Arabian two step

by J. M. Rumshisky

The impact of communication and cultural diversity in utilizing dental services among Saudi Arabian students in U.S.A.

Objectives: The purpose of this study is to understand the perceived effects of patient-dental staff communication and cultural diversity on the utilization of dental services in the U.S. by Saudi Arabian students who live in the U.S. and enrolled into the King Abdullah Scholarship program. Methods: The study design was an analytical cross-sectional study. Data for this study was obtained from the Saudi Dental Servicers Utilization Survey, a voluntary internet survey available online for one month through Facebook. Ordered logistic regression analyses and multinomial logistic regression analyses were used to measure the relationships between patient-dental staff communication and cultural diversity on the utilization of dental services. Results: Eight hundred and forty-seven responses were analyzed for this study. Overall, the majority of Saudi students reported having excellent communication experience with dental providers in the U.S. More than 58% of respondents reported at least one regular dental visit last year. Factors that influenced the use of regular dental care were: dentist's explanation of treatment plan, response of dental staff to patient's needs, respectful and polite dental staff, dental staff kindness, availability of up-to-date equipment, and overall communication with dentist. However, the utilization of emergency dental care was not associated with any measurement of patient-dental provider communication. Overall future utilization of dental care is associated with all aspects of patient-dental staff communication measured in this survey. Furthermore, more utilization of regular dental care was related to respondent's perception of the importance of trustworthiness dental staff and the importance of a dentist's reputation was only marginally associated. Respondent's perception of dentist's reputation was associated with more use of emergency dental services. Respondents are more likely to anticipate using dental care in the future if they perceived trustworthiness dental staff, and the dentist's reputation as influencing factors to their usage of dental services. Conclusions: Patient-dental staff communication was partially associated with utilization of regular dental care, not associated with utilization of emergency dental care, and broadly associated with anticipated future utilization of dental care. In addition, trustworthy dental staff, and a dentist's reputation were considered to be strong influencing factors towards utilization of dental services.^

Varved sediments of the Arabian Sea

The upper Holocene marine section from a kasten core taken from the oxygen minimum zone off Karachi (Pakistan) at water depth 700 m contains continuously laminated sediments with a sedimentation rate of 1.2 mm/yr and a unique record of monsoonal climatic variability covering the past 5000 years. Our chronostratigraphy is based on varve counts verified by conventional and AMS14C dating. Individual hemipelagic varve couplets are about 0.8-1.5 mm thick, with light-colored terrigenous laminae (A) deposited mainly during the winter monsoon alternating with dark-colored laminae (B) rich in marine organic matter, coccoliths, and fish debris that reflect deposition during the high-productivity season of the late summer monsoon (August-October). Precipitation and river runoff appear to control varve thickness and turbidite frequency. We infer that precipitation decreased in the river watershed (indicated by thinning varves) after 3500-4000 yr B.P. This is about the time of increasing aridification in the Near East and Middle East, as documented by decreasing Nile River runoff data and lake-level lowstands between Turkey and northwestern India. This precipitation pattern continued until today with precipitation minima about 2200-1900 yr B.P., 1000 yr B.P., and in the late Middle Ages (700-400 yr B.P.), and precipitation maxima in the intervening periods. As documented by spectral analysis, the thickness of varve couplets responds to the average length of a 250-yr cycle, a 125-yr cycle, the Gleissberg cycle of solar activity (95 yr), and a 56-yr cycle of unknown origin. Higher frequency cycles are also present at 45, 39, 29-31, and 14 yr. The sedimentary gray-value also shows strong variability in the 55-yr band plus a 31-yr cycle. Because high-frequency cyclicity in the ENSO band (ca. 3.5 and 5 yr) is only weakly expressed, our data do not support a straightforward interaction of the Pacific ENSO with the monsoon-driven climate system of the Arabian Sea.

Living benthic foraminifera of the western and southern Arabian Sea

Sediments from the western and southern part of the Arabian Sea were collected periodically in the spring intermonsoon between March and May 1997 and additionally at the end of the Northeast Monsoon in February 1998. Assemblages of Rose Bengal stained, living deep-sea benthic foraminifera, their densities, vertical distribution pattern, and diversity were analysed after the Northeast Monsoon and short-time changes were recorded. In the western Arabian Sea, foraminiferal numbers increased steadily between March and the beginning of May, especially in the smaller size classes (30-63 µm, 63-125 µm). At the same time, the deepening of the foraminiferal living horizon, variable diversity and rapid variations between dominant foraminiferal communities were observed. We interpret these observations as the time-dependent response of benthic foraminifera to enhanced organic carbon fluxes during and after the Northeast Monsoon. In the southern Arabian Sea, constant low foraminiferal abundances during time, no distinctive change in the vertical distribution, reduced diversity, and more stable foraminiferal communities were noticed, which indicates no or little influence of the Northeast Monsoon to benthic foraminifera in this region.