283 research outputs found

    Effect of periodontal dressing on nonâ surgical periodontal treatment outcomes: a systematic review

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    BackgroundPeriodontal dressing has been advocated and showed some positive outcomes for placing over the surgical site after periodontal surgery. However, little is known about its effect on nonâ surgical therapy.PurposeThe aim of this review was to assess the clinical effect of periodontal dressing when used after nonâ surgical therapy.Material and methodsTwo examiners performed an electronic search in several databases for relevant articles published in English up to November 2013. Selected studies were randomized human clinical trials (prospective or retrospective trials) with the clear aim of investigating the effect of periodontal dressing placement upon periodontal nonâ surgical mechanical therapy. Data were extracted from the included articles for analysis.ResultsThree randomized clinical trials fulfilled the inclusion criteria and thus were included in the data analysis. Statistical analysis could not be carried out due to the lack of clear data of the included studies. However, descriptive analysis showed its effectiveness in improving clinical parameters such as gain of clinical attachment level and reduction of probing pocket depth.ConclusionPlacement of periodontal dressing right after nonâ surgical mechanical therapy can be beneficial in improving overall shortâ term clinical outcomes, although more controlled studies are still needed to validate this finding.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/122435/1/idh12130.pd

    Sport coaches' experiences of athlete injury : the development and regulation of guilt

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    This study sought to examine coaches’ stories of guilt in the specific context of athlete injury. Using narrative interviews with a diverse group of ten coaches, guilt was found to be a commonly experienced emotion that the participants also sought to regulate. The coaches’ experiences of the embodiment and management of guilt is primarily, although not exclusively, interrogated using the mainstream psychological theorising of Kubany and Watson (2003). The article concludes by connecting the coaches’ experiences of guilt with critiques of the prevailing deontological approach used to define what it means to be a ‘good’ sport coach. Here we suggest that dominant perspectives in coach education may be instrumental in entrenching coaches’ experience of guilt

    Ship-based contributions to global ocean, weather, and climate observing systems

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    The role ships play in atmospheric, oceanic, and biogeochemical observations is described with a focus on measurements made within 100 m of the ocean surface. Ships include merchant and research vessels, cruise liners and ferries, fishing vessels, coast guard, military, and other government-operated ships, yachts, and a growing fleet of automated surface vessels. The present capabilities of ships to measure essential climate/ocean variables and the requirements from a broad community to address operational, commercial, and scientific needs are described. Following the guidance from the OceanObs'19 organizing committee, the authors provide a vision to expand observations needed from ships to understand and forecast the exchanges across the ocean-atmosphere interface. The vision addresses (1) recruiting vessels to improve both spatial and temporal sampling, (2) conducting multi-variate sampling on ships, (3) raising technology readiness levels of automated shipboard sensors and ship-to-shore data communications, (4) advancing quality evaluation of observations, and (5) developing a unified data management approach for observations and metadata that meets the needs of a diverse user community. Recommendations are made focusing on integrating private and autonomous vessels into the observing system, investing in sensor and communications technology development, developing an integrated data management structure that includes all types of ships, and moving towards a quality evaluation process that will result in a subset of ships being defined as mobile reference ships that will support climate studies. We envision a future where commercial, research, and privately-owned vessels are making multivariate observations using a combination of automated and human-observed measurements. All data and metadata will be documented, tracked, evaluated, distributed, and archived to benefit users of marine data. This vision looks at ships as a holistic network, not a set of disparate commercial, research, and/or third-party activities working in isolation, to bring these communities together for the mutual benefit of all

    The Practice of Thresholds: Autonomy in Clinical Education Explored Through Variation Theory and the Threshold Concepts Framework

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    This paper demonstrates a practical dimension to the discussion about threshold concepts. Threshold concepts have thus far mostly been acknowledged to elucidate learning processes mainly connected to theoretical concepts. By exploring situations that prompted experiences of autonomy and authenticity in clinical learning, findings showed how a practical experience could have the same power to transform thinking and identity as theoretical thresholds and serve as a trigger for transformational learning, therefore making the discussion about ‘practical thresholds' or thresholds in practice possible. The present study explores situations that prompted autonomy and authenticity, and offers context for and substance to these situations by adopting variation theory and the threshold concept framework. In order to learn more about situations that prompt experiences of autonomy and authenticity, and create prerequisites for such experiences, this paper examines how students discern and interpret these situations by analysing them through variation theory and the threshold concept framework

    Mu2e Technical Design Report

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    The Mu2e experiment at Fermilab will search for charged lepton flavor violation via the coherent conversion process mu- N --> e- N with a sensitivity approximately four orders of magnitude better than the current world's best limits for this process. The experiment's sensitivity offers discovery potential over a wide array of new physics models and probes mass scales well beyond the reach of the LHC. We describe herein the preliminary design of the proposed Mu2e experiment. This document was created in partial fulfillment of the requirements necessary to obtain DOE CD-2 approval.Comment: compressed file, 888 pages, 621 figures, 126 tables; full resolution available at http://mu2e.fnal.gov; corrected typo in background summary, Table 3.

    Meta-analysis of type 2 Diabetes in African Americans Consortium

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    Type 2 diabetes (T2D) is more prevalent in African Americans than in Europeans. However, little is known about the genetic risk in African Americans despite the recent identification of more than 70 T2D loci primarily by genome-wide association studies (GWAS) in individuals of European ancestry. In order to investigate the genetic architecture of T2D in African Americans, the MEta-analysis of type 2 DIabetes in African Americans (MEDIA) Consortium examined 17 GWAS on T2D comprising 8,284 cases and 15,543 controls in African Americans in stage 1 analysis. Single nucleotide polymorphisms (SNPs) association analysis was conducted in each study under the additive model after adjustment for age, sex, study site, and principal components. Meta-analysis of approximately 2.6 million genotyped and imputed SNPs in all studies was conducted using an inverse variance-weighted fixed effect model. Replications were performed to follow up 21 loci in up to 6,061 cases and 5,483 controls in African Americans, and 8,130 cases and 38,987 controls of European ancestry. We identified three known loci (TCF7L2, HMGA2 and KCNQ1) and two novel loci (HLA-B and INS-IGF2) at genome-wide significance (4.15 × 10(-94)<P<5 × 10(-8), odds ratio (OR)  = 1.09 to 1.36). Fine-mapping revealed that 88 of 158 previously identified T2D or glucose homeostasis loci demonstrated nominal to highly significant association (2.2 × 10(-23) < locus-wide P<0.05). These novel and previously identified loci yielded a sibling relative risk of 1.19, explaining 17.5% of the phenotypic variance of T2D on the liability scale in African Americans. Overall, this study identified two novel susceptibility loci for T2D in African Americans. A substantial number of previously reported loci are transferable to African Americans after accounting for linkage disequilibrium, enabling fine mapping of causal variants in trans-ethnic meta-analysis studies.Peer reviewe

    The Global Ocean Ship-Based Hydrographic Investigations Program (GO-SHIP): A platform for integrated multidisciplinary ocean science

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    The Global Ocean Ship-Based Hydrographic Investigations Program (GO-SHIP) provides a globally coordinated network and oversight of 55 sustained decadal repeat hydrographic reference lines. GO-SHIP is part of the global ocean/climate observing systems (GOOS/GCOS) for study of physical oceanography, the ocean carbon, oxygen and nutrient cycles, and marine biogeochemistry. GO-SHIP enables assessment of the ocean sequestration of heat and carbon, changing ocean circulation and ventilation patterns, and their effects on ocean health and Earth’s climate. Rapid quality control and open data release along with incorporation of the GO-SHIP effort in the Joint Technical Commission for Oceanography and Marine Meteorology (JCOMM) in situ Observing Programs Support Center (JCOMMOPS) have increased the profile of, and participation in, the program and led to increased data use for a range of efforts. In addition to scientific discovery, GO-SHIP provides climate quality observations for ongoing calibration of measurements from existing and new autonomous platforms. This includes biogeochemical observations for the nascent array of biogeochemical (BGC)-Argo floats; temperature and salinity for Deep Argo; and salinity for the core Argo array. GO-SHIP provides the relevant suite of global, full depth, high quality observations and co-located deployment opportunities that, for the foreseeable future, remain crucial to maintenance and evolution of Argo’s unique contribution to climate science. The evolution of GO-SHIP from a program primarily focused on physical climate to increased emphasis on ocean health and sustainability has put an emphasis on the addition of essential ocean variables for biology and ecosystems in the program measurement suite. In conjunction with novel automated measurement systems, ocean color, particulate matter, and phytoplankton enumeration are being explored as GO-SHIP variables. The addition of biological and ecosystem measurements will enable GO-SHIP to determine trends and variability in these key indicators of ocean health. The active and adaptive community has sustained the network, quality and relevance of the global repeat hydrography effort through societally important scientific results, increased exposure, and interoperability with new efforts and opportunities within the community. Here we provide key recommendations for the continuation and growth of GO-SHIP in the next decade
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