| 1. |
- Al-Hashimi, Ibtisam, et al.
(författare)
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Oral lichen planus and oral lichenoid lesions: diagnostic and therapeutic considerations.
- 2007
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Ingår i: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. - : Elsevier BV. - 1528-395X .- 1079-2104. ; 103 Suppl
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Tidskriftsartikel (refereegranskat)abstract
- Several therapeutic agents have been investigated for the treatment of oral lichen planus (OLP). Among these are corticosteroids, retinoids, cyclosporine, and phototherapy, in addition to other treatment modalities. A systematic review of clinical trials showed that particularly topical corticosteroids are often effective in the management of symptomatic OLP lichen planus. Systemic corticosteroids should be only considered for severe widespread OLP and for lichen planus involving other mucocutaneous sites. Because of the ongoing controversy in the literature about the possible premalignant character of OLP, periodic follow-up is recommended. There is a spectrum of oral lichen planus-like ("lichenoid") lesions that may confuse the differential diagnosis. These include lichenoid contact lesions, lichenoid drug reactions and lichenoid lesions of graft-versus-host disease. In regard to the approach to oral lichenoid contact lesions the value of patch testing remains controversial. Confirmation of the diagnosis of an oral lichenoid drug reaction may be difficult, since empiric withdrawal of the suspected drug and/or its substitution by an alternative agent may be complicated. Oral lichenoid lesions of graft-versus-host disease (OLL-GVHD) are recognized to have an association with malignancy. Local therapy for these lesions rests in topical agents, predominantly corticosteroids.
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| 2. |
- Brennan, Michael, et al.
(författare)
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Management of oral epithelial dysplasia: a review.
- 2007
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Ingår i: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. - : Elsevier BV. - 1528-395X .- 1079-2104. ; 103 Suppl
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Tidskriftsartikel (refereegranskat)abstract
- One of the goals of the fourth meeting of The World Workshop on Oral Medicine (WWOM IV) included a review of the pathophysiology and future directions for the clinical management of patients with oral epithelial dysplasia, excluding the lips and oropharynx. In the pathophysiology review of dysplasia since WWOM III (1998-2006), a wide range of molecular changes associated with progression of dysplasia to squamous cell carcinoma were found. These include loss of heterozygosity, dysregulation of apoptosis, aberrant DNA expression, and altered expression of numerous tissue markers. Based on the literature search, no single molecular pathway has been identified as the primary factor in progression of dysplasia to squamous cell carcinoma. A systematic review of medical (i.e., nonsurgical) management strategies for the treatment of dysplastic lesions has shown promising results in short-term resolution of dysplasia in the small number of studies that met eligibility criteria for review. However, because of the limited periods of follow-up reported in these studies, it remains unclear as whether resolution of dysplasia would actually be a long-term benefit of these interventions. This question is particularly germane when it is considered in the context of prevention of future development of squamous cell carcinoma. Because of the lack of randomized controlled trials that have shown effectiveness in the prevention of malignant transformation, no recommendations can be provided for specific surgical interventions of dysplastic oral lesions either.
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| 3. |
- Muller, Joanne, et al.
(författare)
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The use of principle component analyses in characterising trace and major elemental distribution in a 55 kyr peat deposit in tropical Australia: Implications to paleoclimate
- 2008
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Ingår i: Geochimicia et Cosmochimica Acta. ; 72, s. 449-463
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Tidskriftsartikel (refereegranskat)abstract
- The Lynch's Crater peat deposit in NE-Australia is a sensitive environmental archive located in the tropical Southern Hemisphere. This unique deposit illustrates that local and regional changes had a profound effect on the local Australian ecosystem over the past 55 kyr. To obtain a proxy of past climate changes, trace and major element geochemistry analyses were applied to a 13 m peat core from the crater. Principle component analysis (PCA) was used to identify the main factors that control elemental distribution in the peat and to add interpretative strength to the geochemical behavior of selected major and trace elements. For example, Sc, Al, Cu, and Pb were found to be related to increased erosion of the basin soils, and from this, several periods of significant flux from atmospheric input and/or terrigenous run-off were identified. Geochemically mobile elements during rock weathering and pedogenesis, such as Mg, Ca, and Sr helped to identify the peat ombrotrophic-minerotrophic boundary at ~1.5 m depth and offered important information about fluxes of these nutrients to the mire and their dynamics within the deposit. Arsenic and V comparisons between the peat record (high concentrations in some peat sections) and in local basin rocks (very low concentrations), suggested the presence of a long range, atmospheric dust source early in the formation of the mire. The Lynch's Crater peat record presents a continuous record of environmental change in tropical Australia and contributes new understanding to geochemical processes in peatlands.
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