Retention of Low Income Children in Three Dental Studies Investigating Early Childhood Caries

Background: To our knowledge no dental studies have looked closely at subject retention, which is crucial to better understand oral health disparities. In this paper, we report retention rates and review and attempt to assess which retention strategies utilized in 3 dental research studies investigating ECC were effective for retaining WIC-enrolled children. The purpose of this paper is to discuss challenges that were encountered when working with these populations, describe characteristics of those not retained, and summarize some recommendations for future dental studies working at WIC sites. Methods: Three dental studies were conducted at WIC clinics in Iowa. Retention strategies focused on maintenance of contact over time, persistence in rescheduling appointments, utilization of incentives, high recruitment, and frequent communication with parents and program staff. Results: Retention rates in the studies ranged from 60 to 75 percent at the final research interventions. Studies were challenged by frequent moves of subjects, missed appointments, disconnected phones, busy schedules of parents, transportation problems, loss of child custody, family illness, and lack of interest. Those not retained in the studies were more likely to be younger, single, and less educated, with a lower household income and a non-Caucasian child. Lower retention was also associated with the presence of carious lesions. Conclusions: Despite many challenges, studies had good retention rates and benefited from the retention strategies. Future dental studies at WIC clinics may also benefit from arranging transportation, obtaining a free, 800 callback number, and offering after-hours appointments for working parents

Nonlinear Control Strategy for Advanced Vehicle Thermal Management Systmes

Advanced thermal management systems for internal combustion engines can improve coolant temperature regulation and servomotor power consumption by better regulating the combustion process with multiple computer controlled electromechanical components. The traditional thermostat valve, coolant pump, and clutch-driven radiator fan are upgraded with servomotor actuators. When the system components function harmoniously, desired thermal conditions can be accomplished in a power efficient manner. In this paper, a comprehensive nonlinear control architecture is proposed for transient temperature tracking. An experimental system has been fabricated and assembled which features a variable position smart valve, variable speed electric water pump, variable speed electric radiator fan, engine block, and various sensors. In the configured system, the steam-based heat exchanger emulates the heat generated by the engine’s combustion process. Representative numerical and experimental results are discussed to demonstrate the functionality of the thermal management system in accurately tracking prescribed temperature profiles and minimizing electrical power consumption

Renormalized broken-symmetry Schwinger-Dyson equations and the 2PI-1/N expansion for the O(N) model

We derive the renormalized Schwinger-Dyson equations for the one- and two-point functions in the auxiliary field formulation of $\lambda \phi^4$ field theory to order 1/N in the 2PI-1/N expansion. We show that the renormalization of the broken-symmetry theory depends only on the counter terms of the symmetric theory with $\phi = 0$. We find that the 2PI-1/N expansion violates the Goldstone theorem at order 1/N. In using the O(4) model as a low energy effective field theory of pions to study the time evolution of disoriented chiral condensates one has to {\em{explicitly}} break the O(4) symmetry to give the physical pions a nonzero mass. In this effective theory the {\em additional} small contribution to the pion mass due to the violation of the Goldstone theorem in the 2-PI-1/N equations should be numerically unimportant

Hydraulic Actuated Automotive Cooling Systems - Nonlinear Control and Test

The replacement of traditional automotive mechanical cooling system components with computer controlled servo-motor driven actuators can improve temperature tracking and reduce parasitic losses. The integration of hydraulic actuators in the engine cooling circuit offers greater power density in a smaller package space when compared with electric actuators. In this paper, a comprehensive nonlinear backstepping robust control technique is developed to regulate the engine coolant temperature by controlling a hydraulic coolant pump and radiator fan. An experimental test bench has been assembled to investigate the hydraulic automotive thermal system performance. Representative numerical and experimental results are presented and discussed. Overall, the proposed controller was successful in tracking prescribed engine temperature profiles while harmoniously regulating the power consumption of the coolant pump and radiator fan

Virtual sensing directional hub MAC (VSDH-MAC) protocol with power control

Medium access control (MAC) protocols play a vital role in making effective use of a multiple access channel as it governs the achievable performance such as channel utilization and corresponding quality of service of wireless sensor networks (WSNs). In this paper, a virtual carrier sensing directional hub (VSDH) MAC protocol incorporating realistic directional antenna patterns is proposed for directional single hub centralized WSNs. While in most instances, MAC protocols assume idealized directional antenna patterns, the proposed VSDH-MAC protocol incorporates realistic directional antenna patterns to deliver enhanced link performance. We demonstrate that the use of directional antennas with a suitable MAC protocol can provide enhanced communication range and increased throughput with reduced energy consumption at each node, compared to the case when only omnidirectional antennas are used. For the scenarios considered in this study, results show that the average transmit power of the sensor nodes can be reduced by a factor of two, and at the same time offer significantly extended lifetime

Relation of delayed recovery of myocardial function after takotsubo cardiomyopathy to subsequent quality of life

Takotsubo cardiomyopathy (TTC) has generally been regarded as a relatively transient disorder, characterized by reversible regional left ventricular systolic dysfunction. However, most patients with TTC experience prolonged lassitude or dyspnea after acute attacks. Although this might reflect continued emotional stress, myocardial inflammation and accentuated brain-type natriuretic peptide (BNP) release persist for at least 3 months. We therefore tested the hypotheses that this continued inflammation is associated with (1) persistent contractile dysfunction and (2) consequent impairment of quality of life. Echocardiographic parameters (global longitudinal strain [GLS], longitudinal strain rate [LSR], and peak apical twist [AT]) were compared acutely and after 3 months in 36 female patients with TTC and 19 age-matched female controls. Furthermore, correlations were sought between putative functional anomalies, inflammatory markers (T2 score on cardiovascular magnetic resonance, plasma NT-proBNP, and high-sensitivity C-reactive protein levels), and the physical composite component of SF36 score (SF36-PCS). In TTC cases, left ventricular ejection fraction returned to normal within 3 months. GLS, LSR, and AT improved significantly over 3-month recovery, but GLS remained reduced compared to controls even at follow-up (-17.9 ± 3.1% vs -20.0 ± 1.8%, p = 0.003). Impaired GLS at 3 months was associated with both persistent NT-proBNP elevation (p = 0.03) and reduced SF36-PCS at ≥3 months (p = 0.04). In conclusion, despite normalization of left ventricular ejection fraction, GLS remains impaired for at least 3 months, possibly as a result of residual myocardial inflammation. Furthermore, perception of impaired physical exercise capacity ≥3 months after TTC may be explained by persistent myocardial dysfunction