani
- Department of Oral Medicine, Faculty of Dentistry, Aja University of Medical Sciences, Tehran 1919141171, Iran
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