Retention of three fissure sealants and a dentin bonding system used as fissure sealant in caries prevention: 12-month follow-up results

Background. Bonding agents could be used as fissure sealants. This study compares the retention three fissure sealants (Delton®, Delton Plus® and Concise®) and a filled dentin bonding system (Optibond Solo®). Methods. Fifty-six children aged 7-8 years received fissure sealants either in the four permanent first molars, in the four deciduous second molars, or in all eight of these teeth. Every child received a different sealing material in each quadrant on a random basis. Clinical evaluation at 12 months was performed by a single blind examiner, and the retention was classified as either a success (total retention) or a failure (partial retention or not present). Results: There were no statistically significant differences among the four materials in permanent maxillary molars or deciduous molars. In permanent mandibular molars, Optibond Solo® showed a lower percentage of retention (40.9%), significantly different (p=0.002) to that of Delton® (89.5%), Delton Plus® (87.5%) and Concise® (76.5%). Conclusion: One bottle dentin bonding system used as a sealant does not improve the retention of conventional fissure sealants. Clinical Implication: Because of the scarcity of studies on the use of dental adhesives as sealants, further studies are warranted for the final support of that conclusion

The body grid as an assessment tool for body image

This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Constructivist Psychology on 19 May 2017 available online: http://www.tandfonline.com/10.1080/10720537.2017.1320244The aim of this study was to analyze the body grid (BG) as an assessment tool for body image in a sample of patients with breast cancer, after surgery. We explored two measures of cognitive structure, percentage of variance accounted for by the first factor (PVAFF) and polarization, and we compared measures of body image and body self-esteem obtained by means of the BG with those obtained via a validated body image questionnaire. Our sample was composed of 23 patients (12 subjected to radical mastectomy, 11 subjected to conserving surgery) and 24 healthy controls. Participants were administered the BG and the Multidimensional Body Self Relations Questionnaire (MBSRQ). We analyzed the similarities between instruments using correlations and nonparametric tests. We have also provided two case studies to exemplify the use of the BG.  We found statistical differences in cognitive structure between patients and healthy controls. There were no differences between women subjected to mastectomy and women with breast conserving surgery in the level of PVAFF, but there were significant differences between them in the level of polarization. We found significant correlations between body image indices of both instruments, especially self-evaluated attractiveness (MBSRQ) and distance between real and ideal body (BG). We found similar distributions of these indices in all of the samples. We concluded that the BG provides useful information about body image. The results show that both instruments assess similar constructs. This suggests that the BG is a valid instrument for body image assessmen

Content categories system for body constructs applied to patients with mastectomy

Body image is a predictor of psychological adjustment to cancer and a risk factor for depression. Questionnaires to assess body image in cancer patients assume a preconceived concept of body image and do not reflect the patient's subjective experience. This study aims to develop a content categories system for analyzing body constructs in breast cancer patients from their own experience. Methods The sample comprised 542 constructs, from 23 patients subjected to surgery (12 mastectomy/11 breast-conserving surgery) and 24 controls. Participants were assessed with the Body Grid. Three independent judges coded the constructs elicited following a tentative categories system. Result Six categories appeared: Objective Appearance, Esthetics, Function, Strength, Energy and Emotions, with similar distribution in the samples. Objective Appearance, Esthetics and Emotions were the most used. The inter-rater agreement was very good. Conclusions These findings highlight the importance of knowing which thematic areas concern the most to each patient and the absent ones in their constructions, in order to focus psychotherapy on the developing of new meanings that allow a more integrated body imag

La revisión sistemática de la relación indirecta entre la pertenencia social frustrada y la sensación de ser una carga en el suicidio

Joiner's Interpersonal-Psychological Theory of Suicide (IPTS) considers the interpersonal variables of low social belonging and the perception of being a burden on others as drivers of suicidal ideation. This study has sought to review the empirical evidence on this prediction. In all, 40 studies were found. The findings report a major mediator and moderator role of perceived burdensomeness (PB) and thwarted belongingness (TB) in the relationship between the propensity toward suicide and psychological, social, and environmental factors. As the theory predicts, expecting to find that the interaction of both of these variables would be more closely linked to suicidal ideation, this does not appear to have been fully supported, generally finding a greater significance when they were integrated into separate models. It seems that attributing other forms of relationship with suicide for the variables identified by Joiner would provide IPTS with greater empirical support.La teoría interpersonal psicológica del suicidio de Joiner considera las variables interpersonales de baja pertenencia social y la percepción de ser una carga para los demás como impulsores de la ideación suicida. Este estudio revisa la evidencia empírica sobre esta predicción. En total, se han encontrado 40 estudios. Los hallazgos descubren un importante papel mediador y moderador de la carga percibida y la pertenencia frustrada en la relación entre la propensión al suicidio y los factores psicológicos, sociales y ambientales. Como predice la teoría, esperando encontrar que la interacción de ambas variables estaría más estrechamente ligada a la ideación suicida, esto no parece haber sido totalmente respaldado, encontrando generalmente una mayor significación cuando estas se integraron en modelos separados. Parece que atribuir otras formas de relación con el suicidio para las variables identificadas por Joiner proporcionaría a la teoría interpersonal psicológica del suicidio un mayor apoyo empíric

Are we studying the right populations to understand suicide?

International audienc

K−K^--Nucleus Scattering at Low and Intermediate Energies

We calculate $K^-$-nucleus elastic differential, reaction and total cross sections for different nuclei ($^{12}$C,$^{40}$Ca and $^{208}$Pb) at several laboratory antikaon momenta, ranging from 127 MeV to 800 MeV. We use different antikaon-nucleus optical potentials, some of them fitted to kaonic atom data, and study the sensitivity of the cross sections to the considered antikaon-nucleus dynamics.Comment: Only 4 pages, Latex, 3 Figures. This version is much shorter than the previous one. Some details and references have been omitte

Decalcifying effects of antimicrobial irrigating solutions on root canal dentin

Objective: The aim of this study was to determine the decalcifying efficacy of 7% maleic acid (MA), 2% chlorhexidine (CHX), and combinations of 7% MA + 0.2% cetrimide (CTR) and 2% CHX + 0.2% CTR, in four time periods. Study Design: Four specimens per tooth were obtained from a 2-mm thick slice of the cervical third of the root of ten human incisors. At 1, 2, 3 and 5 minutes of immersion, the concentrations of Ca2+ were measured by atomic absorption spectrophotometry. The results were analyzed using the Mann-Whitney U-test. Results: Statistically significant differences were seen for the extracted calcium in all time periods. The amount of calcium extracted by 7% MA was the highest at all four immersion times, followed by 7% MA + 0.2% CTR. Two percent CHX and its combination with 0.2% CTR extracted virtually no calcium. Conclusions: The decalcifying capacity of 7% MA and 2% CHX diminished when combined with 0.2% CTR

From eHealth to iHealth: Transition to participatory and personalized medicine in mental health

Clinical assessment in psychiatry is commonly based on findings from brief, regularly scheduled in-person appointments. Although critically important, this approach reduces assessment to cross-sectional observations that miss essential information about disease course. The mental health provider makes all medical decisions based on this limited information. Thanks to recent technological advances such as mobile phones and other personal devices, electronic health (eHealth) data collection strategies now can provide access to real-Time patient self-report data during the interval between visits. Since mobile phones are generally kept on at all times and carried everywhere, they are an ideal platform for the broad implementation of ecological momentary assessment technology. Integration of these tools into medical practice has heralded the eHealth era. Intelligent health (iHealth) further builds on and expands eHealth by adding novel built-in data analysis approaches based on (1) incorporation of new technologies into clinical practice to enhance real-Time self-monitoring, (2) extension of assessment to the patient's environment including caregivers, and (3) data processing using data mining to support medical decision making and personalized medicine. This will shift mental health care from a reactive to a proactive and personalized discipline.This research was partially support by Instituto de Salud Carlos III (PI16/01852 Grant), Plan Nacional de Drogas (20151073 Project), and American Foundation for Suicide Prevention (LSRG-1-005-16). SB’s work was supported by Fondation de l’Avenir, the French Embassy in Madrid; MMPR's work was supported by a National Alliance for Research on Schizophrenia and Depression (NARSAD) Young Investigator Award (YIA) grant and a KL2 Faculty Scholar (KL2TR001435) grant (PI: Perez-Rodriguez

Chirally motivated K^- nuclear potentials

In-medium subthreshold KbarN scattering amplitudes calculated within a chirally motivated meson-baryon coupled-channel model are used self consistently to confront K^- atom data across the periodic table. Substantially deeper K^- nuclear potentials are obtained compared to the shallow potentials derived in some approaches from threshold amplitudes, with Re V_{chiral} = -(85+/-5) MeV at nuclear matter density. When KbarNN contributions are incorporated phenomenologically, a very deep K^- nuclear potential results, Re V_{chiral+phen.} = -(180+/-5) MeV, in agreement with density dependent potentials obtained in purely phenomenological fits to the data. Self consistent dynamical calculations of K^- nuclear quasibound states are reported and discussed.Comment: extended discussion, unchanged results and conclusions, accepted by PL