Maxillary nerve block: A comparison between the greater palatine canal and high tuberosity approaches.

Aim: Analgesia and anxiolysis during dental procedures are important for dental care and patient compliance. This study aims to compare two classical maxillary nerve block (MNB) techniques: the greater palatine canal (GPC) and the high tuberosity (HT) approaches, seldom used in routine dental practice. Methods: The study was conducted on 30 patients, scheduled for sinus lift surgery, who were randomly divided into 2 groups: the GPC approach to the MNB was used in 15 and the HT one in the other 15 patients. Anxiolysis was also used, depending on the results of the pre- preoperative assessment. Patients\u2019 sensations/pain during the procedure, details about anesthesia, and the dentist\u2019s considerations were all recorded. Data are expressed as mean \ub1SD. Statistical tests including ANOVA, \u3c72 following Yates correction and linear regression analysis were carried out. A < 0.05 p value was considered significant. Results: Study results showed that the anesthesia was effective and constant in the molar and premolar area. Additional infiltrations of local anesthetics were necessary for vestibular and palatal areas in the anterior oral cavity, respectively, in the GPC and HT groups. The two techniques were equally difficult to carry out in the dentist\u2019s opinion. There were no differences in pain or unpleasant sensations between the two groups, nor were any anesthesia-related complications reported. Conclusion: The GPC approach ensures effective anesthesia in the posterior maxillary region as far as both the dental pulp and the palatal/vestibular mucous membranes are concerned; the HT approach did not guarantee adequate anesthesia of the pterygopalatine branch of the maxillary nerve. These regional anesthesia techniques were characterized by a low incidence of intra and postoperative pain, no noteworthy complications, and high patient satisfaction

Stellar structures in the outer regions of M33

We present Subaru/Suprime-Cam deep V and I imaging of seven fields in the outer regions of M33. Our aim is to search for stellar structures corresponding to extended HI clouds found in a recent 21-cm survey of the galaxy. Three fields probe a large HI complex to the southeastern (SE) side of the galaxy. An additional three fields cover the northwestern (NW) side of the galaxy along the HI warp. A final target field was chosen further north, at a projected distance of approximately 25 kpc, to study part of the large stellar plume recently discovered around M33. We analyse the stellar population at R > 10 kpc by means of V, I colour magnitude diagrams reaching the red clump. Evolved stellar populations are found in all fields out to 120' (~ 30 kpc), while a diffuse population of young stars (~ 200 Myr) is detected out to a galactocentric radius of 15 kpc. The mean metallicity in the southern fields remains approximately constant at [M/H] = -0.7 beyond the edge of the optical disc, from 40' out to 80'. Along the northern fields probing the outer \hi disc, we also find a metallicity of [M/H] = -0.7 between 35' and 70' from the centre, which decreases to [M/H] = -1.0 at larger angular radii out to 120'. In the northernmost field, outside the disc extent, the stellar population of the large stellar feature possibly related to a M33-M31 interaction is on average more metal-poor ([M/H] = -1.3) and older (> 6 Gyr). An exponential disc with a large scale-length (~ 7 kpc) fits well the average distribution of stars detected in both the SE and NW regions from a galactocentric distance of 11 kpc out to 30 kpc. The stellar distribution at large radii is disturbed and, although there is no clear correlation between the stellar substructures and the location of the HI clouds, this gives evidence for tidal interaction or accretion events.Comment: 13 pages, 13 figures. Accepted for publications in Astronomy and Astrophysics; minor revisions of the tex

Oral malodor in Special Care Patients: current knowledge

Epidemiological studies report that about 50% of the population may have oral malodor with a strong social and psychological impact in their daily life. When intra-oral causes are excluded, referral to an appropriate medical specialist is paramount for management and treatment of extra-oral causes. The intra-oral causes of halitosis are highly common, and the dentist is the central clinician to diagnose and treat them. Pseudohalitosis or halitophobia may occur and an early identification of these conditions by the dentist is important in order to avoid unnecessary dental treatments for patients who need psychological or psychiatric therapy. The organoleptic technique is still considered the most reliable examination method to diagnose genuine halitosis. Special needs patients are more prone than others to have oral malodor because of concurrent systemic or metabolic diseases, and medications. The present report reviews halitosis, its implications, and the management in special care dentistry

A numerical study of the effects of primordial non-Gaussianities on weak lensing statistics

While usually cosmological initial conditions are assumed to be Gaussian, inflationary theories can predict a certain amount of primordial non-Gaussianity which can have an impact on the statistical properties of the lensing observables. In order to evaluate this effect, we build a large set of realistic maps of different lensing quantities starting from light-cones extracted from large dark-matter only N-body simulations with initial conditions corresponding to different levels of primordial local non-Gaussianity strength $f_{\rm NL}$. Considering various statistical quantities (PDF, power spectrum, shear in aperture, skewness and bispectrum) we find that the effect produced by the presence of primordial non-Gaussianity is relatively small, being of the order of few per cent for values of $|f_{\rm NL}|$ compatible with the present CMB constraints and reaching at most 10-15 per cent for the most extreme cases with $|f_{\rm NL}|=1000$. We also discuss the degeneracy of this effect with the uncertainties due to the power spectrum normalization $\sigma_8$ and matter density parameter $\Omega_{\rm m}$, finding that an error in the determination of $\sigma_8$ ($\Omega_{\rm m}$) of about 3 (10) per cent gives differences comparable with non-Gaussian models having $f_{\rm NL}=\pm 1000$. These results suggest that the possible presence of an amount of primordial non-Gaussianity corresponding to $|f_{\rm NL}|=100$ is not hampering a robust determination of the main cosmological parameters in present and future weak lensing surveys, while a positive detection of deviations from the Gaussian hypothesis is possible only breaking the degeneracy with other cosmological parameters and using data from deep surveys covering a large fraction of the sky.Comment: accepted by MNRA

Optimal cache-aware suffix selection

Given string $S[1..N]$ and integer $k$, the {\em suffix selection} problem is to determine the $k$th lexicographically smallest amongst the suffixes $S[i... N]$, $1 \leq i \leq N$. We study the suffix selection problem in the cache-aware model that captures two-level memory inherent in computing systems, for a \emph{cache} of limited size $M$ and block size $B$. The complexity of interest is the number of block transfers. We present an optimal suffix selection algorithm in the cache-aware model, requiring \Thetah{N/B} block transfers, for any string $S$ over an unbounded alphabet (where characters can only be compared), under the common tall-cache assumption (i.e. M=\Omegah{B^{1+\epsilon}}, where $\epsilon<1$). Our algorithm beats the bottleneck bound for permuting an input array to the desired output array, which holds for nearly any nontrivial problem in hierarchical memory models

Observations on the Behavior and Reconstitution of Chlorpromazine-Treated Planaria (Dugesia Tigrina)

Author Institution: Department of Biology, The College of Steubenville, Steubenville, Ohi