Current Trends in the Management of Invasive Cervical Resorption

Purpose: To determine how endodontic practitioners are currently managing cases of invasive cervical resorption. Also, to analyze how invasive cervical resorption (ICR) has been managed at Virginia Commonwealth University (VCU) over the past ten years. Methods: Both domestic and international endodontists were invited to participate in a 14-question survey developed and administered via REDCap. Survey invitations were sent via email to currently practicing endodontists. Electronic dental records were queried for patients diagnosed with ICR at VCU in the preceding ten years. Results of both were summarized using descriptive statistics (counts and percentages). Fisher’s exact test was used to compare survey responses between domestic and international respondents. Results: 154 endodontists responded to the survey and 80 cases of ICR were identified in the VCU axiUm chart review. The majority of endodontists reported preferring to treat ICR lesions immediately upon diagnosis. However, there was a significant amount of responses and cases analyzed where monitoring without intervention was the treatment plan of choice. With increased lesion severity, endodontists were more likely to recommend monitoring lesions with frequent recall. Conclusion: There appears to be no clear consensus on how ICR cases should be managed. There seems to be precedent for managing cases in several different ways. Each case must be evaluated on an individual basis

Subject/Matter

The process of obtaining the Master of Fine Arts degree led me to probe the aims and methods of my artmaking. What emerged and became uppermost was the issue of form and content or perhaps form versus content. While highly concerned with the formal aspects of art, content (subject matter) would not fade from my intentions or cease to occupy my mind. Through much soul searching and inquiries into numerous materials both familiar and new to me, I concluded that my intended content was about my experience of being. I further distilled my conclusion and focused on my ontological experience in terms of the self (subject) as contained by the body (matter). I realized that the successful and specific translation of my intentions into my artistic works had become one of the core issues in my artmaking endeavors. Thus, clarification of subject matter emerged as a core issue from the two year process and focused my attention. The many mediums I worked with helped to increase my sensitivity to the inherent nature, characteristics, and behaviors of materials. The body of work exhibited in the Autzen Gallery m Neuberger Hall from June 5th through the 20th reflects the preliminary residuals of this process

Proof of the Double Bubble Conjecture in R^n

The least-area hypersurface enclosing and separating two given volumes in R^n is the standard double bubble.Comment: 20 pages, 22 figure

Existence of Least-perimeter Partitions

We prove the existence of a perimeter-minimizing partition of R^n into regions of unit volume. We conclude with a short tribute to the late Manuel A. Fortes.Comment: 5 pages; for submission to Fortes memorial isue of Philosphical Magazine Letter

Humoral and Cell-Mediated Immunity to Pandemic H1N1 Influenza in a Canadian Cohort One Year Post-Pandemic: Implications for Vaccination

We evaluated a cohort of Canadian donors for T cell and antibody responses against influenza A/California/7/2009 (pH1N1) at 8-10 months after the 2nd pandemic wave by flow cytometry and microneutralization assays. Memory CD8 T cell responses to pH1N1 were detectable in 58% (61/105) of donors. These responses were largely due to cross-reactive CD8 T cell epitopes as, for those donors tested, similar recall responses were obtained to A/California 2009 and A/PR8 1934 H1N1 Hviruses. Longitudinal analysis of a single infected individual showed only a small and transient increase in neutralizing antibody levels, but a robust CD8 T cell response that rose rapidly post symptom onset, peaking at 3 weeks, followed by a gradual decline to the baseline levels seen in a seroprevalence cohort post-pandemic. The magnitude of the influenza-specific CD8 T cell memory response at one year post-pandemic was similar in cases and controls as well as in vaccinated and unvaccinated donors, suggesting that any T cell boosting from infection was transient. Pandemic H1-specific antibodies were only detectable in approximately half of vaccinated donors. However, those who were vaccinated within a few months following infection had the highest persisting antibody titers, suggesting that vaccination shortly after influenza infection can boost or sustain antibody levels. For the most part the circulating influenza-specific T cell and serum antibody levels in the population at one year post-pandemic were not different between cases and controls, suggesting that natural infection does not lead to higher long term T cell and antibody responses in donors with pre-existing immunity to influenza. However, based on the responses of one longitudinal donor, it is possible for a small population of pre-existing cross-reactive memory CD8 T cells to expand rapidly following infection and this response may aid in viral clearance and contribute to a lessening of disease severity

Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy

Inhaled corticosteroids (ICSs) are the most effective anti-inflammatory agents available for the treatment of asthma and represent the mainstay of therapy for most patients with the disease. Although these medications are considered safe at low-to-moderate doses, safety concerns with prolonged use of high ICS doses remain; among these concerns is the risk of adrenal suppression (AS). AS is a condition characterized by the inability to produce adequate amounts of the glucocorticoid, cortisol, which is critical during periods of physiological stress. It is a proven, yet under-recognized, complication of most forms of glucocorticoid therapy that can persist for up to 1 year after cessation of corticosteroid treatment. If left unnoticed, AS can lead to significant morbidity and even mortality. More than 60 recent cases of AS have been described in the literature and almost all cases have involved children being treated with ≥500 μg/day of fluticasone

Associations of autozygosity with a broad range of human phenotypes

In many species, the offspring of related parents suffer reduced reproductive success, a phenomenon known as inbreeding depression. In humans, the importance of this effect has remained unclear, partly because reproduction between close relatives is both rare and frequently associated with confounding social factors. Here, using genomic inbreeding coefficients (F-ROH) for >1.4 million individuals, we show that F-ROH is significantly associated (p <0.0005) with apparently deleterious changes in 32 out of 100 traits analysed. These changes are associated with runs of homozygosity (ROH), but not with common variant homozygosity, suggesting that genetic variants associated with inbreeding depression are predominantly rare. The effect on fertility is striking: F-ROH equivalent to the offspring of first cousins is associated with a 55% decrease [95% CI 44-66%] in the odds of having children. Finally, the effects of F-ROH are confirmed within full-sibling pairs, where the variation in F-ROH is independent of all environmental confounding.Peer reviewe