Providing Preventive Oral Health Care to Infants and Young Children in Women, Infants, and Children (WIC), Early Head Start, and Primary Care Settings

This report focuses on seven oral health programs that provide preventive oral health care to young children (infants, toddlers, and children up to 5 years old) in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Early Head Start (EHS), and primary care settings. All of the programs strive to increase access to preventive oral health care by integrating dental services into primary care settings, WIC clinics, or EHS centers. These programs also rely on primary care providers (physicians, nurses, medical assistants, etc.) or new types of dental hygienists who can practice in community settings to deliver preventive oral health services. Two additional reports in this series describe the remaining programs that provide care in non-dental settings and programs designed to specifically address socioeconomic, cultural, and geographic barriers to preventive oral health care.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies that are utilized to provide preventive oral health care in primary care settings, WIC clinics, or EHS centers. These strategies have potential for rigorous evaluation and could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Fatiguing Trunk Flexor Exercise Decreases Pain Sensitivity in Postpartum Women

Background: Low back pain (LBP) is common in the general population and among postpartum women. Abdominal muscle exercise is often used to treat LBP, but it is unknown if fatiguing abdominal muscle exercise can produce exercise-induced hypoalgesia (EIH). Objectives: To assess pressure pain thresholds (PPTs) at rest and following fatiguing trunk flexor exercise (EIH) in (1) nulligravid and postpartum women to evaluate the impact of pregnancy and childbirth and (2) nulligravid women and men to examine sex differences. Methods: Seventy healthy adults (31 postpartum women, 23 nulligravid women, 16 men) participated. Postpartum and nulligravid women were tested twice (16–18 weeks apart) to identify changes in EIH with postpartum recovery. PPTs were measured at the nailbed and superior rectus abdominis before and after exercise to investigate systemic and local EIH, respectively. Rectus abdominis muscle thickness was assessed with ultrasound. Results: Postpartum women reported lower PPTs than nulligravid women at the abdomen (p \u3c 0.05) whereas postpartum women had lower PPTs at the nailbed during the first session only. Men reported higher nailbed PPTs (p = 0.047) and similar PPTs at the abdomen than women (p = 0.294). All groups demonstrated EIH at the abdomen (p \u3c 0.05). Systemic EIH was absent in postpartum and nulligravid women (p \u3e 0.05), while men demonstrated hyperalgesia. Local EIH was positively associated with muscle thickness for men and women, which was not significant at the second timepoint. Limitations: Acute exercise response may not reflect changes that occur with exercise training. Conclusion: Fatiguing trunk flexor exercise produced local EIH for all groups including postpartum and nulligravid women. Clinically, trunk exercises may be useful for acute pain relief for clinical populations that are characterized by pain and/or weakness in the abdominal region muscles in populations with abdominal pain syndromes

Electron Transfer Reaction Through an Adsorbed Layer

We consider electron transfer from a redox to an electrode through and adsorbed intermediate. The formalism is developed to cover all regimes of coverage factor, from lone adsorbate to monolayer regime. The randomness in the distribution of adsorbates is handled using coherent potential approximation. We give current-overpotential profile for all coverage regimes. We explictly analyse the low and high coverage regimes by supplementing with DOS profile for adsorbate in both weakly coupled and strongly coupled sector. The prominence of bonding and anti-bonding states in the strongly coupled adsorbates at low coverage gives rise to saddle point behaviour in current-overpotential profile. We were able to recover the marcus inverted region at low coverage and the traditional direct electron transfer behaviour at high coverage

Carbon and titanium diboride (TiB2) multilayer coatings.

Titanium Diboride, (TiB2) is a metal-based refractory ceramic material that has been investigated in industrial applications ranging from, cutting tools to wear parts and for use in the aerospace industry. The unique properties which make this material so fascinating are, its high hardness, high melting point and its corrosion resistance. TiB2 is prevented from wider mainstream use because of its inherent brittle nature. With a view to overcome this in coating form and with the aim of providing in addition inherent lubricity, in this study 50 layer TiB2/C multilayer stacks have been fabricated, with varying volume fractions of ceramic, whereby the interfaces of the layers limit crack propagation in the TiB2 ceramic. TiB2 has been multilayered with carbon, to make use of the unique and hybrid nature of the bonding in carbon coatings. DC magnetron sputtering with substrate bias was the preferred route for the fabrication of these coatings. AISI tool steel has been used as the substrate material. By varying the amount of TiB2 ceramic from 50% to 95%, the Hardness of the coating is seen to increase from 5 GPa to 17GPa. The Hardness is observed to decrease as a function of increasing carbon content, agreeing with other studies that the carbon layers are not load-bearing. The graphitic nature of the sp2 bond, however, acts as a lubricant layer

Canonical Equivalence of a Generic 2D Dilaton Gravity Model and a Bosonic String Theory

We show that a canonical tranformation converts, up to a boundary term, a generic 2d dilaton gravity model into a bosonic string theory with a Minkowskian target space.Comment: LaTeX file, 9 pages, no figure

Density excitations of a harmonically trapped ideal gas

The dynamic structure factor of a harmonically trapped Bose gas has been calculated well above the Bose-Einstein condensation temperature by treating the gas cloud as a canonical ensemble of noninteracting classical particles. The static structure factor is found to vanish as wavenumber squared in the long-wavelength limit. We also incorporate a relaxation mechanism phenomenologically by including a stochastic friction force to study the dynamic structure factor. A significant temperature dependence of the density-fluctuation spectra is found. The Debye-Waller factor has been calculated for the trapped thermal cloud as function of wavenumber and of particle number. A substantial difference is found between clouds of small and large particle number