Undergraduate student experience in dental service delivery in rural South Australia: An analysis of costs and benefits

The document attached has been archived with permission from the Australian Dental Association. An external link to the publisher’s copy is included.Background: Rural experience for dental students can provide valuable clinical education, change attitudes to rural practice, and make a valuable contribution to clinical service provision. The aim of this paper is to assess the costs and benefits of service delivery by students through rural training programmes. Methods: Groups of two students worked in the public dental clinics in adjacent rural centres where there had been long-term difficulties in recruiting staff. The costs and benefits of the programme were assessed by the impact on waiting lists, the total cost per patient of a course of care and by the marginal cost of adding service provision by students to existing arrangements. Results: The total costs of emergency and complete treatment provided by students were greater than the costs of treatment provided by public-sector dentists but less than the costs of private providers treating public patients. However, the value of services were greater when care was provided by students or private providers and the marginal cost of students providing services was 50-70 per cent of the cost of care provided by public dentists. Conclusion: This assessment suggests that the service benefits achieved compliment the primary objective of influencing the attitude of students to rural practice.L Richards, B Symon, D Burrow, A Chartier, G Misan and D Wilkinso

Culture-adapted Plasmodium falciparum isolates from UK travellers: in vitro drug sensitivity, clonality and drug resistance markers.

BACKGROUND: The screening of lead compounds against in vitro parasite cultures is an essential step in the development of novel anti-malarial drugs, but currently relies on laboratory parasite lines established in vitro during the last century. This study sought to establish in continuous culture a series of recent Plasmodium falciparum isolates to represent the current parasite populations in Africa, all of which are now exposed to artemisinin combination therapy. METHODS: Pre-treatment P. falciparum isolates were obtained in EDTA, and placed into continuous culture after sampling of DNA. One post-treatment blood sample was also collected for each donor to monitor parasite clonality during clearance in vivo. IC₅₀ estimates were obtained for 11 anti-malarial compounds for each established parasite line, clonal multiplicity measured in vivo and in vitro, and polymorphic sites implicated in parasite sensitivity to drugs were investigated at the pfmdr1, pfcrt, pfdhfr, pfdhps and pfap2mu loci before and after treatment, and in the cultured lines. RESULTS: Plasmodium falciparum isolates from seven malaria patients with recent travel to three West African and two East African countries were successfully established in long-term culture. One of these, HL1211, was from a patient with recrudescent parasitaemia 14 days after a full course of artemether-lumefantrine. All established culture lines were shown to be polyclonal, reflecting the in vivo isolates from which they were derived, and at least two lines reliably produce gametocytes in vitro. Two lines displayed high chloroquine IC₅₀ estimates, and carried the CVIET haplotype at codons 72-76, whereas the remaining five lines carried the CVMNK haplotype and were sensitive in vitro. All were sensitive to the endoperoxides dihydroartemisinin and OZ277, but IC₅₀ estimates for lumefantrine varied, with the least sensitive parasites carrying pfmdr1 alleles encoding Asn at codon 86. CONCLUSIONS: This study describes the establishment in continuous culture, in vitro drug sensitivity testing and molecular characterization of a series of multiclonal P. falciparum isolates taken directly from UK malaria patients following recent travel to various malaria-endemic countries in Africa. These "HL" isolates are available as an open resource for studies of drug response, antigenic diversity and other aspects of parasite biology

E-tracers:development of a low cost wireless technique for exploring sub-surface hydrological systems

This briefing describes the first deployment of a new electronic tracer (E-tracer) for obtaining along-flowpath measurements in subsurface hydrological systems. These low-cost, wireless sensor platforms were deployed into moulins on the Greenland Ice Sheet. After descending into the moulin, the tracers travelled through the subglacial drainage system before emerging at the glacier portal. They are capable of collecting along-flowpath data from the point of injection until detection. The E-tracers emit a radio frequency signal, which enables sensor identification, location and recovery from the proglacial plain. The second generation of prototype E-tracers recorded water pressure, but the robust sensor design provides a versatile platform for measuring a range of parameters, including temperature and electrical conductivity, in hydrological environments that are challenging to monitor using tethered sensors

Neutrino - nucleon reaction rates in the supernova core in the relativistic random phase approximation

In view of the application to supernova simulations, we calculate neutrino reaction rates with nucleons via the neutral and charged currents in the supernova core in the relativistic random phase approximation (RPA) and study their effects on the opacity of the supernova core. The formulation is based on the Lagrangian employed in the calculation of nuclear equation of state (EOS) in the relativistic mean field theory (RMF). The nonlinear meson terms are treated appropriately so that the consistency of the density correlation derived in RPA with the thermodynamic derivative obtained from EOS by RMF is satisfied in the static and long wave length limit. We employ pion and rho meson exchange interactions together with the phenomenological Landau-Migdal parameters for the isospin-dependent nuclear interactions. We find that both the charged and neutral current reaction rates are suppressed from the standard Bruenn's approximate formula considerably in the high density regime. In the low density regime, on the other hand, the vector current contribution to the neutrino-nucleon scattering rate is enhanced in the vicinity of the boundary of the liquid-gas phase transition, while the other contributions are moderately suppressed there also. In the high temperature regime or in the regime where electrons have a large chemical potential, the latter of which is important only for the electron capture process and its inverse process, the recoil of nucleons cannot be neglected and further reduces the reaction rates with respect to the standard approximate formula which discards any energy transfer in the processes. These issues could have a great impact on the neutrino heating mechanism of collapse-driven supernovae.Comment: 16pages, 19figures, submitted to PR

Absolute configuration of clemateol

The present study reports the determination of absolute stereochemistry of clemateol, an irregular monoterpene containing an epoxy group, which was isolated as the main component from the essential oil of Calea clematidea (Asteraceae). Its absolute stereochemistry was unambiguously established on the basis of detailed nuclear magnetic resonance (NMR) spectroscopic evidence (3JH-H analysis, derivatization as Mosher's esters and nuclear Overhauser effect (NOESY) spectrum) and also by resonance scattering effects in the single crystal X-ray diffraction (XRD) resolution of its (R)-mandelic acid ester derivative.Fil: Pedroso, Marcelo. Universidade Federal de Santa Maria; BrasilFil: Gehn, Adriana Z.. Universidade Federal de Santa Maria; BrasilFil: Stivanin, Mateus L.. Universidade Federal de Santa Maria; BrasilFil: Larghi, Enrique Leandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto de Química Rosario. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Instituto de Química Rosario; ArgentinaFil: Burrow, Robert A.. Universidade Federal de Santa Maria; BrasilFil: Resende, Jackson A. L. C.. Universidade Federal Fluminense; BrasilFil: Da Silva, Ubiratan F.. Universidade Federal de Santa Maria; BrasilFil: Mostardeiro, Marco A.. Universidade Federal de Santa Maria; BrasilFil: Dalcol, Ionara I.. Universidade Federal de Santa Maria; BrasilFil: Morel, Ademir F.. Universidade Federal de Santa Maria; Brasi