Correlation between Laser Fluorescence Readings and Volume of Tooth Preparation in Incipient Occlusal Caries In Vitro

This study evaluated the correlation between laser fluorescence readings and the extent of incipient occlusal caries as measured by the volume of tooth preparation in vitro.One hundred and three permanent molars and premolars containing incipient occlusal pit-and-fissure caries and sound occlusal surfaces (1/4 of the sample, control) were selected. DIAGNOdent (KaVo Dental Corporation, Lake Zurich, IL, USA) readings were obtained according to manufacturer instructions. Caries was removed with 1/4 round burs in high speed. The volume of tooth preparation was measured using a surrogate measure based on the amount of composite needed to fill the preparations. Sensitivity and specificity using different cutoff values were calculated for lesions/preparations extending into dentin. The results were analyzed statistically.The Pearson correlation for preparation volume and DIAGNOdent reading measurements was low ( r  = 0.285). Sensitivity and specificity of DIAGNOdent for detection of dentinal lesions were 0.83 and 0.60, and 0.66 and 0.73 for the cutoff values of 20 and 30, respectively.Within the limitations of this study, laser fluorescence measured with DIAGNOdent does not correlate well with extent of carious tooth structure in incipient occlusal caries.Clinicians should not rely only on DIAGNOdent readings to determine the extension of incipient occlusal caries.( J Esthet Restor Dent 22:31–41, 2010)Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78687/1/j.1708-8240.2009.00309.x.pd

Association of prenatal diagnosis of critical congenital heart disease with postnatal brain development and the risk of brain injury

IMPORTANCE: The relationship of prenatal diagnosis of critical congenital heart disease (CHD) with brain injury and brain development is unknown. Given limited improvement of CHD outcomes with prenatal diagnosis, the effect of prenatal diagnosis on brain health may reveal additional benefits. OBJECTIVE: To compare the prevalence of preoperative and postoperative brain injury and the trajectory of brain development in neonates with prenatal vs postnatal diagnosis of CHD. DESIGN, SETTING, AND PARTICIPANTS: Cohort study of term newborns with critical CHD recruited consecutively from 2001 to 2013 at the University of California, San Francisco and the University of British Columbia. Term newborns with critical CHD were studied with brain magnetic resonance imaging preoperatively and postoperatively to determine brain injury severity and microstructural brain development with diffusion tensor imaging by measuring fractional anisotropy and the apparent diffusion coefficient. Comparisons of magnetic resonance imaging findings and clinical variables were made between prenatal and postnatal diagnosis of critical CHD. A total of 153 patients with transposition of the great arteries and single ventricle physiology were included in this analysis. MAIN OUTCOMES AND MEASURES: The presence of brain injury on the preoperative brain magnetic resonance imaging and the trajectory of postnatal brain microstructural development. RESULTS: Among 153 patients (67% male), 96 had transposition of the great arteries and 57 had single ventricle physiology. The presence of brain injury was significantly higher in patients with postnatal diagnosis of critical CHD (41 of 86 [48%]) than in those with prenatal diagnosis (16 of 67 [24%]) (P = .003). Patients with prenatal diagnosis demonstrated faster brain development in white matter fractional anisotropy (rate of increase, 2.2%; 95% CI, 0.1%-4.2%; P = .04) and gray matter apparent diffusion coefficient (rate of decrease, 0.6%; 95%CI, 0.1%-1.2%; P = .02). Patients with prenatal diagnosis had lower birth weight (mean, 3184.5 g; 95%CI, 3050.3–3318.6) than those with postnatal diagnosis (mean, 3397.6 g; 95%CI, 3277.6–3517.6) (P = .02). Those with prenatal diagnosis had an earlier estimated gestational age at delivery (mean, 38.6 weeks; 95%CI, 38.2–38.9) than those with postnatal diagnosis (mean, 39.1 weeks; 95%CI, 38.8–39.5) (P = .03). CONCLUSIONS AND RELEVANCE: Newborns with prenatal diagnosis of single ventricle physiology and transposition of the great arteries demonstrate less preoperative brain injury and more robust microstructural brain development than those with postnatal diagnosis. These results are likely secondary to improved cardiovascular stability. The impact of these findings on neurodevelopmental outcomes warrants further study

Drift-dependent changes in iceberg size-frequency distributions

Although the size-frequency distributions of icebergs can provide insight into how they disintegrate, our understanding of this process is incomplete. Fundamentally, there is a discrepancy between iceberg power-law size-frequency distributions observed at glacial calving fronts and lognormal size-frequency distributions observed globally within open waters that remains unexplained. Here we use passive seismic monitoring to examine mechanisms of iceberg disintegration as a function of drift. Our results indicate that the shift in the size-frequency distribution of iceberg sizes observed is a product of fracture-driven iceberg disintegration and dimensional reductions through melting. We suggest that changes in the characteristic size-frequency scaling of icebergs can be explained by the emergence of a dominant set of driving processes of iceberg degradation towards the open ocean. Consequently, the size-frequency distribution required to model iceberg distributions accurately must vary according to distance from the calving front

White matter injury in term neonates with congenital heart diseases: Topology & comparison with preterm newborns

Background: Neonates with congenital heart disease (CHD) are at high risk of punctate white matter injury (WMI) and impaired brain development. We hypothesized that WMI in CHD neonates occurs in a characteristic distribution that shares topology with preterm WMI and that lower birth gestational age (GA) is associated with larger WMI volume. Objective: (1) To quantitatively assess the volume and location of WMI in CHD neonates across three centres. (2) To compare the volume and spatial distribution of WMI between term CHD neonates and preterm neonates using lesion mapping. Methods: In 216 term born CHD neonates from three prospective cohorts (mean birth GA: 39 weeks), WMI was identified in 86 neonates (UBC: 29; UCSF: 43; UCZ: 14) on pre- and/or post-operative T1 weighted MRI. WMI was manually segmented and volumes were calculated. A standard brain template was generated. Probabilistic WMI maps (total, pre- and post-operative) were developed in this common space. Using these maps, WMI in the term CHD neonates was compared with that in preterm neonates: 58 at early-in-life (mean postmenstrual age at scan 32.2 weeks); 41 at term-equivalent age (mean postmenstrual age at scan 40.1 weeks). Results: The total WMI volumes of CHD neonates across centres did not differ (p = 0.068): UBC (median = 84.6 mm 3 , IQR = 26–174.7 mm 3 ); UCSF (median = 104 mm 3 , IQR = 44–243 mm 3 ); UCZ (median = 121 mm 3 , IQR = 68–200.8 mm 3 ). The spatial distribution of WMI in CHD neonates showed strong concordance across centres with predilection for anterior and posterior rather than central lesions. Predominance of anterior lesions was apparent on the post-operative WMI map relative to the pre-operative map. Lower GA at birth predicted an increasing volume of WMI across the full cohort (41.1 mm 3 increase of WMI per week decrease in gestational age; 95% CI 11.5–70.8; p = 0.007), when accounting for centre and heart lesion. While WMI in term CHD and preterm neonates occurs most commonly in the intermediate zone/outer subventricular zone there is a paucity of central lesions in the CHD neonates relative to preterms. Conclusions: WMI in term neonates with CHD occurs in a characteristic topology. The spatial distribution of WMI in term neonates with CHD reflects the expected maturation of pre-oligodendrocytes such that the central regions are less vulnerable than in the preterm neonates

NOVEL GAS CLEANING/CONDITIONING FOR INTEGRATED GASIFICATION COMBINED CYCLE

Development efforts have been underway for decades to replace dry-gas cleaning technology with humid-gas cleaning technology that would maintain the water vapor content in the raw gas by conducting cleaning at sufficiently high temperature to avoid water vapor condensation and would thus significantly simplify the plant and improve its thermal efficiency. Siemens Power Generation, Inc. conducted a program with the Gas Technology Institute (GTI) to develop a Novel Gas Cleaning process that uses a new type of gas-sorbent contactor, the ''filter-reactor''. The Filter-Reactor Novel Gas Cleaning process described and evaluated here is in its early stages of development and this evaluation is classified as conceptual. The commercial evaluations have been coupled with integrated Process Development Unit testing performed at a GTI coal gasifier test facility to demonstrate, at sub-scale the process performance capabilities. The commercial evaluations and Process Development Unit test results are presented in Volumes 1 and 2 of this report, respectively. Two gas cleaning applications with significantly differing gas cleaning requirements were considered in the evaluation: IGCC power generation, and Methanol Synthesis with electric power co-production. For the IGCC power generation application, two sets of gas cleaning requirements were applied, one representing the most stringent ''current'' gas cleaning requirements, and a second set representing possible, very stringent ''future'' gas cleaning requirements. Current gas cleaning requirements were used for Methanol Synthesis in the evaluation because these cleaning requirements represent the most stringent of cleaning requirements and the most challenging for the Filter-Reactor Novel Gas Cleaning process. The scope of the evaluation for each application was: (1) Select the configuration for the Filter-Reactor Novel Gas Cleaning Process, the arrangement of the individual gas cleaning stages, and the probable operating conditions of the gas cleaning stages to conceptually satisfy the gas cleaning requirements; (2) Estimate process material & energy balances for the major plant sections and for each gas cleaning stage; (3) Conceptually size and specify the major gas cleaning process equipment; (4) Determine the resulting overall performance of the application; and (5) Estimate the investment cost and operating cost for each application. Analogous evaluation steps were applied for each application using conventional gas cleaning technology, and comparison was made to extract the potential benefits, issues, and development needs of the Filter-Reactor Novel Gas Cleaning technology. The gas cleaning process and related gas conditioning steps were also required to meet specifications that address plant environmental emissions, the protection of the gas turbine and other Power Island components, and the protection of the methanol synthesis reactor. Detailed material & energy balances for the gas cleaning applications, coupled with preliminary thermodynamic modeling and laboratory testing of candidate sorbents, identified the probable sorbent types that should be used, their needed operating conditions in each stage, and their required levels of performance. The study showed that Filter-Reactor Novel Gas Cleaning technology can be configured to address and conceptually meet all of the gas cleaning requirements for IGCC, and that it can potentially overcome several of the conventional IGCC power plant availability issues, resulting in improved power plant thermal efficiency and cost. For IGCC application, Filter-Reactor Novel Gas Cleaning yields 6% greater generating capacity and 2.3 percentage-points greater efficiency under the Current Standards case, and more than 9% generating capacity increase and 3.6 percentage-points higher efficiency in the Future Standards case. While the conceptual equipment costs are estimated to be only slightly lower for the Filter-Reactor Novel Gas Cleaning processes than for the conventional processes, the improved power plant capacity results in the potential for significant reductions in the plant cost-of-electricity, about 4.5% for the Current Standards case, and more than 7% for the Future Standards case. For Methanol Synthesis, the Novel Gas Cleaning process scheme again shows the potential for significant advantages over the conventional gas cleaning schemes. The plant generating capacity is increased more than 7% and there is a 2.3%-point gain in plant thermal efficiency. The Total Capital Requirement is reduced by about 13% and the cost-of-electricity is reduced by almost 9%. For both IGCC Methanol Synthesis cases, there are opportunities to combine some of the filter-reactor polishing stages to simplify the process further to reduce its cost. This evaluation has devised plausible humid-gas cleaning schemes for the Filter-Reactor Novel Gas Cleaning process that might be applied in IGCC and Methanol Synthesis applications

Plasma cholesterol levels and brain development in preterm newborns.

BackgroundTo assess whether postnatal plasma cholesterol levels are associated with microstructural and macrostructural regional brain development in preterm newborns.MethodsSixty preterm newborns (born 24-32 weeks gestational age) were assessed using MRI studies soon after birth and again at term-equivalent age. Blood samples were obtained within 7 days of each MRI scan to analyze for plasma cholesterol and lathosterol (a marker of endogenous cholesterol synthesis) levels. Outcomes were assessed at 3 years using the Bayley Scales of Infant Development, Third Edition.ResultsEarly plasma lathosterol levels were associated with increased axial and radial diffusivities and increased volume of the subcortical white matter. Early plasma cholesterol levels were associated with increased volume of the cerebellum. Early plasma lathosterol levels were associated with a 2-point decrease in motor scores at 3 years.ConclusionsHigher early endogenous cholesterol synthesis is associated with worse microstructural measures and larger volumes in the subcortical white matter that may signify regional edema and worse motor outcomes. Higher early cholesterol is associated with improved cerebellar volumes. Further work is needed to better understand how the balance of cholesterol supply and endogenous synthesis impacts preterm brain development, especially if these may be modifiable factors to improve outcomes

Effects of High-Volume Versus High-Load Resistance Training on Skeletal Muscle Growth and Molecular Adaptations

We evaluated the effects of higher-load (HL) versus (lower-load) higher-volume (HV) resistance training on skeletal muscle hypertrophy, strength, and muscle-level molecular adaptations. Trained men (n = 15, age: 23 ± 3 years; training experience: 7 ± 3 years) performed unilateral lower-body training for 6 weeks (3× weekly), where single legs were randomly assigned to HV and HL paradigms. Vastus lateralis (VL) biopsies were obtained prior to study initiation (PRE) as well as 3 days (POST) and 10 days following the last training bout (POSTPR). Body composition and strength tests were performed at each testing session, and biochemical assays were performed on muscle tissue after study completion. Two-way within-subject repeated measures ANOVAs were performed on most dependent variables, and tracer data were compared using dependent samples t-tests. A significant interaction existed for VL muscle cross-sectional area (assessed via magnetic resonance imaging; interaction p = 0.046), where HV increased this metric from PRE to POST (+3.2%, p = 0.018) whereas HL training did not (−0.1%, p = 0.475). Additionally, HL increased leg extensor strength more so than HV training (interaction p = 0.032; HV \u3c HL at POST and POSTPR, p \u3c 0.025 for each). Six-week integrated non-myofibrillar protein synthesis (iNon-MyoPS) rates were also higher in the HV versus HL condition, while no difference between conditions existed for iMyoPS rates. No interactions existed for other strength, VL morphology variables, or the relative abundances of major muscle proteins. Compared to HL training, 6 weeks of HV training in previously trained men optimizes VL hypertrophy in lieu of enhanced iNon-MyoPS rates, and this warrants future research

Neurochemical Metabolomics Reveals Disruption to Sphingolipid Metabolism Following Chronic Haloperidol Administration

Haloperidol is an effective antipsychotic drug for treatment of schizophrenia, but prolonged use can lead to debilitating side effects. To better understand the effects of long-term administration, we measured global metabolic changes in mouse brain following 3 mg/kg/day haloperidol for 28 days. These conditions lead to movement-related side effects in mice akin to those observed in patients after prolonged use. Brain tissue was collected following microwave tissue fixation to arrest metabolism and extracted metabolites were assessed using both liquid and gas chromatography mass spectrometry (MS). Over 300 unique compounds were identified across MS platforms. Haloperidol was found to be present in all test samples and not in controls, indicating experimental validity. Twenty-one compounds differed significantly between test and control groups at the p < 0.05 level. Top compounds were robust to analytical method, also being identified via partial least squares discriminant analysis. Four compounds (sphinganine, N-acetylornithine, leucine and adenosine diphosphate) survived correction for multiple testing in a non-parametric analysis using false discovery rate threshold < 0.1. Pathway analysis of nominally significant compounds (p < 0.05) revealed significant findings for sphingolipid metabolism (p = 0.02) and protein biosynthesis (p = 0.03). Altered sphingolipid metabolism is suggestive of disruptions to myelin. This interpretation is supported by our observation of elevated N-acetylaspartylglutamate in the haloperidol-treated mice (p = 0.004), a marker previously associated with demyelination. This study further demonstrates the utility of murine neurochemical metabolomics as a method to advance understanding of CNS drug effects

LOCUST-GPU predictions of fast-ion transport and power loads due to ELM-control coils in ITER

The LOCUST-GPU code has been applied to study the fast-ion transport and loss caused by resonant magnetic perturbations in the high-performance Q= 10 ITER baseline scenario. The unique computational efficiency of the code is exploited to calculate the impact of the application of the ITER ELM-control-coil system on neutral beam heating efficiency, as well as producing detailed predictions of the resulting plasma-facing component power loads, for a variety of operational parameters—the toroidal mode number n0, mode spectrum and absolute toroidal phase of the imposed perturbation. The feasibility of continually rotating the perturbations is assessed and shown to be effective at reducing the time-averaged power loads.Through careful adjustment of the relative phase of the applied perturbation in the three rows of coils, peak power loads are found to correlate with reductions in NBI heating efficiency for n= 3 fields. Adjusting the phase this way can increase total NBI system efficiency by approximately 2-3% and reduce peak power loads by up to 0.43 MWm-2. From the point of view of fast-ion confinement, n= 3 ELM control fields are preferred overall to n= 4 fields.In addition, the implementation of 3D magnetic fields in LOCUST is also verified by comparison with the SPIRAL code for a DIII-D discharge with ITER-similar shaping and n= 3 perturbation

Gene expression profiling reveals differential effects of sodium selenite, selenomethionine, and yeast-derived selenium in the mouse

The essential trace mineral selenium is an important determinant of oxidative stress susceptibility, with several studies showing an inverse relationship between selenium intake and cancer. Because different chemical forms of selenium have been reported to have varying bioactivity, there is a need for nutrigenomic studies that can comprehensively assess whether there are divergent effects at the molecular level. We examined the gene expression profiles associated with selenomethionine (SM), sodium selenite (SS), and yeast-derived selenium (YS) in the intestine, gastrocnemius, cerebral cortex, and liver of mice. Weanling mice were fed either a selenium-deficient (SD) diet (<0.01 mg/kg diet) or a diet supplemented with one of three selenium sources (1 mg/kg diet, as either SM, SS or YS) for 100 days. All forms of selenium were equally effective in activating standard measures of selenium status, including tissue selenium levels, expression of genes encoding selenoproteins (Gpx1 and Txnrd2), and increasing GPX1 enzyme activity. However, gene expression profiling revealed that SS and YS were similar (and distinct from SM) in both the expression pattern of individual genes and gene functional categories. Furthermore, only YS significantly reduced the expression of Gadd45b in all four tissues and also reduced GADD45B protein levels in liver. Taken together, these results show that gene expression profiling is a powerful technique capable of elucidating differences in the bioactivity of different forms of selenium