Dental Dam Utilization by Dentists in an Intramural Faculty Practice

Objectives: From casual observation of our colleagues, only a few individuals use the dental dam for operative procedures in their faculty practice. The purpose of this study was to obtain faculty perceptions of the dental dam, quantify its utilization in their intramural faculty practice, and determine the factors that influence dental dam usage.Materials and Methods: A survey containing 11 questions was sent to 19 faculty members who teach full time and maintain an intramural dental practice involving operative dentistry. Thirty electronic dental health records of the 19 providers were reviewed to gather the following information from restorative procedures they completed: isolation methods, tooth location and involved surfaces, and dental restorative material.Results: Overall, dental dam was utilized for 30% of all restorative procedures and was used less than 20% of the time for placement of class II and class III composite resins. Dental dam utilization rate by general dentists was 37% and 17.6% for prosthodontists. Those general dentists with prior history of military dental practice had a utilization rate of 78.6% and nonmilitary dentists only 7.6%. Eight faculty members responded to the questionnaire for a 42% return rate. Those who practiced dentistry in the military strongly agreed that the dental dam is the standard of care, improves their quality of restorative work, and should be documented in the dental record.Conclusions: There were significantly different dental dam utilization rates between general dentists and prosthodontists and between dentists with prior military experience and those without

Being Mindful: A Long-term Investigation of an Interdisciplinary Course in Mindfulness

Background: Burnout and work-related stress in health-care professionals (HCPs) is a growing concern to the optimal functioning of the health-care system. Mindfulness-based interventions may be well-suited to address burnout in HCPs. Objective: The purpose of this study was (1) to quantitatively evaluate the effect of a mindfulness-based intervention for interdisciplinary HCPs over time and at a long-term follow-up and (2) to explore perceived benefits, facilitators, and barriers to the practice of mindfulness at the long-term follow-up. Design: A mixed-method, repeated measures, within-subjects design was used to investigate Mindfulness for Interdisciplinary HCPs (MIHP) at baseline, post-MIHP, and a follow-up (6 months to 1.5 years after MIHP). MIHP is an 8-week, group-based course for interdisciplinary HCPs and students, with weekly meditation training, gentle yoga, and discussions on the application of mindfulness to common stressors faced by HCPs. Main outcome measures were the Maslach Burnout Inventory—Health Services Survey and the Five Facet Mindfulness Questionnaire. A semistructured interview was used to explore participants’ perceptions of sustained effects and practice in the context of HCP work at the long-term follow-up. The study protocol was registered with ClinicalTrials.gov (NCT02736292). Results: Eighteen HCPs (88% female) participated in the study. Significant reductions were found after the intervention for 2 subscales of burnout: depersonalization, F(2, 17) = 5.98, P = .01, and emotional exhaustion, F(2, 17) = 2.64, P = .10. Three facets of dispositional mindfulness showed significant increases at long-term follow-up, act aware: F(2, 15) = 4.47, P = .03, nonjudge: F(2, 15) = 4.7, P = .03, and nonreactivity: F(2, 15) = 3.58, P = .05. Continued practice of skills long term was facilitated by the use of informal practice and perceived improvement in work and personal life. Conclusion: In sum, MIHP improved subscales of burnout and mindfulness. These findings should be further explored with a larger, controlled study. Interventions should focus on developing mindfulness practice that can be integrated into the work of HCPs

China's influence in Australia and New Zealand: Making the democratic world safe for dictatorship

Australia and New Zealand both established diplomatic relations with the People’s Republic of China in December of 1972. The assumed tensions between economic openness and political closure have instead been felt primarily in democratic countries developing close trade relations with China. A Chinese-language newspaper engaged in open and critical reporting on contemporary Chinese matters found its private business advertisers placed under unprecedented state pressures. China’s most determined and successful infiltration efforts have been focused on exerting control over the Chinese diaspora by bringing Chinese language media, Chinese community organizations, Chinese community leaders and local politicians of Chinese heritage into its sphere of influence. In New Zealand, Chinese-language media are also being rapidly incorporated into China’s system of media control. The most alarming cases of China’s influence take place in elite politics, ranging from political donations and manipulation of elections to co-option of political leaders and cultivation of politicians

PSD-95 protects synapses from β-amyloid

Beta-amyloid (Aβ) depresses excitatory synapses by a poorly understood mechanism requiring NMDA receptor (NMDAR) function. Here, we show that increased PSD-95, a major synaptic scaffolding molecule, blocks the effects of Aβ on synapses. The protective effect persists in tissue lacking the AMPA receptor subunit GluA1, which prevents the confounding synaptic potentiation by increased PSD-95. Aβ modifies the conformation of the NMDAR C-terminal domain (CTD) and its interaction with protein phosphatase 1 (PP1), producing synaptic weakening. Higher endogenous levels or overexpression of PSD-95 block Aβ-induced effects on the NMDAR CTD conformation, its interaction with PP1, and synaptic weakening. Our results indicate that increased PSD-95 protects synapses from Aβ toxicity, suggesting that low levels of synaptic PSD-95 may be a molecular sign indicating synapse vulnerability to Aβ. Importantly, pharmacological inhibition of its depalmitoylation increases PSD-95 at synapses and rescues deficits caused by Aβ, possibly opening a therapeutic avenue against Alzheimer’s disease

Chemical contamination remote sensing

A ground mobile laser test bed system was assembled to assess the feasibility of detection of various types of chemical contamination using Differential Scattering (DISC) and Differential Absorption (DIAL) Lidar techniques. Field experiments with the test bed system using chemical simulants were performed. Topographic reflection and range resolved DIAL detection of vapors as well as DISC detection of aerosols and surface contamination were achieved. Review of detection principles, design of the test bed system, and results of the experiments are discussed

Water activity and activation diameters from hygroscopicity data - Part I: Theory and application to inorganic salts

International audienceA method is described that uses particle hygroscopicity measurements, made with a humidified tandem differential mobility analyzer (HTDMA), to determine solution water activity as a function of composition. The use of derived water activity data in computations determining the ability of aerosols to serve as cloud condensation nuclei (CCN) is explored. Results for sodium chloride and ammonium sulfate are shown in Part I. The methodology yields solution water activities and critical dry diameters for ammonium sulfate and sodium chloride in good agreement with previously published data. The approach avoids the assumptions required for application of simplified and modified Köhler equations to predict CCN activity, most importantly, knowledge of the molecular weight and the degree of dissociation of the soluble species. Predictions of the dependence of water activity on the mass fraction of aerosol species are sensitive to the assumed dry density, but predicted critical dry diameters are not

Student Outcomes from the Collective Design and Delivery of Culturally Relevant Engineering Outreach Curricula in Rural and Appalachian Middle Schools

Middle school is a pivotal time for career choice, and research is rich with studies on how students perceive engineering, as well as corresponding intervention strategies to introduce younger students to engineering and inform their conceptions of engineering. Unfortunately, such interventions are typically not designed in culturally relevant ways. Consequently, there continues to be a lack of students entering engineering and a low level of diverse candidates for this profession. The purpose of this study was to explore how students in rural and Appalachian Virginia conceive of engineering before and after engagement with culturally relevant hands-on activities in the classroom. We used student responses to the Draw an Engineer Test (DAET), consisting of a drawing and several open-ended prompts administered before and after the set of engagements, to answer our research questions related to changes in students’ conceptions of engineering. We used this study to develop recommendations for teachers for the use of such engineering engagement practices and how to best assess their outcomes, including looking at the practicality of the DAET. Overall, we found evidence that our classroom engagements positively influenced students’ conceptions of engineering in these settings

Oxygen tension, H2S, and NO bioavailability:is there an interaction?

Molecular oxygen (O2) is an essential component for survival and development. Variation in O2 levels leads to changes in molecular signaling and ultimately affects the physiological functions of many organisms. Nitric oxide (NO) and hydrogen sulfide (H2S) are two gaseous cellular signaling molecules that play key roles in several physiological functions involved in maintaining vascular homeostasis including vasodilation, anti-inflammation, and vascular growth. Apart from the aforementioned functions, NO and H2S are believed to mediate hypoxic responses and serve as O2 chemosensors in biological systems. In this literature review, we briefly discuss NO and H2S and their roles during hypoxia