Cut-off importance sampling of bole volume

Summary

Polymeerien erotus ultrasuodatuksella

Työssä selvitettiin suodatusolosuhteiden vaikutusta neutraalien polymeerien pidättymiseen niiden vesiliuoksia suodatettaessa. Suodatuksissa käytettiin kahta regeneroidusta selluloosasta valmistettua ultrasuodatuskalvoa (Microdyn-Nadir UC 030T ja JSC STC Vladipor C 30V). Malliaineina käytettiin polyetyleeniglykolia ja dekstraania. Kirjallisuusosassa esiteltiin aluksi lyhyesti ultrasuodatus erotusmenetelmänä. Lisäksi käsiteltiin ultrasuodatuskalvojen huokoskoon karakterisointimenetelmiä ja selvitettiin polymeerien erottumiseen ultrasuodatuksen aikana vaikuttavia tekijöitä. Työn kokeellisessa osassa tutkittiin paineen ja virtausnopeuden vaikutusta malliaineiden pidättymiseen ultrasuodatuskalvoilla. Lisäksi pyrittiin löytämään suodatusolosuhteet, joissa toinen aineista läpäisisi suodatuskalvon lähes täydellisesti toisen konsentroituessa syöttöliuokseen. Työssä myös määritettiin tutkimuksissa käytetyille kalvoille katkaisukoko, joka kuvaa kalvon kykyä pidättää moolimassaltaan erikokoisia molekyylejä. Lisäksi kokeellisessa osassa selvitettiin työssä käytettyjen kalvojen tasalaatuisuutta vertailemalla keskenään samanlaisissa suodatusolosuhteissa eri kalvopaloilla tehtyjen suodatusten tuloksia. Työssä saatiin erotettua kaksi lähes samankokoista malliaineeksi valittua neutraalia polymeeriä toisistaan siten, että toinen aine pidättyi kalvolla huomattavasti toista ainetta paremmin. Parhaimpaan erotustulokseen päästiin, kun permeaattivuo kalvon läpi oli noin 400 l/(m2 h). Tällöin suodatuspaine oli noin 2 bar ja virtausnopeus alle 2 m/s. Työn aikana määritettyjen katkaisukokojen havaittiin poikkeavan huomattavasti kalvojen valmistajien ilmoittamista arvoista, mutta olevan kuitenkin samaa suuruusluokkaa kuin muiden tutkimusryhmien vastaaville ultrasuodatuskalvoille esittämät arvot. Työn tulosten perusteella C 30V olisi hieman tasalaatuisempi kalvo kuin UC 030T.

Food Safety Testing: Rapid Molecular Methods for Chemical and Biological Hazards

The central goal of food safety policy in the European Union (EU) is to protect consumer health by guaranteeing a high level of food safety throughout the food chain. This goal can in part be achieved by testing foodstuffs for the presence of various chemical and biological hazards. The aim of this study was to facilitate food safety testing by providing rapid and user-friendly methods for the detection of particular food-related hazards. Heterogeneous competitive time-resolved fluoroimmunoassays were developed for the detection of selected veterinary residues, that is coccidiostat residues, in eggs and chicken liver. After a simplified sample preparation procedure, the immunoassays were performed either in manual format with dissociation-enhanced measurement or in automated format with pre-dried assay reagents and surface measurement. Although the assays were primarily designed for screening purposes providing only qualitative results, they could also be used in a quantitative mode. All the developed assays had good performance characteristics enabling reliable screening of samples at concentration levels required by the authorities. A novel polymerase chain reaction (PCR)-based assay system was developed for the detection of Salmonella spp. in food. The sample preparation included a short non-selective pre-enrichment step, after which the target cells were collected with immunomagnetic beads and applied to PCR reaction vessels containing all the reagents required for the assay in dry form. The homogeneous PCR assay was performed with a novel instrument platform, GenomEra^™, and the qualitative assay results were automatically interpreted based on end-point time-resolved fluorescence measurements and cut-off values. The assay was validated using various food matrices spiked with sub-lethally injured Salmonella cells at levels of 1-10 colony forming units (CFU)/25 g of food. The main advantage of the system was the exceptionally short time to result; the entire process starting from the pre-enrichment and ending with the PCR result could be completed in eight hours. In conclusion, molecular methods using state-of-the-art assay techniques were developed for food safety testing. The combination of time-resolved fluorescence detection and ready-to-use reagents enabled sensitive assays easily amenable to automation. Consequently, together with the simplified sample preparation, these methods could prove to be applicable in routine testing.

Reaaliaikaisen esikäsittelyn kehittäminen hemiselluloosa-analytiikalle

Tämän työn tavoitteena oli kehittää esikäsittelymenetelmä, jolla voidaan reaaliaikaisesti vähentää hydrolysaatin ligniinipitoisuutta ja näin vähentää fluoresenssia hemiselluloosan analysoimisessa. Työn kirjallisuusosassa käsitellään hemiselluloosien rakennetta sekä niiden erottamista puusta, sekä käydään läpi hemiselluloosien käyttömahdollisuuksia ja niiden reaaliaikaiseen analysointiin soveltuvia tekniikoita. Kokeellisessa osassa tutkittiin ultrasuodatusta sekä adsorptiohartsikäsittelyä hydrolysaatin esikäsittelynä ennen Raman-analyysiä. Esikäsittelyn tavoitteena oli vähentää Raman-analyysia häiritsevää ligniinistä johtuvaa fluoresenssia. Suodatukset tehtiin Amicon-suodatuslaitteistolla käyttäen viittä eri suodatuskalvoa. Hartsikäsittelyissä käytettiin Amberliten XAD16 ja XAD7HP adsorbtiohartseja. Hartsisuhteina käytettiin 1/80, 1/40, 1/19 ja 1/13. Käytetyt ultrauodatuskalvot osoittautuivat suodatusnäytteistä tehtyjen HPLC-analyysien perusteella cut-off-luvultaan liian pieniksi, sillä hemiselluloosien ja ligniinin erotus ei onnistunut, vaan molemmat väkevöityivät konsentraattiin. Hartsikäsittelyillä saatiin ligniiniä poistettua aiheuttamatta hemiselluloosahäviöitä. Parhaimmillaan ligniinin poistumista kuvaava UV-absorbanssi pieneni hartsilla XAD16 37 % ja hartsilla XAD7 25 %. Vaikka ligniinipitoisuus aleni, näytteet fluoresoivat edelleen voimakkaasti Raman-mittauksessa. Tulosten perusteella näyttäisi siltä, että hartsikäsittelyä optimoimalla analyysiä häiritsevää fluoresenssia olisi edelleen mahdollista vähentää.

Application of morphometry, static DNA ploidy analysis, and steroid receptor expression in diagnosis and prognosis of Libyan breast cancer

The aim of this study was to describe the demographic, clinicopathological, biological and morphometric features of Libyan breast cancer patients. The supporting value of nuclear morphometry and static image cytometry in the sensitivity for detecting breast cancer in conventional fine-needle aspiration biopsies were estimated. The findings were compared with findings in breast cancer in Finland and Nigeria. In addation, the value of ER and PR were evaluated. There were 131 histological samples, 41 cytological samples, and demographic and clinicopathological data from 234 Libyan patients. The Libyan breast cancer is dominantly premenopausal and in this feature it is similar to breast cancer in sub-Saharan Africans, but clearly different from breast cancer in Europeans, whose cancers are dominantly postmenopausal in character. At presention most Libyan patients have locally advanced disease, which is associated with poor survival rates. Nuclear morphometry and image DNA cytometry agree with earlier published data in the Finnish population and indicate that nuclear size and DNA analysis of nuclear content can be used to increase the cytological sensitivity and specificity in doubtful breast lesions, particularly when free cell sampling method is used. Combination of the morphometric data with earlier free cell data gave the following diagnostic guidelines: Range of overlap in free cell samples: 55 μm2 -71 μm2. Cut-off values for diagnostic purposes: Mean nuclear area (MNA) >54 μm2 for 100% detection of malignant cases (specificity 84 %), MNA < 72 μm2 for 100% detection of benign cases (sensitivity 91%). Histomorphometry showed a significant correlation between the MNA and most clinicopathological features, with the strongest association observed for histological grade (p <0.0001). MNA seems to be a prognosticator in Libyan breast cancer (Pearson’s test r = - 0.29, p = 0.019), but at lower level of significance than in the European material. A corresponding relationship was not found in shape-related morphometric features. ER and PR staining scores were in correlation with the clinical stage (p= 0.017, and 0.015, respectively), and also associated with lymph node negative patients (p=0.03, p=0.05, respectively). Receptor-positive (HR+) patients had a better survival. The fraction of HR+ cases among Libyan breast cancers is about the same as the fraction of positive cases in European breast cancer. The study suggests that also weak staining (corresponding to as few as 1% positive cells) has prognostic value. The prognostic significance may be associated with the practice to use antihormonal therapy in HR+ cases. The low survival and advanced presentation is associated with active cell proliferation, atypical nuclear morphology and aneuploid nuclear DNA content in Libyan breast cancer patients. The findings support the idea that breast cancer is not one type of disease, but should probably be classified into premenopausal and post menopausal types.

Sellutehtaan prosessien jätevesien puhdistaminen membraanitekniikalla

Tässä työssä tarkoituksena on tutkia mahdollisuuksia sellutehtaan eri jätevesien puhdistukseen uudelleenkäyttöä varten. Yleensä tutkimuksen kohteena ovat yleensä valkaisun alkalisen suodokset, koska niiden suodattaminen on ollut helppoa membraanitekniikalla. Tässä tutkimuksessa kuitenkin kiinnostuksen kohteena ovat valkaisun happamat suodokset ja kuorimon jätevedet. Tutkimuksessa käytettiin viittä membraania, joista kolme on ultrasuodatusmembraaneja ja kaksi nanosuodatusmembraaneja. Näiden katkaisukoot ovat väillä 30 000 -200 Da. Konsentraatiosuodatukset suoritettiin CR 250 -suodattimella. Syötöstä, konsentraatista ja permeaatista otettujen näytteiden analyysien pohjalta laskettujen retentioiden perusteella nanosuodatusmembraani NF270 antoi parhaan tuloksen. Tällä membraanilla kuorimon jätevesien suodatuksessa retentioksi saatiin kaikilla osa-alueilla vähintään 80 %, mutta valkaisun happamien suodosten tulokset olivat alhaisempia. Suodatusten perusteella voitiin laskea tarvittava kapasiteetti ja suodatuspinta-ala suodatus yksiköille. Kummassakin tapauksessa suodatuksen syöttömäärät määräytyivät erään suomalaisen sellutehtaan valkaisussa ja kuorimolla syntyvien jätevesimäärien mukaan. Suodatusyksiköiden kooksi saatiin valkaisun happamien suodosten suodattamiseen 54 CR 1010 -suodatinta ja kuorimon jätevesien suodattamiseen 4 CR 1010-suodatinta.

Hearing Impairment and Tinnitus in the Elderly

The purpose of this study was to gather information on hearing impairment and related factors among elderly people. The HHIE-S questionnaire (Hearing Handicap Inventory for Elderly-Screening) and a single hearing question (”Do you feel you have a hearing loss”) were compared to audiometric hearing thresholds (N=164). HHIE-S was reliable for detecting moderate or worse hearing impairment. The single question was equally sensitive and more specific in identifying mild hearing impairment. The prevalence of hearing impairment was evaluated in four age cohorts (70, 75, 80 and 85 years, N=4067) in Turku, Finland. The HHIE-S cut-off score >8 as an indicator of at least mild hearing impairment yielded prevalence values of 37.7% - 54.1%, and a score >18 (moderate or more severe hearing impairment) was 21.1% - 38.9%. The single question test was positive in 25.5% - 46.2%. Hearing aid compliance and problems experienced by hearing aid users were recorded as informed by the participants in a mailed interview (N=249/4067). The hearing aids were used daily by 55.4%, and never by 10.7%. Use sank with advancing age. The disturbance caused by tinnitus among 583 subjects was compared to their level of alexithymia (TAS-20) and depressiveness (BDI). Depressiveness was weakly associated with annoying tinnitus, but not alexithymia. The prevalence of hearing impairment can be measured by enquiry. Hearing aid compliance should be improved by technical means and better counseling. The factors affecting the distress experienced by tinnitus patients need further study.

Saako historiasta selvää? Monikulttuuriset yläkoululaiset historian lähteillä historian taidot motiivien, seurauksien, historian tulkintojen ja lähteiden luotettavuuden arvioinneissa

The research assesses the skills of upper comprehensive school pupils in history. The focus is on locating personal motives, assessing wider reasons hidden in historical sources and evaluating source reliability. The research also questions how a wide use of multiple sources affects pupils’ holistic understanding of historical phenomena. The participants were a multicultural group of pupils. The origins of their cultures can be traced to the Balkan, the Middle East, Asia and Europe. The number of native Finnish speakers and pupils speaking Finnish as their second language was almost equal. The multicultural composition provides opportunities to assess how culturally responsive learning history from sources is. The intercultural approach to learning in a multicultural setting emphasizes equality as a precondition for learning. In order to set assignments at least to some extent match with all participants only those answers were taken into account which were produced by pupils who had studied history for a similar period of time in the Finnish comprehensive school system. Due to the small number of participants (41), the study avoids wide generalizations. Nevertheless, possible cultural blueprints in pupils’ way of thinking are noted. The first test examined the skills of pupils to find motives for emigration. The results showed that for 7th graders finding reasons is not a problematic task. However, the number of reasons noticed and justifications varied. In addition, the way the pupils explained their choices was a distinguishing factor. Some pupils interpreted source material making use of previous knowledge on the issue, while other pupils based their analysis solely on the text handed and did not try to add their own knowledge. Answers were divided into three categories: historical, explanatory and stating. Historical answers combined smoothly previously learned historical knowledge to one’s own source analysis; explanatory answers often ignored a wider frame, although they were effective when explaining e.g. historical concepts. The stating answers only noticed motives from the sources and made no attempts to explain them historically. Was the first test culturally responsive? All pupils representing different cultures tackled the first source exam successfully, but there were some signs of how historical concepts are understood in a slightly different way if the pupil’s personal history has no linkage to the concepts under scrutiny. The second test focused on the history of Native Americans. The test first required pupils to recognize whether short source extracts (5) were written by Indians or Caucasians. Based on what they had already learned from North American history, the pupils did not find it hard to distinguish between the sources. The analysis of multiphase causes and consequences of the disputes between Native Americans and white Americans caused dispersion among pupils. Using two historical sources and combining historical knowledge from both of them simultaneously was cumbersome for many. The explanations of consequences can be divided into two groups: the ones emphasizing short term consequences and those placing emphasis on long term consequences. The short term approach was mainly followed by boys in every group. The girls mainly paid attention to long term consequences. The result suggests that historical knowledge in sources is at least to some extent read through role and gender lenses. The third test required pupils to explain in their own words how the three sources given differed in their account of living conditions in Nazi Germany, which turned out to be demanding for many pupils. The pupils’ stronghold was rather the assessment of source reliability and accounts why the sources approached the same events differently. All participants wrote critical and justified comments on reliability and aspects that might have affected the content of the sources. The pupils felt that the main reasons that affected source reliability were the authors’ ethnic background, nationality and profession. The assessment showed that pupils were well aware that position in a historical situation has an impact on historical accounts, but in certain cases the victim’s account was seen as a historical truth. The account of events by a historian was chosen most often as the most reliable source, but it was often justified leniently with an indication to professionalism rather than with clear ideas of how historians conduct accounts based on sources. In brief, the last source test demonstrates that pupils have a strong idea that the ethnicity or nationalism determines how people explained events of the past. It is also an implication that pupils understand how historical knowledge is interpretative. The results also imply that history can be analyzed from a neutral perspective. One’s own membership in an ethnical or religious group does not automatically mean that a person’s cultural identity excludes historical explanations if something in them contradicts with his or her identity. The second method of extracting knowledge of pupils’ historical thinking was an essay analysis. The analysis shows that an analytical account of complicated political issues, which often include a great number of complicated political concepts, leads more likely to an inconsistent structure in the written work of pupils. The material also demonstrates that pupils have a strong tendency to take a critical stance when assessing history. Historical empathy in particular is shown if history somehow has a linkage to young people, children or minorities. Some topics can also awake strong feelings, especially among pupils with emigrant background, if there is a linkage between one’s own personal history and that of the school; and occasionally a student’s historical experience or thoughts replaced school history. Using sources during history lessons at school seems to have many advantages. It enhances the reasoning skills of pupils and their skills to assess the nature of historical knowledge. Thus one of the main aims and a great benefit of source work is to encourage pupils to express their own ideas and opinions. To conclude, when assessing the skills of adolescents in history - their work with sources, comments on history, historical knowledge and finally their historical thinking - one should be cautious and avoid cut off score evaluations. One purpose of pursuing history with sources is to encourage pupils to think independently, which is a useful tool for further identity construction. The idea that pupils have the right to conduct their own interpretations of history can be partially understood as part of a wider learning process, justification to study history comes from extrinsic reasons. The intrinsic reason is history itself; in order to understand history one should have a basic understanding of history as a specific domain of knowledge. Using sources does not mean that knowing history is of secondary importance. Only a balance between knowing the contextual history, understanding basic key concepts and working with sources is a solid base to improve pupils’ historical understanding.

Katko vai eiku? : Itsekorjauksen aloitustavat ja vuorovaikutustehtävät

E. Summary: Cut-off, the particle eiku and other particles for initiating self-repair, and the interactional functions of self-repair

Designing Digital Filters for Servo Systems

The aim of this work was to select an appropriate digital filter for a servo application and to filter the noise from the measurement devices. Low pass filter attenuates the high frequency noise beyond the specified cut-off frequency. Digital lowpass filters in both IIR and FIR responses were designed and experimentally compared to understand their characteristics from the corresponding step responses of the system. Kaiser Windowing and Equiripple methods were selected for FIR response, whereas Butterworth, Chebyshev, InverseChebyshev and Elliptic methods were designed for IIR case. Limitations in digital filter design for a servo system were analysed. Especially the dynamic influences of each designed filter on the control stabilityof the electrical servo drive were observed. The criterion for the selection ofparameters in designing digital filters for servo systems was studied. Control system dynamics was given significant importance and the use of FIR and IIR responses in different situations were compared to justify the selection of suitableresponse in each case. The software used in the filter design was MatLab/Simulink® and dSPACE's DSP application. A speed controlled Permanent Magnet Linear synchronous Motor was used in the experimental work.

Tuotteen valmistuksen kehittäminen kaizen-projektin avulla

Diplomityön tavoitteena oli laatia Abloy Oy:n ovensuljinyksikölle malli kaizenprojektille sekä toteuttaa yksi tällainen kehitysprojekti. Kaizen on japania ja tarkoittaa suomeksi jatkuvaa parantamista. Kaizen on pienin askelin tapahtuvaa jatkuvaa kehittämistä, joka perustuu vanhan osaamisen tehokkaampaan hyväksikäyttöön. Teoriaosuudessa tutustutaan kirjallisuuden perusteella lean- ja JOT-teorioihin, jotka ovat osa Abloy Oy:n yrityksen strategiaa. Niiden lähestymistapa on hyvin asiakaslähtöinen. Kaizen-projekteilla pystytään kehittämään omaa toimintaa parantaen samalla asiakaspalvelua. Kaizen-projektin tavoitteena oli poistaa mahdollisimman paljon lisäarvoa tuottamattomia toimintoja aukipitolaitteen DC191 valmistuksesta ja saada tuotteen kokonaisläpimenoaikaa lyhyemmäksi. Tavoitteena oli myös lisätilan järjestäminen mahdollisesti tuleville kokoonpanopöydille. Projektin avulla aukipitolaitteen DC191 valmistuksesta poistettiin paljon turhia työvaiheita.Lisäksi selvitettiin ja ratkaistiin valmistuksen pahimmat ongelmat.

Effect of physico-chemical conditions and operating parameters on flux and retention of different components in ultrafiltration and nanofiltration fractionation of sweet whey

Tässä väitöstutkimuksessa tutkittiin fysikaaliskemiallisten olosuhteiden ja toimintaparametrien vaikutusta juustoheran fraktiointiin. Kirjallisuusosassa on käsitelty heran ympäristövaikutusta, heran hyödyntämistä ja heran käsittelyä kalvotekniikalla. Kokeellinen osa on jaettu kahteen osaan, joista ensimmäinen käsittelee ultrasuodatusta ja toinen nanosuodatusta juustoheran fraktioinnissa. Ultrasuodatuskalvon valinta tehtiin perustuen kalvon cut-off lukuun, joka oli määritetty polyetyleeniglykoliliuoksilla olosuhteissa, joissa konsentraatiopolariosaatioei häiritse mittausta. Kriittisen vuon konseptia käytettiin sopivan proteiinikonsentraation löytämiseksi ultrasuodatuskokeisiin, koska heraproteiinit ovat tunnetusti kalvoa likaavia aineita. Ultrasuodatuskokeissa tutkittiin heran eri komponenttien suodattumista kalvon läpi ja siihen vaikuttavia ominaisuuksia. Herapermeaattien peptidifraktiot analysoitiin kokoekskluusiokromatografialla ja MALDI-TOF massaspektrometrillä. Kokeissa käytettävien nanosuodatuskalvojen keskimääräinen huokoskoko analysoitiin neutraaleilla liukoisilla aineilla ja zeta-potentiaalit virtauspotentiaalimittauksilla. Aminohappoja käytettiin malliaineina tutkittaessa huokoskoon ja varauksen merkitystä erotuksessa. Aminohappojen retentioon vaikuttivat pH ja liuoksen ionivahvuus sekä molekyylien väliset vuorovaikutukset. Heran ultrasuodatuksessa tuotettu permeaatti, joka sisälsi pieniä peptidejä, laktoosia ja suoloja, nanosuodatettiin happamassa ja emäksisessä pH:ssa. Emäksisissä oloissa tehdyssä nanosuodatuksessa foulaantumista tapahtui vähemmän ja permeaattivuo oli parempi. Emäksisissä oloissa myös selektiivisyys laktoosin erotuksessa peptideistä oli parempi verrattuna selektiivisyyteen happamissa oloissa.

The Strengths and Difficulties Questionnaire (SDQ-Fin) among Finnish children and adolescents

Objective: The psychometric properties of The Strengths and Difficulties Questionnaire (SDQ-Fin), a Finnish version of a brief screening instrument were studied. Emotional and behavioural problems of 7- to 15-year-olds measured by the SDQ were reported, as well as the occurrence of self-reported eating disturbance symptoms and alcohol use among adolescents. Methods and samples: The cross-sectional school survey included 25 items of the SDQ-Fin, items about eating disturbance, alchol use and child psychiatric help-seeking. The study consists of three community samples: 1. The SDQ-Fin parent (n = 703) and teacher (n = 376) versions of 7 – 12 –year-olds, and self-report versions (n = 528) of 11 – 16 years-olds were obtained, and 2. the parent (n = 81) and self-report versions of 15-16 –year olds (n = 129) were obtained in Laitila and Pyhäranta. 3. The self-report versions of 13 – 16 – year-olds (n = 1458) in Salo and Rovaniemi were obtained. Results: The psychometric properties of the SDQ-Fin were for the most part comparable with the other European SDQ research results. The internal consistency (Cronbach’s alpha = 0.71 in all informants’ reports) and inter-rater reliability (between the pairs of reports r = 0.38 - 0.44) were adequate. The concurrent validity (r = 0.75 between the SDQ and the CBCL total scores; r = 0.71 between the SDQ and the YSR total scores) was sufficient. Factor analysis of the SDQ self-report generally confirmed the postulated structure for girls and boys, except for the conduct problems scale of boys, which was fused with emotional symptoms and with hyperactivity. The response rates, means and cut-off points of the SDQ self-report scores were similar to those found, e.g. in Norway and in Britain. A high level of psychological problems, especially emotional and conduct problems and hyperactivity-inattention, were associated with high level of eating disturbance symptoms and alcohol use. Conclusion: The results showed that the psychometric properties of the SDQ-Fin are adequate and provide additional confirmation of the usefulness of the SDQ-Fin for, e.g. screening, epidemiological research and clinical purposes.

Occlusal and dentofacial characteristics of the deciduous dentition and treatment effects of the eruption guidance appliance in the early mixed dentition

The aim of this investigation was to analyze the dental occlusion in the deciduous dentition, and the effects of orthodontic treatment carried out in the early mixed dentition with the eruption guidance appliance. The deciduous occlusion and craniofacial morphology of 486 children (244 girls and 242 boys) were investigated at the onset of the mixed dentition period (mean age 5.1 years, range 4.0-7.8 years). Treatment in the treatment group and follow-up in the control group were started when the first deciduous incisor was exfoliated (T1) and ended when all permanent incisors and first molars were fully erupted (T2). The mean age of the children was 5.1 years (SD 0.5) at T1 and 8.4 years (SD 0.5) at T2. Treatment was carried out with the eruption guidance appliance. Occlusal changes that took place in 167 children were compared with those of 104 untreated control children. Pre- and post-treatment cephalometric radiographs were taken, and the craniofacial morphology of 115 consecutively treated children was compared with that of 104 control children. The prevalence of malocclusion in the deciduous dentition was 68% or 93% depending on how the cut-off value between the acceptable and non-acceptable occlusal characteristic was defined. The early dentofacial features of children with distal occlusion, large overjet and deepbite differed from those with normal occlusion. However, the skeletal pattern of these three malocclusions showed considerable similarity each being characterized by a retrusive mandible, small maxillo-mandibular difference, convex profile, retrusive lower incisors, and large interincisal angle. In the treatment group, overjet and overbite decreased significantly from T1 to T2. Following treatment, a tooth-to-tooth contact was found in 99% of the treated children but only in 24% of the controls. A Class I molar relationship was observed in 90% of the children in the treatment group, and in 48% in the control group. Good alignment of the incisors was observed in 98% of the treated children, whereas upper crowding was found in 32% and lower crowding in 47% of the controls. A significant difference between the groups was found in the mandibular length, midfacial length and maxillo-mandibular differential. The occlusal correction, brought about by the eruption guidance appliance, was achieved mainly through changes in the dentoalveolar region of the mandible. In addition, the appliance seemed to enhance the growth of the mandible. Treatment in the early mixed dentition using the eruption guidance appliance is an effective method to normalize occlusion and reduce further need of orthodontic treatment. Only few spontaneous corrective changes can be expected without active intervention.

Messiah

r1955, Boston.