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- Angelstam, Per, et al.
(författare)
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Meeting places and social capital supporting rural landscape stewardship : A Pan-European horizon scanning
- 2021
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Ingår i: Ecology & Society. - : Resilience Alliance. - 1708-3087. ; 26:1
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Tidskriftsartikel (refereegranskat)abstract
- Achieving sustainable development as an inclusive societal process in rural landscapes, and sustainability in terms of functional green infrastructures for biodiversity conservation and ecosystem services, are wicked challenges. Competing claims from various sectors call for evidence-based adaptive collaborative governance. Leveraging such approaches requires maintenance of several forms of social interactions and capitals. Focusing on Pan-European regions with different environmental histories and cultures, we estimate the state and trends of two groups of factors underpinning rural landscape stewardship, namely, (1) traditional rural landscape and novel face-to-face as well as virtual fora for social interaction, and (2) bonding, bridging, and linking forms of social capital. We applied horizon scanning to 16 local landscapes located in 18 countries, representing Pan-European social-ecological and cultural gradients. The resulting narratives, and rapid appraisal knowledge, were used to estimate portfolios of different fora for social interactions and forms of social capital supporting landscape stewardship. The portfolios of fora for social interactions were linked to societal cultures across the European continent: "self-expression and secular-rational values" in the northwest, "Catholic" in the south, and "survival and traditional authority values" in the East. This was explained by the role of traditional secular and religious local meeting places. Virtual internet-based fora were most widespread. Bonding social capitals were the strongest across the case study landscapes, and linking social capitals were the weakest. This applied to all three groups of fora. Pan-European social-ecological contexts can be divided into distinct clusters with respect to the portfolios of different fora supporting landscape stewardship, which draw mostly on bonding and bridging forms of social capital. This emphasizes the need for regionally and culturally adapted approaches to landscape stewardship, which are underpinned by evidence-based knowledge about how to sustain green infrastructures based on both forest naturalness and cultural landscape values. Sharing knowledge from comparative studies can strengthen linking social capital.
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- Chapple, Iain L C, et al.
(författare)
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Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases.
- 2017
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Ingår i: Journal of clinical periodontology. - : Wiley. - 1600-051X .- 0303-6979. ; 44:Suppl 18
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Tidskriftsartikel (refereegranskat)abstract
- Periodontal diseases and dental caries are the most common diseases of humans and the main cause of tooth loss. Both diseases can lead to nutritional compromise and negative impacts upon self-esteem and quality of life. As complex chronic diseases, they share common risk factors, such as a requirement for a pathogenic plaque biofilm, yet they exhibit distinct pathophysiologies. Multiple exposures contribute to their causal pathways, and susceptibility involves risk factors that are inherited (e.g. genetic variants), and those that are acquired (e.g. socio-economic factors, biofilm load or composition, smoking, carbohydrate intake). Identification of these factors is crucial in the prevention of both diseases as well as in their management.To systematically appraise the scientific literature to identify potential risk factors for caries and periodontal diseases.One systematic review (genetic risk factors), one narrative review (role of diet and nutrition) and reference documentation for modifiable acquired risk factors common to both disease groups, formed the basis of the report.There is moderately strong evidence for a genetic contribution to periodontal diseases and caries susceptibility, with an attributable risk estimated to be up to 50%. The genetics literature for periodontal disease is more substantial than for caries and genes associated with chronic periodontitis are the vitamin D receptor (VDR), Fc gamma receptor IIA (Fc-γRIIA) and Interleukin 10 (IL10) genes. For caries, genes involved in enamel formation (AMELX, AMBN, ENAM, TUFT, MMP20, and KLK4), salivary characteristics (AQP5), immune regulation and dietary preferences had the largest impact. No common genetic variants were found. Fermentable carbohydrates (sugars and starches) were the most relevant common dietary risk factor for both diseases, but associated mechanisms differed. In caries, the fermentation process leads to acid production and the generation of biofilm components such as Glucans. In periodontitis, glycaemia drives oxidative stress and advanced glycation end-products may also trigger a hyper inflammatory state. Micronutrient deficiencies, such as for vitamin C, vitamin D or vitamin B12, may be related to the onset and progression of both diseases. Functional foods or probiotics could be helpful in caries prevention and periodontal disease management, although evidence is limited and biological mechanisms not fully elucidated. Hyposalivation, rheumatoid arthritis, smoking/tobacco use, undiagnosed or sub-optimally controlled diabetes and obesity are common acquired risk factors for both caries and periodontal diseases.
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- Rajan, S, et al.
(författare)
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Post-mitotic odontoblasts in health, disease, and regeneration
- 2020
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Ingår i: Archives of Oral Biology. - : Elsevier. - 0003-9969 .- 1879-1506. ; 109
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Forskningsöversikt (refereegranskat)abstract
- Objective: Description of the odontoblast lifecycle, an overview of the known complex molecular interactions that occur when the health of the dental pulp is challenged and the current and future management strategies on vital and non-vital teeth. Methods: A literature search of the electronic databases included MEDLINE (1966-April 2019), CINAHL (1982-April 2019), EMBASE and EMBASE Classic (1947-April 2019), and hand searches of references retrieved were undertaken using the following MESH terms ‘odontoblast*’, ‘inflammation’, ‘dental pulp*’, ‘wound healing’ and ‘regenerative medicine’. Results: Odontoblasts have a sensory and mechano-transduction role so as to detect external stimuli that challenge the dental pulp. On detection, odontoblasts stimulate the innate immunity by activating defence mechanisms key in the healing and repair mechanisms of the tooth. A better understanding of the role of odontoblasts within the dental pulp complex will allow an opportunity for biological management to remove the cause of the insult to the dental pulp, modulate the inflammatory process, and promote the healing and repair capabilities of the tooth. Current strategies include use of conventional dental pulp medicaments while newer methods include bioactive molecules, epigenetic modifications and tissue engineering. Conclusion: Regenerative medicine methods are in their infancy and experimental stages at best. This review highlights the future direction of dental caries management and consequently research.
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