Establishing comprehensive oral assessments for children with safeguarding concerns.

The dental profession is well placed to contribute important information in child protection cases but no previous research has been reported that assesses the volume or impact of this information. Comprehensive oral assessment clinics were introduced and established as an integral part of comprehensive medical assessments for children with welfare concerns in Greater Glasgow and Clyde. An assessment protocol and standardised paperwork for comprehensive oral assessments were developed to enhance information sharing and patient access to appropriate care. Two cases are presented and discussed to demonstrate the value of dental input

Persistent Poverty and Path Dependency: Agrarian Reform: Lessons from the United States and India

Summaries The historical experience of the United States, where aggregate wealth multiplied in abundance but persistent poverty is glaring, offers concrete illustration that growth is not a sufficient condition for poverty alleviation in the transition from agrarian society. In contrast, the State of Kerala in South India abolished an agrarian system based on agrestic serfdom and slavery in a compressed time period and has been notably successful in reducing the incidence of poverty despite income and growth rates well below the Indian mean. Though sometimes romanticised, the ‘Kerala model’ offers both positive and negative lessons from its thorough agrarian reform. Though less prominent in public discourse after the end of the Cold War, agrarian reform still offers significant poverty reduction advantages in comparison with alternatives

An Underground Coal Mine Fire Preparedness And Response Checklist: The Instrument

Preparedness is an important element of any underground mine's strategic plan in dealing with an unexpected event, such as a fire. A fully implemented fire preparedness and response plan is essential in reducing the probability and seriousness of a mine fire. This report describes the development of an underground coal mine fire preparedness and response checklist (MFPRC). The checklist is a data collection instrument for profiling both the fire prevention and response capabilities of a mine site and usually requires 3 to 4 days to complete. The checklist encompasses conditions, procedures, and equipment that have frequently been identified as the primary or contributing causes of underground coal mine fires. At least 1 day is needed underground to evaluate the water system. This entails measurements of water flows and pressures at fire hydrants, and water throw distances of fire hose and nozzles at several locations (mains and branch lines). A few of the other topics that are discussed with mine personnel include detection and suppression systems, combustible materials, mine rescue and fire brigades, and firefighting equipment. The MFPRC was developed by the National Institute for Occupational Safety and Health (NIOSH),Pittsburgh Research Laboratory. Under a Cooperative Research and Development Agreement (CRADA) with Cyprus Amax, Twenty mile Coal Co. (Oak Creek, CO), the checklist was field tested and further refined. Additional field tests were conducted at several other operating coal mines

Effect of Disinfectants on Mechanical Properties of Orthodontic Acrylics

Objective. Infection control protocols in dentistry dictate that orthodontic acrylics have to be disinfected. No specific products for orthodontic acrylics are available. The objective of this study was to investigate the influence of chemical disinfectants on mechanical properties of orthodontic acrylics. Materials and Methods. 260 test specimens of two cold-curing orthodontic acrylics were manufactured. Three chemical disinfecting agents were tested: Impresept, D050 Instru-Gen, and Stammopur DR. Test specimens were stored in distilled water and divided into test groups. E-Modulus, flexural strength, macro hardness, micro hardness, average roughness, and colour change were measured. Results. Disinfection agents showed no significant influence on E-modulus. Values ranged from 1783.80 ± 163.80 MPa (Forestacryl colourless) to 2474.00 ± 135.00 MPa (Orthocryl green) after storage in distilled water. Disinfection agents performed no significant influence on flexural strength. Values ranged from 18.64±1.59 N/mm2 (Forestacryl colourless) to 25.64 ± 1.43 N/mm2 (Orthocryl green) after storage in distilled water. Orthocryl colourless showed a reduction of the macro hardness after disinfection (Stammopur DR (p≤0.001), D050 Instru-Gen (p≤0.037)). Disinfection of Orthocryl green with D050 Instru-Gen (p<0.001) and Forestacryl colourless with Impresept (p≤0.001) led to a reduction of macro hardness. Micro hardness of Orthocryl colourless altered significantly after disinfection with D050 Instru-Gen (p≤0.001). Micro hardness of Forestacryl colourless increased (Impresept (p≤0.039)) and decreased (Stammopur DR (p≤0.006) Instru-Gen (p≤0.001)) after disinfection. Average roughness did not change significantly (Orthocryl colourless). Forestacryl colourless performed a significant change after disinfection with Stammopur DR (p≤0.05). This is also true for the disinfection of Orthocryl green and Forestacryl pink with Instru-Gen (p≤0.05). Disinfection performed no significant influence on colour change. ΔE-values were in a range of 1 to 2. Conclusions. Some orthodontic acrylics disinfection caused significant changes of determined parameters. Changes were specific for the applied disinfectant and tested orthodontic acrylic. Further studies should verify the impact of long-term disinfection intervals. Thus, from manufacturers of orthodontic acrylics recommendations for appropriate disinfectants would be desirable