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Introduction: Auditory hallucinations are the most common type of hallucinations observed in schizophrenia; however, visual hallucinations are not uncommon. In Graves' disease, depression, hypomania, and psychosis can occur. While the association between Graves' disease and psychosis has been explored, understanding of the specific impact of thyroid dysfunction severity on psychiatric symptom severity is limited. Here, we present a case report of a patient with schizophrenia comorbid with Graves' disease whose psychotic symptoms were impacted by hyperthyroidism. Case: The patient was a 32-year-old Japanese woman who presented with auditory and visual hallucinations, agitation, and pressured speech. The patient was diagnosed with schizophrenia comorbid with Graves' disease and thyroid storm. The patient's psychotic symptoms were found to be associated with fluctuations in thyroid hormone levels, and visual hallucinations were observed only during thyroid storms. Treatment involved dexamethasone, potassium iodide, bisoprolol fumarate, and methimazole for thyrotoxicosis, and a blonanserin transdermal patch, paliperidone, and paliperidone palmitate for psychotic symptoms. The patient's auditory and visual hallucinations improved with antipsychotic treatment and decreased thyroid hormone levels. Conclusion: This case highlights the importance of monitoring thyroid function in patients with schizophrenia, particularly those with comorbid Graves' disease. The correlation between psychiatric symptoms and thyroid hormone levels was demonstrated on an individual level over time, with symptoms worsening as thyroid hormone levels increased. Additionally, our case suggests that abnormally high thyroid hormone levels may trigger visual hallucinations in individuals with schizophrenia. Further studies are needed to elucidate the underlying mechanisms and potential treatment implications of this association.

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OBJECTIVE: We determined the amounts of calcium salt of 10-methacryloyloxydecyl dihydrogen phosphate (MDP-Ca salt) and dicalcium phosphate dihydride (DCPD) with an amorphous phase developed during the application of commercial MDP-based all-in-one adhesives to enamel and dentin. This is because the demineralization by MDP and following calcium salt formation of MDP may be limited by an ionic bond formation of MDP to hydroxyapaptite in the enamel and dentin and following intermediary layer formation of MDP, since MDP forms a chemically-stable adsorption layer. METHODS: Scotchbond Universal Adhesive, Clearfil Tri-S Bond ND, Clearfil Tri-S Bond ND Quick, G-Bond Plus and our designed MDP-based all-in-one adhesive were used. Enamel and dentin reactant residues of each adhesive were prepared by varying the adhesive application periods: 1, 30 and 60min, and were analyzed using phosphorous-31 nuclear magnetic resonance and X-ray diffraction. RESULTS: Increasing the adhesive application period to enamel and dentin led to the increased amount of MDP-Ca salt in contrast to amorphous DCPD. In the dentin, each adhesive showed a saturated value on the production amount of MDP-Ca salt when the adhesive was applied more than 30min. In contrast, in the enamel, each adhesive showed an intermediate value on the saturated production amount of MDP-Ca salt that the respective adhesive exhibited. This is due to MDP employed demineralizes the enamel and dentin until MDP was completely consumed yielding MDP-Ca salt. CONCLUSION: Commercial MDP-based all-in-one adhesives would not form an intermediary layer of MDP on hydroxyapatite throughout their application period to enamel and dentin. CLINICAL RELEVANCE: The rate of MDP-Ca salt produced by the demineralization of enamel and dentin depends on the components that constitute commercial adhesive more strongly than on the concentrations of MDP and water in the respective adhesive. This is because HEMA-containing adhesive shows a slower production rate of MDP-Ca salt than HEMA-free adhesive in the enamel and dentin samples.

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OBJECTIVES: The amounts of calcium salt of 10-methacryloyloxydecyl dihydrogen phosphate (MDP-Ca salt) and dicalcium phosphate dihydride (DCPD) with an amorphous phase produced by the demineralisation of enamel and dentin were determined using commercial MDP-based 2-hydroxyethyl methacrylate (HEMA)-containing and HEMA-free all-in-one adhesives. The effect of the amount of MDP-Ca salt produced on bonding performance to enamel and dentin was then characterized. METHODS: Three types of commercial HEMA-containing adhesives (Scotchbond Universal Adhesive, Clearfil Tri-S Bond ND, Clearfil Tri-S Bond ND Quick), a commercial HEMA-free adhesive (G-Bond Plus) and an experimental HEMA-free adhesive were used. The reactant residues of each adhesive were prepared after interacting with enamel and dentin samples for 60 s. The amounts of MDP-Ca salt and amorphous DCPD produced were determined using a phosphorous-31 nuclear magnetic resonance technique. Enamel and dentin bond strengths were measured for each adhesive, with and without thermocycling. RESULTS: The amounts of MDP-Ca salt and amorphous DCPD formed after interacting with enamel and dentin differed among the five adhesives and were independent of their pH values. Enamel showed a strong positive-correlation of the bond strength of the all-in-one adhesives to the amount of MDP-Ca salt produced, however, the dentin showed a weak negative-correlation. CONCLUSION: The HEMA-free all-in-one adhesives showed a greater efficacy to demineralise the enamel and dentin than the HEMA-containing all-in-one adhesives. The dentin showed a different effect of the amount of MDP-Ca salt produced on the bonding performance compared with enamel. CLINICAL SIGNIFICANCE: The enamel bond strength of MDP-based all-in-one adhesives strongly contributes to the demineralisation efficacy by the incorporation of MDP, in contrast to the dentin bond strength. However, the efficacy of MDP-based all-in-one adhesives to demineralise the enamel and dentin is not directly related to the pH value of the MDP-based all-in-one adhesive.

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The acidic monomers utilized in all-in-one adhesives play a key role in the enamel and dentin bonding performance. The purpose of this study is to investigate the mechanism by which 10-methacryloyloxydecyl dihydrogen phosphate (MDP) demineralizes the enamel and dentin surfaces prepared by a diamond bur in three types of experimental MDP-based all-in-one (EX) adhesives containing different amounts of water (46.6, 93.2 and 208.1 mg/g). The enamel and dentin reactants of EX adhesives were analyzed using solidstate phosphorous-31 nuclear magnetic resonance and X-ray diffraction. Increased amount of water led to increases in the efficacy by which MDP demineralizes the enamel and dentin surfaces. However, the rate of calcium salts of MDP produced slowed down at the water concentrations above 93.2 mg/g. The dentin yielded greater amounts of di-calcium salts of the MDP monomer and dimer than the enamel, which develops a different type of layered structure of MDP from the enamel.

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BACKGROUND: Periodontitis is prevalent in older humans. Limiting the inflammation associated with periodontitis may provide a therapy for this condition, because Gram-negative bacteria expressing lipopolysaccharide (LPS) have a key role in initiation of inflammation by activating macrophage functions. Because oxidized galectin-1 regulates macrophage functions in other systems, we sought to establish whether this galectin-1 mRNA is expressed in the oral cavity, and whether it could dampen LPS-induced macrophage activation in vitro. METHODS: Using the reverse transcriptase polymerase chain reaction (RT-PCR), we measured galectin-1 mRNA expression to clarify its localization to rat gingival tissues and studied the effect of Porphyromonas gingivalis challenge on galectin-1 expression. Next, we tested the effects of adding oxidized galectin-1 to cultured LPS-activated peritoneal macrophages on mRNA expression of proinflammatory factors by RT-PCR and real-time RT-PCR. RESULTS: We established that galectin-1 mRNA is expressed in gingival tissues and also showed that galectin-1 mRNA was significantly increased by challenge with P. gingivalis, indicating that galectin-1 may regulate oral inflammation. On the other hand, LPS 100 ng/mL in serum-containing medium induced macrophages to upregulate mRNA associated with a proinflammatory response, ie, interleukins 1ß and 6, and inducible nitric oxide synthase. We showed that application of 0.1-10 ng/mL of oxidized galectin-1 to LPS-treated macrophages reduced the intense LPS- induced increase by serum in proinflammatory mRNA expression in a concentration-dependent manner. Furthermore, application of oxidized galectin-1 10 ng/mL to LPS-treated macrophages in serum-free medium also showed a similar effect on LPS activity. CONCLUSION: Oxidized galectin-1 restricts the proinflammatory actions of LPS, and this protein could limit the negative effects of inflammation.