CO2 laser-irradiation through topically applied fluoride increases acid resistance of demineralised human enamel in vitro

PURPOSE: To evaluate the effect of CO2 laser treatment through topically applied amine fluoride solution on demineralised enamel. MATERIALS AND METHODS: Sixty extracted human molar crowns were selected and cut longitudinally into half. One half was subjected to a 10-day pH-cycling procedure to create caries-like lesions, whereas the other was left non-demineralised. The following treatments were randomly assigned (one treatment per tooth, on respective non-demineralised and demineralised matched specimens): exposure to a 1% amine fluoride solution for 15 s without irradiation (group I), irradiation for 15 s with a continuous-wave CO2 laser (group II), or laser-treatment for 15 s through the amine fluoride solution applied immediately beforehand (group III). Fluoride uptake (n = 30) and acid resistance (n = 30) were determined after treatment. Enamel surface alterations after laser irradiation were monitored using scanning electron microscopy. RESULTS: In groups I and III, an increased fluoride uptake was detected (p < or = 0.05). Laser irradiation through topical fluoride resulted in an increased acid resistance of sound and demineralised enamel specimens in deeper layers (p < or = 0.05). In addition, less surface alterations were observed in SEM examination of specimens irradiated through the amine fluoride solution compared with counterparts treated with laser only. CONCLUSIONS: CO2 laser light application through an amine fluoride solution may be instrumental in enhancing acid resistance of sound and demineralised enamel.

Pulp and periodontal healing of laterally luxated permanent teeth: results after 4 years

AIM: To evaluate the pulp and periodontal healing of laterally luxated permanent teeth. MATERIAL AND METHODS: Patients presenting with lateral luxation of permanent teeth during 2001-2002 were enrolled in this clinical study. Laterally luxated teeth were repositioned and splinted with a TTS/composite resin splint for 4 weeks. Immediate (prophylactic) root-canal treatment was performed in severely luxated teeth with radiographically closed apices. All patients received tetracycline for 10 days. Re-examinations were performed after 1, 2, 3, 6, 12 and 48 months. RESULTS: All 47 laterally luxated permanent teeth that could be followed over the entire study period survived. In 10 teeth (21.3%), a prophylactic root-canal treatment was performed within 2 weeks following injury. The remaining 37 teeth showed the following characteristics at the 4-year re-examination: 19 teeth (51.4%) had pulp survival (no clinical or radiographic signs or symptoms), nine teeth (24.3%) presented with pulp canal calcification, and pulp necrosis was seen in another nine teeth (24.3%), within the first year after trauma. None of the teeth with a radiographically open apex at the time of lateral luxation showed complications. External root resorption was only seen in one tooth. CONCLUSIONS: Laterally luxated permanent teeth with incomplete root formation have a good prognosis, with all teeth surviving in this study. The most frequent complication was pulp necrosis that was only seen in teeth with closed apices.

Karst Kamp Asbestos Deposits Gallatin County, Montana

Karst Kamp, a southwestern Montana recreation re­sort, is 32 road miles south of Bozeman on the east bank of the Gallatin River in a narrow V-shaped valley flanked on the west by the rugged Madison mountain range and on the east by the equally rough Gallatin range. The asbestos deposit itself lies approximate­ly one-half mile northwest of the ranch on a heavily timbered "Al­pine-like" slope nearly 1200 feet above the floor of the valley.

Structural model of the CopA copper ATPase of Enterococcus hirae based on chemical cross-linking

The CopA copper ATPase of Enterococcus hirae belongs to the family of heavy metal pumping CPx-type ATPases and shares 43% sequence similarity with the human Menkes and Wilson copper ATPases. Due to a lack of suitable protein crystals, only partial three-dimensional structures have so far been obtained for this family of ion pumps. We present a structural model of CopA derived by combining topological information obtained by intramolecular cross-linking with molecular modeling. Purified CopA was cross-linked with different bivalent reagents, followed by tryptic digestion and identification of cross-linked peptides by mass spectrometry. The structural proximity of tryptic fragments provided information about the structural arrangement of the hydrophilic protein domains, which was integrated into a three-dimensional model of CopA. Comparative modeling of CopA was guided by the sequence similarity to the calcium ATPase of the sarcoplasmic reticulum, Serca1, for which detailed structures are available. In addition, known partial structures of CPx-ATPase homologous to CopA were used as modeling templates. A docking approach was used to predict the orientation of the heavy metal binding domain of CopA relative to the core structure, which was verified by distance constraints derived from cross-links. The overall structural model of CopA resembles the Serca1 structure, but reveals distinctive features of CPx-type ATPases. A prominent feature is the positioning of the heavy metal binding domain. It features an orientation of the Cu binding ligands which is appropriate for the interaction with Cu-loaded metallochaperones in solution. Moreover, a novel model of the architecture of the intramembranous Cu binding sites could be derived.

Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis

OBJECTIVES: To determine age and gender differences in health-related quality of life (HRQOL) in children and adolescents across 12 European countries using a newly developed HRQOL measure (KIDSCREEN). METHODS: The KIDSCREEN-52 questionnaire was filled in by 21,590 children and adolescents aged 8-18 from 12 countries. We used multilevel regression analyses to model the hierarchical structure of the data. In addition, effect sizes were computed to test for gender differences within each age group. RESULTS: Children generally showed better HRQOL than adolescents (P < 0.001). While boys and girls had similar HRQOL at young age, girls' HRQOL declined more than boys' (P < 0.001) with increasing age, depending on the HRQOL scale. There was significant variation between countries both at the youngest age and for age trajectories. CONCLUSIONS: For the first time, gender and age differences in children's and adolescents' HRQOL across Europe were assessed using a comprehensive and standardised instrument. Gender and age differences exist for most HRQOL scales. Differences in HRQOL across Europe point to the importance of national contexts for youth's well-being.

Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root-fractured permanent teeth

AIM: To compare intraoral occlusal (OC) and periapical (PA) radiographs vs. limited cone beam computed tomography (CBCT) in diagnosing root-fractured permanent teeth. MATERIAL AND METHODS: In 38 patients (mean age 24 years, range 8-52 years) with 44 permanent teeth with horizontal root fractures, intraoral radiographs (PA and OC) and limited CBCT were used to evaluate the location (apical, middle, cervical third of the root) and angulation of the fracture line. Furthermore, the conventional radiographs and CBCT images were compared for concordance of fracture location. RESULTS: In the PA and OC radiographs, 28 fractures (63.6%) were located in the middle third of the root, 11 (25.0%) in the apical third and 5 (11.4%) in the cervical third. The PA/OC radiographs and the sagittal CBCT images (facial aspect) yielded the same level of root fracture in 70.5% of cases (31 teeth; 95% CI: 54.1-82.7%). The PA/OC radiographs and sagittal CBCT images (palatal aspect) showed the same level of root fracture in 31.8% of cases. There was a statistically significant association between the angle at which the root fracture line intersected the axis of the tooth and the level of root fracture in the facial aspect of the sagittal CBCT images. CONCLUSIONS: The diagnosis of the location and angulation of root fractures based on limited CBCT imaging differs significantly from diagnostic procedures based on intraoral radiographs (PA/OC) alone. The clinical significance for treatment strategies and for the prognosis of root-fractured teeth has to be addressed in future studies.

Intravaginal and intracervical application of seminal plasma in in vitro fertilization or intracytoplasmic sperm injection treatment cycles--a double-blind, placebo-controlled, randomized pilot study

OBJECTIVE: To evaluate whether intravaginal application of seminal plasma at the time of follicle aspiration in IVF or intracytoplasmic sperm injection treatment cycles has the potential to increase pregnancy rate. To calculate the number of patients needed to achieve significance in a multicenter trial. DESIGN: Double-blind, placebo-controlled randomized pilot study. SETTING: University department of gynecological endocrinology and reproductive medicine. PATIENT(S): One hundred sixty-eight patients undergoing IVF or intracytoplasmic sperm injection treatment. INTERVENTION(S): Cryopreserved seminal plasma from the patient's partner or sodium chloride (placebo) was injected into the cervix and the posterior fornix of the vagina just after follicle aspiration. MAIN OUTCOME MEASURE(S): Clinical-pregnancy rate. RESULT(S): One hundred sixty-eight patients agreed to participate in the study. Participation was limited to one treatment cycle. Thirty-one patients (18%) were excluded from the study, mainly as a result of canceled embryo transfers. Seventy patients received placebo, and 67 received seminal plasma. The clinical-pregnancy rate was 25.7% (18/70) in the placebo group. The clinical-pregnancy rate in the seminal plasma group reached 37.3% (25/67), corresponding to a relative increase of 45%. CONCLUSION(S): Even though significance was not reached in this pilot study, the data suggest that seminal plasma has the potential to improve pregnancy rate. It is estimated that around 450 patients need to be recruited to reach significance in a multicenter study.

Two new flavonol glycosides and a metabolite profile of Bryophyllum pinnatum, a phytotherapeutic used in obstetrics and gynaecology

Bryophyllum pinnatum is a succulent perennial plant native to Madagascar which is used in anthroposophical medicine to treat psychiatric disorders and as a tocolytic agent to prevent premature labour. We performed a metabolite profiling study in order to obtain a comprehensive picture of the constituents in B. pinnatum leaves and to identify chromatographic markers for quality control and safety assessment of medicinal preparations. Preliminary HPLC-PDA-ESIMS analyses revealed that flavonoid glycosides were the main UV-absorbing constituents in the MeOH extract of B. pinnatum. Two phenolic glucosides, syringic acid β-D-glucopyranosyl ester (1) and 4'-O-β-D-glucopyranosyl-cis-p-coumaric acid (2), as well as nine flavonoids (3-11) including kaempferol, quercetin, myricetin, acacetin, and diosmetin glycosides were unambiguously identified by 1H and 2D NMR analysis after isolation from a MeOH extract. The flavonol glycosides quercetin 3-O-α-L-arabinopyranosyl-(1 → 2)-α-L-rhamnopyranoside 7-O-β-D-glucopyranoside (3) and myricetin 3-O-α-L-arabinopyranosyl-(1 → 2)-α-L-rhamnopyranoside (4) were new natural products. With the aid of HPLC-PDA-APCIMS and authentic references isolated from the related species B. daigremontianum, the presence of four bufadienolides, bersaldegenin-1-acetate (12), bryophyllin A (13), bersaldegenin-3-acetate (14), and bersaldegenin-1,3,5-orthoacetate (15) was detected in B. pinnatum.

Essay and speech on Jewish disabilities

by Lord (Thomas Babington) Macaulay. Ed., with an introd. and notes, by Israel Abrahams and S. Levy

Pulmonary Echinococcus multilocularis metastasis in a dog.

A young adult Labrador retriever dog was presented for surgical debulking of hepatic alveolar echinococcosis. Computed tomography detected hepatomegaly with multiple large cavitary masses with extension of tissue from a lesion wall into the caudal vena cava and numerous nodules in all lung lobes. Following euthanasia, histology confirmed parasitic vesicles with granulomatous reaction in all lesions, and polymerase chain reaction (PCR) established the causative agent to be Echinococcus multilocularis. This report is the first to present imaging features of pulmonary E. multilocularis granulomata in a dog.

Decision Support Models for Composing and Navigating through e-Learning Objects

Libraries of learning objects may serve as basis for deriving course offerings that are customized to the needs of different learning communities or even individuals. Several ways of organizing this course composition process are discussed. Course composition needs a clear understanding of the dependencies between the learning objects. Therefore we discuss the metadata for object relationships proposed in different standardization projects and especially those suggested in the Dublin Core Metadata Initiative. Based on these metadata we construct adjacency matrices and graphs. We show how Gozinto-type computations can be used to determine direct and indirect prerequisites for certain learning objects. The metadata may also be used to define integer programming models which can be applied to support the instructor in formulating his specifications for selecting objects or which allow a computer agent to automatically select learning objects. Such decision models could also be helpful for a learner navigating through a library of learning objects. We also sketch a graph-based procedure for manual or automatic sequencing of the learning objects.

El recurso a Dionisio Areopagita por sobre Aristóteles en algunos pasajes del Comentario a las Sentencias de Santo Tomás

El Comentario a las Sentencias, una obra de juventud del Aquinate, permite reconocer la presencia de Aristóteles en su pensamiento ya desde el comienzo de su producción filosófica. Uno de los temas donde claramente se nota su influencia es en la teoría del conocimiento, pues el joven dominico parece aceptar los aspectos centrales de la visión del Estagirita, aunque evidentemente las fórmulas y desarrollos no tienen aquí la precisión que se observa en escritos posteriores y en las que ciertamente uno encuentra un Santo Tomás más maduro. En el presente artículo quisiera desarrollar algunos elementos que surgen al analizar la importancia que se da en esta obra a lo sensible. En efecto, la frecuencia con la que el Aquinate recurre a Dionisio para completar e incluso corregir algunas afirmaciones de Aristóteles en este tema no puede menos que llamar la atención. A la necesidad de lo sensible se suma por ejemplo el hecho de concebir a la creación como símbolo de Dios o a lo material como un elemento mediador, dos temas de clara inspiración dionisiana. Como intento mostrar, aun reconociendo la presencia de Aristóteles, la posición de Santo Tomás en el tema de lo sensible y sobre todo en el papel que deben ocupar los sentidos no pueden ser comprendidos cabalmente sin reconocer en qué medida su pensamiento es tributario del Areopagita.

Gestión de pruebas para equipos de vídeo

Desde hace ya muchos años, uno de los servicios de telecomunicaciones más demandado por los españoles ha sido la televisión de pago, complementando y ampliando la oferta de contenidos audiovisuales que habitualmente son ofrecidos de manera gratuita por la televisión analógica y recientemente por la televisión digital terrestre o TDT. Estos servicios de video, han sido tradicionalmente ofrecidos por operadores satélites, operadores de cable u otros operadores de telecomunicaciones con los que a través de una conexión de datos (ADSL, VDSL o fibra óptica), ofrecían sus contenidos a través de IP. La propia evolución y mejora de la tecnología utilizada para la emisión de contenidos sobre IP, ha permitido que a día de hoy, la televisión se conciba como un servicio Over The Top (OTT) ajeno al medio de transmisión, permitiendo a cualquier agente, distribuir sus contenidos audiovisuales de manera sencilla y a todos sus clientes en todas las partes del mundo; siendo solamente necesario disponer de una conexión a internet. De esta manera, el proyecto desarrollado va a girar en torno a la herramienta StormTest de la empresa S3Group, comprada por CENTUM Solutions (empresa especializada en ofrecer servicio de ingeniería para sistema de comunicaciones, control e inteligencia de señal) con el objetivo de satisfacer las necesidades de sus clientes y con la que en definitiva se ha contado para la realización de este proyecto. El principal objetivo de este proyecto es la definición e implementación de un banco de pruebas que permita optimizar los procesos de validación técnica, mejorando los tiempos de ejecución y concentrando la actividad de los ingenieros en tareas de mayor valor. Para la realización de este proyecto, se han fijado diversos objetivos necesarios para el desarrollo de este tipo de actividades. Los principales son los siguientes:  Análisis de la problemática actual: donde en los procesos de aceptación técnica se dedica muchas horas de trabajo para la realización de pruebas repetitivas y de poco valor las cuales se pueden automatizar por herramientas existentes en el mercado.  Búsqueda y selección de una herramienta que satisfaga las necesidades de pruebas.  Instalación en los laboratorios.  Configuración y adaptación de la herramienta a las necesidades y proyectos específicos. Con todo ello, este proyecto cubrirá los siguientes logros:  Reducir los tiempos de ejecución de las campañas de pruebas, gracias a la automatización de gran parte ellas.  Realizar medidas de calidad subjetiva y objetiva complejas, imposibles de ejecutar a través de las personas. Mejorar y automatizar los sistemas de reporte de resultados. Abstract: Many years ago, one of the telecommunications services most demanded in Spain has been pay television, complementing and extending the offer of audiovisual content which are usually offered for free by analog tv and recently by digital terrestrial televisión or TDT. These video services, have been traditionally offered by satellite operators, cable operators or other telecommunications operators that through a data connection (ADSL,VDSL or fiber optic), offered its content over IP. The evolution and improvement of the technology used for broadcasting over IP, has allowed that to date, television is conceived as a service Over The Top (OTT), not dependent on the transmission medium, allowing any agent to distribute audiovisual content in a very simple way and to all its customers in all parts of the world; being only necessary to have an decent internet connection. In this way, the project will have relation with S3Group’s StormTest tool, bought by CENTUM Solutions (company specialized in engineering services for communications, control and signal intelligence system) with the aim of satisfying the needs of its customers and which ultimately has counted for the realization of this project. The main objective of this project is the definition and implementation of a test bench that allows to optimize the processes of technical validation, improving execution times and concentrating the activities of engineers on higher value tasks. For the realization of this project, it has been defined several objectives necessary for the development of this type of activity. The most important tones are listed below:  Analysis of the current situation: where in technical acceptance processes it is dedicated many hours of work for the completion of repetitive testing and without value which can be automated by tools available on the market  Search and selection of a tool that meets the needs of testing.  Installation on the laboratories.  Configuration and customization of the tool to specific projects. With all this, this project will cover the following achievements: Reduce the execution time of the testing campaigns, thanks to the automation of many of them.  Measurements of subjective and objective quality tests, impossible to run with engineers (due to subjective perception). Improve and automate reporting of results systems

Analysis of the Optimal Sharing of Construction Risk in Public Procurement Contracts

This paper discusses a model based on the agency theory to analyze the optimal transfer of construction risk in public works contracts. The base assumption is that of a contract between a principal (public authority) and an agent (firm), where the payment mechanism is linear and contains an incentive mechanism to enhance the effort of the agent to reduce construction costs. A theoretical model is proposed starting from a cost function with a random component and assuming that both the public authority and the firm are risk averse. The main outcome of the paper is that the optimal transfer of construction risk will be lower when the variance of errors in cost forecast, the risk aversion of the firm and the marginal cost of public funds are larger, while the optimal transfer of construction risk will grow when the variance of errors in cost monitoring and the risk aversion of the public authority are larger