Prevalence and severity of dental caries among American Indian and Alaska Native preschool children

Objectives: To describe the Indian Health Service (IHS) oral health surveillance system and the oral health status of American Indian and Alaska Native (AI/AN) children aged 1‐5 years. Methods: A stratified probability sample of IHS/tribal sites was selected. Children were screened by trained examiners at community‐based locations including medical clinics, Head Start, preschools, kindergarten, and Women, Infants, and Children (WIC). Data collection was limited to the primary dentition and included number of teeth present plus number of teeth with cavitated lesions, restorations, and extracted because of decay. Number of molars with sealants and urgency of need for dental care data were also obtained. Statistical analyses were performed with SAS (SAS Institute Inc., Cary, NC, USA). Sample weights were used to produce population estimates based on selection probabilities. Results: A total of 8,461 AI/AN children 12‐71 months of age were screened at 63 IHS/tribal sites, approximately 7 percent of the estimated IHS user population of the same age. Overall, 54 percent of the children had decay experience, 39 percent had untreated decay, 7 percent had primary molar sealants, 36 percent needed early or urgent dental care, and 6 percent needed urgent dental care. The mean of decayed, missing, or filled teeth was 3.5 (95 percent confidence interval, 3.1‐3.9). The prevalence of decay experience increased with age; 21 percent of 1‐year‐olds and 75 percent of 5‐year‐olds had a history of caries. When stratified by IHS area, there were substantial differences in the oral health of preschool children. Conclusions: The results confirm that in the United States, AI/AN children served by IHS/tribal programs are one of the racial/ethnic groups at highest risk of caries.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/93514/1/j.1752-7325.2012.00331.x.pd

MODELING OF THERMAL PROFILE INSIDE GUARDED HOT PLATE APPARATUS

Abstract Guarded hot plate apparatus (GHP) is a convenient tool to measure low thermal conductivities of insulating materials. Investigated material is placed between two plates (hot and cold) maintained at desired temperatures. As a consequence of temperature gradient, heat flow through the material occurs. Based upon Fourier law and knowledge of a power of hot plate heater coefficient of thermal conductivity can be determined. Taking into account only conductive mechanism of heat transfer simplified model of temperature profile in GHP is presented in this paper. Model realized in MATLAB allows investigating the influence of many parameters (including geometry of GHP apparatus itself) on the desired temperature profile

Shannon Meets Carnot: Generalized Second Thermodynamic Law

The classical thermodynamic laws fail to capture the behavior of systems with energy Hamiltonian which is an explicit function of the temperature. Such Hamiltonian arises, for example, in modeling information processing systems, like communication channels, as thermal systems. Here we generalize the second thermodynamic law to encompass systems with temperature-dependent energy levels, $dQ=TdS+dT$, where $$ denotes averaging over the Boltzmann distribution and reveal a new definition to the basic notion of temperature. This generalization enables to express, for instance, the mutual information of the Gaussian channel as a consequence of the fundamental laws of nature - the laws of thermodynamics

New approaches to coding information using inverse scattering transform

Remarkable mathematical properties of the integrable nonlinear Schrödinger equation (NLSE) can offer advanced solutions for the mitigation of nonlinear signal distortions in optical fiber links. Fundamental optical soliton, continuous, and discrete eigenvalues of the nonlinear spectrum have already been considered for the transmission of information in fiber-optic channels. Here, we propose to apply signal modulation to the kernel of the Gelfand-Levitan-Marchenko equations that offers the advantage of a relatively simple decoder design. First, we describe an approach based on exploiting the general N-soliton solution of the NLSE for simultaneous coding of N symbols involving 4×N coding parameters. As a specific elegant subclass of the general schemes, we introduce a soliton orthogonal frequency division multiplexing (SOFDM) method. This method is based on the choice of identical imaginary parts of the N-soliton solution eigenvalues, corresponding to equidistant soliton frequencies, making it similar to the conventional OFDM scheme, thus, allowing for the use of the efficient fast Fourier transform algorithm to recover the data. Then, we demonstrate how to use this new approach to control signal parameters in the case of the continuous spectrum

A Generalization of Quantum Stein's Lemma

We present a generalization of quantum Stein's Lemma to the situation in which the alternative hypothesis is formed by a family of states, which can moreover be non-i.i.d.. We consider sets of states which satisfy a few natural properties, the most important being the closedness under permutations of the copies. We then determine the error rate function in a very similar fashion to quantum Stein's Lemma, in terms of the quantum relative entropy. Our result has two applications to entanglement theory. First it gives an operational meaning to an entanglement measure known as regularized relative entropy of entanglement. Second, it shows that this measure is faithful, being strictly positive on every entangled state. This implies, in particular, that whenever a multipartite state can be asymptotically converted into another entangled state by local operations and classical communication, the rate of conversion must be non-zero. Therefore, the operational definition of multipartite entanglement is equivalent to its mathematical definition.Comment: 30 pages. (see posting by M. Piani arXiv:0904.2705 for a different proof of the strict positiveness of the regularized relative entropy of entanglement on every entangled state). published version

Epidemiology of intra-abdominal infection and sepsis in critically ill patients: “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project

Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock). Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis. Results: The cohort included 2621 patients. Setting of infection acquisition was community-acquired in 31.6%, early onset hospital-acquired in 25%, and late-onset hospital-acquired in 43.4% of patients. Overall prevalence of antimicrobial resistance was 26.3% and difficult-to-treat resistant Gram-negative bacteria 4.3%, with great variation according to geographic region. No difference in prevalence of antimicrobial resistance was observed according to setting of infection acquisition. Overall mortality was 29.1%. Independent risk factors for mortality included late-onset hospital-acquired infection, diffuse peritonitis, sepsis, septic shock, older age, malnutrition, liver failure, congestive heart failure, antimicrobial resistance (either methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase-producing Gram-negative bacteria, or carbapenem-resistant Gram-negative bacteria) and source control failure evidenced by either the need for surgical revision or persistent inflammation. Conclusion: This multinational, heterogeneous cohort of ICU patients with intra-abdominal infection revealed that setting of infection acquisition, anatomical disruption, and severity of disease expression are disease-specific phenotypic characteristics associated with outcome, irrespective of the type of infection. Antimicrobial resistance is equally common in community-acquired as in hospital-acquired infection