Anxiety reduction via brief intervention in dentally anxious patients : a randomized controlled trial

Aim: To compare the degree of anxiety reduction in dentally anxious patients attending a Dental Access Centre where the dentist did or did not receive the patients’ assessment of dental anxiety. Methods: Patients attending two Dental Access Centres in England, completed the Modified Dental Anxiety Scale (MDAS). Those that scored high completed a state anxiety questionnaire (STAI-S) and were randomized into three groups (n=182) to test the hypothesis that patients sharing assessment information about their dental anxiety to members of the dental team has beneficial effects on their state anxiety. Group 1 were controls (n=60), Group 2 gave their MDAS to the receptionist who passed it onto the dentist unknown to the patient (n=62) and Group 3 handed their MDAS to the dentist (n=60). After their appointment they repeated the STAI-S. Results and conclusion: Patients in Group 3 were less anxious (by more than STAI-S 3 scale units) on leaving the surgery than those from the other groups especially if they entered into a discussion with the dentist about their concerns (by more than 5 scale units). Brief assessment of dental anxiety shared by the patient with the dentist collaboratively has the potential to reduce anxiety on completion of the appointment. Dental anxiety is common, has a multifactorial aetiology, and is far from being homogenous, as individuals seem to differ in the origins, age of onset and manifestations of their dental fears (Locker et al., 2001b); (Milgrom et al., 1988). Previous negative experiences are a major factor in the development of dental anxiety (Kleinknect et al., 1973); (Bernstein et al., 1979); (de Jongh et al., 1995); (Locker et al., 1999); (Ost and Hugdahl, 1985). For some individuals, their fear of dentistry may be associated with concurrent anxiety disorders, or more general psychopathology (Locker, 2003); (Locker et al., 2001a).PreprintPeer reviewe

Exotic tensor gauge theory and duality

Gauge fields in exotic representations of the Lorentz group in D dimensions - i.e. ones which are tensors of mixed symmetry corresponding to Young tableaux with arbitrary numbers of rows and columns - naturally arise through massive string modes and in dualising gravity and other theories in higher dimensions. We generalise the formalism of differential forms to allow the discussion of arbitrary gauge fields. We present the gauge symmetries, field strengths, field equations and actions for the free theory, and construct the various dual theories. In particular, we discuss linearised gravity in arbitrary dimensions, and its two dual forms.Comment: 28 pages, LaTeX, references added, minor change

Comparison of glistenings formation and their effect on forward light scatter between the Acrysof SN60WF and Eternity Natural Uni NW-60 intraocular lenses

Aims: To compare the characteristics of glistenings and forward light scatter between the Alcon Acrysof SN60WF and Santen Eternity Natural Uni NW-60 intraocular lenses (IOLs). Methods: Five Acrysof SN60WF and five Eternity Natural Uni NW-60 IOLs were studied. All IOLs were single piece blue blockers with the same dioptric power (20D) and optic diameter (6.0 mm). Glistenings were induced by a thermal accelerated ageing process. Glistenings were objectively quantified using bespoke image processing software. The angular distribution of forward light scatter was measured using an optical bench system and the straylight parameter calculated from the light scatter function. Results: The median increase in the number of glistenings was 15 and 525 for the Eternity and Acrysof IOLs, respectively, which was statistically significantly different (p=0.012). Median glistenings diameter was 23.8 μm (Acrysof) and 32.8 μm (Eternity). Four (80%) of the Acrysof lenses had straylight values higher than a 20-year-old CIE standard glare observer and in two cases the straylight exceeded that of the 70-year-old CIE standard glare observer. None of the Eternity lenses had straylight values that exceeded the value for the 20-year-old CIE standard glare observer. Conclusions: The Eternity Natural Uni NW-60 IOLs resisted the induction of glistenings more than the Acrysof SN60WF IOLs. Although the Acrysof IOLs developed smaller glistenings than the Eternity IOLs, there were sufficient numbers to produce a higher straylight parameter

A Geometry for Non-Geometric String Backgrounds

A geometric string solution has background fields in overlapping coordinate patches related by diffeomorphisms and gauge transformations, while for a non-geometric background this is generalised to allow transition functions involving duality transformations. Non-geometric string backgrounds arise from T-duals and mirrors of flux compactifications, from reductions with duality twists and from asymmetric orbifolds. Strings in ` T-fold' backgrounds with a local $n$-torus fibration and T-duality transition functions in $O(n,n;\Z)$ are formulated in an enlarged space with a $T^{2n}$ fibration which is geometric, with spacetime emerging locally from a choice of a $T^n$ submanifold of each $T^{2n}$ fibre, so that it is a subspace or brane embedded in the enlarged space. T-duality acts by changing to a different $T^n$ subspace of $T^{2n}$. For a geometric background, the local choices of $T^n$ fit together to give a spacetime which is a $T^n$ bundle, while for non-geometric string backgrounds they do not fit together to form a manifold. In such cases spacetime geometry only makes sense locally, and the global structure involves the doubled geometry. For open strings, generalised D-branes wrap a $T^n$ subspace of each $T^{2n}$ fibre and the physical D-brane is the part of the part of the physical space lying in the generalised D-brane subspace.Comment: 28 Pages. Minor change

Macroscopic Phase Coherence of Defective Vortex Lattices in Two Dimensions

The superfluid density is calculated theoretically for incompressible vortex lattices in two dimensions that have isolated dislocations quenched in by a random arrangement of pinned vortices. The latter are assumed to be sparse and to be fixed to material defects. It is shown that the pinned vortices act to confine a single dislocation of the vortex lattice along its glide plane. Plastic creep of the two-dimensional vortex lattice is thereby impeded, and macroscopic phase coherence results at low temperature in the limit of a dilute concentration of quenched-in dislocations.Comment: 18 pages, 1 figure, 1 table, new title, submitted to Physical Review

Clinical and material degradations of intraocular lenses: A review

Purpose: To review the published scientific literature concerning clinical and material degradations of intraocular lenses after implantation in cataract surgery. Methods: A search was undertaken using the following databases: CENTRAL (including Cochrane Eyes and Vision Trials Register; The Cochrane Library: Issue 2 of 12 February 2019), Ovid MEDLINE (R) without Revisions (1996 to February week 2, 2019), Ovid MEDLINE (R) (1946 to February week 2, 2019), Ovid MEDLINE (R) Daily Update 19 February 2019, MEDLINE and MEDLINE non-indexed items, Embase (1980–2019, week 7), Embase (1974–2019, 19 February), Ovid MEDLINE (R) and Epub Ahead of Print, in-Process & Other Non-Indexed Citations and Daily (1946 to 19 February 2019), Web of Science (all years), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrial.gov) and the WHO International Clinical Trials Registry Platform (www.who.int/ictrp/search/en). Only published articles in English were selected. Search terms/keywords included ‘IOL’ or ‘intraocular lens’, combined with ‘opacification’, degradation, glistenings, nanoglistenings, whitening, transmittance, light scatter, discolouration/discoloration, performance, quality, material, biocompatibility, calcification, explantation and ultraviolet/UV radiation. Relevant in-article references not returned in our searches were also considered. Results: After review of the available articles, the authors included 122 publications in this review, based on the quality of their methodology and their originality. The studies included in this review were randomized controlled trials, cohort studies, case-controlled studies, case series, case reports, laboratory studies and review papers. Differing material degradations of intraocular lenses have been described and their associated pathophysiology studied. Reported anomalies include photochemical alterations, water vacuoles, internal and surface calcific deposits, surface coatings and discolouration. The nature of such changes has been shown to depend on the type of intraocular lenses material used and/or manufacturing processes and storage conditions employed. Changes in the intraocular lens can also be influenced by surgical technique, coexisting ocular pathologies and topical and systemic medications. The clinical significance of these degradations is variable, with some resulting in significant visual disturbance and the need for intraocular lens explantation and others producing only minimal visual impairments. Failure to recognize the precise nature of the problem may lead to unnecessary laser capsulotomy procedures. Conclusion: Clinical degradations of intraocular lenses are uncommon but have been reported following the implantation of intraocular lenses made of differing biomaterials. Their correct identification and thorough investigation to determine the underlying cause is necessary for optimal patient management and the prevention of such problems. Choosing a lens made of a particular material may be important in patients with certain ocular conditions

Frame-like Geometry of Double Field Theory

We relate two formulations of the recently constructed double field theory to a frame-like geometrical formalism developed by Siegel. A self-contained presentation of this formalism is given, including a discussion of the constraints and its solutions, and of the resulting Riemann tensor, Ricci tensor and curvature scalar. This curvature scalar can be used to define an action, and it is shown that this action is equivalent to that of double field theory.Comment: 35 pages, v2: minor corrections, to appear in J. Phys.