Traitement par prothèses sur implant de l’édentement postérieur partiel : suivi à long terme d’une étude prospective

Objective: This paper reports on the long-term outcome of patients with Kennedy Class IV partial edentulism treated in the Implant Prosthodontic Unit (IPU) at the University of Toronto, Toronto, Ontario. Methods: The information for this paper was gathered from the charts of the first 30 consecutive, partially edentulous patients treated at the IPU. These patients all had Class IV edentulism and formed part of the original prospective clinical studies that were initiated in 1983. The patients’ dental history suggested maladaptive experiences with traditional removable prostheses or a reluctance to have intact or quasi-intact teeth prepared as retainers for fixed prostheses. Fifteen men and 15 women treated with 94 Brånemark dental implants, supporting 34 prostheses, were followed until June 2000 (25 patients) or until they were lost to follow-up (5 patients). The multiple missing teeth occurred in 19 maxillae and 15 mandibles. Results: The original prosthodontic treatments were intended to result in 33 fixed partial prostheses and 1 overdenture. At the time of this report, 25 patients with 86 implants supporting 31 fixed prostheses and 3 overdentures had been followed for an average of 12 years (range 7–16 years). The overall survival of implants was 92%. The difference between men (94%) and women (89%) was not statistically significant. Conclusions: This report is an interim update on an ongoing long-term prospective study. The results so far demonstratea high survival rate for Brånemark implants supporting tissue-integrated prostheses for the management of anterior partial edentulism.peer-reviewe

Perceived ability and actual recognition accuracy for unfamiliar and famous faces

In forensic person recognition tasks, mistakes in the identification of unfamiliar faces occur frequently. This study explored whether these errors might arise because observers are poor at judging their ability to recognize unfamiliar faces, and also whether they might conflate the recognition of familiar and unfamiliar faces. Across two experiments, we found that observers could predict their ability to recognize famous but not unfamiliar faces. Moreover, observers seemed to partially conflate these abilities by adjusting ability judgements for famous faces after a test of unfamiliar face recognition (Experiment 1) and vice versa (Experiment 2). These findings suggest that observers have limited insight into their ability to identify unfamiliar faces. These experiments also show that judgements of recognition abilities are malleable and can generalize across different face categories

Concordance of gout management with European League against Rheumatism recommendations in hospital practice

Aim: To assess the concordance of gout management with the European League Against Rheumatism (EULAR) gout recommendations in hospital practice. Methods: This was a retrospective review of case notes of patients presenting to rheumatology outpatients between June and December 2009 under the care of 2 consultant rheumatologists. Data collected consisted of demographics, time lag to specialist referral, comorbidities, details about acute and recurrent attacks, lifestyle advice and use of urate lowering therapies. Documented management was assessed for concordance with the EULAR recommendations. Results: Thirty consecutive patients (27 males, 3 females) attending Rheumatology clinic at Mater Dei Hospital were recruited. Mean age at the time of survey was 59.4 ± 10.7 years, while mean age at diagnosis was 51.1 ± 14 years. Documentation of lifestyle advice was recorded for alcohol reduction (83%), weight loss (43%), diet (13%), and exercise (13%). Adequate control of comorbidities was attained in hyperlipidaemia (71%), diabetes mellitus (55%) and hypertension (30%). Advice about smoking cessation was given to 37%. Uric acid levels below target were achieved in 47%. The mean uric acid level at time of survey was 379 ± 146 μmol/l. This was significantly less than that at presentation (p=0.001). Conclusions: Current treatment of gout is poorly concordant with many of the EULAR recommendations. Documentation of lifestyle modifications advice is infrequent except for alcohol reduction. A significant number of patents on allopurinol still have hyperuricaemia implying that more aggressive management is required to improve standard of care. A proforma has been developed to make and help sustain the necessary improvements.peer-reviewe

An overview of irrigation system performance on the island of Malta

The island of Malta has a typical Mediterranean climate with an annual precipitation of circa 500mm spreading over the October to March period. The semi arid environment has always provoked the indigenous population to develop and adopt techniques that would maximise water harvesting and distribution efficiency. Within the nine year span (1991-2000), the agricultural land in Malta decreased by an estimated 1,164 hectares, reaching a total land base of 10,738 hectares. Despite this loss, the National Statistics Office registered an increase of 420 hectares in irrigated land. This could be interpreted as 1) water availability has increased or 2) efficiency in water distribution has increased. Furthermore, protected cropping through the use of greenhouses and cloches equipped with drip irrigation systems are now increasing in use and popularity. The use of treated sewage water was a key factor in stimulating agricultural development in the south region. Irrigation efficiency may be measured using a variety of indicators, such as: area under irrigation, amount of produce marketed, volume of water storage, and deterioration of ground water resources. A review of irrigation under a Maltese context is presented.peer-reviewe

Tubo ovarian abscess as a complication of typhoid fever

This paper was read at a joint meeting of the Association of Surgeons and Physicians of Malta and the Fifth Army Surgeons Travelling Club at a meeting in Malta, in May 1968. Typhoid Fever has been notorious over the decades for the variety of complications that may arise from it, and numerous references are to be found in the medical literature devoted partly or exclusively to discussion of these complications. Abscess involvement of the ovaries or Fallopian tubes is one of the rarest of complications. A patient who developed this rare complication is here described and a short review of the literature made. Factors that may have contributed to this complication are furthermore discussed. A particular aspect of typhoid management which this case study illustrates is the relationship of relapse to dosage of Chloramphenicol. It is strongly believed that the complication of tubo-ovarian abscess in the present case would not have arisen had a fully adequate dose of Chloramphenicol been given at home from the start.peer-reviewe

School-based mentoring in initial teacher education : the exploratory phase

The Faculty of Education at the University of Malta has long set its eyes on introducing some form of school-based mentoring as part of initial teacher education (ITE). Over the years, faculty staff members have become increasingly more convinced of the professional benefits that can be derived when carefully selected and trained practitioners in schools mentor ITE students during field placements. Important developments outside the Faculty have also paved the way for the eventual introduction of school-based mentoring. Suffice it to mention the declared support, at least in principle, by a number of key stakeholders outside the Faculty who operate in the field of education. This support appears to extend across the Ministry for Education and Employment, policy makers, the Directorates for Education, high ranking administrators from the state, Church and independent school sectors, school leaders and teachers, and the teachers’ union. Put differently, the indications are that the local context, in the widest sense of the word, is now ready for the development and implementation of a sustainable school-based mentoring system that is tailored to address the professional learning needs of faculty students enrolled in ITE studies.peer-reviewe

Cows fed hydroponic fodder and conventional diet: effects on milk quality

The technology of green fodder production is especially important in arid and semiarid regions. Hydroponics improves on average the amount of crops in the same space, as traditional soil-based farming and can reduce water consumption compared to traditional farming methods. Limited research has been carried out on the use of hydroponic fodder and milk quality. A comparative study of traditional (Malta farm) and hydroponic fodder (Gozo farm) was conducted in Malta with 20 cows of the Holstein\u2013Friesian breed from two farms. Individual and bulk-tank milk samples were collected once a week for a period of 1 month in order to evaluate physical (pH, conductivity, density, freezing point) and chemical (fat, protein, ash, lactose, solid nonfat) parameters as well as mineral (Zn, Cu, Pb, Ba) content. Milk proximate and physical data were processed by analysis of variance (ANOVA) for repeated measures and an ANOVA procedure with farm and time as effects for minerals. The results indicated differences in fat content and pH, showing higher values (P < 0.05) in milk samples of cows fed with the hydroponic rather than the traditional fodder; a significant time effect (P < 0.001) was found in all qualitative analyses except for lactose and salts. Minerals were in the range as reported elsewhere; Cu and Pb content was significantly higher (P < 0.001) in the Gozo farm than the one in Malta, whereas Zn content showed higher values in Malta (P < 0.001) than Gozo. Although the proximate results were similar for both farms, except for the higher fat content for the Gozo farm, principal component analysis (PCA) revealed that milk quality for the Gozo farm was superior to that of the Malta farm. However, further studies are needed to determine the effects of different hydroponic fodder using a large herd size

Benthic oxygen exchange in a live coralline algal bed and an adjacent sandy habitat: an eddy covariance study

Coralline algal (maerl) beds are widespread, slow-growing, structurally complex perennial habitats that support high biodiversity, yet are significantly understudied compared to seagrass beds or kelp forests. We present the first eddy covariance (EC) study on a live maerl bed, assessing the community benthic gross primary productivity (GPP), respiration (R), and net ecosystem metabolism (NEM) derived from diel EC time series collected during 5 seasonal measurement campaigns in temperate Loch Sween, Scotland. Measurements were also carried out at an adjacent (~20 m distant) permeable sandy habitat. The O2 exchange rate was highly dynamic, driven by light availability and the ambient tidally-driven flow velocity. Linear relationships between the EC O2 fluxes and available light indicate that the benthic phototrophic communities were lightlimited. Compensation irradiance (Ec) varied seasonally and was typically ~1.8-fold lower at the maerl bed compared to the sand. Substantial GPP was evident at both sites; however, the maerl bed and the sand habitat were net heterotrophic during each sampling campaign. Additional inputs of ~4 and ~7 mol m-2 yr-1 of carbon at the maerl bed and sand site, respectively, were required to sustain the benthic O2 demand. Thus, the 2 benthic habitats efficiently entrap organic carbon and are sinks of organic material in the coastal zone. Parallel deployment of 0.1 m2 benthic chambers during nighttime revealed O2 uptake rates that varied by up to ~8-fold between replicate chambers (from -0.4 to -3.0 mmol O2 m-2 h-1; n = 4). However, despite extensive O2 flux variability on meter horizontal scales, mean rates of O2 uptake as resolved in parallel by chambers and EC were typically within 20% of one another

LargeScale Precursors to Major Lake Effect Snowstorms Lee of Lake Erie

Lake‐effect snowstorms are primarily a mesoscale feature; however, major lakeeffect snowstorms are linked closely to their synoptic environment. Thus, a lakeeffect system which lasts for more than 24 h cannot only be explained by the boundary layer; it is also associated with the upper tropospheric flow. This research will address whether major lake‐effect snow events off of Lake Erie can also be associated with large‐scale planetary features several days prior to event onset. The goal is to aid in the forecast process by increasing the accuracy and leadtime of lake‐effect snow forecasts. This study includes 31 cases recorded from the National Weather Service at Buffalo’s lake effect database. These 31 cases were then stratified into categories depending on its: length, the time of year, and the type of event. This categorization allowed for comparison of the state of the atmosphere in the days prior to different types of events. In order to assess the large‐scale pattern, teleconnections were used as a proxy for the state of the atmosphere. For cases that lasted for greater than 42 hours, there was a correlation to the phase Madden Julian oscillation eight days prior to onset. The cases that occurred during the positive and negative states of the Arctic Oscillation had two different upper level trough patterns, the former originating in Southern Canada and the latter over the Southwestern United States

Review of the accreditation practices at the University of Malta with focus on the institute of agriculture

This paper gives a detailed review of the internal academic audit of the existing courses offer by the Institute of Agriculture of the University of Malta. A description of a new joint degree between the universities of Malta and Perugia in Mediterranean Agro-ecosystems Management is also included. Under the Maltese context, a single accreditation authority is not considered advisable.peer-reviewe